Even my dentist of many years, whose moral integrity I greatly respect btw, agrees that some aspects of America's dentistry profession are becoming something that could almost be called a racket. He says that at the more recent annual dental association conventions he has attended it seems to him that more emphasis is being placed on ways to increase the profitability of a dental practice than on advancing new and improved dentistry techniques. An old friend of mine who has owned and operated a dental lab for most of his adult life tells me pretty much the same thing regarding the dental lab operator's annual conventions he attends.
I am not by any means saying that all or even most dentists and/or dental lab operators are putting profit ahead of sound practice, but I think it's true that some, hopefully a minority, are.
If it weren't for meddling by government and government-constrained insurers, those two alternatives would be one and the same thing. I don't blame the dentists.