Connect with us

Wisconsin

As more Wisconsin dentists retire, getting new providers to rural areas is a challenge

Published

on

As more Wisconsin dentists retire, getting new providers to rural areas is a challenge


Scott Nicol returned to his hometown of Tomah in 1973 to work as a dentist. He was fresh out of dental school, and he remembers one of his first patients: an older man who needed a denture fixed but was skeptical about getting treatment from a young provider.

“Then he said, ‘Are you Bob and Junie’s boy?’ And I said yes,” Nicol recalled. “He said, ‘Go ahead and fix it.’”

Nicol found building good relationships with his patients and office staff was the key to success as a small-town dentist. He would spend more than four decades caring for the residents of his community in western Wisconsin.

Stay informed on the latest news

Sign up for WPR’s email newsletter.

Advertisement

But when it came time for Nicol to retire, finding someone to take over his portion of Tomah Family Dentistry wasn’t easy.

He spent more than two years looking for the right dentist to take his place, even turning down offers from dentists who he knew were only looking for a temporary job. Nicol found there were few young dentists looking to move permanently to a rural city of fewer than 10,000 people. 

In the last five years, Wisconsin’s dental industry has gone through a major shift as more providers from the baby boom generation leave work. The natural transition was accelerated even further by the COVID-19 pandemic, when many dentists chose to retire earlier than usual. 

Advertisement

For patients, that can mean difficulties finding care amid dental shortages.

According to data from the American Dental Association, in 2020, a third of the state’s dentists were baby boomers and another third were millennials. 

By 2023, millennials made up nearly half of the state’s providers while baby boomers represented about a quarter of Wisconsin dentists. As more boomers reach retirement age (the youngest members of the generation are now 60), that transition will continue in the coming years.

Data from the American Dental Association’s Health Policy Institute shows higher percentages of Wisconsin dentists are under age 40. Photo courtesy of the American Dental Association

This generational change has affected rural areas of the state the most, where there is already a shortage of dentists. Without new providers coming, rural patients are left with fewer options for care and longer wait times for an appointment. 

“The biggest challenge I have seen over the years in getting a dentist to come to a smaller town is their spouse doesn’t want to live here,” Nicol said. “They’re looking for something more than what a Tomah has to offer.”

Advertisement

Young dentists balance higher debt, desire for mentorship

American Dental Association data shows Wisconsin has largely the same number of dentists per capita as it did 20 years ago, after numbers fell slightly in the late 2000s. Industry leaders say many young dentists are looking at the state’s cities, attracted by the amenities of urban life and better job opportunities for their spouses.

Many graduates are also leaving dental school with a large amount of debt. Nicol said that not only makes it harder for them to buy into or start a private practice, but also influences the way new dentists think about their first jobs.

“A lot of them are just looking for a place to get experience, make some money, pay down their debt, and then they’re going to move on,” he said.

For some dentists, that means working for a corporate chain, or what are known as dental service organizations, instead of owning and operating an independent business. Nicol said he’s seen many retiring dentists choose to sell to corporate chains after failing to find someone to take over their private practice.  

Wisconsin is one of 26 states that have seen dentists at the beginning of their careers leave for jobs in other states. Data from the American Dental Association shows that between 2019 and 2022, Wisconsin lost more than 2 percent of new dentists, or those with less than 10 years of experience. It’s one of the smaller net losses, with some states losing 7 percent or more of young dentists.

Advertisement

Lauren Poppe graduated from Marquette University’s School of Dentistry, the only dental program in Wisconsin, in 2024. She said the majority of her classmates stayed in urban areas for their first job. But the decision was as much about their careers as it was about their lifestyle.

“I think some of my classmates thought that maybe they would get more experience in an urban location, and be able to build more confidence,” Poppe said. 

Poppe is one of the exceptions. She started working for a small dental practice in rural Douglas County right after graduation, a job that has provided the mentorship she said many new dentists are looking for.

But Poppe said there are only a few other dental providers in her area, limiting opportunities for other new dentists to find the same start. 

Of Wisconsin’s 45 rural counties, 30 are considered a dental health professional shortage area, according to federal data from October. By comparison, four of the state’s 27 metropolitan counties were shortage areas.

Advertisement
A Wisconsin map shows nearly half of the state’s counties, including 30 rural counties, do not have enough dental care providers to care for residents. Courtesy of the Rural Health Information Hub

Poppe said the shortage means more people are relying on her for care, a position that can feel intimidating for any new graduate. There are only a handful of specialists like orthodontists to whom she can refer people, and her office pulls in patients from as far as an hour and half away. 

“If a patient walks in your door and you haven’t seen something like that, or you’re not quite sure, having someone you can call and talk to, bounce ideas off of, that’s the reason why I wanted to go to a practice that wasn’t just me,” she said.

State officials work to incentivize rural practice

Poppe was able to start working in rural Wisconsin right away thanks to a new state incentive referred to as diploma privilege. 

The Wisconsin Dentistry Examining Board voted in 2023 to allow Marquette graduates to skip the practical exam that’s normally required for state licensure, helping graduates get licensed more quickly. It’s the first program of its kind in the nation, according to Marquette.

Poppe’s class last spring was the first group of recipients, with 24 students out of the class of 100 participating. While most grads wait six to eight weeks for a license to practice, Poppe said she received hers three days after graduation. She thinks the expedited process will be a significant incentive for future graduates to stay in Wisconsin immediately after graduation.

State officials have also taken action to try to get new dentists to where they’re needed most. Last year, state lawmakers changed an existing state scholarship for health care workers to be specific to dental students at Marquette. 

Advertisement

The scholarship awards $30,000 to 15 students annually. In exchange for each year they receive the scholarship, students agree to work for 18 months in a dental health shortage area outside of Brown, Dane, Kenosha, Milwaukee and Waukesha counties.

Wisconsin also began licensing dental therapists in 2024. These mid-level providers work under the supervision of a dentist to provide care like filling cavities or placing temporary crowns. Many health advocacy groups in the state have supported the new type of provider as a way to expand care in areas where dentists are in short supply.

Tomah dentist Lucas Schwartz holds one of the dental models he uses with patients. Hope Kirwan/WPR

Recruiting small-town dentists may be easier at home

After two years of searching, Nicol ended up finding his successor in a former patient at his office.

Lucas Schwartz spent a lot of time going to the dentist as a kid because of a unique health condition. But his dentist, Nicol’s partner Mark Matthews, made the experience fun— so much so that Schwartz decided to pursue his own career in dentistry, with a goal of returning to a small town like one he grew up in.

“There’s a lot of community, that’s probably the biggest thing,” Schwartz said. “I mean, you talk to regular people like your mailman every day, and you get to know who they are.”

Two men pose for a photo beside an empty dental chair
Lucas Schwartz, left, stands with his predecessor Scott Nicol in a patient room at Tomah Family Dentistry on Friday, Dec. 6, 2024. Hope Kirwan/WPR

He said only a handful of people in his dental class at Marquette were from rural areas, and many of his classmates looked for more secure jobs in cities to pay down their student debt. But Schwartz said the state’s incentives have helped rural jobs look more attractive, adding he benefited from the state scholarship for working in health shortage areas before graduating in 2022.

Schwartz credits Nicol for passing on a thriving private practice and a good example for how to be a successful provider in their shared hometown.

Advertisement

“Treatments may have changed, but having patient rapport, talking to people and having that connection, is still the best value I think that dentistry has, especially in a family clinic,” he said.

Advertisement



Source link

Wisconsin

Senate must pass bill so WI athletics can stay in the game | Opinion

Published

on

Senate must pass bill so WI athletics can stay in the game | Opinion



AB 1034 provides clarity around NIL policies, offers limited financial flexibility tied to existing athletic facility obligations, and ensures that Wisconsin Athletics can compete on equal footing.

Advertisement
play

  • Wisconsin’s Assembly Bill 1034 aims to modernize state law to reflect new NCAA rules on athlete compensation.
  • The bill would relieve several state universities of $15 million in athletic facility debt to reinvest in athletic programs.
  • Proponents argue the legislation is necessary for Wisconsin universities to compete with peer institutions in other states.
  • Wisconsin athletics reportedly generate over $750 million in statewide economic impact annually.

Let me put my bias, or experience up front. I was a student athlete at the University of Wisconsin-Madison, and was fortunate to have one of my sons graduate as a far better student athlete.

I am writing in support of Assembly Bill 1034, which modernizes Wisconsin law to reflect the realities of today’s college athletic landscape, not because of those past “glory days,” but because college athletics has changed more in the past three years than in the previous three decades.  

New national rules now see universities sharing millions of dollars annually with student-athletes through revenue sharing and name, image, and likeness (NIL) opportunities. Other states have responded quickly, updating their laws to ensure they can compete in this new environment.

Advertisement

Making sure Wisconsin doesn’t fall behind

The State Assembly, with overwhelming bipartisan support, passed AB 1034, now it’s up to the Wisconsin State Senate to pass this legislation and send it quickly to Gov. Tony Evers to ensure Wisconsin doesn’t fall behind.

AB 1034 provides clarity around NIL policies, offers limited financial flexibility tied to existing athletic facility obligations, and ensures that Wisconsin Athletics can compete on equal footing with peer institutions across the country. In a measured way, the bill would relieve UW-Madison, UW-Milwaukee, and UW-Green Bay of $15 million of debt related to athletic facilities with the expressed purpose that those dollars would instead be used to invest in athletic programs.

This legislation is critical for two inter-connected reasons, competition and economic impact.

At a recent capitol hearing, UW-Madison Director of Athletics Chris McIntosh explained that 80 percent of the entire athletic department budget is generated by the football program. That revenue underwrites the competitive commitment to the other 11 men’s and 12 women’s varsity teams, supporting some 600 student athletes.

Advertisement

The capacity for this to continue is threatened by $20 million in new annual name and likeness costs that impact all NCAA schools. An expense that will continue to rise.  In addition, peer institutions in the Big Ten and across the country are committing substantial additional resources to these NIL efforts. In short, without this debt support, the university and its athletes will not only lose an even playing field, they may lose the ability to get on the field.  

This threat from the changing nature of NCAA athletics also poses a threat to the economic impact from college athletics. A recent study found that nearly 2 million visitors came to campus events annually, generating more than $750M in statewide economic impact from Wisconsin athletics. Case in point, each home football game produces a $19M economic impact, with 5,600 jobs in the state tied directly or indirectly to the department’s activities.  

This bipartisan legislation is not about propping up a single sport. It’s about protecting broad based opportunities for all our student-athletes, some of whom we just watched win a gold medal for the U.S. women’s’ hockey team.

Advertisement

Athletics are often noted as the front door to the university, but I would broaden that opening to the State of Wisconsin. Our public university system success strengthens enrollment, attracts the talent that drives our prosperity, and serves as a sustaining way forward for our economy.

Bill provides measured and responsible investment

As the former head of one of our state’s largest business groups, I have spent much of my career engaged in economic development. I know what generates “return on investment.” AB 1034 provides a measured and responsible investment that will generate a positive impact for Wisconsin taxpayers, citizens, and employers.

NCAA athletics has changed, and Wisconsin must change with it, or sit on the sidelines. So let’s encourage the Wisconsin State Senate to pass AB 1034 and put Wisconsin in position to compete on the field which provides a win for our student athletes and all of us who benefit from a world class university system.

Tim Sheehy is a UW-Madison graduate and former student athlete. Sheehy served as the president of the Metropolitan Milwaukee Association of Commerce for more than 30 years where he oversaw economic development and business attraction for the region.

Advertisement



Source link

Continue Reading

Wisconsin

NE Wisconsin community, politicians react to US airstrikes in Iran

Published

on

NE Wisconsin community, politicians react to US airstrikes in Iran


GREEN BAY, Wis. (WBAY) – The United States launched airstrikes in Iran on Wednesday, killing Iranian Supreme Leader Ayatollah Ali Khamenei and prompting fast reactions from across northeast Wisconsin.

In Appleton, over a dozen of protesters came together at Houdini Plaza, protesting the strikes and calling for peace, and in Green Bay, protesters lined the streets with signs condemning the strikes.

One protester we spoke with said the strikes were not about the nuclear protest, but for a regime change.

“All I could think of is WMDs that got us the last war in the Middle East, and it was just a lot of bunk, and the other thing is he said is he’s trying to overthrow the current regime,” said John Cuff of Appleton.

Advertisement

Area lawmakers are also reacting to the attacks in Iran.

Senator Tammy Baldwin released a statement following President Trump’s announcement of the strikes, saying: “My whole career, I have been steadfast in the belief that doing the hard work of diplomacy is the answer, not war. I believed that when I voted against a war in Iraq and I believe it today. Iran poses a real threat and one we need to take head on, but getting into another endless war is not the answer.

“President Trump illegally bombed Iran, totally disregarding the Constitution, putting American troops in harm’s way, and starting another war in the Middle East with no end in sight. The Constitution is clear: if the President wants to start a war, Congress – elected by the people – needs to sign off on it. The Senate needs to come back immediately to vote on this President’s senseless and illegal bombings– I know where I stand.

“Have we learned nothing from the wars in Iraq and Afghanistan? Doubling down with another open-ended war without realistic goals or a strategy to win is not only foolish, but also recklessly puts Wisconsin’s sons and daughters at risk.

“President Trump pledged to the American people that he would not get involved in another foreign war, and this is yet another broken promise from this President. The President needs to listen to the people he represents: Americans want fewer foreign wars and more focus on them and their everyday struggles.”

Advertisement

Representative Tom Tiffany also released a statement on X, formerly Twitter, saying: “My thoughts are with the brave U.S. forces carrying out these precision strikes and with the safety of American personnel in the region.”



Source link

Continue Reading

Wisconsin

Wisconsin lawmakers react to US and Israel attack on Iran

Published

on

Wisconsin lawmakers react to US and Israel attack on Iran


MADISON, Wis. (WMTV) -Wisconsin’s congressional delegation is responding to the United States and Israel’s attack on Iran, with members divided sharply along party lines.

Republicans back military action

Rep. Derrick Van Orden (R-WI), a member of the House Armed Services Committee and a retired U.S. Navy SEAL with multiple combat deployments across the Middle East, released a statement supporting the action.

“For decades, the Iranian regime has fueled terror and violence across the world. This regime has operated with impunity for far too long, spreading chaos while threatening the security of the United States and our partners. Their hands are stained with the blood of thousands of Americans,” Van Orden said.

Sen. Ron Johnson (R-WI) also posted support for the military operation on social media, writing: “May God bless and protect our troops as they attempt to liberate the long suffering people of Iran.”

Rep. Tom Tiffany (R-WI) also expressed support for the military operation.

“My thoughts are with the brave U.S. forces carrying out these precision strikes and with the safety of American personnel in the region,” Tiffany said.

Advertisement

Democrats condemn strikes as unconstitutional

Rep. Mark Pocan (D-WI) criticized the military action on social media, suggesting the strikes were intended to distract from domestic issues.

“Eliminating a nuclear program (that Trump already said was eliminated) & Regime Change. Don’t look at your wallets & what you are paying more for due to Trump’s tariffs OR care about the Epstein files. Trump wants to divert your attention & is willing to kill people to do it,” Pocan said.

Sen. Tammy Baldwin (D-WI) called the strikes illegal and demanded the Senate return to vote on the matter.

Advertisement

“President Trump illegally bombed Iran, totally disregarding the Constitution, putting American troops in harm’s way, and starting another war in the Middle East with no end in sight,” Baldwin said. “The Constitution is clear: if the President wants to start a war, Congress – elected by the people – needs to sign off on it.”

Baldwin also drew comparisons to previous military engagements.

“Have we learned nothing from the wars in Iraq and Afghanistan? Doubling down with another open-ended war without realistic goals or a strategy to win is not only foolish, but also recklessly puts Wisconsin’s sons and daughters at risk,” she said.

Baldwin noted that Trump had pledged to avoid foreign wars. “President Trump pledged to the American people that he would not get involved in another foreign war, and this is yet another broken promise from this President,” she said.

Click here to download the WMTV15 News app or our WMTV15 First Alert weather app.

Advertisement





Source link

Continue Reading

Trending