December CDA Journal Facelifts

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December CDA Journal Facelifts Powered By Docstoc
					The Editor                                                                                           Alan L. Felsenfeld, DDS

The Power of One

              wo years ago Gov. Arnold         the Senate as a whole approved
              Schwarzenegger failed to sign    it. With passage in the Senate,
              SB 1336. This is a bill that     the process was repeated in the
              would have allowed quali-        Assembly, including the com-
              fied single degree oral and      mittee hearings and testimony.
              maxillofacial surgeons to per-   During the entire process there
form isolated facial cosmetic surgical pro-    was much made of the issue
cedures within the purview of the Dental       of “dentists doing facelifts” in
Practice Act. The criteria for permitting      the press and on television.
these individuals to do these procedures       Television interviews with plas-
were restrictive and required a surgeon to     tic surgeons, showing a patient
demonstrate education, experience, and         who, it was suggested, was op-
competence in this specific surgical area. A   erated on in another state by
consortium of individuals within dentistry     an oral and maxillofacial sur-
representing the California Association        geon with a poor result, and
of Oral and Maxillofacial Surgeons, the        joking by news commentators
California Dental Association, interested      was noted on several occasions.
clinicians, and educators developed the        Despite this and the tedious process of
legislative package.                           the legislative procedure, the bill passed
    The bill had its origin several years      all of the committees and both houses
earlier as it was developed before being       of the Legislature virtually unopposed              As most of us
submitted for consideration. Numerous          and was sent to Gov. Schwarzenegger in              understand, the
meetings were held and revisions offered       August 2004 for his consideration.
until the involved parties agreed on the           The governor vetoed the bill with a veto        pathway to having a
proposed language. CDA and CALAMOS             message requesting that his Department of
then found a sponsor to introduce the          Consumer Affairs complete an occupation-            bill brought before
legislation and the process began. As most     al analysis to determine if oral and maxillo-       the Legislature
of us understand, the pathway to having a      facial surgeons had the education or could
bill brought before the Legislature and ul-    receive additional training to perform cos-         and ultimately go
timately go to the governor for consider-      metic procedures without compromising
ation is somewhat tortuous. Various com-       patient safety. During the ensuing year the         to the governor for
mittees of the Senate needed to consider it    analysis, complex in itself, was done and a         consideration is
from their perspective. Hearings were held     result very favorable to oral and maxillofa-
and communities of interest, including         cial surgery was forthcoming.                       somewhat tortuous.
many of our member dentists, as well as            As the occupational analysis was being
competing surgical specialties who viewed      developed, reintroduction of the bill in
this legislation as a threat to their prac-    January 2005, as SB 438, with similar
tice, provided testimony. After those hear-    committee and legislative evaluation took
ings and passage out of the committees,        place and the bill was once again sent

                                                                                    DECEMBER . 2006 . VOL . 34 . NO . 12 . CDA . JOURNAL   929
                                                              The Editor

                                                             forward to the governor for signature.
                                                             After the second round of legislative
                                                             review, and significant opposition
                                                             by the plastic surgeons, the governor
                                                             signed the bill last September with a
                                                             message noting the positive outcome
                                                             of the occupational analysis. This rep-
                                                             resents a significant legislative victory
                                                             for the two organizations.
                                                                  Interaction between a specialty or-
                                                             ganization with a vested interest and
                                                             the CDA, which represents all dentists,
                                                             was effective in getting the bill through
                                                             the Legislature and to the governor for
                                                             his signature. Although the number
                                                             of members who will be affected by
                                                             this legislation is relatively small, CDA
                                                             supported the CALAMOS position that
                                                             there was an inequity and discrimina-
                                                             tion in current law. There was a co-
                                                             ordination of strategy and effort be-
                                                             tween the two groups, coupled with
                                                             grass roots mobilization of members
                                                             in both organizations, and this strong
                                                             base was effective in the success of the
                                                             legislation. We can be proud of the ef-
                                                             forts that were made and the united
                                                             front of these two dental organizations
                                                             that allowed this significant milestone
                                                             to be achieved.
                                                                   The important lesson that can be
                                                             derived by the successful lobbying ef-
                                                             forts of the CDA and CALAMOS is that
                                                             with collaborative programs, significant
                                                             strides can be made. When dentistry
                                                             speaks with one voice, there are fewer
                                                             roadblocks to success in the legislative
                                                             arena. With this unity, amazing things
                                                             can be accomplished. We must not for-
                                                             get that.
                                                                  Comments, letters and questions
                                                             c a n b e a d d re s s e d t o t h e e d i t o r a t

930   CDA . JOURNAL . VOL . 34 . NO . 12 . DECEMBER . 2006

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