Cover Story: Dentistry and Brexit: Professional Opinion by Mike Gow BDS (Gla) MFDS RCPS (Gla) MSc Hyp (Lon) PGCert (Edin), Editor, DentaltownUK magazine

Dentaltown Magazine

Editor’s comments: In the past few weeks, we’ve gathered comments from within the dental profession across the UK and Europe to find out people’s thoughts about Brexit and what’s happening in UK politics.

This article is intended to be an interesting insight into our colleagues’ thoughts and concerns about the biggest political event of our era. It does seem that many in UK dentistry had voted to remain; however, it very well may be the case that those who voted for Brexit feel less inclined to vocalise their political thoughts. Regardless of how people voted, there seems to be a consensus that Brexit has been poorly managed by our politicians, regardless of the party they represent.

We want to hear what you think! Click “Add Comment”  below this article to leave your opinions and anecdotes in the message board for this issue of DentaltownUK.

Dr Alif Moosajee
‘Brexit is an excellent example of how the experts of spin, half-truths and misdirection can cause travesties in the democratic process. It isn’t the first time and it won’t be the last! Don’t we regret it all after every government is elected and we realise that their promises weren’t exactly what we thought they would be?’

Dr Elaine Halley
‘I voted remain, and am not 100 percent in favour of all the European red tape but I believed it was better to stand up for ourselves from within. I think it’s a complete travesty that “spin” convinced the nation to vote on matters that were not based on truth and without thorough consideration of the consequences. The British public were let down by the politicians and we are now having to live with the consequences.’

Dr Alessandro Fedi
‘I am a dentist working in general practice in Itay. I cannot imagine a European Union without the United Kingdom, whose history has influenced so much on the whole of Europe. The Brexit vote caused me enormous disappointment and I continue to hope for a change of mind! Europe without the UK just won’t feel like the real Europe.’

Dr Clive Schmulian
‘I voted remain. My wife leave. That’s my biggest Brexit problem!’

Matt Everett
‘It’s a time when our UK dental profession can come together to offer first-class, world-leading treatments. Labs, dentists and dental companies should work together to provide dental care to the highest standards. We should encourage dental tourism! Let’s open our doors to patients from overseas seeking nothing but the best!’

Beth Bradley
‘I’m a dental student at Leeds, and my main concern is the possibility of a hard border in Northern Ireland. I’m from NI and worry about travel restrictions and increased conflict.’

Dr Nilesh Parmar
‘Don’t know who I’m more annoyed with, the [fools] who voted Brexit or the [jerks] who’ve tried to broker a deal. Health care providers have been asked to stockpile six weeks of critical supplies in the event of a no-deal Brexit, amongst other precautions. I wonder if many dentists have done this and I wonder if it is necessary.’

Dr Stephen Jacobs
‘I’m a bit of a Euro-sceptic—I object to a non-elected, corrupt, self-appointed administration in Brussels making our laws. But I still had the sense to vote “Remain.” It cannot be better being a European nation but out of the union; it makes no sense.’

Dr Antonio Pedro Silva
‘I’m a Portuguese paediatric dentist working in Belgium. I’ve always thought of the European project as a step forward in the history of the world civilization. I believe that Brexit won’t be beneficial for either Europe or the UK in a long-term period.’

Dr Philip Friel
‘Times of uncertainty concern people, and it is clear on both sides that there is fear of the unknown. A more comprehensive and involved “education” on the risks and benefits of “Remain” or Brexit before the referendum would have been worthwile, but we are where we are and what will be, will be. It is clear, however, that our lack of complete involvement in Europe has, in the past, led to a gradual devaluing of the pound and this is likely to continue meaning in all aspects of our current euro interactions it is likely to cost us more—affecting, undoubtedly, the purchase of dental equipment, European dental education and potentially staffing.’

Dr Veit Messmer
‘I am a dentist in Germany. I’m not sure what to say other than I am very sad that the UK is leaving!’

Harriet Beaty
‘I do not believe Brexit will have an impact on the dental school per se at Newcastle University where I am a student, although it may have an impact on multinational research projects taking place within the university that are often funded from the EU. Where I think we will see a bigger impact is in the NHS workforce. Around 17 percent of the UK dental workforce is registered with an EU/EEA degree, and there is no definitive answer on whether new applicants’ degrees will be recognised, especially in the case of a no-deal Brexit. This will impact further on the already-understaffed dental NHS sector, meaning those working within the system will be stretched even further. Unfortunately, those graduating from university in the next few years, and working within the NHS, may find that their workload is greater than their predecessors.’

Dr Eurico Martins
‘The political life of a nation with an old democracy like the United Kingdom is never dull. Even so, by any measure we currently live in extraordinary times. A fluid, complex and highly contentious process was set in motion when the 2016 EU referendum was called. I was born in Portugal and my country formally joined the EU in 1986, when I was starting primary school. I grew up within the hope, optimism and excitement of this new project. A few decades on, I no longer see the Union through rose-tinted glasses; I am perfectly aware of its shortcomings and the concessions needed by different countries, regions and economy sectors to move things forward. Nevertheless, being European is still very much a part of my identity. I must confess it had not crossed my mind that around the time I have completed one-third of my life in another European country, this part of my identity would be essentially downgraded. It hurt when the result was announced in 2016 and it still does now.

I don’t love the UK any less because of it. I find it fascinating to watch how this whole process has been unfolding. Although the to-ing and fro-ing can seem shambolic and exasperating at times, one must celebrate the freedom of speech, the respect for the constitution and the rule of law that makes this country one to look up to. Whatever the next few months will bring, I am confident the country will pull together and do the right thing in whichever scenario, and I hope to be part of it.’

Dr José Eduardo Pinheiro Rosa
‘I can see the Brexit issue under two perspectives: as a European dentist who lived in the UK for two years and as an individual. If there are many foreign dentists working in the UK, the logic says that they’re there because they benefit from it. It also says that they’re there because the country also benefits from it! As an individual, I tend to think that the same logic can be applied to a broader spectrum than dentistry, such as economy and culture. Therefore, isn’t it superfluous to discuss who will lose more? Both Europe and the UK will lose.’

Dr Stephen Hudson
‘There are many people still unhappy with the result of the 2016 referendum and the situation we now find ourselves in really doesn’t help. What amazes me is how even now, the country still seems surprised that the British people voted to go against the will of the EU and the majority of our elected leaders. To me this was the only result that made any sense. That’s not to say I voted for Brexit; that’s something only for me and the ballot paper to know. For decades those at the lower end of the socioeconomic ladder have been ridiculed and vilified by the liberal elite. We have TV programs dedicated to making them look like idiots. Even now disgruntled “Remainers” show derision towards the people who “really didn’t understand things” and shout, “What have you maniacs done?” On social media I’ve seen people called scum, racists and xenophobes for voting “Leave.” Many on the “Leave” side have been just as intolerant. ‘Generalising like this never brings the opposing side around to your position. Before you can attempt to change someone’s mind, you must first try to understand their point of view. And you don’t do that with insults and scorn.The majority who voted “Leave” do not fit the generalisation. They are devoted to their families, hardworking, honest and trustworthy. But they have time and again been lied to and have been abandoned by the political elite. It was not just “lager-swilling”, St George or Union flag-waving white van-driving racists who voted “Leave.” They were fathers, mothers, artists, scientists, mechanics, bankers, lawyers, veterans, doctors and, yes, dentists! They were people who feared for their future and the future of their children, just as the “Remainers” did. They just saw something in the EU that those who voted “Remain” didn’t: an EU bureaucracy that they felt did not respect democracy; a bureaucracy that would overrule democratically elected governments that seemed to treat the populace as an inconvenient obstacle to whatever vision they had for Europe.

‘Those who voted “Leave” wanted no part of it. They were given the democratic right to make that decision, and I believe that the majority who voted “Leave” did so for one overriding reason: freedom.

‘Ironically, perhaps they also made the mistake of trusting the politicians. Rightly or wrongly, the UK people decided to go down a path of more nationalist self-determination. The majority who voted don’t want an ever-increasing number of our laws being made in Brussels by people we didn’t elect; they want to be able to hold our own elected representatives accountable, to lawfully protest and let them know our displeasure when they get it wrong. And get it wrong they will, as current events are certainly proving. Perhaps both sides of the debate actually put a little bit too much faith in the right honourable ladies and gentlemen in Parliament.

‘No political party will come out of this looking good whatever happens in the coming weeks. Whether there is a deal or a no-deal Brexit, I believe the biggest change that is coming actually isn’t about whether we are in the EU or not. The biggest change is the shift occurring in the UK public’s political awareness. There is a far wider realisation than ever before that governments and politicians really cannot be trusted no matter the colour of their party. The level of incompetence there can no longer be ignored.

‘Perhaps we should utilise the power that democracy ultimately gives us... and vote the majority of them out at the next available opportunity.’

Dr Joss Reid
‘My thoughts on Brexit are pretty negative, but I voted “Remain” anyway and I still don’t want Brexit to happen! Assuming it does happen, I can see a lot of downsides—as an ordinary member of the public, as a dentist and as a small-business owner.

As an ordinary member of the public, I believe that after such a long period of fiscal hardship, the country doesn’t need anything that will cause further uncertainty. I can see it prolonging our recovery from the 2008 financial crisis, or even potentially plunging us into new difficulties. I’m concerned that businesses will leave the UK and unemployment may rise. Not good for individuals or the country as a whole. As someone who voted “No” in the Scottish independence referendum, I fear that it will add strength to the independence movement, which will argue that an independent Scotland could rejoin the EU. Leaving one club where you feel your voice isn’t heard to join another where your voice might be lost in a bigger crowd seems counterintuitive to me. I worry about the stability of Europe. The EU came in to existence as a result of two World Wars in an attempt to create a Europe that can work together and prevent further conflict. It has been successful in this regard. What will happen now? I feel the country voted “Leave” because of (marginal and debatable) economic benefits, but what price do you put on peace?

As a dentist: I work in the NHS, where dentistry has been underfunded for a long time. Governments can get away with this for the simple reason that it’s not a vote-winner; who’s going to vote to give dentists a pay raise? Even if the money for the NHS on the side of Boris’ bus does happen—which I doubt—I can’t see much of that money coming our way. More likely, I think we’ll see further financial and economic problems, reducing the availability of funds for the NHS. If that happens, people will feel poorer and this may well have a knock-on impact on private dentistry, too. The NHS has benefitted from talent coming to the UK from across the EU. My associate is Polish and a superb clinician who would be very difficult to replace. Will this supply of talent dry up? Will some choose to leave as a result of Brexit?

As the owner of a small business: Most of our dental materials are made abroad. The weak pound, which has largely happened as a result of markets being nervous about Brexit, has meant that we’re experiencing increased costs already. When Brexit happens and we have no trade deals with countries where materials and equipment are manufactured, I think we’re like to see further increases in costs? The best scenario I can envisage is that all of this has been overhyped in the media, and Brexit will make little difference to us on a daily basis and that life will go on regardless. I can’t really see us being hugely better off as a country.’

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