New Yorker 07月30日 06:15
Americans Are Fixing Their Teeth in Mexico
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本文聚焦墨西哥洛斯阿尔戈多内斯(Molar City),这座城镇因吸引大量美国边境居民前来寻求更经济实惠的牙科治疗而闻名。文章探讨了美国牙科费用高昂的现状,以及其对普通民众的影响,并引入了牙齿作为个人生命记录的自然属性,与现代牙科技术试图统一化和人工化的趋势形成对比。同时,文章也触及了执法部门对格斗训练的兴趣,以及近期曼哈顿发生的枪击事件,并引用了相关人士对枪击事件难以预防的看法,以及枪手可能存在的脑部疾病(C.T.E.)的研究意愿。

🦷 洛斯阿尔戈多内斯,又称“磨牙之城”,已成为美国人寻求廉价牙科治疗的热门目的地。据估计,这座小镇拥有远超世界平均水平的牙医数量,每年吸引超过百万人次的美国人跨境接受牙科服务,因为当地的牙科治疗费用,例如根管治疗,可能仅为美国本土的五分之一。

⚖️ 美国牙科保健体系存在显著的公平性问题。超过半数的美国人每年无法获得牙科检查,即使是危及生命的问题,医保也往往覆盖不足,而牙科保险的保障范围更是有限。一些牙医因推销非必要性美容项目而加剧了费用负担,同时,牙医群体也面临着来自患者的言语乃至肢体暴力,反映了整个体系的困境。

🦷 牙齿作为人体最持久的遗存,承载着个体生活方式和健康状况的丰富信息,但现代牙科技术,如牙齿矫正和人工植入,正在逐渐抹去这些自然印记,使得笑容趋于同质化,反映了社会对“被看见”和身份认同的追求,但同时也加剧了经济条件差异下的医疗不平等。

🥋 在执法领域,一种新的训练模式正在兴起,执法机构开始采纳类似U.F.C.(终极格斗冠军赛)的格斗技巧,如巴西柔术,来训练警员,以提升其应对复杂和高风险情况的能力。

🎯 近期曼哈顿发生的枪击事件凸显了预防此类悲剧的挑战性。枪手针对特定机构,并表达了对脑部疾病(C.T.E.)研究的兴趣,这引发了关于精神健康危机、枪支暴力以及潜在的脑部病变与行为关联性的深入讨论。

“Nothing is more memorable, for better or worse, than a trip to the dentist.” Los Algodones, Mexico—known as Molar City—attracts scores of Americans from across the border seeking cheaper dental work. And Michael Luo on why shootings like the one yesterday in Manhattan remain so hard to prevent. Plus:

Training cops to be like U.F.C. fighters
Adam Gopnik remembers the satirist Tom Lehrer
You have some questions about the W.N.B.A.?

Los Algodones was built on leaps of faith. A short walk from the United States, it’s a place for the poor, the afflicted, the huddled masses without dental insurance.Photographs by Ariel Fisher for The New Yorker

Burkhard Bilger
A staff writer at The New Yorker since 2001.

“Show me your teeth and I will tell you who you are,” Georges Cuvier, the eighteenth-century French naturalist and paleontologist, is said to have remarked. Teeth are the most durable bits our ancestors left behind—miniature records of how and where they lived and ate, and of how their bodies were shaped. But that was before modern dentistry. These days, we do our best to erase the stories teeth tell. Three out of four American teen-agers straighten their teeth with braces, while more and more adults are replacing them with artificial implants, crowns, and veneers. In a country obsessed with identity and being “seen,” our smiles are all starting to look alike.

If we can afford it, that is. In any given year, more than half of Americans never see a dentist. Health insurance won’t cover their tooth problems—even ones that could be life-threatening—and dental insurance is small comfort: the more serious the condition, the less likely it is to be covered. Some dentists and orthodontists are part of the problem—raising costs by pushing cosmetic choices as medical necessities. But most are trapped in a system they didn’t create and wouldn’t choose. Three-quarters of American dentists have been verbally abused by their patients, according to one survey, and nearly half have been physically assaulted.

No wonder an alternative has sprung up across the border. Los Algodones, Mexico—A.K.A. Molar City—may have more dentists per capita than any place in the world: well over a thousand in a town of fifty-five hundred. Every year, more than a million Americans walk or drive there, fleeing the high cost of dental work in the U.S. A root canal in Molar City may cost less than one-fifth of what it would in Yuma, Arizona, ten minutes away.

I visited Molar City for a piece in this week’s issue. Dentistry tends to be a no-fly zone for journalists—who wants to relive those moments in print? But wherever I went in town, people couldn’t wait to talk about their teeth. Nothing is more memorable, for better or worse, than a trip to the dentist. From Louis XIV to the latest celebrity with a bad veneer job, everyone has a horror story to tell. But the opposite is also true. If dentists are willing to endure so much abuse, it’s because no one is more grateful, more profoundly relieved, than a patient whose pain has been taken away.

Read the story »


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How Bad Is It?

A gunman carrying an assault rifle killed four people in a Manhattan skyscraper yesterday, before taking his own life. He was reportedly targeting offices of the National Football League, and left behind a note asking that his brain be studied for signs of chronic traumatic encephalopathy, or C.T.E.—a brain disease that can develop after repeated hits to the head.

Why are incidents like this still so hard to prevent? “We’re in that phase after every mass shooting when a portrait of the shooter starts to cohere and the assigning of blame begins,” Michael Luo, an executive editor at The New Yorker, told us. He pointed to reporting by ABC News and the Wall Street Journal which suggested that the suspect had, in recent years, been the subject of at least one “mental-health crisis hold” in Nevada.

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牙科治疗 洛斯阿尔戈多内斯 医疗成本 执法训练 枪支暴力
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