Five Decades Later, Medicare Might Cover Dental Care

Margot Sanger-Katz / The New York Times
Five Decades Later, Medicare Might Cover Dental Care A patient being fitted for a top denture at the Northern Counties Dental Center in Hardwick, Vt. Dentistry is expensive, and expanding Medicare to cover it could help people keep their teeth longer. (photo: Kelly Burgess/NYT)

In the large budget bill now in Congress, supporters of the measure see a rare opportunity to advance a popular policy.

Tens of millions of older Americans who cannot afford dental care — with severe consequences for their overall health, what they eat and even when they smile — may soon get help as Democrats maneuver to add dental benefits to Medicare for the first time in its history.

The proposal, part of the large budget bill moving through Congress, would be among the largest changes to Medicare since its creation in 1965 but would require overcoming resistance from dentists themselves, who are worried that it would pay them too little.

The impact could be enormous for people like Natalie Hayes, 69. Ms. Hayes worked in restaurants, raised a son and managed her health as best she could within her limited means. As she lost her teeth — most of them many years ago and her remaining front ones last fall — she simply lived with it.

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