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Healthy People 2020 objective is to create social and physical environments that promote good health for everyone. They address social determinants such as everyone having access to health care services, including oral health. The five key determinants are economic stability, education, social and community context, health and health care, and neighborhood and built environment. 2) Access to dental care is a crucial problem in America. “There are many vulnerable and underserved populations in the United States (US). According to statistics compiled by the US Senate Subcommittee on Primary Health and Aging (USPHA), groups that have the most difficulty accessing oral health care include young children, pregnant women, and older adults” (Bersell, 2017). There are both external and internal barriers to dental care. An external barrier is how much dental work costs. The high cost of dental work leads to the inability to access dental care. Internal barriers to oral health care are anxiety, fear, perceptions, and misconceptions about preventative health care. (Bersell, 2017) According to Bersell, more than 49 million Americans live in areas that are underserved with dental availability. (2017) Access to oral health care on the policymaking cycle falls between the study issue, evaluating options, and developing policy
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