Why do major dental cases at the upper fee range require the veto-holder at both the diagnostic visit and the case presentation?
Because the financial weight at the top of the fee range crosses a threshold where the patient cannot reasonably commit alone, and any decision-making partner needs direct exposure to both the diagnosis and the presentation. For a regular major case, the veto-holder being present at the case presentation alone is usually sufficient. For a major case at the upper end of possible fees, the level of financial commitment and life impact is large enough that the veto-holder needs to be present from the diagnostic visit forward. They watch the imaging and findings unfold. They hear the doctor explain why the situation is serious. They process the information in the same moment the patient does, rather than receiving a second-hand summary later. By the time the case presentation arrives a week or more later, the veto-holder is already informed, already engaged, and able to participate constructively. Skipping their attendance at the diagnostic creates a gap that often kills the case at the dinner table.
If the answers you are finding here resonate with you, my team and I work with a small group of clients each year. The next step is a complimentary Discovery Consultation and Practice Review with Dr. McAnally.