Is the middle class dental model dead everywhere? Not everywhere, but you have to be honest about where you actually practice. If you are out in a small rural pocket with a stable middle population and not much competition, the old middle class model can still hold up for a while. That is the exception, not the rule. For most of us sitting in bigger population zones, that model already looks tired, and it is getting worse as real spending keeps sliding and the big players walk away from the middle. So do not take comfort from someone three states away [...]