you don’t know what you don’t know

Exactly.

Your post hits on some of the many very common misconceptions.

I’m compelled to dispel misconceptions spread by people(even US dentists) who are promoting misinformation. Transparent fee lists, surgery success, audits, patient numbers, surveys are not “misconceptions”, they are facts by which medical quality may be measured.

Not all work can be evaluated…

All work can be evaluated, some evaluations will be indeterminate regardless of which country the evaluation is performed in. Yes, US dentists will have at least as difficult a time as German doctors definitively identifying the beginning of a dental bacterial infection. That is the nature of diagnosis and has no relative bearing on the quality of German dental infrastructure.

Patient satisfaction and surveys are complete worthless bullshit

Patient surveys are very good supplemental indicators of the professionalism and quality of an institution and their provided medical care.

…your subjective experience and tried to use that to say the work is objectively good.

These are facts, not your feelings. Transparent fee charts, equipment audits, contracts, insurance, warranties, international accreditation, consults, the increase in medical care abroad itself are relevant medical quality data, regardless of how upset those facts make you.

Ask any orthopedic surgeon what they think of foreign procedure mills…

I’ve consulted with dozens of dentists and doctors about many aspects of medical care, both in the US and abroad.

Ask anyone what they think of manipulative healthcare practices in any country…Guess what? They don’t like them. Ask the banned women dying in parking lots in the US, the bounty hunted pregnant women from Texas, US kidney stone sufferers permanently damaged because they are prohibited from entering the ER, US patients denied dentistry or other care because they cannot afford fabricated fee schedules dictated by healthcare monopolies that do not guarantee quality care.

The US healthcare system leans profit-driven, not patient-driven, and that is reflected in the low quality and accessibility of care in the US, regardless of the talent of some US medical professionals. They work in a broken, predatory system.

…one chance…fixing it is either impossible…

Yes, and this has no bearing on the quality of medical care internationally.

Yes, health care is risky everywhere ,and many countries provide the same or better healthcare than the US at a more affordable cost with easier access to care. Yes, health care can be difficult for doctors to perform everywhere, and many countries provide the same or better healthcare than the US at a more affordable cost with easier access to care.

You can fuck up a tooth in an instant. Destroyed. Cannot be fixed.

All the more reason to receive the highest quality medical care as soon as possible at a reasonable cost. The US cannot provide that type of care to most of its citizens. Wait times are harmful or fatal to many US patients. Other countries can provide the highest quality medical care without delay at a reasonable cast to both their citizens and disadvantaged foreigners like US patients. Other healthcare infrastructures functions better and can help more people at a lower cost.