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Re :toothpaste

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The messages on our listserv about obstacles to buying toothpaste (distance

from businesses, etc.) , and the ideas about alternatives (homemade baking

soda and water paste), all seem helpful. (Although -- I have heard from

some dentists that baking soda may actually be too abrasive. Comments on

that?)

Having said that, for migrant clinicians and advocates and outreach workers,

etc. who do live or work anywhere near a " dollar store, " I would suggest

advising farmworkers to get their toothpaste at such a store. There are

large tubes of fluoridated toothpaste (Colgate, AquaFresh, etc -- common

brands) for sale for $1 at every such store I've ever seen.

Migrant clinics doing an outreach campaign might even consider negotiating

an even lower price from such a store to buy a bunch of tubes and give them

away in the field, if they have a budget that can stretch to afford such a

thing. Or a dollar store might donate $100 worth of toothpaste every

summer, etc.

I'm not crazy about dollar stores and the sweatshop labor they represent,

just like I'm not crazy about the whole pharmaceuticals " samples " system,

etc. but in both cases there may be an argument for practicality when it

comes to serving low-income patients.

Respects,

Tina

Tina Castañares, MD

Castañares Consulting

637 Highway 141

White Salmon, WA 98672

509 / 493-1600 voice

347 / 412-0087 fax

tina.castanares@...

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