I don't normally do this but I think this pretty much explains NCLB!
---------------------------------------------
Take the time to read this. If you don't understand why educators resent 
the NO CHILD LEFT BEHIND ACT, this may help. If you do understand, 
you'll enjoy this analogy. It was forwarded to me by a friend in Montana 
and written by John S. Taylor, Superintendent of Schools for the Lancaster 
County School District 

The Best Dentist!"Absolutely" the Best Dentist! 

My dentist is great! He sends me reminders so I don't forget checkups. 
He uses the latest techniques based on research. He never hurts me, and 
I've got all my teeth, so when I ran into him the other day, I was eager 
to see if he'd heard about the new state program. I knew he'd think it 
was great. 
"Did you hear about the new state program to measure effectiveness of 
dentists with their young patients?" I said. 
"No," he said. He didn't seem too thrilled. "How will they do that?" 
"It's quite simple," I said. "They will just count the number of 
cavities each patient has at age 10, 14, and 18 and average that to 
determine a dentist's rating. Dentists will be rated Excellent, Good, 
Average, Below Average, and Unsatisfactory. That way parents will know 
which are the best dentists. It will also encourage the less effective 
dentists to get better," I said. "Poor dentists who don't improve could 
lose their licenses to practice." 
"That's terrible," he said. 
"What? That's not a good attitude," I said. "Don't you think we should 
try to improve children's dental health in this state?" 
"Sure I do," he said, "but that's not a fair way to determine who is 
practicing good dentistry." 
"Why not?" I said. "It makes perfect sense to me." 
"Well, it's so obvious," he said. "Don't you see that dentists don't all 
work with the same clientele; so much depends on things we can't 
control? For example," he said, "I work in a rural area with high 
percentage of patients from deprived homes, while some of my colleagues 
work in upper middle class neighborhoods. Many of the parents I work 
with don't bring their children to see me until there is some kind of 
problem and I don't get to do much preventive work. Also," he said, 
"many of the parents I serve let their kids eat way too much candy from 
an early age, unlike more educated parents who understand the 
relationship between sugar and decay. To top it all off," he added, "so 
many of my clients have well water which is untreated and has no 
fluoride in it. Do you have any idea how much difference early use of 
fluoride can make?" 
"It sound like you're making excuses," I said.  I couldn't believe my 
dentist would be so defensive. He does a great job. 
"I am not!" he said. "My best patients are a good as anyone's, my work 
is as good as anyone's, but my average cavity count is going to be 
higher than a lot of other dentists because I chose to work where I am 
needed most." 
"Don't get touchy," I said. 
"Touchy?" he said. His face had turned red and from the way he was 
clenching and unclenching his jaws, I was afraid he was going to damage 
his teeth. "Try furious. In a system like this, I will end up being 
rated average, below average, or worse. My more educated patients who 
see these ratings may believe this so-called rating actually is a 
measure of my ability and proficiency as a dentist. They may leave me, 
and I'll be left with only the most needy patients. And my cavity 
average score will get even worse. On top of that, how will I attract 
good dental hygienists and other excellent dentists to  my practice if 
it is labeled below average?" 
"I think you are overreacting," I said. "Complaining, excuse making and 
stonewalling won't improve dental health'. . . I am quoting from a 
leading member of the DOC?" I noted. 
"What's the DOC?" he asked. 
"It's the Dental Oversight Committee," I said, "a group made up of 
mostly lay persons to make sure dentistry in this state gets improved." 
"Spare me," he said, "I can't believe this. Reasonable people won't buy 
it," he said hopefully. 
The program sounded reasonable to me, so I asked, "How else would you 
measure good dentistry?" 
"Come watch me work," he said. "Observe my processes." 
"That's too complicated and time consuming," I said. "Cavities are the 
bottom line, and you can't argue with the bottom line. It's an absolute 
measure." 
"That's what I'm afraid my parents and prospective patients will think. 
This can't be happening," he said despairingly. 
"Now, now," I said, "don't despair. The state will help you some." 
"How?" he said. 
"If you're rated poorly, they'll send a dentist who is rated excellent 
to help straighten you out." I said brightly. 
"You mean," he said, "they'll send a dentist with a wealthy clientele to 
show me how to work on severe juvenile dental problems with which I have 
probably had much more experience? Big help." 
"There you go again," I said. "You aren't acting professionally at all." 
"You don't get it," he said. "Doing this would be like grading schools 
and teachers on an average score on a test of children's progress 
without regard to influences outside the school, the home, the community 
served and stuff like that. Why would they do something so unfair to 
dentist? No one would ever think of doing that to schools." 
I just shook my head sadly, but he had brightened. "I'm going to write 
my representatives and senators," he said. "I'll use the school 
analogy-surely they will see the point." 
He walked off with that look of hope mixed with fear and suppressed 
anger that I see in the mirror so often lately. 


--
Thanks,
Jon W. Hueser
Comp/Tech. Coord.
East Greene Comm. Schools
405 12th Str. South
Box 377
Grand Junction, IA  50107
Phone:  515-738-2411 ext. 241
Fax:  515-738-5719
Website:  www.east-greene.k12.ia.us
--

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