@Kuratz ....
Good post. As with all things in life .... if you put in the effort regardless what you do .... you can be successful. I enjoyed dentistry (ortho)for the majority of my working career. Dentistry has been good for myself and my family. But the economics of owning your own practice and competing with the Corps is more complicated now. Especially in the saturated, urban areas. Throw in the insane amounts of DS debt some these future dentists will have and if these same individuals do not have those business or marketing skills or work ethic as your cousin. Well .... it won't add up.
Again .... speaking from practicing in a SATURATED area .... the practice of dentistry has changed. Call me old fashioned, but there was a time when treating patients with respect and as if they were your family members meant something. Build a good reputation and the snow ball of new patients will follow. This was the norm in the early 90's. This does not seem to be the case anymore and this brings me to the biggest disappointment about practicing dentistry or orthodontics.
Dentistry is all about marketing. Dentistry is a commodity now. Patients judge you by the number of positive and negative reviews you have. Your facebook ads. Google ads. Youtube stuff. Your online presence. Everyone wants a good, cheap price for their dentistry. So many dentists offering $15 and less new patient exams with cleaning. FREE bleaching with new patient exam. Seems like the world revolves around anything and everything including dental and health services that are available ONLINE. Look at Direct Smile Club. We all know that it is terrible treatment with less than ideal results .... but patients do not know and all they care about is the low price and convenient packaging of the product. Look at Invisalign. Just about every sandwich board outside of another new dentist practice says they offer Invisalign. Anything to attract a new patient.
I did not go into dentistry to SELL dentistry. Maybe the younger dentists are more equipped for this. I am not.
Medicine is also being commoditized, but not to the extent of dentistry.
As some know .... I sold my ortho practice a few years ago. Work for Corps now. In my mid 50's and love working 4 days per week with no worries. I love sitting in those Corp meetings where the non-dentist business person is going over numbers and new ways to bring patients in and requesting that we all work on getting positive online reviews. I just sit there and smile.
What is the point of my post? GO TO A LESS SATURATED RURAL MARKET. Open up a nice practice and be a part of the community. Do exceptional dentistry and build a reputation on how well you treat your patients. Practice dentistry without all the gimmicks.