In West Virginia, older residents often go without dental care, and a quarter of people 65 and older have no natural teeth, the highest rate of any state in the country. But a powerful senator from West Virginia, Joe Manchin, has rebuffed efforts to add a dental benefit to Medicare.
https://www.usnews.com/news/health-news/articles/2021-12-10/manchin-takes-the-teeth-out-of-democrats-plan-for-seniors-dental-care