Earlier quoted context omitted.
> It's fairly widely understood (though I guess not by Professor Krugman) that Medicare offloads some of its own costs onto the private sector by the below-market rates it pays providers. This is fairly widely claimed, but it's a pretty weak claim. Doctors are not required to accept Medicare. They choose to do so. They choose to accept the rates Medicare offers. When one party offers an amount for a second party's se…
They choose to accept the rates Medicare offers. When one party offers an amount for a second party's services, and the second party accepts, they have just established the market rate for that transaction. Not when second party holds a monopoly on a certain patient population, as does Medicare for the elderly. The healthcare market is so distorted by government intervention that calling anything a true 'market rate'…
It's not medicare, but there have been instances where hospital systems have dropped (or threatened to drop) medicaid because accepting and dealing with it became too onerous.