re: Corporations like single payer because it keeps healthcare off the balance sheet

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I'm pretty sure it's illegal to give a better discount than Medicare or Medicaid get. It may be why they have such "bargaining power."

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Even if this were true, then by this logic you would expect the private market to be damn close, like right up to the line. But they aren't.

Now I want to say that this is not me endorsing the totality of how and how much Medicaid/Medicare reimburses. It is just to say that they are effective at getting lower prices.