thing is: this kind of thing just works best when the HUGE MASS of recipients of Medicare of ALL CLASSES are covered. Whereas if just offered smaller groups on Medicaid in one state, dentists, or scooter or incontinence providers or podiatrists or some such, if they are good and already have a decent market, they are going to decline to participate. BUT if the whole mass of Medicare-covered become part of their market, it's much more difficult to say no to the regulated, relatively low payments. It changes their whole paradigm, their whole business, whether they like it or not.

And right now just so happens, dentists, who used to be some of the richest small business owners around, are hurting bad from Covid. Having both a huge decrease in patients and lots more expenses in protection. If it could only happen soon, us Medicare age are almost all vaccinated, they could use the business and we could use going back to the dentist, probably many with major problems because of the delay.

(Of course, Medicare Advantage Plans fuck this all up, sticking a middleman trying to make a profit between the government payer and the payee, but Medicare fee-for-service patients are still a huge market)