The problem with Medicare not being allowed to negotiate is they are unable to effectively manage health care prices. The federal government can do this efficiently, as evidenced by the VA's ability to get low-cost medication. This law is largely in place because our legislatures are in the coffers of private insurance companies. At least that's my opinion. Quadius
"Private insurance negotiates for group rates to get the best charges ... smart business for insurance companies PLUS a guarantee to the medical industry that more people will use a certain doc or vendor. (Like the cost of a 6-pack of Sam Adams versus a case... volume means lower cost.) But Medicare, by law, can't negotiate like this so vendors, docs, hospitals, etc., charge the max to make up for their "perceived" loss of (or at least "less-than-preferred") overall rate for their services."

