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According to him, it's not that they couldn't, it's that they don't want to. Average salary for a dentist is $250K per year, but a huge percentage of them, especially the younger ones, would rather just work 2 days a week and live on $100K instead. And if they're only working 2 days a week, it's not hard to find enough patients to fill the appointment slots without accepting Medicare.
The hard truth is that people on Medicare are a hassle, not just from a claims perspective but on an individual perspective as well. Poorer people tend to be less educated, less likely to show up for their scheduled appointments, less interested in working to maintain their own health, more likely to have badly-behaved children in the waiting room, etc. That is why doctors don't want to deal with them.
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