Comment by fc417fc802

21 hours ago

An individual likely (hopefully) has a moral compass.

A family introduces some perverse financial incentives but you also get long term (ie multi generation) planning and reputation concerns.

A group of practicing professionals who own the operation will hopefully exhibit some shared pride and professionalism.

A co-op or similar arrangement ties the interests directly to the local community.

The larger the public company the less overlap there will be with the customer's interests. At least they might worry about reputation and stock price though.

Pretty much the only concern PE has is avoiding litigation. Their primary motivation is maximizing value extraction over the short or medium term.

Isn’t the government a worst alternative?

  • Worse than PE? I very much doubt that but I guess the answer will depend on the voters, how the healthcare ventures themselves are structured, how much open corruption the local culture tolerates, and similar.

    However AFAIK most government solutions in the west involve public "insurance" as opposed to the direct operation of health care facilities themselves.

  • No. This idea is the result of decades of propaganda.

    The government has to answer to the people. PE firms do not: they answer only to money.