Comment by MarkusAllen

The challenge: these entities are designed to be hard to identify until after you're locked in.

  With autism centers specifically:
  - They keep the local brand name after acquisition
  - By the time you realize service quality dropped, your kid is mid-treatment
  - Long waitlists at other centers make switching costly

  The best "opt-out tool" is learning to recognize the patterns before signing up. Questions to ask:
  - Was this recently acquired?
  - Do therapists mention high turnover?
  - Are there unexplained price increases?

  I made a glossary of the terminology these firms use: https://founderstowne.com/extraction-terms.html

  Understanding terms like "Roll-Up" and "Cost Optimization" helps you pattern-match before you're stuck.