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Comment by notaslave

6 hours ago

Any such issues on health care side? Here in India, at least in my state (Kerala), American Private Equity giants such as BlackStone and KKR are acquiring major hospital chains. I am worried they will ruin our healthcare just like what happened in USA. Healthcare was one thing India had better than USA (at least in availability and cost, availability as in being able to see a doctor same day or getting an MRI in a few hours). Now, that will disappear.

https://indhospitalsolution.com/blogs/keralas-hospital-gold-...

> The research from the United States — which is a decade further down this road — is sobering. Studies of PE-acquired hospitals document consistent patterns: non-revenue-generating services reduced, staff-to-patient ratios cut, ancillary charges inflated, and a systematic shift toward high-margin procedures.

https://jeswinjos.medium.com/someone-is-quietly-buying-keral...

I haven't observed it happening in the context of hospitals, but it absolutely is happening to medical education. Brazilian conglomerate Afya was born as a literal PE firm and by now has rolled up many if not most of the private medical schools. It's controlled by some german education conglomerate though.

Their SEC filing mentions they engage in "deregulation advocacy" which is no doubt a hilarious euphemism for lobbying the brazilian government so it relaxes quality standards for medical schools. No doubt they're responsible for much of the enshittification here.