The detrimental impact of PE on medical practices has created a rare consensus among doctors. Physicians with widely divergent political views, including those for and against unions, are unanimous in identifying private equity as a destructive force.

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Most consumers and even employees don't know their local hospital or retail store is PE-owned. This opacity shields PE executives from the public anger directed at more visible corporate leaders, allowing them to operate in the shadows.

The days of the successful private equity generalist are over. Limited Partners (LPs) now demand deep, specific expertise. A firm claiming to specialize in multiple, disparate sectors is seen as lacking true differentiation and focus—a strategy that may have worked a decade ago but fails in today's competitive market.

Unlike its reputation, the healthcare sector faces substantial challenges from regulation, pricing pressure, and difficulties in passing on costs. This makes it a deceptively risky area for credit investors who must perform careful selection rather than treating it as a defensive play.

By insuring millions more Americans, the ACA created a new, guaranteed government-backed revenue stream. This made healthcare an extremely attractive and low-risk target for private equity firms, accelerating the industry's financialization.

Patients with complex illnesses often become "medical nomads," shuffling between specialists who only view problems through their narrow training lens. Effective treatment requires a coordinated, team-based approach, which is largely absent in private practice, leaving patients to manage their own care.

Influencers from opposite ends of the political spectrum are finding common ground in their warnings about AI's potential to destroy jobs and creative fields. This unusual consensus suggests AI is becoming a powerful, non-traditional wedge issue that could reshape political alliances and public discourse.

Regulatory capture is not an abstract problem. It has tangible negative consequences for everyday consumers, such as the elimination of free checking accounts after the Dodd-Frank Act was passed, or rules preventing physicians from opening new hospitals, which stifles competition and drives up costs.

Public backlash against AI isn't a "horseshoe" phenomenon of political extremes. It's a broad consensus spanning from progressives like Ryan Grimm to establishment conservatives like Tim Miller, indicating a deep, mainstream concern about the technology's direction and lack of democratic control.

Harvard's John Coates reveals that 'private' equity funds primarily invest public money from pensions and endowments. The 'private' label is a brilliant marketing strategy that allows them to avoid the public disclosure and scrutiny that should accompany managing millions of workers' savings.

PE acquisitions in healthcare impose rigid, cost-cutting operational models that strip physicians of their professional autonomy. This transforms them into cogs in a machine, driving burnout and fueling unionization efforts among doctors.