I’m certainly not an expert on private equity, but I do have enough sense to know that allowing PE firms to take over health care is a disastrous idea. It’s one of those things that, on its face, is so obviously bad that you don’t need to be an industry insider to see the problem.
Take nursing homes, for example. According to the Joint Economic Committee, private equity ownership in these facilities is linked to higher mortality rates, reduced compliance with Medicare standards of care, worse patient health outcomes, and fewer nurses per patient. In other words, when PE gets involved, patient care suffers.
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And why wouldn’t it? These firms are professional value extractors, not value creators. Their entire business model revolves around squeezing maximum profit from an investment in the shortest possible time. In a purely financial setting, that might make sense. But in health care, where lives hang in the balance, it’s a disaster waiting to happen. Slashing costs, cutting staff, reducing quality—these aren’t just unfortunate side effects of PE’s involvement in medicine; they are the logical, predictable consequences.
Letting private equity into health care is like letting the proverbial wolf into the henhouse. Their goal isn’t to nurture, sustain, or improve patient care—it’s to take as much as possible and leave behind whatever’s left when they move on to the next deal.
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Some might argue that this is too broad of a generalization, that not all private equity firms are the same. But let’s be real: a wolf is still a wolf, no matter how convincingly it claims otherwise. You can dress it up in industry jargon, make it sound like an “innovative restructuring,” but at the end of the day, the nature of private equity doesn’t change. It takes. It extracts. And when it’s done, the people left behind—the patients, the caregivers, the families—are the ones who pay the price.
Allowing private equity to dominate health care isn’t just a bad idea—it’s a catastrophe in the making.
Letting private equity into health care is like letting the proverbial wolf into the henhouse.
article written by Daniel Paull, MD Tweet This!









