Thread

1. rrrrrrrrrrrryan · 1789953795 · focus · HN ↗

   It's actually worse with veterinary practices.

   Younger veterinarians are drowning in school debt and can't buy the practices from the older folks that are retiring. So, private equity is basically snatching all of them up right now, betting that childless millennials are going to pay tons of money on veterinary care when their pandemic pups begin to reach end-of-life.

   They're going to cut wages for all the staff, and hike all the prices, because unlike with human medical care, there's hardly any regulation (yet).

   1. limagnolia · 1789956107 · focus · HN ↗

      What is so costly about a veterinary practice that new veterinarians can't just start their own? Why would they need to buy one? There is certainly some benefit to working for some one for a while, and maybe eventually buying out an established practice... but if they want too much for it, just start your own?

      1. randerson · 1789958697 · focus · HN ↗

         If you start your own veterinary practice, and eventually build up a steady stream of happy customers, then sooner or later the PE firms will come knocking on your door, too.

         Imagine you're drowning in student debt and worrying about keeping your business afloat, when someone offers you $5M, and says you'll still get to work with animals, which you love, while they take care of the financial and business side, which you didn't enjoy. It's a no brainer for most people.

         1. bitmasher9 · 1789960983 · focus · HN ↗

            No way. I think most people realize “they are offering me $5M because they know they’ll make a good profit on this business. That means it’s worth more.”

            1. throwaway13337 · 1789961844 · focus · HN ↗

               I think that's true to an extent. And, especially successful people, often would rather be their own boss for less money than to be a corporate cog. Having the freedom to make ethical judgements yourself and build local community is a real luxury. We are, mostly, just social animals that want to build our status by helping each other out in the end.

               Two things, I think, might make the decision for them, in spite of that:

                 - The money is actually more than their business could be projected to make alone. This is because the PE firm isn't just buying the single practice but every practice in the area to kill competition. Get that captive market and you can charge more.
               
                 - The personal ownership freedom can be already lost on these independent people if they feel they are already tied down too much. I know this is especially the case in small medical offices where insurance and regulation can over-rule them. Feeling like you don't have control in this way can cause a lot of depression (tangent but look up how we condition mice in order to test treatments of antidepressants on them). At that point, the monied exit starts looking like a better option.
               

               That's how cynicism can win out. And we all lose.

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