‹ BackHN Continuity

Thread

Bill to Ban Private Equity from Owning Medical Practices

509 points · 384 comments · paimapi

  1. throwaway13337 · · focus · HN ↗
    There's a pattern to the kinds of companies PE buys and I think it points to the real problem.

    They like companies with some kind of moat that makes it hard to unseat them. Basically, companies where there is no alternative for the consumer. That way, they can inflict abuse but know there will be nowhere to run.

    There are two different ways to achieve this. Monopoly and regulation. Hospitals have both government granted locational monopoly and tons of regulations that make it impossible to compete.

    Private equity is the symptom, not the disease.

    Until we get at the disease, new monsters will be born with different name filling the same ecological niche. It's economic natural selection played out in the environment we created.

    1. croon · · focus · HN ↗
      I'm unsure if I'm reading you correct. Are you saying that the disease is all "monopoly and regulation", or just some of it? Healthcare, infrastructure, etc are natural monopolies, and the alternative isn't much better. No one wants four parallell roads or multiple competing electrical grids, or side-by-side hospitals.

      We however don't want unnatural monopolies that have enough capital to swat away any competition, nor do we want natural monopolies taken over by rent-seekers.

Open on Hacker News to reply ↗

Unofficial Hacker News client; not affiliated with Y Combinator.