this post was submitted on 16 Aug 2025
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We're so cooked.
Take 1 moment to imagine the enshitification of medicine.
We're gonna long for the days of sawbones and "you got ghosts in your blood. You should do cocaine about it"
Medicine has already been enshitified...
PE initiated take of provider groups in early 2010s.
Consolidation by PE and health insurance parasites is about complete.
Nurse and mid level providers are being pressured. Doctors are next on the chopping block.
Service quality is down across the board and they haven't even started squeezing in earnest.
You would get better service at 2005 McDonalds than at 2025 urgent care ๐คก
What is โPEโ?
Private equity. These are funds admined by fund managers for a fee but the capital comes from high networth individuals.
You have to be a "qualified investor" to even access it.
They are used for risky plays but general play us buy up a market, consolidate it, then start extracting and then exiting for a fat profit. This will generally result in low quality services and business is unsustainable after the extraction.
You prolly participated in markets they ruined. For example the play for sears was about looting the pension fund of the employees. That one was extra nasty.