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Private equity snaps up disability services, challenging regulators

(www.governing.com)
182 points tencentshill | 5 comments | 29 Aug 25 13:37 UTC | HN request time: 0.325s | source
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JumpCrisscross ◴[29 Aug 25 15:27 UTC] No.45065373[source]▶
Healthcare, especially the patient-facing part, isn’t like other services.

If we want private ownership of this infrastructure it has to look more like either a utility, where the state has a direct say in service changes and pricing, or a partnership, where unlimited liability flows through to the owners. I’m a fan of the latter.

Limited liability was an amazing invention. But it’s not appropriate for healthcare. Turn these services into partnerships and you’ll see the give-a-shit factor quintuple overnight. (You’ll also probably see a reduction in leverage.)

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lokar ◴[29 Aug 25 15:51 UTC] No.45065661[source]▶
I agree, there should be no limited liability for for-profit healthcare organizations.

And non-profit health care orgs should have strict regulation, and the state should appoint some of the members of the board.

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1. JumpCrisscross ◴[29 Aug 25 15:59 UTC] No.45065782[source]▶
> there should be no limited liability for for-profit healthcare organizations

Any. If you ringfence it to for-profit companies you'll just wind up with non-profits either siphoning profits away or exorbitantly compensating their leadership.

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2. lokar ◴[29 Aug 25 16:08 UTC] No.45065919[source]▶
That’s why all high revenue non-profits should have some board seats appointed by the state, and state audits, etc.
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3. JumpCrisscross ◴[29 Aug 25 16:37 UTC] No.45066280[source]▶
> all high revenue non-profits should have some board seats appointed by the state, and state audits, etc.

Why would you want to politicise every non-profit like this?

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4. lokar ◴[29 Aug 25 17:46 UTC] No.45067220{3}[source]▶
It can be done fairly neutrally

In CA, put a professor of medicine and one from a mgmt school from the UC system on the boards of the to 10 medical systems. Let the regents pick the person, etc

5. BrenBarn ◴[29 Aug 25 19:06 UTC] No.45068112[source]▶
Just hard-cap compensation.