> Limited liability was an amazing invention. But it’s not appropriate for healthcare.
If you want to make these services more expensive and produce shortages, this is how you would do it. Why would anyone invest or want to work in these fields?
I have an unpopular take on PE taking over these small businesses after working with a few small businesses in the home improvement space. The fact is they are incredibly inefficient. You can't even get these guys to answer a phone. They bill you by mail weeks after and you call them to give them a credit card over the phone after you received your bill. Even getting estimates could take months. The service is not consistent. Depending on who they send, they could be completely clueless. You don't know until you finally stumble across someone competent that tells you how bad the last guy was.
Pricing is all over the places. You can get two quotes that are 50% different. So there is little discovery. These are only the obvious external inefficiencies. I couldn't imagine how bad it is operationally.
The bar is so low, which is prob why it's interesting for a PE firm. There is so much money being left on the table. That's why I generally prefer large chains for things like auto. You know the pricing. They are efficient and won't rip your face off for the most part. So I welcome more professionalism and corporate ownership if this means a better, more consistent level of service for me. I get there are downsides but right now I have enough trouble getting a hold of any of these guys that I just don't care.