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The week's question
In March 2025, in the thread "Re: OT, out", Umm asked the members: "Do you think it is because America is made up of magical soil that makes businesses based in America magically profitable?" This week it is put to everyone again. The button below opens the small thread re-asking it - read what others have said so far, then give your own answer as an ordinary reply.
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Personal Finance / Macroeconomic Trends & Risks
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Author: sutton ✭  😊 😞
Number: of 4582 
Subject: Re: WSJ: Private Equity not improving health care,
Date: 05/31/24 11:37 AM
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To quote my own post on another board a few days ago:

"...the last 35-40 years of American medicine. Extracting itself from the business of making sick people better, for one. Financial metrics became the end, not just a necessary concomitant of keeping the doors open so the real mission could successfully be executed - every patient, every day.

I couldn’t exactly shut down the only oncology practice for miles, but when I ran out of plausible ways of stemming the tide, I had my partners find a replacement.
"

There is a compelling (at least to me) argument that the un-exploited asset that's been discovered in the last 15-20 years has been providers' -- particularly physicians' -- professional commitment to getting the job done regardless of what increasing burdens get sloughed off on them

The Cambridge Dictionary: "Extractive: involving taking a resource (= something valuable) or profit from something without trying to replace it or trying to avoid harming that thing"

A *very* worthwhile read for those who are interested:
If I Betray These Words: Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First by Wendy Dean and Simon Talbot amazon.com - Ref=ppx yo dt b search asin title

And a runner-up:
The Hospital: Life, Death, and Dollars in a Small American Town by Brian Alexander amazon.com - Ref=ppx yo dt b search asin title

-sutton
pretty much extracted out
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