Remember "#DeathPanels"? #SarahPalin promised us that #UniversalHealthcare was a prelude to a Stalinist nightmare in which unaccountable bureaucrats decided who lived or died based on a cost-benefit analysis of what it would cost to keep you alive versus how much your life was worth.
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These aren't the usual economies of scale. Rather the PE strategy is to buy and merge all the similar businesses in a region, so customers, suppliers and workers have nowhere else to turn.
That's bad enough when it's aimed at funeral homes, pet groomers or any of the other sectors that have been bigfooted by PE: