Alex Smith
speaker
32,670 appearances
416 recordings
1 series
first heard Oct 2016
last heard 5d ago
Alex Smith’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 42 in all, peaking in Apr 2026 with 5.
Appearances
But what I worry about is the challenge of what worked for Bain & Company or whatever.
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Some private equity firm breaking up a merchandise chain and selling off smaller parts and making them profitable, consolidating, laying off staff.
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We should not apply that same model to health care, which has a different relationship with people based on like maintaining quality of life and good health, right, rather than the profit motive.
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And what we're seeing is in this space is like that private equity sees opportunity in these spaces with less federal oversight and regulation.
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And so they're seeing opportunity in, say, hospice industry, seeing opportunity in assisted
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facilities.
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Yeah, exactly.
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And they're making a bet, right?
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Because as you say, they take on enormous debt and they have to show returns that are greater than the interest rate that they're paying on the debt.
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So their incentive is to create tremendous profits rapidly in a very short time period.
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And that, I think, creates fundamental issues with health care as it's delivered, the staffing, for example, as Bill saw.
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John, I think you had a comment.
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Go ahead.
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Right.
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Very different.
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Doing
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you know.
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Going to area high schools, mentoring high schoolers.
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Yeah,
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And towards the end of our podcast, we like to get towards like, what can we do about this, right?
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Showing 1001–1020 of 32,670 · page 51 of 1634
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