My loosely held opinion (which I'll likely write about at some point in the future) is that private equity gets demonized in healthcare but...

1) Most hospitals that acquire practices are often as bad
2) Many small services cos legit cannot get margin to invest in infrastructure that would help
3) A lot of small healthcare shops are genuinely not run well

PE more or less exposes faults that exist systemically that get equally exploited by hospitals (e.g. surprise billing being a good example) and our goal should be understanding why PE can build a business in X area at all and if it's something we should address systemically

One of the main points in question seems to be how PE shops "exit" investments - and I mostly wonder if we this an area we can rethink

Maybe creating PE-style vehicles that exit differently (e.g. slowly draw down dividends?) - idk I'm open to hearing creative ideas here