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FTC acts against private equity firm’s acquisition of veterinary clinics

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Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#281

Vet clinics became very popular private equity targets recently. One of the people I know in PE described their profit margins as being surprisingly high even before PE roll-ups. They said that some PE firms were on a mission to acquire all of the vet firms in metro areas and then drive prices up even further because the demand is so inelastic. There was a secondary rush where people were trying to acquire vet clinic…

>I don't know where else to go. A free market (scary!) would lower the barrier to entry for proper vets to compete. But because of rent, labor, and regulatory overhead, you are left to deal with an entrenched and disinterested incumbent.

> regulatory overhead

A free market can also create an environment where pets are hurt and owners are defrauded. Regulations reduce waste, improve quality, and create more efficient markets.

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#282

Earlier quoted context omitted.

But why can’t local clinics get new vets? Because they can’t pay them enough, because they don’t price gouge?

In addition to what snapetom said, there are about 4400 annual vet jobs and 3200 new grads. Someone is going to miss out. Graduates who want to make money will go to commercial or fisheries operations, which pay better overall. We're in the bay area, one of the highest-demand regions in the highest-demand state. There aren't many people left to compete over. Corps are currently offering 5-6 figure sign-ons and bonuse…

> there are about 4400 annual vet jobs and 3200 new grads

So why isn't supply increasing to meet demand?

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#283
post #31

I don't understand how some ( to me ) obvious anticompetitive corps seem to go unnoticed, but in this case veterinary clinics are receiving scrutiny.

It's entirely possible that an FTC employee or some politician was screwed over especially badly by one of these corpo vet offices and decided to make it a personal mission. People love their pets.

That's completely made-up! It's possible someone had a bad date with a PE executive; it's possible they are susceptible to sunstroke, spent too much time outside on a summer day, were a little woozy, and approved something that they otherwise wouldn't. Maybe they were going after PE for something else, but that fell through and they limited it to vet clinics. We can go on forever! Or maybe, they discovered a violation by the PE-owned clinics and did their job by acting on it.

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#284

Earlier quoted context omitted.

>I don't know where else to go. A free market (scary!) would lower the barrier to entry for proper vets to compete. But because of rent, labor, and regulatory overhead, you are left to deal with an entrenched and disinterested incumbent.

> regulatory overhead A free market can also create an environment where pets are hurt and owners are defrauded. Regulations reduce waste, improve quality, and create more efficient markets.

If a veterinarian or anyone else has harmed or committed malpractice against your animal, you have the right to present evidence to the police and pursue criminal charges against them.

Very curious that despite all of the licensing and regulatory schemes out there, these things still happen? What's the backlog like currently for such cases?

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#285
So the thing you have to understand about private equity is this: Things are only sacred in the corner of their vision. They may think marriage is sacred, but only if they're not looking into LexisNexis acquisitions of divorce proceedings private documents. They may think abortion is wrong, unless they're dealing with the companies spicing up heartbeat tracks for optimal maternal reluctance to abortion (in either direction, the state decides how to spice the tracks up, I think they're spiced-up tracks that are synched to a spyced up rendition of ventrical pulsing, it's shitty. Sometimes it's real but that doesn't get the percentages desired).

They may think they are good, but when the chips are down, they are invariably bad. Just bad, why would I put it any other way? What word do you want me to use instead, how do you want me to water it down?

But when the chips are up they're great! They have all this money, *donate* to *causes*, like the museums of New York and Philips [Exeter/Andover], their alma mater, and a list of non-profits the public never hears about because they're too elite, it's not that they don't give. They give. And sometimes they do pull off business miracles, they're super sharp guys, very hard-nosed buttoned down, great students, if an industry requires getting shaken up they'll really shake it up.

They're a rebranding of leveraged buy-outs from the 80's, they gut companies.

Which companies sometimes need. Like appendicitis or colectomy (removal of colon, should be called colonectomy but doctors are avid boggle players), like in cases of cancer.

But, private equity eats what it cuts, so there's a...there's a conflict of interest, I guess you could say. You could say "conflict of interest" instead of "bad".

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#286

Earlier quoted context omitted.

> regulatory overhead A free market can also create an environment where pets are hurt and owners are defrauded. Regulations reduce waste, improve quality, and create more efficient markets.

If a veterinarian or anyone else has harmed or committed malpractice against your animal, you have the right to present evidence to the police and pursue criminal charges against them. Very curious that despite all of the licensing and regulatory schemes out there, these things still happen? What's the backlog like currently for such cases?

> If a veterinarian or anyone else has harmed or committed malpractice against your animal, you have the right to present evidence to the police and pursue criminal charges against them.

The courts are not an efficient solution, and it's too late for your pet. I don't want to sue people, I want my pet taken care of.

> Very curious that despite all of the licensing and regulatory schemes out there, these things still happen?

I don't understand: You're saying that regulations don't perfectly prevent all bad behavior?

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#287

Earlier quoted context omitted.

In addition to what snapetom said, there are about 4400 annual vet jobs and 3200 new grads. Someone is going to miss out. Graduates who want to make money will go to commercial or fisheries operations, which pay better overall. We're in the bay area, one of the highest-demand regions in the highest-demand state. There aren't many people left to compete over. Corps are currently offering 5-6 figure sign-ons and bonuse…

> there are about 4400 annual vet jobs and 3200 new grads So why isn't supply increasing to meet demand?

I have absolutely no idea why they haven't increased the number of residencies available (not a field I work in), but the process to become a vet is similar to other medical specialties. There's a limited number of slots available annually, and the number of slots is lower than the number of people retiring, let alone accounting for industry growth.

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#288

Earlier quoted context omitted.

if only there was some kind of other option used by all developed countries except the US... too bad there isn't, i guess i'll just die when i cant afford healthcare

What is the other option? Either insurance by private or government bodies or cash is all I've ever seen. Government and private insurance raises prices. Cash excludes poor people.

> Government and private insurance raises prices.

"Top 10 Countries Where Insulin is Most Expensive (2018 RAND Corporation)[1]:

    United States — $98.70
    Chile — $21.48
    Mexico — $16.48
    Japan — $14.40
    Switzerland — $12.46
    Canada — $12.00
    Germany — $11.00
    Korea — $10.30
    Luxembourg — $10.15
    Italy — $10.03
"

Maybe government run healthcare is more expensive than (something) but your "both sides are bad" is missing how unbalanced the sides are.

"In 2016, the U.S. spent nearly twice as much on health care as other high-income countries, yet had poorer population health outcomes. [...] Using international data primarily from 2013 to 2016, the researchers compared the U.S. with 10 other high-income countries — the U.K., Canada, Germany, Australia, Japan, Sweden, France, Denmark, the Netherlands, and Switzerland — on approximately 100 metrics that underpin health care spending. The study confirmed that the U.S. has substantially higher spending, worse population health outcomes, and worse access to care than other wealthy countries. [...] Life expectancy in the U.S. was the lowest of all 11 countries in the study, at 78.8 years; [...] the proportion of the U.S. population with health insurance was 90 percent, lower than all the other countries, which ranged from 99 to 100 percent coverage.

For several commonly used brand-name pharmaceuticals, the U.S. had substantially higher prices than other countries, often double the next-highest price." - https://news.harvard.edu/gazette/story/2018/03/u-s-pays-more...

[1] https://worldpopulationreview.com/country-rankings/cost-of-i...

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#289
post #222

Earlier quoted context omitted.

"financialization" is more a boogieman than a solid concept. More competition (the best interpretation of "de-financialization" I can imagine) is not very solid solution for something like healthcare (or yes pet care) where the demand being inelastic makes "ransoming" easy.

> best interpretation of "de-financialization" I can imagine "Financialization" means the insistence on seeing "business" as a machine which is to be optimized to maximize return on money. It's in contrast to people doing good work for a fair price. Compare these two veterinary practices. One has an owner who is a vet, who got into the practice because they love animals. They hire staff who love animals. They charge…

The second business goes on to make so much money it can buy the first, unless the owner is very determined to not be bought (insignificant minority).

Re: FTC acts against private equity firm’s acquisition of veterinary clinics

#290

Earlier quoted context omitted.

If a veterinarian or anyone else has harmed or committed malpractice against your animal, you have the right to present evidence to the police and pursue criminal charges against them. Very curious that despite all of the licensing and regulatory schemes out there, these things still happen? What's the backlog like currently for such cases?

> If a veterinarian or anyone else has harmed or committed malpractice against your animal, you have the right to present evidence to the police and pursue criminal charges against them. The courts are not an efficient solution, and it's too late for your pet. I don't want to sue people, I want my pet taken care of. > Very curious that despite all of the licensing and regulatory schemes out there, these things still…

>I want my pet taken care of

Strict regulations don't guarantee this. Additionally, they can be counterproductive by blocking competition, resulting in only a few compliant vets in your area who might still harm your pet.

>I don't want to sue... courts are not efficient If a monopolistic vet knows they won't lose their license or face charges/fines because a court can't take do so, why would they be incentivized to be extra careful with your pet?

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