The answer is private equity "roll-up" strategies of "boring businesses". You're going to see this accelerate in tons of other things that PE thinks can be easily consolidated, the gold rush has already started for dental practices, primary care providers, coin laundry, HVAC companies, landscaping, etc. American small businesses are disappearing because that's what consumers want (what they vote for with their dollar…
Absolutely no one in my area likes trends in veterinary care, for example, but there are only so many options.