Private equity firms bought 500 hospitals. Death rates in their emergency rooms went up 13%. They fired 12% of the staff. Then they paid themselves billions in dividends.
A Harvard study just confirmed what doctors already knew: people are dying so investors can hit quarterly targets.
Exactly what happens. A PE firm buys a hospital using debt. The debt gets placed on the hospital's balance sheet, not the firm's. Now the hospital owes hundreds of millions it never borrowed. To service that debt, the hospital cuts costs. Costs mean nurses.
The numbers from the Harvard/University of Chicago study are horrifying. After PE acquisition, emergency department salary spending dropped 18.2%. ICU salary spending dropped 15.9%. Hospital-wide employees were cut 11.6%. Emergency department deaths rose 13%, seven additional deaths per 10,000 visits.
A separate study found patients undergoing surgery at PE-acquired hospitals had 17% higher odds of dying within 90 days.
Steward Health Care, owned by Cerberus Capital, filed bankruptcy with $9 billion in debt after closing hospitals across Massachusetts. The CEO lived on a $40 million yacht while emergency rooms went dark. Eight hospitals serving 2 million people nearly disappeared because a PE fund extracted more cash than the system could survive.
The private equity industry has poured over $1 trillion into healthcare. They operate a quarter of ERs nationwide. This isn't going away.
The investing angle nobody talks about.
Non-PE hospital operators like HCA Healthcare (HCA) and Tenet (THC) are the direct beneficiaries. Every time a PE hospital closes or deteriorates, patients flow to the nearest competitor. HCA has returned 1,200% since 2011. Patient volume from PE closures is a structural tailwind nobody's pricing in.
Medical staffing firms (AMN Healthcare, Cross Country) charge premium rates specifically because PE hospitals cut staff. The staffing shortage IS the business model for these companies.
The disruption play: outpatient surgical centers (SCA Health, now part of UnitedHealth) are pulling profitable procedures out of hospitals entirely. PE-owned hospitals lose their highest-margin surgeries to outpatient, and the death spiral accelerates.
Pull up tradevision and monitor healthcare M&A alerts, hospital closure filings, and patient volume migration data. When a PE-owned hospital announces "restructuring," the patient volume shift to competitors like HCA starts within 30 days. That 30-day window is when the competitor's earnings revisions haven't updated yet. Free to try.
(a private equity firm bought your local hospital. borrowed $500 million in the hospital's name. fired 12% of the nurses. emergency room deaths rose 13%. then they paid themselves dividends. nobody went to prison. they're currently buying another hospital.)
Allie Jenkin finishes with a career high 41 points in the Colfax victory. If you aren’t tearing up over this I don’t know. Show this team some love #SCTop10@notthefakeSVP
As a former Special Forces Warrant Officer with multiple rotations running counterinsurgency ops—both hunting insurgents and trying to separate them from sympathetic populations—I’ve seen organized resistance up close. From Anbar to Helmand, the pattern is familiar: spotters, cutouts, dead drops (or modern equivalents), disciplined comms, role specialization, and a willingness to absorb casualties while bleeding the stronger force slowly.
What’s unfolding in Minneapolis right now isn’t “protest.” It’s low-level insurgency infrastructure, built by people who’ve clearly studied the playbook.
Signal groups at 1,000-member cap per zone. Dedicated roles: mobile chasers, plate checkers logging vehicle data into shared databases, 24/7 dispatch nodes vectoring assets, SALUTE-style reporting (Size, Activity, Location, Unit, Time, Equipment) on suspected federal vehicles. Daily chat rotations and timed deletions to frustrate forensic recovery. Vetting processes for new joiners. Mutual aid from sympathetic locals (teachers providing cover, possible PD tip-offs on license plate lookups). Home-base coordination points. Rapid escalation from observation to physical obstruction—or worse.
This isn’t spontaneous outrage. This is C2 (command and control) with redundancy, OPSEC hygiene, and task organization that would make a SF team sergeant nod in recognition. Replace “ICE agents” with “occupying coalition forces” and the structure maps almost 1:1 to early-stage urban cells we hunted in the mid-2000s.
The most sobering part? It’s domestic. Funded, trained (somewhere), and directed by people who live in the same country they’re trying to paralyze law enforcement in. When your own citizens build and operate this level of parallel intelligence and rapid-response network against federal officers—complete with doxxing, vehicle pursuits, and harassment that’s already turned lethal—you’re no longer dealing with civil disobedience. You’re facing a distributed resistance that’s learned the lessons of successful insurgencies: stay below the kinetic threshold most of the time, force over-reaction when possible, maintain popular support through narrative, and never present a single center of gravity.
I spent years training partner forces to dismantle exactly this kind of apparatus. Now pieces of it are standing up in American cities, enabled by elements of local government and civil society. That should keep every thinking American awake at night.
Not because I want escalation. But because history shows these things don’t de-escalate on their own once the infrastructure exists and the cadre believe they’re winning the information war.
We either recognize what we’re actually looking at—or we pretend it’s still just “activism” until the structures harden and spread.
Your call, America. But from where I sit, this isn’t January 2026 politics anymore.
It’s phase one of something we’ve spent decades trying to keep off our own soil.
#Seahawks DE DeMarcus Lawrence after signing in Seattle in March: “Dallas is my home… But I know for sure I’m not gonna win a Super Bowl there.”
Lawrence is now going to the Super Bowl.
NEW: Oklahoma teen walks free after facing 80 years in prison for r*ping and assaulting two high school girls, with one of them nearly being choked to death.
Oklahoma State Rep. Justin Humphrey is calling for an investigation after Jesse Mack Butler received a slap on the wrist for the brutal assaults.
Butler initially pleaded not guilty to the charges but struck a deal with the DA, changing his status from adult to youthful offender.
Butler was charged with 2 counts of atempted r*pe, 3 counts of r*pe by instrumentation, 1 count of s*xual battery, 1 count of forcible oral sodomy, 2 counts of domestic assault and battery by strangulation, and 1 count of domestic assault and battery.
One of the girls was so badly assaulted that she needed surgery on her neck.
The girl said she was repeatedly r*ped and strangled if she refused him. The doctor said she was about 30 seconds from being k*lled.
Despite all this, Butler will avoid any prison time, thanks to the 'youthful offender' status.
Infuriating.
Dear @Delta & @AmericanAir
My name is Rodney Smith Jr., and for the past 18 days I’ve been traveling to all 50 states mowing lawns for veterans, active-duty service members, Gold Star families, and widows of veterans. This mission is part of my 50-State Mowing Tour — done to honor those who served our country and highlight the importance of taking care of them.
This weekend I’ll be wrapping up in Florida, and by Monday I’m hoping to fly to Alaska and Hawaii to complete the final stops of this journey for a military family in each state.
I was wondering if by chance you might have one extra seat available on a flight to Alaska and Hawaii to help me finish this mission strong. Your support would mean the world not only to me, but to the families we are serving.
Thank you so much for considering this request and for all you do to connect people across the country.