When you are at the library, you are a patron, not a customer. When you are at school, you're a student, not a customer. When you get health care, you are a patient, not a customer.

. . .

When PE rolls up your regional nursing homes, they turn into slaughterhouses. To date, PE-owned nursing homes have stolen at least 160,000 lost life years:

https://pluralistic.net/2021/02/23/acceptable-losses/#disposable-olds

Then there's hospices, the last medical care you will ever receive. Once your doctor declares that you have less than six months or less to live, Medicare will pay a hospice $243-$1,462/day to take care of you as you die. At the top end of that rate, hospices have to satisfy a lot of conditions, but if the hospice is willing to take $243/day, they effectively have no duties to you – they don't even have to continue providing you with your regular medication or painkillers for your final days:

https://prospect.org/health/2023-04-26-born-to-die-hospice-care/

Setting up a hospice is cheap as hell. Pay a $3,000 filing fee, fill in some paperwork (which no one ever checks) and hang out a shingle. Nominally, a doctor has to oversee the operation, but PE-backed hospices save money here by having a single doctor "oversee" dozens of hospices:

https://auditor.ca.gov/reports/2021-123/index.html#pg34A

Once you rope a patient into this system, you can keep billing the government for them up to a total of $32,000, then you have to kick them out. Why would a patient with only six months to live survive to be kicked out? Because PE companies pay bounties to doctors to refer patients who aren't dying to hospices. 51% of patients in the PE-cornered hospices of Van Nuys are "live discharged":

https://pluralistic.net/2023/04/26/death-panels/#what-the-heck-is-going-on-with-CMS

However, once you're admitted to a hospice, Medicare expects you to die – so "live discharged" patients face a thick bureaucratic process to get back into the system so they can start seeing a doctor again.

So all of this is obviously very bad, a stark example of what happens when you mix the most rapacious form of capitalist plunder with the most vulnerable kind of patient. But, as Elle Rothermich writes for LPE Journal, the PE model of hospice is merely a more extreme and visible version of the ghastly outcomes that arise out of all for-profit hospice care:

https://lpeproject.org/blog/hospice-commodification-and-the-limits-of-antitrust/

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