Ethically Challenged (2024)

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Private Equity Storms US Health Care

Laura Katz Olson

Publication Date

Revealing the dark truth about the impact of predatory private equity firms on American health care.

Won Gold from the Axiom Book Award in the Category of Business Ethics, the Benjamin Franklin Awards by the Independent Book Publishers Association and the North American Book Award in the Catergory of Business Finance, Finalist of the American Book Fest Best Book Social Change and Current Events by the American Book Fest

Private equity (PE) firms pervade all aspects of our modern lives. Unlike other corporations, which generally manufacture products or provide services, they leverage considerable...

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Revealing the dark truth about the impact of predatory private equity firms on American health care.

Won Gold from the Axiom Book Award in the Category of Business Ethics, the Benjamin Franklin Awards by the Independent Book Publishers Association and the North American Book Award in the Catergory of Business Finance, Finalist of the American Book Fest Best Book Social Change and Current Events by the American Book Fest

Private equity (PE) firms pervade all aspects of our modern lives. Unlike other corporations, which generally manufacture products or provide services, they leverage considerable debt and other people's money to buy and sell businesses with the sole aim of earning supersized profits in the shortest time possible. With a voracious appetite and trillions of dollars at its disposal, the private equity industry is now buying everything from your opioid treatment center to that helicopter that helps swoop you up from a car crash site. It may even control how and when you can get your kidney dialysis.

In Ethically Challenged, Laura Katz Olson describes how PE firms are gobbling up physician and dental practices; home care and hospice agencies; substance abuse, eating disorder, and autism services; urgent care facilities; and emergency medical transportation. With a sharp eye on cost and quality of care, Olson investigates the PE industry's impact on these essential services. She explains how PE firms pile up massive debt on their investment targets and how they bleed these enterprises with assorted fees and dividends for themselves. Throughout, she argues that public pension funds, which provide the preponderance of equity for PE buyouts, tend to ignore the pesky fact that their money may be undermining the very health care system their workers and retirees rely on.

Weaving together insights from interviews with business owners and experts, newspaper articles, purchased data sets, and industry publications, Olson offers a unique perspective and appreciation of the significance of PE investments in health care. The first book to comprehensively address private equity and health care, Ethically Challenged raises the curtain on an industry notorious for its secrecy, exposing the nefarious side of its maneuvers.

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About

Book Details

Publication Date

Status

Available

Trim Size

6.125

x

9.25

Pages

440

ISBN

9781421442853

Subject

Public Health

Public Health

Table of Contents

Acknowledgments
Introduction. Hiding in Plain Sight
Chapter 1. Who Even Are They? Private Equity from Soup to Nuts
Chapter 2. The Emergence of the Alternative Asset Class
Chapter 3. Consolidating Health

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Acknowledgments
Introduction. Hiding in Plain Sight
Chapter 1. Who Even Are They? Private Equity from Soup to Nuts
Chapter 2. The Emergence of the Alternative Asset Class
Chapter 3. Consolidating Health Care
Chapter 4. It's between Me and My Doctor?
Chapter 5. Drilling for Gold: Corralling Dentists
Chapter 6. Frail Elderly and Children: Homecare and Hospice
Chapter 7. Public Crisis, Private Gain: Substance Abuse and Eating Disorders
Chapter 8. Capitalizing on Children with Autism Spectrum Disorders
Chapter 9. Hijacking an Industry: Medical Ambulances and Emergency Air Transport
Conclusion. Infiltrating Our Health Care System
Appendix. Selected Private Equity Firms Buying Health Care Businesses
Abbreviations
Glossary
Notes
Bibliography
Index

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Author Bio

Ethically Challenged (13)

Featured Contributor

Laura Katz Olson

Laura Katz Olson (BETHLEHEM, PA) is a distinguished professor of political science at Lehigh University. She is the author of Elder Care Journey: A View from the Front Lines and The Politics of Medicaid.

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Ethically Challenged (14)
Ethically Challenged (2024)

FAQs

What does challenged ethically mean? ›

ethically challenged (comparative more ethically challenged, superlative most ethically challenged) (humorous, euphemistic) Unethical; dishonest.

What is considered an ethical challenge? ›

An ethical dilemma is a type of ethical issue that arises when the available choices and obligations in a specific situation do not allow for an ethical outcome. In such instances, a choice or an action is required and all of the available alternatives violate an explicit ethical principle or guideline.

What is ethics challenge? ›

Overview. The Ethics Challenge is a competition between university-sponsored teams that analyze a case which contains a variety of ethical dilemmas.

What does it mean to be morally challenged? ›

“Ethically challenged” is a sarcastic phrase meaning “has no ethics”. Similar phrases are “morally challenged” (has no morals) and “intellectually challenged” (has a low level of intellect; is stupid).

What are ethically challenging situations? ›

Ethical dilemmas are situations in which there is a difficult choice to be made between two or more options, neither of which resolves the situation in a manner that is consistent with accepted ethical guidelines.

What are three examples of ethical issues? ›

ETHICAL AND SOCIAL ISSUES
  • Privacy and Confidentiality. Privacy has many dimensions. ...
  • Socially Vulnerable Populations. ...
  • Health Insurance Discrimination. ...
  • Employment Discrimination. ...
  • Individual Responsibility. ...
  • Race and Ethnicity. ...
  • Implementation Issues.

What causes ethical challenges? ›

Ethical dilemmas arise from conflicting values, norms and interests and can be understood as knowing 'the right thing to do, but institutional or other constraints make it difficult to pursue the desired course of action'.

What are the four major ethical issues? ›

The most widely known is the one introduced by Beauchamp and Childress. This framework approaches ethical issues in the context of four moral principles: respect for autonomy, beneficence, nonmaleficence, and justice (see table 1).

How do you define an ethical issue? ›

An ethical issue is a circ*mstance in which a moral conflict arises in the workplace; thus, it is a situation in which a moral standard is being challenged. Ethical issues in the workplace occur when a moral dilemma emerges and must be resolved within a corporation.

How do you confront ethical challenges? ›

RIGHT Decision Method
  1. Recognize the ethical dilemma.
  2. Identify points of view.
  3. Gather resources and assistance.
  4. Have a plan.
  5. Take action based on ethical standards.

What is ethical behavior? ›

Ethical behaviour is characterized by honesty, fairness and equity in interpersonal, professional and academic relationships and in research and scholarly activities. Ethical behaviour respects the dignity, diversity and rights of individuals and groups of people.

What is a moral or ethical challenge? ›

A moral (ethical) dilemma is a situation that involves a choice, decision, act/action, solution that may include an unpleasant problem or situation where you feel you simply do not know what to do or which way to turn.

What are examples of values being challenged? ›

Consider these value conflict examples:
  • Business partners clash over the ethical standards they expect each other to uphold.
  • A negotiator refuses to do business with a potential counterpart she deems unsavory on moral grounds.
  • Parents bar their teenager from attending an event they think might be dangerous.
Apr 9, 2024

What are some real life examples of ethical dilemmas? ›

An ethical dilemma is a paradox that comes up when there are two or more options, but neither of them are the best ethical or moral option. False accounting, sexual harassment, data privacy, nepotism, discrimination—these are just some of the ethical dilemmas that happen in today's workplace.

What is the meaning of the word ethical? ›

adjective. pertaining to or dealing with morals or the principles of morality; pertaining to right and wrong in conduct. being in accordance with the rules or standards for right conduct or practice, especially the standards of a profession: It was not considered ethical for physicians to advertise.

What is another word for ethical challenges? ›

What is another word for ethical dilemma?
moral quandaryethical conflict
ethical conundrumethical predicament
ethical problemethical puzzle
ethical quandarymoral conflict
moral conundrummoral dilemma
1 more row

What does ethical mean in disability? ›

Ethics is deciding what the right thing to do could be. You will need to consider both the intended and unintended impact of your activity on participants with disability with ethics in mind.

What does lack of ethical mean? ›

lacking moral principles; unwilling to adhere to proper rules of conduct. not in accord with the standards of a profession: She treated patients outside the area of her training, and the appropriate medical organization punished her unethical behavior.

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