The author says, "The operational resistance alone would be too much." True. But we need to continue reforms that clearly will improve the system. That effort seems to be stuck as we instead pause to relitigate the advances of the second half of the twentieth century. These would go a long way: mandate price transparancy, decouple insurance from employment, let Medicare negotiate prices broadly, and ban PBMs.
Part of the reason PE succeeds is their choice of things that have a large or lengthy startup cost or other supply restrictions. Most towns will support only 1 hockey arena. Or lately, with veterinarians. New supply is complex and doesn't appear overnight. If PE is to be controlled (so they don't ruin everything), we need to lessen the barriers to create more supply, like in housing. Also, perhaps it would be good to make them actually pay some taxes, if only to mitigate a fraction of the problems they cause. PE is sort of like cigarettes. They exist, and do damage to everyone.
Awkward writing in this article. "McDonald’s executives say the higher costs of restaurant essentials, such as beef and salaries, have pushed food prices up..."
Beef and... salaries? I think I found the name of my new fast food place.
There are some interesting points, but a few cringe things.
1) (referring to the Antifraud Company) "...they call themselves “a private-sector DOGE” -- Not exactly putting your best foot forward.
2) OpenAI paid $6.5B for Jony Ive's year old startup. That's a 'B'. Sure, stock is funny money, but it's difficult to defend the overpaying here. A lot of money seems to have been lit on fire.