MedicineBusinessEconomics

Jake Young

2025.5.1AMA Journal of Ethics

DOI: 10.1001/amajethics.2025.369

tlooto Summary

It is argued that private equity firms' business practices, especially shortening acquisition-to-sale time and maximizing profit margin, generate overall health care market instability, which can be particularly devastating for people living in rural areas of the US.

Abstract

Capital and staff shortages have forced many rural hospitals to close. Private equity investment in rural hospitals has been one solution to these problems. This article argues, however, that private equity firms' business practices, especially shortening acquisition-to-sale time and maximizing profit margin, generate overall health care market instability. This consequence can be particularly devastating for people living in rural areas of the United States, who report worse health outcomes, more chronic disease, and more restricted access to health services than people in urban or suburban regions.

Citation format

YOUNG, Jake. How private equity undermines rural health equity. AMA Journal of Ethics, 2025, 27 5: E369–375.