Forecast Ledgerinterventional psychiatry and psychedelic medicineQuoted, dated predictions scored against public outcomes under one written method. Every score links to the words, the rule and the evidence.

Not admitted · Not a forecast

Rules 1.1.0 · as of 14 Sep 2026

Quote

Not a forecast

“The business model of private equity roll ups is suffering. It's suffering, and it's arbitrage, it's not adding value, they don't know how to do it, they couldn't do it if you gave them every emergency medicine doctor and ruin the entire sub specialty in the process.”
· Private Equity Sucks At Running Business of Medicine · substack post

After APP's closure and Envision's Chapter 11, the author argues PE roll-ups of emergency medicine staffing cannot be run profitably once surprise billing was banned by the No Surprises Act; they would fail even with every EM doctor.

Descriptive, retrospective, or a statement of preference; no future state asserted.