PE — no, not Pulmonary Embolism, but something as dangerous
Finally, physicians should be aware that private equity’s growth is emblematic of broader disruptions in the physician-practice ecosystem and is a symptom of medicine’s transformation into a corporate enterprise. For some practices, outside investment may help facilitate growth and extend a lifeline that allows them to compete with larger players in an increasingly consolidated market. But this trend may also contribute to practices getting squeezed. As more investors enter health care and drive value creation, it’s worth considering for whom value is being created. How physicians respond — and the extent to which they retain core values in the service of patients — will ultimately determine the ecosystem’s resilience in the face of stressors [emphasis added]
I wish it were so (easy)
The most refreshing aspect of this book is its bracing mix of cold-eyed realism and number-crunched optimism. Mr Gates reveals that when he attended the un’s landmark Paris summit on climate change in 2015, he had serious doubts about mankind’s willingness to take on this Herculean task: “Can we really do this?” Even now, after making the case for why the world must do so, and urgently, he wonders if the climate challenge will be harder than putting “a computer on every desk and in every home”.
That is a useful analogy, for the techno-Utopian vision of a global internet seemed as impossible to achieve a few decades ago as solving the climate crisis does now. Ken Olsen, founder of Digital Equipment Corporation, a pioneering computer firm, once stated flatly: “There is no reason anyone would want a computer in their home.” Yet before long the digital revolution succeeded—because of a happy convergence of top-down forces and disruptions from below.
University rankings as geopolitics
The high-stakes pursuit of bragging rights is distorting universities’ missions, favoring research over teaching and science over the humanities, said Ellen Hazelkorn, director of the Higher Education Policy Research Unit at the Dublin Institute of Technology.
“It’s all about national prestige,” said Hazelkorn, who has written widely about rankings. “Rankings are less about students and more about geopolitics.”
Even less about students
But the new president of UCL said that “hard choices” would have to be made about the scope of the university’s activities if it was not to become a 50,000-student campus over the next few years.
UCL’s recent expansion — it had just 17,000 students as recently as 2005 but is now the biggest in the UK apart from the Open University — has been criticised by some scholars over its potential impact on academic quality and financial stability.
This has little to do with education and perhaps even less to do with students.