https://indhospitalsolution.com/blogs/keralas-hospital-gold-...
> The research from the United States — which is a decade further down this road — is sobering. Studies of PE-acquired hospitals document consistent patterns: non-revenue-generating services reduced, staff-to-patient ratios cut, ancillary charges inflated, and a systematic shift toward high-margin procedures.
https://jeswinjos.medium.com/someone-is-quietly-buying-keral...
Their SEC filing mentions they engage in "deregulation advocacy" which is no doubt a hilarious euphemism for lobbying the brazilian government so it relaxes quality standards for medical schools. No doubt they're responsible for much of the enshittification here.