It's not like we have not seen this before. In the late 1990's early 2000's there were Physician Practice Management (PPM) organizations buying up practices .... Phycor, PRG, MedPartners and many more. As they went bankrupt, they wreaked havoc But of course, "This time it's different."

It's still a pyramid scheme, with initial investors aggregating practices, etc - then selling them off at 4 - 6 years to realize their investment, then again with the next investor until the last person holding the investment can't pay their note. Shhh: They still collect management fees