Overall view of all this finance shit

To prevent anyone from back tracing, I made a new account. This is not a shitpost, it is a real insight into how stuff turned out from my perspective. I've tried to keep this post as succinct as possible. 

I did the 2 years of IB and jumped ship to PE and stayed there for 23 years and made Partner/MD for 8. I was able to retire a few years ago, and now I just pursue hobbies and old man family shit and also lurk on this forum to see what the younger generations are up to.

I've had a lot of time to reflect. 

I've had the money and all the amazing things that come with finance. But, I've missed family and friends. Sure, I've been on yachts with strangers that I've met from my times on Wall Street, but the reality is I'll never be able to convince my family to do so. My kids always say - "You were never there for us in the past, so why should we be there for you now when we have our own stuff to worry about." My wife is, frankly, I think there just because I'm wealthy. 

In my time on Wall Street, I didn't build anything meaningful, and definitely hurt the world overall by making healthcare more expensive for the most vulnerable. 

All of done is make the rich richer and fatten my pockets.

To this day, there is nothing I can do that will ever make me repent for the sins that I committed on Wall Street.

I try to help my community as much as possible and make donations, but it will never even scratch a dent. 

People like me are true scum to society. 

I started off, politically, being a conservative back in the 90s, and now I genuinely find myself routinely hating the right. That's not to say I don't hate liberals, though. All of these politicians, are slaves to the dollar. I know this from direct experience and exposure. Our world is fucked, to put it simply. Now, politically, I genuinely find myself being a social democrat. I've realized that the fact that it took me this long to find this reality is incredibly disappointing. A growing majority of the younger generations, many of which are not on this forum know the truth. 

I could go on and on about my personal realizations about how shit working on Wall Street is and what I've found in my career, but that'll just be incredibly depressing. 

My advice for kids growing these days: Do something that you truly love, and has the potential to positively impact the world. Money will come if you truly abide by this. But, if you truly think money is hard to come by even if you follow this principle then look for something where you can make money to comfortably survive at the very least and maximize for passion and positive impact.

I've "had it all" from the perspective of this forum, but I can tell you this - I have money, power(political), and "clout" - it's nice for a little. Then, you realize you want something real and fulfilling. You'll come back to square one. 

I hope people are motivated by this and make the world a better place that's all. 

I've omitted specific details about my career and stature because if I give out even a little extra than required my identity will be revealed. 

26 Comments
 
Controversial

This reeks of bullshit

Anyone who actually did healthcare PE for 20 years would have a much deeper and more nuanced understanding of the interplay between providers, patients, payors, etc. and realize that “PE make doctor more expensive” is a ridiculous oversimplification in the best of cases and a bald faced lie in many cases.

Although the cat in the cradle thing is a real thing that happens, but of course it is, there is a song about it

 

here's some nuance for u - my firm made a national kidney outpatient care facility cut their nursing labor by 36% causing the quality of care to go down incredibly significantly which literally caused deaths

 

This is an odd comment. I know a lot about the kidney care industry and this doesn't make a lot of sense.
 

First, I’m not sure what time period you are referring to, but covid absolutely decimated the supply of RN labor so nurses you didn’t really need a PE firm to touch anything to severely cut labor if you are talking about the last 4 years or so. Almost every major healthcare firm has been battling to add RN staff - not remove it.

Second, even in states that are not officially regulated, CMS surveyors don’t like to see nursing ratios below are a certain level and they will absolutely take away your Medicare Medicaid certification if they deem it unsafe. 

Finally, outpatient Kidney Care market share is far and away dominated by two companies and they aren’t PE backed. The other National companies are not really even a factor in the cost of kidney care. So what your PE firm supposedly did is not increasing the cost of care.

 

That's oddly specific for a guy who also said he can't provide even a bit of extra detail, lest he reveal his identity.  Which is being kept secret because . .  why again?  Aren't you retired?

 
salsburiopopenohiem

here's some nuance for u - my firm made a national kidney outpatient care facility cut their nursing labor by 36% causing the quality of care to go down incredibly significantly which literally caused deaths

but what about the change in margins? did it improve cash flow? were you able to dividend recap faster? were you able to move the needle on the MoM / IRR returns? what was the contributions? Remember to always write about RESULTS.

 

Actually anyone who did two months SA with exposure to healthcare "knows" that the only motive is to privatize/"optimize" what's left of the cake (at least here in Europe) and generate double digit returns on that - now I guess you've seen a PnL and know how that works yourself... (regardless of whether the original post is genuine of fake...)

 

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incentives trumph ethics
 

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