

This is the insight I came looking for.
Don’t fully track the finer points, eg. & IMO more likely to be a push towards the autocratic stewards managing Trump as a lame duck tainted by the Epstein scandal and policy backlash going into 2026. But yeah… tracks generally
Thanks for the thoughts



Based on reported experiences, privately run for-profit centers are maximizing profit at the expense of providing appropriate care. They do so by:
Pushing for maximum weekly hours they can charge public/private insurers based on coverage (without deferment to child/family needs)
Using in some cases remote/foreign low cost labor for diagnosis / non-care provision, while charging US rates
Aggressive sales tactics
Paying high wages to new graduates, but with a low ceiling on wages and high case load, leading to rotating care to the detriment of building a strong relationship with patients
Most of the providers are good people who mean well and want to help children. The problem is there is a lack of available services and centers for these families, so if the model weren’t so profit centric at the expense of disabled children the added investment would be welcome