thoughts as to whether this company is dead, page-15

"A corporation will only be more efficient than a family business if it can amalgamate small disparate holdings, achieve economies of scale in purchasing power or marketing power, and lower the cost of production."

I think radiology and especially pathology suggest that corporatisation can work in private medicine. Corporatising ophthalmology ticks all of those boxes, imo. It's up to management to execute, or for a flaw in the model to arise. It's clear the market think it's the later.