Analyze

Facing a pivotal federal investigation into Louisiana’s relationship with petro-chemical companies, the state’s attorney general hired lawyers who were simultaneously representing one of the main corporations at the center of the investigation, documents reveal.

The revelations, contained in documents released under public records requests, have led to allegations of a major conflict of interest and come just weeks after the Environmental Protection Agency [EPA] dropped its civil rights investigation.

Internal emails, contracts and payments, show that the office of the attorney general, Jeff Landry, hired two lawyers to enter closed-door negotiations with the EPA during the 14-month civil rights investigation. But John King and Tim Hardy were also representing the Taiwanese chemicals firm Formosa in separate litigation, challenging a decision to revoke the company’s state air permits. (Moran and Sneath 2023).

In the 1980s, Formosa Plastics Corporation purchased financially struggling petrochemical plants in Delaware, Texas, and Louisiana. The company subsequently shifted its operations to Texas and Louisiana, where a competitive bidding process ensued between the two states, both of which were known for industry-friendly policies (Tubilewicz 2021). As political scientist Tubilewicz (2021, 16) has argued, the politics surrounding Formosa's investments in these states were not purely motivated by profit but were also shaped by the ongoing struggles of sub-state actors such as politicians and NGOs over issues of internationalization and representation in global affairs.

An example of this can be seen in Formosa's attempt to build a rayon fiber plant in Louisiana's St. John Parish in the late 1990s, an area also known as "Cancer Alley." Protests broke out due to concerns about massive tax exemptions, displacement of Black residents, and the plant's location on the historic Whitney Plantation (Tubilewicz 2021, 11). However, the project was eventually abandoned due to declining market demand and delays. In addition, the local St. John Governor was indicted for illegal industrial rezoning of land around the plantation and receiving $200,000 in real estate commission (Tubilewicz 2021, 11).

1. Under private equity ownership, some ambulance response times worsened, heart monitors failed and companies slid into bankruptcy, according to a Times examination of thousands of pages of internal documents and government records, as well as interviews with dozens of former employees. In at least two cases, lawsuits contend, poor service led to patient deaths.

2. “Private equity has, in this case, threatened public safety,” said Richard Thomas, the mayor of Mount Vernon, N.Y, which relied on TransCare. “It’s not the way to treat the public.”

3.  Do the Write Thing “didn’t sit well with the firefighters,” said Nico Latini, who has worked at Rural/Metro for a decade. “We operate under a high level of integrity and we do the right thing every day — with an R, not a W.”

The main point of the article is that private ambulance and fire department agencies have questionable policies and business practices that hurt not only patients but also their employees. It's supported with anecdotal evidence following several agencies that have filed for bankruptcy, going over incidents of lateness, understaffing, lack of supplies, and aggressive billing or lawsuits to get payments from patients.

Private equity firms like "Warburg Pincus, Kohlberg Kravis Roberts & Company" that invest in emergency medical services.

TransCare EMS, an EMS provider owned by the firm Patriarch Partners that served East coast states, filed for bankruptcy; had trouble paying its employees and was losing contracts with counties.

Rural/Metro, another privately owned EMS/fire provider known for lateness, suing patients, and had deteriorating patient care, and was losing contracts with counties in several states.

The article addresses the public health inequities caused by for-profit ambulance agencies, which can put low-income families in a worse situation when they bill outrageously and/or sue their patients after sometimes providing sub-par or negligent treatment. Also shows the poor examples of emergency response when first responders are delayed due to understaffing or don't have the drugs/ equipment to adequately treat patients ("hospital shopping" done by desparate ambulance agencies). 

"Today, people interact with private equity when they dial 911, pay their mortgage, play a round of golf or turn on the kitchen tap for a glass of water."

"Supervisors regularly paid for supplies out of their own pockets and hoped for reimbursement, emails show. Some workers said the ambulances carried expired medications. Others went “E.R. shopping.”  "

There were many personal interviews along with overall analysis of the system through history of the industry and related companies. He combined both personal subjective experience and objective events to strengthen his arguement.