I work in a consulting role and the company I am currently working for is a vc funded provider group specialty healthcare docs. It’s all about volume. They’re completely inept in the way they’re running the company. They are incapable of making decisions that need to be made for the future of the organization so they keep pushing them down the road and papering over the terrible fundamentals because for them it’s all about hoovering up practices to gain market power. Everyone is miserable and always fighting at the highest levels. No one has authority over the organization. And people in lower rungs of the org have some of the worst insticts and are rewarded for it. VCs are making bad businesses significantly worse. They all operate under the same fundamental logic:

Get big enough at all costs until you are undeniable.

Jack up prices.

Then reduce the labor force to reap short term profits.

Then sell off to a bigger player without any regard for how the chips fall.

Or keep getting so big that you are unmanageable.

Consumers suffer.

Rinse.

Repeat.