The article discusses how private equity firms have acquired and consolidated essential services in the US, such as fire trucks, ambulances, and nursing homes, leading to increased costs, reduced quality, and even loss of life. This is attributed to the private equity business model, which prioritizes profit over public service. The article cites examples of companies like REV Group, which has a $4.5 billion backlog for fire trucks, and Envision Healthcare, which filed for bankruptcy after being acquired by a private equity firm. The article argues that the current system allows private equity firms to extract profits at the expense of the public.