One private equity–backed company owns every methadone clinic in Montana
Source: Fortune ·
In plain terms: Private equity firms haven’t been building new capacity – they’ve been buying up the capacity that already existed.
From the source
Three times a week, Amber Titus wakes up at 5 a.m. to get ready for the 45-minute drive to the methadone clinic. Titus, 38, and her husband live with their two young children in Bisbee Junction, Arizona, a rural community near the U.S.-Mexico border. The couple started taking methadone, a medication that treats opioid addiction, in early 2025. “It’s been a godsend,” she said. But accessing methadone is not easy. The closest place they can receive treatment is a clinic in Sierra Vista, about 30 miles from their home. The clinic opens on weekdays at 4:30 a.m. but closes before midday. Titus has to get her methadone dose and arrive at work in Bisbee before her shift starts at 9 a.m. Arriving just 10 to 15 minutes late for an appointment can mean missing a dose because rules are so strict, she said, even when the clinic is still open. That’s the routine when they have their own transportation. In August, their car was totaled in a crash. Until they got another one, Titus called Medicaid,…