Oddly, the industry's structure closely resembles 1930s-era mass manufacturing.

ECONOMIST: Software in Japan

However, as the company structure moves from closely held to publicly-traded the distribution costs increase.

FORBES: Another Perspective on the Shifting 401(k) Landscape: David Witz of Fiduciary Risk Assessment LLC (March 20,2008)

And if there is an oddity about this potential debacle, it is that the Department of Health and local authorities did not look more closely at the shaky structure of the private care-home industry before facilitating its explosive and dangerous growth by channelling hundreds of millions of pounds in its direction.

BBC: NHP controls fate of Southern Cross