kalvin
Joined 18 years ago
Joined 18 years ago
"A review across 23 LMICs found that low-complexity surgeries (e.g., appendectomy, hernia repair) cost only about ~$17 per DALY, whereas even complex procedures were often cost-effective" (Most surgeries on Watsi are low-complexity)
"Reports from the WHO and Lancet Commission consistently emphasize that investing in surgical capacity has high value, in many cases, more than essential drugs or vaccines on a per-DALY basis"
Both quotes from: https://link.springer.com/article/10.1186/s12893-025-03204-0
If you'd like to see an example of what Watsi's about, check out Philip's profile: https://watsi.org/profile/2286cb03a5bd-philip
Also, fun fact: 619 of our current "Universal Fund" monthly donors first made a donation 10 or more years ago, and I'm pretty sure many of those were/are Hacker News readers.
If you're interested, see https://watsi.org/universal-fund
For anyone starting a mission-driven company, there's not really any practical downside to incorporating as a PBC, though it's still relatively new and untested. It's much less effort than becoming a B Corp, which you can choose to do afterward.
I see some confusion on terms--
PBC: legal corporate structure in 25+ states and growing, but still uncommon
B Corp: a more widely known certification from B Lab
You can be a PBC without being a B Corp but all B Corps need to become PBCs by a certain year iirc
(We incorporated Nava PBC as the first, and I think only, government contractor that's also a PBC.)
We went with Captain401 (a YC startup) because we needed a fast turnaround and they had amazing service. Too early to render judgement otherwise. OctaveWealth is another seemingly competent YC 401k startup. If you're not in a rush and don't want to trust a startup with your company's 401k plan (though assets are safe regardless), Vanguard is great, and would have been our backup option.
They obviously don't offer identical functionality, but they're getting more similar now so this is a comparison of where they overlap.
Customer support: Both Zenefits and Zenpayroll are very responsive, but Zenefits provides significantly less helpful responses, the kind you'd expect from first-level big-corporation support. Zenpayroll is much better on this front.
Software: Zenefits is clearly not a startup driven by product or engineering. It's fine given it's free, but still has tons of rough edges and bugs everywhere (e.g. it's easy to click submit twice all over the site and create duplicate entries.) I know it's better than the incumbents, but Zenpayroll has a far better product and it really shows even in basic usage-- it's kind of amazing this level of quality now exists for payroll.
Health insurance: If you have an extremely simple situation and are a startup in CA, Zenefits is probably fine. We have about a dozen employees based in DC, SF, and NYC. Instead of telling us to go elsewhere, Zenefits spent two months and dozens of hours/email threads/phone calls making slow "progress", telling me information that ended up being inaccurate, omitting critical information, replying to one out of every three questions, saying repeatedly it would get done, and finally telling me they just couldn't do it.
The Zenefits rep could not have been worse-- if he'd been actively hostile or more clearly ignorant, that would have been better since we would have short-circuited sooner. (Yes, I did complain about the rep... they routed me right back to him on the same call.) Afterward, I called Zenpayroll and their rep was super knowledgeable and set expectations clearly. It was night and day. We also tried talking to Zenefits' partner Ubiquity for a 401k, and had a negative experience there as well.
We've now heard many, many versions of our story above. I wish Zenefits all the best since they've made a lot of startup founders' lives easier (including ours, for new hire onboarding), but boy do they have scaling issues... all I'm saying is, if you have the option of both Zenefits and Gusto for a particular service, 100% go with Gusto.
Piling on: If you're interested in being an early employee at a growth startup working with the government, check out Nava! (I work for Nava)
Our hiring post: https://news.ycombinator.com/item?id=10001189
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ex-Ridejoy (YC S11), a community marketplace for sharing rides.