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Thank HN: You helped save 33k lives

230•chaseadam17•7h ago
13 years ago, we launched Watsi.org with a Show HN [1].

For nearly a year, this community drove so much traffic that we couldn’t list patients fast enough. Then pg saw us on HN, wrote us our first big check, and accepted us as the first YC nonprofit (W13). The next few years were a whirlwind.

I was a young, naive founder with just enough experience to know I wanted Watsi to be more efficient, transparent, and innovative than most nonprofits. We spent 24/7 talking to users and coding. We did things that don’t scale. We tried our best to be walking, talking pg essays.

Over the years we learned that product/market fit is different for nonprofits. Not many people wake up and think, "I'd love to donate to a nonprofit today" with the same oomph that they think, "I'd love a coffee" or "I'd like to make more money."

No matter how much effort we put into fundraising, donations grew linearly, while requests for care grew exponentially. I felt caught in the middle. After investing everything I had, I eventually burned out and transitioned to the board.

I made a classic founder mistake and intertwined my self-worth with Watsi's success. I believed that if I could somehow help every patient, I was a good person, but if I let down some patients, which became inevitable, I was a bad person.

This was exacerbated by seeing our for-profit YC batch mates raise massive rounds. I felt like a failure for not scaling Watsi faster, but eventually we accepted reality and set Watsi on more of a slow, steady, and sustainable trajectory.

Now that I have perspective, I'm incredibly proud of what the org has accomplished and grateful to everyone who has done a tour of duty to support us. Watsi donors have donated over $20M to fund 33,241 surgeries, and we have a good shot of helping patients for a long time to come.

In a world of fast growth and fast crashes, here's a huge thank you to the HN users who have stuck by Watsi, or any other important cause, even when it's not on the front page. I believe it embodies the best of humanity. Thanks HN!

[1] http://news.ycombinator.com/item?id=4424081

Comments

dang•1h ago
Nice to hear from Watsi after all this time! Here's the original Show HN Chase linked to:

Show HN - We just built a site that saves lives - https://news.ycombinator.com/item?id=4424081 - Aug 2012 (183 comments)

... followed by the other threads I could find (in forward order for a change):

Meet Watsi, Y Combinator's First Nonprofit - https://news.ycombinator.com/item?id=5117385 - Jan 2013 (168 comments)

The Story of Bageshwori, Watsi's First Patient - https://news.ycombinator.com/item?id=5299910 - Feb 2013 (63 comments)

Watsi (YC W13) and the Future of Patronage - https://news.ycombinator.com/item?id=5445014 - March 2013 (11 comments)

Catching up with Watsi: Y Combinator’s first non-profit graduate - https://news.ycombinator.com/item?id=5508064 - April 2013 (20 comments)

PG chooses healthcare non-profit Watsi as his first board seat - https://news.ycombinator.com/item?id=5579353 - April 2013 (31 comments)

Watsi (YC W13) raises $1.2M first-of-its-kind 'philanthropic seed round' - https://news.ycombinator.com/item?id=6103506 - July 2013 (94 comments)

Watsi Lands $1.5M Donation From Humble Bundle - https://news.ycombinator.com/item?id=6916609 - Dec 2013 (20 comments)

A dose of perspective - https://news.ycombinator.com/item?id=7549245 - April 2014 (38 comments)

Stories from our first two years - https://news.ycombinator.com/item?id=8286476 - Sept 2014 (34 comments)

Universal Fund - https://news.ycombinator.com/item?id=8563558 - Nov 2014 (29 comments)

Saying Yes - https://news.ycombinator.com/item?id=9428403 - April 2015 (13 comments)

Watsi launches universal health coverage, funded by YC Research - https://news.ycombinator.com/item?id=15165111 - Sept 2017 (281 comments)

How we built Watsi Coverage without stable electricity, WiFi, or email - https://news.ycombinator.com/item?id=16398220 - Feb 2018 (25 comments)

aftergibson•1h ago
You should be unbelievably proud of what you've achieved, and it's lovely to be reminded of the amazing things people can accomplish amongst the backdrop of almost deafeningly negative sentiment going around.

Thanks for doing what you do and for sharing your story!

chaseadam17•1h ago
Thank you :) Watsi is lucky to have an incredible team and medical partners, who work in some of the most challenging environments to provide care to patients.
sskates•1h ago
Chase- thank you for what you've done in creating Watsi to impact 33,000 lives! It also made me believe in the potential for non profits to create a positive impact again.
cies•1h ago
This is my fav charity option. It's so hard some times to know where you can do maximum good with your money: Watsi might well be it.
watsi•34m ago
So awesome to hear - thank you! Hoping others will join in on watsi.org to help too. We want giving to be a bigger and more meaningful part of our day to day lives and to do this, it helps to always know and trust the impact you are making.
BloondAndDoom•1h ago
You did a great thing! Thank you.

One thing I always thought of converging businesses with helping people in need.

I know a lot of people think about this in a negative way in charity circles but I’d rather like to see companies sponsor donate in return of some sort visibility.

Somehow I always thought that would be a good fit for an organization such as yours. (I did donate through you guys previously, thanks for facilitating that).

nyddle•1h ago
That's incredible. Why even compare your startup to for-profits, while you actually make world a better place?
teekert•1h ago
Why would for profits not make the world a better place?

For-profit does not mean “shareholders and ROI over user” or something. You can do for-profit and not enshtfy and make the world better. That’s my goal at least.

TimorousBestie•57m ago
> For-profit does not mean “shareholders and ROI over user” or something.

It’s not definitionally true, but it happens often enough that there’s no denying a clear trend.

josuepeq•3m ago
You’re sentiment is correct, but I also think that most Certified B Corporations arguably make the world a better place.
jbarrow•1h ago
Watsi is incredibly inspiring!

I’ve been a monthly donor since ~the beginning when I was just an undergraduate, and I still read the stories and emails I receive. I’m glad that you opted for the steady growth path, and that you’ve made it a sustainable thing.

chaseadam17•1h ago
That's incredible. Monthly donors are Watsi's lifeblood - it is so impactful to be able to bet on receiving a certain amount each month - thank you!
watsi•38m ago
Your support every month in our Universal Fund means the world to us! This consistency and reliability helps us plan ahead, show up faster for patients in need, and grow to reach new hospitals and communities.
ohyoutravel•52m ago
No problem! I would absolutely help again. This is an important cause that is near to my heart. Speaking for the HN community: we are always happy to help!
photon_lines•51m ago
Thank you Chase -- I was an early Watsi supporter (and still am actually) but you just reminded me I need to donate soon haha :) Either way fantastic work and thank you!
chaseadam17•46m ago
Thank you so much!
ag8•46m ago
Watsi seems to be doing great work, but the title—"you helped save 33k lives"—reads as incredibly misleading to me. I guess "helped" could be doing a lot of heavy lifting here, but I would be incredibly surprised if the counterfactual number of lives saved was more than 3000. (But don't let this dissuade you from donating; concretely improving someone's life is totally a worthwhile goal, and Watsi seems very good at effecting this)
yottamus•40m ago
I basically only trust GiveWell on global aid, have you been evaluated by them?
tristor•38m ago
Incredible, I didn't know about Watsi, but I am glad that I do now. Direct support for something as important as healthcare seems to be one of the best ways to deploy donations to positively impact the world. Thank you for creating this!
kalvin•35m ago
Thank YOU Chase :) (I work at Watsi)

If you'd like to see an example of what Watsi's about, check out Emmanuel's profile: https://watsi.org/profile/79acfc50bee4-emmanuel

Also, fun fact: 619 of our current 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

frankdenbow•25m ago
Great work Chase! I remember meeting you back in the shared office with Teespring. You are right, we are not our startups, but there is a lot to be proud of, an impact is always the goal, for profit or non. Onward!
yakshaving•21m ago
I don't comment on Hacker News very much -- in fact, extremely rarely, but I do remember this more than a decade ago and its awesome that you've stuck with this for this long.

Congratulations to you and all the work that you've done and the impact that you've had. That's pretty cool and something I think many of us aspire to. Cheers Chase!

Karupan•16m ago
Thank you for the incredibly inspiring work! At a time when 99% of the founders and VCs just want to bank on the next big hype cycle and accumulate power and wealth, it’s good to be reminded that actual life changing work with direct impact on people is still possible.
cyrusradfar•12m ago
I've appreciated following your story. Happy that it's brought more meaning to your life and been a net-positive for the planet. That says a lot.
maybelsyrup•33s ago
Never heard of Watsi. Just donated!!! Grateful for your work, and sticking it out serving human beings while others hustle to secure the bag. There's nothing wrong with securing the bag, of course, but it just makes work like this even more impressive to me. Kudos!

Claude Sonnet 4.6

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