Knowledge Marketplace
My First Million

My First Million

The best business ideas come from noticing what's working and doing it better, faster, or for a different audience.

Back to Takes

Healthcare remains fundamentally unsolved with massive opportunities for disruption

Spiciness
opportunity_identification

The Reasoning

Knee surgery costs $40,000 in US vs $20,000 in France with better results. 20x higher maternal mortality for Black women vs Sweden. These aren't inherent limitations but structural inefficiencies.

What Needs to Be True

  • Healthcare costs continue rising faster than inflation
  • Quality outcomes lag other developed countries
  • Technology adoption remains slow in healthcare
  • Regulatory barriers create monopolistic behavior

Counterargument

Healthcare complexity requires regulation. Some cost differences reflect different systems and demographics. Innovation is happening but takes time due to safety requirements.

What Would Change This View

Healthcare costs stabilizing, quality outcomes matching international standards, regulatory barriers significantly reduced.

Implications for Builders

Focus on prevention rather than treatment

Target structural inefficiencies in healthcare delivery

Build solutions for underserved populations

Work within regulatory framework rather than against it

Example Application

Build assisted fertility companies targeting the growing IVF market, or develop technology to reduce maternal mortality disparities.