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Posted by chaseadam17 8 hours ago

Thank HN: You helped save 33k lives

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

380 points | 46 comments
aaur0 58 minutes ago|
I have been a Universal Fund member since 2014.

Watsi has this Impact page where you can see every person you've helped — their photo, their story, the country. I visit it more often than I'd like to admit.

I have been building a startup since the last couple of years and as we all know it is relentless. There are weeks where nothing seems to work, where you question every decision. In those moments, pulling up that page and seeing real people whose lives changed because of a few dollars a month — it resets something. It reminds me why building things that matter is worth the grind.

Thank you to everyone at Watsi for creating something that gives back to donors just as much as it gives to patients.

js2 27 minutes ago||
> I have been a Universal Fund member since 2014.

I couldn't remember when I joined, but it turns out 2014 too. From that date and dang's comment below, I found the HN submission that motivated me to join:

https://news.ycombinator.com/item?id=7550005

chaseadam17 8 minutes ago||
That’s a very long time - thank you both!
watsi 42 minutes ago||
Thank you aaur0 - you have no idea how much this means to us. Grateful for ever ounce of good news and good health we can spread in this world.
mclightning 38 minutes ago||
I made the biggest donations in my life via Watsi. Thank you for building this site. I love you guys have an API as well. I thought of building an app on top of your API but never got round to complete it. If you are curious, I can share; I think there may be an opportunity to capture value in free giveaways and turn it into charity. Many people try to give away their things quickly on fb marketplace or letgo, ...what if they could ask for a donation to a charity? I know there are challenges like, what if they want to return. But there has to be a way to solve this with an escrow service or something. A similar model already works in used, 2nd stores that work for charities.
Karupan 1 hour 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.
kalvin 1 hour ago||
Thank YOU Chase :) (I work at Watsi)

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

maerF0x0 57 minutes ago|
I've long played around with the thought of what would happen if someone started something like the universal-fund you mentioned, but had it snowball like a sovereign fund? (ie, instead of spending the in flow, invest it and only spend the profits from the investments, for example) ...

Particularly for basic needs like housing,food,clothes... Like what if instead of giving a charity $100 we created 41c per month? of UBI (roughly the cashflow from investing that same $100). Yes it would seem too little today, but in time it would be massive because it would never dissipate.

IDK, just my musing while claude takes, err does, my job.

MagicMoonlight 40 minutes ago|||
Plenty of those have existed, but in the end they always get stolen and given to the dogs trust.

There’s nothing people hate more than lasting charitable foundations. They take them to court so that they can crack them open and wank away the entire fund in 6 months.

There was one which was supposed to pay off the entire national debt. They cracked and spaffed it.

Another was supposed to end piracy. Cracked and spaffed.

You could save a million people a year, but that won’t save you from being cracked and spaffed. They’re already rubbing their trotters at the thought.

chaseadam17 25 minutes ago|||
Love the idea and have long wanted something like this to exist. One other twist is you could let ppl vote on where to donate the profits.
yakshaving 1 hour 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!

j45 20 seconds ago||
Great accomplishment, congrats. YC acts different and glad they helped make something happen.

Lots of ways to keep score and count returns to investors.

aftergibson 2 hours 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 2 hours 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.
BloondAndDoom 2 hours 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).

jbarrow 2 hours 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 2 hours 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 1 hour 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.
frankdenbow 1 hour 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!
chaseadam17 21 minutes ago|
The old Teespring office, those were the days!
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