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We profile tech companies that work on one of the five existential challenges. This week, we focused on Grand Rounds' approach to the healthcare crisis. (As always, they didn't pay us for coverage.) Subscribe if you haven't already!

1 out of every 50 Americans will be harmed through the actions, or inaction, associated with a misdiagnosis — this year. Very few people, aside from John Boehner, consider the American healthcare system to be world class. But the scale of this is dumbfounding.

It's easy to lay the blame at the feet of doctors, but the whole system is primed for failure. Hospitals get paid for evaluations and tests regardless of outcome, and doctors are in ominously short supply. An overworked physician at an understaffed practice still has to keep up with medical knowledge doubling every ~72 days, leaving no one to ensure that you actually get well. It's hard to fix a machine this broken.


preventable deaths of
any developed nation


unnecessary surgeries


largest cause of death is
our healthcare system

The human consequences are substantial. A wrong diagnosis can exacerbate a chronic condition, leaving the patient untreated and suffering for a decade. It's devastating — and almost unbelievable — to hear from your doctor "I don't know what's going on, you might die at any time, and the next time I can possibly see you is in four months," but it really happens.

Our healthcare system requires people to make critical life decisions without providing them with the necessary data and tools to do so. In the absence of this information, individuals are less likely to make informed decisions that’ll lead to optimal medical outcomes. We can do better.

— Anant Gupta, Sr. Dir. of Engineering, Grand Rounds

This snarled state of affairs was the backdrop against which Anant Gupta, a Bay Area-based engineering manager, was considering his next career move. He was coming off of a nearly five-year run with Uber's "new mobility" team — focusing on bikes and scooters. It had been his most fulfilling job to-date. "Meaning in work hasn't always been an option — my first few jobs were all about how I was gonna pay my student loans." But after Uber, he started to realize he had options. "I realized I could work on anything, so I started thinking about the legacy I want to create."

He was methodical, meeting with mentors and structuring the world into existential challenges. One mentor helped him in his thinking about healthcare — "healthcare affects every one of us at multiple stages of our lives." So he joined that mentor at Grand Rounds, a service that helps patients navigate the healthcare system from end-to-end. He's now hiring for his team, and the rest of Grand Rounds is too.

Here are a few of Grand Rounds' open roles as of Oct 10, 2019:

Lead Software Engineer

Engineering | San Francisco

Sen. Dir., Head of Design

Product | San Francisco or Remote

Quantitative Researcher

Business | San Francisco
(and many more!)

Anant found a way to make a huge impact. Grand Rounds helps nearly five million users navigate the complex US healthcare system. Those who leveraged the platform for expert opinions had their treatment altered in over 60% of cases. Anant told us about a person who was slated to get an amputation. The Grand Rounds team found out about the procedure, determined it was unnecessary, and rushed to prevent it from being performed. They saved the person's limb while still addressing the underlying issue.

Today, Grand Rounds is a free benefit to their customers' employees and their dependents. With nearly half of Americans getting their health insurance from their employers, this strategy helps to get Grand Rounds to more people quickly.  While there is still a long way to go to reach everyone who is facing difficulty getting the care they need...


Americans live in
a medical desert


Americans have had a
necessary procedure denied


average wait time for
a medical practitioner

Grand Rounds is playing a big role in how technology is improving access to healthcare — even one corrected diagnosis can save the life and literal limb of a person just trying to be well. We think that's worth working on.

If you want to help improve the healthcare crisis, apply for a job or refer a friend!

If you're not already subscribed, click here. If you're already a subscriber, please consider forwarding to spread the word!

Project Mobilize is written and curated by Patrick Perini and Alec Davis, with special thanks to Jarett DeAngelis and Renée Holden.

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