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Update: we just deployed a fix for this, thanks for reporting! (We recently enabled Cloudflare caching which exposed a pre-existing CSRF issue, now fixed)


We just deployed a fix for this, thanks for reporting! (We recently enabled Cloudflare caching which exposed a pre-existing CSRF issue, now fixed)


We can't see any failed donations around this time, and we've had many successful ones, so we'd love to get more info from you to debug if you're willing. My email is in my profile. Thanks so much for the help!


Yes they are surprisingly cost-effective in the countries Watsi operates in, which isn't intuitive for those of us who live in places where surgeries are very expensive.

"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


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


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.


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.


This sounds like a strange set of examples that may have been scams from the start. Can you name them?

The UK is full of long lasting charitable foundations. Many attached to schools and universities, but the highest profile example is probably the National Trust and its collection of historic buildings.


A lot of those charities are precisely in the process of being "cracked open", or have been captured by small groups who manage them as their personal fiefdom. The level of everyday corruption in this country is incredible.


> captured by small groups who manage them as their personal fiefdom

Isn't that intrinsic to what a charity is? They don't have customers, they're not trusts set up on behalf of someone else specific, they're a tax exemption with an ideological mission.

(still short on named examples in this subthread)


The key there is "ideological mission", which is immediately abandoned in all but name in favor of slinging money around the non-profit industrial complex.

Edit: A great example that comes to mind for me is Wikimedia. They beg for money every year telling you that it's to keep Wikipedia running, but not only do they have enough money to keep running for years, not only is running Wikipedia not their main expense, but they redonate some of that money to other nonprofits. Even if you agree with the missions of those other nonprofits (which are not in line at all with the mission of Wikimedia), you're trusting that an organization that already lied to you about where the money is going is making good choices with that money.


> (still short on named examples in this subthread)

UK libel laws are no joke here, and coupled with the abandonment of basically any public subsidy for legal expenses of normal people, it means most people (me included) are not going to name names.


> The level of everyday corruption in this country is incredible.

Sounds like the solution is to stop trying to make something like that work in an environment (country) which sounds setup to prevent those sort of efforts. There are lots of countries out there, some are surely a better fit.


It's pretty hard to move the National Trust for England preserving England's historic buildings to a different country. Sometimes things are local.


What you need to consider is that you also get compounding returns by treating a patient. They can now be more productive and contribute to their local economy. They might plausibly have a higher return rate (in wellbeing terms) than your alternative investment into stocks.


Precisely. Things become clear when we think of benefits for people instead of monetary terms.


That's called a foundation, they exist.


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.


Some nonprofits do run largely off endowments.

One big issue is that it's a PR problem; most people don't really understand it. They'll look at the non-profit and say "why does that need to raise money, it's rich". You saw this a lot with Harvard in Trump's recent funding war with it, say.


And the biggest expense of the most successful charities is fund raising. It's a viscous cycle and when Watsi came along they showed maybe an alternative path.


I remember Watsi being posted years ago. I was a recent graduate then and didn’t really have the funds but I do now so I just donated to Philip’s cause! Thank you!


Thank you so much! Here’s another patient link for other readers, since you fully funded Philip :P

Paw: https://watsi.org/profile/9dae70d8f758-paw


We have Zoom on our Slack workspace and we'd remove it immediately if this were the case, but it appears to be false. The full list of permissions required by the official Zoom Slack integration is at www.slack.com/apps/A5GE9BMQC-zoom, and doesn't have read access to any channels, private or public, except for "some URLs in messages".


Following your link brings me to the same list of permissions that I was talking about. Here are (some) of them:

* View some URLs in messages

* View messages and other content in public channels, private channels, direct messages, and group direct messages that Zoom has been added to

* View basic information about direct and group direct messages that Zoom has been added to

* View basic information about public channels in your workspace

* View basic information about private channels that Zoom has been added to

* View files shared in channels and conversations that Zoom has been added to

* View pinned content in channels and conversations that Zoom has been added to

* View messages and files that Zoom has starred

* View emoji reactions and their associated content in channels and conversations that Zoom has been added to


Wow, this is great. Props to the Clerky team. If this had existed in 2015 we would have used it, instead we paid a few thousand extra.

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.)


Another upvote for Garry and Alexis from a YC alum! Garry was such an empathetic, helpful person throughout our startup journey.


PSA: Go with Gusto (formerly Zenpayroll) instead for payroll. We signed up for both Zenefits and Zenpayroll several months ago. Zenefits was a nightmare. Zenpayroll has been an absolute delight.

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.


We were among the first 10-15 customers at Zenefits (IIRC), and they were really great when they were small. The problem is that they scaled far faster than they could handle, and we are now happy customers of Gusto.

My only rule with Benefits and Payroll is: do not make me look like an ass in front of my employees. If they don't get paid, or if they lapse in coverage, that makes me look like an ass. They give exactly zero shits about which company failed and where and why; they only know that they lapsed in coverage or didn't get paid. Zenefits screwed that up multiple times, and Gusto has yet to let me down.

That's not to say Zenefits is filled with bad people - I happen to like Parker quite a bit, for example. They just aren't set up to help me win quite yet, whereas Gusto seems to have figured it out.


+1 We left Zenefits about 18 months ago after a series of colossal screwups on their part. I'm both amazed and not surprised that so many other companies continue to have similar difficulties with them.

We spent waaaay too much time dealing with their support team, constantly being shuffled around to different people. At one point we discovered they had left my co-founder's wife off of his policy for 3 months (later acknowledging this was their fault). They're an insurance broker, and they couldn't even sell insurance!

FWIW at the time we were also using Zenpayroll, and had a good experience with them.

We switched over to TriNet for everything mid-2014, which for us was a great choice. We have people in NY and CA, and once we hit 5 employees it was a no-brainer even with the monthly fee per employee. The health plans are much, much cheaper for a similar offering, and our support experience has been generally pretty good after a somewhat rough onboarding. Also all of the onboarding fees with TriNet seem to be pretty negotiable. But overall the most important thing is that we're saving money and spending very little time or energy worrying about HR matters.


+1 we had the exact same bad experience with Zenefits.

It looked easy and nice at the beginning, but quickly became a nightmare when they did mistakes for half of our employees. Once mistakes were done, it became harder and harder to contact their customer service. The rep was nice but completely ignorant.

It's sad to see that Gusto/Zenpayroll, who provide a very high quality service, doesn't grow as fast as Zenefits.


Agreed. We're extremely happy with Gusto.

We tried Zenefits first and had a similar experience to yours. It turned out they couldn't help us get health insurance based on the number and locations of our employees. We went over the details in the first call (and subsequent emails), but it was probably 2 weeks and a handful of communications more before they said they couldn't do it.

Their payroll sync (we used Paychex at the time) seemed pretty buggy and confusing too. Support was not helpful.

Gusto's product and support have been amazing. Their phone support team has helped with some hairy issues for us.

(I have no other connection to either company).


Seconded. Zenefits has been great for on-boarding new hires, but they made mistakes in our health insurance coverage that ended up costing us ~$20k/year. I'm sure Parker and Co. are aware of these issues and working hard to improve, but the reality is that hyper-growth and quality are often somewhat orthogonal.

On the other hand ZenPayroll has been amazing. I take an unreasonable amount of pleasure deflecting inbound sales forays from the likes of Paychex and ADP (may they die in a fire).


Since so many people here mirrored that sentiment I'll just say my experience with Zenefits has been mostly pretty good. I have run into a few minor bugs, but nothing disastrous, and the salespeople have been friendly and knowledgable. I'm probably about the easiest business to run but can't really complain about them (other than the ADP snafu, which is at least not entirely their fault).


Our experience mirrors yours...we couldn't be happier with ZenPayroll/Gusto. We signed up with Zenefits recently to try to get the benefits piece in place, and it was a nightmare, both with the software, and the reps/support.


our zenefits sales guy was totally rude, and insinuated that i was wasting his time by rescheduling a meeting, so i just told him i wasn't interested right after that. i'm sure he's doing fine if he feels like he can talk like that to prospective customers.


what is your startup?


i don't talk about it here.


at least you admit it


We had an identical experience.

I just counted and I have two threads with Zenefits - one with sales and one with acct mgmt. The first thread with sales has 38 emails, and the account management thread has 16 emails. All of this to get set up as a new, tiny little company (4 employees at the time).

The craziest thing was that I didn't need to be "sold." I had used Zenefits previously, and filled out the form on their site to create an account, and got kicked into an incredibly long and painful manual onboarding process that took over five weeks, multiple calls, and 50+ emails.

Gusto got us set up in 20 min. with one automated workflow.

I understand that enrolling in healthcare is a more complex process than payroll, but it felt like I was working with a very traditional insurance broker.

Running a startup myself, I'm usually really empathetic toward startups with growth pains, but there were many things about the process where Gusto far exceeded expectations and Zenefits really underwhelmed me.


+1 went for months without insurance because Zenefits continually promised things they could not deliver. Could not imagine a worst experience for such a critical thing.

Gusto (Zenpayroll) has been peach perfect. Going to transfer our healthcare benefits to them as soon as we can.


I am also a happy ZenPayroll/Gusto customer, with one major issue: see how many trackers they have running after you are logged in. It's appalling, and I have filed a complaint.


If you don't mind sharing, which providers did you end up using for health insurance and 401(k)?


We went with a broker based in DC, Joshua Lavine, for health insurance, since that's where we [eventually learned that] we needed to base our plans from. Great experience (well, the DC small business health exchange is a separate sad story.) Health insurance is so complicated and state-specific you really want someone knowledgable.

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.


Garry, thank you for your kindness :)


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