One billion people in the world lack access to basic medical care.

I’ve said, typed, and scrawled that sentence a million times in the last few months. I’ve repeated it so many times that I worry the only point I’m getting across is that this is too big a stain on the world to ever scrub out. It’s taken root in the back of my mind, where it lives like this heavy fog of awareness that I’m constantly trying to communicate to people in a meaningful, non-depressing, action-inspiring way.

How do you get people excited about tackling one of the world’s worst human rights crises? To avoid the fog effect of the one billion, there’s one thing that has to be brought sharply into focus.

The one billion are mothers, grandfathers, schoolgirls, and little brothers. They worry about how their kids are doing in school, and they bite their nails watching their favorite sports teams. They laugh at stupid TV ads, and they swear when they stub a toe. We’re all the same. Everyone makes a funny face when they taste a lemon for the first time. 

So, it’s fundamentally wrong that, depending on where on earth someone happens to be born, they may struggle to access the most basic medical care, let alone have a fair shot at confronting an illness like cancer, that devastates the world’s most affluent families.

This came crashing down on me yesterday when I visited terminally ill patients being treated by palliative care doctors in India. I found myself sitting beside the bed of a woman dying of breast cancer. I watched her young daughter play outside while she welled up with tears and described her symptoms to the doctor. By then, her disease had already progressed so far that he could only prescribe medication for her pain, hold her hands, and say a prayer.

Things shouldn’t be that way, and they don’t have to be. Technology, communication, and unprecedented global connection have made the world a much smaller place. The amorphous “one billion” is coming into focus as a colorful, vibrant, and diverse group of people and personalities who deserve to join a global community that respects the right to health. It’s hard not to care about someone on the other side of the world when you can know their story, see their face, and relate to their situation. This is what gets me excited for the potential of Watsi.

-Grace

We Brought a Poker Hand to a Blackjack Tournament

After our pitch at the Global Social Venture Competition (GSVC) Global Finals, Jim Collins, the VP of Innovation at IDE and one of the GSVC judges concluded by saying, “You [Watsi] brought a great poker hand to a blackjack tournament.” His statement couldn’t have been more true.

Watsi was the only non-profit in the GSVC Global Finals and our save lives now figure out how we make money tomorrow approach didn’t go over very well. 

We knew we were going to have to convince the judges that we would be financially sustainable. So, instead of having the financial section of our plan state “TBD” (we always thought it made more sense to get proof of concept before deciding on a financial sustainability plan), we basically chose three of our dozen or so potential revenue models and tried to sell the hell out of them.

The judges saw right through our facade.   

We learned a lot from GSVC, received some amazing feedback from the judges, and got some new ideas for possible revenue models to add to our growing list.

But the best lesson we learned is to stay true to what we believe. Instead of trying to fit ourselves into a particular mold, depending on what we think judges or investors want to hear, we aren’t going to be afraid to say, “We don’t know.” 

We don’t know if our pilot project will be a success. We don’t know how we are going to make money. We don’t know where Watsi will be in a year. But there are a few things we do know…

We know saving lives comes first. We know we will guarantee donors that 100% of their donations go towards funding life-changing medical treatments. We know running a non-profit isn’t free and we will need to make money to cover our overhead (and we have dozens of ideas for how to do so). And most importantly, we know that if we are solving a real problem, and people believe in what we are doing, we will find a way to pay the bills.

Out of 600 teams from 50 countries, Watsi won the People’s Choice Award at the GSVC Global Finals in Berkeley this past weekend. It seems that people really do believe in what we are doing, and if that belief translates into action, together, we will prove to the world that saving lives can in fact come before making money.

-Chase 

From the Hotel Room at GSVC

In just one hour, Chase and I will leave the hotel in downtown Berkeley, CA to go to the Finalist Team Orientation for the Global Social Venture Competition (GSVC). It’s inspiring to think that after many late nights and extra hours of work, the team has made it this far. Watsi is different than many of the teams here in that it is a non-profit organization. This competition is dominated by many for-profit start ups with big ideas and lofty goals, and Watsi’s very different business model makes it somewhat of an underdog. 

However, what got us through to the final round is that fact that we are bringing something brand new to the marketplace in order to help the 1 billion people in the world who can’t afford healthcare. Having spent only $800 so far, we have built a strong team, developed a solid business plan, and are on the brink of gaining non-profit legal status and launching the pilot version of the website. 

Our goal is to bring people together; exploit the interconnectedness of the world today. Because of the skill set and passion that each Watsi team member brings to the table, we will drive forward no matter the outcome of this competition. But because we are creating something with such a strong social impact - something unique in which every donor can connect with the person whose life they are changing - we might just have a fighting chance. 

-Porter

The Least Info Necessary Rule

All Watsi patients are required to sign a legal waiver granting Watsi permission to publish their personal information online for the purpose of fundraising on their behalf. Watsi’s Medical Partners are responsible for explaining the waiver to patients in their native language and sending a signed copy to Watsi.

Obviously, patients are usually more than happy to sign the waiver in exchange for a life-changing medical treatment. However, it is because patients are desperate for care and willing to do whatever necessary to receive it, that we have the added responsibility of doing everything possible to protect their privacy, regardless of the fact that they grant us permission to publish their personal information.

Our team has spent an enormous amount of time debating medical ethics. However, it wasn’t until we arranged a call with Steve Pantilat, the former Chair of the Ethics committee of the Society of Hospitalist Medicine, that we were introduced to the least information necessary rule, which we eventually adopted as our own.

The least information necessary rule means that we will only publish personal information about patients that is necessary for their profiles to be fully funded within a reasonable amount of time. For example, we plan to only publish patients’ first names, because lack of a last name probably won’t preclude a profile from being funded. However, we plan to publish photos, because we think that establishing a personal connection between the patient and the donor is essential for the funding of the profile. 

Initially, we will have to make the call as to what information is necessary and what isn’t, but in the future, we hope that through A/B testing our donors will confirm and/or deny our initial assumptions.

What information do you think we should publish?

- Chase

Meet Mark!

Mark, a Watsi co-founder, handles medical partnership development; forming relationships, vetting clinics, and promoting online marketing efforts. Previously, Mark served as a Peace Corps Volunteer in small business development and also worked in online publishing and advertising, managing new business development endeavors at Gorilla Nation Media. He holds a BA from UC Berkeley in International Political Economy.

Meet Chase!

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Chase, a Watsi co-founder, directs the overall vision and mission of Watsi. Prior to Watsi, Chase worked at Pacific Community Ventures, where he built the group’s first double bottom line loan fund. Previously, he served as a Peace Corps Volunteer in Costa Rica, where he founded three successful microfinance institutions. He also worked with Fonkoze, the largest economic development bank in Haiti, where he established a national health program that resulted in the distribution of multivitamins to more than 13,000 children the year of its inception, and has since grown to ten times the size. Chase graduated cum laude from UC Santa Barbara with a BA in Global Socioeconomics and Politics.

Follow Chase on Twitter at @chaseadam17

Meet Howard!

Howard, a Watsi co-founder, is responsible for all of Watsi’s financial matters. His duties include capital budgeting, accounting, cash flow, and disbursing funds. Before joining Watsi, Howard also served as a Peace Corps Volunteer, working primarily to strengthen and grow existing microfinance institutions in rural Costa Rica. Prior to the Peace Corps, Howard worked in wealth management in Raleigh, NC and New York City. Howard holds a B.A. in Finance from NC State University and is an International MBA Candidate at the University of South Carolina.

Meet Jesse!

Jesse handles the entire technical infrastructure Watsi requires to operate, from writing code to setting up services. Jesse currently works as a technology consultant and has more than seven years of experience serving major clients such as Nike and Portland State University. He is also an avid supporter of open source software. Jesse holds a BA in Mathematics from Washington University in St. Louis.

Meet Sally!

Sally is our go-to for medical decision-making within the Watsi team, reaching out to and advising on Medical Partner relationships and patient profiles. Sally has treated patients from Africa to Central America and has worked on medical projects from Ethiopia to Haiti. She has been studying her whole life to work with Watsi; she has an MD (UC Davis), MPH (Hopkins) and BA (UC Berkeley).  She is currently an Emergency Medicine resident at UCSF (San Francisco).


Meet Grace!

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Grace directs marketing at Watsi. Before Watsi, Grace helped build the first education outreach program at Kiva. She also worked with the International Rescue Committee, one of the largest humanitarian assistance and crisis response organizations in the world, on its Washington DC advocacy team. She’s studied human rights in Ghana, worked in a hospital in India, and led economic empowerment and micro-insurance projects in developing communities. Grace graduated from UC Santa Barbara with a BA in Global and International Studies and Political Science.

Follow Grace on Twitter @gracegarey