In high school, I was a spammer. We hawked (via affiliate programs) HGH, dick pills, and cam girls — all things targeting exploitable desperation. Now I get 5+ health insurance scam robocalls per week. American healthcare is a desperation meat grinder.
It's an accumulation of kludges that some people want to fix and others just don't care about because they aren't sick, don't expect to be, or have the resources to weather that storm. But I do think it's a difficult space to work in. E.g., https://twitter.com/chrisalbon/status/1206254156744294400 …