The heart defect thing definitely puts me in a weird psychological bucket when it comes to underlying drive/motivation. I've only met one adult that had similar feelings/views and they had childhood multiple recurrence leukemia.
I have some concepts that I want to try to bring into the world.
One is a first principles notes/app platform I've been using for personal use that upends how apps and data relate. The goal is to reduce context switching costs to nearly 0 and reduce cognitive overhead for 80% of "life things".
One is a social software approach to ending involuntary homelessness that is invasive enough that it needs tons of homelessness education for the general public and buy in from existing homelessness resources. I want to upend charitable giving by combatting the learned helplessness society inculcates from childhood.. because we perceive it as an intractable problem.
Another is a platform for developers to "never" interview again and for high signal employed developers to capture 50/60% of profits going towards recruiters (piggy backing off my work with speaking talent and how speaker bureaus work.)
I'd like to take an honest, well funded stab at those three things before I die, the notes app is the first on the docket because it's the easiest and I'm working my way there via bootstrapping atm because I'm weak at fundraising. Succeed or fail I want to birth these things into the world you know? Do my damndest before I die, that's really it.