Tell HN: your next idea should focus on aged care

When I was in graduate school for architecture fifteen years ago I saw a lecture by an architect I already respected greatly named Niall McLaughlin. He taught at the school (still does I think) so on four consecutive Wednesdays he gave these astounding two hour lectures. And he would take questions after until every question was answered. These events sometimes lasted 3 - 4 hours. The themes were "Architecture and ..." The two I remember without going back into my notes were "Architecture and Tools" and "Architecture and Memory."

This whole shaggy dog story is because "Architecture and Memory" started at the philosophical level but by the end tied in to his own work on memory care facilities. He's a famous architect. Has since won the Sterling Prize, the biggest prize awarded by RIBA. A. Big. Deal. And I don't even know if he publishes his memory care facilities.

But he got into that market - he shared with us - because he had a close family member who needed that care. Flash forward ten years and I'm spending time in a memory care facility with a very close family member. Thinking back to his experience, knowing how it felt. Realizing his personal empathy drove him to pursue a whole area of practice that most would never consider. I doubt he lost money doing these facilities but I can assure you he wasn't doing it for the high profit margins.

I'm absolutely not knocking your statement. The exact opposite sentiment is coming through I hope. If it's an area you're interested in exploring how to delve into and develop ideas within - find a reason to care. What I mean is - if you're interested in developing solutions in the area find a way to identify a real world problem worth solving in it. Volunteer a little at a nursing home or community center with senior programs, meet people facing the issues that come with aging.

Not to say you'd be doing it to be opportunist, but if you're looking for a "product market fit," start by observing the real and present every day challenges of the market. Use it to build the product story. I don't want to sound ghoulish in my biz-speak, but it's real - I think we all have personal experiences where knowing someone going through something gave us a reason to care about that issue in a broader sense.

Good luck - it's an area that is flush with problems worth solving, and I think could be rewarding to explore.

For a fully mobile senior requiring no additional care, you're looking at a minimum of USD $3500/month at an assisted living facility. Add in any nursing needs, and that number will quickly go north of $5k/month. Once you start heading towards your late 80s, that number again quickly doubles.

Note that this does not include medical care, diapers, clothing, a phone, etc.

And this is the bottom of the market. A higher-end home will run double if not more.

In Japan, there are homes for every income tier, from "nothing more than a government pension" on up. Sure, the lower-end homes aren't great, but they beat homelessness by a wide margin. And these are private businesses, not government-run facilities.

The main issues i can think of are;

1) Regulations - Govt. mandated laws on access to health records, personal liability etc.

2) Insurance - Can these services be charged under govt./private insurance schemes/claims?

3) Personnel Training - All employees must be trained in aspects of Nursing and People management, there must be on-call Doctors etc.

4) Wellness Centers - Places where the elderly can be brought in for regular companionship and prophylactic exercises.

5) Transport - A fleet of vehicles to transport the elderly to and from their homes.

6) Supplies - Medicines and everything else as needed.

There are three main models that i can think of;

a) The "standard" elder care homes which take care of everything for a fee.

b) A live-in nurse/maid/caretaker employed through a agency (popular in developing countries) where the person lives with the family taking care of the elder. You pay a monthly fee to the agency and they pay the caretaker's salary after taking their cut.

c) A on-demand comprehensive health services company. This can be a non-profit/for-profit organization offering various services (medical/support/companionship etc.) to the elderly who live alone or have nobody to look after them. Services could be offered based on the needs and on a yearly/monthly contracts or as needed per call. Think of it as Uber/Wework for Healthcare. I think this is the need of the hour since there is a huge population above 50 worldwide living alone. Just helping them maintain their health will go a long way towards easing the pressure on the healthcare system leaving the hospitals free to serve those who need it most.

To drive the point home, watch this 3-part documentary series on "Living and Dying Alone in Singapore" to get an idea of what awaits many senior citizens - https://www.youtube.com/watch?v=d499mlwXWfk

The organization mentioned in the above documentary and from which we can learn is here - https://chenghongwelfare.org