[Noseshine]

Where exactly is the appeal?

A startup is an experiment, most of them fail. It will probably also have an oversize share of people who don't mind risk but do like (monetary) profits, very much so. This means they will take risks with patients health and lives that we have already chosen not to accept except in cases where bad outcomes don't matter (patient is dying).

The "politics" can also be a lot worse in a fast-growth company with a lot of success-driven people. The risk of losing out is a lot lower in a "boring" company where everybody just gets their salary and advancement is slow and predictable. This leads to less focus on the product/service, because people are occupied with "positioning themselves".

There will also be investors, and they don't really care about the product at all, or about long-term success - as long as they can unload their shares at an IPO like the hot potatoes they often are they are fine. Which is not so because people are evil, but because the selection function is set up in a way that favors this behavior.

In a sense though you are right, the possibilities are rather mind boggling indeed. I just don't think in a positive way.