I have worked with one-man companies that did this and often they are shoddy products. Healthcare just seems to suck at software. Full-stack developers are alr

I have worked with one-man companies that did this and often they are shoddy products. Healthcare just seems to suck at software. Full-stack developers are already a very fast evolution from the front/back end developers, which were an evolution from a guy doing just HTML/CSS in the 90s. Now you have to include sales, marketing, negotiation, project management, and business management skills on top of your full-stack development skills. The result is that something is going to suffer unless you are a genius, the product is super-simple, or you have 20-30 years to have learned all of this. There's a much more interesting question in the form of: "Why's that company so big? A tight-knit team could do that in a weekend".