AI Enables One‑Founder Scale

A founder used generative AI to build code, marketing, support, analytics and creative assets for a telehealth firm (Medvi) that scaled to ~$1.8 billion in projected sales with one employee. The case provides a measurable instance of AI substituting for most operational staff and enabling extreme firm scale with tiny payrolls. — If common, this model will reshape employment, taxation, competition, regulatory oversight (especially in healthcare/telemedicine) and the distribution of economic power.