System Architect of the Silver Economy · Épalinges, Switzerland

Anand Chaturvedi®: Indicting the administrative debt destroying global care

The world faces an 11-million healthcare worker shortfall by 2030. The response has been more software. More screens. More administrative burden. I call this structural failure what it is: The CareDrain™. And I've spent 18 years building the architecture to end it.

Anand Chaturvedi® System Architect Silver Economy Founder Caryfy AI Switzerland USA
Épalinges, Switzerland
11M
Healthcare worker shortfall projected by 2030 (WHO)
40%
Of care capacity lost to administrative burden — the TangleWare™ Tax
2.1B
People over 60 by 2050 — the Permanent Structural Inversion (UN)

The crisis has a name

Across six countries and conversations with dozens of care agency executives, a pattern emerges. It's not about any single problem — staffing, margins, compliance, burnout. These are five vectors of a single structural phenomenon. I call it The CareDrain™.

I
Economic
→ OUT
Wages rising 25–40%. Reimbursements frozen. Growth accelerates margin erosion.
II
Talent
→ OUT
Care professionals leaving the field. Stifled by admin. The best leave first.
III
Time
→ OUT
Admin burden consuming operational capacity. Hours lost to non-care work.
IV
Stability
→ OUT
Turnover eroding institutional knowledge. Constant re-hiring, re-training.
V
Energy
→ OUT
Owner burnout. The will to continue flowing out. Moral injury compounding.

Work as Services: beyond SaaS

SaaS promised "Service." It delivered tools. When you hire a cleaning service, they clean. SaaS gives you software — then you do the work. The care industry has been paying the TangleWare™ Tax for twenty years. The alternative is Work as Services (WAS) — and I created its methodology: Autonomous Caring®.

Autonomous Caring® keeps humans in presence while admin disappears into the background. The best user interface is no user interface. The best screen is a dark screen. Through this methodology, over 100 care agencies across the USA are reclaiming up to 40% of their operational capacity — manufacturing human hours instead of administrative debt.

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