Yes, also simultaneously why (some) smaller companies can offer exceptional service unmatched by larger competitors.

I am reminded of the PG startup advice to “do things that don’t scale”, this seems to be one of those cases.

This could be at the core of "do things that don't scale".

Not possible for raising children. Or caring for the elderly until we perfect an immortality elixir.

Is that a world you want to live in?

Yes - to me the OP means solving issues ahead of time.... create the vaccine 1x or treat the virus causing the issue millions of times.

I have spent enough of this year injured due to my own adventure sport aggressive mis steps. I was MUCH less productive during this period than before or now due to injury.

Had I not needed to deal with that, is the most productive self and that has a exponential effect society.

But you're not just a productivity machine though, and as such, you surely yearn to give and receive care in different ways.