You can get all that with a monolith server and a Postgres backend.
(Sarcasm)
The leaked plan is to fire up to 600,000 people. So roughly up to 40% of their workforce.
To understand why, you would really need to take a good read of the average PCP's malpractice policy.
The policy for a specialist would be even more strict.
You would need to change insurance policies before your workflow was even possible from a liability perspective.
Basically, the insurer wants, "a throat to choke", so to speak. Handing up a model to them isn't going to cut it anymore than handing up Hitachi's awesome new whiz-bang proton therapy machine would. They want their pound of flesh.
HackerNews is often too quick to reply with a “well actually” that they miss the overall point.
What they don't care is the endless growth that MBA guys always try to achieve, and the quarterly profit driven decision making that ultimately destroys their customers loyalty, for short term profit.
A business can be very profitable without being exploitative. It's the people in Wall Street who can't seem to understand this. For them a hundred million dollars of profit is good if last year it was only fifty million dollars, and a dying business if last year it was also a hundred million dollars. It really makes no sense.
I just know that I expect stock prices to go up because most “dividend stocks” give such a small amount of money per share.