Caregiving & Aging Parents 2.90Simmering report-01-017

Startup idea: Guided Living Will Before the Crisis

A father landed in the ICU with respiratory failure and no living will, leaving his son to make medical decisions without knowing what he'd want.

r/CaregiverSupport · Sep 14, 2026 – Oct 14, 2026 · 41 upvotes

Dad went into respiratory distress without a…

Read the thread · 19 comments

Report 01 · last verified Oct 14, 2026.

Guided Living Will Before the Crisis is a startup idea for adult children and seniors. A father landed in the ICU with respiratory failure and no living will, leaving his son to make medical decisions without knowing what he'd want. A thread in r/CaregiverSupport drew 41 upvotes and 19 comments between Sep 14, 2026 – Oct 14, 2026. People get by with Five Wishes, LegalZoom, and Hospital forms, and that still leaves this job open. Hotness is 2.90, Simmering. Strong pain. Some willingness to pay. The thread drew 41 upvotes and 19 comments. Crowded with decent tools. A few weeks of work. A first version is a moderate amount of work, about 3–4 weeks, priced between $10 and $49 a month and charged as a one-time purchase. The pain, the source, the alternatives, the scope notes, and the questions on this page are free to read and free to build from. The agent starter prompt is the paid part. The first slice is on the page. One credit unlocks the rest, to paste into a coding agent, download as Markdown, or send as a private link.

Who has it

Adult children and seniors.

What people use now

3 options, and the gap between them.

01

Five Wishes

02

LegalZoom

03

Hospital forms

The gap · 2/5

Crowded with decent tools.

Guided Living Will Before the Crisis is built for the part these leave undone.

A way through

Gently guide families through a legally sound advance directive before a crisis, using plain questions instead of legal jargon, with storage and emergency access.

MVP scope

The first version, in 3 weeks.

Build
Moderate
Ships as
Web app
  1. 00 Goal

    The one job

    Plain-language questions that produce a legally valid advance directive, stored for instant emergency access.

  2. 01 Week 1

    The core

    Guide families through a legally sound advance directive with plain questions, not legal jargon.

  3. 02 Week 2

    The follow-through

    Store the finished directive with emergency access.

  4. 03 Week 3

    How it ships

    As a web app that opens in any browser, with nothing to install. AI helps, but the core job works without it.

  5. — Not in v1

    Left out on purpose

    Replacing Five Wishes. Version one does the one job above and stops there.

How it could charge

The business model, at a glance.

Buyer
PeopleAn individual or household pays
Region
United States

Hotness

Why it scores 2.90.

2.90 of 5 · Simmering
Pain25% 4/5
Willingness to pay20% 3/5
Demand20% 1/5
Competition gap15% 2/5
Ease of build10% 3/5
Recency10% 5/5

Strong pain. Some willingness to pay. The thread drew 41 upvotes and 19 comments. Crowded with decent tools. A few weeks of work.

41 upvotes 19 comments r/CaregiverSupport Sep 14, 2026 – Oct 14, 2026 verified Oct 14, 2026 Thread ↗

Weights: pain 25%, willingness to pay 20%, demand 20%, gap 15%, ease 10%, recency 10%. Recency is recomputed every build. The source report’s 1–10 score is not shown.

Market size · estimate

How big this could get

A bottom-up estimate for Guided Living Will Before the Crisis: real customer counts × a realistic price. Not a forecast.

TAM Total addressable

$3.1B

31M buyers · 50% of US residents aged 65+

SAM Serviceable

$614M

6.2M buyers · bought by seniors or adult children online

SOM Obtainable in 3 years

$6.1M

62,000 buyers · 1% of the reachable segment in three years

What that means

62,000 buyers at $99 = $6.1M in sales

Medium confidence
How we estimated this
  1. Base: 61,200,000 US residents aged 65+.
  2. Has the problem: 50% (assume half have no advance directive yet).
  3. Revenue per buyer: $99 one-time ($99 one-time).
  4. Reachable: 20% (bought by seniors or adult children online).
  5. Three-year capture: 1% of the reachable segment.

TAM = customers with the problem × revenue per customer. SAM = the part an early product can reach. SOM = a conservative three-year share of SAM. Bars use a log scale. Shares marked “assume” are our judgment, not measured.

Source: US Census Bureau, Vintage 2024 (June 2025 release)

Take it to a build

Build Guided Living Will Before the Crisis with an agent, or with us.

Agent starter prompt

$9.99 / 1 credit

A full PRD written for a coding agent: scope, data model, screens, edge cases, and the first week of tasks for this idea.

  • Copy it straight into Claude Code, Cursor, or Codex.
  • Download it as a .md file you keep.
  • Send your bot a private link that refreshes every seven days.
prd.md
# Agent starter prompt: Guided Living Will Before the Crisis

You are a senior product engineer. Build only the product described in this document. If a detail is missing, choose the smallest option and write it down in the README. Do not invent a second product, a marketplace of marketplaces, or a growth hack.

## Product
Name: Guided Living Will Before the Crisis
One line: Plain-language questions that produce a legally valid advance directive, stored for instant emergency access.
Shape: Web app
AI stance: AI-assisted
Region for v1: United States
Hotness (context only, not a requirement): 2.90 (simmering). Strong pain; some willingness to pay; thread engagement 41▲/19💬 (demand 1/5); crowded with decent tools; a few weeks of work.

## Problem
A father landed in the ICU with respiratory failure and no living will, leaving his son to make medical decisions without knowing what he'd want.

Who feels it: Adult children and seniors.

The first slice is above. The rest unlocks for 1 credit and is never in this page’s HTML.

Credits work on both sites. On Business Ideas to Build the same credit unlocks the business plan and growth playbook for Guided Living Will Before the Crisis.

Or we build it

Your first version, shipped by our team.

A working product in your repo, built from this PRD. You own the code.

$10k2 weeks
$15k5 working days

Questions

Is this idea already taken?

People already use Five Wishes, LegalZoom, Hospital forms. Those options do not do the job in the solution above. The idea is free to build. Nothing here is an exclusive claim.

How hard is a first version?

Moderate. A tight MVP is about 3 weeks (3–4 weeks), assuming the regulated or partner-gated parts are stubbed. The paid prompt turns that into tasks.

Who would pay, and how?

The audience is adult children and seniors. Charge a one-time purchase, and test a price between $10 and $49 a month. Willingness to pay is one input to Hotness, not a promise that someone will buy.

Can I use the evidence?

Yes. Build the product. The thread title is a short excerpt with a link, not a quote we are putting in someone's mouth. Exact post dates and verbatim lines are added only after a manual check. Ideas are suggestions, not medical, legal, or financial advice.

The sister site keeps a business plan and a growth playbook for the same pain. Draft the business plan

Written up on the blog