CRO Reddit Mentions | ChartExchange

There are two aspects to both sorts of companies.
Salesforce/Service Now/Shopify. These are established and have huge scale. Salesforce have 150,000 customers. So let's imagine that they have a feature and is going to cost $10m to implement. And they think of it in terms of spreading the cost over 3 years. That's $66 per customer. Roughly $2/customer/month.
Someone vibe coding something, and they're really efficient and do it and it costs $2m to implement but they have 10 customers, that's going to cost $200k/customer, or about $3K/customer/month.
This is why once something generic and good is built, it's hard for small companies to compete, or it takes a really long time, and this is why small companies don't even go after this business.
Now, the sorts of products that Wolters Kluwer provide are smaller, and maybe they would be easier to "vibe code" a replacement, but they're also a lot about customers wanting high trust (you absolutely need clinical software to be right) and secondly, it's about specific domain knowledge, support, relationships. It's not like Microsoft where you go online and sign up and get Office 365. They do a lot of talking to customers, getting them to come to events and talk to them, learning their needs. They often employ people who have a background in it.I know someone that works in a software house for clinical trials and he used to work in software development in a CRO.
And even with the likes of WK, there's enough customers that splitting the cost makes sense. I once worked for a company that did a mortgage quotation system. They only had 5 customers. They tweaked it to particular customer needs. That's still going to beat DIY because even if they make a fat profit, it's cheaper.
The rough rule of thumb with software is to buy what you can, build what you can't. If you want an e-commerce solution, you get something like Shopify or if you're doing a larger scale solution, something like Dynamics 365 ecommerce. Now, if they don't do exactly what you need, maybe you build one from scratch but more commonly, you adapt the software. This software has plugin architectures, APIs. If you want a custom colour selector for a paint shop in Shopify, you can code one. If you want Shopify to notify your manufacturing software when an order arrives, you can have it call a hook on a webservice. Now, that webservice requires hiring expensive programmers, but the point is, they just do that part. You might need a month of time at $500/day. So the cost is $10K for it. But that's far cheaper than building from a whole ecommerce system from scratch to do it.
Think about cop cars. They need decals, lights, special radios, but Wyoming police don't build a car. They buy a Ford and add all that to it.

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