Do I think capitalism is viable in the long run? No. But 
    I also think it is a fool's errand to wait for a 
    revolution,

Amen! Honestly, I might wait for or work towards a revolution, but I suspect that whatever replaces capitalism is likely to be a lot worse. Power coalesces, even in well-intentioned and theoretically more egalitarian systems. Their historical track record is not great.

    I think my thoughts get a little more nuanced when 
    it comes to working ethically within an inherently
    unethical system 

Amen to that as well. Ethics are never easy and they always require extra gymnastics and compromise when trying to do the ethical thing in an inherently unethical system.

    > I don't think you've thought any of this through, man.

    I try really hard to be internally consistent, but 
    I'm imperfect.

I'm sorry I phrased it that way. It was glib and rude of me to type that. Clearly you've thought about this a lot.

But, I'm not sure I understand your practical alternative here.

Let's assume that Inflow is (a) actually effective and (b) they drop the questionable opt-out subscription model. Both big assumptions. I have not used the app and am skeptical to say the least. But lets assume it delivers legitimate value/relief/etc.

(Something I'd gladly pay for, and something the world genuinely needs. Doing CBT with a therapist is financially out of reach for many/most)

So, how should this app have been created? How would its creators be paid prior to the app earning money?

I have bootstrapped a product to market, and it really sucked. I went without health insurance for two years, living in the spare bedroom of a family member. And I was extremely privileged to even be able to do that: I was young and healthy and had a family I could rely on, and no dependents relying upon me. Even if I were living in a country where there was some kind of humane public healthcare system that would have been rough.

I'm not complaining. Ultimately it was an awesome experience. But that is just not a viable path to creating stuff for most people.

Obviously a lot of open source projects get created under less-dire situations, but of course there is also a lot of corporate sponsorship there.