This is a good point - would _you_ trust your medical data/history to someone who'd screw over a graphic designer for $780? With no other indicators of reputation - what's everybody else's opinion on what this startup might do when a medical insurance company show up and says "$10,000 to see $persons medical history"?

Maybe the designer is misleading us all, and there's a very good reason with the company are reluctant to pay $780 for some work the designer thought they'd asked for. But surely in the field they've chosen, reputation and appearance of trustworthiness have orders of magnitude more value that this spat?