For the record I am with you and OP in the sense that I personally would struggle with such proximity. But the reality is that even if you do what I did and give up quite a bit of salary in exchange for something so mundane as the same work in a public university-run health system, you can still often follow the money to some ugly places that are not as far away as you'd like. Regarding startups, the ones like yours are probably the best one can realistically hope for, ideological inclinations of the founders aside