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I've worked on one of these apps (healthcare space, just checked and the size sits at 350MB). Here's the problem as I saw it firsthand:

* Far too many hands in the pot: My rough calculation is at any given time, there are around 1000 contributors to this app, across various teams. This itself is not a problem, but leads to issues.

* Tech Debt Racks up Quick: Again because there are so many hands in the pot, tech debt racks up unbelievably quickly. And furthermore it's almost impossible to address because it cuts accross so many teams and orgs.

* The Solution? More Hands in the Pot!: With tech debt racking up quick and not being resolved, productivity grinds to a halt. App has constant errors, crashes, and things like hot reloading are just totally broken because of all the underlying issues. So what do you do when faced with this problem? More engineers! Rather than addressing the problems that face developers, they just throw more labor at the problem, compounding the previous issues.

* Code Duplication: With so many folks working on the project but not talking to one another, code duplication becomes a MAJOR issue. Say you have a "Button" component that needs to be modified. Well, modifying that component means going through 5+ teams to get approval. So to sidestep you create "Button2", and the next guys creates "Button3". The result is you pull up the fuzzy finder and search "Button", only to get 15 results with subtle differences.

This is just my experience. Currently this app is top 20 in healthcare on the Apple Appstore. The company also has a number of other apps and when I was leaving the company, there were talks to merge all the apps into the "main" app (good fucking luck).



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