Blue Orca Capital’s allegations against BetterHelp and highlights growing tensions in tech-enabled labor platforms. BetterHelp is accused of using AI to replace human therapists, driven by cost pressures and incentive structures. The case reflects broader risks as AI begins to reshape trust, quality, and business models in two-sided marketplaces.

1. Therapists allegedly use AI to engage patients: Customers reported robotic replies and confirmed AI usage through detection tools, raising concerns about trust and ethics in mental healthcare.
2. Incentives and burnout drive AI reliance: Therapists are paid by word count and overloaded with 60+ patients per week, making AI an easy shortcut to meet performance targets.
3. Business slowdown exposes deeper cracks: BetterHelp’s user base, revenue growth, and profit margins are all declining, while Teladoc faces accounting scrutiny and leadership turnover.

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