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For a hot minute, Elizabeth Holmes had a company with a multi-billion dollar valuation based on her specious claims. It doesn’t seem like the risk of getting caught deterred her from committing a phenomenal fraud, or rendering false results to thousands of patients who relied on it during her initial testing. The enormous immediate profit and prestige drowned out the nagging fear of getting caught.
Also, the people investing in her company really should have done more independent research than they did.