Medical Writers on FreshBooks pay $33/month — $396/year. Over three years, that's $1,329. Nexa is $279 once. Break-even runs about 8.5 months. The median Medical Writer earns $55,000/year, so FreshBooks's annual cost is roughly 0.7% of typical revenue — every year, forever.
That's $1,329 gone. And you don't own anything. Stop paying, lose access.
You're not the only one who's had enough.
Medical Writers face unique challenges: Translating dense clinical and statistical data into accurate prose without overstating efficacy or drifting from the source. Managing rounds of review and conflicting comments from multiple authors and reviewers on a single manuscript. Hitting journal and congress submission deadlines that are fixed and competitive. Verifying every citation and data point against source, because an error in a medical document can be a real harm. On top of all that, FreshBooks charges $33/month ($396/year) — money that comes directly from your revenue. The median Medical Writer earns $55,000/year. Software at $396/year is a meaningful percentage of that income, every year, forever. And you do not own anything.
Your Reference-management software (EndNote, Zotero) for citations is yours. You bought it once. Nexa works the same way — $279 once for invoicing, scheduling, CRM, time tracking, and full accounting. All connected. All offline-capable. You own it like you own your tools.
FreshBooks is just one piece. What else are you losing money on?
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Your exact FreshBooks cost, full stack total, and what switching saves. 10 seconds.
| Feature | FreshBooks | Nexa |
|---|---|---|
| Invoicing | ✓ | ✓ |
| Scheduling | ✗ | ✓ |
| CRM | ✗ | ✓ |
| Time Tracking | ✗ | ✓ |
| Full Accounting | ✗ | ✓ (SIMPL) |
| Task Management | ✗ | ✓ |
| Price | $33/mo forever | $279 once or 3 × $99 |
| 3-Year Cost | $1,329 | $279 |
| Stop paying? | Lose everything | Keep everything forever |
Most medical writers are fully switched before the weekend.
Go to Settings → Export Data. Download clients, invoices, expenses, and time entries.
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You turn data into prose that has to be exactly right. The morning is a clinical study report or a manuscript, and you're working straight from tables, listings, and figures, building sentences that describe the results without ever overstating them, because in medical writing an exaggerated efficacy claim isn't just bad style, it's a regulatory and ethical problem. Every number you write gets checked against the statistical output, and every claim gets a citation that you verify rather than trust. Midday is the politics of authorship: a manuscript with five authors generates five sets of comments, some contradictory, and your job is to reconcile them into one coherent document without anyone feeling overruled. You're tracking which reviewer is still outstanding, because the journal deadline doesn't care that the senior author is at a conference. Afternoons might be a congress abstract with a hard word count and a fixed submission date, or QC on references where one transposed page number is the kind of error that erodes trust. The work is meticulous, deadline-bound, and high-stakes: a clinician may read what you wrote and treat a patient accordingly. You live in the narrow band between scientific accuracy and readable English, and you carry the responsibility that comes with both.
Real medical writers near you who run their business on Nexa — book directly, no platform fee. Are you a medical writer? Post your business and get found in your area — $2.99 one-time. Or browse every medical writer on Nexa →
For solo operators and small teams (1-5), yes. Nexa includes invoicing, scheduling, CRM, time tracking, task management, and full accounting. FreshBooks may be better if you have a large team (10+) or need enterprise-specific features.
It's $7.75/month over 3 years. FreshBooks is $33/month — that's $1,329 over 3 years. Which is more? And if you'd rather split it, Nexa is also available as 3 payments of $99.
Yes. Nexa is $279 as a one-time payment, or 3 payments of $99 ($297 total). Either way it's a one-time purchase — no subscription, no recurring fees ever.
30-day money-back guarantee. Full refund. If Nexa doesn't save you $500 in year one, you get every penny back.
Export your data from FreshBooks as CSV, import into Nexa in about 5 minutes.
The average solo operator there spends about $2,160/year on software — and Medical Writer face their own version of that math. MO state licensing requirements apply.
Numbers reflect typical solo operators in the Columbia metro. Your situation will vary.
Specific gaps Medical Writers run into with FreshBooks, and what Nexa does instead.
$1,329 over 3 years. Or $279 once (or 3 × $99). Own your tools.
Get Nexa — $279 Once