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Doug Utberg sits down with Dr. Vivek Aranki—physician, healthcare founder, and CEO of one of Australia’s largest cosmetic clinic networks—to unpack an idea most founders resist but every operator eventually learns: failure isn’t an exception in business, it’s the system. From leaving a medical career to building a multi-clinic healthcare organization, Dr. Aranki shares how repeated setbacks, false starts, and costly lessons shaped a business model rooted in safety, trust, and long-term thinking. This isn’t a highlight reel of wins—it’s a candid conversation about feedback loops, regulation, franchising done right, and why boring, proven systems outperform shiny innovation in high-risk industries like healthcare. The discussion spans far beyond cosmetics. Doug and Vivek explore why tech’s “move fast and break things” mindset fails in regulated environments, how affordability can coexist with quality, and what entrepreneurs misunderstand about franchising, scale, and resilience. They also zoom out to examine the healthcare affordability crisis, bureaucracy, prevention versus reaction, and why self-correcting systems matter more than choosing the “perfect” strategy upfront. This episode is for founders, operators, and executives rebuilding after failure—or trying to design businesses strong enough to survive it. TL;DR Failure is a feedback loop, not a dead end Success comes from learning faster, not avoiding mistakes In regulated industries, boring beats “cutting edge” Franchising fails when incentives are misaligned Quality, safety, and affordability don’t have to be trade-offs Healthcare breaks when bureaucracy outpaces outcomes Self-correcting systems matter more than perfect decisions Memorable Lines “It’s not a bug—it’s a feature.” “Boring is good when people’s lives are involved.” “You can’t ‘move fast and break things’ in healthcare.” “Failure isn’t the problem—slow learning is.” “Real brands don’t extract value; they create it.” Guest Dr. Vivek Aranki Physician, healthcare entrepreneur, and founder of a rapidly growing accredited cosmetic clinic network across Australia. Dr. Aranki specializes in building scalable healthcare systems that prioritize safety, trust, and long-term value over short-term gains. Why This Episode Matters Most business advice is written for industries where mistakes are cheap. Healthcare, finance, and other regulated environments don’t work that way. This conversation reframes failure not as recklessness—but as disciplined experimentation within constraints. For leaders navigating complexity, regulation, burnout, or reinvention, this episode offers a grounded look at how real systems are built—and rebuilt—when the stakes are high. #Leadership #Entrepreneurship #BusinessFailure #Reinvention #HealthcareLeadership #FounderLife #ResilientLeadership #SystemsThinking #BusinessStrategy #SecondLifeLeader