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Why Most Healthcare Innovation Fails — Focus, Purpose, and the Real Barriers to Scale | Paulo J Machado Healthcare is full of innovation — but very little of it truly scales. In this episode of Healthcare Algorhythm, Dr. Will Strimel sits down with Paulo J Machado — fractional co-founder, healthcare entrepreneur, advisor, and impact investor — to unpack why building in healthcare is fundamentally different from every other industry. Paulo has spent decades working inside pharma, startups, and early-stage companies, helping founders navigate one of the most complex, regulated, and misaligned systems in the world. In this conversation, we go beyond technology and dig into what actually determines success or failure in healthcare innovation. In this episode, we discuss: Why healthcare startups struggle even when the idea is “good” Why focus and purpose matter more than product features How misaligned incentives between patients, providers, and payers block innovation Why go-to-market and distribution now matter more than product Why behavior change is the hardest problem in healthcare Why ethics, compassion, and values still have to sit at the center of health tech Whether investors, founders, and vendors should be held to a Hippocratic standard This is a candid, systems-level conversation for founders, clinicians, operators, and investors who want to build things that actually work — and actually matter. If you’re innovating in healthcare, this episode will challenge how you think about scale, impact, and responsibility. #HealthcareInnovation #HealthTech #HealthcareLeadership #HealthcareStartups #ValueBasedCare #PatientCenteredCare #HealthcareAlgorhythm