In this conversation, Mariano Garcia-Valino, Founder, Chief Engineer and CEO of Axenya and host Michael Bernzweig discuss the evolution of medicine and the role of AI in transforming healthcare. He highlights the shift from infectious diseases to chronic diseases, the unsustainable growth of healthcare costs, and the need for technology to improve patient care. The discussion also touches on the challenges faced by the US healthcare system, particularly the lack of primary care and the fragmentation of services.

Takeaways

• AI is revolutionizing healthcare by improving patient outcomes.
• The healthcare system is facing unsustainable cost growth.
• Chronic diseases require a different approach than infectious diseases.
• Technology can help manage and prevent chronic diseases effectively.
• Health insurance costs are rising faster than inflation.
• Primary care is crucial for early disease detection and management.
• Data fragmentation hinders effective healthcare delivery.
• Innovative companies are emerging to transform healthcare.
• A comprehensive system is needed to cover basic healthcare needs.
• The future of healthcare relies on integrating technology and data.

Sound Bites

• "AI is changing the healthcare industry."
• "Primary care in the US is underfunded."
• "We need a system that covers everyone."

Chapters

• 00:00 The Evolution of Medicine and AI
• Founding Axenya: the spark and early hypothesis
• Proving preventive care can save lives at scale
• Designing a full‑stack, tech‑enabled care model
• Using AI and data to change outcomes, not just workflows
• Navigating regulation, payers, and complex health systems
• Fundraising, investors, and aligning on impact vs growth
• Leadership philosophy and building distributed, high‑trust teams
• Founder mindset: resilience, doubt, and second‑time lessons
• Art, writing, and how creativity shapes his leadership
• 14:15 Challenges in the US Healthcare System

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