Building Health Tech Across Borders: Design, AI, and System-Level Change – with Rami Ajjuri

Healthcare innovation appears very different depending on where it is built.

In this episode, we sit down with Rami Ajjuri to discuss his career journey spanning startups and large corporations, as well as across various ecosystems. Rami has worked in Spain, Germany, the Bay Area, and New York, giving him a rare, first-hand perspective on how healthcare innovation, competition, and incentives differ between Europe and the US.

We spend a significant part of the conversation unpacking one of the most underestimated topics in digital health: UI/UX for healthcare products, especially B2B tools used by clinicians and operators every day. Why do so many healthcare products still feel painful to use? What do founders consistently get wrong? And what changes when AI — particularly agentic and ambient AI — enters the picture?

We also zoom out to discuss broader system-level questions: competition vs. patient outcomes, what the US healthcare system could realistically improve, and what advice Rami would give founders building in this space today.

This is a conversation for founders, product leaders, designers, and anyone thinking seriously about how healthcare technology should actually work — not just how it’s sold.

Rami Ajjuri
Founder of the.garage
  / rami-ajjuri-phd-mba-b8065241  
https://thegarage.app/

00:00 Intro
01:27 Greetings
02:00 Rami's background
06:11 Can you share more about your experience working for large corporations?
08:16 Can you share some of the insights you learned from working in different locations?
11:48 What about the differences working in European health tech?
15:31 Would you agree with the statement that the competition in the US is great for business and startups, but not necessarily for patients, while in Europe, people focus more on patient outcomes rather than innovation?
19:05 Which health system would you prefer as a patient, in Europe or the US?
20:12 Should we work on improving UI/UX for B2B products in healthcare?
22:45 Do you think there is any chance for new AI-first EHRs to disrupt the market?
24:53 How would UI/UX change with all the progress of agentic AI developments and workflow AI-related improvements?
29:22 Would ambient AI that doctors keep using more and more change their daily life behaviour as well?
32:29 What do you think should be done to the US health system to improve it?
35:49 Tell us more about the current startup you are working on?
37:53 Rami's piece of advice to startup founders in digital health.

This conversation touches on something we don’t discuss enough in digital health: good design is not a nice-to-have — it’s infrastructure.

From cross-border lessons in building health tech, to honest takes on competition, incentives, and patient outcomes, to a forward-looking discussion on how AI may fundamentally reshape workflows and interfaces, Rami offers a grounded and experience-driven perspective on where healthcare technology is headed.

If you’re building a healthcare product, working inside a health system, or thinking about how AI will change the way clinicians interact with technology, this episode offers plenty to reflect on.

Let us know in the comments:
– Which healthcare system would you choose as a patient — and why?
– Do you believe AI-first EHRs can truly disrupt the market, or will incumbents adapt fast enough?

And if you found this conversation useful, consider sharing it with a founder, designer, or operator who’s building in digital health.

BeKey Healthcare Development Services: https://bekey.io/healthcare-software-...

The previous episode "TechBio vs. Biotech: What’s Real, What’s Hype" — with Kavya Sharman:    • TechBio vs. Biotech: What’s Real, What’s H...  

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