Have you ever tried assembling something while someone else shouts instructions? It’s undeniably stressful—a dynamic that feels surprisingly familiar in the world of healthcare IT systems. During the pandemic, the rapid development of diagnostic systems under intense regulation led to a system built at remarkable speed. However, an analysis of today’s healthcare IT reveals that its foundation may not be as solid as it seems. In this episode, Jonathan is joined by Vivek Balasubramanyam, a seasoned leader with over 20 years of expertise in medical devices and diagnostic systems. Together, they examine the cracks forming in the architecture of healthcare IT and identify where the system is beginning to strain under pressure. From the overwhelming influx of data and an evolving regulatory landscape to shifting market dynamics and the rising influence of AI, they explore how these forces are reshaping the system and their direct impact on patients. Taking a closer look at how this complex web was woven, the stakes involved, and what it might take to untangle it, this episode offers a thought-provoking diagnosis of the healthcare system itself.