A former founder who was publishing AI research in high school sits down inside a moving driverless Zoox to unpack one of the most honest startup stories you will hear this year. Abrar Rahman built Dorsal FYI to fight medical bill overcharges, recruited co-founders in their 50s from Blue Cross Blue Shield and Cigna, got acqui-hired by govtech company Promise backed by Jay-Z's Rock Nation, and still feels conflicted about it. In this episode we get into why Epic Systems has only ever lost one customer, why healthcare AI is not the gold rush investors think it is, how to recruit experienced operators to an early stage startup, what the acqui-hire process actually looks like from the inside, and why the cold start problem killed a company that had everything else going for it. If you are building in healthtech, navigating a tough fundraise, or just want to hear a founder speak with radical honesty about what it really costs to build something from scratch this one is for you.