Andy Grover has spent 15 years rebuilding healthcare from the patient up. He was the first real estate hire at One Medical (which IPO'd and sold to Amazon), co-founded Tend, and is now building in hyperbaric oxygen therapy space. He joins Jason Feifer to explain why the system feels broken when you walk into a doctor's office, and what it actually takes to fix it.
The short version: you don't fix a broken industry with one big move. You fix it with a thousand small ones. Pick a North Star like trust or patient experience, then redesign every detail around it, from the uniforms providers wear to the language they use, to how appointments are scheduled, to how clinicians get paid.
In this conversation, Andy walks Jason through the specific decisions that changed everything at One Medical (no medical assistants, no white coats, 20-minute appointments that actually start on time) and at Tend (dentists back in white coats, blood pressure checks, scripting that builds trust during the procedure). He also gets into why dentists are a top-suicide profession, why most healthcare innovation fails the providers as much as the patients, and what founders in any legacy industry can borrow from the Savannah Bananas playbook.
If you're building in a regulated, slow-moving, or consumer-hostile industry, this one is for you.
Timestamps:
00:00 Cold open
01:40 The Savannah Bananas and the "fans first" philosophy
03:36 Why nobody feels first in healthcare
04:42 Andy's path from real estate to One Medical
06:18 What Apple Store taught One Medical about doctor visits
07:18 Killing the medical assistant role
08:38 Why patients feel different emotions walking through the door
10:11 The reframe: meet people where they are
12:13 Picking trust as the North Star at Tend
14:07 Why nobody trusts their dentist
15:32 Building trust through environment, scripting, and uniforms
17:53 Why One Medical banned white coats but Tend brought them back
19:24 The 60-inch screen and how it changes the trust conversation
22:13 Hiring the right providers for a redesigned system
23:30 Why dentists are a top-suicide profession
26:40 Rebuilding compensation so the patient still comes first
28:20 The trap of optimizing for NPS alone
30:51 Can this approach scale to a full hospital system?
35:13 Why most "innovations" in healthcare are now table stakes
37:21 The founder takeaway: just ask your customers
40:23 How to actually listen at scale