Rishad Usmani, Founder

I have a biased proclivity towards action, anarchy and rebellion. I balance this with a structured decision-making framework with clear outcomes. I believe in an idea meritocracy which follows an informed idea democracy.

Interests and insight

I’m looking for obsessive founders, working on solutions that provide tangible, clinical benefits. I’m excited about startups that improve access to care and quality of care. As a physician I have an insider’s perspective into the workflows of clinicians. While there is ample opportunity here for automation, there isn’t a clear value chain which can be leveraged. Proving financial RIO, while automating these tasks is critical.

Current state and future of medicine

We moved medicine away from a patient-centred model to a physician-centred model, to now which is an administration-centred model. To keep it simple, we want to be home, surrounded by loved ones, taken care of in familiar surroundings. We have the tech and medical knowledge to do this right now. I am looking for founders working on solutions to drive a digital front door, hybrid home, acute care model.

We know so little about pathophysiology in medicine. Our treatments are geared towards disease attenuation, not reversal; we’re making the symptoms better or slowing the progression, but we rarely treat the root cause and reverse disease. The rise in existence of so many chronic diseases is proof of that. Once diagnosed, many live with the disease forever. In the future, ideally we have no chronic diseases, we only have acute illness, short term, which we can cure. The path to this is precision medicine guided by epigenetics.

Philosophy and experience

The most innovative and disruptive ideas require support and help from industry experts, capital, and a design-led strategy to increase adoption.

During my startup journey, I was faced with my strengths and weaknesses, challenged my intuition, and learnt some lessons that I continue apply and share with our founders to help them on their journey. I am programmed towards growth, seeking hard problems to solve. As an investor, I am thankful to sit at an intersection of strong physician expert with deep industry knowledge and entrepreneurial insights. In some ways I feel investing is simple; attract the best founders, have a structured diligence process, and add the most value post-investment largely by driving traction.

The hardest thing about decision making isn’t what framework to follow, or what question to ask. It’s knowing when I’m using my intuition and when to trust it.