
The Biggest Competitor to Your Product Might Be Paper | Daniel Burka, Mahima Chandak & Elyce Cole, Hard Problems
What if the hardest part of building technology isn’t the interface, it’s earning a place in systems that already work?Daniel Burka left Google Ventures to spend eight years building health tech in rural clinics across India, Bangladesh, Ethiopia, and Sri Lanka. Mahima Chandak builds AI-powered screening tools for frontline healthcare workers. Elyce Cole is the organizational psychologist focused on the power structures and team dynamics that determine whether technology actually reaches the people it's meant to serve.Together they co-founded Hard Problems, a not-for-profit with a goal to help more technologists to work on the world's hardest problems, like climate change and public health. Their platform Simple is used a million times a month to manage hypertension across some of the most constrained clinical environments on the planet.In this conversation: why paper was their real competition, what it takes to get a clinical visit down to 13 seconds of data entry, why they deliberately hid individual productivity from managers, and what co-design looks like when your government partner is going through a coup.Follow along00:54 — Introduction02:05 — What Hard Problems is and why they named it that07:12 — Paper as competition10:51 — The psychology of change12:44 — 13 seconds: designing a clinical visit17:49 — What they let go of20:34 — Data, surveillance, and system design25:02 — Co-design with nurses29:21 — Co-design with governments32:22 — From shipping to sustaining35:52 — The beachhead analogy37:37 — How to enter the space39:27 — AI at the edge: oral cancer screening44:09 — The unmissableFor complete list of takeaways, recap & resources, visit https://unmissables.substack.com/p/ep-15-hard-problemsEnjoying Unmissables? A ⭐⭐⭐⭐⭐ on Spotify and a review on Apple helps more people find the show. 🫶🏽 Get full access to Unmissables at www.unmissables.xyz/subscribe















