This podcast episode examines the notoriously difficult process of selling medical products and digital tools to large health systems. It highlights that successful sales depend less on the quality of a product and more on a founder's ability to navigate complex procurement cycles, bureaucratic committees, and stringent IT and legal reviews. The text outlines how clinician-founders often fail by overlooking the total cost of ownership or falling into the "pilot trap," where temporary trials fail to convert into paid contracts. To survive, startups must align with institutional strategic priorities and secure support from diverse stakeholders, including supply chain and finance leaders. Ultimately ...