I think part of the issue is that the software startup playbook is not as generalizable as its advocates suggest it is, and an under-emphasis on domain expertis

I think part of the issue is that the software startup playbook is not as generalizable as its advocates suggest it is, and an under-emphasis on domain expertise vs software expertise For ex, in multi-stakeholder industries like healthcare where the people who pay for a product often have incentives that conflict with the incentives of the user of a product, following the North Star of "making something people want" can lead you astray. So many digital health companies make products no one will pay for, or that end up in a narrow consumer lifestyle niche instead of actually improving healthcare in a meaningful way. A team of engineers / data scientists who "follow the user" isn't enough. It isn't even enough to focus on physicians. You really need to talk to administrators and see how the sausage is made