AI & digital health in underserved communities

← All episodes

Episode 18 · Bangladesh

Evolving beyond verticals and funding what matters in healthcare

Rubayat Khan · Director of Health Programs, Endless Foundation

Jul 2025

Listen on your preferred channel

Evolving beyond verticals and funding what matters in healthcare

Listen

About this episode

A systems thinker, entrepreneur, and now investor, Rubayat Khan brings the rare perspective of someone who has been a patient, builder, and funder. We unpack what it means to move beyond vertical health solutions, how to prioritise innovation in an era of shrinking aid budgets, and how LLMs might unlock integrated, people-centred care in low-resource settings - including why a 48-second doctor consultation in Bangladesh makes the case for AI more powerfully than any paper.

Global Health FundingAILMICsSelf-careInnovation

Most of what we call healthcare happens outside clinics. If we ignore that, we miss the biggest opportunity for real impact.

Rubayat Khan

What we cover

  • 01Why governments are not always best placed to design people-centred care: clinics in rural Bangladesh open 10am–2pm when everyone is working in the fields
  • 02Four priority areas Endless Foundation is focusing on
  • 03How LLMs could shift the access, quality, and cost curve in low-resource settings if implemented thoughtfully
  • 04A 48-second doctor consultation in Bangladesh - and why Rubayat's own parents find LLMs more useful
  • 05Why self-care is the blind spot we can no longer afford to ignore
  • 06The dangers of "digital colonialism" and what needs to change in global AI governance
  • 07Evaluating AI against the right counterfactuals - not Western standards, but local reality
  • 08What funders can do differently to support impact beyond rhetoric

About the guest

Rubayat Khan

Director of Health Programs, Endless Foundation

Rubayat Khan is a health entrepreneur and technologist from Bangladesh, and Director of Health Programs at Endless Foundation, a US family foundation reimagining how global health innovation is funded and delivered. He co-founded mPower Social Enterprises and Jeeon, which have pioneered innovative models for delivering healthcare and essential services to last-mile populations across 15 countries, currently reaching over 120 million people. A passionate advocate for bottom-up and user-centred thinking in global health, he has written in the Guardian, SSIR, and Frontiers in Public Health. He is an Acumen and Aspen New Voices Fellow.

Chapters

00:00Introduction
08:33Navigating the challenges of healthcare in Bangladesh
10:46Transitioning from ground-level solutions to system-level thinking
18:07Identifying key challenges in global health systems
23:20Seizing opportunities amidst crisis in global health
29:30Leveraging AI and technology for healthcare transformation
37:49AI vs human decision-making in healthcare
41:26Evaluating AI in healthcare contexts
44:07AI's potential in low-resource settings
46:47Concerns about digital colonialism and data ownership
51:05The need for coordinated leadership in healthcare
54:26Finding the right problems to solve

Transcript

Working in digital health?

Heard something relevant to your work?

Shubs consults on clinical leadership, evidence strategy, and digital health market access. If this conversation sparked something, it is worth a conversation.

Shubs takes on consulting work with startups, investors, and global organisations across digital health.

Working on something in digital health?

Get in touch

Send to a friend

You might also like

#25·

Mar 2026

How to develop AI that addresses health inequities

Joe Alderman · NHS Anaesthetist and NIHR Clinical Lecturer in AI, University of Birmingham

Joe Alderman has a rare double view: anaesthetist by night, AI academic by day. His insights on what it takes to deploy and monitor AI in healthcare - with a lens on not leaving people behind - are relevant wherever in the world you are. We cover health data poverty, the STANDING Together initiative, algorithmic bias, LLM safety for patients and clinicians, anti-patterns in the industry, and what people building in low-resource settings specifically need to think about.

→ Listen

#10B·

Feb 2025

Ethics for digital health companies

Jess Morley · Digital Ethics Center, Yale University

A special bonus episode: a focused cut of the conversation with Jess Morley on making ethics a real business priority for digital health companies - not a nice-to-have. How do you stop your ethical initiative from getting kicked down the roadmap when good intentions meet business realities?

→ Listen

JOIN THE CONVERSATION

Get new episodes direct to your inbox.

No spam. Unsubscribe at any time.