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Hustleshare
Ronster Baetiong and Podcast Network Asia
The Hustle Behind Pilgrim Health with Dr. TJ Malvar | Hustleshare Ep 395
SEP 28, 202677 MIN
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Description
Building in healthcare means confronting a difficult reality: the system can sometimes reward treatment more than prevention.
In this episode, Dr. TJ Malvar of Pilgrim Health shares how he thinks about aligning business incentives with better patient outcomes, while building a company that can remain commercially sustainable.
He also opens up about the pressure of startup life, the moments of doubt, and why staying close to the problem matters when motivation starts to fade.
00:00:37 – Why healthcare can feel like a journey without a guide
00:02:32 – Dr. TJ's hustle: improving healthcare for families and communities
00:07:09 – How TJ found his way into medicine
00:13:16 – Surviving hospital rotations and 24-hour duties
00:18:56 – Becoming a doctor, working as a GP, and discovering the business world
00:19:58 – Why TJ needed to work after medical school
00:25:26 – Taking on the family business and learning to do everything
00:31:15 – Practicing medicine while helping run the family business
00:34:51 – The grant that helped TJ expand his community health work
00:35:47 – Running a free clinic while getting involved in local politics
00:39:22 – The pandemic, sustainability, and the limits of grant-funded work
00:43:14 – Learning about customer lifetime value and sustainable business
00:48:46 – The idea of aligning commercial incentives with healthcare goals
00:52:20 – Joining a startup and learning the startup ecosystem from the inside
00:57:36 – Why failure became part of Dr. TJ's founder journey
01:00:29 – Building healthcare around relationships instead of transactions
01:03:25 – Learning from other healthcare practitioners and validating the idea
01:07:21 – Validating demand through a subscription model
01:10:12 – Learning through accelerators, founders, and the startup community
01:14:31 – Why founders can't control everything but can stay committed to the problem
01:16:51 – Building a team and community around Pilgrim Health
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