
'That is business suicide': IIT Kanpur graduate shares lessons from his failed investment that once looked promising
Harsh Pokharna
, an IITian and CEO, recently took to Instagram to share the harsh lessons he learned after a
health-tech startup
he invested in shut down. His brutally honest post has since gone viral, not just for its candour, but for the clarity it offers to anyone trying to crack India's notoriously complex healthcare market.
He revealed that he invested in the health-tech start-up in 2020. The startup aimed to be an aggregator for cancer hospitals, giving patients a platform where they could browse treatment options, consult doctors online, and choose where to receive care. With over $7 million raised from investors and a strong organic reach of 25,000+ monthly visitors and over 1,000 unique cancer patient leads, the start-up had all the signs of a high-potential venture. But even with these numbers, it couldn't survive. 'We really thought hospitals would see the value in owning or partnering with a brand like this,' Pokharna wrote. 'But it didn't work out that way.'
Critical lessons he learned
According to Pokharna, the failure wasn't due to a lack of vision or execution—it was rooted in the structural reality of Indian healthcare. In his post, he listed three critical lessons that founders (and investors) should take seriously:
- Hospitals hold all the power
According to Harsh, aggregator platforms may look good on paper, but in reality, they're completely at the mercy of hospitals. Payments get delayed, contracts are disregarded, and any profit margin gets wiped out by compliance and collection costs. Hospitals simply don't need middlemen.
Digital-only doesn't work (yet)
The Indian market isn't ready to pay for purely online healthcare services, claims Harsh. Digital tools are useful for generating leads, but they can't sustain a business.
Offline is necessary—and expensive
Indian patients still prefer in-person consultations and physical centres. But building offline infrastructure is a heavy lift. According to Pokharna, each centre takes 12–24 months to break even and requires massive upfront investment. If a startup can't afford to scale offline, it stalls.
His biggest takeaway?
For Pokharna, the biggest takeaway is simple but sobering: startups trying to be aggregators in healthcare are walking a dangerous line. Without strong differentiators or leverage, they risk becoming powerless middlemen—with no margins, no sustainability, and no way out. He cautioned that building an aggregator-only business in Indian healthcare is a risky move. Without solid solutions to the structural challenges of the sector, founders risk setting themselves up for failure from the very start.
In Pokharna's own words, it may look like a promising pitch deck, but if you're not careful, it could be business suicide.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Hans India
26 minutes ago
- Hans India
New weekly injection to offer steady Parkinson's medication, cut need for daily pills
A team of scientists in Australia, led by those of Indian origin, has developed a new once-a-week injectable drug that could transform the lives of more than eight million people living with Parkinson's disease, potentially replacing the need for multiple daily tablets. Frequent dosing is a burden, especially for elderly patients or those with swallowing difficulties, leading to inconsistent medication levels, more side effects, and reduced effectiveness. To address this, the team from the University of South Australia (UniSA) developed a long-acting injectable formulation that delivers a steady dose of levodopa and carbidopa -- two key medications for Parkinson's -- over an entire week. The biodegradable formulation is injected under the skin or into muscle tissue, where it gradually releases the medication over seven days, noted the researchers in the paper published in the journal Drug Delivery and Translational Research. The newly developed injectable could significantly improve treatment outcomes and patient adherence, said lead researcher Professor Sanjay Garg, from UniSA's Center for Pharmaceutical Innovation. "Our goal was to create a formulation that simplifies treatment, improves patient compliance, and maintains consistent therapeutic levels of medication. This weekly injection could be a game-changer for Parkinson's care," Garg said. "Levodopa is the gold-standard therapy for Parkinson's, but its short lifespan means it must be taken several times a day." The injectable gel combines a US FDA-approved biodegradable polymer, PLGA, with Eudragit L-100, a pH-sensitive polymer, to achieve a controlled and sustained drug release. The team noted that the release of both levodopa and carbidopa steadily over a week could help maintain consistent plasma levels and reduce the risks associated with fluctuating drug concentrations. Extensive lab tests confirmed the system's effectiveness and safety. More than 90 per cent of the levodopa dose and more than 81 per cent of the carbidopa dose were released over seven days. Notably, the implant degraded by over 80 per cent within a week and showed no significant toxicity in cell viability tests. In addition, the formulation can be easily administered through a fine 22-gauge needle, minimising discomfort and eliminating the need for surgical implantation. Garg said the technology could also be adapted for other chronic conditions such as cancer, diabetes, neurodegenerative disorders, pain management, and chronic infections that require long-term drug delivery.


Mint
32 minutes ago
- Mint
Expert view: Increased retail participation may drive a re-rating in valuations, says Green Portfolio PMS co-founder
Expert view: Divam Sharma, the co-founder and fund manager of Green Portfolio PMS, expects the Indian stock market to touch new record highs in the coming months, supported by strong domestic growth and resilient investor sentiment. In an interview with Mint, Sharma said the increased retail participation may drive a re-rating in valuations. This may make the Indian stock market more resilient. Here are edited excerpts of the interview: We expect Indian equity markets to touch new record highs in the coming months, supported by strong domestic growth and resilient investor sentiment. However, global uncertainties are rising, and investors should remain cautious about valuations. It is important not to overpay for stocks and to regularly monitor company fundamentals. With the world moving towards de-globalisation, sectors like energy, manufacturing, and commodities are likely to play a bigger role in driving market performance. Investors should stay selective and focus on quality businesses as the market landscape evolves. While the India-US trade deal may take time and go through several negotiation phases, Indian markets are largely driven by domestic factors and retail investor participation. Although global developments can cause short-term volatility, India's strong economic fundamentals and long-term growth prospects should help cushion any negative impact. We believe India is well-positioned to deliver stable growth and should not be excessively volatile due to external negotiations. While the India-US trade deal may take time and go through several negotiation phases, Indian markets are largely driven by domestic factors and retail investor participation. Although global developments can cause short-term volatility, India's strong economic fundamentals and long-term growth prospects should help cushion any negative impact. We believe India is well-positioned to deliver stable growth and should not be excessively volatile due to external negotiations. Given the current high uncertainty, it is advisable to prioritise value stocks with growth potential over chasing momentum for quick gains. Value investing offers more stability and lower volatility, especially during unpredictable market phases. While momentum strategies delivered strong returns in 2024, they are facing challenges and reversals in 2025 due to increased volatility and stretched valuations. Historically, value stocks tend to outperform after periods of market correction and provide a cushion during downturns. Focusing on fundamentally strong, reasonably valued companies is a safer approach for navigating the present market environment. Commodities, manufacturing, mining, energy should do well overcoming one to two years. We will be going towards de-globalisation, and these are important resources which will become more important. Manufacturing will help us in the direction towards de-risking from countries like China. India's investor base crossing the 22 crore mark is a remarkable milestone and is fundamentally changing the nature of the stock market. With such a strong influx of retail investors, domestic liquidity in the market has increased significantly, making Indian equities less reliant on foreign capital and more stable during global shocks. What's really interesting is that investor behaviour in India is almost like a religion; it's a cult in itself. People look for ideas and stories that emotionally connect with them, and once they find them, they follow them with conviction. This means many retail investors are naturally drawn to chasing short-term trends and momentum, even if the actual money to be made is limited. Still, this structural shift in the market is powerful. The sheer participation of retail investors is likely to drive a re-rating in valuations for many companies, making the Indian market more resilient, dynamic, and truly reflective of domestic sentiment. Read all market-related news here Read more stories by Nishant Kumar Disclaimer: This story is for educational purposes only. The views and recommendations expressed are those of individual analysts or broking firms, not Mint. We advise investors to consult with certified experts before making any investment decisions, as market conditions can change rapidly and circumstances may vary.


India.com
32 minutes ago
- India.com
Not dollar but..., Putin's new plan to bring Trump on his knees, will India gain from Russia's move?
Not dollar but..., Putin's new plan to bring Trump on his knees, will India gain from Russia's move? In what could be another standoff between Russia and the US, President Vladimir Putin has called for increasing the use of national currencies in trade between BRICS countries. He has proposed to create an independent settlement system on the BRICS platform in order to make transactions faster, more efficient and secure. The Russian President's appeal to create an 'independent settlement system' in national currencies between BRICS countries can harm US in many ways. Why Putin wants this? Russian President Vladimir Putin's appeal to establish an 'independent settlement system' in national currencies between BRICS countries to reduce the global dominance of the US dollar. For decades, the US dollar has been the world's main reserve currency. This means that central banks around the world keep a large part of their foreign exchange reserves in dollars. Most international trade, especially the trade of oil and other important commodities, takes place in dollars. This dominance has given the US a unique position in the global economy. This gives it the ability to borrow at low interest rates and maintain significant control over the international financial system. How has the US been dominating the world? This dominance of the dollar brings several direct benefits to the US. First, the US government can raise funds at a low borrowing cost to meet its needs. The reason is that there is always a global demand for the dollar. Secondly, it can use the dominance of the dollar as a tool of economic pressure, as it has done in imposing sanctions on countries like Russia. By excluding a country from the dollar-based financial system, the US can cause serious damage to that country's economy. This increases its geopolitical power. Thirdly, it is easier and cheaper for American companies to do international business because they do not have to worry about currency exchange rates constantly and the US can export some of its inflation to other countries. Strong global demand for the dollar helps keep its domestic inflation low. How can India benefit from this? Amid the ongoing tariff war, India can get many big benefits by not dealing in dollars and promoting trade in national currencies. India has to depend heavily on the US dollar for its international trade and the fluctuations in the value of the dollar have a direct impact on the Indian economy. This can make imports expensive and exports less competitive. India can reduce this currency risk by trading in national currencies. When trade is done in rupees, Indian businesses will be less worried about losses due to fluctuations in the dollar-rupee exchange rate. This will also reduce the cost of doing business and make exports more competitive.