The Next Quarter Podcast - Episode 7 - Ian Coyne & Tanja Dowe, Angelini Ventures

Tanja joins Ian to explore where health and tech are really headed over the next 25 years: a world where “healthspan” services we buy ourselves live alongside highly specialized “sick care,” with consumer health tech orchestrating the experience. We dig into AI, robotics, connected devices, and the investment models that can actually scale. Tanja also shares pragmatic advice for founders – and her moonshot: tackling heart health at population scale.

Highlights:

• Tanja’s path to venture: From biochemical engineering and early California internships to entrepreneurship, market‑entry consulting, Debiopharm Innovation Ventures, and now leading health‑tech investments at Angelini Ventures (headquartered in Rome).
• A realistic 25‑year outlook: Why we consistently overestimate how fast we can “solve” biology – and underestimate the societal/tech shifts that reshape care.
• The big split in care delivery: Out‑of‑pocket, tech‑enabled “healthspan” management (wearables, labs, imaging, some genomics) vs. insured, highly specialized “sick care,” with wraparound pre/post‑care delivered via hybrid digital models.
• Who orchestrates the ecosystem: Expect consumer health and tech players to lead – think Oura/Whoop integrating diagnostics – supported by a more flexible regulatory stance on wearables and decision systems.
• Investment lenses that matter now: Platforms over point solutions; connected devices as table stakes; automation/robotics to relieve clinical bottlenecks (from MRI throughput to dermatology access); and plenty of room in Europe for hybrid care.
• AI in the next 5–25 years: Ubiquitous in planning, management, and diagnosis; clinicians become orchestrators; regulation must evolve; and quantum could be a force multiplier.
• Founder advice: Be brave and outcome‑obsessed; design business models from a zero base (not today’s constraints); iterate operations for impact – Babylon shows how experiments can still move the field even if the company doesn’t endure.
• Moonshot: Transform heart health – earlier monitoring/prevention, better chronic management, and new therapies/devices to reduce human suffering and system cost.
• A personal note: The “organizer” at heart – Tanja’s childhood habit of sorting her surgeon father’s desk foreshadowed her career structuring innovation in health.

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