I think the two goals aren’t mutually exclusive – you can build digital tools that actually plug the gaps in primary‑care delivery rather than trying to replace a system that isn’t there yet. A practical way to do that is to partner with existing clinics or community health workers, give them simple, offline‑first apps for scheduling, drug stock‑tracking or basic tele‑consults, and let the technology grow as the physical network improves. At the same time, startups should keep an eye on the “last‑mile” challenges – unreliable power, spotty internet and low digital literacy – and design solutions that work on cheap phones, can cache data for later sync, and include training for users. In short, focus first on strengthening the on‑the‑ground health infrastructure and then layer on telemedicine and AI where they can truly add value, rather than building high‑tech platforms in a vacuum.