Join host Siam Hossain on this episode of The 021 Podcast for a candid conversation with Sufian Chowdhury, Founder and CEO of Kinetic. Sufian explains how non-emergency medical transportation (NEMT) works—Medicaid-subsidized rides for roughly 70 million Americans to dialysis, cancer treatments, and other care—and why institutional friction, lobbyists, and nearly half a trillion dollars in healthcare fraud and waste keep him up at night. He walks through building the company from a friend’s Excel sheet and a broken parking gate (and the name “Kinetic”) to the nation’s first NEMT revenue cycle management platform, then pivoting during COVID when 70% of rides vanished, and later facing the SVB crash with $6,000 in the bank and $850,000 in payroll due in 10 days. Sufian talks about growing up in Jamaica, Queens with almost nothing—“the bottom does not scare us”—and how that mindset fuels his resilience, his belief in giving before asking, and his advice to “stop talking about yourself.” He also shares how he finds mentors (including “hidden gems” in their 80s), balances ego with humility, and what he wants in five years: any American able to request a medical ride from their phone and get it instantly. Whether you’re an immigrant founder, in healthcare tech, or building through chaos, this episode is a masterclass in relationship-driven leadership and surviving the long game.