Liana Douillet Guzman, Folx Health, on Why "Willing to Care" for LGBTQ+ Doctor Search Drops 20K to 600

Liana Douillet Guzman is the CEO of Folx Health, the LGBTQIA+ healthcare platform she almost didn't take the job to run. In this episode, Liana joins Eugene and co-host Marina Berhovic (in for a traveling Jim Joyce) to walk through why 95% of people who come to Folx say they never had an affirming provider before, why the average clinician graduates with roughly five hours of LGBTQIA+-specific training, and why a routine "find a doctor" search can drop from 20,000 providers to 600 once you filter for who is actually willing to treat this community. Liana also traces her own winding path here, through legal tech, crypto, and online education, and gets candid about where she thinks clinical AI is already failing trans patients, including a real case where an AI system recommended conversion therapy. 00:00 - Cold Open - Marina Steps In as Co-Host01:36 - Liana's Origin Story - Puerto Rico to Connecticut07:01 - Falling Into Marketing by Accident10:56 - Ten Years at Axiom, Then COO at Blockchain11:57 - The Call From Folx - Why a Reluctant CEO Said Yes20:35 - The Pediatrician Form That Changed Everything24:54 - What Folx Health Actually Does27:00 - 95 Percent Had No Affirming Provider Before Folx27:19 - Five Hours - The Entire LGBTQIA Medical Curriculum29:00 - From Cash-Pay to Every National Payer33:34 - The Search That Drops 20,000 Doctors to 60039:00 - Ignorant at Scale - AI's Data Problem for Trans Patients42:54 - Why AI-First Health Companies Race to the Bottom43:45 - When AI Recommended Conversion Therapy45:34 - The Shot Question - Advice to Younger Liana Guest: Liana Douillet Guzman, CEO, Folx Health - LinkedIn - folxhealth.com Mentioned in this episode: Marina Berhovic, Lee Shapiro, Kate Steinle (Folx Chief Clinical Officer), Point of Pride, Blue Shield of California. If you enjoyed this episode, subscribe and leave a review - it's the easiest way to help more people find the show.