82 I Community Health Centers: Co-Designing Technology With the Communities Left Behind w/ Luis Padilla

Overview:

We discuss what culturally responsive care really means for underserved communities and how technology, especially AI, can create more equitable solutions in healthcare. We reflect on the challenge of finding tools that expand care teams and deepen patient trust without losing the essential personal touch of community health centers. We talk candidly about the intersection of technology, ROI, and ethics—asking what true success looks like when serving vulnerable populations. Co-design and collaboration with communities are at the heart of our conversation, as we discuss ways tech can scale privilege and raise the quality of care, like improving language access through AI-driven translation services. We also confront the limits of technology and the need for policy change, sharing practical examples from our work and finding hope in partnerships that lead to meaningful innovation

Three Takeaways:

The Power of Co-Design in Tech Solutions
We repeatedly highlight that truly useful technology in healthcare—especially for marginalized communities—must be co-designed with input from those very communities. Instead of developing products in isolation and then trying to “retrofit” trust or usability, starting collaborative design from the beginning is critical to both trust and effectiveness.

ROI Isn’t Just Financial—It’s Community Health
Instead of boiling everything down to monetary return, Luis Padilla reframes ROI as the improvement in health, trust, and culturally appropriate care for disenfranchised patients. For community health centers, “margin” is reinvested in service, not profit—a strong counter-narrative to typical business language in healthcare tech.

Language Access Technology Has Equity Potential

The episode brings forward concrete examples—like live multilingual translation at Asian Health Services—showing how technology (AI-powered live voice translation, multiple language EMR interpretation) can “raise the floor” for accessibility. These innovations move beyond privilege and begin to level the playing field for communities historically left behind.

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