How to Build a Start-up, Part 6, Author: Simon Rasalingham, 2026 The product you launch with is rarely the one that makes the money. Ours took off a decade later, on the back of a single guideline. MEDICA started as a chest x-ray reporting business. The logic was easy to understand. As x-rays moved from pieces of film, which could be hidden in a cupboard, to images sitting on a system, radiology managers across the NHS suddenly discovered how many chest x-rays had never been