The Capital Flex Podcast
She had already made this investor a lot of money. When she came back to pitch her own company, he told her he doesn't back founders who look like her, then asked how many kids she was planning to have. Making investors' money is supposed to earn you a real shot the next time around - maybe just not for women. In this episode of The Capital Flex, I sit down with Karen Drexler, a serial med tech founder, operator, and board director who has spent 25 years building, scaling, and selling healthcare companies. Karen worked with a team at LifeScan to make it possible for people with diabetes to test their own blood at home, before the company was sold to Johnson & Johnson. Then she built her own company and sold it to Roche, one of the biggest names in global healthcare. Now she sits on public and early-stage boards, advises founders through Springboard and Astia, and recently co-founded a new women's health company. We get into the moments nobody puts in a pitch deck. Karen had already sold companies to two of the biggest names in global healthcare and still had to bring a man into the room to close the deal. We talk about founders who scrubbed words like "breast" and "fallopian tubes" from their pitch decks because the male investors couldn't hear them without giggling. And we name the pattern underneath it all - women get asked what could go wrong, men get asked how big the opportunity could get. It turns out prevention versus promotion dynamics have been at play for quite a long time. Key Takeaways: * Creating exceptional returns should expand opportunity. For many women, it still doesn't. * Sometimes the only thing standing between a woman and a ‘yes’ is a well-credentialed man sitting on her side of the table. We can take offense, or we can lean into strategy * Investors can often let immaturity get in the way of saving lives. How we respond matters. * Before you pitch, study what an investor has already backed. If nothing in their portfolio looks like your deal, they’re probably not your investor. Move on. * Your team and board are more than advisors—they're signal. Choose them like it matters. * Women’s health companies have been producing big wins for decades. Investors who keep overlooking it are not being cautious. They’re mispricing and underestimating it. * Improving your fundraising process starts with investor fit. Study what they've already backed. Their portfolio will tell you far more than their website ever will. My Reflection & Challenge: What I keep coming back to is this: Karen is still giving advice to founders today that echoes her own experience 20+ years ago. That is how little has changed. She had the track record, the technology, and the exits. And she still had to bring on a board chair whose job was simply to be the man in the room. Her experience alone was not enough. Your job is to see the system for what it is and learn to navigate. Finding the rooms that will back your business on its own merits is critical. This Week's Challenge: Before your next raise, do the work before you walk in: 1. Research every investor you’re targeting. If nothing in their portfolio looks like your deal, take them off the list and redirect your energy where it can pay off. 2. Do not walk into a pitch without a champion already in the room. One believer who speaks before you do can shift the dynamic in the room before you say a word. 3. Look at your team and your board. Do their credentials reinforce your foundation and future potential? If not, make adjustments. Capital is not just money. It’s a long-term relationship. Choose wisely. Links and Resources: https://sb.co/ [https://sb.co/ ] https://www.astia.org/ [https://www.astia.org/ ] https://www.linkedin.com/in/karendrexler/ [https://www.linkedin.com/in/karendrexler/ ] If you enjoyed this conversation, follow The Capital Flex, leave a rating, and share this episode with a founder who needs it. And if you’re looking for a more candid space to talk fundraising, power, and building inside systems not designed for you, stay close. The conversation continues. Production and Administration work completed by Smart Podcast Solutions [https://www.smartpodcastsolutions.com/] and Elevate Business Solutions. [https://elevatevbsolutions.com/]
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