What comes next in a world where old funding models are breaking down? Our guest, Dr. Kevin Starr, CEO of the Mulago Foundation, argues this shift isn't a crisis but a "much needed reality bath". After a personal tragedy sent him stumbling from medicine into philanthropy, Kevin built one of the most respected impact-focused foundations. In this conversation, we explore Mulago's unique model of providing unrestricted, continued funding to "irrepressible" entrepreneurs through their Rainer Arnhold Fellows Program. Kevin shares his sharp critique of "zombie organizations" and why he believes "Big Aid was never a real path to scale". We dig into his core frameworks for impact, including designing for "no additional spend" and identifying the "payer and doer at scale". He makes a powerful case that funders hold the "ultimate power" to create an effective market for impact, if they choose to use it.