In your experience, what are the limitations of using middleware/serverless automations (chaining tools like Make, ClickUp, OpenAI, etc.) in highly regulated industries like healthcare or finance — are the regulations too tight to provide the kind of flexibility and value you'd offer smaller businesses?

The regulations aren't too tight to do it, but they're definitely tighter than other situations, and honestly I just don't like dealing with it. In practice, if you want to do these automations in US healthcare you can't just use Make because it's not HIPAA compliant — you need a final compliance filter/check, and the same applies to financial regulations; it makes your life way harder, forces you onto alternative platforms, and requires things like anonymizing customer data. As a business owner you get to choose your niches, and in my case the juice usually isn't worth the squeeze, so I stay away from highly regulated industries and stick to less-regulated, typically smaller businesses (though I've worked with 8-9 figure companies too). It's a tradeoff: regulated/enterprise healthcare clients mean bigger ticket sizes, longer contracts, and slower-moving business, but also a whole new tech stack to learn, unfamiliar applications, data anonymization work, and real legal/regulatory risk. I can get the same benefits working with other kinds of businesses without those cons, so that's what I choose to do — though I could see situations where someone's genuinely set on going after that market anyway.