• Running a local speech therapy practice in 2024 with a .de domain — the AI can't physically put its hands on a patient's jaw. Yet.
• Your competitive moat is literally government-mandated healthcare licensing. That's a feature, not a bug.
• The website probably has a phone number and office hours. Wild strategy in the age of 24/7 chatbots.

Healthcare services requiring physical presence and licensed human expertise remain largely AI-resistant for the next decade. The paperwork around you, however, is already getting automated.

• If the site uses 'ganzheitlich' (holistic) — every German healthcare provider's favorite word that means everything and nothing.
• 'Individuelle Betreuung' — yes, that's what healthcare is supposed to be. Congratulations on doing your job.

If this company was a human, it'd be your reliable neighbor who's been doing the same solid work for 20 years and has no idea what ChatGPT is — and doesn't need to.

• Physical therapy requires physical presence. Zoom speech therapy exists but is demonstrably worse for most cases.
• Healthcare licensing creates a regulatory moat that AI can't shortcut — humans must supervise care.
• Local referral networks with doctors and schools. Relationships built over years, not quarterly OKRs.
• Insurance reimbursement systems favor licensed practitioners. The bureaucracy is the defense.

The biggest threat to this business isn't AI — it's the German healthcare billing system, which has been successfully resisting all forms of modernization since 1883.

• Digitize intake forms and scheduling. Let AI handle the admin work so you can focus on actual patient care.
• Build a simple patient portal for progress tracking. Parents want data; give them dashboards they can screenshot.
• Partner with one telehealth platform for follow-ups. Hybrid model captures more revenue per patient.