Structural Health Monitoring (SHM) has a repeatability problem. Despite decades of advancement in sensor accuracy, the industry remains a patchwork of fragmented tools and custom workflows. In this conversation with Dr. Mahesh Varma, we diagnose why SHM fails to scale. From proprietary data silos to the lack of universal acquisition software, we explore why every monitoring project currently feels like starting from scratch. More importantly, we discuss how the industry can pivot from project-based execution to a system-based architecture—transforming SHM into a repeatable, reliable, and high-ROI infrastructure layer.