Marc Andreessen: Can Tech Finally Fix Healthcare?

Marc Andreessen: Can Tech Finally Fix Healthcare?

Healthcare is a $4 trillion industry, making up nearly a fifth of the U.S. economy—but despite having some of the best doctors and advanced technology, the system often delivers poor outcomes at skyrocketing costs. Why is this the case, and what will it take to fix it?

In this episode, a16z cofounder Marc Andreessen and General Partners Vijay Pande and Julie Yoo tackle some of the biggest questions shaping the future of healthcare:

  • Is the solution to our healthcare crisis a policy, technology, or competition problem?
  • Will AI and technology transform the industry, or are regulatory and structural barriers too entrenched?
  • Who will crack the code—healthcare incumbents, tech giants, or AI-native startups?

From chronic care to cost curves, from disruptive technologies to shifting patient agency, this conversation offers an unfiltered look at what’s broken in the healthcare system and how it might finally change.

Resources:

Find Marc on X: https://x.com/pmarca

Find Vijay on X: https://x.com/vijaypande

Find Julie on X: https://x.com/julesyoo

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Why Will Healthcare be the Industry that Benefits Most from AI?

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Please note that the content here is for informational purposes only; should NOT be taken as legal, business, tax, or investment advice or be used to evaluate any investment or security; and is not directed at any investors or potential investors in any a16z fund. a16z and its affiliates may maintain investments in the companies discussed. For more details please see a16z.com/disclosures.

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a16z Podcast: Why Crypto Tokens Matter

a16z Podcast: Why Crypto Tokens Matter

with Chris Dixon and Fred Ehrsam We’ve already talked about why bitcoin matters. But as the set of cryptocurrencies — and networks and “tokens” enabled by the underlying blockchain — grow (Ethereum being one of the fastest-growing ones), where do we go from here? How do we tease apart the signal from the noise, given all the buzz and critiques out there? In this episode of the a16z Podcast, general partner Chris Dixon and Fred Ehrsam (former Goldman Sachs trader and a co-founder of Coinbase) break down the fundamentals of it all — from incentives, developer communities, and protocols, to new models of governance and the tradeoffs between centralized and decentralized systems (including central planning vs. letting a thousand experiments bloom). And then, given all the hype out there right now around crypto tokens and “ICOs”, how do we tell the difference between what’s promising/legitimate vs. a red flag? How could we value tokens? And what does it mean for incumbents when all the value that was created in the previous paradigm is being commoditized by the new one, and that value creation now has to happen at some new layer? At the end of the day, the key word through it all is incentives. And it’s a testament to the power of getting incentive structures right that someone pseudonymously dropping a 9-page whitepaper onto the internet led to a $70 billion cryptocurrency, a whole ecosystem of companies and users, and the largest supercomputer network in the world. Then again… isn’t that how innovation happens? The views expressed here are those of the individual AH Capital Management, L.L.C. (“a16z”) personnel quoted and are not the views of a16z or its affiliates. Certain information contained in here has been obtained from third-party sources, including from portfolio companies of funds managed by a16z. While taken from sources believed to be reliable, a16z has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. Furthermore, this content is not directed at nor intended for use by any investors or prospective investors, and may not under any circumstances be relied upon when making a decision to invest in any fund managed by a16z. (An offering to invest in an a16z fund will be made only by the private placement memorandum, subscription agreement, and other relevant documentation of any such fund and should be read in their entirety.) Any investments or portfolio companies mentioned, referred to, or described are not representative of all investments in vehicles managed by a16z, and there can be no assurance that the investments will be profitable or that other investments made in the future will have similar characteristics or results. A list of investments made by funds managed by Andreessen Horowitz (excluding investments and certain publicly traded cryptocurrencies/ digital assets for which the issuer has not provided permission for a16z to disclose publicly) is available at https://a16z.com/investments/. Charts and graphs provided within are for informational purposes solely and should not be relied upon when making any investment decision. Past performance is not indicative of future results. The content speaks only as of the date indicated. Any projections, estimates, forecasts, targets, prospects, and/or opinions expressed in these materials are subject to change without notice and may differ or be contrary to opinions expressed by others. Please see https://a16z.com/disclosures for additional important information.

28 Sep 201735min

a16z Podcast: The Case Study of Lyft and Local Governments

a16z Podcast: The Case Study of Lyft and Local Governments

with David Mack, Joseph Okpaku, and Matt Spence How should startups engage with policymakers, build their own government relations (GR) function (whether in house or with consultants), and just begin to figure out their GR playbook? Let alone explain their moves -- not just externally, but internally too?  "We really viewed our first mission as education. Explaining what we were and, possibly more importantly, explaining what we weren't," shares Joseph Okpaku, vice president of government relations at Lyft. Think of it as a campaign, observes David Mack, senior director for public affairs at Lyft, and remember, "You can either let your impact on the community be defined, or you can work to define it yourself." Even though it isn't a zero-sum game (and don't make it one!), you only get once chance to really get it right... not just in terms of making a first impression, but in terms of setting regulatory precedent (as well as in drawing a line). So from where and who to begin with to how they did it, the guests on this episode of the a16z Podcast share some quick lessons learned for startups engaging with local governments, in conversation with policy and regulatory affairs team partner Matt Spence. The views expressed here are those of the individual AH Capital Management, L.L.C. (“a16z”) personnel quoted and are not the views of a16z or its affiliates. Certain information contained in here has been obtained from third-party sources, including from portfolio companies of funds managed by a16z. While taken from sources believed to be reliable, a16z has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. Furthermore, this content is not directed at nor intended for use by any investors or prospective investors, and may not under any circumstances be relied upon when making a decision to invest in any fund managed by a16z. (An offering to invest in an a16z fund will be made only by the private placement memorandum, subscription agreement, and other relevant documentation of any such fund and should be read in their entirety.) Any investments or portfolio companies mentioned, referred to, or described are not representative of all investments in vehicles managed by a16z, and there can be no assurance that the investments will be profitable or that other investments made in the future will have similar characteristics or results. A list of investments made by funds managed by Andreessen Horowitz (excluding investments and certain publicly traded cryptocurrencies/ digital assets for which the issuer has not provided permission for a16z to disclose publicly) is available at https://a16z.com/investments/. Charts and graphs provided within are for informational purposes solely and should not be relied upon when making any investment decision. Past performance is not indicative of future results. The content speaks only as of the date indicated. Any projections, estimates, forecasts, targets, prospects, and/or opinions expressed in these materials are subject to change without notice and may differ or be contrary to opinions expressed by others. Please see https://a16z.com/disclosures for additional important information.

26 Sep 201720min

a16z Podcast: Exploding the Map

a16z Podcast: Exploding the Map

with Wei Luo, David Rumsey (@davidrumseymaps), and Hanne Tidnam (@omnivorousread) In this episode, Wei Luo, founding COO of DeepMap -- who build HD maps for autonomous vehicles -- and David Rumsey, founder of the David Rumsey Map Collection (one of the largest paper private map collections in the world, now at Stanford University, and the largest digital online private collection in the world, at 80,000 + maps) talk with a16z's Hanne Tidnam about how maps -- and mapmaking tools -- are changing in the age of autonomous vehicles. New ways of mapping the world have always led to profound changes. In the Renaissance -- another golden age of mapmaking -- mapmakers used tools such as sextants to measure distance to the stars and compasses to navigate the world around them. Cartography is undergoing yet another major paradigm shift as it now evolves into HD mapping. So what kinds of data and information do maps now need to contain in order to allow cars (and other autonomous robots of all kinds) to navigate the world around them, down to only a few centimeters of accuracy? How will the nature of maps fundamentally change when they are made by self-driving cars, for self-driving cars, in the era of HD mapping? The views expressed here are those of the individual AH Capital Management, L.L.C. (“a16z”) personnel quoted and are not the views of a16z or its affiliates. Certain information contained in here has been obtained from third-party sources, including from portfolio companies of funds managed by a16z. While taken from sources believed to be reliable, a16z has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. Furthermore, this content is not directed at nor intended for use by any investors or prospective investors, and may not under any circumstances be relied upon when making a decision to invest in any fund managed by a16z. (An offering to invest in an a16z fund will be made only by the private placement memorandum, subscription agreement, and other relevant documentation of any such fund and should be read in their entirety.) Any investments or portfolio companies mentioned, referred to, or described are not representative of all investments in vehicles managed by a16z, and there can be no assurance that the investments will be profitable or that other investments made in the future will have similar characteristics or results. A list of investments made by funds managed by Andreessen Horowitz (excluding investments and certain publicly traded cryptocurrencies/ digital assets for which the issuer has not provided permission for a16z to disclose publicly) is available at https://a16z.com/investments/. Charts and graphs provided within are for informational purposes solely and should not be relied upon when making any investment decision. Past performance is not indicative of future results. The content speaks only as of the date indicated. Any projections, estimates, forecasts, targets, prospects, and/or opinions expressed in these materials are subject to change without notice and may differ or be contrary to opinions expressed by others. Please see https://a16z.com/disclosures for additional important information.

16 Sep 201738min

a16z Podcast: Getting Applications Into People's Hands

a16z Podcast: Getting Applications Into People's Hands

with Juan Benet and Chris Dixon The story of how innovation happens is a long one — from government funding early basic research, to the heyday of corporate R&D like Bell Labs, to startups as experiments before product-market fit. Through all that, we’ve ended up with “unprecedented superpowers” distributed through the internet, and people building on top of it. Yet there’s still a huge lag in going from brilliant ideas in the form of research papers to an application that’s actually working and in people’s hands, observes computer scientist, engineer, and entrepreneur (founder and CEO of Protocol Labs) Juan Benet. Benet initially designed the peer-to-peer hypermedia protocol IPFS or “InterPlanetary File System” to help build a more robust, distributed, open web. But those ideas were around for a while — they just weren’t implemented in a way that people could easily use. The same was true for early computing revolutions as well… until Apple came along and vertically integrated from research to production, bringing together different groups of people (design, hardware, etc.) to make something amazing that everyone could use, wanted to use. What if open source, online networks — enabled by blockchain and cryptocurrencies — could do something similar? [Full disclosure: we’re investors in the ‘Filecoin SAFT’ security mentioned in this podcast, but are not otherwise affiliated with Protocol Labs or Filecoin.] This episode of the a16z Podcast, hosted by general partner Chris Dixon, explores all of the above and more with Benet, going beyond the buzz around just “ICOs”. What’s the big picture?

15 Sep 201721min

a16z Podcast: The Asshole Survival Guide

a16z Podcast: The Asshole Survival Guide

with Michael Dearing (@mcgd), Bob Sutton (@work_matters), and Hanne Tidnam (@omnivorousread) Bob Sutton's book The No Asshole Rule was all about how to foster company cultures that don't tolerate asshole behavior. But sometimes, dealing with an asshole is unavoidable -- in life or at work. So what are the best tactics to both protect yourself and to stop the asshole behavior? This is the subject that Sutton tackles in his new book, The Asshole Survival Guide.  In this somewhat NSFW episode, a16z's Hanne Tidnam talks with Bob Sutton, professor at Stanford; and Michael Dearing, Founder of Harrison Metal and formerly at Stanford and eBay, about tackling asshole behavior -- everything from assessing it (are you dealing with an asshole?) to coping mechanisms, to how to systemize a way of squashing and preventing asshole behavior in the workplace. (Bonus: a surprising truth about EQ in the workplace!)

13 Sep 201734min

a16z Podcast: Adjusting to Trade... and Innovation

a16z Podcast: Adjusting to Trade... and Innovation

with Russ Roberts, Noah Smith, and Sonal Chokshi Beyond the overly simplistic framing of trade as “good” or “bad” — by politicians, by Econ 101 — why is the topic of trade (or rather, economies and people adjusting to trade) so damn hard? A big part of it has to do with not seeing the human side of trade, let alone the big picture across time and place… as is true for many tech innovations, too. Speaking of: how does the concept of “trade” fit with “innovation”, exactly? They’re both about getting more from less — as well as creating new opportunities — shares Russ Roberts, host of the popular EconTalk podcast (and fellow at Stanford University’s Hoover Institution, PhD in economics). But there’s another very provocative theory at play here — fast-forwarding us from the time of the Industrial Revolution to the 2000s — that could make us rethink the relationship between trade, capital, labor, productivity/economic growth, shares Noah Smith, columnist at Bloomberg View (and former professor of finance at Stony Brook University, PhD in economics). And where does China come in — and out — of this picture? Put it all together, and maybe, just maybe, it could help explain why we’re investing in labor-saving innovations/ automation more than ever today. Because one thing is for sure, agree both Roberts and Smith — who otherwise argue with each other on this episode of the a16z Podcast (with Sonal Chokshi) — you can’t stop the march of technology. It’s here, it’s coming, and we’re just going to have to meet it, prepare for it, …roll with it.

10 Sep 201738min

a16z Podcast: The Macro and Micro of Parenting

a16z Podcast: The Macro and Micro of Parenting

We tend to talk about tech and parenting through devices and artifacts -- screen time, to code or not to code -- but actually, there's a bigger, macro picture at play there: game theory, economic incentives, culture, and more. So in this back-to-school episode of the a16z Podcast, two economists -- Kevin Zollman, game theorist and philosopher at CMU and author of The Game Theorist's Guide to Parenting; and Fabrizio Zilibotti, macroeconomist at Yale working on a book called Love, Money and Parenting -- share their expertise on parenting through the lens of economics. The hallway-conversation (with Hanne Tidnam) covers how these theories play out in practice -- for example, when the kids are bickering in the back seat of the car -- to how parents can balance altruism vs. paternalism when it comes to thinking about their kids' future vs. their kids' reality of living in the now. And then finally, how do different parenting styles, corporal punishment, education, and of course, technology, play a role in how we parent?

5 Sep 201729min

a16z Podcast: Competing Against Luck

a16z Podcast: Competing Against Luck

with Clayton Christensen, Marc Andreessen, and Steven Levy In business, mistakes of omission may be just as bad as (if not worse than) mistakes of commission -- simply because of the loss in potential upside: new companies, new products, new opportunities for growth. Or even in the ability to respond to the disruption coming to one's industry and company... if it hasn't already. Sometimes, and in certain industries (such as hospitality and education), it just takes longer to pull off. But it's not like people and companies are dumbly sitting around waiting for disruption to happen. In fact, having read the book on disruption for years -- 20 years, to be precise, given the anniversary of The Innovator's Dilemma this year -- many smart business leaders know it could happen, yet fully determine that it's not going to happen to them... and then, of course, it still happens, observes a16z's Marc Andreessen. Why? Part of the answer, shares father of disruption theory and Harvard Business School professor Clayton Christensen, is they don't have a common language, logic, architecture, way to frame the problem. And that's where other theories and frameworks -- like jobs-to-be-done and modularity -- come in. A theory, after all, though never perfect can help. So in this episode of the podcast -- from our inaugural a16z Summit event -- Christensen and Andreessen (in conversation with longtime tech writer and Backchannel editor-in-chief Steven Levy) share their thoughts for how such theories can play out practically in both managing business, and managing priorities in life.

2 Sep 201737min

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