What Founders Get Wrong About Scaling – With Carta’s CEO

with @vintweeta @pbcancerdoc @sumitshahmd @omnivorousreadCoronavirus is now disrupting the entire health care system, not just because of the burden of dealing with the actual disease itself, but because of everything else that's had to grind to a halt. One of the areas where we really worry about things coming to a total stop like that is, of course, cancer treatment, which can often feel like a race against the clock even under the best conditions.In this episode, Dr. Bobby Green, MD (Community Oncologist and Chief Medical Officer, Flatiron Health) and Dr. Sumit Shah (Oncologist and Head of Digital Health, Stanford Cancer Center) join a16z's Vineeta Agarwala (physician and general partner) and Hanne Tidnam to talk about what is happening to oncology during the outbreak—how treatment is affected; what kind of clinical decisions oncologists and patients are having to make, and how they're making them; the tech tools that specialists are using, and how they could improve; and what happens to oncology as a whole when it's forced to go virtual.

10 Apr 202036min

Descriptions of the mental illness we today call schizophrenia are as old as humankind itself. And more than likely, we are are all familiar with this disease in some way, as it touches 1% of us—millions of lives—and of course, their families. In this episode, we dive into the remarkable story of one such American family, the Galvins: Mimi, Don, and their 12 children, 6 of whom were afflicted with schizophrenia.In his new book, Hidden Valley Road: Inside the Mind of an American Family, Robert Kolker follows the family from the 1950s to today, through, he writes, "the eras of institutionalization and shock therapy, the debates between psycho-therapy versus medication, the needle-in-a-haystack search for genetic markers for the disease, and the profound disagreements about the cause and origin of the illness itself." Because of that, this is really more than just a portrait of one family; it’s a portrait of how we have struggled over the last decades to understand this mysterious and devastating mental illness: the biology of it, the drivers, the behaviors and pathology, the genomics, and of course the search for treatments that might help, from lobotomies to ECT to thorazine.Also joining Robert Kolker and a16z's Hanne Tidnam in this conversation is Stefan McDonough, Executive Director of Genetics at Pfizer World R&D, one of the genetic researchers who worked closely with the Galvins. The conversation follows the key moments where our understanding of this disease began to shift, especially with new technologies and the advent of the Human Genome Project—and finally where we are today, and where our next big break might come from.

7 Apr 202037min

For any business, there are three core financial statements – the income or P&L statement, the balance sheet, and the cash flow statement. While these statements can show investors and the board how the business is doing, they can do more than just keep score on your business – they are one of the best tools you have to run it.In this podcast, a16z General Partner and managing partner Jeff Jordan, who previously ran several businesses and took a company public right after the 2008 financial crisis; David George, who runs the a16z late-stage venture operation; and former CFO Caroline Moon, who leads the a16z financial operations team, break down what the numbers do (and don’t) tell you, both in financial statements and KPIs. They cover the most common mistakes people make when it comes to understanding their numbers; how investors look at a company's P&L; what metrics they use to determine if a business is healthy; and how founders can use the numbers to navigate in times of crisis.

4 Apr 202027min

Since social distancing measures were first put in place, time spent gaming has gone up—way up. According to a recent report by Verizon, video game usage in the U.S. has risen 75 percent during peak hours. The "stay at home" movement has given way to an upswell of new and returning gamers—as well as new challenges, as online platforms struggle to keep up with the surge.In this episode, a16z partner Jon Lai joins host Lauren Murrow to talk about how game developers are grappling with skyrocketing numbers, why this may be an inflection point for VR, the surprising transition of professional sports into esports, and why live-streaming is having its moment.

2 Apr 202018min

This is the next cycle (Q1 2020) of Hustlin' Tech, a podcast series (from the a16z Podcast) about technology platforms that create opportunities for people. Recorded right before the coronavirus pandemic, these next 3 episodes touch on many things that are top of mind right now: from the profession of nursing and taking care of the elderly and the professionalization of caregivers; to fighting bureaucracy to get money back (and to now get help delaying utility bills and rent payments that are eligible for an extension or waiver of late fees due to the coronavirus crisis).Episode #6, “The Hustler’s Guide to Suing the Man” features:Joshua Browder, CEO and founder of DoNotPay, the world's first "robot lawyer" which helps people automatically fight bureaucracy to get money back, whether parking tickets or hidden bank fees; find other hidden money or cancel free trials; sue others or go to small claims court -- and now also helps people delay utility bills and rent payments that are eligible for an extension or waiver of late fees due to the coronavirus crisis.Makiri Duckett, a small business owner who currently operates an adult on-demand delivery service (and therefore gets frequent parking tickets) and is a power user of the platform;...both interviewed by Ben Horowitz and Shaka Senghor.You can find the first cycle of this series (Q4 2019) -- including more about the what and the why -- here.

1 Apr 202028min

This is the next cycle (Q1 2020) of Hustlin' Tech, a podcast series (from the a16z Podcast) about technology platforms that create opportunities for people. Recorded right before the coronavirus pandemic, these next 3 episodes touch on many things that are top of mind right now: from the profession of nursing; to taking care of the elderly; to fighting bureaucracy to get money and time back (and to get help delaying utility bills and rent payments that are eligible for an extension or waiver of late fees due to the coronavirus crisis).Episode #5, “The Hustler’s Guide to Taking Care of Old Folks” features:Seth Sternberg, CEO and co-founder of Honor, a home care company and national network of local home care agencies that brings high-touch, personalized care to elders while also scaling workforce management; matching special needs, skills, and unique demands; and offering tools that help caregivers with jobs and more.Samantha Ludwig, a care professional who has always had a job thanks to Honor (and who journeyed from abroad as a foreign nurse);...both interviewed by Ben Horowitz and Shaka Senghor.You can find the first cycle of this series (Q4 2019) -- including more about the what and the why -- here.

1 Apr 202036min

This is the next cycle (Q1 2020) of Hustlin' Tech, a podcast series (from the a16z Podcast) about technology platforms that create opportunities for people. Recorded right before the coronavirus pandemic, these next 3 episodes touch on many things that are top of mind right now: from the profession of nursing; to taking care of the elderly; to fighting bureaucracy to get money and time back (and to get help delaying utility bills and rent payments that are eligible for an extension or waiver of late fees due to the coronavirus crisis).Episode #4, “The Hustler’s Guide to Nursing Jobs” features:Iman Abuzeid, MD, CEO and co-founder of Incredible Health, a hiring platform for nurses in the U.S. used by hospitals and health systems that helps hospitals find nurses faster, offers free continuing education to nurses everywhere, and puts nurses at the center.Stephanie Anyanwu, RN, who found her nursing job on the platform and also journeyed to the U.S. from abroad;...both interviewed by Ben Horowitz and Shaka Senghor.You can find the first cycle of this series (Q4 2019) -- including more about the what and the why -- here.

30 Mars 202037min

This is the next cycle of Hustlin' Tech -- a podcast series co-hosted by bestselling authors, a16z co-founder Ben Horowitz; and Shaka Senghor, a leading voice in criminal justice reform.   Each episode is a "Hustler's Guide" to a new technology platform that creates opportunity for people. We previously released 3 episodes in this series last quarter, and this quarter are releasing 3 new episodes that follow in this feed, over the next few days. These episodes were all recorded right before the coronavirus pandemic. However, given what's going on in the world, they touch on many things that are top of mind right now: from the profession of nursing (including online communities and free continuing education from home); to taking care of the elderly (many of whom live alone or need other in-home assistance); and fighting bureaucracy to get money back -- or to get help delaying utility bills and rent payments that are eligible for an extension or waiver of late fees due to the crisis:#4 The Hustler's Guide to Nursing Jobs#5 The Hustler's Guide to Taking Care of Old Folks#6 The Hustler's Guide to Suing the Man  You can read more about the what and the why of the entire Hustlin Tech series -- and sign up to be notified about future episodes -- here.

30 Mars 20201min