The way we deliver healthcare has changed enormously over the last century, shifting from house calls by doctors to your own to institutionalized settings like hospitals and clinics. But now that trend has started to shift again, as some of the care we get in the hospitals and clinics has been "unbundled" back towards home settings for chronically ill patients or seniors. And now, of course, the impact of COVID-19 has created a huge sudden demand for home-based care, as all of us try to figure out how to manage certain healthcare needs at home. So, is home-based healthcare better? And what do we truly need to deliver the best care to patients, in their own homes? What do we gain and lose in different care delivery settings, and what shifts of mindset and new logistical processes do we need now, to best accomplish unbundling healthcare into the home? In this conversation, Vijay Kedar, CEO and cofounder of Tomorrow Health, a tech platform that delivers the products and services needed for home-based care; Sachin Jain, physician, previous CEO of Caremore and Aspire Health; part of the founding team at CMMI, the Centers of Medicare and Medicaid Innovation, now incoming CEO of The Scan Group and Healthplan; and a16z General Partner Julie Yoo join a16z's Hanne Tidnam in conversation to talk about where we are today and where we are going in home-based healthcare.

 We cover the tricky but important topic of Section 230 of the Communications Decency Act. The 1996 law has been in the headlines a lot recently, in the context of Twitter, the president’s tweets, and an executive order put out by the White House on “preventing online censorship”. All of this is playing out against the broader, more profound cultural context and events around the death of George Floyd in Minnesota and beyond, and ongoing old-new debates around content moderation on social media. [Please note this episode was first published  May 31.]  To make sense of only the technology and policy aspects of Section 230 specifically — and where the First Amendment, content moderation, and more come in — a16z host Sonal Chokshi brings on our first-ever outside guest for 16 Minutes, Mike Masnick, founder of the digital-native policy think tank Copia Institute and editor of the longtime news & analysis site Techdirt.com (which also features an online symposium for experts discussing difficult policy topics). Masnick has written extensively about these topics — not just recently but for years — along with others in media recently attempting to explain what’s going on and dissect what the executive order purports to do (some are even tracking different versions as well). So what’s hype/ what’s real — given this show’s throughline! — around what CDA 230 precisely does and doesn’t do, the role of agencies like the FCC, and more? What are the nuances and exceptions, and how do we tease apart the most common (yet incorrect) rhetorical arguments such as “platform vs. publisher”, “like a utility/ phone company”, “public forum/square” and so on? Finally: how does and doesn’t Section 230 connect to the First Amendment when it comes to companies vs. governments; what does “good faith” really mean and what are possible paths and ways forward among the divisive debates around content moderation? All this and more in this extra-long explainer episode of 16 Minutes, shared here for longtime listeners of the a16z Podcast.   image: presidential tweet activity/ Wikimedia Commons