Hi, everyone. Welcome to the A6-Sin-Z podcast. Today we have a special Turnabout as Fair Play episode

with Mark Andresen, who's always in the hot seat being grilled for answers, instead asking

a bunch of tough tech and policy questions of partners Frank Chen, VJ Pandane, Alex Rampel,

who cover AI, healthcare, and fintech respectively. They were put in the hot seat at our recent

tech policy summit in Washington, D.C., where they covered everything from the implications of the ACHA for healthcare innovation, Dodd-Frank for FinTech Innovation, and tackled a bunch more tough topics around using tech to discriminate for risk pooling, nature versus nurture, or rather genetics versus behavior, addiction and the opioid crisis, redlining versus predatory lending, and finally,

the ethics of AI and machine learning beyond the old trolley problem. What will the future look like?

I'm really, really fortunate at our firm to get to work with some super bright people, and I think

you have a sense of that from earlier today. But this is the session where I get to ask the questions

that I want to know the answer to. So many of these questions I have not actually asked these guys before.

So this is my free fire zone.

And then to make it hopefully a little bit more enjoyable for me, they haven't been pre-briefed on the questions.

And so I'm hoping to get at least one look of shock and alarm along the way.

So Vijay, big day for health care.

The AHCA passed the house today.

So two-part question, part one.

So what, you know, as you've been involved in, as we're involved in all these different areas of innovation, new healthcare technologies, new business models for health care, and then the sort of omnipresent kind of question for anything new, for kind of how to insert into the health system.

And then ultimately for the new companies, who pays, kind of being a key question. What's been the biggest impact of the ACA on how,

in your view, healthcare innovation and especially healthcare innovation and technology? I think the ACA is part of a graduate evolution that started with macro for pay for value.

And instead of pay for service. And I think that is a huge thing.

And so pay for services, like, you think of health care

having someone like renovate your house or something like that.

You know, the carpenter comes in.

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