Latest Interviews

60 Startup Founders Share How They Met Their Co-Founder

Diverse founder pairs established their startups through a wide array of pre-existing connections, ranging from long-term personal bonds and professional histories at companies like Airbnb and Bolt to modern matchmaking platforms and chance encounters during the pandemic. These teams strategically aligned complementary technical and non-technical skill sets, often leveraging decades of friendship or shared professional passions in sectors like decarbonization to overcome the risks of leaving stable employment. The resulting ventures, which span from formalizing side projects to launching full-scale decarbonization initiatives, were ultimately driven by mutual trust and verified operational delivery tracks that facilitated critical decision-making moments.

The LIFE-EXTENSION Doctor: "The ONE thing that's increasing your chance of early-death by 170.8%!"

Steven, Dr Peter Attia

Dr. Atia advocates for a paradigm shift to Medicine 3.0, which prioritizes proactive, personalized prevention of chronic diseases and cognitive decline over reactive crisis management. His framework integrates three critical pillars of longevity—physical strength, cognitive capacity, and emotional healing—by combining evidence-based exercise protocols and metabolic strategies with intensive trauma therapy to reframe maladaptive behaviors as childhood survival mechanisms. Ultimately, the approach emphasizes that early, consistent intervention in areas such as VO2 max, sleep, and hormonal balance is essential to mitigate the inevitable, non-linear health decline associated with aging.

Growth vs Efficiency: Can You Have Both?

Gina Gotthilf, Kieran Flanagan, Bryan Kim

This session synthesizes strategic shifts where founders prioritize sustainable moats like proprietary data and community trust over bloated growth tactics to counter incumbent monopolies. Speakers analyze how AI serves as both a cost-reduction tool and a retention driver while detailing volatile channel dynamics, including the decline of traditional SEO and the rise of interest-based discovery on short-form video platforms. By examining case studies from Snapchat, Duolingo, and Zapier alongside specific experiment frameworks, the discussion outlines a disciplined approach to balancing profitability with iterative product hits in an era of market austerity.

Inside El Salvador’s war on crime

Nayib Bukele, Robert Guest

El Salvadorian President Nayib Bukele has implemented a nationwide security strategy that has imprisoned approximately 70,000 individuals, primarily young men detained on circumstantial evidence through group trials that bypass standard due process. This campaign has effectively dismantled democratic checks by purging the judiciary and gagging press coverage, yet it retains approval ratings between 80% and 90% by eliminating gang intimidation in exchange for a police state environment. Minister Gustavo Villatoro explicitly defended these measures as prioritizing citizen safety over human rights protocols while projecting a model where public popularity is sustained through the erosion of civil liberties.

How To Make Money..."Do Not Buy A House!" 10 Ways To Make REAL Money: Ramit Sethi

Ramit Sethi, Steven

Financial strategist Vikram Sethi outlines a behavioral framework for wealth creation that prioritizes intentional lifestyle design over mere income generation, arguing that psychology and strategic spending habits matter more than traditional investment intelligence. He advocates for specific financial rules, including automated investing in low-cost target date funds, maintaining a four-year emergency fund, and allocating a "guilt-free" spending budget to eliminate debt-driven anxiety. The discussion emphasizes that true financial freedom requires aligning daily expenditures with intrinsic values rather than extrinsic status symbols, allowing individuals to build lasting wealth through consistency, market selectivity, and early retirement funding.

Ignore the haters, and keep on building cool stuff.

The speaker argues that successful ventures must solve customer problems in an "amazing way" rather than relying on superficial "thin wrapper" strategies or cargo cult behavior around existing infrastructure. While acknowledging that some projects begin as simple toys, the advice warns founders to ignore backlash from critics if their model is merely a trend-chasing wrapper, emphasizing that genuine innovation is the only viable path for growth. This perspective frames the current market climate as an opportunity for optimism and building cool products, provided they evolve beyond weekend-build claims to offer real value rather than serving as mere capital-raising vehicles.

Serving Up Customer Experiences: Holly O’Neill & Dunkin’ President Scott Murphy

Holly O’Neill, Scott Murphy

Dunkin' maintains its position as the global leader in hot drip coffee and donut sales by executing a strategy of heavy store remodels, rapid digital innovation, and a relaunch of its "Dunkin' Rewards" loyalty program under President Scott Murphy. The brand achieved significant market penetration and sales spikes through high-profile campaigns like the 2024 Super Bowl spot with Ben Affleck and Jennifer Lopez, while successfully pivoting product development to include popular items like avocado toast and "Dunkin' Refreshers." Additionally, Dunkin' leverages strategic partnerships, such as a collaboration with Bank of America for student rush support, and community initiatives like National Donut Day fundraising to drive operational efficiency and brand loyalty across its 5,000 international locations.

Rita Ora: “I Lived With Constant Anxiety”…After Being Signed By Jay-Z At 18!!!

Rita Ora, Jay-Z, Steven

Born in Kosovo and raised in West London after fleeing war, singer Rita Ora rose from a working-class immigrant background to achieve global fame as a Rock Nation artist before confronting severe anxiety and a identity crisis in her mid-twenties. Through intensive therapy and a disciplined lifestyle, Ora has since reinvented herself as the owner of her masters, releasing the album *You and I* to establish a timeless pop legacy alongside her husband, director Taika Waititi. Drawing on lessons from her past struggles, Ora now advocates for artistic autonomy and the "10,000-hour rule" of mastery while emphasizing the importance of separating her public persona from her private self.

E137: Inflation cools, market rips, Ripple/MSFT beat regulators, NATO summit, cocktails of youth

Chamath, Calacanis, Lina Khan, Zelensky, David Sacks

Former Treasury Secretary Larry Summers and billionaire entrepreneurs debated the divergence between market expectations for rate cuts and their view that structural forces necessitate higher interest rates for the foreseeable future. The panel further dissected the fragility of the software sector, regulatory precedents set by the SEC and FTC, and geopolitical risks including NATO expansion and defense supply chains. Meanwhile, scientific breakthroughs in reversing cellular aging and details for the upcoming All-In Summit highlighted the intersection of biotech innovation and high-profile industry networking.

These People Are Engaging Their Doctors 45x a Year

Fay Rotenberg

Founders Fay Rottenberg and the Firefly Health team are deploying a virtual-first, value-based care model to eliminate systemic bloat and redirect billions in lost revenue from unpaid claims toward patient savings. By shifting from traditional episodic visits to high-frequency chronic disease management, the company reports engagement levels averaging 45 interactions per member that reduce emergency room utilization and double clinical outcomes while halving costs. This approach integrates health plans with direct primary care delivery to offer a transparent, concierge-style "quarterback" system designed to replace the outdated fee-for-service infrastructure that currently drives healthcare inflation.

Millions of Americans Are About to Lose Medicaid

Jimmy Chen

U.S. healthcare faces systemic inefficiencies and a looming Medicaid coverage crisis affecting millions due to complex verification processes and a lack of public awareness. Propel founder Jimmy Chen addresses these structural failures by proposing a unified single sign-on model that leverages interoperable data to automate eligibility for essential benefits across siloed bureaucracies. This initiative aims to bridge the gap in technology designed for low-income communities while modernizing the intersection of healthcare and fintech to stabilize an industry where billions in invoiced dollars currently go uncollected.

Why America Has A Mental Health Crisis

Andrew Adams

Amidst severe financial instability in healthcare where half of invoiced dollars remain uncollected, founders Andrew Adams and colleagues at Headway are deploying fintech solutions to bridge the operational gap for solo mental health providers. By repositioning therapists as a unified provider group for payers while offering immediate payment interfaces, the company aims to allow clinicians to accept insurance without traditional administrative burdens. This strategy seeks to normalize mental health access across U.S. insurance cards, transforming a system defined by opacity and 30x price variations into one where therapy is treated equivalently to standard medical facility visits.

The Impact of Misaligned Incentives in Healthcare

Jade Chan

Juniper, under the guidance of CTO Jade Chan, targets systemic healthcare inefficiencies by deploying fintech automation for autism recurrent care clinics to resolve chronic revenue cycle bottlenecks and ensure payroll stability. This strategic intervention addresses root causes such as uncollected claims and price opacity, aiming to scale infrastructure for the 60% of U.S. adults with chronic conditions while serving as a case study within a16z's broader series on modernizing the $4 trillion industry. The company's ultimate vision extends this model into a comprehensive "one-stop shop" for clinic operations, including NPI registration and data management, to realign incentives across patients, providers, and payers.

Why 50% of Every Dollar Billed Is Lost In Healthcare

Florian Otto

Cedar co-founder Florian Otto addresses the U.S. healthcare system's 50% uncollected revenue rate and administrative inefficiency by deploying machine learning algorithms to personalize patient billing strategies. This approach replaces fragmented, opaque legacy processes with targeted outreach that accounts for individual barriers like language and liquidity, potentially boosting a $1 billion health system's profit by $15 million. The initiative aims to restore patient trust and eliminate financial deterrents to care as part of a16z's broader exploration into healthcare and fintech intersections.

The Mystery Behind Healthcare Costs

Chris Severn

The U.S. healthcare sector currently struggles with severe financial instability, evidenced by the fact that half of invoiced dollars go uncollected and hospitals face losses due to opaque pricing structures. While federal mandates like the Price Transparency Act aim to expose standard rates, complex variables including specific insurance products and billing systems continue to prevent accurate cost comparison for patients. Despite these challenges, industry leaders forecast a rapid shift within three years where price certainty and pre-payment become the norm, fundamentally transforming patient billing practices.