Openness is celebrated — until it conflicts with business incentives. That’s when the gates close. And nowhere is that more visible than in healthcare. As @a16zcrypto noted, incumbents in AI are tightening APIs and restricting access to the very data new innovators depend on. Anyone in healthcare knows that’s been reality for decades. The incumbents control the pipes and the incentives. Innovation depends on permission. Healthcare is what happens when business incentives govern data , it’s not a technology problem, it’s an architecture problem. We need systems where trust, integrity, and consent are enforced by design — not a “just trust me, bro” pinky promise. That’s what we’re building on @base.base.eth with Prometheus chains: an open, programmable network for healthcare where patients, providers, and innovators share trust directly. Because healthcare doesn’t need more walled gardens. It needs open networks. https://a16z.com/api-battleground-platform-wars/