Prometheus Chains
Patrick
@patrickayelle.eth
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/
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Patrick
@patrickayelle.eth
A three-second claim. A live demo showing a medical claim sent, adjudicated, and paid in under three seconds. Built on Base. @base.base.eth It’s proof that healthcare can run on open, programmable rails — where trust, payments, and data flow seamlessly through an Open Network-Enabled Service. Healthcare rebuilt on open, neutral rails.
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Patrick
@patrickayelle.eth
URQS — Upper Right Quadrant Syndrome. When companies chase growth through leveraged dominance instead of innovation. Jonathan Bush warned about it in Where Does It Hurt: “They eliminated choice and attempted to lock in customers. The internet broke down many of those barriers.” Reading it now, it feels like prophecy. @ethereum is breaking those walled gardens again — open rails that can’t be owned, only built upon.
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Patrick
@patrickayelle.eth
The State of Crypto 2025 report from @a16zcrypto highlights what might be the most important shift yet — stablecoins have become one of the world’s largest payment networks. Instant, programmable dollars now move globally at internet speed. For healthcare, that’s transformative: real-time reimbursements, transparent risk pools, and incentives that align around care instead of administration. Exciting to see @coinbasedev and Circle laying the rails that make it possible. https://a16zcrypto.com/posts/article/state-of-crypto-report-2025/
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Patrick
@patrickayelle.eth
The frontier always looks strange until it becomes obvious. Congrats to @polymarket — incredible to see prediction markets reaching mainstream visibility. Back in 2021, I was exploring how decentralized risk pools could run on Ethereum — using programmable money to automate what legacy markets handle with overhead and intermediaries. I used prediction markets as an example, but my focus was healthcare. Imagine insurance that settles like Polymarket — transparent, automatic, and trustless. We’re getting closer. https://www.theblock.co/post/373641/nyse-parent-firm-ice-eyes-2-billion-investment-in-polymarket-wsj
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Patrick
@patrickayelle.eth
Machiavelli said, “Surround the castle.” We did. A few slides from Prometheus chains presentation Healthcare rebuilt on open rails. Curious what you see when you read it.
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Patrick
@patrickayelle.eth
For years, healthcare has run on fragile trust and closed systems. Today, that foundation begins to change. Prometheus Chains — open, simple, human. Built on Ethereum. The fire no longer belongs to the few. It belongs to everyone. [prometheuschains.org] @base.base.eth @optimism @baseapp.base.eth
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