Script
Here is The Daily FM summary of the All-In Podcast that aired on Monday September 28th. Daniel Ek, Spotify’s co-founder and now executive chairman, joined Jason Calacanis and David Friedberg to discuss Spotify’s origins, his new preventive-health company Neko Health, and his cautiously optimistic view of AI. [1]
Ek began with Spotify’s unlikely creation during music piracy’s peak. In 2006, Sweden had fast broadband, rampant illegal downloads, and virtually no legal digital-music options. The music business was collapsing, but Ek and co-founder Martin Lorentzon saw that consumers would pay for a vastly better experience: all the world’s music, instantly accessible. The catch was licensing. Ek said he and his partner invested their own money and persuaded record labels with a clever guarantee: if Spotify failed after a year, the labels still met their financial targets; if it worked, everyone won. It took years of negotiation before Spotify launched in Sweden in 2008, then the UK, and finally the U.S. in 2011.
The larger focus was Neko Health, Ek’s eight-year-old healthcare startup. His argument is that American healthcare remains designed to react to acute illness, even though chronic diseases are the biggest cost and suffering burden. Many serious illnesses can be treated far more cheaply and effectively when found early, he said, but the system lacks enough high-quality, longitudinal patient data.
Neko’s answer is an annual, roughly one-hour health scan priced at $499. It combines 53 blood markers, cardiovascular measurements, strength testing, and more than 6,000 high-resolution skin images, followed by time with a clinician. The company has performed over 100,000 scans and says about 1 percent of members have had a serious undiagnosed condition identified. Ek stressed that most customers are healthy; the purpose is both to catch hidden risks and make lifestyle improvements more concrete.
The most striking example involved skin screening. Ek said the average Neko patient has around 950 moles, an astonishing number that drew disbelief from the hosts. Rather than relying on a doctor to notice one suspicious spot, Neko uses AI to catalog and flag lesions, then has clinicians and dermatologists review findings. On repeat visits, it can detect subtle changes over time that even an excellent physician could not remember from one year to the next.
Ek acknowledged that $499 is still meaningful money, but argued preventive care should become as routine as an annual dental visit. He said Neko’s vertically integrated model—its own clinics, equipment, software, and staff—lets it offer the service with positive unit economics. He also identified a central structural problem in U.S. healthcare: insurance is frequently tied to jobs, so insurers have little reason to fund prevention whose payoff may arrive a decade after a patient switches employers.
On AI, Ek resisted sweeping pronouncements about whether development should slow down. Instead, he argued the industry does a poor job explaining AI’s positive uses, such as early disease detection and better music personalization. He endorsed a future with both closed frontier models and open-source systems, while suggesting that access to large-scale compute may matter more for safety than trying to regulate software alone.
Thank you for listening to All-In Podcast in 3 minutes from The Daily FM. See you next time!
- All-In Podcast: Daniel Ek: Life After Spotify, Broken Healthcare Incentives, Catching Disease Early & AI's Potential
Speaker A: All right, everybody, welcome back to the all in interview show where we, the All In Podcast, dedicate an hour to just some of the great thinkers, creators of our time. And today will be no different. Daniel Ek is with us. You know him, the co founder of Spotify, which he started 20 years ago and he ran it for those two decades to an extraordinary state of affairs today. Well over 700 million active users, over 300 million premium subscribers. But on January 1 this year, he shifted and became the executive chairman with me and David Freeberg today. Daniel Mack, how are you, sir? Welcome to the program. Speaker B: Well, thank you so much for having me. It's good to be on. Speaker A: Yeah, it's g...
