This Startup Wants To Catch Cancer Before It Spreads

This Startup Wants To Catch Cancer Before It Spreads

Author: Y Combinator April 6, 2026 Duration: 20:49

1 in 11 babies born in America this year will be screened by a genetic test that didn't exist a decade ago.Biotech startup BillionToOne turned a simple but radical idea—detecting rare fragments of fetal DNA in a mother's blood—into one of the most widely used prenatal tests in the U.S. And they're not stopping there. The same approach could unlock something even bigger: early-stage cancer detection from a blood test, a breakthrough that could one day save millions of lives.In this episode of Hard Tech, YC's Jared Friedman sits down with David Tsao and Oguzhan Atay to hear how they went from half a lab bench to a $4B biotech company—and why they believe this is just the beginning of what their technology can do.



Behind every successful startup is a story, and the Y Combinator Startup Podcast is where those stories are told in full. This isn't about polished theory; it's the raw, practical conversation happening between founders who have been in the trenches and the Y Combinator partners who advise them. You'll hear directly from people who have navigated the chaotic journey from a flicker of an idea to building a company that scales, discussing not just their victories but, more importantly, the hard lessons and tactical decisions that aren't found in any textbook. Each episode feels like a candid office-hours session, stripping away the hype to focus on the real work of making something people actually want. For anyone curious about the mechanics of building a technology company-the early uncertainties, the pivotal moments, and the relentless focus on execution-this podcast offers an unfiltered look at the craft. Tune in for genuine insights from the frontlines, where the focus remains squarely on the art and science of building things that matter.
Author: Language: en-us Episodes: 100

Y Combinator Startup Podcast
Podcast Episodes
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