It is tempting to want PatientsLikeMe without the dumb videos, just as we might want scientific journals without the erotic novels, but that's not how media works. Increased freedom to create means increased freedom to create throwaway material, as well as freedom to indulge in the experimentation that eventually makes the good new stuff possible. There is no easy way to get through a media revolution of this magnitude; the task before us now is to experiment with new ways of using a medium that is social, ubiquitous and cheap, a medium that changes the landscape by distributing freedom of the press and freedom of assembly as widely as freedom of speech.