Is the internet unhealthy? We planted this question in your mind with the title of this report and in the questions we ask throughout. But you will not be getting a simple yes or no answer.As you may have gathered, this publication is neither a country-level index nor a doomsday clock. We invite you to join us in assessing what it means for the internet to be healthy, and to participate in setting an agenda for how we can work together to create an internet that truly puts people first.Our intention with this compilation of research, interviews and analysis (designed with input from hundreds of readers in collaboration with over 200 experts) is to show that while the worldwide consequences of getting things wrong with the internet could be huge – for peace and security, for political and individual freedoms, for human equality – the problems are never so great that nothing can be done. More people than you imagine are working to make the internet healthier, and getting things right, by apply-ing their skills, creativity, and even personal bravery, to business, technology, activism, policy and regulation, education and community development.