A Neolithic transformation is underway in public health, where the ubiquity of digital healthcare (HC) data is changing public healths traditional role as data hunter-gatherers to one of data farmers harvesting huge reserves of electronic data. ILINet 1.0 is the current U.S. outpatient influenza-like Illness (ILI) surveillance network dependent on volunteer sentinel providers ro report syndromic ILI. ILINet 1.0 represents a largely unchanged, ongoing hunter-gatherer approach to ILI surveillance. The roundtable will encourage ILINet 1.0 supporters and challengers to present their views and supporting evidence for proceeding with the status quo or formulating a new approach to ILINet 2.0.