The document discusses issues related to traffic quality in programmatic advertising. It notes that both publishers and advertisers lose revenue due to fraudulent media, diluted costs per thousand impressions, and wasted ad spend when traffic quality is poor. The document estimates that global advertisers will lose billions to bots in 2015, and that 84% of online display ads in France are fraudulent. It advocates for resolving quality issues in order to increase investment in programmatic advertising. The keynote speaker from OpenX then outlines their company's approach to ensuring traffic quality through initial site review, real-time filtering, and ongoing monitoring to block millions of requests daily and cull poorly performing inventory on a weekly basis.