Ask HN: Is Twilio necessary and required to build text and voice agents?

I have been looking into solutions since their HIPAA requirements require an enterprise plan. I have not tried yet but AWS has Chime SDK.

Plivo is an alternative.

Plivo, Vonage, Telnyx?

TeleSign is a good alternative

I recommend Daily.co + Pipecat! https://www.daily.co/ https://github.com/pipecat-ai/pipecat

Best option still twilio

thanks for the options! at enterprise scale, is twilio still the most reliable? happy to try other options but i want to abstract out the cpaas layer as much as possible and focus on building performing agents.

reliability and scalability is critical to me