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So, the Manage My Health system used by many (most?) doctors' surgeries in NZ (it's better than the alternative according to my doctor, just a few minutes ago)... stores all patient data in the US. I'm very curious how that's managed, and who else has access to *my* (and your!) health data? I wouldn't trust the proprietors of such a system - which stores my data overseas *without my opt-in* - at all. Not even a little bit.
This is where we need an AGPL'd, gov't grant-funded #libre software project to provide a properly secured, federated software system, so people can have their data stored where-ever they think is appropriate.