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Health Data Governance: Lessons Learned from the COVID-19 Pandemic in Europe, China, and the United States

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Etudes de l'Ifri, July 2021
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The health crisis has triggered a tectonic movement in the recomposition of health data governance and protection models around the world, while accelerating the investment of large digital companies in the field of e-health.

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The COVID-19 pandemic has revealed the shortcomings of pre-existing governance models in every region of the world and the need to move towards a model of public health crisis management "through health data".

For Europe and for France in particular, the health crisis has revealed a long "technological innocence". Despite a strategic awakening, questions remain about the ability of Europeans to cooperate effectively and move towards a common digital space in health.

In the United States, the pandemic has created tensions around the health data governance model – particularly on the articulation between the federal government and state authorities. Changes are announced by President Joe Biden, which tend towards a model of global regulation of personal data.

In China, the pandemic has accelerated the transition to a model of surveillance capitalism which could lead in the short term to a new power struggle between the regime and the Chinese digital giants.

Finally, the COVID-19 crisis has accelerated the rise of digital companies, which are now positioning themselves on the entire value chain of health data, from its raw collection via connected objects to its mass processing for insurance purposes. They now have all the levers in hand to economically value this massive data with the help of artificial intelligence.

 

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979-10-373-0380-6

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Health Data Governance: Lessons Learned from the COVID-19 Pandemic in Europe, China, and the United States

Decoration
Author(s)
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Authentic Modern High Tech Robot Weapon
Center for Geopolitics of Technology
Accroche centre

Artificial intelligence (AI), 5G, cybersecurity, robotics, semiconductors, space…Technologies—particularly digital technologies—now profoundly affect all human activities and, by extension, international relations. The political, strategic, economic, and social stakes that arise from them are expressed across multiple political levels, involving states, international organizations, and private companies alike. International dynamics of competition and cooperation are being reshaped as a result. To address these challenges, Ifri launched its Geopolitics of Technology Center in 2020, offering a distinctly European perspective on the international issues surrounding so-called critical technologies.

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Date de publication
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Accroche

The nomination of researchers Alain Aspect and Michel Devoret for the 2022 and 2025 Nobel Prizes in Physics, for their work in quantum physics, attests to the enduring vitality of French and European research in this field. While the deployment of technologies stemming from the second quantum revolution is still in its infancy, one might think that strategic patience is called for, and that we must wait for the proliferation of basic research to give way to innovations ready for deployment. That would be a serious mistake, given that the potential for profound transformation inherent in the quantum sector is directly linked to states and organizations’ strategic autonomy.

Benjamin PAJOT Eleni DIAMANTI Ludovic PERRET
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Date de publication
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Accroche

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Alexandre PAPAEMMANUEL Laure de ROUCY-ROCHEGONDE
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Date de publication
02 June 2026
Accroche

The central role of technology in the competition between the major powers is fueling an ever-more intense rivalry. Artificial intelligence is enabling large corporations to accrue unprecedented power, with consequences for states and even for international conflict. However, states do have tools at their disposal to regulate these developments. In this international competition, Europe has a strong hand, but must be prepared to play its cards in order to create a new kind of international cooperation.

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Trump II vs. Digital Governance: A Crusade in the United States and Europe

Date de publication
01 April 2026
Accroche

Since taking office, the Trump II administration has waged a systematic deregulation campaign targeting the tech sector in both the United States and Europe. How can Europe maintain dialogue while preserving its governance framework?

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Clément TONON, Julie MARTINEZ, « Health Data Governance: Lessons Learned from the COVID-19 Pandemic in Europe, China, and the United States », Studies, Ifri, 8 July 2021.
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Health Data Governance: Lessons Learned from the COVID-19 Pandemic in Europe, China, and the United States