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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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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

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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... Technology, especially in the digital domain, is now deeply affecting all human activities and, by extension, international relations. The resulting political, strategic, economic and social issues manifest themselves at multiple political scales involving states, international organizations and private companies. The dynamics of international competition and cooperation are transformed.

It is to respond to these challenges that Ifri is launching the Geopolitics of Technology program in the fall of 2020, which builds on the work it already carried out on these subjects for several years.

The program takes a resolutely European approach to international issues related to so-called critical technologies. Its work is organized around four cross-cutting themes:

  • Power: redistributions of power caused by new technologies, in particular digital; military and dual innovations; transformations of international competition;
  • Sovereignty: definition of critical infrastructures and technologies; industrial and innovation policies in strategic sectors; opportunities and risks associated with international value chains;
  • Governance: ethical and legal issues; interactions between companies, states, international organizations and users; public-private partnerships and GovTech;
  • Society: political and social impacts of technological innovations; risks and opportunities for the future of work, health, the fight against climate change; connectivity and economic development.
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The “Huawei Saga” in Europe Revisited: German Lessons for the Rollout of 6G

Date de publication
02 June 2025
Accroche

While the European Union attempted to coordinate a collective response through its 5G Toolbox in Europe’s 5G infrastructure, member states diverged significantly in balancing political, economic, and technological considerations. Germany, despite its economic ties to China and status as Europe’s largest telecom market, only reached a tentative agreement in July 2024—one that appears largely symbolic. 

Tim RÜHLIG
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European Startups and Generative AI: Overcoming Big Tech Dominance

Date de publication
07 April 2025
Accroche

Europe is at a crossroads. Faced with the domination of American Big Tech across the entire generative Artificial Intelligence (AI) value chain, from foundation models to cloud infrastructure, distribution channels, and open source, it risks long-term technological and economic decline. Yet generative AI also represents a major opportunity for economic transformation, with a potential value estimated at 1.5 times France’s gross domestic product (GDP). To turn it into a driver of renewal, Europe must move beyond the illusion of total technological independence and instead build an ecosystem that leverages Big Tech resources while strengthening its own innovation capabilities.

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A "DeepSeek Moment"?

Date de publication
26 March 2025
Accroche

DeepSeek, hailed as a champion of Chinese AI, represents less a revolution than a significant optimization of existing technologies. Doubts remain regarding the figures put forward by the start-up, inviting a more measured response to the media hype surrounding China’s technological catch-up. Nonetheless, DeepSeek signals the need to question an economic model based solely on the race for computational power. By betting on open innovation, Europe can carve out its own path in a competition that is far from being a zero-sum game.

 

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Artificial Promises or Real Regulation? Inventing Global AI Governance

Date de publication
03 February 2025
Accroche

The risks inherent to the unregulated use of AI, a key technology and vector of profound transformations within societies underline the pressing need to harmonize governance efforts at the international level. The Summit for Action on Artificial Intelligence to be held in Paris in mid-February could be an unprecedented timely occasion to agree on a global governance framework of AI for the public good.

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