The future will be digital — the question is: who owns the system?

Trump is launching a new digital health system, where Americans can upload their personal medical data into apps run by Big Tech — Amazon, Google, Apple, Microsoft, OpenAI, Anthropic.

Do we like the sound of it? Not really… 🥴

We understand that paper records are obsolete in a world of instant global communication and AI diagnostics. But the real issue isn’t “tech vs no tech”. It’s:
- Centralized vs decentralized-
Opaque vs transparent-
Enslaving vs sovereign-

Outsourcing health data to tech firms, especially those deeply embedded with the Pentagon, the CIA, the NSA, and the biomedical-military complex, does not inspire confidence, to say the least. And if the architecture is centralized, then it’s harvestable, hackable, and abusable.

What would a better system look like?
A decentralized, blockchain-based health data system — one that respects your privacy, honors your consent, and keeps control where it belongs: with you.

Here’s what that could mean:
• Patient-owned data: Your medical record lives on a decentralized ledger. Only you hold the private keys. Not your doctor. Not the government. Not Google.
• Zero-knowledge access: Health professionals or AI services could request access only with your explicit, time-limited, cryptographic consent. You see full logs of who accessed what, when, and why.
• Interoperable but sovereign: You can move across borders, systems, or providers and still carry your record — not on a USB stick, but as a secure, encrypted digital asset tied to your identity.
• No centralized control: No company or government can unilaterally revoke, modify, or monetize your data.

This isn’t science fiction. It’s already technologically possible, using tools like:
• IPFS (InterPlanetary File System) — for distributed storage
• ZKPs (Zero-knowledge proofs) — for private computation
• DAOs (Decentralized Autonomous Organizations) — for public governance
• SSI (Self-sovereign identity) frameworks — for user-owned ID

But none of the companies involved in Trump’s CMS rollout are using any of this. They’re sticking to centralized databases wrapped in AI, which means control and profit stay with them, not with you.

What we must demand:
1. Decentralized infrastructure — no more blind trust in “opt-in” programs run by megacorps.
2. Open-source alternatives — medical tech does not need to be proprietary to be secure or innovative.
3. Legal recognition of data sovereignty — your personal data must be treated like personal property, with real penalties for unauthorized use.
4. Education in digital self-defense — cryptographic literacy must become the new public health.

The problem isn’t that Trump is rolling out a digital health system.
It’s how it’s being built, who controls it and what architecture it runs on.

Trump may believe he’s cutting red tape, streamlining health, and using the private sector to improve lives. But unless we the people demand transparency, decentralization, and true data ownership, we’re walking straight into a gilded digital cage.