I have literally watched Sir David Omand (ex-GCHQ) stand on stage and make the argument that “Amazon and Google have all of this information about you, why can’t the government have it too?”; I was not expecting to see the same from the Observer, all framed in techlash “own the billionaire-tards” terms.
Answer: because they are third & fourth parties in the relationships, and the data was accrued is for a specific purpose rather than to be shared willy-nilly without informed approval of the data subject.
Streeting is also wrestling with acute staff shortages, and better use of technology will help him overcome that. If UK households offer their information to the NHS in the way they do to Google et al, health service provision could be cheaper and more effective. And the health service could be a testbed for a national ID card that allows for the digitisation of more areas of government, reducing costs and tackling fraud.
https://www.theguardian.com/business/2024/oct/19/if-you-let-google-have-your-data-why-not-the-nhs
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