Health data infrastructure keeps failing for the same reason: it builds services when it should build protocols. Two companion blog posts make the case from opposite sides of the Atlantic.

The Catalogue and the Crisis

Why the UK’s £600M Health Data Research Service needs cataloguing rules, not another library building. From Panizzi’s 91 rules to the Bermuda Principles, the case for protocols over platforms.

~30 min read

The Current Wars of Biomedical Data

Five NIH-funded disease programmes, five incompatible data platforms. How the US biomedical research ecosystem is replaying Edison vs Westinghouse, and what the Bermuda Principles teach us about the way out.

~30 min read

More to come

Companion papers covering the full technical case, a visual executive summary, the political and rights-based vision, an enforceable health data rights framework, a protocol specification, and an implementation roadmap will be published here in the coming weeks.