Niam Yaraghi

The United States has long struggled with a health care system that is both expensive and often inaccessible when it comes to providing certain populations with equitable care. The White House and Congress acted quickly to transition patients to telehealth during the height of the COVID-19 pandemic. However, the future adoption and use of telehealth will depend on how the U.S. health care system addresses coverage and reimbursement, medical licensure, and service modalities.

The COVID-19 pandemic has contributed to the skyrocketing adoption of information technologies, especially in the health care system. The digital transformation of the health care industry is not merely restricted to increased use of telemedicine and telehealth, but also the creation of new care-delivery systems unexpectedly driven by agents external to the health care system, including new medical technology startups and retail companies.

Twitter recently announced that it will no longer allow political advertisements on its digital platform. Implementation of this decision, if possible at all, will have dire consequences for American democracy. Defining a political advertisement is nearly impossible. And social media helps under-funded candidates. And Twitter's ban will not eliminate disinformation. 

Conservatives who celebrate constitutional originalism should remember that the First Amendment protects against censorship by government.

The effects of the European Union's General Data Protection Regulation (GDPR) will spread beyond the EU. Since the requirements cover all data collected from EU citizens, American corporations that do business in the EU or with EU partners will have to comply with the GDPR. Changing data collection, sharing, and analysis processes places significant financial burdens on business. For example, businesses cannot transfer an individual’s data out of the EU unless they have obtained explicit consent and have put adequate safeguards in place to ensure the security of transfer.

Come Jan 20, President-elect Donald Trump will have the opportunity to continue or suspend many of the technology-focused initiatives begun by President Barack Obama. These programs included expanding broadband access, training workers for jobs in STEM fields, and building supercomputers, among others. Brookings experts Stuart N. Brotman, Robin Lewis, Nicol Turner-Lee, and Niam Yaraghi weigh in on what direction technology policy will take in the Trump administration, and how it might react to future technology change.

Expanding Broadband Access: The incoming administration has expressed its intent to lead its policy priorities with an aggressive infrastructure plan. Referring to the infrastructure goals as a “golden opportunity for accelerated economic growth,” the new leadership plans to rejuvenate the domestic economy by spurring more targeted private investments and creating and recovering jobs. Under what will seemingly be a pro-business, nonregulated market, the threat of broadband “overbuild” looms, bringing new meaning to the cliche “if you build it, will they come.” Whereas technology overbuilds have often led to increased competition in certain markets and lowered consumer prices, an oversaturated broadband market can also create network redundancies, faster depreciation of assets, and decreased consumer demand. Managing supply and demand of broadband services should be at the core of the new administration’s efforts. With unbridled supply, the marketplace will be ripe for competitive offerings and differentiated services, including free or unlimited data plans. Smart digital inclusion plans and programs with clear goals and outcomes should be prioritized to narrow the gap among those who haven’t adopted broadband into their daily lives. Increased investments in digital literacy training, especially within community anchor institutions (e.g., libraries and schools) can cultivate more interest and use. In sum, the new administration’s efforts to expand and maximize infrastructure must equally address the demand for these and other emerging services so that when it’s built, they will indeed come.

Under Trump’s Administration, no other sector will undergo as many fundamental changes as healthcare. President-elect Trump’s healthcare policies have been particularly vague; although he is intent on repealing Affordable Care Act, we are not certain about his solutions for replacing it, other than the proposal to allow health insurers to compete in multiple states.

While the exact outcomes of such proposal remain to be carefully analyzed, the idea behind it – fostering competition and relying on the invisible hand of the free market – may be a sound solution to our nation’s health information technology challenges. Over the past decade, despite spending billions of dollars, government interference in the health IT market has only resulted in small victories and big failures. In the following, I lay out a set of recommendations for fostering interoperability and protecting patient privacy as the two most important challenges in the health IT domain over the next four years.