The National Digital Health Blueprint may represent an advance over earlier documents in that now much more of the important principles are articulated For example concerns on data privacy and security occur in most chapters. Concerns like cooperative federalism, not a feature of many earlier articulations of national- e-health architectures are much more visible. But an examination of the text/detail raises the concern that there is still considerable work needed to link the broader objectives to design features that will address the bottlenecks known to exist, or to any overall implementation plan. Without such detailing, one would be concerned that the articulation of the principles is nothing more than using the politically correct buzzwords- rather than a serious engagement with the problems of digital health.
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