Big Tech Doesn’t Want to “Fix” Healthcare—It Wants to Own It
Your medical history, prescriptions, lab results, and even real-time vitals from wearables are worth billions. The companies that control this data will dictate the future of healthcare, not hospitals or governments—Silicon Valley.
Tech giants like Google, Amazon, and Microsoft aren’t just dipping their toes in healthcare. They’re buying up data, partnering with hospitals, and lobbying policymakers to carve out their stake in an industry valued at over $4 trillion. But the real power play isn’t in AI-driven diagnostics or virtual care—it’s in the control of data.
Why Big Tech Wants Healthcare Data
While companies like Amazon, Microsoft, and Google frame their healthcare ambitions as a mission to transform patient care, the reality is far simpler—and far more lucrative. Data is the new oil, and healthcare is one of the largest untapped reserves. The more data they control, the greater their power.
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Advertising and Hyper-Personalization
Google already tracks your search history, online behavior, and even your shopping habits. Imagine if they also knew your cholesterol levels, sleep patterns, or genetic predispositions to diseases. Personalized ads for pharmaceuticals, and targeted insurance pricing—this is just the beginning of what Big Tech could do if/when they control your health data.
The marketing implications are staggering. Google and Facebook already hold vast amounts of user data. With access to your medical history, they could develop hyper-targeted ads not just for everyday products but for life-saving drugs and insurance plans, increasing their revenue while further eroding privacy.
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AI & Machine Learning Domination
AI is only as good as the data it’s trained on. The more diverse, high-quality data a company has, the better its AI models. Big Tech is already using massive datasets to develop AI-driven healthcare solutions. For example, Microsoft’s acquisition of Nuance Communications for $19.7 billion was a strategic move to strengthen its AI capabilities in healthcare, particularly in clinical documentation and diagnostics. The more data Big Tech companies can control, the more powerful their AI models will become. These models can then be sold back to hospitals, insurance companies, and healthcare providers, creating a cycle of data monopolization that keeps smaller players out of the market.
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Insurance & Predictive Analytics
Predicting health risks before they happen is a game changer. With access to real-time health data, insurers can adjust premiums based on individual health status. Additionally, pharmaceutical companies can market treatments tailored to high-risk patients. The problem? This often comes at the expense of privacy.
Amazon’s foray into healthcare includes exploring the predictive potential of wearable devices and data collected from Amazon Care. Insurers could use this data to price policies differently, based on a person’s health metrics. And this is just the start.
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Monopoly on Healthcare Infrastructure
Big Tech’s involvement in healthcare isn’t just about data. They’re also becoming deeply integrated into healthcare’s infrastructure. Amazon Web Services (AWS) powers digital health startups, while Google Cloud operates data centers for hospitals. Microsoft’s Azure hosts critical AI systems for medical research. The deeper Big Tech gets, the more entrenched it becomes making it increasingly difficult for hospitals, governments, and regulatory bodies to assert control over how healthcare is delivered or used.
The Ethical Minefield
Big Tech promises that data-driven healthcare will improve patient outcomes. But history suggests otherwise. When profits and patient care collide, profits often win.
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The Privacy Mirage
In 2019, Google’s partnership with Ascension Health, known as Project Nightingale, sparked outrage when it was revealed that millions of patient records were shared with Google without patient consent. This raised concerns about the way tech giants are collecting, using, and storing healthcare data behind closed doors.
Similarly, Amazon’s Alexa has faced criticism for allegedly storing sensitive health data without explicit user consent. This illustrates a broader issue: Big Tech’s business model is built around data, and privacy concerns are often overlooked.
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Who Really Owns Your Data?
In theory, medical records belong to patients. In practice, hospitals, insurance companies, and tech firms store, control, and profit from your data. Patients have limited say in how their data is shared, and once it enters the hands of Big Tech, reclaiming control is often impossible. The fundamental question remains: Who truly owns healthcare data? Patients rarely benefit from the commercialization of their data, yet they are the ones who provide it.
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AI Bias & Discrimination
AI models are only as good as the data they’re trained on, and healthcare data is notoriously biased. Algorithms trained on biased datasets are more likely to misdiagnose minorities and underserved populations, exacerbating health disparities. When Big Tech controls this data, they not only own it—they also own the biases it carries.
In 2019, a study by the US Department of Health and Human Services found that certain AI algorithms were less accurate when diagnosing African American patients, due to the lack of diverse datasets.
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Data Monetization Without Patient Benefit
Healthcare data doesn’t just sit on servers—it’s actively sold to pharmaceutical companies, insurers, and marketing firms. Yet patients, whose data fuels these profits, rarely see a return. While tech giants profit from this data, those who generate it receive nothing in return. This business model raises questions about fairness and ethics, as patients’ health data is commercialized without their direct benefit.
Can Big Tech Be Trusted with Healthcare Data?
History suggests otherwise. Regulators move too slowly, and tech moves too fast. The healthcare industry still struggles with interoperability, cybersecurity, and ethical AI use. Handing over control to profit-driven corporations could make these problems worse, not better.
What happens when an algorithm decides whether you get approved for life-saving treatment? When predictive analytics flag you as “high risk” and your insurance rates skyrocket? When your genetic predispositions are quietly fed into advertising networks?
The Future of Healthcare Data: Who Should Control It?
The stakes are high. Big Tech’s monopoly on healthcare data could shape the future of health systems across the world. But should a few tech giants control so much critical data? The answer is no.
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Stronger Data Ownership Laws
Patients, not corporations, should retain absolute control over their medical data. Data privacy laws must be strengthened to ensure that tech companies cannot exploit this sensitive information.
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Ethical AI Regulations
AI-driven healthcare solutions must be transparent, auditable, and free from bias. Ethical guidelines for AI use in healthcare should be established to prevent discrimination.
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Independent Data Marketplaces
If healthcare data is going to be monetized, patients should have a stake in the profits. Independent marketplaces could allow individuals to share their data on their terms, while also benefiting from its use.
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Breaking the Monopoly
No single company should control the entire digital infrastructure of healthcare. Competition is needed to foster innovation and protect patients’ interests.
Wrap Up…
Big Tech’s entry into healthcare is inevitable. Whether it leads to a revolution in patient care or a dystopian future driven by data exploitation will depend on the choices we make today. Are we ready to reclaim control of our digital health rights, or will we look back in a decade and realize we gave away too much, too quickly? Only time will tell.