ProPublica reports that the U.S. is requiring African nations like Uganda to grant access to citizens' health data as a condition for receiving billions in aid for HIV, malaria, and TB. Privacy experts and local officials call it digital colonialism, raising concerns about data sovereignty and exploitation.
healthSaturday, June 20, 2026
U.S. health data demands spark sovereignty fears
Today's health coverage is dominated by a single, sharp controversy: the U.S. demanding access to Africans' health data as a condition for aid. It's a story about power, privacy, and the uncomfortable trade-offs in global health. Meanwhile, a quieter thread runs through pieces on ivermectin's unchecked sale in Tennessee and the replacement of ER doctors by private equity, both signs of how health systems can be bent by money and ideology.
Data, power, and aid
The biggest story today is a ProPublica investigation that lays out how the U.S. is using aid as leverage to get African nations to hand over health data, and the backlash it's stirring.
System under strain
Two other pieces show how financial and ideological forces are reshaping American health care at the ground level.
Tennessee became the first state to allow over-the-counter ivermectin sales without patient-specific prescriptions four years ago. The drug is now widely sold through roadside shops and pharmacies, championed by an anti-vaccine doctor who says he's taken 'bucketloads' of it.
Emergency medicine physicians at Valley Health in Virginia were blindsided when the health system replaced them with a private equity-owned practice management firm. The doctors were offered lower pay and fewer hours, with one calling it 'a kick in the teeth.'
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