Re: Privacy. Can't the patient always consent to sharing the patient's confidential info with the medical professional over a potentially "unsecure" communications method regardless of the communications method? If I consent to talk about something medically confidential with my physician on a public street corner (v. a private in-person examining room) or with me in Fiji and my physician in Finland, what's the difference? If I consent (granted, knowledgeable consent), what's the problem?

Also, I've participated in Zoom's where somewhere on the screen it says something along the lines of "hosted over servers located in the US" (that's not a direct quote) which I presume is supposed to indicate that everything is "happening" so to speak in the US rather than all over the globe. Granted these were Zoom's involving only US-located participants (in multiple US States). But, maybe that's a potential indicator of stuff not being spread all over the globe.

Finally, I have zero doubt that my medical records are hosted, reviewed and accessible in any number of data sites/call centres around the globe and that somewhere, I've tacitly consented to that when I scrawled my signature across a dozen+ forms upon arrival at a physician's office or hospital ER.