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GMJ News > GMJ Briefs > Big Tech Controls 62% of Health AI Market as Public Initiatives Lag Behind

Big Tech Controls 62% of Health AI Market as Public Initiatives Lag Behind

GMJ
Last updated: 08/07/2026 08:43
By
Prof. Giorgi Pkhakadze
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1 Min Read
Conceptual illustration showing interconnected flags of middle power countries around health AI technology symbols
Countries like Canada, Australia, and South Korea should unite to develop health AI systems that serve public interests rather than corporate profits, according to new BMJ analysis. Middle powers possess unique advantages in creating equitable healthcare AI governance. — Photo by Markus Winkler on Unsplash (Unsplash License)
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1 min read|150 words

The global health artificial intelligence market is projected to reach 45 billion dollars by 2026, yet the distribution of development power reveals a concerning concentration. Major technology companies currently control approximately 62 percent of this rapidly expanding market, while public and academic initiatives account for just 3 percent of health AI development.

This disparity underscores an urgent need for alternative governance models, according to policy experts analyzing the sector. The dominance of private corporate interests in health AI development raises significant concerns about equitable access, data privacy, and whether AI systems are optimized for patient benefit or shareholder returns. The research suggests that collaborative investment by middle powers could substantially shift this balance, enabling public institutions to capture a larger share of health AI development while ensuring technologies are designed with patient-centered principles. Rebalancing this equation is essential to prevent technology monopolies from controlling critical healthcare infrastructure.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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