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GMJ News > GMJ Briefs > Middle Powers Emerge as Counterforce to Big Tech Dominance in Health AI

Middle Powers Emerge as Counterforce to Big Tech Dominance in Health AI

GMJ
Last updated: 01/07/2026 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|146 words

A new policy framework published in The BMJ identifies a strategic opportunity for middle-income nations to reshape the future of healthcare artificial intelligence. Countries including Canada, Australia, the Netherlands, and Nordic nations are uniquely positioned to develop ethical AI systems that prioritize patient outcomes over corporate profits, according to research led by Dr. Fahad Razak from the University of Toronto.

These nations possess distinct advantages often overlooked in global tech discussions: established universal healthcare systems, robust regulatory frameworks, and strong democratic institutions. By collaborating on health AI development, middle powers can prevent technological monopolization while creating governance models that serve broader public health interests. The analysis emphasizes that data sovereignty and public control over health information are essential safeguards against corporate capture of critical healthcare infrastructure. Such alliances could fundamentally reshape how health technology is developed and deployed globally.

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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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