We recommend that laws and regulations include the right of patients to delegate their access to third parties in an ongoing proactive manner at the patient's request and direction. The patient may opt for automatic consent and provision, or notification to decide on consent.  We also recommend that patients have the right to specify a group of third parties specified by criteria, to meet the patient's wishes, e.g., using the concept of "layering"  \cite{PrivacyCommissionerofCanada2018}.
Patients can choose if they want to share their data, with whom, and how much or how little they want to share, thereby respecting their privacy and respecting their wishes--and notably, one patient's choice or risk does not affect another's.
Trustworthy proactive delegation does not just meet the patient's wishes it creates a more effective and efficient system for sharing data in matters of public health and research.  That is, if proactive delegation creates a legal mandate  on custodians to share data, then it removes the need to negotiate data-sharing agreements between the data custodian (the company or public entities that either hold or make applications that hold patient data) and third parties.  Custodians often hold data hostage in the name of liability and risk causing immense delays in data sharing.