<Whether potential objections are well founded (should be respected).>
Other objections. What would be shared with public health and are there any ethical implications in the use of this Real World Evidence (RWE)?  Is the data reliable or evidence grade?  Are the data useful?  The answers to these questions are dependent on the implementations of solutions at a point in time.  They are research questions, which may not be answerable before-hand until research is conducted to see how the data are useful.

Discussion and Recommendations

Privacy laws and regulations currently do not allow public health access to private data. Requirements for FAIR access to data can be enacted through federal laws and regulations. Having laws that compel such data sharing, can free the custodian from the burden of responsibility for data shared with the government (they simply have to).  However, compelling data sharing can have the unintended consequence of users or application providers designing systems which have no data to share, or simply not providing the service to jurisdictions that impose such requirements.