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Take the Blue Button initiative for U.S. Medicare and Medicaid. At first glance, the task appeared technical, involving the publication of data through APIs. But in practice, it was about trust. Patients needed assurance that their information was safe, while developers needed environments where they could innovate without risking exposure. Lane helped design consent workflows, sandboxes and staged approval processes that balanced openness with protection. The program worked because governance created a predictable path for access and accountability.
