HealthNet: Rebuilding Trust in Open Medical Innovation

The Vision: An Ecosystem for Open Healthcare Some of the world's most urgent health needs go unmet, not because solutions are impossible, but because they are unprofitable. Rare diseases, affordable therapies, and do-it-yourself (DIY) medical devices rarely attract the investment of large manufacturers. HealthNet is a project designed to change that.

Young cystic fibrosis patient at Sainte Justine Hospital using the PEP Master device.

HealthNet is a new model for creating, verifying, and sharing open source medical devices and software. It brings together developers, researchers, medical professionals, and patients into a single collaborative ecosystem, one where high-quality, life-improving solutions can be built in the open and trusted by everyone who depends on them. Our goal is to prove that healthcare innovation can be transparent, collaborative, and accessible to all, without sacrificing safety or quality.

Nondominium - A Coordination Layer for Parallel Infrastructure

Executive Summary

Critical infrastructure no longer behaves like a set of separate sectors. Energy, communications, finance, transport, manufacturing, supply chains, water, and public governance now operate as a tightly coupled system of systems. Failures in one layer increasingly propagate into the others, turning local disturbances into systemic shocks (Buldyrev et al., 2010; Helbing, 2013; CISA, 2025; DOE, 2023).

This is not a small market problem. Global supply chains alone account for over $10 trillion in annual intermediate goods trade, while infrastructure investment requirements exceed $3.3 trillion annually and rise toward $7 trillion when climate-adjusted needs are included (McKinsey, 2020; Woetzel et al., 2016; OECD, 2017). Yet recent evidence suggests that the binding constraint is often not capital itself, but coordination: the ability to govern interdependent assets, actors, and processes across fragmented institutional boundaries (World Bank, 2020).