Precision medicine is limited not by science, but by who health systems can see. When access shapes visibility, inequity becomes structural. Patient-centred infrastructure turns equity from an aspiration into healthcare by design.

Precision medicine has reached its turning point: only by centring infrastructure on patients, not institutions, can the field finally unlock the evidence, equity and trust it has long promised.

From clinical errors to failed trial recruitment and pandemic blind spots, the lesson is the same: without patient-level data flow, precision public health cannot function.

The power of multimodal intelligence is undeniable, yet today’s institution-centric data pipelines cannot deliver it; unlocking the next era of Precision Medicine requires an ecosystem where patients, not silos, drive access.

Sequencing, multimodal data, and AI are transforming care today…but without a patient-centric data ecosystem, genomic innovation will continue to outpace the health systems meant to deliver it.