Dear Esteemed Partners, Colleagues, and Stakeholders,

As we enter 2026, I would like to extend my personal gratitude to each of you for your collaboration, trust, and continued commitment to advancing equitable, resilient, and intelligent healthcare systems. The past year has been one of the most consequential in recent history for the GovTech and global health sectors, and it has prompted a fundamental re-evaluation of how international cooperation must evolve in the years ahead.

In 2025, the international environment shifted abruptly. The emergence of new political leadership in the United States triggered substantive changes in foreign assistance and global digital health priorities. Long-standing mechanisms were suspended or refocused, and many projects—particularly those rooted in cross-border governance and public-sector digitalization—were cancelled or withdrawn with immediate effect. This accelerated a broader systemic transition already underway: a move away from fragmented, donor-driven interventions toward models that prioritize long-term accountability, national sovereignty, and infrastructure-level impact.

Check our 2025 NPS

For MEDx eHealthCenter, these events were both disruptive and catalytic. After a decade of work in the Business-to-Government (B2G) arena—where we submitted more than €500 million in proposals and collaborated with institutions such as WHO, the World Bank, and the United Nations—the circumstances of 2025 made it clear that the next phase of global development cooperation will no longer be defined by volume of projects, but by structural contribution, institutional continuity, and governance-aligned digital infrastructure.

A pivotal turning point in this realization occurred in October 2025 at the EU Global Gateway Forum in Brussels, where MEDx was formally invited to participate as part of the broader dialogue on strategic connectivity and global investment. The joint EU–World Bank communiqué issued during the Forum defined a new standard for impact:

“Projects must move not only from pipeline to financing, but from financing to jobs, services, and results.”

This statement, and the depth of discourse that followed, marked a decisive acceleration of our organizational evolution. In a landscape where health systems are increasingly recognized as foundational infrastructure for economic sovereignty, human capital development, and climate resilience, MEDx has recalibrated its mission accordingly.

Our New Direction: Health as Infrastructure

In alignment with the Global Gateway framework, MEDx will now focus on the design, deployment, and governance of digital health infrastructure as a public good. This translates into a core strategic thesis:

Primary healthcare digitalization must be treated as infrastructure—equally essential as transport, energy, or data connectivity in the 21st century.

Our updated mission reflects this conviction:

To design and govern digital health infrastructure that enables governments, healthcare providers, and citizens to deliver equitable, data-driven, and sustainable care for all.

Our long-term vision follows:

A world where every nation operates digital health infrastructure as a public good—connecting citizens, providers, and institutions through equitable, intelligent, and resilient care ecosystems.

And our BHAG (Big Hairy Audacious Goal) anchors our trajectory:

To build digital health infrastructure as a public good across 25 nations, connecting 1 billion people to equitable, intelligent, and resilient healthcare systems by 2040.

2026 Priorities

Where our early years were characterized by the archetypes of the Magician (innovation) and the Caregiver (healing), this next era demands the emergence of The Steward—a synthesis of:

• The Ruler (structure, governance, legitimacy)

• The Sage (evidence, wisdom, accountability)

• The Caregiver (equity, inclusion, public good)

This archetype reflects the expectations placed on MEDx as a system partner to governments, DFIs, and international institutions: credible, evidence-driven, and ethically anchored.

2025 was not only a year of disruption—it was a year of clarification.
It exposed the limits of legacy frameworks and confirmed the necessity of a new development logic: health systems as national infrastructure, and digitalization as both a technological and institutional commitment.

In 2026, MEDx will enter this new era not as a supplier, but as a co-architect of national health ecosystems, working alongside our partners to create models that endure beyond political cycles and donor timelines.

We are grateful for your collaboration, your critical insight, and your shared belief in what is possible.
We look forward to partnering with you in this next chapter — one defined not by projects, but by infrastructure, stewardship, and measurable inclusion.

With appreciation and determination,