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Health"],"abstract":"<jats:p>Cybersecurity infrastructures are designed to mitigate the risks posed by two common entities: the layperson who circumvents cybersecurity guidelines, and the malicious actor who exploits weaknesses in security mechanisms. In this perspective, we show that a third entity, the US state-platform, is re-shaping cybersecurity infrastructures for digital health in Europe. The state-platform describes the centralization of power signified by the close relationship between the second Trump administration and the rise of the tech oligarchy. Drawing on interviews with experts working on cybersecurity for digital health in Europe, we show how concerns about the state-platform are driving digital sovereignty interventions consistent with the Eurostack initiative.<\/jats:p>","DOI":"10.3389\/fdgth.2026.1894369","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:34:54Z","timestamp":1786426494000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Eurostack of digital health cybersecurity"],"prefix":"10.3389","volume":"8","author":[{"given":"Celia","family":"Brightwell","sequence":"first","affiliation":[{"name":"Chair of Digital Cultures, School of Humanities and Social Sciences, Technical University of Dresden","place":["Dresden, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Carboni","sequence":"additional","affiliation":[{"name":"Chair of Digital Cultures, School of Humanities and Social Sciences, Technical University of Dresden","place":["Dresden, Germany"]},{"name":"Department of Technology, Management and Economics, Division of Technology and Business Studies, Technical University of Denmark","place":["Lyngby, Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orit","family":"Halpern","sequence":"additional","affiliation":[{"name":"Chair of Digital Cultures, School of Humanities and Social Sciences, Technical University of Dresden","place":["Dresden, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1038\/s41746-025-01685-0","article-title":"Reconciling security and care in digital medicine","volume":"8","author":"Carboni","year":"2025","journal-title":"NPJ Digit Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1353\/anq.2021.0037","article-title":"The cultural construction of cybersecurity: digital threats and dangerous rhetoric","volume":"94","author":"Bernal","year":"2021","journal-title":"Anthropol Q"},{"key":"B3","doi-asserted-by":"crossref","DOI":"10.1525\/luminos.190.g","article-title":"Chinese And Russian cybercrime in global racial orders of intellectual property","volume-title":"Feminist Cyberlaw","author":"Vats","year":"2024"},{"key":"B4","first-page":"2","article-title":"Oligarchy, state, and cryptopia","volume":"94","author":"Cohen","year":"2025","journal-title":"Fordham Law Rev"},{"key":"B5","author":"Bria","year":"2025"},{"key":"B6","author":"Madiega","year":"2020"},{"key":"B7","author":"Bria","year":"2025"},{"key":"B8","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1177\/2516043520975926","article-title":"Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it","volume":"26","author":"O'Brien","year":"2021","journal-title":"J Patient Saf Risk Manag"},{"key":"B9","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.annemergmed.2023.04.025","article-title":"Hacking acute care: a qualitative study on the health care impacts of ransomware attacks against hospitals","volume":"83","author":"van Boven","year":"2024","journal-title":"Ann Emerg Med"},{"key":"B10","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1111\/puar.13856","article-title":"Abductive analysis in qualitative research.","volume":"85","author":"Van Hulst","year":"2025","journal-title":"Public Adm Rev"},{"key":"B11","year":"2025"},{"key":"B12","volume-title":"The Stack: On Software and Sovereignty","author":"Bratton","year":"2015"},{"key":"B13","author":"Bratton","year":"2025"},{"key":"B14","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1177\/01634437251395003","article-title":"Sovereignty-as-a-service: how big tech companies co-opt and redefine digital sovereignty","volume":"48","author":"Grohmann","year":"2026","journal-title":"Media Cult Soc"},{"key":"B15","doi-asserted-by":"publisher","first-page":"2651","DOI":"10.1080\/1369118X.2023.2246526","article-title":"Regulating big tech expansionism? 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