Technology & National Security Reflection Series Paper 13: Flipping the Narrative on Data Localisation and National Security

Romit Kohli*

About the Author: The author is a fifth year student of the B.A. LL.B. (Hons.) programme at the National Law University, Delhi.

Editor’s Note: This post is part of the Reflection Series showcasing exceptional student essays from CCG-NLUD’s Seminar Course on Technology & National Security Law. This post was written in Summer, 2021. Therefore, it does not reflect recent policy developments in the field of data governance and data protection such as the December 2021 publication of the Joint Parliamentary Committee Report and its proposed Data Protection Bill, 2021.

I. Introduction

Countries all over the world are seeking to preserve and strengthen their cyber-sovereignty in various ways. One popular mechanism for the same is labelled with the nebulous phrase ‘data localisation’. Data localisation refers to requirements imposed by countries which necessitate the physical storage of data within their own national boundaries. However, the degree of data localisation varies across jurisdictions. At one end of the spectrum, we have ‘controlled localisation’ that favours the free-flow of data across borders, subject to only mild restrictions.  A prominent example of controlled localisation is the European Union’s (“EU”) General Data Protection Regulation (GDPR). At the other end of the spectrum, we have jurisdictions like China which impose much stricter localisation requirements on businesses operating within their national boundaries.

In India data localisation has become a significant policy issue over the last few years. Various government documents have urged lawmakers to introduce a robust framework for data localisation in India. The seminal policy document in this regard is the Justice BN Srikrishna Committee report, which provided the basis for the Personal Data Protection Bill of 2019.This bill proposed a framework which would result in a significant economy-wide shift in India’s data localisation practices. At the same time, various government departments have sought to implement sector-specific data localisation requirements with different levels of success.

This blog post argues that far from being a facilitator of national security, data localisation measures may present newer threats to national security in their implementation. We seek to establish this in three steps. First, we analyse the link between India’s national security concerns and the associated objectives of data localisation. This analysis demonstrates that the mainstream narrative regarding the link between national security and data localisation is inherently flawed. Thereafter, we discuss the impact of data localisation on the economic growth objective, arguing that India’s localisation mandate fails to consider certain unintended consequences of data localisation which restrict the growth of the Indian economy. Lastly, the article argues how this adverse impact on economic growth poses a threat to India’s national security, which requires us to adopt a  more holistic outlook of what constitutes national security. 

Image by World Bank Photo Collection’s Photostream. Copyrighted under CC BY 2.0.

II. The Mainstream Narrative

The Srikrishna Committee report underscores national security concerns as a basis for two distinct policy objectives supporting the introduction of data localisation measures. First, the report refers to the need for law enforcement agencies to have access to data which is held and controlled by data fiduciaries, stating that such access is essential for ‘… effectively [securing] national security and public safety…’ since it facilitates the detection of crime and the process of evidence gathering in general (Emphasis Added). However, experts argue that such an approach is ‘… unlikely to help India achieve objectives that actually require access to data’. Instead, the government’s objectives would be better-served by resorting to light-touch localisation requirements, such as mandating the storage of local copies of data in India while still allowing the data to be processed globally. They propose complementing these domestic measures with negotiations towards bilateral and multilateral frameworks for cross-border access to data.

Second, the report states that the prevention of foreign surveillance is ‘critical to India’s national security interests’ due to the lack of democratic oversight that can be exercised over such a process (Emphasis Added). However, we believe that data localisation fails as an effective policy measure to address this problem because notwithstanding the requirements imposed by data localisation policies, foreign governments can access locally stored data through extra-territorial means, including the use of malware and gaining the assistance of domestic entities. What is required,, is a more nuanced and well-thought-out solution which leverages the power of sophisticated data security tools. 

The above analysis demonstrates that the objectives linked to national security in India’s data localisation policy can be better served through other means. Accordingly, the mainstream narrative which seeks to paint data localisation as a method of preserving national security in the sense of cyber or data security is flawed. 

III. The (Unintended) Impact on the Indian Economy

The Srikrishna Committee Report ostensibly refers to the ‘… positive impact of server localisation on creation of digital infrastructure and digital industry’. Although there is no disputing the impact of the digital economy on the growth of various industries generally, the report ignores the fact that such growth has been fuelled by the free flow of cross-border data. Further, the Srikrishna Committee Report fails to consider the costs imposed by mandatory data localisation requirements on businesses which will be forced to forgo the liberty of storing their data in the most cost-effective way possible. These costs will be shifted onto unsuspecting Indian consumers. 

The results of three seminal studies help illustrate the potential impact of data localisation on the Indian economy. The first study, which aimed at quantifying the loss that data localisation might cause to the economy, found that mandatory localisation requirements would reduce India’s GDP by almost 1% and that ‘… any gains stemming from data localisation are too small to outweigh losses in terms of welfare and output in the general economy’. A second study examined the impact of data localisation on individual businesses and found that due to a lack of data centres in India, such requirements would impose a 30-60% increase in operating costs on such businesses, who would be forced to store their data on local servers. The last study analysed the sector-specific impact of localisation, quantifying the loss in total factor productivity at approximately 1.35% for the communications sector, 0.5% for the business services sector, and 0.2% for the financial sector. More recent articles have also examined the prejudicial impact of data localisation on Indian start-ups, the Indian IT sector, the cyber vulnerability of small and medium enterprises, and India’s Ease of Doing Business ranking. 

At this point, it also becomes important to address a common argument relied upon by proponents of data localisation, which is the fact that localisation boosts local employment, particularly for the computer hardware and software industries. Although attractive on a prima facie level, this argument has been rebutted by researchers on two grounds. First, while localisation might lead to the creation of more data centres in India, the majority of the capital goods needed for such creation will nonetheless be imported from foreign suppliers. Second, while the construction of these centres might generate employment for construction workers at a preliminary stage, their actual functioning will fail to generate substantial employment due to the nature of skilled work involved. 

The primary lesson to be drawn from this analysis is that data localisation will adversely impact the growth of the Indian economy—a lesson that seems to have been ignored by the Srikrishna Committee report. Further, when discussing the impact of data localisation on economic growth in India, the report makes no reference to national security. We believe that this compartmentalisation of economic growth and national security as unrelated notions reflects an inherently myopic view of the latter. 

IV. Towards a Novel Narrative

National security is a relative concept—it means different things to different people in different jurisdictions and socio-economic contexts. At the same time, a noticeable trend vis-à-vis this relative concept is that various countries have started incorporating the non-traditional factor of economic growth in their conceptions of national security. This is because the economy and national security are inextricably linked, with several interconnections and feedback loops. 

Although the Indian government has made no explicit declaration in this regard, academic commentary has sought to characterise India’s economic slowdown as a national security concern in the past. We believe that this characterisation is accurate since India is a relatively low-income country and therefore, its national security strategy will necessarily depend upon the state of its economy. Further, although there have been objections surrounding a dismal defence-to-GDP ratio in India, it is believed that these objections are based on ‘trivial arithmetic’. This is because the more appropriate way of remedying the current situation is by concentrating policy efforts on increasing India’s GDP and accelerating economic growth, rather than lamenting low spends on defence. 

This goal, however, requires an upgradation of India’s national security architecture. While the nuances of this reform fall outside the precise scope of this blog post, any comprehensive reform will necessarily require a change in how Indian policymakers view the notion of national security. These policymakers must realise that economic growth underpins our national security concerns and consequently, it is a factor which must not be neglected.

This notion of national security must be used by Indian policymakers to examine the economic viability of introducing any new law, including the localisation mandate. When seen through this broader lens, it becomes clear that the adverse economic impact of data localisation policies will harm India’s national security by inter alia increasing the costs of doing business in India, reducing the GDP, and prejudicing the interests of Indian start-ups and the booming Indian IT sector. 

V. Conclusion

This blog post has attempted to present the link between data localisation and national security in a different light. This has been done by bringing the oft-ignored consequences of data localisation on the Indian economy to the forefront of academic debate. At the center of the article’s analysis lies an appeal to Indian policymakers to examine the notion of national security through a wider lens and consequently rethink their flawed approach of addressing national security concerns through a localisation mandate. This, in turn, will ensure sustained economic growth and provide India with the technological advantage it necessarily requires for preserving its national interests.  


*Views expressed in the blog are personal and should not be attributed to the institution.

Digitisation of Health / Medical Records: Is the Law Keeping Up?

Medical and health records are increasingly digitised, and ease of access is considered one of the key benefits of this trend. However, patient privacy and security of such records are important concerns that need to be addressed both under the existing legal framework, and in terms of development of new laws.

Earlier this month, news reports suggested that private medical records of over 35000 patients had been made publicly available through the website of a diagnostic laboratory based in Mumbai. Reports indicate that the website of the lab was hacked. However, other reports specify that the lab has disclaimed liability, stating that any requirement for confidentiality is limited in applicability to doctors only. Further, the lab suggested that since they were shortly to be moving to a different system, there was no urgency in remedying the security flaws.

While the above seems to be an internal security issue on the part of the lab, we have seen that health records are a favourite for hackers, across the world. These records are then either held for ransom or sold by such hackers.

The healthcare industry as a whole is seen as one of the least secure industries globally. At the same time, medical and health records of individuals are increasingly being digitised. Individuals and institutions in the healthcare industry are digitising records within their organisations to improve ease of access. The Ministry of Health and Family Welfare, Government of India, is in the process of setting up an Integrated Health Information Platform, and has issued Electronic Health Record Standards (EHR Standards). The EHR Standards are meant to provide for creation and maintenance of health records in a standardised manner that would allow for interoperability across platforms and institutions across the country. There are many pros and cons to undertaking such a digitisation effort – however, this post is limited to examining the legal framework surrounding such digitisation and the protection of privacy of patients.

Current Legal Framework in India

Today, India does not have a comprehensive privacy law, or an industry specific privacy regulation that focuses on the healthcare / medical industry. We do have the Information Technology Act, 2000 (“IT Act”), and the Information Technology (Reasonable security practices and procedures and sensitive personal data or information) Rules, 2011 (“IT Rules”), as well as the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002 (“MCI Code of Ethics”).

The MCI’s Code of Ethics provides that physicians must maintain medical records pertaining to patients for a period of 3 years from commencement of treatment. Further, physicians must also make such records available to patients, authorised attendants and legal authorities upon request. Physicians are also required to make efforts to computerise such records. While there is no specific provision on maintenance of privacy and security of these medical records, the MCI Code of Ethics does provide that confidences entrusted by patients to physicians must be not be revealed, unless required by law or in public interest. However, the MCI Code of Ethics is applicable to physicians i.e. doctors with MBBS or equivalent qualifications only.

On the other hand, the IT Act and the IT Rules are wider in application. They deal specifically with electronic records and require any person dealing with certain defined types of sensitive information, including medical records, to undertake data protection and security measures.

Any violation of the MCI Code of Ethics calls for disciplinary action against the concerned physician which could include removal of the physician’s name from the register of qualified physicians. The IT Act however, does not provide for any direct action or penalty in the case of non-compliance with the IT Rules, and relies on the person affected by the non-compliance to take action.

In addition to the MCI Code of Ethics and the IT Act, there are a few other laws such as the Medical Termination of Pregnancy Act, 1971 which provide for maintenance of confidentiality of patient information. However, these are largely specific to certain circumstances and are not comprehensive.

Potential Developments

In the absence of a comprehensive privacy and data protection law in India, some regulators have taken to establishing basic rules to protect consumers and individuals in their respective industries. For instance, the RBI places certain restrictions on the circumstances in which customer information can be shared by banks. Insurance and telecom companies are restricted from transferring certain customer information outside India.

Given the highly sensitive nature of medical / health related information, and recent trends of commoditisation of such information in the black market, such laws are much needed in the healthcare industry.

The EHR Standards do deal with certain aspects of privacy of patients and security of healthcare records. They prescribe several international standards to be adhered to by members of the healthcare industry while dealing with electronic health records. However, they appear to default back to the IT Act as the legislation that would govern the implementation of any data protection measures in relation to such records.

The Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Bill, 2014 also provides certain safeguards to ensure the privacy of patients, specifically in relation to their HIV status. Some concerns regarding the provisions of this bill have previously been discussed here. However, this proposed bill is again limited in scope, and does not apply across the medical industry.

Reports suggest that recognising the need for a more comprehensive law, the Central Government has taken up the initiative of drafting a healthcare industry specific privacy and data protection law.

Given that this law would be drafted from scratch, we suggest that it should be (a) holistic i.e. be applicable across the entire healthcare / medical industry, and not specifically to doctors / hospitals, and (b) technology agnostic, addressing medical / health information in any format, digitised or not.

The law should also take into account the internationally recognised privacy / fair information principles. These principles provide, among other things, for (a) collection of data by lawful means, and only when required (b) use of data for the purpose it is collected only, (c) adequate security measures to be undertaken to protect data, and (d) accountability and openness about policies in place for use and protection of data.

Further, to the extent that it provides for the digitisation of records, and implementation of EHR Standards, it should be ensured that, the principles of ‘privacy by design’ should be used. The concept of privacy by design stipulates that privacy and data protection measures must be built into any system as a default, taking a preventative approach to data protection rather than a remedial approach.

Another important concern is enforcement – our current laws such as the IT Act, do not provide for proactive enforcement in case of failure to protect privacy / data of individuals, and leave it up to the affected individuals to act. Ideally, a dedicated regulator with the ability to investigate and direct action against defaulters is required. Perhaps the role of the National e-Health Authority proposed by the Government could be expanded to deal with privacy and security of all health records and information.

While the idea of implementing a health privacy and data protection law is a welcome move, it remains to be seen how far this proposed legislation will go towards fully protecting patients’ rights.

Google Faces Legal Hurdles Under Brazilian Internet Law

By Raissa Campagnaro[1]

The Brazilian Federal Prosecution Ministry has brought civil proceedings against Google for flouting its data protection law. The suit challenges Google’s access to the content of emails exchanged by Gmail users on multiple grounds, including Google’s failure to obtain express consent.

In October, 2016, Brazil’s Federal Prosecutor filed a public civil suit against Google, claiming that the search engine had failed to comply with the country’s internet law, the Internet Bill of Rights. The suit argues that during a previous prosecution investigation, through a civil inquiry, Google had made it public that it scans the content of emails exchanged by Gmail users. According to the Federal Prosecutor, this violates Brazilian data protection standards.

The Internet Bill of Rights establishes data protection principles similar to those set up under the EU Data Protection Directive 95/46/EC. Under this law, any processing of data must be pursuant to express consent. The law specifically requires that the clause seeking consent be prominently displayed and easy to identify amongst other terms of the contract. The law also recognises a right to not have one’s data transferred to third parties without consent and a right to be informed about the specific purposes of the personal data collection, usage, storage, treatment and protection.

When asked about its compliance with the legislation, Google submitted that it analyses the email messages so it can improve consumers’ user experience by filtering the messages for unwanted content, spam, or other kind of malware. It also submitted that the scanning of messages is used to offer products and advertisement for the user and to classify emails into various categories such as ‘social’ ‘promotions’ etc. Finally, Google has contended that the scanning of emails is  consented to by the user at the time of signing up, by agreeing to the privacy policy within Gmail’s terms of service.

However, the Federal Prosecution Ministry considers these practices to be ‘profiling’ – a consequence of personal data aggregation that allows the creation of users’ profiles based on their behaviour, online habits and preferences. These can be used to predict their future actions and decisions. Profiling is frequently used for behavioural advertisements in which aggregated personal data is transferred to other ISPs, who use it to direct ads, products and services determined by the person’s past online activity. According to the Federal Prosecutor, this not only violates people’s right to privacy, especially their informational self-determination right, but also interferes with a consumer’s freedom of choice.

Several scholars and researchers have also opposed profiling and behavioural advertising, arguing that it has severe negative consequences. These include (i) denial of credit or loan concessions; (ii) offering different health insurance deals based on a person’s medical history or the nature of activities they engage in; and (iii) offers with adaptive pricing, based on a variety of criteria that involve some level of discrimination. This is problematic because online profiles are limited. A person’s life is based on several aspects apart from the online information which is collected and aggregated. As a result, personal data aggregation, processing and analysis can lead to an incomplete or incorrect picture of an individual, leading to wrongful interventions in their life. Even if the profile is a complete reflection of a person’s life, the choice to have one’s data collected and used for determined purposes must always be the users’.

The suit alleges that Google’s practices are not in consonance with the legal requirement of seeking express consent, including through prominent display within a policy. It suggests that Google be required to take specific consent in order to access the content of emails.

The case also  challenges the fact that Google’s privacy policy does not allow consumers to withdraw consent. This violates consumers’ control over their data. Further, it is also argued that consent should be sought afresh every time Google changes its privacy policy. The lack of clear and precise information around how data is processed is another issue that has been pointed out in the case, violating the right of Gmail users to information regarding the usage of their data.

To substantiate its case, the Federal Prosecutor is relying on an Italian case in which Google’s data processing activities had been challenged. The ruling was based on Italy’s Data Privacy Code, which establishes data protection guarantees such as i) fair and lawful processing of data; ii) specific, explicit and legitimate purposes and use of data; iii) processing to not be excessive in relation to the purposes for which it is collected or subsequently processed; and iv) that the data must only be kept for the amount of time truly necessary. In addition, the law stipulates that a data subject must receive notice about how their data will be processed, allowing them to make an informed decision. Furthermore, the Italian code also requires consent to be express and documented in writing.

In 2014, Garante’s (i.e. the Italian Data Privacy Authority, furthermore “the Authority”) decision held that Google had failed to comply with some requirements under the Italian legislation. Firstly, the information given by Google around how data processing was carried out was considered insufficient, as it was too general. Secondly, the consent format given through the privacy policy agreement was also held to be too broad. The Authority held that consent should be prior and specific to the data treatment. Although the decision condemned the company’s practices, it did not establish any guidelines for Google to adopt in this regard.

Through the present suit, the Brazilian Federal Prosecutor seeks (i) suspension of Google’s email content analysis, that is, scanning of emails of Gmail users where express consent has not been received ; (ii) an obligation to obtain express and consent from users before scanning or analysing the content of emails and (iii) ensuring the possibility of consent withdrawal. The suit seeks an order directing Google to change its privacy policy to ensure consent is informed and particular to content analysis.

This case demonstrates a new aspect of data protection concern. Apart from the most common cases over data breach situations, where the damage is usually too late or too massive to repair, the Brazilian and the Italian cases are great examples of proactive measures taken to minimise  future risks. Further, the importance of a legal framework that utilises data protection principles to guarantee consumers’ right to privacy is well recognised. Now, it appears that these rules are starting to be more effectively enforced and, in consequence, the right to privacy can be observed in practice.

[1] Raissa is a law student from Brazil with an interest in internet law and policy. Raissa has been interning with the civil liberties team at CCG for the past month.

E-Health, Digital India and Cyber (In)Security

By Shalini S

Under the government’s flagship initiative, Digital India, healthcare has been flagged as a sector awaiting reformation through enabling digital access. Across the world, the internet has increasingly come to serve as a platform for organized public healthcare delivery and has also demonstrated its potential in effectively increasing access to timely, specialized medical care in remote areas. Both e-health and m-health, public health models that use information and communications technology (ICTs) for the provision of both healthcare services and information, have been employed extensively to support physical healthcare infrastructure in several countries and is now finding its way into the Indian public health framework.[1]

The health initiative under the project, attempts to transform healthcare from an event-based intervention to an integrated, continuous delivery model by employing ICTs to remedy information asymmetry and substandard access. The initiative is also expected to partially remedy healthcare access issues extant due to insufficient healthcare infrastructure and manpower. However, the use of ICTs exposes the sector to a range of unique challenges that must be dealt with in order to harness the potential of ICTs for the healthcare sector. This brief post seeks to outline the dangers of digitally storing and transmitting electronic health records and suggests strengthening security and risk management capability to avoid breaches.

E-health Initiative

The health limb of the Digital India project aims to increase access to quality healthcare for all citizens by enabling information flow, facilitating collaboration through the use of ICTs and providing timely, economic health services. It seeks to do so by increasing transparency in healthcare delivery, eliminating structural opacity and multiple intermediaries. Additionally, it envisions the use of emerging technology in bridging the healthcare divide by connecting patients with specialized health professionals, who are geographically far-removed, for online diagnosis. E-health programs are expected to benefit those that have little access to quality healthcare services such as the urban poor and rural populations.

Using hospital management information systems (HMIS), healthcare delivery limb of the Digital India Initiative’s online registration system (ORS) rightly attempts to simplify registration and appointment process. However, each new registrant is assigned a Unique Health Identification (UHID) number which is linked to their Aadhaar number used primarily to seek appointments at registered hospitals and subsequently to access their health records including lab reports. Under the initiative patient’s health records are digitized and uploaded electronically in order to better maintain records and make it easily accessible to health professionals. Further, these health records are to be integrated into a digital locker that can be accessed both by the government and private establishments.

As a part of the above-mentioned Digital India program, the Government of India also proposed to setup a National eHealth Authority (NeHA) under which a “centralized electronic healthcare record repository” containing comprehensive health information of all citizens could be fashioned.[2] While this proposed statutory authority will be vested with the responsibility of managing the complexities birthed by use of ICTs in the healthcare sector and also act as a regulatory authority to ensure privacy, confidentiality and security of patient information, it is yet to be created. In the absence of demonstrable, technical cybersecurity capability and regulatory or legislative cybersecurity framework, this statutory body might remain an insufficient effort. Further, the implementation of privacy and security norms evolved by NeHA by healthcare providers could take years and sensitive patient information might be stolen by persons who stand to benefit from the use or sale of such personal information.

Sensitivity of health records

Healthcare records are primarily attractive to criminals as they contain personally identifiable information and are therefore highly vulnerable. In addition to threat of stolen health data being misused in multiple ways, health records stored and transmitted online can be tampered with and this can have implications on patient health. With the E-health initiative, this holds especially true as the Aadhaar linkage connects health records to other personal information. The proposed healthcare record repository must also address these concerns. Hosting of personal information, especially healthcare records on any internet-based platforms without adequate cybersecurity measures in place is an invitation for large-scale breach.

Why digitize health records and information

Public health has arguably been raised as a national security priority and a centralized information database will undoubtedly be a prodigious healthcare intelligence tool that will allow researchers to engage in disease surveillance in order to better understand the state of public health in any nation. This information is critical to the medical fraternity and policymakers in ensuring medical preparedness and developing prevention and responsive capabilities.

Independently, most private healthcare providers have already made the move to digitizing health records that contain sensitive patient data and storing them electronically on often poorly-secured hospital networks, fueling pertinent privacy and security concerns. These health information systems are designed to host big data in a highly accessible manner in order to leverage speedy access to patient information for newer modalities of treatment that are time and cost effective.[3]

While the potential of information technology in radically transforming healthcare is indisputable, protecting healthcare data against misuse, without impeding healthcare professionals’ access to patient information, remains the biggest security concern.

Way forward

While it might not be necessary to view cybersecurity in healthcare delivery as a novel issue, patient information must be recognized as sensitive information that needs to be protected from breaches. Thus, the overarching Digital India initiative must necessarily account for vulnerabilities in digitally storing healthcare records and develop risk management capabilities as a part of its existing governance. Further, as the healthcare initiative under Digital India hinges on collaboratively partnering with private healthcare providers to bridge the gap in access to advanced medical technology and specialized care, a minimum standard of cybersecurity must be mandated to be followed by all participating private healthcare providers to prevent localized breaches.

[1] Sanjeev Davey & Anuradha Davey, m-Health- Can IT improve Indian Public Health System, 4 National Journal of Community Medicine (2013), http://njcmindia.org/uploads/4-3_545-549.pdf.

[2] The Indian Express, Digital India programme: Govt mulls setting up eHealth Authority, 2015, http://indianexpress.com/article/india/india-others/digital-india-programme-govt-mulls-setting-up-ehealth-authority/ (last visited Nov 7, 2015).

[3] How technology is changing the face of Indian Healthcare, The Economic Times, 2014, http://articles.economictimes.indiatimes.com/2014-04-02/news/48801172_1_indian-healthcare-collaborative-data-exchange-healthcare-information-technology-market (last visited Nov 7, 2015).