Who Owns Your Medical Record Now? — Stephen Rouse, Co-Founder, Savva

For a generation, your medical record has lived behind the hospital’s firewall. What happens the day the patient walks in holding it already read, already interpreted by AI, on their own phone?

In this episode, DR GPT™ Harvey Castro, hosts with co-hosts Ed Marx and Dr. Isha Mannering — a conversation with Stephen Rouse, co-founder and head of growth at Savva, a consumer health app (in beta, launching this summer) built on a single premise: patients should own and understand their own health data. Coming from the enterprise-EHR world, Stephen argues the next shift isn’t inside the hospital system it’s outside it, in the patient’s hands. The panel works through why the Cures Act cracked the door open, what it means to keep a record on-device instead of the cloud, the everyday mess of five different patient portals, a global bet to reach a billion people without a portal to disrupt and the hard question no one has fully answered: when a patient shows up already “knowing,” who’s accountable for what the AI surfaced?