The main difference between the wheelbarrow and IP lies in the copies. If someone else uses my wheelbarrow I can't use it while they're using it, or they may damage it. If someone copies an mp3 of a song I performed, I still have my mp3.
We had a working economic model based on physical property and we've been crippling the wonderful ability to infinitely create zero-cost copies of digital artifacts in order to fit our existing model. It's not horrendous that we've done this, and I'd optimistically view it as a step on the road to something yet unrealized.
> medical data
That deals with privacy, which is a different can of worms.