Something something Dreiundzwanzig und Ich.
Admittedly, this may be a bit besides the point. Still, I think the universality of your assertion is based mostly on thinking that the world is made only of a handful of "important" countries.
I do not know the details - I have worked with medical systems handling NHS data a bit but not the details of what is stored where and how it is transferred between systems. I do recall some news stories about GPs not cooperating with the NHSs push to a centralised system because of privacy concerns - articles on The Register IIRC.
But I highly doubt that they really care about privacy, but how easy would be to find another doctor.
(dreiundzwanzig und mich)