Civic AI and access transparency

Laguna is a concrete implementation of Audrey Tang's six Care Forces in one care domain, showing what consented handoff and patient-visible access look like in practice.

Awareness (覺察): Laguna focuses attention on what the patient, family, and companion must notice in the five minutes that matter most.

Responsibility (負責): Diagnosis and clinical observation are kept outside the product boundary by design, not as a disclaimer but as a code constraint.

Competence (勝任): Good intentions need working code. Laguna's event-based ESP32 pipeline and non-diagnostic boundary are competence, not just ethics.

Responsiveness (回應): The system can be corrected. Patients can revoke data sharing. Companions receive only what they need for that appointment.

Solidarity (團結): Laguna is built from lived companion experience. The design reflects what people closest to the problem actually notice.

Coexistence (共生): Data access is visible and revocable. Laguna does not expand its scope unboundedly. The patient can always see who accessed their record.

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Care principles in practice

A campfire is not about making everyone the same. It is about letting different people safely gather around the same question.

Audrey Tang, Civic AI, civic.ai/tw/care-ai

Awareness

Focus on what patients, families, and companions must notice in those five minutes.

Responsibility

Diagnosis stays outside the product boundary by design, not by disclaimer.

Coexistence

Data access is visible and revocable. The patient can always see who accessed their record.

Trust boundaries

Laguna is non-diagnostic.
Laguna is not a medical alert or clinical observation service.
Laguna does not guarantee lost-person prevention.
ESP32 reporting is event-based, not continuous tracking.
Patient-facing PWA data stays on the patient's device unless the patient shares it.