Governments and healthcare systems worldwide are rapidly transitioning to Electronic Health Records (EHRs) to enhance healthcare accessibility, efficiency, and patient outcomes. While many countries implement these systems with varying levels of user participation, Germany has taken a unique approach by automatically enrolling all citizens unless they opt out. This shift presents significant benefits, including streamlined communication between healthcare providers, improved patient care, and cost reductions. However, a recent study highlights a crucial factor determining its success – public trust.