Patients are already the transport layer for their own health information. When records live in separate systems that were never built to talk to each other, and custodians default to caution about releasing them, the patient becomes the one carrying paper between appointments, re-explaining their history, and filling the gaps from memory. This is an infrastructure and risk-aversion problem, not a legal one. Sanari gives patients a place to hold their complete record and decide who sees what. Condition-specific hubs organize what matters for a given diagnosis, an AI brief generator turns a messy history into something a clinician can read in ninety seconds, and a consent engine controls every share down to the individual document. Sanari operates as a patient-held record under PIPEDA rather than as a custodian under PHIPA, which means the patient, not an institution, holds the keys. Tell it once.