I believe we can.
You're right. There are registries that have had challenges. However, there are also registries that have been successful. Australia has a particularly successful one. The Netherlands has a very successful one. The Korean one was set up to be successful.
One of the data flow workarounds is to make it an opt-out registry. You're mandated to submit the data anytime you put an implant in, whether it's in a private clinic or a public facility, unless the patient specifically, in writing, opts out. That's available to the patient—for the patient to say, “I don't want the government to have my personal information”—but in the absence of that, the provider has to submit the data to the registry. It's the heavy stick of government, but it's effective.