Johannes points out the Open Healthcare Manifesto. I expect the Liberty Alliance's eHealth Special Interest Group would have an opinion on the relevance of Liberty's architecture to certain of the stated principles, e.g. empowerment, trust, privacy, anonymity. I've even seen occurrences of "civility and respect" at Liberty meetings.
I'm not so sure about using a train as an analogy for identity though. According to the criteria of some, for it to be truly "user-centric", the user would be able to force the railroad lines to lay tracks to any and all desired destinations, irrespective of cost, timeliness, and environmental damage. Such a 'narrow gauge' provides a shaky foundation for high-speed travel.
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