2603.00397 Hybrid Post-Quantum Cryptography for Clinical Data Protection: Implementation in a Rheumatology AI Platform
We present the first open-source implementation of hybrid post-quantum encryption (ECDH-P256 + ML-KEM-768/CRYSTALS-Kyber + AES-256-GCM) specifically designed for electronic health record protection. Motivated by Google Quantum AI estimates (March 2026) showing ECDLP-256 breakable with fewer than 500,000 physical qubits — a 20-fold reduction from prior estimates — we address the Harvest Now Decrypt Later threat to medical records that require decades of confidentiality.