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Basically yes. Theres no regulatory issue really. Theres just that companies refuse to loosen their steangehold on "intellectual property". Like that's the issue with basically all tech "innovations" they make things faster and more efficient for people with different goals than us. The Luddites weren't necessarily wrong to smash those machines.
I'd still prefer to keep any tech mods as peripheral as possible. Don't need my FOSS brainjack getting hacked because I missed a security update still. And if it does get hacked I want it to be quick outpatient to haul out and replace not brain surgery
My concern is that something I could trust would need to have a well structured organization running it (as is the case for plenty of other open source projects), and I think it would be difficult for such an organization to successfully manage such a project with all the laws all over the world about medical devices and devices implanted inside of people.
I'd absolutely prefer the actual interface being as limited as possible, with any actual signal processing or other chips being outside or at least surface level. But I just think it would be hard to navigate medical laws (which exist for good reason).
I think a university could do it. But I see what you mean now.