iOS 27 Health permissions: a reckoning is coming

iOS 27 adds a second stage to HealthKit read authorization. After picking data types, the user chooses "Past 30 Days and Future Data" or "All Recorded Data and Future Data", with Allow disabled until one is selected. Every user of every health app now makes this call, in the first seconds of onboarding, with no real context about what the app needs.

I don't think the scale of this has landed yet. A meaningful share of users will pick 30 days. multi-year health trends, month to month comparisons, all-time records: with 30 days these features don't get worse, they stop existing.

And it breaks silently. The user sees empty charts and a app that doesn't do what the screenshots promised. They won't connect that to a sheet they tapped through on day one — they'll connect it to the app. That's the reckoning: a wave of one-star reviews and support mail for a decision the developer never saw and can't inspect.

Because we can't inspect it .authorizationStatus(for:) deliberately hides read authorization and getRequestStatusForAuthorization only says whether prompting would show UI, so a 30-day grant and a genuinely new Apple Watch user look identical from the query layer. A callback when Health permissions change for a type — even without disclosing the new state — would go a long way here.

And we can't route users to the fix. UIApplication.openSettingsURLString opens the app's own Settings page, which has no Health section. The real control sits at Settings › Privacy & Security › Health › <App> — four levels deep, unreachable from any public API.

My suggestion is a URL constant scoped to the calling app, the way openNotificationSettingsURLString (iOS 15.4+) and openDefaultApplicationsSettingsURLString (iOS 18.3+) already work. But that's just my idea; if there's a better mitigation, or something already planned, I'd like to hear it.

Worth saying the privacy gain looks thin either way: the app keeps all future data indefinitely, so a 30-day grant becomes a full-history grant in thirty days for anyone who keeps the app. The window limits what's readable today, not what accumulates.

iOS 27 release is approaching... I think this will cause problems 😞

Filed as FB24398048 and FB24398031

iOS 27 Health permissions: a reckoning is coming
 
 
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