Many public services, including healthcare, significantly depend on proprietary products and infrastructure. This tends to inflate the service costs enormously – to a simply unaffordable degree, especially in the global South. The Open Source Imaging Initiative (OSI²) has developed an MRI scanner – which allows everyone to use, study, share, and improve it – thereby counteracting the MRI oligopoly and opening up clinical certification. This talk will give an overview of the ethics of the project, its current state and vision.