(forgive me if this has been asked before, a search didn't turn up an answer!)
I'm at a healthcare company where we do literally all our development remotely, by SSHing into an AWS server. In addition to other reasons, we do this to ensure all our sensitive health data is protected and secure - there's no need to do anything locally.
This all works mostly great, except I really miss being able to create RMarkdown documents as a data product. Though we could connect local instances of RStudio to our data warehouse, it creates an opportunity for sensitive data to be stored on local machines, which is something we actively try to prevent.
Do others working with PHI or other sensitive data have this issue? How have you solved it? Our best reporting solution right now is JupyterHub, which does the job but I really miss RMarkdown