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Re: Confidentiality Policies in Dr's Off Site Office
>>Therein lies the reason why we can never get consensus on some of these
>>issues. We don't share the same basic values. I am interested in
>>not at the sacrifice of *any* of my privacy. My priorities are
>>yours Mr. Lorton. I would rather forego treatment than risk my privacy in
>>certain areas, so it is more than a matter of cost, but also access
>>to health care.
Mr Lorton replied.
>Yes, I agree. I would rather have a hernia than have it examined in Time's
>Square - the benefit of treatment is too low compared to the loss of
>privacy. But I will get routine health care if it only means that my health
>data will be shared in longitudinal studies to make evidence based medicine
>better. There are no absolutes and I just don't buy your absolute
>willingness to forgo treatment and save your privacy.
>Our goal is to make the cost in loss of privacy very low and the return in
>health care very high so that most people will consider it a good bargain.
You are coming across as very emotional Mr. Lorton. I wrote originally about
the inadequacy of normal security. You characterized that as my calling for
"perfect security". I said I value my privacy more than treatment in
"certain areas" You characterized that as "absolute willingness to forgo
treatment and save your privacy." Yours is the language of hysteria and
extremism Mr. Lorton.
I worry because those "certain areas" of sensitive information are part of the
general record. If the records are exposed, those sensitive parts go with them.
It matters not that each sensitive fact is bundled with a thousand boring
The last thing I want to do is bargain away our citizen's rights of privacy in
return for anything. The reason is simple. This is hardly the last "bargain"
we will every be offered. If we make a rational compromise on this one and the
next one and the next, eventually we give up all our rights. Erosion is a
You do make the perfect antagonist for my arguments Mr. Lorton. I assure all
the other readers that I didn't put him up to it. If Mr. Lorton's views
represent the health care system, we have ample evidence that we do indeed
need to be vigilant and participate in opposing the system.
Last night I wondered more about the real purpose of S.1360. Germany has a
system for handling prescriptions based on encryption technology. It not only
guards against mistakes and abuse, it even allows anonymity of the patient. It
seems reasonable to assume that encryption and other technologies will allow
anonymity at all levels of heath care in a few years. I wonder if S.1360
forecheck action designed to establish a health-care IT industry before
reaches our shores. Once entrenched, the IT professionals can claim ruinous
increases and massive unemployment in the IT industry if anonymity is
am merely speculating. Does anyone out there have better information on the
real motivations of S.1360?
Dick Mills +1(518)395-5154 O- http://www.pti-us.com
AKA firstname.lastname@example.org http://www.albany.net/~dmills