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Re: Confidentiality Policies
On Wed, 8 May 1996, Lewis Lorton wrote:
> > Ok Lew, thanks for using simple sentences. Here are two for you.
> >1. Should a patient who goes to a shrink and uses insurance to pay for it
> >have the right to prevent medical researchers, public health officials,
> >and others from getting access to his records?
> These may be simple sentences but not simple questions.
> 1. rephrased - Should a person seen by a psychiatrist have the right to deny
> informing the insurance company of the diagnosis? No. This would establish
> a situation where the insurance company is required to reimburse for unknown
> types and costs of care.
rephrased, AND TWISTED. I didn't say, should the insurance company
get the info, although one might question this. I asked if health
researchers, public health officals and others should get this without
consent (as is permitted under S. 1360).
> 2. What genetic tests are you referring to?
> But these are far from the most important issues which should fuel the
> privacy/confidentiality movement! These problems have nothing to do with the
> elctronic data issues which are at the center of the S1360 debates. The
> crucial issues are the problems of defining and managing access and the
> extreme technological overhead induced by intricate access rules.
I'll take this as "I won't answer that question, because it
might impeach my arguments."
> Psychiatric and psychologic care make up a small percentage of actual care
> and a minuscule percentage of data. Standards for managing this information
> should not govern the management of all data.
I don't think with is much comfort to the patient who sees the shrink.
James Love / firstname.lastname@example.org / P.O. Box 19367, Washington, DC 20036
Voice: 202/387-8030; Fax 202/234-5176
Center for Study of Responsive Law
Consumer Project on Technology; http://www.essential.org/cpt
Taxpayer Assets Project; http://www.tap.org