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Doctors Group Decries 'Unconstitutional' Anti-Privacy Rules
Wes Vernon
Wednesday, March 28, 2001
WASHINGTON - The Department of Health and Human Services on Tuesday received
comments from a group of physicians charging that the proposed medical
anti-privacy regulations, promulgated in the last days of the Clinton
administration, "depend upon an unconstitutional provision that is obnoxious
to most Americans” and "need to be withdrawn.”
"This Administration should not be a party to the covert implementation of an
essential piece of the Clinton Health Security Act that was rejected once
Americans learned of its implications,” the American Association of
Physicians and Surgeons (AAPS) said in a written statement to HHS Secretary
Tommy Thompson.

Katherine Serkes, AAPS public affairs counsel, told NewsMax.com: "This
1,500-page document is a direct result of the Clinton view that the
government should control every aspect of our medical care. It is a desperate
last-ditch effort to set the stage for Hillary’s vision of socialized
medicine and eliminate your privacy.”

Thompson has until April 14 to decide what to do with the Clinton regulations.

Meanwhile, Rep. Ron Paul, R-Texas, has introduced "emergency legislation”
aimed at blocking the "dangerous new medical regulations.”

Congressman Paul, a physician for more than 30 years who still practices
medicine, knows the critical importance of doctor-patient confidentiality.

Commenting on the AAPS statement to Secretary Thompson, Serkes says these
Clinton administration rules the secretary is considering are "masquerading
as ‘medical privacy protection’ [and] were written to fulfill the
‘Administrative Simplification’ section of the Health Insurance Portability
and Accountability Act (HIPAA) of 1996.”

Hillary Redux

The physicians group says "administrative simplification” is a euphemism for
government control of your records. Serkes says it is "a concept and term
carried over from Hillary’s Health Care Task Force and the failed ClintonCare
plan for government control of medicine and medical records.”

The American Association of Physicians and Surgeons is a veteran of the
battle against so-called HillaryCare. AAPS took a leading role in the early
days of the Clinton administration in blocking that attempt to take over one
seventh of the U.S. economy. You may remember it was the AAPS that
successfully took Hillary Clinton’s task force to court to protest, among
other things, the secrecy in which it had shrouded itself.

The association lucked out in getting a federal judge, Royce Lamberth, who
defined lawbreaking as, well, breaking the law. For this and other
transgressions, the jack-booted mentality of the Clinton "spin” machine used
congressional Democrats as a transmission belt to put out the word that Judge
Lamberth could forget about any Supreme Court confirmation some day. The
judge was unfazed by this attempted intimidation.

Tuesday’s statement to HHS indicates that the AAPS believes the fight against
Orwellian efforts to obtain access to your records continues unabated. In
fact, the statement refers to that 1993 lawsuit, noting that the term
"Administrative Simplification” was used frequently in the task force's
documents.

The latest HHS papers of the physicians organization explain that
"Administrative Simplification" of which the privacy regulations are an
integral part "depends on unique identifiers for both patients and
physicians, and provides infrastructure for the complete government takeover
of medicine envisioned by Clinton.”

"Americans are overwhelmingly opposed to such identifiers, and the networked
government-mandated data bases that they enable.”


Memo Shows Privacy Was Targeted

I have in my possession a copy of an internal AAPS memo dealing with a
meeting almost exactly a year ago by a subgroup of the National Committee on
Vital and Health Statistics. This panel was created by the 1996 HIPAA to
coordinate its provisions.

The memo, written by Serkes, describes the last in a three-day series of
meetings. The session in question was on late Friday afternoon, March 31,
2000. Serkes apparently was the only person in the room, aside from the
committee members and perhaps their staff. It was "long after reporters and
most of the spectators had bailed out,” she says, adding she doesn’t even
think the members of the group "realized the implications/ramifications of
what they decided.”

It seems that the committee was faced with a "problem” of what to do about an
obstinate public that refuses to fall in line and allow its medical records
to be pawed over by bureaucrats in and out of government.

The federal government, you see, could not implement the exchange of
information "without some kind of systematic standard for identification of
patient records.”

Serkes tells NewsMax.com, "The federal government has decided to find a way
to create a national data base of patient medical records and identify all
their medical records, even though the public is against it and the funds for
Patient Identifiers have been cut off by Congress.” No doubt this is due to
such pesky worrywarts as Ron Paul and Dick Armey, R-Texas.

Continuing with Serkes’ statement: "A rogue agency is trying to usurp the
will of Congress and compromise our privacy, all in the name of
‘administrative ‘simplifications.’”

According to the memo, "The group decided to write a new recommendation to
the secretary [then Donna Shalala], stating that R&D funds under HIPAA be
allocated to examine/research [new] ways to identify patient records.”

Here are some of the exact statements made by members of this Workgroup on
Computer-based Patient Records/Subcommittee on Standards and Security.

"We need to get HIPAA identifiers out in a timely fashion.”

"We need to reiterate in the body of the text the importance of the
identifiers.”

"Shouldn’t we now be looking [at the question of] are other standards to
compensate for the lack of a Unique Patient Identifier? Such as Master
Patient Index? In exchanging [emphasis added] patient medical records, use of
the UPI [unique patient identifier] is crucial.”

"We need to make some effort to best identify people most efficiently … maybe
in the area of R&D to come up with something.”

"We could include in [a report to the secretary] a discussion on identifiers
and how to explore alternatives to UPI.”

"People think they have privacy without a UPI, but privacy is already
seriously compromised because we have so many ways to link up data already.
We need to make the case that a UPI could actually help maintain privacy.”

That is just a snapshot of the conversation that took place at HHS
headquarters here in Washington that Friday afternoon a year ago.

The next time someone says we need the government to make sure our privacy is
not compromised in the private sector, this particular hearing transcript may
conjure up the familiar visions of "the fox in the henhouse.”




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