-Caveat Lector-

Thompson OKs Clinton's Medical 'Privacy' Rules
By Wes Vernon

Friday, April 13, 2001

Privacy advocates were dealt a severe blow Thursday as the
Department of
Health and Human Services issued a so-called medical privacy
regulation. The
entire
1,500 pages were left intact from the way they were written and
submitted in
the last days of the Clinton administration.
However, HHS Secretary Tommy Thompson did say in the ninth
paragraph of his
statement that he and the department would "begin the process of
issuing
guidelines
on how the rule should be implemented."
And therein lies the rub. We don't know at this point whether those
guidelines will deal with the flaws NewsMax.com found in examining all
1,500
pages of
the document. Specifically, one of our senior editors,
John L. Perry,
a prize-winning newspaper writer with plenty of experience in
government,
found multiple loopholes and internal contradictions where patient privacy
rights
are concerned. But there is little reason for optimism that future
modifications will improve privacy protection.
Thompson said the guidelines "will allow us to clarify some of the
confusion
regarding the impact this rule might have on health care delivery and
access.
And we will consider any necessary modifications that will ensure the
quality of care does not suffer inadvertently from this rule."
In discussing the future "modifications" and guidelines, Thompson puts
all
the emphasis on such issues as proper "access" and the "delivery of
health
care,"
having "access to necessary medical information about a patient" and
things
of that nature. These, of course, are legitimate concerns. But the
secretary
says nothing about privacy.
Only in the early paragraphs of the statement when he's explaining why
he is
going ahead and implementing the rules does Thompson mention privacy
protection.
He says, "Our citizens must not wait any longer for the protection of the
most personal of all information - their health records."
That seems to assume that the rules, as currently written, are being
rushed
out to the public to preserve the privacy of medical records. One could
read
the secretary's statement and conclude he believes the problem of the
privacy is a settled issue within the rule, and that it is only "access"
that needs
to be fixed.
Our reading, again of all 1,500 pages, indicates otherwise.
President Bush himself issued a statement saying that "for the first time,
patients will have full access to their medical records and more control
over
how their personal information will be used and disclosed."
"This rule will help address patients' growing concerns regarding medical
privacy."
The president could get a good argument on that from Dr. Jane Orient,
executive director of the Association of American Physicians and
Surgeons
(AAPS).
When told that there will be modifications and guidelines, the doctor's
reaction was: "That's all we need. More pages!" added to the 1,500
already
there.
She told NewsMax.com that "just because the Bush administration
calls this a
privacy regulation does not make it one. It is anti-privacy."
Orient added that she did not understand why President Bush is taking
credit
for this when "all he is doing is following the policy of his predecessor,
a policy that would in fact abolish privacy."
Two days ago, Orient indicated her organization would go to court over
this
issue on constitutional and legal grounds. When I asked if Thursday's
developments
had affected her timetable, she said she was consulting a lawyer and
couldn'
t comment on it at the moment.
Feds Ignore the People
Kent Snyder of the Liberty Committee, which like NewsMax.com had
circulated
a petition urging the secretary to reject the new rules, observed: "Only in
Washington does 13,535 equal 1. The opinions of thousands of private
American citizens who expressed their specific concerns about the final
medical privacy
rule were ignored."
Snyder said he was told that the 13,535 signatures on that petition were
counted as "merely one comment."
That apparently is the same treatment accorded the NewsMax.com
petition that
included more than twice as many signatures as the Liberty
Committee's.
Which raises another question: How many other thousands of citizens
signed a
petition to their government about their rights to privacy, only to be
counted
as a small part of "merely one comment?"
This is "right out of the 'Twilight Zone,'" commented Snyder.
The decision by the secretary won him some praise from left-wing Sen.
Patrick Leahy, D-Vt., who commended Thompson for "protecting"
patients
medical records.
In fact, as John Perry has documented, the regulations do no such thing.
Chip Kahn, president of the Health Insurance Association of America,
says
"the privacy regulations do not provide a uniform standard and are
exceedingly
complex and unnecessarily costly."
HIAA is primarily concerned with cost, as any insurance company
would be.
But we at NewsMax.com have satisfied ourselves in spades that the
rule is
"exceedingly
complex" and a threat to privacy to boot.
Blue Cross Blue Shield added, "Consumers lost in today's decision not
to
delay the privacy regulation." Again, the cost factor figures in that
comment.
According to a Reuters dispatch, HHS will gradually implement the
rules,
with full compliance required by April 14, 2003. "This starts the clock
ticking
for compliance," an HHS spokesman is quoted as saying.
But for now, HHS spokesman Tony Jewell tells NewsMax.com, "If you
want to
read the secretary's final decision, just go back over those 1,500 pages"
that
ex-President Bill Clinton approved.

--

Best Wishes


Political correctness is just tyranny with manners.   ~~Charlton Heston

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