Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread David A. Bandel

On Fri, 22 Mar 2002 00:41:40 -0500
begin  Marvin Dickens [EMAIL PROTECTED] spewed forth:

 The Bush administration proposed today to drop a requirement
 at the heart of federal rules protecting the privacy of
 medical records. It said doctors and hospitals should not
 have to obtain consent from patients before using or
 disclosing medical information for the purpose of treatment
 or reimbursement. 
 
 Full story:
 
 http://www.nytimes.com/2002/03/22/politics/22PRIV.html?0321na5
 
 Apparently, the insurance industry gave more than a sh!t load of money
 to the GOP... So much so as to entice the Bush administration to attempt
 to violate the US constitution. I am absolutely disgusted.

Not sure I'm up on this amendment to the Consitution.  Which amendment
provides for right to privacy of medical records?

Ciao,

David A. Bandel
-- 
Focus on the dream, not the competition.
-- Nemesis Racing Team motto
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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Lee

Bill Campbell wrote:
 
 On Fri, Mar 22, 2002 at 12:41:40AM -0500, Marvin Dickens wrote:
 The Bush administration proposed today to drop a requirement
 at the heart of federal rules protecting the privacy of
 medical records. It said doctors and hospitals should not
 have to obtain consent from patients before using or
 disclosing medical information for the purpose of treatment
 or reimbursement.
 
 Full story:
 
 http://www.nytimes.com/2002/03/22/politics/22PRIV.html?0321na5
 
 Apparently, the insurance industry gave more than a sh!t load of money to
 the GOP... So much so as to entice the Bush administration to attempt to
 violate the US constitution. I am absolutely disgusted.
 
 Snip

The first three words of the Constitution, We The People, designated the
People as the true owners of government, not rich special interests.
Somewhere along the way we got lost. It's a shame; we could have been a
Great Country.

Lee
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RE: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Tyler Regas

 It's a shame; we could have been a Great Country.

Power corrupts. Absolutely.


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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Andrew Mathews

David A. Bandel wrote:
snip 
 Not sure I'm up on this amendment to the Consitution.  Which amendment
 provides for right to privacy of medical records?
 
 Ciao,
 
 David A. Bandel
 --

The fourth amendment. It states:
The right of the people to be secure in their persons, houses, papers,
and effects, against unreasonable searches and seizures, shall not be
violated, and no Warrants shall issue, but upon probable cause,
supported by Oath or affirmation, and particularly describing the place
to be searched, and the persons or things to be seized.

While it does not contain the words medical records neither does it
contain financial records, religous documents or political
documents but I'm sure that precedents have been set to determine that
they're all inclusive as they do not have to be in your posession to be
included as a protected paper or effect. Otherwise your safe deposit
boxes, attorney's files, medical records, etc. would not require a
warrant to be seized.
Just IMHO.
-- 
Andrew Mathews

 10:55am  up 5 days, 23:05,  5 users,  load average: 1.01, 1.05, 1.00

It is better to be on penicillin, than never to have loved at all.
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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Andrew Mathews

edj wrote:
snip 
 The US Constitution limits only the government, not private parties.
 Thus, while the US government would need a warrant to recover my papers
 and effects, my doctor could disseminate my records to whomever he
 wished, absent statutory prohibition.  The Bush administration wishes to
 amend the statute.  No constitutional prohibition, I'm afraid.
 
 --

How so? I can't simply sieze documents belonging to you, anymore than a
doctor, attorney, private company or anyone else can sieze anything
that's considered a private record. Explicit permission has to be given
for such, such as a release consent, or warrant, regardless of the
pursuer's belonging to a government or private sector. Items of public
record that are available freely are not considered to be *private* as
are personal records, papers, and other things. As an employee of the
Supreme Court of New Mexico, though many records are available on a
public case lookup, there's specific prohibitions against me
disseminating those elsewhere, even though they're public documents and
I'm a private individual, let alone disseminating private information.
Just because an individual or company doesn't fall under the category of
a government entity doesn't negate the right of an individual to be
protected from the dissemination of private information. Kevin Mitnick
spent a *long* time in prison for taking something he had no permission
or granted right to take (source code from Nokia and Sun) and was
considered a private record or effect and had no statutory prohibition,
e.g. no law stating that Nokia or Sun couldn't distribute their source
code without permission. Without the amendment's language there's no
defining line between theft and borrowing, legal and illegal, private
and public. The application of it provides equal protection, regardless
of the pursuer, government or private sector, though it's been distorted
sometimes to fit the situation as necessary.
-- 
Andrew Mathews

 11:55am  up 6 days, 5 min,  5 users,  load average: 1.06, 1.03, 1.00

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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Andrew Mathews

David A. Bandel wrote:
 
 OK, I'm not a lawyer, but I've been around enough of them to know a couple
 of things: 1.  Your (or my) interpretation of something as general as
 what's written in the fourth (or any other) amendment is not necessarily
 what you'd like to interpret it as. 2.  Just because it looks like a duck,
 quacks like a duck, walks and swims like a duck, doesn't make it a duck.

Very true. If it were as clear as we hoped, we'd still be writing it to
include or exclude specific things and it wouldn't be reinterpreted
constantly in courts of law.
 
 It can be argued that your medical records aren't yours at all.  That
 those papers are the property of the physician, not you.  If you write
 David Bandel is, in my considered opinion, an idiot and sign it -- is
 the paper that that's written on yours or mine?  It has my name and an
 evaluation about me.  Ditto for your medical records.  But that paper is
 yours, not mine.  If a physician is charged with malpractice, the records
 in question are seized.  The seizure papers are not served on you as the
 patient, but on the Dr (whose records they are).  Same is true if you go
 to a lawyer and he puts together a file on you.  It's not yours, so the
 4th Amendment doesn't pertain to your medical records.

Also true in that the *owner* of the documents in question contain
information relevant to the prosecution of such. That doesn't however
provide a loophole in which that the information can be used for
anything other than it's relevant purpose, thus the closure of
courtrooms to the public when these issues arise. Usually a judge will
not allow irrelevant or inadmissable evidence if it, when relesed to the
public could be construed as slanderous. There's a CYA factor
considered.
 
 Go to the last hospital you were admitted to and tell them you want your
 medical records because ... (take them home for study, etc.).  Not!
 They're not yours.  They are the institutions for their mandated (by law)
 requirement to keep records on treatment you (or anyone else) received at
 their facilities.  Not yours.

Also true. Still doesn't mean they can do with them as they please
though. You do have the right to them as copies of their originals, and
they can't release them without compliance with their legal obligations,
so your protection isn't negated by this.
 
 What you're talking about is a reasonable right to privacy and that the
 hospital, doctor, etc., will respect that reasonable right to privacy and
 not show me, Joe Dipstick, medical information about you that I don't need
 to know.
 
 Big difference here, reasonable right to privacy vs. 4th amendment
 protection from unreasonable seizure (of your person, house, papers,
 effects).
 
 Medical records are _not_ covered by the 4th Amendment.  Try again.

Quite possibly an interpretaion of the amendment itself. It's merely the
one that is most closely applicable to this question. I'm sure that
there are many more laws that are neither amendments, nor as broad in
coverage as an amendment is intended to be. However, if it's not
covered, why is the necessity of changing a law even being debated?
There's obviously more that's applicable in relevance than simple
definition. Do right to privacy and unreasonable searches and
seizures not have more commonality than differences? I'll stand behind
the first try. g
 
 Again, I'm not a lawyer, just playing Devil's Advocate here.
 
snip

Ditto. I see it as a comparison between what we expect it to be, and
what it really is, with no clear definition yet. Not really a difference
of opinion, just a difference of interpretation and expectations. Debate
is good for the soul and the mind.

 Ciao,
 
 David A. Bandel

snip
-- 
Andrew Mathews

 12:35pm  up 6 days, 45 min,  5 users,  load average: 1.03, 1.02, 1.00

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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread R. Quenett

from David A. Bandel:

 It can be argued that your medical records aren't yours at all.  That
 those papers are the property of the physician, not you.  If you write

Strikes me that this spotlights the crux of the matter.  That crux is 
not that it might be debateable whether or on what basis the records 
are the property of the physician or to the patient but that they do
NOT belong to the Office of the President.

Yet, incredibly, it is that Office which is taking unto itself the 
right to make the final determination as to the propriety of the
use/disposition of that property.

The political system which retains the facade of private ownership
while reserving to the collective all of the essential elements of
that ownership is facism.

R  

-- 
...what they whisper mostly is that 'no decent man will work for
those people.'  They mean the people in [the nation's capital].
-James Taggart (Ayn Rand, Atlas Shrugged)
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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Lee

David A. Bandel wrote:
 
 OK, I'm not a lawyer, but I've been around enough of them to know a couple
 of things: 1.  Your (or my) interpretation of something as general as
 what's written in the fourth (or any other) amendment is not necessarily
 what you'd like to interpret it as. 2.  Just because it looks like a duck,
 quacks like a duck, walks and swims like a duck, doesn't make it a duck.
 
 It can be argued that your medical records aren't yours at all.  That
 those papers are the property of the physician, not you.  If you write
 David Bandel is, in my considered opinion, an idiot and sign it -- is
 the paper that that's written on yours or mine?  It has my name and an
 evaluation about me.  Ditto for your medical records.  But that paper is
 yours, not mine.  If a physician is charged with malpractice, the records
 in question are seized.  The seizure papers are not served on you as the
 patient, but on the Dr (whose records they are).  Same is true if you go
 to a lawyer and he puts together a file on you.  It's not yours, so the
 4th Amendment doesn't pertain to your medical records.

Snip

Even worse. Drs and lawyers are under oath and required by law not to
divulge information about their patience or clients without a court
issued warrant. So even if the records are the property of the Drs or
lawyers government cannot just take them without the proper warrant.

Lee
 
 Again, I'm not a lawyer, just playing Devil's Advocate here.
 
 On Fri, 22 Mar 2002 11:07:46 -0700
 begin  Andrew Mathews [EMAIL PROTECTED] spewed forth:
 
  David A. Bandel wrote:
  snip
   Not sure I'm up on this amendment to the Consitution.  Which amendment
   provides for right to privacy of medical records?
  
   Ciao,
  
   David A. Bandel
   --
 
  The fourth amendment. It states:
  The right of the people to be secure in their persons, houses, papers,
  and effects, against unreasonable searches and seizures, shall not be
  violated, and no Warrants shall issue, but upon probable cause,
  supported by Oath or affirmation, and particularly describing the place
  to be searched, and the persons or things to be seized.
 
  While it does not contain the words medical records neither does it
  contain financial records, religous documents or political
  documents but I'm sure that precedents have been set to determine that
  they're all inclusive as they do not have to be in your posession to be
  included as a protected paper or effect. Otherwise your safe deposit
  boxes, attorney's files, medical records, etc. would not require a
  warrant to be seized.
  Just IMHO.
  --
  Andrew Mathews
  
   10:55am  up 5 days, 23:05,  5 users,  load average: 1.01, 1.05, 1.00
  
  It is better to be on penicillin, than never to have loved at all.
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  http://linux-sxs.org/mailman/listinfo/linux-users
  Subscribe/Unsubscribe info, Archives,and Digests are located at the
  above URL.
 
 Ciao,
 
 David A. Bandel
 --
 Focus on the dream, not the competition.
 -- Nemesis Racing Team motto
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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Marvin Dickens

On Fri, 22 Mar 2002 11:57:58 -0600
Stuart Biggerstaff [EMAIL PROTECTED] wrote:

 I don't really know the details (and don't really want to defend W.--or the 
 health insurance industry), but I'm not sure I can see this as a big 
 threat.  I think most of the people involved have seen seeking treatment 
 and seeking payment for treatment as prior approval for release of 
 information as needed, but the courts have often not seen it that way.

Hi Stuart!

Perhaps you have not considered why the insurance industry wants these records...It's 
not so much the information that is available now, but the information that will be 
available through genetic testing for physical diseases, mental health diseases and 
such. Genetic testing for diseases will, in most instances, eliminate the use of 
statistics to calculate who you want to insure and who you do not want to insure. 
Imagine, if you will a world where you purchase health insurance and the insurance 
company tells you they will cover all aspects of you health until the year 2015, when 
they will no longer insure you for carcenoma melanoma because, sometime during the 
years 2015 to 1016 you going to develope the disease. This affects the entire 
insurance industy... Life insurance, home owners insurance and etc. 

The insurance industry is in essence positioning themselves to have access to gentic 
testing information that will start to be available in the next 5 to 10 years. This is 
very Orwellian.


Best

Peck
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RE: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread Tyler Regas

I'm going to take a slightly different tack here...

Have you seen Gattaca (1997)? The film featured one mans struggle to
break the bonds of his genetic limitations which caused him to be deemed
unfit to go into space by the big, bad MegaCorporation, despite his
skill and intelligence. He used the DNA bearing material of a cripple,
who was otherwise genetically compatible with the companies requirements
to gain access to the program. He was forced to leave nail clippings,
dead skin flakes, and hair in his work area due to the constant,
paranoid nature of the company's need to revalidate its candidates on a
daily basis. His blood and urine were also tested daily, on both ingress
and egress to the building.

Sure, this may be only a movie, but consider this: The Running Man
(1987) was about a fictional televised game show in the future. The show
promoted direct physical violence and even death of human beings for
sport and financial gain. Today's television includes programs like
Survivor, The Amazing Race, Fear Factor, The Chair, and The Chamber. All
of these shows are escalating what level of violence is acceptable to
society. 

The internet has also, as a vehicle for large corporations, been able to
mutate our favorite communications platform to their needs, claiming all
the while that their actions and direction are in the interest of the
consumer. Under that guise, big business has whittled at and begun to
rub away the protections we have as private, American citizens. Making
it easier to access medical records of individuals, preferably without
their knowledge, will make it easier for corporations to determine any
number of things and base their decisions on. The applications of this
knowledge of countless and industry would love to have immediate,
unregulated access to it, and all in the name of the allmighty dollar.

I'm typically rather cynical, though not much for conspiracy theories.
Mine follows: There is no such thing as free enterprise. There is no
such thing as personal freedom. Government is a sham, whether
intentional or not. Corporate America is a gigantic pyramid scheme that
is feeding the top 10% of the nation, which also happens to be the
richest. There are no conspiracies. There are no grand, evil plots.
There's simply greed, and everyone is out to get their piece of the
share. 

As they say, it's a dog eat dog world.


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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread edj

On Fri 22 March 2002 02:07 pm, David A. Bandel wrote:
 On Fri, 22 Mar 2002 13:49:11 -0500

 begin  edj [EMAIL PROTECTED] spewed forth:
 
  The US Constitution limits only the government, not private parties.
  Thus, while the US government would need a warrant to recover my
  papers and effects, my doctor could disseminate my records to
  whomever he wished, absent statutory prohibition.  The Bush
  administration wishes to amend the statute.  No constitutional
  prohibition, I'm afraid.

 Not true.  The doctor can't do that.  You do, under laws and under
 precedent set by those laws to a reasonable right to privacy.  The
 doctor does _not_ have the right to disseminate that information to
 third parties without your consent, but this is not a consitutional
 protection. If the doctor gave those records to the newspapers (who say
 they have a right to it) and it was published, you could prosecute the
 doctor if he didn't have your permission.  But just the doctor, not the
 newspaper.  You have the right to own a gun, but not the right to do
 with it as you will. Try shooting someone on the street and see what
 happens.

Uhhh - that's what I said - it's statutory authority that protects privacy 
against disclosure by ordinary citizens.  My point is just that the US 
Constitution doesn't forbid any actions except governmental ones.  Well, 
there is one provision of the Constitution that does, indeed, apply to 
private parties.  Wanna guess which?

 I don't really want to start a reasonable right to privacy debate,
 because those are generally settled in court on a case-by-case basis. 
 And what is reasonable to one judge often is not to another (and of
 course that changes based on the circumstances).

There's no debate here = we agree.  

Well, there is one provision of the Constitution that does, indeed, apply 
to private parties.  Wanna guess which?
-- 
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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-22 Thread edj

On Fri 22 March 2002 02:33 pm, Andrew Mathews wrote:
 edj wrote:
 snip

  The US Constitution limits only the government, not private parties.
  Thus, while the US government would need a warrant to recover my
  papers and effects, my doctor could disseminate my records to
  whomever he wished, absent statutory prohibition.  The Bush
  administration wishes to amend the statute.  No constitutional
  prohibition, I'm afraid.
 
  --

 How so? I can't simply sieze documents belonging to you, anymore than a
 doctor, attorney, private company or anyone else can sieze anything
 that's considered a private record. Explicit permission has to be given
 for such, such as a release consent, or warrant, regardless of the
 pursuer's belonging to a government or private sector. Items of public
 record that are available freely are not considered to be *private* as
 are personal records, papers, and other things. 

No, you can't - but only because the legislature, or Bar Association says 
you can't.  __Not__ because the Constitution says you can't

As an employee of the
 Supreme Court of New Mexico, though many records are available on a
 public case lookup, there's specific prohibitions against me
 disseminating those elsewhere, even though they're public documents and
 I'm a private individual, let alone disseminating private information.

Huh??  A public case  - by which I assume you mean court records - can 
be gotten just by showing up the the clerk's office and requesting it.  
You can copy it, too - at exorbitant rates, usually.

 Just because an individual or company doesn't fall under the category of
 a government entity doesn't negate the right of an individual to be
 protected from the dissemination of private information. Kevin Mitnick
 spent a *long* time in prison for taking something he had no permission
 or granted right to take (source code from Nokia and Sun) and was
 considered a private record or effect and had no statutory prohibition,
 e.g. no law stating that Nokia or Sun couldn't distribute their source
 code without permission. Without the amendment's language there's no
 defining line between theft and borrowing, legal and illegal, private
 and public. The application of it provides equal protection, regardless
 of the pursuer, government or private sector, though it's been distorted
 sometimes to fit the situation as necessary.

Kevin Mitnick broke the law - he didn't violate the Constitution.
 --

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Re: OT: Feds want to drop protection of privacy regarding medical data

2002-03-21 Thread Bill Campbell

On Fri, Mar 22, 2002 at 12:41:40AM -0500, Marvin Dickens wrote:
The Bush administration proposed today to drop a requirement
at the heart of federal rules protecting the privacy of
medical records. It said doctors and hospitals should not
have to obtain consent from patients before using or
disclosing medical information for the purpose of treatment
or reimbursement. 

Full story:

http://www.nytimes.com/2002/03/22/politics/22PRIV.html?0321na5

Apparently, the insurance industry gave more than a sh!t load of money to
the GOP... So much so as to entice the Bush administration to attempt to
violate the US constitution. I am absolutely disgusted.

This is surprising?  If all the elected people in Washington D.C. who have
voted for laws that violate the Constitution, we would probably be left
with one Congressman, Ron Paul.
``The fact is that the Constitution was indended to protect us from
the government, and we cannot expect the government to enforce it
willingly'' -- Dave E. Hoffmann, Reason Magazine March 2002

Bill
--
INTERNET:   [EMAIL PROTECTED]  Bill Campbell; Celestial Software LLC
UUCP:   camco!bill  PO Box 820; 6641 E. Mercer Way
FAX:(206) 232-9186  Mercer Island, WA 98040-0820; (206) 236-1676
URL: http://www.celestial.com/

``Rightful liberty is unobstructed action according to our will within
limits drawn around us by the equal rights of others. I do not add 'within
the limits of the law' because law is often but the tyrant's will, and
always so when it violates the rights of the individual.''
-Thomas Jefferson
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