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ObamaCare Requires Your Doctors to Ask Invasive and

Rainbow Girl's picture

... medically unnecessary questions (your sex life and past (way past) drug use) that go into electronic medical records that go into the vast ObamaCare citizen data-bank under unbelievably severe penalties.

As we close in on the ("soft" !@!) launch date of October 1, ObamaCare is indeed looking increasingly like a disguised PRISM Project intertwined with a giant scame to rob people into destitution. A big old two-fer, as it were.

http://nypost.com/2013/09/15/obamacare-will-question-your-sex-life/

One caveat. This is from the NY Post and Betsy McCaughey (former Lt. Gov. to Pataki) does not cite any sections of the law. There are quotes from persons alleged to be actual doctors in clinical practice who are appalled at the invasion of the doctor-patient relationship (and confidentiality attendant thereto -- or at least we thought). I could not find a way to perform decent due diligence on the sourcing.

Comments

Submitted by hipparchia on

betsy mccaughey, the ny post, and page 6 are all notable for their tendencies toward exaggeration and sensationalism and for their lack of rational analysis or discussion of anything complex.

that said, yes there are serious concerns over the privacy protections, or lack thereof, in electronic medical records, and yes there are serious concerns over the designs of some, maybe most, of the competing systems. i don't have any links handy, but many thoughtful, knowledgeable people have written online about the perils of poorly designed electronic medical records systems.

actually there are some good reasons for doctors to ask patients about their "social history" (unprotected sex and needle-sharing for drug use are good ways to spread several kinds of diseases, for instance).

probably what the cardiologist in that article is talking about is that (1) many systems make a patient's entire medical record available to anybody who can access any part of it and (2) there's a fair amount of debate in the medical community about how much and which kinds of information should or could legitimately be shared among which doctors (and others). if you show up in the emergency room, depending on the reason, it might be helpful if the emergency doc can get access to your psychiatrist's records, but your cardiologist probably never needs to know any of your psychiatric history.

and not everybody should have access to everything about you, but if you should be unlucky enough wind up with one of those doctors who is a walking malpractice disaster, wouldn't be nice if some sharp-eyed nurse or technician had complete enough access to your records that they could catch the doctor's mistakes in time to rescue you?

one of my pet peeves - vista was developed by doctors, for doctors, paid for by taxpayers, and is public domain software; if the aca is going to give tax dollars to providers for electronic medical records system, it should have been restricted to only those who would use (and maybe even improve) what we already have. too many of the competing systems were written by coders for coders, many of whom have zilch medical knowledge, but hey, competition will improve everything! /snark

http://en.wikipedia.org/wiki/Veterans_Health_Information_Systems_and_Tec...

http://www.ehealth.va.gov/VistA.asp

Submitted by lambert on

... and in short form, as so often happens with ObamaCare, there's a real reason to be concerned, but distorted in the fun house mirror of right wing media practice. Hopefully I can post on this shortly. I think the change in season is making me cranky.

Submitted by hipparchia on

it's a subject that people have devoted whole blogs and websites to, and for good reason. it's a big, complex subject.

all my links on this subject were bookmarked on my old computer that died, so i have no good suggestions for information sources for anybody either.

Submitted by lambert on

... or whatever the information is. All we really need to know is whether information is shared with third parties via EHR or other means, and security issues and incentives will take care of the rest, I think.

Submitted by hipparchia on

Submitted by hipparchia on

http://www.washingtonpost.com/wp-dyn/content/article/2009/10/24/AR200910...

Many health IT contracts do not allow hospitals to discuss computer flaws, say Koppel and Sharona Hoffman, a professor of law and bioethics at Case Western Reserve University in Cleveland.

"Doctors who report problems can lose their jobs," Hoffman said. "Hospitals don't have any incentive to do so and may be in breach of contract if they do."