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Delving Into Google Health's Privacy Concerns

SecureThroughObscure writes "Security researcher Robert 'RSnake' Hansen discusses numerous concerns with Google's new Google Health application, which aims to integrate user's medical records online. We discussed Google Health's opening to the public earlier this week. RSnake mentions that Google has found a loophole allowing them to provide this service without having to follow HIPAA regulations, which, combined with Google's track record of having numerous flaws leading to private information disclosure, draws serious concern. Security researcher Nate McFeters of ZDNet's Zero-Day Security Blog also commented on the article, mentioning several past vulnerabilities: ownership of content issues, Google Docs theft, a cross-domain hole, Google XSS, and a Google Picasa protocol handler issue leading to the theft of user images. He and fellow researcher Billy Rios disclosed these issues to Google, including the ability to steal GMail contact list information. McFeters says it's likely that similar unpatched bugs would allow an attacker to view medical records if a user was also using Google Health. Both McFeters and Hansen tend to agree that Google's vulnerability disclosure/notification is non-existent and really needs to be improved. Currently, Google does not report vulnerabilities it has fixed to its user base, for the obvious reason of trying to hide the fact that user data could have been stolen."

15 of 121 comments (clear)

  1. Not me by strikeleader · · Score: 5, Insightful

    Why would anyone want to put their health info anywhere if HIPAA does not apply. I know that HIPPA is not perfect, but it at least has recourse if info is released or stolen.

    1. Re:Not me by Chicken04GTO · · Score: 4, Insightful

      Because people are dumb.

    2. Re:Not me by hal9000(jr) · · Score: 3, Interesting

      Google isn't doing this out of the goodness of their hearts. They want to monetize it, so how will they do that? Sell ads? Ok, where and when will they show up? Only when you are searching your health information or whenever you happen to be searching?

      what about selling health information to other entities. Maybe they don't sell the identifying bits, but even regional data can have an enormous impact on your ability to get health and life insurance, the premiums you pay, etc. Insurance carriers already track regional trends, but more data means better predictions.

      Look, corporate entities, and never, ever forget that Google is a corporate entity, have to make money and think about how they will do that.

    3. Re:Not me by MrMarket · · Score: 5, Insightful

      My Sentiment exactly. First off I don't know who would want to look at my medical record and second, I don't really care if someone does. Here are two types of organizations that would be very interested in you and your family's medical history:
      1) Insurance companies: "Thank you for choosing Overabarrel Insurance, Co. Your policy is enclosed. Because your father and uncle had colon cancer, your monthly premium will be $10,000/month."
      2) Employers: "You're a great programmer, but we can't bring you on full-time. Your records show that your father and uncle had colon cancer, and we can't afford to take on the risk of our insurance premiums going through the roof if you get it."

      Essentially, health status can be a significant driver of discrimination in many different forms. The less someone knows about your health status (or your relatives health status), the hard it is for them to discriminate against you.
    4. Re:Not me by ShieldW0lf · · Score: 3, Interesting

      You don't understand insurance in the slightest, or you wouldn't make statements like that.

      1) When you get insurance as an individual, if you have a previously existing medical condition, and you manage to conceal it, they won't dig hard. They'll just take your money. When it comes time to make a claim, it WILL come out then, and they will refuse to cover you, even though they took your money. Transparency in medical records will protect people from doing this to themselves.

      2) When you get group insurance, personal medical records don't come into it at all. Not at all. They calculate the risks based on the probability that any employee will require treatment based entirely on their demographic. That is what makes group insurance plans so appealing in the first place.

      I used to sell the stuff for a brief period of time, until I learned how it really worked and realized I wouldn't be able to look myself in the mirror if I didn't get out of that industry. I know what I'm talking about.

      --
      -1 Uncomfortable Truth
  2. But think of the benefits... by Anonymous Coward · · Score: 5, Funny

    When you get syphilis all the websites you visit will be carrying convenient advertisements for the necessary treatments.

  3. Microsoft's HealthVault.com policies comparison by Anonymous Coward · · Score: 5, Insightful

    Does Microsoft's HealthVault.com, which came before Google Health, receive the same amount of critique?

    Let's examine Microsoft's HealthVault.com policies and how they compare to Google Health.

    1. Re:Microsoft's HealthVault.com policies comparison by jeiler · · Score: 3, Informative

      Does Microsoft's HealthVault.com, which came before Google Health, receive the same amount of critique?
      Yes, and for much the same reasons.
      --

      If you haven't been down-modded lately, you aren't trying.

      Sacred cows make the best hamburger.

    2. Re:Microsoft's HealthVault.com policies comparison by Sporkinum · · Score: 3, Informative
      This is an email exchange I had with Microsoft on this very subject.

      From: HSG Privacy [mailto:hsg-priv@microsoft.com]
      Sent: Wednesday, December 19, 2007 4:22 PM
      To: XXXXXXXXX
      Subject: RE: Health Vault Privacy

        Dear Mr. XXXXX,

      Our sincere apologies for the long delay in providing you a response to your inquiry.

      Because HIPAA applies to organizations and not products, HealthVault and HealthVault Search do not fall under its purview. Microsoft is not waiting for regulations to define our privacy and security practices. Microsoft made the decision early on to set rigorous privacy policies for these products.

      Health information technology is evolving rapidly and privacy remains a central concern. Core to Microsoft's privacy principles is our belief that health information is most effectively protected when consumer are at the center of the healthcare system and in control of their information.

      Microsoft supports a comprehensive federal approach to privacy legislation. We believe federal privacy legislation should include four key elements to help protect consumer privacy, and to support businesses' privacy policies and compliance efforts. First, there should be a uniform baseline standard that applies across all organizations and industries. Second, any legislation must increase the transparency regarding collection, use and disclosure of personal information. Third, individuals must have meaningful control over the use and disclosure of personal information. Finally, we believe there should be minimum-security requirements around the storage and transit of personal information.

      Best regards,

      HSG Privacy Team

      From: XXXXXXXXXXXX
      Sent: Thursday, October 04, 2007 10:36 AM
      To: HSG Privacy
      Subject: Health Vault Privacy

      I noticed while going through the privacy statement there was no reference to HIPAA. With something as personal as one's medical records, HIPAA compliance is a must! http://www.hhs.gov/ocr/hipaa/

      Also, I would not be surprised to see a company offer some sort of beneficial tracking program, and then use the data they get through authorization to deny insurance or raise premiums. With advertising being the primary reason for the service, the probability of misuse would be relatively high, I would think.
      --
      "He's lost in a 'floyd hole"
  4. Loophole? by jeiler · · Score: 5, Funny

    Google has found a loophole allowing them to provide this service without having to follow HIPAA regulations

    So the only thing protecting personal health information at Google Health is internal policy and "Don't be evil"? I guess that means they'll protect your PHI--as long as you're not a dissident in China.

    --

    If you haven't been down-modded lately, you aren't trying.

    Sacred cows make the best hamburger.

    1. Re:Loophole? by funnyguy · · Score: 5, Informative

      Well, not so much a loophole as HIPAA was not designed to protect data at healthcare record storage companies chosen by the patient. I don't think google "found" this as it has always been known to all of the healthcare community (at least security professionals). You are only covered by HIPAA if you are a "Covered Entity" (CE) which includes health plans (insurance), healthcare providers (doctors) or a healthcare clearinghouse (converts non-standard healthcare data into standardized healthcare formats like X12 format).

      If Google or any healthcare records storage comapany is being used by a CE and has a contract with that CE, they are a Business Associate. BAs of CEs are subject to the HIPAA Security Rule (the section of HIPAA that is in question and largely referred to about protecting healthcare data).

  5. Oh Geeze...stop hyperventilating by Danathar · · Score: 3, Insightful

    If you are afraid of your data getting stolen, DON'T USE IT.

    Quite frankly I'm tired of people complaining on my behalf. Especially when I don't use whatever is being complained about and when the people complaining don't use it either.

    Also..it IS a BETA (test). Once they are out of BETA they might actually have to apply HIPPA.

  6. What's all the fuss? by asdavis · · Score: 4, Informative

    Seriously, I really don't understand all of the fuss people are making here about Google Health. Perhaps I have a different perspective as I have worked in the Healthcare IT space for a major HIPAA Covered Entity and built their HIPAA Security program. Let me clear up any illusions you may have... HIPAA Covered Entity != Secure. HIPAA is designed to address the privacy and security of Protected Health Information, aka "PHI", as it relates to treatment (This is a generalization, but is fairly accurate). Since Google is not involved in the treatment of patients, HIPAA does not apply. You would be astounded to who has access to your electronic medical records during the course of treatment. Even something as routine as a blood test would have electronic PHI (ePHI) transmitted between many organizations: Hospitals, Clinical Laboratories, Health Plans, VANs, Independent Physician Associations, and Physicians. Do you honestly think that the IT practices of your local Physician with a $600 Dell PC running Vista Home, no virus protection and a DSL line is protecting your data in a more sophisticated manner than Google? Why do people lose their senses when operating in an electronic world? Allow Google to store your ePHI is no different than asking a friend to hold onto your paper medical records. Your friend isn't bound by HIPAA either. If you don't want your friend to peer at your records, then don't let him hold onto them. Google is offering a convenience service. Like all convenience services, it comes with risks. If the risks are too high for you, don't take them. Google hasn't done anything wrong and they certainly have not found a loophole. Healthcare organizations deal with non-covered entities all of the time. Do you think that the company that prints the invoices for your local doctor, hospital or laboratory is a covered entity? I will admit there is one difference however, since the patient is the one making the request for the records to be transferred, there is no "Business Associates" agreement (another HIPAA term) between Google and the covered entity. Quite honestly, these aren't work the paper they are printed on anyway.

    I for one will not be using Google Health for my own records, but that's just me.

    --
    TECMATIC - Intelligent Technology News
  7. Re:Safe Now With Windoze? by TerranFury · · Score: 3, Insightful

    It's basically common knowledge, what GP is saying. I clearly remember watching both what my dentist's and my GP's secretaries used to type in my data, and it was obviously a client running on a Windows box. In the case of my dentist, there's a whole Windows dental information suite that he runs, which shows him x-rays and everything. He has multiple rooms with dentist's chairs, and each contains an apparently-identical computer; he can view x-rays and records at any of them, so they are obviously networked. How likely is it that this network is separated from the Internet by anything more than a consumer-grade router? Not very.

    How much of a threat really is this, relative to tapes left in cars overnight, or the sloppy (or malicious) use of thumb drives? My gut says, "not a huge one," but I don't really know.

  8. The necessary results of a fragmented system by Zamfir · · Score: 3, Insightful

    The real problem here is that your health care data is scattered across many processing and medical records systems from all the insurers and care givers that you have ever been involved with. This results in doctors not having the needed information, costly redundant care, misdiagnoses, etc. Couple that with the growing trend to have people/patients manage their health care costs, and it becomes clear that solutions like Microsoft's and Google's are necessary and the potential benefit outweighs the privacy risk (trust me: no one cares about your anal fissures) This is far less of a problem in more centralized models where a longitudinal view of a patient is much more readily available (kind of like how the IRS has your tax history).