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DEA Argues Oregonians Have No Protected Privacy Interest In Prescription Records

schwit1 writes "Like emails and documents stored in the cloud, your prescription medical records may have a tenuous right to privacy. In response to a lawsuit filed by the American Civil Liberties Union (ACLU) over the privacy of certain medical records, the U.S. Drug Enforcement Administration is arguing (ACLU response) that citizens whose medical records are handed over to a pharmacy — or any other third-party — have 'no expectation of privacy' for that information." Oregon mandates that pharmacies report information on people receiving certain drugs to a centralized database (ostensibly to "...help people work with their health care providers and pharmacists to know what medications are best for them."). State law does allow law enforcement to access the records, but only with a warrant. The DEA, however, thinks that, because the program is public, a citizen is knowingly disclosing that information to a third party thus losing all of their privacy rights (since you can always just opt out of receiving medical care) thanks to the Controlled Substances Act. The ACLU and medical professionals (PDF) don't think there's anything voluntary about receiving medical treatment, and that medical ethics override other concerns.

18 of 455 comments (clear)

  1. America is fucked ... by Anonymous Coward · · Score: 5, Insightful

    You've lost sight of your own Constitution and what you stand for.

    Now you're a bunch of witless idiots cowering in the dark.

    1. Re:America is fucked ... by h4rr4r · · Score: 5, Interesting

      The moment they started.
      It took a constitutional amendment to ban alcohol. Where is the one that bans any other drugs or enables the DEA?

    2. Re:America is fucked ... by interkin3tic · · Score: 5, Insightful

      No, moron, we're not all supportive of the DEA. The tide is rapidly turning against the drug war (rapid compared to how long it's been going on, not rapid compared to "hey, how about we legalize drugs right now, all opposed? You're idiots and don't get to vote"). And it's not the arguments that they publicly make that I'm concerned about. That's just PR. They can argue "Xenu wants information on your medical history to be free!" for all I care.

      Furthermore, this probably isn't related to our paranoia. Oregon has legalized medical marijuana. I'm going to assume this isn't about fighting terrorism so much as it is relating to the government wanting to know who is taking medical marijuana so they can make more arrests and send more "criminals" to perform slave labor for their campaign donors in the private prison industry.

      That said, thank you for the reminder that I need to donate again to the EFF and ACLU.

  2. DEA's drug of choice by Anonymous Coward · · Score: 5, Funny

    crack (they're on it, apparently)

  3. Just another example... by killfixx · · Score: 5, Interesting

    Of these three-letter-agencies twisting the law to fit their needs. And, without any of the necessary oversight that we were promised.

    So, I guess my question is, are things going to get better because we have a more aggressive flashlight for exposing these secret interpretations of our law, or, will this just keep getting worse until something significantly worse happens? Something like, Egypt, Syria, etc...

    Revolutions are nothing new... I just wish they weren't so damned violent and terrifying.

    --
    "Helping to keep you two steps ahead of the Thought Police!"
    1. Re:Just another example... by fuzzyfuzzyfungus · · Score: 5, Insightful

      there are lots of doctors writing prescriptions which are then resold on the street. the doctors are in on the scam since they cannot possibly see all these patients.

      the DEA is just trying to catch shady doctors

      And this is relevant to the DEA's desire to see my medical records why exactly?

      Sure, I'm so worried that some pillhead will be buying opiates or amphetamines of standardized purity and potency produced by (somewhat) law-abiding companies according to FDA industrial heigine standards, rather than getting the good shit from biker gangs or mexican cartels or whatever that I'm willing to let the DEA have a rummage through my medical records (which are, of course, totally impossible to infer with nontrivial accuracy from my prescription history).

      (As it is, why don't we cut the criminal distribution networks off at the knees by referring addicts straight to the higher-quality product, and accompanying opportunity for medical care and cessation assistance, provided by medical-grade drugs?)

    2. Re:Just another example... by TheCarp · · Score: 5, Insightful

      I don't particularly care what they are trying to do. Perhaps those "shady doctors", as you put it, are doing what doctors who prescribed alcohol during prohibition did: Realizing that arrest and jail is more harmful to the health of their patient than the drugs.

      However, in any case, it doesn't matter what they are trying to do....ends do not justify means. Maybe I am "just trying to catch child pronographers" so I break into your house and inspect every file on your computer. Sure its wrong but hey, I am trying to catch child pornographers, so you should be happy I violated your privacy. As long as the intention is good, all is good in your mind right?

      --
      "I opened my eyes, and everything went dark again"
    3. Re:Just another example... by sjames · · Score: 5, Insightful

      I would rather have thousands of junkies getting clean safe prescription drugs to feed their habit than have even one person condemned to a life of agony because the DEA makes doctors scared to prescribe pain meds.

      The DEA needs to stop practicing medicine without a license.

    4. Re:Just another example... by JDG1980 · · Score: 5, Interesting

      the DEA is just trying to catch shady doctors

      First of all, even if this was true, it wouldn't justify violating the privacy rights of third parties.

      Secondly, the DEA considers any doctor who prescribes a lot of painkillers to be a "shady doctor", even if there is a legitimate medical reason. Doctors who treat people with chronic pain are in real danger of being prosecuted by these witch-hunters.

    5. Re:Just another example... by Bacon+Bits · · Score: 5, Interesting

      I would say the Civil Rights movement in the US was a revolution.

      I find it immensely depressing that the same generation that fought so hard and paid such a dear price for civil rights when they were young was the exact same generation to sell them back so cheaply when they were old.

      --
      The road to tyranny has always been paved with claims of necessity.
  4. Re:DEA, meet HIPAA and HITECH. by SemperUbi · · Score: 5, Insightful

    Seriously! We MD's and other hospital staff all have to get mandatory patient privacy and security training every year. Some people at the DEA need to do this too because they are WAY out of line.

  5. Re:DEA, meet HIPAA and HITECH. by ColdWetDog · · Score: 5, Insightful

    The DEA jumped the shark a while back. If marijuana is a Schedule I drug (no accepted medical use, high probability of harm) and Marinol (concentrated, synthetic THC, the active ingredient in marijuana) is a Schedule III (Like low dose hydrocodone - Vicodin) then something's pretty wacky.

    They have no interest in doing anything but increasing their fiefdom. Which is a shame. There is a complex interplay between useful and dangerous drugs and uncontrolled drug abuse is dangerous (witness the bath salts issue). But no one wants to work the with the DEA since administratively they're still mired in the Reefer Madness mindset.

    The executive branch, ie. Obama, needs to slap on some testosterone patches (a Schedule III drug) and knock some upper level bureaucrats silly. There really is no possible law enforcement reason for this. If you are looking for the few doctors that really are the bad apples, the pill mill guys, then all you need to do is track the docs prescription volumes. Start looking at the folks, say two standard deviations from the mean. That should give you enough homework. You don't need to drill down to the individual patient level - that's not where the public health issue is.

    --
    Faster! Faster! Faster would be better!
  6. Re:DEA cannot win this. Why bother? by Greyfox · · Score: 5, Insightful
    Because they're a government agency and government agencies waste time and money. The DEA in particular has been nothing but a waste of time and money since its inception, the functional equivalent of pouring gasoline on trillions of taxpayer dollars and burning them. Formed on the pretext that marijuana is "bad" for you with no studies done on the subject, their sole purpose has been to perpetuate the myth that their existence makes the country a better place. All it has, in fact, brought is is a slow erosion of the Constitution, the indentured servitude of a generation of young, mostly-black youth and a no apparent impact on the drug use in the country. If they were disbanded today, no one would notice a thing. They know they need to keep distracting us and flailing their arms about anything they can come up with, so that lawmakers under the influence of hysteria increase their budget next year.

    Ask a silly question...

    --

    I'm trying to teach myself to set people on fire with my mind... Is it hot in here?

  7. Re:DEA, meet HIPAA and HITECH. by Gr8Apes · · Score: 5, Insightful

    IANAL, but HIPAA is very very clear on this. The information, even if turned over to a third party, needs to continue to be treated as HIPAA information. Since pharmacies are under HIPAA jurisdiction, either the Oregonian DB is HIPAA certified, or they're in violation of HIPAA. There is no leeway in the law. If, at any point, you have HIPAA information and fail to treat it as such, you will be fined, etc.

    --
    The cesspool just got a check and balance.
  8. That's the state's job. Also, get a warrant. by raymorris · · Score: 5, Insightful

    Repeat after me "the federal government does not have general police power". "The federal government does not have general police power".
    See United States v. Dewitt, Employers' Liability Cases, Keller and the 10th amendment, which reads:

    The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.

    "Find scam doctors" is not one of those delegated powers, which are listed in article 1, section 8.

    This part of the filing on page was interesting:
    The DEA is not required to obtain a court order based on probable cause to issue a subpoena or to have it enforced.

    Fourth amendment, anyone?

  9. If the DEA wins, it loses by whoever57 · · Score: 5, Interesting

    If the DEA wins, then surely Oregon's database (PDMP) is in violation of HIPAA, which means the database should be shut down, which means that there would no longer be any data for the DEA to collect.

    So, great work DEA. Shut down a useful database.

    --
    The real "Libtards" are the Libertarians!
  10. Re:The Obama Administration... by Hatta · · Score: 5, Insightful

    Now I'm going to say the same thing I have said about every president during the last 30 years: They aren't Omnipotent. They do not know what everyone under them is doing, and they aren't really hands on running each agency beneath them.

    If *I* know about it, what's the President's excuse for not knowing about it? When he finds out about these issues, what's his excuse for not firing the head of the agency? Why is Eric Holder still AG, when he violated Obama's promise to respect state laws on medical marijuana? Why is James Clapper still DNI, when he lied to Congress? For that matter, has Obama disciplined ANYONE underneath him for well established abuses of power?

    Obama doesn't give a shit about us, our rights, or America. All he cares about are his cronies.

    --
    Give me Classic Slashdot or give me death!
  11. Interstate Commerce Clause = Instrastate Powers by cervesaebraciator · · Score: 5, Informative

    Indeed, the Interstate Commerce Clause is one of the most abused sections of the Constitution. If something is grown and consumed locally, you and I might deny it has much to do with interstate commerce. Indeed, it would seem to be the very definition of intrastate commerce. But the sophists, er... sorry, the Constitutional lawyers will argue that growing drugs locally rather than buying them from other states will affect the markets in those other states. Since the activity has interstate effects it will be counted as interstate commerce.

    So it's not just that an air molecule might cross the state border. It's also that by having air within the state borders, we have no vacuum within the state. Our lack of a vacuum in the state means that we will not draw on other state's supply of air, so affecting the air market in those states. We're in charge now...

    Lest what I say seem to absurd, consider this from the font of all knowledge:

    In United States v. Wrightwood Dairy Co. (1942) the Court upheld federal price regulation of intrastate milk commerce, stating:

    The commerce power is not confined in its exercise to the regulation of commerce among the states. It extends to those activities intrastate which so affect interstate commerce, or the exertion of the power of Congress over it, as to make regulation of them appropriate means to the attainment of a legitimate end, the effective execution of the granted power to regulate interstate commerce. [ ...] The power of Congress over interstate commerce is plenary and complete in itself, may be exercised to its utmost extent, and acknowledges no limitations other than are prescribed in the Constitution. [ ... ] It follows that no form of state activity can constitutionally thwart the regulatory power granted by the commerce clause to Congress. Hence, the reach of that power extends to those intrastate activities which in a substantial way interfere with or obstruct the exercise of the granted power.[13]

    In Wickard v. Filburn (1942) the Court upheld the Agricultural Adjustment Act of 1938, which sought to stabilize wide fluctuations in the market price for wheat. The Court found that Congress could apply national quotas to wheat grown on one's own land, for one's own consumption, because the total of such local production and consumption could potentially be sufficiently large as to impact the overall national goal of stabilizing prices. The Court cited its recent Wrightwood decision and decided that "[w]hether the subject of the regulation in question was "production," "consumption," or "marketing" is, therefore, not material for purposes of deciding the question of federal power before us."