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Hospitals Begin Data-Mining Patients

schwit1 (797399) sends word of a new and exciting use for all of the data various entities are collecting about you. From the article: You may soon get a call from your doctor if you've let your gym membership lapse, made a habit of ordering out for pizza or begin shopping at plus-sized stores. That's because some hospitals are starting to use detailed consumer data to create profiles on current and potential patients to identify those most likely to get sick, so the hospitals can intervene before they do. Acxiom Corp. (ACXM) and LexisNexis are two of the largest data brokers who collect such information on individuals. They say their data are supposed to be used only for marketing, not for medical purposes or to be included in medical records. While both sell to health insurers, they said it's to help those companies offer better services to members.

162 comments

  1. Doesn't give warm fuzzies by robstout · · Score: 5, Insightful

    I'm alright with my doctor having this information, in theory, but I really don't trust the insurance companies with this. "So, I see that you like taco bell. We're raising your rates."

    1. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 1

      I doubt they know what to actually do with this data other than tell you to exercise more and eat better.

    2. Re:Doesn't give warm fuzzies by BitZtream · · Score: 1, Flamebait

      You're wrong, you shouldn't trust your doctor AT ALL. Your life/health and privacy are far too important to do so.

      Your doctor is no better of a person than anyone at the insurance company.

      You need to understand that every single person at a hospital is also a person, not some mythical creature who actually cares about you.

      99.9% of the doctors created today are just as scummy as anyone else. The age where doctors cared has not existed during my life time, if it ever did. The hippocratic oath is a joke at best, nothing more than lip service.

      --
      Persistent Volume manager for Kubernetes - https://github.com/dwimsey/openshift-pvmanager
    3. Re:Doesn't give warm fuzzies by timrod · · Score: 5, Insightful

      What frightens me is the idea that they could get the wrong information and give that to my doctor or insurance company. For instance, a couple of weeks ago, my car broke down. While it was in the shop, I was getting a ride to work with a co-worker. They stopped at Dunkin' Donuts every morning and got a coffee and a donut, and I would usually pay for it (along with their gas) in exchange for giving me a ride. This means my purchase history would show me buying a coffee and a donut every morning for around five days, even though I didn't actually consume either of them.

      With a system like this in place, I'm sure my insurance company would see that and go "He's buying donuts, raise the premiums!" even though the donut I'm not consuming doesn't really effect me in any way.

    4. Re:Doesn't give warm fuzzies by plopez · · Score: 5, Insightful

      Couple that with "eventually consistent" databases and you have a recipe for disaster.

      --
      putting the 'B' in LGBTQ+
    5. Re:Doesn't give warm fuzzies by pepty · · Score: 2
      If the data brokers/hospitals want to prove my consumer information is actually health information and thus HIPAA rules should bar the data brokers from selling it to most of their other clients ... sign me up.

      http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html

      Who must follow these [HIPAA] laws:

      Health Care Clearinghouses—entities that process nonstandard health information they receive from another entity into a standard (i.e., standard electronic format or data content), or vice versa.

      In addition, Business Associates of Covered Entities must follow parts of the HIPAA regulations.

    6. Re:Doesn't give warm fuzzies by sribe · · Score: 1, Flamebait

      99.9% of the doctors created today are just as scummy as anyone else. The age where doctors cared has not existed during my life time, if it ever did. The hippocratic oath is a joke at best, nothing more than lip service.

      You're so full of shit it's coming out of your mouth instead of your asshole.

    7. Re:Doesn't give warm fuzzies by Blaskowicz · · Score: 1

      You buy something as mundane as a coffee and a donut with a smart card? and how come the history is shared with everyone, not just your bank and the NSA?

    8. Re:Doesn't give warm fuzzies by L4t3r4lu5 · · Score: 5, Interesting

      One step further; You're with a friend and stop at a convenience store, he asks you to get a pack of smokes. Your insurance states you're a non-smoker. They use this data to refuse a claim in the future.

      --
      Finally had enough. Come see us over at https://soylentnews.org/
    9. Re:Doesn't give warm fuzzies by digitalchinky · · Score: 4, Interesting

      I write medical imaging software, surounded by dozens of doctors every day that are not just out of earshot of the patients but sometimes not even in the same country. My sample size is obviously not representative of much at all, though at least in my tiny corner of the world the situation is the total opposite of what you describe. These people sigh and get upset when they see terminal disease, they cry when children are dying, they don't enjoy seeing people hurt and don't waste a second if it means life or death. They are often detached but they still care.

      Don't mistake the human factor for doctors that are worried about getting sued because someone broke their pinky finger and had to wait for the guy having a heart attack to be treated first.

    10. Re:Doesn't give warm fuzzies by CreatureComfort · · Score: 4, Interesting

      Nurse Joke: "You know what you call the guy who graduated last in his class at medical school? Doctor."

      Angie's List was created because separating the lousy doctors from the very few good ones is almost impossible. The AMA has lobbied successfully to make it illegal for a patient to find out the malpractice history of physicians.

      If you're looking for a new doctor, the best thing you can do is talk to some local nurses. They know which ones are on the ball, and which ones are flat out dangerous.

      --
      "Unheard of means only it's undreamed of yet,
      Impossible means not yet done." ~~ Julia Ecklar
    11. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      I'm alright with my doctor having this information, in theory, but I really don't trust the insurance companies with this. "So, I see that you like taco bell. We're raising your rates."

      Wait until the government gets it.

      Have you paid any attention to what the one single-payer system in the US is doing lately?

    12. Re:Doesn't give warm fuzzies by MitchDev · · Score: 1

      THAT would be a wonderful application of the HIPAA laws that so far seem to only generate a ream of papers (not for me to fill out or sign, just informational) when I visit the doctor's office...

    13. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Using a weighted average of the 4 studies, a lower limit of 210,000 deaths per year was associated with preventable harm in hospitals. Given limitations in the search capability of the Global Trigger Tool and the incompleteness of medical records on which the Tool depends, the true number of premature deaths associated with preventable harm to patients was estimated at more than 400,000 per year. Serious harm seems to be 10- to 20-fold more common than lethal harm.

      http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx

    14. Re:Doesn't give warm fuzzies by ehynes · · Score: 1

      That's illegal under the Affordable Care Act which requires that insurers use an adjusted community rating .

    15. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Wait, how is he wrong? How are Doctors not just "as scummy as anyone else"? Of course they are. It would be very strange to see a study proving that "doctors are 20% less scummy than everyone else". Not going to happen. If your insurance company is populated by dicks, your boss is a dick, people at your HMO are dicks, the police are dicks, then your doctor is probably a dick too. Guess what? You are probably a dick as well - as am I. The GP is just pointing out that there is no magical person who cares a lot about you other than maybe your parents.

    16. Re:Doesn't give warm fuzzies by robstout · · Score: 1

      If you don't trust your doctor, why do you go to him or her? They need access to sensitive information about you to properly diagnose issues, and to spot trends. Do you refuse to answer the questions they ask prior to every visit? Do you hold back family history of illness? Well then, good luck on catching something before it kills you.

    17. Re:Doesn't give warm fuzzies by robstout · · Score: 1

      Or alternately, they see that you do exercise and eat well, then why are your cholesterol levels bad? At the very least, it's good to have that as a baseline.

    18. Re:Doesn't give warm fuzzies by ColdWetDog · · Score: 1

      Oops. One step too far. You fell over the believable cliff.

      Come on. While I'm not happy about the rampant data mining going on everywhere and the premise of TFA is faintly ridiculous (we know where all the really sick people are - they're in and out of the ER all the time - we don't need no stinkin' data mining) you just might imagine that somebody is going to do a few checks internally.

      Even in this Evil Pantopicon, one pack of cigs isn't going to flag anything. One pack of cigs every day, OTOH, just might.

      I really don't see this being much of an issue. The insurance companies have all the data they need to screen for potential expensive, er, ill, patients. They don't need to look for Twinkie ingestion. This whole thing is a bunch of junior executives getting a hold of too much cocaine and hookers. Or cocaine anyway.

      --
      Faster! Faster! Faster would be better!
    19. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      I'm not sure that HDL=Good, LDL=Bad is correct. Epidemiology is much trickier than commonly conveyed. 0/52 replications of claims:

      http://www.gwern.net/docs/dnb/2011-young.pdf

    20. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      If you're looking for a new doctor, the best thing you can do is talk to some local nurses. They know which ones are on the ball, and which ones are flat out dangerous.

      Good tip, but how do I find a nurse that is honest and doesn't have an axe to grind?

    21. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 1

      Oh how naive. These companies do anything to make sure they don't have to pay up.

    22. Re:Doesn't give warm fuzzies by sconeu · · Score: 1

      Now that would be great! Kind of like the way that RMS turned copyright against itself with the GPL

      --
      General Relativity: Space-time tells matter where to go; Matter tells space-time what shape to be.
    23. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Good tip, but how do I find a nurse that is honest and doesn't have an axe to grind?

      You have to first find someone who is honest and doesn't have an axe to grind to tell you that.

    24. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Have you paid any attention to what the one single-payer system in the US is doing lately?

      Of course not, seeing as how it doesn't exist.

    25. Re:Doesn't give warm fuzzies by interkin3tic · · Score: 2

      I don't know, but I do know every human source has a bias, and every non-human source for reviews can be gamed. You're never going to get an absolute truth about how good or bad a doctor, or even a burrito restaurant, is. Which isn't so terrible since even the best doctor in the world could make a mistake that kills you, and even the dumbest doctors can save your life.

    26. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 1

      What frightens me is the idea that they could get the wrong information and give that to my doctor or insurance company. For instance, a couple of weeks ago, my car broke down. While it was in the shop, I was getting a ride to work with a co-worker. They stopped at Dunkin' Donuts every morning and got a coffee and a donut, and I would usually pay for it (along with their gas) in exchange for giving me a ride. This means my purchase history would show me buying a coffee and a donut every morning for around five days, even though I didn't actually consume either of them.

      With a system like this in place, I'm sure my insurance company would see that and go "He's buying donuts, raise the premiums!" even though the donut I'm not consuming doesn't really effect me in any way.

      Five donuts isn't statistically significant anyway, so don't sweat it. Now if you were at the grocery buying a dozen every sunday on your weekly shopping trip, along with some sugary drinks and no vegetables, then yes they might take notice. Healthy people buy the occasional donut, drink the occasional caramel latte, etc.

    27. Re:Doesn't give warm fuzzies by L4t3r4lu5 · · Score: 3, Interesting

      Hmmmm... I'm not so sure it's so unbelieveable. If you can be labelled an enemy combatant for wearing a Casio wristwatch I'm pretty sure you can be labeled a smoker for buying some cigarettes.

      You're still thinking rationaly. You can't do that around these people.

      --
      Finally had enough. Come see us over at https://soylentnews.org/
    28. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Count yourself lucky that you still have insurance at all.

      Yep, happening.

    29. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 2, Interesting

      I work IT at a large practice for a specific uncommon specialty. It employs 30+ doctors. There's quite a range of different types... I don't know if it's representative of doctors as a whole but it is humanizing indeed.

      There's the ancient high-brow jerk who disdains to speak with a "computer nerd with no degree" but the guy knows his medicine, despite the attitude. There's the cute lady who muddles through just barely, but has great "people skills". There's the hot-shot european-educated surgeon with a list of demands three pages long before he even does an evaluation. There's a totally chill unassuming doctor with funny posters that the other doctors make jokes about, but whom I know reads through medical journals like some of them read tumblr. And so on.

      Computer skills and inclinations vary wildly too, despite my expectations there would be a higher overall competency.

    30. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      That's why you carry cash.

    31. Re:Doesn't give warm fuzzies by interkin3tic · · Score: 1

      Look on the bright side: if health insurance companies get between Americans and junk food and/or alchohol, within minutes congressmen will have to barricade their doors from angry citizens pounding it down demanding national medical healthcare.

      Insurance companies start dinging us for doughnuts? Cops like doughnuts and have guns and pepper spray. Just sayin.

    32. Re:Doesn't give warm fuzzies by LoRdTAW · · Score: 1

      Thank you for that medically astute observation Dr sribe.

    33. Re:Doesn't give warm fuzzies by Sobrique · · Score: 1

      If only you had healthcare free at the point of need.

    34. Re:Doesn't give warm fuzzies by Sobrique · · Score: 1

      Loads of people die in hospitals. Who knew? Dangerous places those hospitals.

    35. Re:Doesn't give warm fuzzies by ichthus · · Score: 3, Funny

      You're so full of shit it's coming out of your mouth...

      No, you're full of shit. And, to prove it, I'll now provide exactly twice as much evidence as you did to the contrary:


      ...

      --
      sig: sauer
    36. Re:Doesn't give warm fuzzies by I'm+New+Around+Here · · Score: 3, Funny

      My doctor says it is more about the ratio between the two. You want to have a 6:1 ratio of HDL to LDL. Total amount of each isn't so important.

      But that was a VA doctor, so maybe I'm just lucky to be alive. ;^)

      --
      If you think I voted for Trump because of this post, you're wrong. I voted for Dr. Jill Stein of the Green Party. Again.
    37. Re:Doesn't give warm fuzzies by ColdWetDog · · Score: 1

      You're still thinking rationaly. You can't do that around these people.

      Sorry. You're correct. My bad.

      --
      Faster! Faster! Faster would be better!
    38. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Yes, but your doctor's advice is based primarily on observational studies. I don't know anything about the cholesterol research in particular, but something like 95% of claims based on that type of evidence turn out later to be wrong or overblown.

    39. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      These are people who died for reasons assessed as "preventable harm". If you have an actual problem with the way it was done (I am sure there are some/many), please share.

    40. Re:Doesn't give warm fuzzies by Altus · · Score: 1

      They didn't get rich by writing checks

      --

      "In America, first you get the sugar, then you get the power, then you get the women..." -H. Simpson

    41. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      The AMA has lobbied successfully to make it illegal for a patient to find out the malpractice history of physicians.

      Seriously? The AMA has blocked all court records, lawsuits and newspapers? That just isn't true.

      If you want to have an intelligent discussion about malpractice, at least stick to the facts.

    42. Re:Doesn't give warm fuzzies by Attila+Dimedici · · Score: 2

      I do not trust my doctor because they are a doctor. I trust my doctor for the same reason I trust my mechanic, because they have proven themselves to be trustworthy. The primary reason I do not trust my insurance company is because I do not actually know any of the individuals who work there, let alone the ones who might be making decisions about what to do with my personal infor.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    43. Re:Doesn't give warm fuzzies by Altus · · Score: 2

      The HIPPA rules are quite importnat, they do a lot to protect privacy in that data is not simply allowed to be shared without consent (unless you are incapacitated in which case a doctor in an emergency can get just about anything he wants. There are rules for tracking access to sensitive information along with auditing of the stated reason. Its pretty good stuff.

      That said, it only requires people to provide a certain level of data security.... since, say OpenSSH is an industry standard used for protecting information, it is sufficient for HIPPA requirements. Obviously a company would need to upgrade their systems in the face of a heartbleed style attack but would only be liable if they dragged their feet on it and not liable for the data lost before the bug was public. Its maybe not as secure as people would like it to be in that respect. Still, better than what we had before.

      --

      "In America, first you get the sugar, then you get the power, then you get the women..." -H. Simpson

    44. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 1

      I fully agree with the notion that you should not give away your responsibility for yourself to someone else. It should be a partnership with all partners fully responsible. The problem I see is that as finances become more and more of a problem people get into a mindset of "must have", which is a stuck in-flow, whereas to work we need a flow of give and take. The "must have" on money becomes so unproportionally important that other critical values loose out, such as humanity. Capitalism is closely associated with democracy as being 180 degree from Communism. The problem is that neither actually makes humanity important, and we see how we are drifting away from a society where people are the most important to things and ideas like money being more important.

      Doctors are held high because they are supposed to help with that thing which is so highly regarded, namely health. Yet few people actually bother to have even a rudementary understanding of those things related to health and have simply given away theat responibility to doctors. Now if at the same time the field of doctors, the making of, is more focused on money than actual health then things start to go askew. We get wild things such as synthetic vitamins and minerals rather than the real thing because it saves money.

      Most people are basically highly irresponsible for self and others. And others are very willing to take advantage of that fact for their own personal gain, and at others expense. Far too seldom do you see unselfish acts, yet those are mostly the acts that keep society working. Which shows the power of those acts.

    45. Re:Doesn't give warm fuzzies by jythie · · Score: 1

      Actually one of the things they are planning to do with it is figure out which patients are at risk for complications and thus receive extra assistance like in home checkups or keeping them under observation longer. It is a big part of trying to battle readmission rates after surgery or other care since those kinds of complications tend to be the most life threatening and expensive to deal with.

    46. Re:Doesn't give warm fuzzies by jythie · · Score: 1

      By being polite and respectful? I have yet to meet a nurse unwilling to be helpful to someone treating them like a human being.

    47. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 1

      "figure out which patients are at risk for complications"

      How exactly?

    48. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Doctors do not treat the illness anymore, they instead treat the symptoms because this way they can prescribe the 20 different medications that their BIGpharma rep told them is a cure all for everything and also that if they are able to prescribe X amount over Y time they will get a huge kick back.

      Doctors at least for the past 10 years in the US have not been in a business of healing people but padding their wallets and making sure their third or fourth house is just like the others thought they only use it for 1 week out of the year.

      Now is it a good thing to go get checked out by a doctor every so often, sure, but you have to also trust that doctor to know what they are doing. Im not going to go to an Oncologist for a knee replacement. Nor am I going to go to an OBGYN for a brain tumor. sometimes you need to get a second or third opinion. Doctors are not always right, and if their intention is not to treat the main cause but the symptoms then GTFO of there and find a new doctor.

    49. Re:Doesn't give warm fuzzies by jythie · · Score: 1

      Lots of math. It involves looking at historical data, attempting to identify patterns and critical factors, then using that model for predictive purposes.

    50. Re:Doesn't give warm fuzzies by Ceriel+Nosforit · · Score: 1

      It sounds like public disclosure of private facts. - http://privacy.uslegal.com/wha...

      --
      All rites reversed 2010
    51. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Alternatively, if the ACA ever gets repealed, insurance companies could use this to cherry-pick and dump high-risk customers. Yeah, yeah, go ahead and call me a conspiracy theorist nut case. I prefer to think of myself as a cynical realist.

    52. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      RE: One step further; You're with a friend and stop at a convenience store, he asks you to get a pack of smokes. Your insurance states you're a non-smoker. They use this data to refuse a claim in the future.

      I think the paranoia is justified. I smoke cigars, but I have been paying cash for them for a couple of years now. I don't want transactions at the tobacco store showing up on my credit card.

    53. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 2, Interesting

      "Lots of math. It involves looking at historical data, attempting to identify patterns and critical factors, then using that model for predictive purposes."

      This will fail (to help people). It may be useful as exploratory analysis, but without theory backing it up it is nothing but curve fitting. It will be even worse than current epidemiology (which has a horrible track record, possibly even worse than psychology) that is at least somewhat informed by theory and expert opinion. This new way of incorporating consumer habits is just adding in additional assumptions to mislead the interpreters. Plus, we need to get rid of strawman NHST before anything like this can be implemented intelligently.

      Now, this may be able to make some people some money, but help patients...no. Unless you have access to a more detailed account of what is planned beyond mathigic and it differs greatly from what I suspect, it will not help patients.

    54. Re:Doesn't give warm fuzzies by g01d4 · · Score: 1

      Your basic point is correct but a tad misanthropic. I'd suggest most doctors care, but that care is so diluted that it's not in your best interest to put any reliance on it. We recently discovered our medical group, which we've been in for many years, could not be bothered to transfer the kids immunization records from the pediatricians office to their primary doctor (all in the same group) when the kids became adults.

      As other posts have noted, the only care you can rely on will come from the insurance company.

    55. Re:Doesn't give warm fuzzies by jythie · · Score: 3, Insightful

      Actually it has done pretty well. Experts are involved at all stages, it is not just blind pattern recognition, and the predictive power has been significantly better then random chance.

      So far the largest factor for readmission has been if their house as more then one floor and if they live alone.

    56. Re:Doesn't give warm fuzzies by fahrbot-bot · · Score: 4, Interesting

      What frightens me is the idea that they could get the wrong information and give that to my doctor or insurance company.

      To make matters worse, it seems impossible to get erroneous information removed. For example: My wife was misdiagnosed with asthma by an allergist. From then on, until she died 10 years later, every doctor asked her about her asthma, and she would tell them about the error. Even now, 8 years *after* she died, I still get flyers in the mail from BC/BS about asthma addressed to her.

      --
      It must have been something you assimilated. . . .
    57. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      the predictive power has been significantly better then random chance.

      Everything is going to be correlated, it is only a matter of sample size. So that is a meaningless statement, this is what I meant by get rid of strawman NHST. I am not pumping Bayesian approaches here, I am saying you need theory making precise predictions to correctly apply stats. The null hypothesis can't be known to be false (zero correlation) beforehand. This paper is a good place to start:
      Meehl, Paul E. (1967). "Theory-Testing in Psychology and Physics: A Methodological Paradox". Philosophy of Science 34 (2): 103–115. doi:10.1086/288135
      http://mres.gmu.edu/pmwiki/uploads/Main/Meehl1967.pdf

      That is before we talk about extrapolating beyond the sample. Human behavior is non-stationary, so even applying the results to the same group of people later in their lives will be off by an unknown amount. Extrapolating beyond the sample into new people and it is practically useless. There needs to be a theory making predictions to take it seriously. Like I said, it sounds find as exploratory analysis.

      So far the largest factor for readmission has been if their house as more then one floor and if they live alone.

      So relatively rich old people are more likely to return to the hospital after surgery?

    58. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      You're wrong, you shouldn't trust your doctor AT ALL.

      99.9% of the doctors created today are just as scummy as anyone else

      What of the other 0.1% of doctors "created today"? Are they more or less scummy than anyone else?

      The ridiculousness of your unfounded assertion aside, your point about the blurry line between doctor and insurance company is valid. If you have health insurance and you want medical care, then there is no difference between your doctor knowing some fact about you and your insurance company knowing the same fact.

    59. Re:Doesn't give warm fuzzies by Fnord666 · · Score: 1

      You're wrong, you shouldn't trust your doctor AT ALL. Your life/health and privacy are far too important to do so.

      Your doctor is no better of a person than anyone at the insurance company.

      You need to understand that every single person at a hospital is also a person, not some mythical creature who actually cares about you.

      99.9% of the doctors created today are just as scummy as anyone else. The age where doctors cared has not existed during my life time, if it ever did. The hippocratic oath is a joke at best, nothing more than lip service.

      I don't trust my doctor with my personal information because of some vague oath any more than I do any politician to support and defend the constitution. I trust my doctor with my personal information because he has a legal obligation to not disclose that information to other parties without my consent.

      --
      'The tyrant will always find pretext for his tyranny.' - Aesop's Fables
    60. Re:Doesn't give warm fuzzies by OhPlz · · Score: 1

      It's even worse for people with chronic pain conditions. All it takes is one medical provider to flag the patient as a drug seeker and that person's life becomes a living hell.

    61. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 1

      On the second point, Deming may be a good place to start. He breaks things up into "enumerative" and "analytic" problems:

      Limitations of statistical inference. All results are conditional on (a) the frame whence came the units for test; (b) the method of investigation (the questionnaire or the test-method and how it was used) ; (c) the people that carry out the interviews or measurements. In addition (d), the results of an analytic study are conditional also on certain environmental states, such as the geographic locations of the comparison, the date and duration of the test, the soil, rainfall, climate, description and medical histories of the patients or subjects that took part in the test, the observers, the hospital or hospitals, duration of test, levels of radiation, range of voltage, speed, range of temperature, range of pressure, thickness (as of plating), number of flexures, number of jolts, maximum thrust, maximum gust, maximum load.

              The exact environmental conditions for any experiment will never be seen again. Two treatments that show little difference under one set of environmental circumstances or even within a range of conditions, may differ greatly under other conditions-other soils, other climate, etc. The converse may also be true: two treatments that show a large difference under one set of conditions may be nearly equal under other conditions.

              There is no statistical method by which to extrapolate to longer usage of a drug beyond the peritd of test, nor to other patients, soils, climates, higher voltages, nor to other limits of severity outside the range studied. Side effects may develop later on. Problems of maintenance of machinery that show up well in a test that covers three weeks may cause grief and regret after a few months. A competitor may stop in with a new product, or put on a blast of advertising. Economic conditions change, and upset predictions and plans. These are some of the reasons why information on an analytic problem can never be complete, and why computations by use of a loss-function can only be conditional. The gap beyond statistical inference can be filled in only by knowledge of the subject-matter (economics, medicine, chemistry, engineering, psychology, agricultural science, etc.), which may take the formality of a model [12], [14], [15].

      https://www.deming.org/media/pdf/145.pdf

    62. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 1

      You haven't dealt with enough nurses.

      It's not just that field. All of the "helping" professions have a significant chunk of members whose enthusiasm for, well, helping tends to wane after a few years. They become bitter and they dislike their jobs.

    63. Re:Doesn't give warm fuzzies by jythie · · Score: 1

      Actually no, you do not need a theory. You do not need to know why something is when all you care about is, well, is it? Being able to explain patterns is a separate step from being able to detect patterns, and you can find patterns in data without needing a theory going in.

      However you can build a theory based off patterns you find. The multiple floor living alone factor for instance was tied back to minor falls when moving between floors which could become serious if there was no one around. Having a caretaker stay with the patient for a while significantly reduced readmission rates. They did not go in with 'hey, I bet falls cause problems, let us look for that pattern', they went in with 'here is a pile of data, run some well respected statistical methods across it and find significant factors' and worked from there.

    64. Re:Doesn't give warm fuzzies by Jawnn · · Score: 1

      We'd be interested to see the data supporting your 99.9% number, but we know that you're just talking out of your ass so we'll just call bullshit right now.
      Now let's talk about your misguided (not to mention grammatically awkward) notion that "Your doctor is no better of a person than anyone at the insurance company." What a remarkably naive notion that is. While there, is to be sure, a wide range of expertise (and character) among physicians, comparing those two populations is almost pointless. What is an important point is the fact that insurance companies, whose single over-riding motivation is profit for their shareholders, have been dictating to doctors how to care for their patients for the better part of three decades, and it shows. Compared to every other western nation, the value we get for our health care dollars is poor, at best. Get that part right, at least.

    65. Re:Doesn't give warm fuzzies by tvsjr · · Score: 1

      Just a thought - why would we trust your thoughts regarding the Health Insurance Portability and Accountability Act (HIPAA) when you can't even get the acronym right?

    66. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      You are describing exploratory analysis. As I said twice, that is perfectly fine. If it is going to help patients, this will have to be followed up by theory development and testing of that theories predictions. I do not mean theory in the sense you are using it ("falls cause problems"), but as in a model capable of predicting at least upper and lower bounds under certain conditions. A theory capable of being tested and falsified.

      The medical literature is littered with this type of stuff, almost none of it is helpful. Progress has ground to a halt. Now it's looking like the ML people are going to have to relearn the same lesson.

    67. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Yup. Been paying cash for liquor 90%+ of the time for years as well. I put some on a card so the data don't show me as a teetotaler (which besides being realistic, is probably also a heuristic for identifying recovering alcoholics).

    68. Re:Doesn't give warm fuzzies by reboot246 · · Score: 1

      It may be innocent enough when it's just hospitals and doctors that are mining the data about you, but what happens when this country gets to a single-payer system? Then it's the government making the decisions and while a doctor or hospital can "advise" you about how you need to exercise and eat right, the government has the power to force you to do it.

      Think about it seriously. Everything you do in life somehow can be a health or wellness issue. Like to skydive or race motorcycles or rock climb or target shoot or any number of other perfectly normal activities? Well, you may or may not be able to enjoy some of those in the future. It's all up to some un-elected bureaucrat to decide. Oh, and they will probably be an IRS employee; we know how caring they are and how careful they are with your data.

    69. Re:Doesn't give warm fuzzies by sjames · · Score: 1

      He didn't say the insurance company would believe he was smoking on the sly, just that they would use that as an excuse to not pay out.

      Insurance companies are notorious for not paying based on flimsy excuses.

    70. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Or you could marry one - it works spectacularly well for me. :)

    71. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      I'm alright with my doctor having this information, in theory, but I really don't trust the insurance companies with this. "So, I see that you like taco bell. We're raising your rates."

      www.youtube.com/watch?v=RNJl9EEcsoE

    72. Re: Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      http://www.theonion.com/articles/physician-shoots-off-a-few-adderall-prescriptions,35718/

    73. Re:Doesn't give warm fuzzies by Anonymous Coward · · Score: 0

      Considering payments to insurance companies are one of the largest, if not single largest, payments hospitals make... this is as good as handing to insurance companies. This information will be used to provide leverage in negotiations with insurance companies. Sure... it's offered as bulk data, but for an even bigger cut in rate increases, it can be granularized.

    74. Re:Doesn't give warm fuzzies by PJ6 · · Score: 2

      The AMA has lobbied successfully to make it illegal for a patient to find out the malpractice history of physicians.

      This may be true for your state, but not in MA. You can go here to review the profile of any physician that has ever been registered in the state of Massachusetts. These profiles include malpractice, disciplinary action, and criminal history. This information is primary and authoritative; the site that hospitals and other healthcare providers use to check on their doctors, and what the public sees, is one in the same. In addition, anyone is allowed to call the Board of Medicine to request specific details about any averse information shown here.

      Many other states have similar websites that were made in direct response to the concerns of those like you.

    75. Re:Doesn't give warm fuzzies by Sciath · · Score: 1

      No, he's right. Consider this... all doctors by virtue of their advanced education and training, believe their opinions on personal health matters are far superior to that of their patients, even though the subject matter is someone else's body/life. Ergo, all doctors are firmly of the opinion every patient should follow their advice. Additionally, if patients are not willing to follow all of that doctor's advice then they don't want that person as a patient. Now... some of a doctor's advice may be unrealistic for a given situation or person. Doctor's are only concerned with results not a patients financial or personal situation, thus some advice may be problematic. Now... in the electronic monitoring being done, information sharing, etc. it is not unrealistic for doctors in the future to refuse service based upon a person's choices producing networks of people doctors will see and won't see creating a system of those who are served and willingly not served. To hell with the Hippocratic Oath. I've actually heard doctors voice the opinion "if patients don't care, neither do I." So I know that medical opinion is out there and even growing. If doctors were to have the capacity to monitor patients electronically by searching data about economic decisions they make that they might not ordinarily have access to (like eating at KFC everyday, drinking a case of beer in less than a week, smoking two packs of cigarettes everyday, etc.), it's not a huge leap to see doctors assuming the position "that person doesn't care about their health so why should I."

      --
      "Those who can make you believe absurdities can make you commit atrocities." - Voltaire
    76. Re:Doesn't give warm fuzzies by Sciath · · Score: 1

      The AMA may have lobbied for non- disclosure but that's not the same as not having access to that information. In the state I reside in a person can do a Department of State (state licensing agency) search for disciplined doctors or lawyers. One just needs to know where to look.

      --
      "Those who can make you believe absurdities can make you commit atrocities." - Voltaire
    77. Re:Doesn't give warm fuzzies by Sciath · · Score: 1

      It's questionable whose opinion is remarkably naïve. Doctors have been abdicating their responsibility for patient care for financial reasons over the past thirty years. And even more so over the past five to ten in their rush to be absorbed into giant healthcare systems who exercise corporate power over their practices. Ergo, patient care is subjugated to the corporate bottom line. Now... doctors and the AMA could've sought other solutions utilizing not only their financial but also their professional expertise influence. After all, no one else is legally permitted to practice medicine in every state except licensed medical professionals. Thus, if they wanted to, they could dictate conditions in the medical/insurance economy. But they haven't. Why? Money, just like the insurance agents/companies. So who's worse, the people who are in business to make money or the ones who took the Hippocratic Oath to serve? Seems clear doesn't it?

      --
      "Those who can make you believe absurdities can make you commit atrocities." - Voltaire
    78. Re:Doesn't give warm fuzzies by Sciath · · Score: 1

      Or refuse to sell you the cigarettes.

      --
      "Those who can make you believe absurdities can make you commit atrocities." - Voltaire
    79. Re:Doesn't give warm fuzzies by Sciath · · Score: 1

      Absurd. Private insurance industry can do the exact same thing, deny coverage because of lifestyle. In fact private industry has an even greater incentive to do so... profit margins. Government services are not operated on the basis of quarterly profits and are pay as you go systems. So I very much doubt your assertion carries much weight all things considered.

      --
      "Those who can make you believe absurdities can make you commit atrocities." - Voltaire
  2. Time to Legislate Data Mining by Anonymous Coward · · Score: 3, Insightful

    If we criminalized collection of data without specific field level consent, we could end this invasion of privacy.

    1. Re:Time to Legislate Data Mining by Wycliffe · · Score: 3, Insightful

      We could start by requiring mandatory reporting to a central agency and then a way for that central agency to send a
      unsubscribe back to the data collector.

      A government website where you can log in and see any place your name, social, phone number, etc.. is being used
      and a way to opt-out would be great. I'm still getting mail from people who haven't lived in my house for 5+ years.

      I think the 2 big problems with this plan is:
      1) Do we really want another giant government program/website.
      2) Sometimes the information collected is incomplete. Sometimes they only have a phone number, sometimes only an
      address, maybe just an email, sometimes less than that. So you would need a secure way to verify a phone number,
      an address, and a social at a bare minimum.

      It does seem crazy that stuff gets out and there is no way to recall your information. I have facebook friends
      who are now dead and yet their page is still active, people can still post to them, etc...

    2. Re:Time to Legislate Data Mining by BitZtream · · Score: 5, Insightful

      You can't allow for consent at all, if you do, every contract will simply require your consent in order for service to be rendered.

      The only way you stop data mining is to make it illegal, no exceptions. Its really no different than outlawing slavery. You can't allow someone to sign away their privacy or bodies to slavery otherwise they'll be duped, tricked or forced into a situation where they have to sign away those rights even if they don't want to.

      Want a bank loan? All banks will require you to allow them to mine your data or no loan, so you don't actually have a choice if you want a loan. But it'll just be extended to everything. Cell phone companies already do it. Power companies will start, and they'll add that you have to allow ANY and ALL of their affiliates to mine you as well ... and then everyone will become an affiliate of the power company.

      Nope, the only solution is to 100% outlaw data mining, which just isn't going to happen because the general public is basically too ignorant of the issue to care.

      --
      Persistent Volume manager for Kubernetes - https://github.com/dwimsey/openshift-pvmanager
    3. Re:Time to Legislate Data Mining by gstoddart · · Score: 4, Insightful

      We could start by requiring mandatory reporting to a central agency

      We can call it Big Brother. That's a nice name which implies someone looking out for your welfare, right?

      a way for that central agency to send a
      unsubscribe back to the data collector.

      Sorry, citizen, all information once collected can and will be used against you.

      In order to maximize corporate profits and governmental control, this information is vital to national interests.

      --
      Lost at C:>. Found at C.
    4. Re:Time to Legislate Data Mining by fropenn · · Score: 2

      There are plenty of benefits that can be found from data mining. Lots of research, for example, uses data mining to identify trends, patterns, relationships, etc. that are then used to develop and test hypotheses.

      So it's not data mining that's the problem, rather, it's the way some corporations and institutions use data mining for their best interest and not in the best interest of those whose data they have.

    5. Re:Time to Legislate Data Mining by Anonymous Coward · · Score: 0

      Sorry, citizen, all information once collected can and will be used against you.

      Unless you work for the IRS and are discriminating against political undesirables. In cases like this, evidence of illegal activity will magically disappear when it threatens to expose wrongdoing by the Democrats.

    6. Re:Time to Legislate Data Mining by Anonymous Coward · · Score: 0

      Yes. Rarely is a single issue completely one-sided. It isn't like slavery wasn't good for a lot of people (the plantation owners and their customers). Some have even argued that slavery put meals on the table and a roof over the heads of slaves.

      But none of that was enough to justify it.

    7. Re:Time to Legislate Data Mining by eth1 · · Score: 1

      I agree that what you describe makes "consent" useless, but you don't necessarily need to outlaw it.

      Just require that:
      - any commercial entity that stores information on individuals (with NO exceptions whatsoever) has to provide said individuals a full dump of the data once per some time period upon request, with no conditions or cost attached, along with a list of everyone they've given it to.
      - the entity must correct any incorrect information, and can't distribute any information regarding an individual until the errors are corrected.

      Not perfect, but it would be a start.

    8. Re:Time to Legislate Data Mining by Charliemopps · · Score: 1

      If we criminalized collection of data without specific field level consent, we could end this invasion of privacy.

      No you wouldn't. I deal with marketing software all the time. They get around it very easily. They don't log your name or any "directly" identifying information. Keep in mind, they don't care who you are... They just want to sell you stuff. So to remain in compliance with the law, you log all the data in an "anonymized" database. You log identifiable information like name, phone, email in a different database and make it "secure" Then you wait... at some point they will click a link or request some info that, by the legal definition, puts them in the status of "a person asking to be marketed to" or whatever... Usually something like "click her for more info!" it asks for their email, they provide it... you use all that "anonymized" data to generate a marketing attempt, you link that marketing attempt to their account data using the email address they just provide you and create an "opportunity" to make a sale. Then either something as simply as your general spam email gets sent out, or maybe they'll even get a phone call or site visit. Because the email address is the real link and is transient you can claim all the traffic data is kept to "better maintain the site" or whatever.

      Then you destroy the link between their web activity, and the customer record. The web activity can be linked to THEM very easily. Via cookies is the simplest, but you can also do it via hundreds of other data points. It's all very easy and there are prepackaged marketing platforms out there that do it all for you. Because the customer record is not linked directly to this data, you can keep as much detail as you want about the persons browsing activity without violating any privacy laws or regulations. This is the metadata everyone talks about...

      You can keep all their identification data in a separate database. Because it's separate, its just considered "Contact info" and in there you can store previous purchases, things like that.

      As awful as all that sounds, there is a bright side. If the data were to get stolen, it would be a lot hard to exploit.

    9. Re:Time to Legislate Data Mining by Anonymous Coward · · Score: 0

      In cases like this, evidence of illegal activity will magically disappear when it threatens to expose wrongdoing by the Democrats.

      So, what happened to the evidence that Bush et al lied about why they were going into Iraq or were authorizing war crimes?

      What happened to the evidence that Alberto Gonzales was a lying sack of shit who didn't understand or care what the Constitution said?

      Oh, wait, your Republicunts are beyond reproach, right?

    10. Re:Time to Legislate Data Mining by bzipitidoo · · Score: 2

      Few issues are completely one sided, but slavery is about as close as you can get. That roof over their heads is just cheap rationalising to help the masters feel good. Like patting yourself on the back for feeding someone a fish today, when you could have taught them how to fish but you won't because you want to keep control. You even go as far as stopping them from figuring out how to fish on their own, on the notion that they can't handle such dangerous knowledge. Slavery wasn't even really good for the plantation owners. Their world view was seriously warped by the prejudice they ingrained in themselves. They really believed their self justifying propaganda about blacks being inferior, latched hard onto the whole idea of the White Man's Burden. Laboring under such wrong thinking leads to systemic weakness.

      The ultimate reason the Confederacy lost was that when they started the war, they were already way behind economically, and that was thanks to slavery. Slave powered economies simply are not competitive. Very static, resistant to change, and lacking innovation. They deluded themselves that southerners were more manly than northerners. Hoped that, a few other advantages like King Cotton, and most of all the advantage of being the defender would be enough to tip the scale against the Union's huge numeric advantages. But often their leadership would squander the defensive advantage by making reckless assaults, possibly out of that misplaced sense of greater manliness. Lots of battles in Confederate territory have more confederate than union casualties. General Hood was the ultimate in reckless aggressiveness, and President Davis put him in command because he wanted aggressive action. The result was that Hood got his army killed, first seriously reduced at Atlanta, then finsihed at Nashville.

      What I don't like is the "blame the victim" angle of this data mining. Instead of this approach of mitigating things the consumer did, as if they might be bad for our health, why not grill the store? Like, instead of haranging the consumer about a pizza they ate, what about a talk with the pizza vendor for using too much salt or fat or whatever? One thing that the US does is pour way too much salt on our food. There is precedent. I think bars are legally constrained not to sell alcohol to someone who is drunk, and/or required to prevent them from driving away.

      --
      Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    11. Re:Time to Legislate Data Mining by jerdenn · · Score: 1

      Fortunately, that strategy does not work for HIPAA protected health information. Any identifying number or information fragment that allows you to connect back to the original patient is not allowed. In small communities, this can be as little as age, diagnosis, and zip code.

      I expect some interesting court cases over this.

    12. Re:Time to Legislate Data Mining by LessThanObvious · · Score: 1

      Criminalizing the collection of the data isn't going to happen. It should happen, but the political will isn't even close to being there. The supreme court ruling in the Smith case set a precedent about protection of information shared with a third party. (Your bank transactions, your credit card transactions, your Facebook account, your phone calls metadata) Many states have their own more restrictive laws, but at the federal level you have almost no protection of anything shared with a third party. We need to redefine these relationships, redefine what we consider a reasonable expectation of privacy, redefine who can share, sell and collect personal information. We would need to define a persons accounts and activities as being private as extension of ones self. We say "my bank account", "my credit card", "my email", we as Americans do not think of these accounts or our lawful activities in those accounts to be public. It should be a crime to purposefully disclose information about customers when the information disclosure is not a functional requirement of the service provided. I hope all you Big Data marketing fucks die of ass-cancer.

    13. Re:Time to Legislate Data Mining by sjames · · Score: 1

      Unlike minimum wage employers, the owner felt some minimal need to protect his substantial investment so they also provided basic healthcare.

  3. Donut want by Anonymous Coward · · Score: 5, Funny

    Thanks a lot autocorrect. Now my insurance premiums are going up.

  4. I am a professional translator, me by Anonymous Coward · · Score: 2, Insightful

    ...and so I can tell that by "better services", they mean "withdraw coverage or raise the insurance premium the millisecond your risk increases".

    1. Re:I am a professional translator, me by plopez · · Score: 2

      More along the lines of "increase CEO bonuses". The only goal corporations really pursue.

      --
      putting the 'B' in LGBTQ+
    2. Re:I am a professional translator, me by Anonymous Coward · · Score: 0

      Right; and they will ignore the data they can get from FitBit that shows the 19,030 steps I took yesterday or the 101 flights of stairs I did between 3:15 and 4:30 AM this morning (while putting in 11,115 more steps). Real numbers BTW. But they won't bother to look at that and let it partially offset the beer I might have tonight. They won't bother trying to collect my Treadmill's data showing that I ran 5 miles after work. But if I get a burger that will certainly count against me.

  5. HIPAA? by Primate+Pete · · Score: 2

    How is not a HIPAA violation to share my health data (which is necessary for the marketing to be profitable) with advertisers? Under most circumstances, just identifying people as patients is not allowed, let alone saying that John Doe, who has hypertension, has been ordering pizza.

    1. Re:HIPAA? by BitZtream · · Score: 4, Insightful

      You have it backwards.

      The hospital is taking marketing data and using it for pseudo healthcare related reasons.

      They aren't giving Taco Bell your health data from the hospital, they are giving the hospital your Taco Bell receipts.

      The hospital then uses this to figure out new ways to rip you off for their already ridiculously over priced health services.

      (My wife is a doctor, I'm more than qualified to comment on how ridiculously over priced their rip off services are)

      --
      Persistent Volume manager for Kubernetes - https://github.com/dwimsey/openshift-pvmanager
    2. Re:HIPAA? by Anonymous Coward · · Score: 2

      Yes, heath insurance /= heathcare /= health. Finally people are starting to understand this.

    3. Re:HIPAA? by Anonymous Coward · · Score: 0

      You have it backwards.

      The hospital is taking marketing data and using it for pseudo healthcare related reasons.

      They aren't giving Taco Bell your health data from the hospital, they are giving the hospital your Taco Bell receipts.

      If the data Taco Bell (and others) collect can be used for medical purposes, maybe they should be subject to the HIPAA rules?

    4. Re:HIPAA? by dogbowl · · Score: 1

      My wife is a doctor as well and I can assure you, physicians have no clue how to properly price medical services.

      --

      These pretzels are making me thirsty.
    5. Re:HIPAA? by Anonymous Coward · · Score: 2, Interesting

      The hospital is taking marketing data and using it for pseudo healthcare related reasons.

      This seems as good a place as any to bring this up. Have other people been getting creepy robocalls from people claiming to be affiliated with their insurance companies?

      CSB: Robocall from a 'bot that knows my name, and it claims I need to fill out a survey for my health insurer. I ignore it. Bot calls back a few months later and says it just wants to be sure I'm getting the health care I need, etc.

      I do some digging and discover a company called Inovalon (formerly MedAssurant). The deal appears to be that because the insurance companies can't do medical underwriting anymore, they give their customer data to Inovalon. Inovalon then tries to harass customers into getting a "personal health visit" either at a physician's office, or at your home (small PDF of FAQs for physicians).

      Of note from the PDF: "What are the qualifications of the medical professional who will be evaluating my patient if they have a Personal Health Visit with someone else? The assessment is limited to a physical exam; treatment will not be provided. The medical professional will be a licensed physician, nurse practitioner, or physician assistant hired to perform this service. It is important to note that this exam is in addition to any regular visits the member has with you and is not a substitute for the memberâ(TM)s annual physical examination" / "Will I be paid? No. We have contracted with Inovalon to perform these visits. Since there are no additional resources required from you or your staff, no compensation will be provided to you. After the examination is complete, the documentation from the exam will be sent to you so you can better coordinate your patientâ(TM)s care."

      Translation: Medspeak: "Go see your doctor, a doctor, any doctor, because an annual checkup is a good idea." Marketspeak: "It'll keep you healthy!" Truth: "See a doctor that your insurance company chooses, so that it gets all the data and we know who to drop from coverage when/if PPACA is repealed. We can't do medical underwriting anymore, but we can ask nicely and maybe get the data anyways."

      CSB: Zero health problems for 15+ years, annual physicals every 3-5 years, I take my own vitals because blood pressure and blood sugar levels are trivially cheap to measure at home. Zero claims to insurance. Zero contact with insurance company for that entire time until this year when I switched from employer's expensive gold-plated plan to cheaper bronze ACA plan. Since then, six robocalls. Next open enrollment period, I'm seriously considering calling them up and telling them in most cordial fashion to go fuck themselves.

    6. Re:HIPAA? by Anonymous Coward · · Score: 1

      My wife is also a doctor, and she agrees with me that the system is beyond broken and needs to be single payer. She agrees that doctors make far too much money and that the system should not be about profit.

  6. only a paranoid nutjob would think by 0xdeaddead · · Score: 1

    that corporations and governments are watching your every move, putting it into databases to penalize you over it's content later. As to if it's accurate, well forget that! You are always guilty before the corporate overlords.

    think of it as a new 'convenience charge'.

    1. Re:only a paranoid nutjob would think by Anonymous Coward · · Score: 0

      Says the guy with planters nuts and job site advertisements across all his devices and accidently just clicked on one and is commended by the hospital doctor for eating nuts but shunned for being or soon to be unemployed. Come on, the question isn't if it's being collected or used but how accurate are the assumptions made from the data or lack their off. What happens if you have a nut allergy but unfortunately the marketing data that says you like nuts is in bigger bolder type or more prominent somehow?

    2. Re:only a paranoid nutjob would think by Anonymous Coward · · Score: 0

      If assumptions once were sane or non-existent, new insane ones can always be installed.
      This data is not going away soon.

  7. Not likely by jamesl · · Score: 1

    You may soon get a call from your doctor if you've let your gym membership lapse, made a habit of ordering out for pizza or begin shopping at plus-sized stores.

    When was the last time any doctor anywhere made an outgoing call to a patient? I get better customer service from my dog's veterinarian.

    1. Re:Not likely by bmorency · · Score: 2

      It might not happen very often but when I call my son's doctor and leave a message he will call me back at the end of the day every time. It is always him and not his secretary. That is one of the thing I really like about him.

    2. Re:Not likely by spiritgreywolf · · Score: 1

      Boutique (read that "private, self-pay") physicians will do that as part of their service. But if you are part of the rank-and-file hitting an outpatient arm of a hospital? I totally agree with you. I work as a interface programmer for all sort of medical systems and can say they are at least _trying_ with the EMR's to give something resembling personal service by sending automated reminders and correspondence to you. But it's still just another form-letter in the end. I mean really - if you knew the reality of the caseload of the average physician and physician's assistant in even a medium-size outpatient care center it makes your average vet seem like a lazy freeloader. Don't get me wrong - I love my vet - but the differences are staggering.

      Who knows. Maybe the integration of health devices tied together via smartphones and the like where the data gets funneled to your physicians ASSISTANT, then when certain things start going out of whack you might get a call... Maybe. Then again, who knows if the high reading from your glucometer won't just be yet another e-agent protocol that bubbles your status to the top of the heap of 10K other patients where you get the automated page "Yo! Take your insulin!". Methinks I want to develop these kind of things for vets to monitor their clients animals. Probably good money to be made there. I can envision e-collars that have a sensor suite to monitor the health and well being of pets. But I digress...

      I still am a firm believer in doing everything you can to take care of your own health monitoring - and be educated about things that affect you. We are ALL numbers and items on actuarial tables as far as providers and payors are concerned right up until you sit in the chair and actually _speak_ to your physician. I try not to wait until the last minute during that "oh-shit" moment and have to read up on a lot of things so I can be yet another armchair QB for my doctor :-)

      --
      Never have a philosophy which supports a lack of courage
    3. Re:Not likely by ColdWetDog · · Score: 1

      When was the last time any doctor anywhere made an outgoing call to a patient?

      When your bill is in arrears.

      --
      Faster! Faster! Faster would be better!
    4. Re:Not likely by I'm+New+Around+Here · · Score: 1

      Well, that call is in response to yours. I think jamesl meant a "just thinking about you" type of call.

      --
      If you think I voted for Trump because of this post, you're wrong. I voted for Dr. Jill Stein of the Green Party. Again.
    5. Re:Not likely by Fnord666 · · Score: 1

      Well, that call is in response to yours. I think jamesl meant a "just thinking about you" type of call.

      That's because the underlying core of western medicine is a reactive one rather than a proactive one.

      --
      'The tyrant will always find pretext for his tyranny.' - Aesop's Fables
  8. Since they will check NSA 'passive kill' list by MonsterMasher · · Score: 1

    Since they will check the NSA 'passive kill' list anyway, they might as well do the rest, in case you are not the standard auto-die list .. the single man. Even then, they might want to torture you first at NSA so perhaps you'll get health care anyway. Or saved to fill a private jail cell, perhaps.

    1. Re:Since they will check NSA 'passive kill' list by Anonymous Coward · · Score: 0

      You make yourself look like a candidate for their 'active kill' list...

  9. Anyone up for HIPAA? by CaptainDork · · Score: 3, Interesting

    Law firms recently received instructions regarding "secondary" violations of HIPAA. For instance, a firm might store X-ray images and depositions, expert affidavits, diagnoses, etc. that are strictly controlled at the source, but not necessarily at law firms, be the form of retention paper or digital. It would seem logical that all parties who have access to, or store, HIPAA-covered information should be regulated the same.

    --
    It little behooves the best of us to comment on the rest of us.
    1. Re:Anyone up for HIPAA? by sribe · · Score: 2

      Law firms recently received instructions regarding "secondary" violations of HIPAA. For instance, a firm might store X-ray images and depositions, expert affidavits, diagnoses, etc. that are strictly controlled at the source, but not necessarily at law firms, be the form of retention paper or digital. It would seem logical that all parties who have access to, or store, HIPAA-covered information should be regulated the same.

      No, it really does not make sense. Take the law firms for example, if you provide your information to a law firm with the intent of suing a hospital or doctor, you are providing it with the intent that it (might) eventually be used in PUBLIC court proceedings. Why should a morass of privacy regulations apply in that situation?

    2. Re:Anyone up for HIPAA? by KingOfBLASH · · Score: 1

      Data becomes public if and only if it's introduced into evidence by the Law Firm. Is it really so onerous to say, if you have health data that is confidential, take steps so it will not be disclosed until such time as it becomes part of the public record? Otherwise you open the door to all kinds of corner cases where a law firm can effectively disclose this information.

    3. Re:Anyone up for HIPAA? by Attila+Dimedici · · Score: 1

      Yes, but what if the law firm received it from someone other than me because of a court order (or for some other reason)?

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    4. Re:Anyone up for HIPAA? by sribe · · Score: 1

      Data becomes public if and only if it's introduced into evidence by the Law Firm. Is it really so onerous to say, if you have health data that is confidential, take steps so it will not be disclosed until such time as it becomes part of the public record? Otherwise you open the door to all kinds of corner cases where a law firm can effectively disclose this information.

      Are you forgetting that your communications with your lawyer were confidential for centuries before HIPAA piled on its god-awful morass of regulations???

    5. Re:Anyone up for HIPAA? by KingOfBLASH · · Score: 1

      Very valid point.

    6. Re:Anyone up for HIPAA? by CaptainDork · · Score: 1

      More to the point, law firms often share documents with other law firms, clients, expert witnesses, and others as deemed appropriate and not all exhibits and evidence in the custody of the firms are in the public domain. The recent "business associates" classification assigned to law firms regarding HIPAA demands that employees be educated regarding disposition of documents and knowledge. In addition, computer data storage of the HIPAA protected material calls for a "Chinese Wall," isolating the collection from other, general, storage with some measure of control like (perhaps) a "check-out" log that documents the who, what, where, and why of exposure. While law firms are "business associates," they are not alone, in my mind.

      --
      It little behooves the best of us to comment on the rest of us.
  10. Anathetic? by khr · · Score: 4, Funny

    Is data mining patients done under local or general anesthetic?

    1. Re:Anathetic? by RobSwider · · Score: 1

      Oddly enough, the process is similar to a colonoscopy, they just leave the camera there when they're done. So... a mild sedative.

  11. Really? by Anonymous Coward · · Score: 0

    While both sell to health insurers, they said it's to help those companies offer better services to members.

    Oh, Plah-ease!

    What a load of bullshit!

    Do people really believe this shit?

    "For your convenience." ....

    It's like when I had to create a Roku account and the webpage said payment information was required for my "convenience". Bullshit. They want your payment information in the hopes that you'll make impulse buys (with a 30% commission going to Roku). After bitching to customer service and having them give me the horseshit about it being for my convenience, they waved the requirement for payment information. If they didn't, I would have returned the unit as defective and let Roku eat the fucking cost.

    I really hate it when companies bullshit like that. It's insulting.

    And what's the deal with Apple? Getting an Apple ID online gives you an option to skip the payment information, but when signing up with an iOS device, there is no such option. WTF?!

    Whatever. Apple has about a dozen bogus accounts from me because it took a while for me to figure it out.

    Make stupid policies and stupid things happen.

  12. Ordering Pizza in the Future by HarryTk · · Score: 4, Informative

    This youtube video attributed to ACLU has been around at least 8 years, and explains it all. "Ordering Pizza in the Future" -- http://www.youtube.com/watch?v...

    1. Re:Ordering Pizza in the Future by Anonymous Coward · · Score: 1

      1984 (the novel).
      When it was written, it was incredible, such an imaginative mind as that man had.
      *In* 1984, it was impossible to believe any government (and especially anyone *not* in government) would ever get to know everything about you in such detail. Even in Russia, or Eastern Germany.
      In 2014, people laugh "huh, and without even needing Google or Facebook :)"
      In 2034 it will have been long overtaken by reality, and all except the old won't even remember that people once used to enjoy something called "privacy" (and had a legal right to it, instead of the exact opposite).

    2. Re:Ordering Pizza in the Future by budcub · · Score: 1

      I would mod you up, but sadly, I have no mod points.

  13. call from your doctor - heh by xxxJonBoyxxx · · Score: 1

    More like a computer- generated robocall.

    Besides, your doctor or hospital would probably prefer that you acquire an expensive long-term health condition that requires a lot of billable and reimbursable outpatient labor. They just don't want to see you walk in the door without private health insurance.

  14. Marketing overload by Anonymous Coward · · Score: 0

    Bought size 36 pants instead of the usual 34's began to get offers from both Ben&Jerry's and NutriSystem.

  15. PreMed by Anonymous Coward · · Score: 0

    Isn't this from a Dick story?

  16. Something I'd like to see by dargaud · · Score: 4, Interesting
    I live in a country with full healthcare. One thing I'd like to see is a (somewhat) obligation to give results on your treatment. Each time you go to the doctor to get some treatment, some time later you'd receive a mail with a link to a webform with a few _simple_ questions such as: did the treatment help ? Did you feel any adverse effect ? For how long were you sick ? For how long did you take your treatment ? Did you take any extra drugs, etc. And if you fail to respond to too many emails, your 'free' health care starts being dinged in you pocket. Of course, with exemption for some people and/or disease.

    It wouldn't cost much to implement, and would be a trove of info. Have a public structure derived from the national healthcare in charge of it which enforces strong anonymity, and provide anonymity data to big data analysts. It wouldn't take long to figure out scandals such as the Mediator. I mean, if you can't take ONE minute to answer some questions that WILL help others, why should you get free health care ?

    --
    Non-Linux Penguins ?
    1. Re:Something I'd like to see by Anonymous Coward · · Score: 0

      Haha, I can't wait until the news stories about the 1/1000000 case where a botched surgery results in death and the family is sent a survey asking 'On a scale of Least Satisfied to Most Satisfied, how would you rate the care you received?'

    2. Re:Something I'd like to see by MitchDev · · Score: 2

      Haha, I can't wait until the news stories about the 1/1000000 case where a botched surgery results in death and the family is sent a survey asking 'On a scale of Least Satisfied to Most Satisfied, how would you rate the care you received?'

      Depends on whether your relatives like or hate you...

    3. Re:Something I'd like to see by DNS-and-BIND · · Score: 1

      Despite living in an advanced country, you have fallen into the right-wing trap of believing that people must possess virtue to gain the benefits of society. "Free" doesn't mean they owe you or anyone else anything. It's a right.

      --
      Shutting down free speech with violence isn't fighting fascism. It IS fascism!
    4. Re:Something I'd like to see by OhPlz · · Score: 1

      You have no right to demand a health care provider to provide you their services for free.

  17. Cash Cash Baby by TigerPlish · · Score: 2

    All the more incentive to go back to paper money.

    Use debit / credit cards and open yourself to fraud and tracking, use cash and open yourself to robbery.

    Either way, we lost the war. The corporations won.

    The Public didn't even know there was a war on.

    --
    The "Civilized World" jumped the shark ca. 1973.
  18. No, no, no.... by Anonymous Coward · · Score: 1

    Quote: "You may soon get a call from your doctor if you've let your gym membership lapse, made a habit of ordering out for pizza or begin shopping at plus-sized stores...."

    What utter idiot wrote that article. Unless your last name is Rockefeller, you're not going to get a call from your doctor over such things. They've got far better things to do with their time. If you get a call, it'd be from some unfortunate person who's being paid little more than minimum wage for the work.

    This touches on one of my primary gripes with journalism, in this case Bloomberg. Journalism is filled with people who seemed to have no life experience in anything but journalism. They're clueless about how the world works and get their mistaken impressions of it from other equally clueless journalists.

    1. Re:No, no, no.... by MitchDev · · Score: 1

      No, it's just that a real journalist would have so much to put in a story that corporations that run all the major news outlets don't want the public to know, so they only allow the stories they want told, with the spin they want on it.

  19. Pfffft, preventative care doesn't pay by bhv · · Score: 1

    While the theory of preventative care is great for marketing and selling the privacy intrusion to legislators, it has a negative impact on the bottom line. Ultimately the data is far more valuable to an insurance company than a healthcare provider.

    Don't expect a call from your doctor, only an insurance rate increase notice in the mail.

  20. HIPPA? by Dcnjoe60 · · Score: 1

    It certainly would seem to be a violation of HIPPA for a hospital to be giving your information out to others without your consent. Now, if the hospital is using the data collection services and doing their own comparison, cross-referencing your medical history with your collected behaviors, that might be different. It is likely, that is not what is being done, or proposed, however.

    In reality, it is also unlikely that the hospital will have enough data about you. Your insurance company would be a different story, but the same HIPPA concerns would exist.

    Finally, as others have pointed out, it is unlikely that this information would result in a call from your doctor. It is much more likely you would receive targeted advertising from it, once again bringing into question HIPPA.

    This sounds like another candidate for the adage: Just because we can do something doesn't mean we should do it.

  21. But... that data was for advertisers only! by Anonymous Coward · · Score: 0

    Hey, that data was meant for predatory capitalists to discover my purchasing weaknesses, not for well-meaning medical practitioners who want to individualize my medical treatment!

  22. Oath by Anonymous Coward · · Score: 0

    Finally correcting a thousands of years old typo.
    Hypocrite oath.

  23. Cash! by kf4lhp · · Score: 1

    "...made a habit of ordering out for pizza..."

    Pay cash. Stop at Little Caesars. Done!

    1. Re:Cash! by CaptnZilog · · Score: 1

      "...made a habit of ordering out for pizza..."

      Pay cash. Stop at Little Caesars. Done!

      I pay cash all the time pretty much - the two things I don't are for rare online purchases, and filling up the car with gas (I use the CC for convenience). The worrisome thing for me might be the grocery store, using my "preferred customer" card for discounts and such, which means they can tie all my food purchases to me, so if I get frozen pizza that could be a problem. Take-out though, I drive there and pay cash, always.

  24. I'm just waiting.. by kheldan · · Score: 1

    I'll be over here, waiting patiently for the tipping-point to occur, when all you 'I have nothing to hide!' and 'I don't care who knows what I buy/where I go/what I do so long as I get a discount' people who have deprecated the whole concept of privacy have finally had enough of companies (and in this case, doctors and maybe insurance companies) poking their noses into your business. Those 'loyalty club' cards you've been using for years? Because you never cared about your own privacy, you never thought to ask for the contract you agreed to by accepting the card and the discount, which gave them the right to collect all sorts of personally-identifiable data on your purchasing habits, did you? Did you really think they were giving you a discount on everything you bought there out of the goodness of their hearts? Because they're such nice people? Because 'insuring your continued business' was enough of a reason for them? HA! Enjoy having your doctor up your ass constantly, after all you got a whole $0.10 off that box of cereal you bought so it's worth it, right?

    --
    Are YOU using the TOOL, or is the TOOL using YOU? Think about it!
    1. Re:I'm just waiting.. by Sir_Eptishous · · Score: 1

      Don't hold your breath....

      I've tried to have a reasonable discussion on this topic with many people who are of the mindset you describe.
      It always devolves into a "think of the children" tack, where people that are ok with omnipresent monitoring argue that we can't have a safe society unless everything is tracked, which of course is utter bullshit.

      --
      We play the game with the bravery of being out of range
    2. Re:I'm just waiting.. by kheldan · · Score: 1

      What they don't seem to understand is that their whole 'Think of the children!' approach will end with everyone being treated like children, themselves included -- except of course the Watchers themselves, who will be the only people left on the planet who are anything even close to being adults anymore.

      --
      Are YOU using the TOOL, or is the TOOL using YOU? Think about it!
  25. Another benefit is using cash... by Sir_Eptishous · · Score: 2

    I started using cash for most of my "discretionary" purchases lately.
    Things like grocery shopping, clothing, Home Depot, going to the bar, etc...

    I initially started doing it because of how porous and UN-trustworthy the whole paradigm of card transactions is.

    This article hits home on how using cash helps me in another way, being that my purchases can't be tracked.

    You know it really is interesting seeing how (for lack of a better phrase) Orwellian the whole system is getting.
    Interesting, as in Hindenburg appointing Hitler Chancellor in 1933...

    --
    We play the game with the bravery of being out of range
    1. Re:Another benefit is using cash... by Anonymous Coward · · Score: 0

      ^ One thousand times this.

      Yes, sir! You've nailed it in one. I, too, am starting to do this now for discretionary things. My pecadillos are the business of no one but myself and those who share them with me. If I want to eat a large 10-topping pizza every week, that's my business alone.

      Moving to a single-payer socialized medicine standard where there is no proft involved is still the goal. We will get there, it's just a matter of getting rid of the elements that stand in the way. If Hillary gets elected, we'll be one step closer.

      Cash for everything now, it seems.

    2. Re:Another benefit is using cash... by Anonymous Coward · · Score: 0

      facial recognition systems coupled with cell-phone tracking can be used to associate you with cash purchases.

  26. And you thought the NSA was bad. by Anonymous Coward · · Score: 0

    If you thought the NSA was bad, wait till the medical and insurance providers get going.

    1. Re:And you thought the NSA was bad. by Anonymous Coward · · Score: 0

      So very true. Anything to deny coverage. I've dealt with these companies before and they are a nightmare. I'd almost rather have no health insurance than deal with these people. They make everything so difficult. I, for one, look forward to the days when all of the insurance companies are gone because of universal healthcare not tied to profit. I welcome our socialist overlords.

  27. So how do they get it? by gstoddart · · Score: 1

    Either the hospital goes to the company and says "here's a list of every patient we have, tell us everything you have", or the company brings it to them.

    Telling the companies your patient list might be a violation of HIPAA.

    If the company comes up the hospital and says "we have data on the following patients you have, want to buy it?", that's also a little shady.

    If the hospital just buys data on everybody and sifts out the people they're interested in, well, that's downright creepy.

    I just don't see how you can construct a scenario in which private companies are sharing data with hospitals without someone having been in possession of things they're not supposed to have.

    To me, this is a huge violation of privacy and the rights of the patient, and is allowing corporations another way to profit from our personal data.

    FTW, we're all screwed. Where's Tyler Durden when you need him?

    --
    Lost at C:>. Found at C.
  28. The real reason for this by VernonNemitz · · Score: 1

    If a hospital sends you a reminder like that, you can be sure a bill for it will soon follow.

  29. I would hope so by nitehawk214 · · Score: 1

    Hospitals are required to submit data to health departments for public health reasons. This data is sent by requirement of law.

    Sending it to a marketing third party is a big no-no due to HIPPA

    --
    I'm a good cook. I'm a fantastic eater. - Steven Brust
  30. Perfectly Safe by Anonymous Coward · · Score: 0

    Who would ever even think of having access to that info, and use it to push medication onto people. Directly, or with marketing, or via the insurers, doctor, hospital, even public health, and even the IRS? You're just business, you know? What's wrong with that? Are you against "honets businesses" making a profit selling their products and services? Are you against increasing markets? Do you want to harm the profit of giant tyrannical glitzy smiling shining corporations, by reaping your own energy, or raising your own food? How dare you, scruffy peasant, even consider such blatant lèse-corporeté! Shame!

  31. I'm totally fine with that by Indigo · · Score: 1

    Sounds great - after all, it's to server me better! I'll just go ahead and assume that insurance companies have no interest at all in finding ways to charge me more money while adding to the list of pre-existing conditions they don't have to cover.

  32. thank god i live in canada by Anonymous Coward · · Score: 0

    where we actually have privacy laws.

    sucks to be an 'Murican