Except that it might catch photos of the operation of US or allied military goons by chance, and those need to be kept secret from entities that are inconvenient to ExxonMobile and Chase.
Likely due to security -- it's essentially a spy satellite that could image military facilities, etc, by chance. Of course, the info is out there anyway, but it probably wasn't as common when the law was actually written.
On the one hand, I support privacy. On the other hand, transparency about military operations and movements has the potential to destroy the ability of countries to wage war. As a pacifist, I firmly support the latter idea.
Solution? Transfer ownership of the satellites to a shell company in a country that lacks such restrictions, broadcast away?
That's what I pay, other states may differ. Especially if they're run by yokels who want to go back to the (terrible for the self-employed and/or people with pre-existing issues) pre-2014 insurance system.
"Upon demand" means a properly formatted, WRITTEN demand stating valid reasons why the information is needed, and the specific, narrow range of information required.
i.e. "We require any blood alcohol test results you may have on John Q. Doe, male, DOB 3/4/1956, due to him being involved in a fatal motor vehicle accident with suspected DWI."
Also, HIPAA applies nationally -- state law can't be LESS restrictive than its requirements. In any case, responding to specific requests is legal. Giving cops authorization to access private health information without a specific request (i.e. a direct line to a database) is very, very illegal.
Speak to an attorney. There's also the option of anonymously leaking to the press, assuming you have evidence and enough people know about the program for the leak not to point to you. Good luck! Do the right thing.
See also: "HIPAA permits the police to use an administrative subpoena or other written request with no court involvement, as long as police include a written statement that the information they want is relevant, material, and limited in scope, and that de-identified information is insufficient."
Giving police a "direct line" to hospital systems sounds like it's NOT limited in scope, and does NOT require a written statement of relevancy. Correct me if I'm wrong. If the police and/or their software are literally being given access to confidential hospital systems without a written request, whoever is involved is likely committing a Federal felony. I'd be talking to an attorney at the very least.
Also, such a situation may (likely) be a Federal crime. Failing to report it to the Federal D.A.'s office or HHS may in itself be a Federal offense, especially if one is employed by any of those organizations. If I were in that situation, I might be speaking to a lawyer...
(1) NUC has one moving part: the fan. If they're securely mounted to a wall or desk, there's little change of drop damage. They can easily last 5-7 years. (2) Who will design it and maintain it? Same people as design as maintain local (non-cloud) EMR systems now. (3) Doubt it about the wifi -- some NUCs still use a separate WiFi card. Besides, they'd need an open WiFi net to connect to. (4) You print on non-network USB printers or network printers that don't need Clown Print to work, same as people did for the past 30 years. LAN printing was a thing before the Internet was common.
Under HIPAA, this generally requires a warrant or specific exigent circumstances. "Open line to data" is illegal.
If you're aware of this situation, I strongly encourage you to leak it to the press and also file a report with HHS. Anonymously if needed. Whistleblowers are heroes.
You can distribute from your own corporate site or even via BitTorrent (with licensing controlled by your site) and not pay a dime to MS or Steam. So lockdown to "approved stores" is a big deal.
Hopefully -- the alternative is more locked-down ARM hardware being rammed down the public's raw gullet. Secure boot should be optional, locking it down to Windows shouldn't be mandatory.
The salient points were guaranteed issue and limitation of pricing disparity for a specific policies to a 3:1 ratio of highest to lowest price.
Oh, and subsidies.
Even without subsidies, I can still get a low-deductible policy for about $600/mo where my deductible is $600/yr, regardless of health status. As a self-employed person, that's a good thing. Then again, my state actually cares about keeping the ACA intact.
For $500/mo, I can raise the deductible to $2000/yr, which is still pretty good. But I'm risk-averse, so I'd rather have the low deductible.
ACA got rid of the worst pricing excesses. The fine was a token penalty.
Limiting insurance rates to being based on age, location (county), and smoking status with no more than a 3:1 spread between top and bottom tiers of a given policy was a good thing. So was guaranteed issue.
They could no longer say, "you have epilepsy, you can buy our individual insurance policy at $3000 per month."
Let me repeat... hardware is cheap in 2018. A decent Intel NUC system with SSD can be had for under $500 and will last 5-7 years at least. Use them as part of a modular system with some acting as workstations, others as servers and backup devices. You can even buy them Ethernet-only, no built-in WiFi.
Sure, an airgap can be breached with some work. It's also a hell of a lot less likely than an Internet-connected or cloud-connected system being breached. Technically, paper records can also be breached or destroyed -- burglaries of medical offices happen.
The goal is more security, no security is absolute.
Frankly, Obama was less authoritarian, or at least in the right places.
He made an attempt to fix the corporate-infested parasitic US health insurance system. He hired Holder as AG, who (at least temporarily) rolled back civil forfeiture, also known as legalized theft by police. He pushed for sentencing reform and wasn't always on the side of law enforcement or the military. He chose to allow states to have their own marijuana policy.
Obama was a welcome change from the Bush era, though he didn't go far enough in rectifying the wrongs of the past 30 years (wars on drugs/terror/crime) stemming from constant moral panics.
"Crap" neighborhoods are the best kind when "crap" means lower-middle-class, not a shooting gallery. No one will call the cops on your kids playing outside or if you're fixing your oily old motorbike in your own driveway.
Except the article summary implies that the anonymized medical records would be released to Facebook, which would then attempt to match them with profile information. If they can be matched, they're not anonymized enough -- thus, HIPAA violation.
Her actual issue was poor record-keeping -- excessive opioid prescriptions also played into it. BTW, local electronic medical record solutions that can be totally isolated from the "cloud"/Internet do exist, and are used.
Then again, electronic medical records systems IF PROPERLY IMPLEMENTED can reduce error and make sure records are legible. BTW, the computers don't have to be networked to the outside world. Perfectly feasible to run everything on an airgapped Ethernet network with encrypted daily backup to a set of rotating SSD cartridges. Hardware is cheap in 2018, cloud or client/server isn't the only viable solution.
Any such study can be undertaken with customer permission.
Medical studies on unwilling subjects conducted by various authoritarian governments also helped us understand things like radiation poisoning, starvation, and hypothermia. The ends don't justify the means.
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Except that it might catch photos of the operation of US or allied military goons by chance, and those need to be kept secret from entities that are inconvenient to ExxonMobile and Chase.
Likely due to security -- it's essentially a spy satellite that could image military facilities, etc, by chance. Of course, the info is out there anyway, but it probably wasn't as common when the law was actually written.
On the one hand, I support privacy. On the other hand, transparency about military operations and movements has the potential to destroy the ability of countries to wage war. As a pacifist, I firmly support the latter idea.
Solution? Transfer ownership of the satellites to a shell company in a country that lacks such restrictions, broadcast away?
That's what I pay, other states may differ. Especially if they're run by yokels who want to go back to the (terrible for the self-employed and/or people with pre-existing issues) pre-2014 insurance system.
"Upon demand" means a properly formatted, WRITTEN demand stating valid reasons why the information is needed, and the specific, narrow range of information required.
i.e. "We require any blood alcohol test results you may have on John Q. Doe, male, DOB 3/4/1956, due to him being involved in a fatal motor vehicle accident with suspected DWI."
Also, HIPAA applies nationally -- state law can't be LESS restrictive than its requirements. In any case, responding to specific requests is legal. Giving cops authorization to access private health information without a specific request (i.e. a direct line to a database) is very, very illegal.
Speak to an attorney. There's also the option of anonymously leaking to the press, assuming you have evidence and enough people know about the program for the leak not to point to you. Good luck! Do the right thing.
See also:
"HIPAA permits the police to use an administrative subpoena or other written request with no court involvement, as long as police include a written statement that the information they want is relevant, material, and limited in scope, and that de-identified information is insufficient."
Giving police a "direct line" to hospital systems sounds like it's NOT limited in scope, and does NOT require a written statement of relevancy. Correct me if I'm wrong. If the police and/or their software are literally being given access to confidential hospital systems without a written request, whoever is involved is likely committing a Federal felony. I'd be talking to an attorney at the very least.
Also, such a situation may (likely) be a Federal crime. Failing to report it to the Federal D.A.'s office or HHS may in itself be a Federal offense, especially if one is employed by any of those organizations. If I were in that situation, I might be speaking to a lawyer...
It should be an option, not crammed down customers' and developers' throats by force by Microsoft (or Apple, or Google, or Amazon).
(1) NUC has one moving part: the fan. If they're securely mounted to a wall or desk, there's little change of drop damage. They can easily last 5-7 years.
(2) Who will design it and maintain it? Same people as design as maintain local (non-cloud) EMR systems now.
(3) Doubt it about the wifi -- some NUCs still use a separate WiFi card. Besides, they'd need an open WiFi net to connect to.
(4) You print on non-network USB printers or network printers that don't need Clown Print to work, same as people did for the past 30 years. LAN printing was a thing before the Internet was common.
Under HIPAA, this generally requires a warrant or specific exigent circumstances. "Open line to data" is illegal.
If you're aware of this situation, I strongly encourage you to leak it to the press and also file a report with HHS. Anonymously if needed. Whistleblowers are heroes.
You can distribute from your own corporate site or even via BitTorrent (with licensing controlled by your site) and not pay a dime to MS or Steam. So lockdown to "approved stores" is a big deal.
It makes the trip more enjoyable -- Hyperloop is efficient travel with what little joy is left in modern travel sucked out of it.
Hopefully -- the alternative is more locked-down ARM hardware being rammed down the public's raw gullet. Secure boot should be optional, locking it down to Windows shouldn't be mandatory.
With Microsoft's great security record, there will likely be ways to work around the store mandate.
(And yes, Apple/Jobs were pieces of cr@p for pioneering the walled-garden/computer-as-Alcatraz model of computing.)
The mandate was essentially toothless.
The salient points were guaranteed issue and limitation of pricing disparity for a specific policies to a 3:1 ratio of highest to lowest price.
Oh, and subsidies.
Even without subsidies, I can still get a low-deductible policy for about $600/mo where my deductible is $600/yr, regardless of health status. As a self-employed person, that's a good thing. Then again, my state actually cares about keeping the ACA intact.
For $500/mo, I can raise the deductible to $2000/yr, which is still pretty good. But I'm risk-averse, so I'd rather have the low deductible.
But Dems bad, GOP good. Riiight.
ACA got rid of the worst pricing excesses. The fine was a token penalty.
Limiting insurance rates to being based on age, location (county), and smoking status with no more than a 3:1 spread between top and bottom tiers of a given policy was a good thing. So was guaranteed issue.
They could no longer say, "you have epilepsy, you can buy our individual insurance policy at $3000 per month."
Let me repeat... hardware is cheap in 2018. A decent Intel NUC system with SSD can be had for under $500 and will last 5-7 years at least. Use them as part of a modular system with some acting as workstations, others as servers and backup devices. You can even buy them Ethernet-only, no built-in WiFi.
Sure, an airgap can be breached with some work. It's also a hell of a lot less likely than an Internet-connected or cloud-connected system being breached. Technically, paper records can also be breached or destroyed -- burglaries of medical offices happen.
The goal is more security, no security is absolute.
Frankly, Obama was less authoritarian, or at least in the right places.
He made an attempt to fix the corporate-infested parasitic US health insurance system. He hired Holder as AG, who (at least temporarily) rolled back civil forfeiture, also known as legalized theft by police. He pushed for sentencing reform and wasn't always on the side of law enforcement or the military. He chose to allow states to have their own marijuana policy.
Obama was a welcome change from the Bush era, though he didn't go far enough in rectifying the wrongs of the past 30 years (wars on drugs/terror/crime) stemming from constant moral panics.
"Crap" neighborhoods are the best kind when "crap" means lower-middle-class, not a shooting gallery. No one will call the cops on your kids playing outside or if you're fixing your oily old motorbike in your own driveway.
If the "bending to his will" and his general instability causes a massive adtech-led market crash, he'll have been somewhat useful.
Except the article summary implies that the anonymized medical records would be released to Facebook, which would then attempt to match them with profile information. If they can be matched, they're not anonymized enough -- thus, HIPAA violation.
Her actual issue was poor record-keeping -- excessive opioid prescriptions also played into it. BTW, local electronic medical record solutions that can be totally isolated from the "cloud"/Internet do exist, and are used.
Trump and GOP'ers are generally politicized against "new tech" like Facebook, so it may very well happen.
Then again, electronic medical records systems IF PROPERLY IMPLEMENTED can reduce error and make sure records are legible. BTW, the computers don't have to be networked to the outside world. Perfectly feasible to run everything on an airgapped Ethernet network with encrypted daily backup to a set of rotating SSD cartridges. Hardware is cheap in 2018, cloud or client/server isn't the only viable solution.
Any such study can be undertaken with customer permission.
Medical studies on unwilling subjects conducted by various authoritarian governments also helped us understand things like radiation poisoning, starvation, and hypothermia. The ends don't justify the means.