There is another issue being neglected. A patient needs to be able to trust his physician. If he is concerned about the physician reporting on him to the authorities, he won't seek treatment or cooperate in a way needed for effective treatment. There is a reason for doctor-patient confidentiality. If the government requires physicians to report they will get fewer reports rather than more, and more persons who need treatment, including dangerous persons, won't get it.

Classic unintended consequences.
-- Jon

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