I think you are confusing my concern about having national databases that 
store records of patients from all of their physicians, no matter what system 
they are in, and those that are for a system, be it a doctors office, or in 
this case, the VA system.  I would not expect Kaiser, for example, not to 
have a national system and anyone choosing that insurer is buying into that, 
just like the VA. 

Has anyone heard if the health department in NY City succeeded in hijacking 
the lab results records of its citizens or not?  I surely hope not.

On Thursday 01 September 2005 09:57 pm, Gregory Woodhouse wrote:
I must be missing something. A little while back, I remember you
flatly saying there is no medical justification for replicating
records across facilities.  I'm not a doctor, but that was a little
surprising to me. If a veteran is evacuated from Biloxi in the wake
of Katrina, then how is having access to his or her medical record of
no medical value? My assumption was that the concern here was for
privacy (which is no small matter), and that was the reason for my
allusion to privacy concerns in my message.
===
Gregory Woodhouse
[EMAIL PROTECTED]

"It is foolish to answer a question that
you do not understand."
--G. Polya ("How to Solve It")

On Sep 1, 2005, at 2:55 PM, Nancy Anthracite wrote:
> I hope I did not make people think I am supporting one or the
> other.  I am in
> favor of both.  I feel that if it is a small clinic, it should have
> remote
> backup perhaps with the primary server local.  If it is an ASP sort of
> situation, then I think the ASP might provide the primary server
> but there
> should be a local backup available.   That describes my comfort
> level,  and,
> as a logical extension, it is my opinion that it should be the
> comfort level
> for the VA as well ... not that what I think matters in the least!

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