I'm with you, Nancy.  The road to Hell is paved with good intentions and
I'm surprised I haven't heard the ACLU filing an injunction against NYC
on this program.  Since diabetes is not contagious, I don't think that
because the city may end up paying the cost of care for some of its
citizens gives it the right to snoop on all of its citizens. This
program isn't a slippery slope in my book, it's a toboggan run.

Joseph Conn
Staff writer
Modern Healthcare 
Modern Physician
Heatlh IT Strategist
312-649-5395
[EMAIL PROTECTED]

Check out the NEW ModernPhysician.com, and register now for Modern
Physician Stat and Modern Physician Alert

>>> [EMAIL PROTECTED] 2/16/2006 1:27 PM >>>
Most if not all health departments require that contacts be notified. 
They 
just don't allow the contact to be told who had the positive HIV test
without 
permission.  

I don't think anyone who has a positive HIV test is a priori a
murderer.

If someone in NYC hears the Health Department is collecting this data
and does 
not want a Health Department envelope arriving in his mailbox, he has
no way 
to stop that at the moment.  He cannot contact the Health Department
until 
they contact him by mail.  If he wishes to keep the fact he has
diabetes to 
himself, that makes it very difficult if someone else uses the same
mailbox.

And collecting every A1C that has been done does not even invade the
privacy 
of just the diabetics.  I am sure it is much easier just to grab all of
the 
data than it is to write the programs to sort out all the A1Cs above 7,
so 
they took the easy out.  This represents a little more sliding down
that 
slippery slope and the program is just getting started!


On Thursday 16 February 2006 13:29, Ruben Safir wrote:
On Thu, 2006-02-16 at 12:07, Nancy Anthracite wrote:
> I have been working with the CDC with an eye to include in VistA the
option
> to report deidentified data to the Biosense project to help with the
early
> detection of disease such outbreaks, etc.  Privacy does not have to
be
> violated in order to achieve most of what you are concerned about.

Yeah, actually it does.

In order to intervene with specific patient about their diabetes, the
individual patient must be contacted.  In order to prevent potential
sex
partners from getting AIDs and dieing, the diseased patients identity,
and their current and recent sex partners need to be identified AND
contacts.

in the later case you have to decide if your for or against murder.

Ruben



-------------------------------------------------------
This SF.net email is sponsored by: Splunk Inc. Do you grep through log
files
for problems?  Stop!  Download the new AJAX search engine that makes
searching your log files as easy as surfing the  web.  DOWNLOAD
SPLUNK!
http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642

_______________________________________________
Hardhats-members mailing list
[email protected] 
https://lists.sourceforge.net/lists/listinfo/hardhats-members 

-- 
Nancy Anthracite


-------------------------------------------------------
This SF.net email is sponsored by: Splunk Inc. Do you grep through log
files
for problems?  Stop!  Download the new AJAX search engine that makes
searching your log files as easy as surfing the  web.  DOWNLOAD
SPLUNK!
http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642

_______________________________________________
Hardhats-members mailing list
[email protected] 
https://lists.sourceforge.net/lists/listinfo/hardhats-members 



-------------------------------------------------------
This SF.net email is sponsored by: Splunk Inc. Do you grep through log files
for problems?  Stop!  Download the new AJAX search engine that makes
searching your log files as easy as surfing the  web.  DOWNLOAD SPLUNK!
http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642
_______________________________________________
Hardhats-members mailing list
[email protected]
https://lists.sourceforge.net/lists/listinfo/hardhats-members

Reply via email to