Hello list,

The city, state and school budget crises may seem unrelated to the current
controversy over privacy and the state Health Department�s collection of
health care data, but they really aren�t. I think the City Council and other
local government entities should weigh in on this issue by asking that the
state be allowed to gather that health care information, with stringent
requirements for the maintenance of confidentiality.

Health care costs are rising 20 percent this year for city government,
according to that marvelous budget seminar last month. Last year, the city
spent $35 million on health care premiums out of a $260 million general
fund. I don�t know what the figures are for the schools and other public
entities, but I�m sure they�re big, and growing out of all proportion to
other spending and to inflation.

The Republicans repeat ad nauseum how spending keeps ballooning in
government and how government isn�t accountable � well, a big ballooning
spending item in government is health care, and in that industry, there is
no accountability at all. I object to that, and I suggest that the City
Council, School Board, Library Board and Park Board speak up about it.

If this health care evaluation project is allowed to go forward, it will
uncover quite a few uncomfortable facts, probably including early deaths
among uninsured diabetics and unconscionable increases in spending on
pharmaceuticals. (Note in today�s Strib, front page of the business section:
pharmaceutical companies� spending on marketing for prescription drugs.
Those costs are paid by our tax dollars through health care premiums.) It is
interesting to me that Republicans question issues of privacy only when the
purpose is greater accountability in industry.

I am as concerned about privacy as William Safire is � perhaps more so. I
think health care providers could be required to submit the information to
the government using consistent identifiers rather than names. Or, if the
government gathers the information, there should be civil and/or criminal
penalties for employees that violate patients� confidentiality. No other
branch of government should be allowed access to the information without a
court order.

So, list, do you all think our local government entities should make
statements on this, or not?

Heather Martens
Kingfield



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