It seems to be a very fluid standard, for sure, but there are other variables that are brought up in these discussions beyond whether or not a public figure is

It seems to be a very fluid standard, for sure, but there are other variables that are brought up in these discussions beyond whether or not a public figure is abusing their position. Who is publishing? How well-liked the public figure is and by who? If the standard boils down to there being a journalistic interest in publishing relevant information about a public figure in relation to their abuse of power then I'm not sure how possibly-faked medical records pass that test.