4 ms·

So, treatment for an STD, for example, should be public information? What if that treatment occurred while the spouse was on a six month military deployment?

So, treatment for an STD, for example, should be public information? What if that treatment occurred while the spouse was on a six month military deployment? Mental health records should be freely available? Would you enjoy having potential employers review all of your conversations with a counselor before deciding whether to hire you? There's a very good reason why society has placed a high value on the privacy of health care information above almost all else, including financial.

thwarted 3y ago
So, treatment for an STD, for example, should be public information? What if that treatment occurred while the spouse was on a six month military deployment? There has to be a better example of why privacy is important than keeping infidelity and having an STD secret from your military deployed spouse.
- claytongulick 3y ago
  Marital infidelity rate is about 50% - and that's just for self-admitted [1]. Actual rates are likely much higher. A large majority of people of both sexes admit that they would have an extra-marital affair if they believed they wouldn't get caught. Anecdotally, when I was I the military I saw much, much higher than 50% when spouses were deployed. This seems to be a pervasive issue [2]. Seems like a culturally relevant health issue to use as an example. [1] https://worldpopulationreview.com/country-rankings/infidelity-rates-by-country https://worldpopulationreview.com/country-rankings/infidelit... [2] https://pubmed.ncbi.nlm.nih.gov/28054799/ https://pubmed.ncbi.nlm.nih.gov/28054799/
  - thwarted 3y ago
    While divorce may be culturally relevant, I read the phrasing > What if that treatment occurred while the spouse was on a six month military deployment? as indicating that the STD treatment would be kept from the spouse. While each individual has a right to privacy, cheating on an away spouse, getting an STD and treatment, and then keeping it secret from the spouse is pretty shitty, and is especially bad under the guise of "right to privacy". "I'm not going to tell my spouse I had an STD, they have no right to know" is not what medical information privacy is about. We can talk about the value of someone's medical information not being public without evoking a spousal relationship as some kind of reason for privacy. And when we're talking about keeping medical information private, we're trying to avoid harm to the person the information is about. Someone who is cheating and/or getting STDs without telling their spouse is harming the spouse.
    - claytongulick 3y ago
      > is not what medical information privacy is about It is exactly what medical privacy is about. Embarrassing and potentially life changing issues come up routinely with medical privacy. These are things that primary care physicians and staff grapple with on a daily basis (and that I did as a medical guy in the military). The infidelity example I used was actually part of one of the many HIPAA training classes that I've attended over the years. In the (real life) example the nurses were gossiping about the case in the elevator. It happened that a family member was in the elevator with them. > Someone who is cheating and/or getting STDs without telling their spouse is harming the spouse. Someone who has the flu and goes to a restaurant is actively harming the staff and other customers. Should we have a public registry for anyone who gets the flu? Someone who has HIV and has unprotected sex is actively harming/killing their partner (and has been prosecuted as such). Should we make everyone's HIV status public? I'm sorry you find the subject of infidelity distasteful, but if you work in healthcare at all you'll quickly come to realize that many personal health issues that are commonly treated are deeply embarrassing and potentially socially devastating to the patient. Hence the need for stringent medical privacy protection.
      - thwarted 3y ago
        > The infidelity example I used was actually part of one of the many HIPAA training classes that I've attended over the years. In the (real life) example the nurses were gossiping about the case in the elevator. It happened that a family member was in the elevator with them. As I said, I read the original line as being specifically about using medical information privacy protection to keep the information from the spouse, and I think that's a less-than-robust example. I now understand that that wasn't your intent. Mentioning nurses gossiping and discussing patients in an unsecured location adds detail that makes it more robust. > So, treatment for an STD, for example, should be public information? What if that treatment occurred while the spouse was on a six month military deployment? My position is that the answer to the first question should be "no": treatment for an STD should not be public information. The answer to the second question has no bearing on the answer to the first, but it is presented/worded as if it should. That the infidelity and STD treatment occurred while the spouse was deployed distracts from the fact that nurses shouldn't be gossiping in crowded elevators at all. Medical professionals shouldn't be gossiping in crowded elevators independent of the if the spouse is in the military or not or is deployed or not.

thwarted 3y ago

So, treatment for an STD, for example, should be public information? What if that treatment occurred while the spouse was on a six month military deployment? There has to be a better example of why privacy is important than keeping infidelity and having an STD secret from your military deployed spouse.

claytongulick 3y ago
Marital infidelity rate is about 50% - and that's just for self-admitted [1]. Actual rates are likely much higher. A large majority of people of both sexes admit that they would have an extra-marital affair if they believed they wouldn't get caught. Anecdotally, when I was I the military I saw much, much higher than 50% when spouses were deployed. This seems to be a pervasive issue [2]. Seems like a culturally relevant health issue to use as an example. [1] https://worldpopulationreview.com/country-rankings/infidelity-rates-by-country https://worldpopulationreview.com/country-rankings/infidelit... [2] https://pubmed.ncbi.nlm.nih.gov/28054799/ https://pubmed.ncbi.nlm.nih.gov/28054799/
- thwarted 3y ago
  While divorce may be culturally relevant, I read the phrasing > What if that treatment occurred while the spouse was on a six month military deployment? as indicating that the STD treatment would be kept from the spouse. While each individual has a right to privacy, cheating on an away spouse, getting an STD and treatment, and then keeping it secret from the spouse is pretty shitty, and is especially bad under the guise of "right to privacy". "I'm not going to tell my spouse I had an STD, they have no right to know" is not what medical information privacy is about. We can talk about the value of someone's medical information not being public without evoking a spousal relationship as some kind of reason for privacy. And when we're talking about keeping medical information private, we're trying to avoid harm to the person the information is about. Someone who is cheating and/or getting STDs without telling their spouse is harming the spouse.
  - claytongulick 3y ago
    > is not what medical information privacy is about It is exactly what medical privacy is about. Embarrassing and potentially life changing issues come up routinely with medical privacy. These are things that primary care physicians and staff grapple with on a daily basis (and that I did as a medical guy in the military). The infidelity example I used was actually part of one of the many HIPAA training classes that I've attended over the years. In the (real life) example the nurses were gossiping about the case in the elevator. It happened that a family member was in the elevator with them. > Someone who is cheating and/or getting STDs without telling their spouse is harming the spouse. Someone who has the flu and goes to a restaurant is actively harming the staff and other customers. Should we have a public registry for anyone who gets the flu? Someone who has HIV and has unprotected sex is actively harming/killing their partner (and has been prosecuted as such). Should we make everyone's HIV status public? I'm sorry you find the subject of infidelity distasteful, but if you work in healthcare at all you'll quickly come to realize that many personal health issues that are commonly treated are deeply embarrassing and potentially socially devastating to the patient. Hence the need for stringent medical privacy protection.
    - thwarted 3y ago
      > The infidelity example I used was actually part of one of the many HIPAA training classes that I've attended over the years. In the (real life) example the nurses were gossiping about the case in the elevator. It happened that a family member was in the elevator with them. As I said, I read the original line as being specifically about using medical information privacy protection to keep the information from the spouse, and I think that's a less-than-robust example. I now understand that that wasn't your intent. Mentioning nurses gossiping and discussing patients in an unsecured location adds detail that makes it more robust. > So, treatment for an STD, for example, should be public information? What if that treatment occurred while the spouse was on a six month military deployment? My position is that the answer to the first question should be "no": treatment for an STD should not be public information. The answer to the second question has no bearing on the answer to the first, but it is presented/worded as if it should. That the infidelity and STD treatment occurred while the spouse was deployed distracts from the fact that nurses shouldn't be gossiping in crowded elevators at all. Medical professionals shouldn't be gossiping in crowded elevators independent of the if the spouse is in the military or not or is deployed or not.