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Yes, I do believe what you're telling me—the state of healthcare tech is definitely leagues behind general consumer tech. However, I do think this is a meaningf
by sxg 2y ago
Yes, I do believe what you're telling me—the state of healthcare tech is definitely leagues behind general consumer tech. However, I do think this is a meaningfully different class of issue when it comes to patients' perceptions and actual harms. Patients are afraid of having their health data used against them. For example, revealing medical conditions to potential employers, revealing health information to friends/family, etc. There's a growing mistrust of healthcare institutions in recent years, and there are unfounded accusations of healthcare institutions selling data for financial gain like social media companies and even the DMV (https://www.caranddriver.com/features/a32035408/dmv-selling-driver-data/ https://www.caranddriver.com/features/a32035408/dmv-selling-...). This class of nefarious patient data privacy/security negligence effectively doesn't happen. I've treated patients who are illegal US immigrants, I see patients who use and possess illegal drugs while in the hospital, but they're not reported to anyone. They're simply treated and discharged. Unfortunately, a growing number of patients don't believe this is the case, and we see substantial disparities in levels of care provided to these patients who fear healthcare.
I'm not at all dismissing how terrible it is that healthcare tech companies can be lax with patient data. This absolutely needs to be better! But at the same time, this sounds more like incompetence than active malice. Practically speaking, a patient is extremely unlikely to experience actual harm because a developer accidentally took patient data home on a personal laptop. Although, I would love to hear more about what kinds of violations you've seen in your time in health tech? I work with third party vendors from a healthcare institution, and I absolutely want to figure out how to fix this.
- int_19h 2y agoWith stuff like illegal drugs, so long as records are retained by the hospital, what prevents the feds from coming in later with a warrant to go through them?
- genewitch 2y agoIn the US a mere warrant is not enough to pierce doctor patient privilege, afaik. At least i would hope it would take a subpoena or a court order or something of the ilk. Now, though, if a third party accidentally leaks your patient info, or lead pipes are involved
- sxg 2y agoHIPAA trumps the warrant. HIPAA is serious when it says patient data can only be shared for treatment, payment, and hospital operations purposes. Law enforcement is not an allowable reason to disclose patient information without their permission.