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	<title>Comments on: Mandatory Health IT and Cybercrime</title>
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	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
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		<title>By: firearms</title>
		<link>http://healthblog.ncpa.org/mandatory-health-it-and-cybercrime/comment-page-1/#comment-74670</link>
		<dc:creator>firearms</dc:creator>
		<pubDate>Sun, 29 Aug 2010 12:40:19 +0000</pubDate>
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		<description>Great read, I just now passed this onto a friend whom was doing a little research on that. And he actually bought me lunch simply because I uncovered it for him laugh So allow me to rephrase that: Thanks for lunch!</description>
		<content:encoded><![CDATA[<p>Great read, I just now passed this onto a friend whom was doing a little research on that. And he actually bought me lunch simply because I uncovered it for him laugh So allow me to rephrase that: Thanks for lunch!</p>
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		<title>By: Linda Gorman</title>
		<link>http://healthblog.ncpa.org/mandatory-health-it-and-cybercrime/comment-page-1/#comment-42073</link>
		<dc:creator>Linda Gorman</dc:creator>
		<pubDate>Fri, 17 Apr 2009 17:29:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=2954#comment-42073</guid>
		<description>Bruce, what is vountary about the national health IT plans and the ones being done at the state level? The systems in other industries have been developed voluntarily. In health it hasn&#039;t been voluntary at all. 

The record keeping system an individual physician or hospital uses is not the same as a federally required EMR or federally imposed interoperability standards. We already have standardized file sharing--take a Word, Adobe Acrobat, or text file and put it on a flash memory stick. File is shared. Want to send file over the web? Password protect it or encrypt it with PGP and ship it off. 

What we don&#039;t have is centralized file sharing that will let people rummage through our data at will. Government health care enthusiasts don&#039;t like this and want to change it.

Under HIPAA, the government makes it hard for families and physicians to get health information while making it perfectly legal for government to rummage through anyone&#039;s record at any time. But rummaging is limited by the fact that everyone&#039;s data system doesn&#039;t have to be connected. The goal of national health IT is to change that. The claim that this will reduce costs and improve care are just the (likely untrue) selling points.</description>
		<content:encoded><![CDATA[<p>Bruce, what is vountary about the national health IT plans and the ones being done at the state level? The systems in other industries have been developed voluntarily. In health it hasn&#8217;t been voluntary at all. </p>
<p>The record keeping system an individual physician or hospital uses is not the same as a federally required EMR or federally imposed interoperability standards. We already have standardized file sharing&#8211;take a Word, Adobe Acrobat, or text file and put it on a flash memory stick. File is shared. Want to send file over the web? Password protect it or encrypt it with PGP and ship it off. </p>
<p>What we don&#8217;t have is centralized file sharing that will let people rummage through our data at will. Government health care enthusiasts don&#8217;t like this and want to change it.</p>
<p>Under HIPAA, the government makes it hard for families and physicians to get health information while making it perfectly legal for government to rummage through anyone&#8217;s record at any time. But rummaging is limited by the fact that everyone&#8217;s data system doesn&#8217;t have to be connected. The goal of national health IT is to change that. The claim that this will reduce costs and improve care are just the (likely untrue) selling points.</p>
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		<title>By: Vicki</title>
		<link>http://healthblog.ncpa.org/mandatory-health-it-and-cybercrime/comment-page-1/#comment-42040</link>
		<dc:creator>Vicki</dc:creator>
		<pubDate>Thu, 16 Apr 2009 18:38:10 +0000</pubDate>
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		<description>This report is a bit unnerving.</description>
		<content:encoded><![CDATA[<p>This report is a bit unnerving.</p>
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		<title>By: Bruce</title>
		<link>http://healthblog.ncpa.org/mandatory-health-it-and-cybercrime/comment-page-1/#comment-42036</link>
		<dc:creator>Bruce</dc:creator>
		<pubDate>Thu, 16 Apr 2009 17:51:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=2954#comment-42036</guid>
		<description>Linda, agree with you if EMRs are imposed by the government. But have I not read at this very site about successful private sector users of EMRs?

Shouldn&#039;t we distinguish between Govenment-backed, demand side systems and private sector, supply side innovations?</description>
		<content:encoded><![CDATA[<p>Linda, agree with you if EMRs are imposed by the government. But have I not read at this very site about successful private sector users of EMRs?</p>
<p>Shouldn&#8217;t we distinguish between Govenment-backed, demand side systems and private sector, supply side innovations?</p>
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