L*********4
发帖数: 883 | 1 2013年的文章
http://thehealthcareblog.com/blog/2013/11/21/another-law-raising-the-cost-of-health-care/
While there has been much focus lately on the ways in which ObamaCare is
chilling the growth of private business, we should not overlook the
continuing deleterious effects of the one surviving relic of HillaryCare,
the Health Insurance Portability and Accountability Act (HIPAA). Quietly,
September 23 came and went as the compliance effective date for a new rule,
expanding the reach of HIPAA, and likely driving many smaller players out of
the health care industry.
Spearheaded by then First Lady Clinton, HIPAA was established in 1996 to
improve privacy of personal health information, referred to as protected
health information, or PHI. It requires health care providers, known as “
covered entities,” and their vendors, contractors, and agents with access
to PHI, known as “business associates,” to comply with certain privacy
standards under its “Privacy Rule,” and with certain security standards
under its “Security Rule,” in order to protect sensitive health
information that is held or transferred in electronic form.
Over the past decade, equipped with the noble aim of protecting our privacy,
HIPAA has successfully demonstrated the power of the law of unintended
consequences. Improved protection of PHI has been marginal. However, HIPAA
has impeded communication among physicians, reduced physician time devoted
to patient care, and deterred medical research. And all at an enormous cost
of compliance. While estimates vary widely, the cost of compliance for many
providers has been in the millions. | f*****e
发帖数: 5177 | 2 respect privacy难道不是右派理论的基石？
,
of
【在 L*********4 的大作中提到】
: 2013年的文章
: http://thehealthcareblog.com/blog/2013/11/21/another-law-raising-the-cost-of-health-care/
: While there has been much focus lately on the ways in which ObamaCare is
: chilling the growth of private business, we should not overlook the
: continuing deleterious effects of the one surviving relic of HillaryCare,
: the Health Insurance Portability and Accountability Act (HIPAA). Quietly,
: September 23 came and went as the compliance effective date for a new rule,
: expanding the reach of HIPAA, and likely driving many smaller players out of
: the health care industry.
: Spearheaded by then First Lady Clinton, HIPAA was established in 1996 to
| n**x
发帖数: 1898 | 3 所有机制都是有成本的。一个机制再好，如果成本太高，一样没有用。
我们甚至可以按处理国家机密的方式保护个人隐私。但是成本上这样可行么？显然不可
行。
HIPAA的出发点是好的，因为医疗机构出售病人信息已经成为一个问题。但是解决的方
案则是最不合理的。它要求每个医疗机构都必须要专人负责保密信息，而且规则复杂。
这对于很多小的诊所根本没有可行性，极大地增加了医疗机构开支。
对于这种问题，最好的办法是一旦发现就重罚，而不是建立一个复杂的机制全程监督。
这和打击犯罪一个道理，犯罪了判刑，而不是监视控制人不犯罪。
【在 f*****e 的大作中提到】
: respect privacy难道不是右派理论的基石？
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