Yanche wrote:mikeandgerry wrote:It isIf they want to standardize record keeping and transmittal formats....wonderful. But, central databases....NG.
The implementation of the medical records will use a distributed database. There will be no central database for all records; the amount of data to be stored is much to large to have in one central location. Clearly the devil will be in the details, but the issues like privacy, data accuracy and access control are technical design constraints that have solutions. The government roll will be to define the standards. Notice the National Institute of Standards and Technology (NIST) is specifically mentioned. It's in Germantown, MD and it has many competent civil servants. I have every reason to believe they will meet the goals laid out in the law.
Don't be confused with the hysterical linkage of this rather narrow task to all the politics of US healthcare.
In an interconnected computerized world, standardization makes for centralization. The point is academic. The database will be, in effect, centralized. The intent is access to information ostensibly for your medical reasons but in all likelihood, for the use of the federal government in promoting and implementing a socialized health care system and, in a more evil possibility, implementing an additional control over the populace on an individualized basis should they desire to violate privacy laws. Without doubt, the pervasiveness of the federal intelligence gathering system will be vastly increased.
Personally I think this violates the Constitution. We know that computers are hackable and also that a forced measure to require that your records be kept on a searchable electronic computer network, per government formatting standards, REDUCES your security. As an individual, you won't even know if your "papers" have been searched if you are forced to keep them in an electronic file on a network that you don't have control over.
In other words, would you let the government dictate how and where your personal records are stored and then allow them to have the key? Recall that all encryption keys are owned or readily accessible by the government.
Amendment 4 - Search and Seizure. Ratified 12/15/1791.
The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized.