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 Rants

Rants Newsletter

Published Occasionally  by

W. L. Irwin, II, M.D.

Volume One

Number One


Confidentiallity?

For a long  time, it has troubled me, that the insurance industry and government,  though professing to guard our medical records and keep them confidential,  has begun to allow information to be divulged from one insurer to the  next, and from one government agency to the next. What ever happened to  doctor patient privilege and confidentiality. Isn't the educated and good  intentioned doctor the best judge of who should receive any patient information,  and then only after consulting with the patient and determining the use  of the information and the long term implication of that information.

Along the same lines,  when someone is diagnosed with an illness, should that illness stay forever  in the database of the

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 insurance company  or government agency. Especially when the illness, or condition may not  at all be permanent or it may be reversible and non existant in the future.  Insurance rates will never come down because someone had an illness and  now it is arrested, cured, resolved or adequately managed. Nor will entries  in federal databases ever go away if the problem, illness, condition is  resolved. These things are such that once in a data base then forever  in the database. Physicians have historically understood such information  and the sensitive nature of this information, and have historically reported  only active diseases and those that may affect the future well being of  the individual. We have been champions of the patient not the databases!

More will  be revealed !

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