Your Medical Records: Who’s Looking At Them?
Posted by Michelle Moquin on September 12th, 2011
Good morning!
Surprise! Guess Who’s Viewing Your “Confidential” Medical Records?
If you believe that your medical and personal information should be kept in strict privacy, you may be in for an unpleasant surprise. Your medical information is not actually private — you sell it without realizing it.
If you look at your office bill or EOB (explanation of benefits), you’ll see coded numbers (CPT and ICD9). Those numbers tell your insurance company or Medicare all of the information about your visit and treatment. They not only get the bill with all of its coding, they have the right to look through your chart and any other charts in any other doctor’s office, any time.
According to the website Kevin MD:
“Can your loss of privacy hurt you? … I think privacy is one of the most valuable assets you can have. I believe in the sanctity of the doctor-patient relationship and that what you tell me should be held in the strictest confidence … Now that you know the medical world’s dirty secret, the secret that has been right in front of your face all these years, it’s time to answer the question, ‘What’s your privacy worth to you?’”
Dr. Mercola’s Comments:
Most people recoil at the thought of having their personal medical records displayed for anyone to see, or worse, sold for marketing purposes. The privacy of medical records (or lack thereof) raises a number of issues with potentially unsavory ramifications. For example, if an employer, insurance company or malicious person gets their hands on this sensitive information, it could lead to much more than simple embarrassment. Jobs could be lost, insurance claims denied and entire reputations ruined, depending on your circumstances.
So, How Private are Your Medical Records?
It depends on whom you ask, but there are definitely plenty of loopholes that can put your privacy at risk. It’s important to realize that the medical industry is a business, and personal medical records can be very valuable for the data they contain. Also, once you’re “in the loop” it can be very difficult to get out.
There are companies that regularly purchase this type of information to profile doctor’s prescription habits and improve drug sales, for example. Now, as far as I understand, identifying information is not supposed to be included, but I’ve heard of people receiving direct advertising from pharmaceutical- and medical companies that match their particular health problem, so I’m not entirely sure that there aren’t loopholes there too.
As Dr. Stewart Segal says in the featured blog post, “you sell your privacy for the cost of your care.” Granted, insurance companies need to know what services were rendered in order to issue a payment, but many disagree with the practice of rooting through past and unrelated medical records, which seems to be routinely done to try to deny claims based on “pre-existing conditions.”
Furthermore, your medical records may be available online for just about anyone to see, without your explicit knowledge or consent. Back in 2008, CNN medical correspondent Elizabeth Cohen was surprised to discover her own health records online. Every diagnosis, treatment, and doctor’s appointment she’d had in the past five years was on the Internet — all she needed to get them was a phone call to her insurance company and a few pieces of information such as Social Security number, date of birth and address.
“There it was in black, white, and hypertext blue. My annual mammograms; the visits to the podiatrist for the splinter in my foot; the kind of birth control I use — it was all on my health insurance company’s Web site. And that’s not all: The prescriptions drugs I use were listed on the Web site where I get my prescription drug insurance.
I had no idea this was all on the World Wide Web,” she writes.
Online health records can let you, to some extent, double-check your doctor. And in a world where physicians are busy and medical errors are epidemic, that could be important. But online record keeping can also have significant drawbacks, and reduced privacy is definitely one of them.
HIPAA Myths
Writing for About.com, Trisha Torrey helps bust 10 most common myths about the privacy protection of medical records provided by the Health Insurance Portability and Accountability Act, known as HIPAA. For example, the claim that medical information cannot be legally sold or used for marketing under HIPAA is untrue. Under certain circumstances your medical information can, and is, sold and used for marketing purposes. One of the primary loopholes here is that the rules are confusing, even to providers.
“That means these rights may get violated, whether that is intentional or unintentional,” Torrey writes.
“An example of when information can be shared for marketing purposes is when a hospital uses its patient list to inform you of a new service it provides, a new doctor who has joined the staff, or a fund raising program. An example of when information cannot be shared without an additional authorization from you is when an insurer who has obtained your information from one of your providers, then uses or sells your information to sell you additional insurance, or another product related to services you have already received. You can see how these examples are confusing, and how the various entities that do have access to your records might take advantage of that confusion. “
HIPAA Laws Do Not Apply to All Storage of Medical Information
It’s also important to understand that HIPAA laws do not cover privacy and security for all medical records. The laws only apply to entities specifically bound by them, such as healthcare providers, healthcare facilities, and sometimes insurers.
But there are plenty of other entities that may have your medical information that are not bound or regulated by HIPAA, such as online medical data storage services, and in those cases, no real privacy protection exists, other than what the company itself proclaims to have in place.
The bottom line?
Read the fine print with a magnifying glass! For the time being, online services to store your health information are entirely voluntary, and you have to sign up to use them. Just beware that these types of services can make you vulnerable to hackers, insurance companies, and yes, advertisers.
However, your insurance company, hospital or doctor’s office may already be storing your health information online in their own databases, as Cohen discovered. It’s definitely worth a few minutes of your time to contact your health providers and insurance company to find out just what personal information is available online. Some will only include basic test results, for instance, while omitting more personal information like substance abuse, mental health, sexually transmitted diseases, or reproductive health. Either way, if you don’t want it online, request to have it removed.
After all, your privacy is under attack in many ways nowadays, by telemarketers, phone companies, advertisers, and technology like RFID tags, so it may be in your best interest to keep your health information under wraps as much as possible.
Sloppy Security Breaches May Be More Common than You Think
In another recent blog post, Dr. Pamela Wible, MD writes:
“On February 24, 2011, Massachusetts General Hospital was fined $1 million dollars by the federal government when an employee inadvertently left a stack of papers on the subway. These documents contained the protected health information of 192 patients, many with HIV/AIDS.
Where did these medical records go? Nobody knows. “
And according to an article in the American Medical News, published in March:
“[P]ractices and hospitals are more likely to experience a breach because of an employee losing a thumb drive, mobile device or stack of paper files than because they were targeted for a malicious hacking.”
This could easily qualify as the stuff that nightmares are made of… However, medical practices and hospitals do have a strong incentive to clamp down on such sloppiness, as they may face fines of up to $1.5 million for every patient data breach according to the Health Information Technology for Clinical Health Act of 2009.
What Can You Do to Protect Your Privacy?
When it comes to your health information, staying out of the system is the best way to ensure your privacy. But is it the ideal solution for everyone? Probably not. Just beware that if you run to the doctor for every bump, scratch and rash, all of that information can end up in a number of different locations that you may or may not be aware of or have control over.
If you’re concerned about your medical privacy, call your doctor and insurance company and find out where and how your information is stored and shared, and ask to have it removed if you don’t approve. For general privacy protection, I like protectonlineprivacy.com. They do a marvelous job of providing resources to teach you how to rapidly and inexpensively remove your personal details from all the major databases.
**********
Blog me.
Robin: :) This is definitely the place to get your “licks in”, as you can see.
I HOPE everyone has a great Monday!
xoxo
Lastly, greed over a great story is surfacing from my “loyal”(?) readers. With all this back and forth about who owns what, that appears on my blog, let me reiterate that all material posted on my blog becomes the sole property of my blog. If you want to reserve any proprietary rights don’t post it to my blog. I will prominently display this caveat on my blog from now on to remind those who may have forgotten this notice.
Gratefully your blog host,
michelle
Aka BABE: We all know what this means by now :)
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September 12th, 2011 at 9:12 am
WHAT YOU SHOULD EAT AFTER EXERCISE
Gym rats are forever comparing notes on the best ways to maximize the benefits of their workouts — whether the goal is to increase endurance, get stronger or simply stay flexible.
Doctors, wanting to see their patients use exercise as efficiently as possible, also want to know more. The result? Researchers are kept steadily busy studying what does and does not change the way the body responds to exercise. Sometimes, as with the study I am about to tell you about, they’re surprised at what they learn.
SHAKING UP EXPECTATIONS
In this small study from Colorado State University, 16 sedentary adults (ages 37 to 64) were asked to do 45 minutes of aerobic activity (all at the same intensity) three times a week for six weeks and then, immediately after each exercise session, to consume either a drink packed with protein and carbohydrates or one containing just carbohydrates. Each participant drank the same kind of drink for the whole study.
The results were surprising in three different ways…
Protein drinks weren’t better at building muscle. Both drinks were equally effective at what the researchers were measuring, which was production of new proteins in the muscle (and that leads to the building of muscle). Previous studies had led researchers to believe that the protein drink would have brought greater results.
Protein drinks were better at boosting oxygen intake. Consuming protein increased the maximum volume of oxygen participants were able to use.
This oxygen intake is called VO2 max and is a measure of cardiovascular health — the more oxygen your body can use, the fitter you are aerobically and the healthier your cardiovascular system.
Lead researcher Benjamin Miller, PhD, told me that the after-exercise protein drink helped boost oxygen volume by increasing the manufacture of proteins in the mitochondria (the cells that produce energy).
Exercise brought new DNA to everyone’s muscles. People in both groups also experienced an increase in the amount of new DNA (the body’s instructions for building living tissue) in their muscle.
Dr. Miller called this finding the “coolest of all” because it indicates that exercise helps the body repair old damaged DNA and, he theorizes, the muscle cells likely recruit new DNA from regenerative cells outside the muscle.
Dr. Miller said that it was previously thought that skeletal muscle did not replicate at all, noting that this finding may yield new insights on how exercise helps to slow the aging process.
The takeaway message for all of us? It’s helpful for us exercisers to consume protein soon after we exercise — not for building muscles, as we had thought, but to maximize our oxygen intake and build a stronger cardiovascular system.
Source(s):
Benjamin F. Miller, PhD, assistant professor, department of health and science, and director, skeletal muscle laboratory, Colorado State University, Fort Collins.
September 12th, 2011 at 10:18 am
Anon5
You like – A great deal of intelligence can be invested in ignorance when the need for illusion is deep. -Saul Bellow, writer, Nobel laureate (1915-2005)
I like – The power of the white world is threatened whenever a black man refuses to accept the white world’s definitions.
James A. Baldwin
September 12th, 2011 at 10:34 am
255
No. 255 of 365
Quote from the collected wisdom of Al “Non Sequitur” Gore:
“I am not part of the problem. I am a Democrat.”
September 12th, 2011 at 11:22 am
One should think deeply about this accident. It portends a dire future for the planet as it seeks more places to store its nuclear waste.
One day in the near future the bright idea will occur to humans to store their nuclear waste on the moon.
Urte
September 12th, 2011 at 11:24 am
PARIS — A nuclear waste site in southern France had an explosion Monday that killed one person, seriously burned another and slightly injured three others, France’s nuclear safety body said.
The Nuclear Safety Authority said no radioactive leaks have been detected in the blast at 12:37 p.m. (1037 GMT, 6:37 a.m. EDT) at an oven in the Centraco nuclear site. The accident was under control within the hour, the agency said in a statement.
September 12th, 2011 at 11:42 am
This shows the kind of females the republican party chooses as well as the mentality of the women willing to ignore misogynist behavior for personal advancement and financial rewards in a party that is morally, ethically and consciously bankrupt.
The only thing worse that these people are the incredibly stupid women that vote for them.
=====================
In a radio interview Thursday, Republican Gov. Nikki Haley said “God bless that little girl at the Post and Courier,” referring to a reporter at the Charleston newspaper.
=================
Valencia
September 12th, 2011 at 11:53 am
American bankers are poised to run a whole new money making scheme on the american people. But the new rules by the international Basal group of bank regulators would prevent this.
So the american bankers will be launching a publicity program to aid the republicans when they call for the US to pull out of the Basel group of global regulators.
It will be proposed as a patriotic venture lined with preventing socialism, etc, etc.
September 12th, 2011 at 12:10 pm
My man who works for HLS said that the republican influence is attempting to make a home grown terrorist to energize their base.
The desperateness of this party scares me.
Kelly
September 12th, 2011 at 12:15 pm
Urte:
You know that the moon is occupied beneath its surface. I wonder what these beings would feel about earth storing nuclear waste on the moon. If we get this idea one day and have an accident there, we will not only be putting humans in danger, but the moon’s inhabitants as well.
Without the moon causing ocean tides, the oceans of the earth would begin dying out due to a lack of oxygen. The oceans are the beginning of our food chain. It would cause extinction of millions of species, working its way up to humans.
We do not have a plausible plan for nuclear waste storage, yet we use Nuclear power throughout the world — especially France. We do not factor in the possibilities of accidents. This is a typical human thing to do — to worry about our actions after the fact.
HOWIE
September 12th, 2011 at 12:29 pm
If you suffer from ongoing dry, itchy skin, you know that it can be unbearable. Not only is it uncomfortable—it can also make you very self-conscious about your appearance. It becomes frustrating both physically and mentally.
While there are topical creams available, you’ve probably found that none of them give you the constant relief you are seeking. Well until now nothing has. I recently discovered a breakthrough nutrient that when taken orally can do something many topicals can’t: it greatly reduces the occurrence of dry, itchy, flaky skin. This amazing nutrient is scientifically named XP-828L, and I’m so impressed with the research and the firsthand results I’ve seen, that I put it in my formula IFS Defense—“IFS” stands for itchy, flaky skin.
We’ve all suffered from occasional dry skin during the cold winter months when the heat is running and the humidity is low. But IFS Defense is not the product for occasional discomfort, and it’s not a beauty product either. IFS Defense is for serious, ongoing skin problems. And it can really change the impact your skin condition has on your life during all times of the year. Let me explain.
This breakthrough skin solution targets the relationship between problematic skin and your immune system
The reason IFS Defense works so well is because it addresses your immune system. Maybe this seems like a leap to you, but there’s actually a direct connection between your immune system and your skin. Normal skin cells mature and shed in 28 to 30 days, revealing fresh new skin. Keeping your immune system healthy helps keep your skin healthy. However, in some cases, stress can interfere with this process leaving dry, flaky skin commonly found on your knees, legs, hands, elbows, and arms. But I’ve also seen them appear on the face and even the scalp.
The good news is the nutrient I mentioned earlier, XP-828L, is derived from a natural substance found in whey protein that modulates the immune response and reduces the occurrence of itchy skin. IFS Defense combines XP-828L with a special form of turmeric, one of my all-time favorites for promoting a normal inflammatory response.
IFS Defense is a safe, natural supplement that’s extremely effective. Unlike topical creams or moisturizers, it targets the immune system cells involved in your inflammatory response. This means it promotes healthy skin year-round.
Stop scratching, covering up, and feeling embarrassed about your skin
If you suffer from dry, itchy skin, this formula will change your life. It’s not another messy, drippy, shiny ointment to slather on that may or may not provide the relief you need. IFS Defense is a powerful, effective supplement that gets to the root cause to bring you wonderful, ongoing relief.
Plus, it will do wonders for your quality of life. When your skin is less itchy, it looks and feels better, so you won’t have to constantly cover up. You’ll be able to wear short-sleeve shirts without feeling embarrassed.
Sincerely,
Dr. David Williams
P.S. Finally, there’s natural relief from severe dry and itchy skin. IFS Defense targets the root cause giving you ongoing relief. If you suffer from itchy, flaky skin, I hope you’ll give it a try.
September 12th, 2011 at 1:52 pm
It is doubtful that humans will discover the nano workings involved in their muscles within the next two decades. We have been transporting them for meat for centuries.
With our advanced technologies it has been difficult to amass all the complex vitamins, minerals and other supplements their cells, tissues, organs and systems need in the proper combinations to enable them to arrive at their destination in maximum productivity and freshness.
They can clone a being but it will in all probability be much less than the human their birth process produces. Like the synthetic products they produce today, their will be the inevitable surprises and contraindications.
11ok6ruk
September 12th, 2011 at 2:00 pm
The higher ups in the republican party still want to back Romney. They are working hard on how to get the rank and file including the Tea party to see it their way.
They see Rick Perry as a greedy Ronald Reagan, a cheap, dumb, piece of white trash that has gotten the big head from all the graft and money they have thrown his way.
Unlike Reagan who knew his place and had an understanding of how much he would be paid, this greedy, pretender to their position might be too greedy to take direction.
Mike
September 12th, 2011 at 2:06 pm
CAN A CHINESE HERBAL PASTE HELP COPD?
Eastern and Western medicine often seem to take very different approaches to the concept of wellness — a perfect example is an herbal paste that has been used by the Chinese for thousands of years for treating asthma, emphysema and other kinds of breathing disorders.
Is this a treatment that is applied in the way we Westerners would expect? No, not at all. In fact, it turns out that the healing paste is typically applied as a preventive during the summer season to relieve symptoms that appear in the winter! (For patients with acute problems, however, the paste can be used at any time of the year.)
Another surprise, it’s applied to various points on the patient’s back — in order to bring relief to the chest! Like I said, East and West do seem to work in different directions. And yet just as often, they complement each other very effectively.
I spoke with Hong Jin, DAOM, LAc, chair of Oriental medicine at the Oregon College of Oriental Medicine in Portland, for more information.
She explained that it is tradition for Chinese people with respiratory difficulties to turn to the herbal paste known as xiao chuan (XCP) to help them breathe easier.
While anecdotal evidence and tradition are one thing, hard science is quite another. Dr. Jin told me that researchers have recently put XCP through the rigors of controlled studies, applauding it as it came through with flying colors.
BREATHING EASIER
In the first randomized, controlled study of XCP, medical investigators in Beijing assigned 142 people with chronic pulmonary obstructive disease (COPD) to receive treatment with either XCP or a placebo paste.
XCP contains Chinese botanicals including ephedra. Because ephedra is banned here in the US, Dr. Jin explained, doctors substitute other herbs (Fang Feng and Gui Zhi) when XCP is used here.
For the purposes of the study, practitioners applied the paste to specific acupuncture points on participants’ backs a total of four times during the eight-week period of July and August, leaving it on for four to six hours each time, as has been the practice with XCP for many generations.
The scientists then monitored the patients from November through February and discovered that those treated with XCP fared significantly better than those treated with the placebo.
The XCP group…
Experienced fewer winter “exacerbations” of their COPD, such as shortness of breath, wheezing and/or chest tightness, that required steroid or antibiotic prescriptions… and they needed fewer hospitalizations for respiratory problems.
Reduced their reliance on steroid medications (which have side effects such as fluid retention, weight gain, increased blood pressure and mood swings) compared with the placebo group.
Not surprisingly, given these changes for better health, people who received XCP also reported an improved quality of life.
Researchers shared these results at the American Thoracic Society’s 2011 International Conference in Denver.
NOT A ONE-SIZE-FITS-ALL REMEDY
According to Traditional Chinese Medicine (TCM), when doctors apply XCP paste to acupuncture points for lung disorders, it passes directly to the organs, said Dr. Jin.
She finds the paste to be safe and effective, she told me, adding that it is also inexpensive.
On the other hand, Dr. Jin cautions that XCP is not a one-size-fits-all remedy, especially given that asthma and COPD are serious and potentially life-threatening illnesses.
It’s best to consult a practitioner who is formally trained and licensed in the practice of TCM.
To find a practitioner in your area, visit the Web site of the National Certification Commission for Acupuncture and Oriental Medicine at http://www.nccaom.org/find-an-acupuncture-practitioner-directory.
To make sure you receive safe and coordinated care, be sure to tell all your health-care providers about all types of treatment you undergo for lung disease.
Source(s):
Hong Jin, DAOM, MD (PRC), LAc, chair of Oriental Medicine, Oregon College of Oriental Medicine (OCOM), Portland, Oregon.
Dr. Jin teaches in both the master and doctoral programs at OCOM as well as in the doctoral program at the American College of Traditional Chinese Medicine in San Francisco.
September 12th, 2011 at 2:10 pm
Michelle, I am of the opinion that the Bush administration used 9/11 to rob us of all our privacy protections. Business used the governments lead to finish us off.
Lisa
September 12th, 2011 at 3:44 pm
Anonymous Says: September 11th, 2011 at 11:55 pm
You like – Our expression and our words never coincide, which is why the animals don’t understand us. -Malcolm De Chazal, writer and painter (1902-1981)
————————–
I like – Hypocrisy is the white boys nature.
September 12th, 2011 at 5:03 pm
A bit more on the comment from “The desk of Anonz”
http://www.huffingtonpost.com/2011/09/11/jamie-dimon-jpmorgan-chase-rules_n_957740.html
September 12th, 2011 at 6:02 pm
This is to you guys out there who will understand my angst. Have you ever wanted to fuck your lady so bad not because you are horny but because you want to be close to her.
I got that fix now! My body is fucking with my mind. I smell and taste her non stop. There is no antidote. My every fiber says I need her now!
Corny, if you are not the one going through the feeling. Total hell if you are.
No pressure meant to be put on you babe. I got to man up. I just don’t know how I become strong enough to not want you.
Ym
September 12th, 2011 at 6:08 pm
Thanks Doug, it looks like the propaganda to propagate their agenda is beginning.
Thanks for the heads up!
Parker
September 12th, 2011 at 7:07 pm
Everyone is looking to find out what is real. When I read your post Ym I never know. Or maybe I should say I never did. But when the married slut wrote in and made herself known I got the picture.
You, are being used. She is no different from a man that is cheating on his wife with no intentions of leaving her husband.
Why should she? You have made it easy for her to continue her lying lifestyle. Drop the cheating slut! Give that kind of commitment to a woman who deserves it.
Karen
September 13th, 2011 at 12:41 am
Q: Is there a way to surf the Web anonymously so that the sites I visit don’t know that I have been there?
A: There are ways to surf anonymously, although there is no guarantee that what you do won’t be seen. Here are two options…
An anonymizer hides information that is coming from the user’s computer. It often is used by government agencies and corporations — it can make communication seem to come from an entirely different place. A company called Anonymizer (www.Anonymizer.com) is a major provider of this type of service for $80 a year.
Onion routing is another method of disguising the origin of most Internet activity. It can be complicated, making it more appropriate for advanced users. You can use onion routing for free through http://www.TorProject.org.
Our inside source: Randolph Hock, PhD, a former reference librarian and now a seminar and workshop provider and operator of Online Strategies, Vienna, Virginia. http://www.OnStrat.com.
September 13th, 2011 at 1:05 am
252
No. 252 of 365
Start a rumor:
The radical, fringy, and racially incendiary Reverend Jeremiah Wright was actually Barack Obama’s pastor and friend for two decades—oh wait, that’s true!
=======REBUTTAL=========
If an OTW has any connection with anything that reflects derogatorily towards the white race the OTW is considered a threat and reviled as a racist against the white race.
But white men can have actual beliefs themselves and be associated with organizations that preach and practice segregation and the OTW is expected tolerate it.
Often the white race justifies it as being “Conversative.”
Robert
October 31st, 2011 at 4:00 am
Well,the medical records should be made confidential for some reasons.But is it the ideal solution for everyone? Probably not. Just beware that if we run to the doctor for every bump, scratch and rash, all of that information can end up in a number of different locations that you may or may not be aware of or have control over.
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