Doctor – Patient – Confidentiality

When I graduated from Cleveland Chiropractic College and earned my Doctorate Degree, one of the things I had learned was the importance of keeping everything the patient told me completely confidential.
(Confidential – to be kept private, not shared, not discussed with anyone else, not revealed without direct instruction from the patient.)

I still take that responsibility very seriously.  Nothing you say to me during a treatment session will ever be repeated outside that door, without your direct instructions.

But over the past 20 years, I have seen a loss of expectation for privacy in our health records.

Now, the intimate details of our lives, illnesses, sufferings, and frailties are connected with our financial records and distributed across the globe. To potential employers, future spouse, colleges, ex-wives, police, lawyers, salesmen, anyone interested in us.

Call me old fashioned, but I will not participate in this attack on your privacy.  If you trust me as your doctor, I will keep records in a hand written format.  Everything stays confidential and between you and me.  Nothing leaves my files except directly to you.  (or your next of kin)

So if you have a bad back, but don’t want your employer to know.  Get in here.

If you need a safe ear to share your troubles, I promise to keep it confidential.  (Unless you tell me your an axe murderer)

If something is going on with your kid, and you are afraid it might affect his chances for a scholarship, I can help.

There are so many situations the details of your health condition should be private, I am an oasis of privacy.

Let me help

Call the clinic at 816-436-9355 and set up a confidential appointment right now.

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Doctors reimbursement goes down if you opt out of the coming Electronic Health Records

Monday, October 05, 2009 By Christopher Neefus

(CNSNews.com) The U.S. Department of Health and Human Services (HHS) says that everyone can opt out of having an electronic health record included in the federally mandated national electronic-health-record system created by the stimulus law enacted in February.

The $787 billion economic stimulus bill, the “American Recovery and Reinvestment Act” signed into law by President Obama in February, calls for “the utilization of an electronic health record for each person in the United States by 2014.” The law says the records should include a person’s “medical history and problems list.”

The law also says the electronic health record (EHR) will become part of a “nationwide health information technology infrastructure,” accessible with authorization by health-care providers and the government.

To make certain this happens, the law provides for doctors, hospitals, and other health care providers to be given financial incentives to begin participating in the EHR system by 2014. Doctors, hospitals and health care providers that fail to make “meaningful use” of the system by 2015, the law says, will be penalized with reductions in their Medicare payments.

But individual Americans can opt to never have an EHR entered in the system, according to Dr. David Blumenthal, who is overseeing the development of the system as HHS’s national coordinator for health-care information technology.

“We want to make it clear that no one will ever have to use an electronic health record, if they don’t want to, and that when you do have electronic health records, they’ll have every conceivable privacy protection that is compatible with a useful health care system,” Blumenthal told CNSNews.com during a telephone news conference last Tuesday on EHRs with Secretary of Health and Human Services Kathleen Sebelius. (Listen here.)

Rep. Patrick Kennedy (D.-R.I.) recently told CNSNews.com that it would “totally be up to the individual” whether a doctor could list an abortion or an STD on their EHR. CNSNews.com asked Sebelius if that was the case, and whether patients could also prevent a mental illness or drug or alcohol abuse from being included on their EHR.

Blumenthal spoke up to respond to the question, saying that EHRs will be privacy-protected, that a committee is studying how to arrange the privacy protections, and that people will be able to completely opt out of having one.

“We are extremely sensitive to the need for privacy and security of information,” said Blumenthal. “It is one of our very top priorities. And we have, actually have a health-information technology policy committee of national experts. We held a hearing on this topic just 10 days ago. This very question came up. We’ve charged that committee with studying how to protect patient information and they’re going to be reporting back to us.

“We want to make it clear that no one will ever have to use an electronic health record, if they don’t want to, and that when you do have electronic health records, they’ll have every conceivable privacy protection that is compatible with a useful health-care system,” Blumenthal continued. “So, we’re going to wait to see what this panel reports back to us on in terms of the exact protections that we’re going to build in.”

Blumenthal was asked in a follow-up question to clarify if the EHRs were mandatory or voluntary.

“Let me say this again: No one will ever be forced to use an electronic health record if they don’t want to,” said Blumenthal. “This is always going to be between doctors and patients. Now–so, that’s a given and so that, by definition, makes them voluntary.”

Blumenthal did not say when the committee studying the privacy issue would complete its work, but indicated that the financial incentives for health-care providers to begin using EHRs do not begin for another year and a half. “We have a little bit of time,” he said.

As of Monday, Blumenthal’s office had not answered follow-up questions that CNSNews.com submitted last week. A spokesman for the press office indicated that it could take “up to two weeks” for the request to be considered by the agency’s press secretary.When CNSNews.com asked White House Press Secretary Robert Gibbs last week whether the White House agreed with Rep. Kennedy that patients could opt out of having an abortion or certain diseases excluded from the ENR, the president’s spokesman said he had “no idea.”

“I’m not a health IT expert. I would direct you to somebody — I have no idea,” he said.
When CNSNews.com followed up, asking whether just the concept of allowing omissions from the EHR was a good idea.

“I’m not a health IT expert, so I apologize,” Gibbs asserted.

Transcript:

CNSNews.com: Our outlet spoke last week with Rep. Patrick Kennedy. And he told us that patients will actually be able to stop a doctor from including abortions or STDS in their medical history that will be part of the government-mandated electronic health record in the national record system. I am just wondering is that Secretary Sebelius’ understanding, that a patient would be able to stop such things from being recorded, and if that’s the case, could patients also prevent things like mental illness or drug and alcohol abuse from being recorded if they so desired?”

Blumenthal: “This is Dr. Blumenthal again. I think I will take I’ll take that question. We are extremely sensitive to the need for privacy and security of information. It is one of our very top priorities. And we have, actually have a health-information technology policy committee of national experts. We held a hearing on this topic just ten days ago. This very question came up. We’ve charged that committee with studying how to protect patient information and they’re going to be reporting back to us. We want to make it clear that no one will ever have to use an electronic health record, if they don’t want to, and that when you do have electronic health records, they’ll have every conceivable privacy protection that is compatible with a useful health-care system. So, we’re going to wait to see what this panel reports back to us on in terms of the exact protections that we’re going to build in.

CNSNews.com: Are electronic health records mandatory, or as you indicated, voluntary? Help me understand here.

Blumenthal: “Let me say this again: No one will ever be forced to use an electronic health record if they don’t want to. This is always going to be between doctors and patients. Now–So that’s a given and so that, by definition, makes them voluntary.”

CNSNews.com: And you talked about this panel. When will this privacy committee conclude with its work?

Blumenthal: We’re going to let them do a little bit of work and report back to us on how long it is going to take them. To be clear, the incentives that are associated with the adoption of electronic health records don’t go out for another year and a half. We have a little bit of time.

A Declaration of Separation

A Declaration of Separation (Anonymous)

To The Governments & People of Earth:

We claim the right to exist, and we will defend it. We do not seek to overthrow anything. We do not seek to control anything. We merely wish to be left alone. All we ever wanted was to live in peace with our friends and neighbors. For a long, long time we bore insults to our liberty; we took blows, we did what we could to avoid injury and we worked through the system to get the offenses to stop. That has now changed. We no longer see any benefit in working through the world’s systems. At some point, working within a system becomes cowardly and immoral; for us, that point has arrived. Regardless of the parties in power, their governments have continued to restrict, restrain and punish us. We hereby reject them all. We hereby withdraw from them all. We hold the ruling states of this world and all that appertains to them to be self-serving and opposed to humanity. We now withdraw our obedience and reclaim the right to strike back when struck. We will not initiate force, but we do reserve the right to answer it. We did not choose this – it was forced upon us.

To The Governments of Earth:

You are building cages for all that is human. In the name of protection, you have intruded into all areas of human life, far exceeding the reach of any Caesar. You claim ultimate control of our property and our decisions, of our travels and even our identities. You claim ownership of humanity far beyond the dreams of any Emperor of any previous era. Understand clearly: We reject your authority and we reject your legitimacy. We do not believe that you have any right to do the things you do. You have massive power, but no right to impose it upon us and no legitimacy. We have forsaken you. We are no longer your citizens or your subjects. Your systems are inherently anti-human, even if all their operators are not. We are not merely angry young people. We are fathers and mothers; aunts, uncles and grandparents; we are business owners and trusted employees; we are mechanics and engineers and farmers. We are nurses and accountants and students and executives. We are on every continent. This is not a burst of outrage; this is a sober declaration that we no longer accept unearned suffering as our role in life. For long decades we sat quietly, hoping that things would turn around. We took no actions; we suffered along with everyone else. But after having our limits pushed back again and again, we have given up on your systems. If our fellow inhabitants of this planet wish to accept your rule, they are free to do so. We will not try to stop them. We, however, will no longer accept your constraints upon us. – From now on, when you hurt us, we will bite back. If you leave us alone we will leave you alone and you can continue to rule your subjects. We are happy to live quietly. But if you come after us, there will be consequences. You caused this because of your fetish for control and power. The chief men and women among you are pathologically driven to control everyone and everything that moves upon this planet. You have made yourselves the judge of every human activity. No god-king of the ancient world ever had the power that your systems do. You have created a world where only the neutered are safe and where only outlaws are free.

To The People of Earth:

We seek nothing from you. We do not want to rule you and we do not want to control you. All we wish is to live on earth in peace. As always, we will be helpful neighbors and generous acquaintances. We will remain honest business partners and trustworthy employees. We will continue to be loving parents and respectful children. We will not, however, be sacrificial animals. We reject the idea that others have a right to our lives and our property. We will not demand anything from you, and we will no longer acquiesce to any demands upon us. We have left that game. We reject all obligations to any person or organization beyond honesty, fair dealing and a respect for human life. We will shortly explain what we believe, but we are not demanding that you agree with us. All we ask is that you do not try to stop us. Continue to play the game if you wish; we will not try to disrupt it. We have merely walked away from it. We wish you peace.

To Those Who Will Condemn Us:

We will ignore you. We welcome and seek the verdict of a just God, before whom we are willing to expose our innermost thoughts. Are you similarly willing? We would stand openly before all mankind if it were not suicidal. Perhaps some day we will have to accept slaughter for our crime of independence, but not yet. Your criticism and your malice are much deeper than mere disagreements of strategy or philosophy. You do not oppose our philosophy, you oppose our existence. Our presence in the world means that your precious ideals are false. Some of you would rather kill us than face the loss of your ideologies, just as those like you have either hated or killed every sufficiently independent human. You present yourselves to the world as compassionate, tolerant and enlightened, but we know that your smooth words are costumes. Oh yes, we know you, servant of the state; don’t forget, we were raised with you. We played with you in the schoolyard, we sat next to you in the classroom. Some of us studied at the same elite universities. We watched as you had your first tastes of power. We were the boys and girls standing next to you. Some of us were your first victims. We are not fooled by your carefully crafted public image.

What We Believe

#1: Many humans resent the responsibilities that are implied by consciousness. We accept those responsibilities and we embrace consciousness. Rather than letting things happen to us (avoiding consciousness), we accept consciousness and choose to act in our own interest. We do not seek the refuge of blaming others, neither do we take refuge in crowds. We are willing to act on our personal judgment, and we are willing to accept the consequences thereof.

#2: We believe in negative rights for all: That all humans should be free to do whatever they wish, as long as they do not intrude upon others; that no man has a right to the life, liberty or property of another; that we oppose aggression, fraud and coercion.

#3: We do not believe that our way of life, or any other, will make life perfect or trouble-free. We expect crime and disagreements and ugliness, and we are prepared to deal with them. We do not seek a strongman to step in and solve problems for us. We agree to see to them ourselves.

#4: We believe in free and unhindered commerce. So long as exchanges are voluntary and honest, no other party has a right to intervene – before, during or after.

#5: We believe that all individuals should keep their agreements.

#6: We believe that honestly obtained property is fully legitimate and absolute.

#7: We believe that some humans are evil and that they must be faced and dealt with. We accept the fact that this is a difficult area of life.

#8: We believe that humans can self-organize effectively. We expect them to cooperate. We reject impositions of hierarchy and organization.

#9: We believe that all humans are to be held as equals in all matters regarding justice.

#10: We believe that the more a man or woman cares about right and wrong, the more of a threat he or she is perceived to be by governments.

#11: We believe that there are only two true classes of human beings: Those who wish to exercise power upon others – either directly or through intermediaries – and those who have no such desires.

#12: Large organizations and centralization are inherently anti-human. They must rely upon rules rather than principles, treating humans within the organization as obedient tools.

Our Plans:

We are building our own society. We will supplement traditional tools with networking, cryptography, sound money, digital currency and anonymous messaging. Our society will not be centrally controlled. It will rely solely on voluntary arrangements. We welcome others to join us. We are looking for people who are independent creators of value, people who act more than talk, and people who do the right thing because it is the right thing. We will develop our own methods of dealing with injustice, built on the principles of negative rights, restitution, integrity and equal justice. We do not forbid anyone from having one foot in each realm – ours and the old realm – although we demand that they do no damage to our realm. We are fully opposed to any use of our realm to facilitate crime in the old realm, such as the hiding of criminal proceeds. We expect to be loudly condemned, libeled and slandered by the authorities of the old regime. We expect them to defend their power and their image of legitimacy with all means available to them. We expect that many gullible and servile people will believe these lies, at least at first. We will consider traps laid for us to be criminal offenses. Any who wish to join us are encouraged to distribute this declaration, to act in furtherance of our new society, to voluntarily excel in virtues and to communicate and cooperate with other members of the new society.

Free, unashamed men cannot be ruled.

We are The Free and The Unashamed.

Will Americans accept being tracked 24/7?

Where is all this RFID chip use leading? How do you think they will get Americans to accept so much tracking?

Katherine

In order to get people to accept this control system, there needs to be a reason for the people to accept it. I believe the government will eventually sell RFID technology to the American public as a way to resolve illegal immigration.

It is going to come down on the basis of this completely manufactured issue of illegal immigration. When I say completely manufactured, they allowed it to become an out of control problem and then publicized it day and night. They want the average American to be so fed up with illegal immigration that they will tolerate any degree of intrusion into their own lives in order to put a stop to it.

Katherine Albrecht