FC: Robert Gellman flames "lazy" reporters for blaming HIPAA

From: Declan McCullagh (declanat_private)
Date: Wed Jul 16 2003 - 20:58:48 PDT

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    Date: Wed, 16 Jul 2003 18:18:24 -0400
    From: Robert Gellman <rgellmanat_private>
    To: declanat_private
    Subject: Re: FC: HIPAA medical privacy rule hinders reporting of Chicago 
    disaster
    
    I want to respond to the article that you circulated complaining about the 
    effect of the HIPAA rule on the press.
    
    First, HIPAA allows for the public disclosure of some patient information 
    if the patient has not objected.  If a hospital chooses to have a more 
    restrictive policy, that is its business.  Yell at the hospital if you 
    like.  It's not a HIPAA issue.
    
    Second, Illinois has for some years had a law on the books that prohibits 
    health care providers from "from disclosing the nature or details of 
    services provided to patients." 410 Ill. Comp. Stat. Ann. 50/3.  HIPAA did 
    not change this state law.
    
    Third, the disclosure of personal medical information may be actionable.  A 
    prudent hospital may have decided not to risk a private lawsuit in today's 
    privacy-sensitive environment.  That has nothing to do with HIPAA, which 
    does not provide a private right of action.
    
    Fourth, I am tired of hearing reporters complain because they can't get a 
    handout of information.  Whatever happened to being a real reporter and 
    collecting information for yourself?  HIPAA doesn't apply to the press and 
    doesn't restrict what the press can report. In this context, HIPAA mostly 
    applies to health care providers, who were always supposed to protect 
    patient confidentiality.  Many others had information about the Chicago 
    victims, including witnesses, neighbors, relatives, police, and the victims 
    themselves.  HIPAA did not restrict what any of these people could 
    say.  Lazy reporters blame HIPAA for their own inadequacies.
    
    Fifth, the disclosure of private medical information has nothing to do with 
    access to government records, where the public and the press have a 
    legitimate interest in much information.  The First Amendment gives the 
    press great ability to publish, but it provides few rights to access to 
    government information and no rights of access to private information.
    Just because someone is a victim of an accident doesn't mean that the 
    details of their lives, including home address and age, should be given to 
    reporters.  If you think otherwise, consider what information reporters for 
    supermarket tabloids would seek about hospitalized movie stars, 
    politicians, and other public figures.
    
    Bob
    
    -- 
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    + Robert Gellman                            +
    + Privacy and Information Policy Consultant +
    + 419 Fifth Street SE			    +
    + Washington, DC 20003			    +
    + 202-543-7923        <rgellmanat_private> +
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