CCHC REPORT: THE PUBLIC OPPOSES GOVERNMENT ACCESS TO MEDICAL RECORDS
Report provides details on the written comments of the public to proposed
health surveillance in Minnesota.
--
St. Paul, Minnesota - Although Congress has just passed the Homeland Security
Act to expand government surveillance powers across America, the people of
Minnesota have spoken up in opposition to health surveillance.
In a report released yesterday by St. Paul-based Citizens' Council on Health
Care (CCHC), Minnesota citizens oppose the state's proposed rule to use
individually-identifiable private medical records for surveillance and research
without patient consent.
The 28-page report, "State Collection of Private Medical Information:
Public Response to Minnesota's Proposed Rule" finds nearly 94 percent of the
1,086 public comments on the rule opposed to the state health department's
proposal to collect individually-identifiable medical record data without
patient consent. The report provides background on the rule, as well as many
pages of direct quotes from letters sent to the health department and the judge
who held a hearing on the rule in early October.
"We wanted the public and policy makers to hear what the public had said. We
didn't want the public's comments inaccessible and buried in a government
office. This report is people speaking in their own words - both supporters and
opponents of the proposed data rule," said Twila Brase, president of CCHC.
Quotes from the public include:
OPPOSITION AND CONCERN:
* Individuals and Patients
* Data Professionals
* Health Care Professionals
* Health Insurance Companies
* Legal/Research Professionals
* Out-of-State Citizens
* Citizen Organizations
* Elected Officials
SUPPORTERS:
* Individuals
* Government agencies
* Health Plans
* Employer Groups
* Professional Organizations
* Health Data Organizations
* Out-of-state commenters
PUBLIC SENTIMENT - SHORT TAKES
MN DEPARTMENT OF HEALTH:
* Rationale for the Rule
* Response to Specific Concerns
The proposed rule (Proposed Permanent Rule Regarding Administrative Billing
Data, Minnesota Rules 4653) was published August 18, 2002 and public comments
were accepted through September 18, 2002. CCHC's email alert resulted in the
health department holding a hearing on October 4, 2002. Judge Allan W. Klein
took public comments through October 24, 2002, and letters of rebuttal through
October 31, 2002.
By law, he must render a decision by December 2, 2002. If approved by the
judge, the Governor has the authority to veto the rule. The legislature can also
address the enabling law in the 2003 session whether or not the rule is
approved.
"In a time when elected officials are moving toward expanded government
surveillance, the public still believes in their constitutional right to
privacy. This report can serve as a measure of the public's response to
infringement on that right," said Brase.
"How private medical information will be treated in Minnesota and across the
nation is a key decision for the public. If health surveillance is allowed to
progress, the public is likely to develop a adversarial view of the health care
system and government officials. The result will be detrimental to the public's
health," says Brase.
ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"