There is a Time to Keep Silent: Striking the Balance between Privacy Protection and the Flow of Health Care Information*

Privacy and Security

Article Snapshot

Author(s)

James C. Cooper and Daniel Gilman

Source

Michigan Telecommunications and Technology Law Review, Vol. 16, No. 2, 2010

Summary

This paper explores policy trade-offs between health information technology and regulation of privacy & data security.

Policy Relevance

This paper focuses on one species of regulatory costs that may be especially amenable to reform – those imposed by privacy and data security regulations.

Main Points

  • Barriers to health information technology (HIT) development and adoption have been complex, including not just misaligned payment incentives – addressed by the ARRA – but significant implementation issues, risk, “cultural” barriers to adoption, standard-setting issues, network externalities, and regulatory costs.

  • The expected tangible privacy harms related to HIT are less stark than some believe.

  • Data security may be a more efficient substitute for many consent and breach notification requirements.

  • The express preemption of state law in the field is examined as a potentially efficient response to the substantial costs associated with state regulation of medical privacy.

*Full title: "There is a Time to Keep Silent and a Time to Speak, the Hard Part is Knowing Which is Which: Striking the Balance between Privacy Protection and the Flow of Health Care Information"

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