What was once privileged and confidential is now “federal data”

I’m beginning to think that those of us who thought Obamacare was a debate over socialized medicine were suckers.

Including me.

It’s becoming more and more clear that those who were worried — as I was and still am — about socialized medicine, the quality of health care, health insurance regulation, even the loss of individual choice in health care matters were missing a much larger horror.

The real horror of Obamacare involves a monumental loss of privacy, and having your doctor —  once in a position of trust and confidence — dragooned by law into becoming a government agent/rat/informant in violation of the most sacrosanct of medical principles.

I’m not kidding. It is that bad:

…there is increasing concern in Congress over something called the Federal Data Services Hub. The Data Hub is a comprehensive database of personal information being established by the Department of Health and Human Services (HHS) to implement the federally facilitated health insurance exchanges. The purpose of the Data Hub, according to a June 2013 Government Accountability Office (GAO) report, is to provide “electronic, near real-time access to federal data” and “access to state and third party data sources needed to verify consumer-eligibility information.” In these days of secret domestic surveillance by the intelligence community, rogue IRS officials and state tax agencies using private information for political purposes, and police electronically logging every license plate that passes by, the idea of the centralized Data Hub is making lawmakers and citizens nervous.

They certainly should be; the potential for abuse is enormous. The massive, centralized database will include comprehensive personal information such as income and financial data, family size, citizenship and immigration status, incarceration status, social security numbers, and private health information. It will compile dossiers based on information obtained from the IRS, the Department of Homeland Security, the Department of Defense, the Veterans Administration, the Office of Personnel Management, the Social Security Administration, state Medicaid databases, and for some reason the Peace Corps. The Data Hub will provide web-based, one-stop shopping for prying into people’s personal affairs.

Not to fear, HHS says, the Data Hub will be completely secure. Really? Secure like all the information that has been made public in the Wikileaks era? These days no government agency can realistically claim that private information will be kept private, especially when it is being made so accessible. Putting everyone’s personal information in once place only simplifies the challenge for those looking to hack into the system.

However, the hacker threat is the least of the Data Hub worries. The hub will be used on a daily basis by so-called Navigators, which according to the GAO are “community and consumer-focused nonprofit groups, to which exchanges award grants to provide fair and impartial public education” and “refer consumers as appropriate for further assistance.” Thousands of such people will have unfettered access to the Data Hub, but there are only sketchy guidelines on how they will be hired, trained and monitored. Given the slap-dash, incoherent way Obamacare is being implemented the prospect for quality control is low. And the Obama administration’s track record of sweetheart deals, no-bid, sole-source contracting and other means of rewarding people with insider access means the Data Hub will be firmly in the hands of trusted White House loyalists.

I’m sorry, but doctors who cooperate with this system are unworthy of trust.

Not so long ago, there was a very serious privilege of which attached to confidential communications between patients and doctors, clients and lawyers, and congregants and priests. We are now seeing the doctor patient privilege being obliterated by the government. What’s next? Will lawyers and priests have to divulge client communications to the state too?

I’m glad there are still some doctors who opt out.

But how long will that be allowed?

MORE: If you are against these invasions of privacy, then according to HHS Secretary Kathleen Sebelius (who will glean access to all your medical data) you are little different from the bigots who supported segregation and lynching:

…the United States secretary of health and human services has loathsomely injected race into the debate over Obamacare. Toward the conclusion of this week’s NAACP grievance fest, Kathleen Sebelius took the podium to demagogue Obamacare opponents. The fight against them, she inveighed, is reminiscent of “the fight against lynching and the fight for desegregation.” She made these inflammatory remarks just as violence was erupting over Zimmerman’s acquittal in the Trayvon Martin shooting, no small thanks to Holder’s accomplice, Al Sharpton.

These episodes are not unrelated. They are coordinated.

As far as I’m concerned, any doctor who hands over his patient’s personal and private health records to a hack demagogue like Kathleen Sebelius really ought to lose his license.

This stuff is pure Orwell.


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7 responses to “What was once privileged and confidential is now “federal data””

  1. Simon Avatar

    1984 was not political/science fiction. It was a planning document.

  2. Veeshir Avatar

    I used to.
    think I was on the ‘too’ side of paranoid enough.
    No more. It’s impossible.

  3. Joseph Hertzlinger Avatar

    Does this mean we can finally see that birth certificate?

  4. […] Classical Values wonders about stuff that used to be confidential […]

  5. SDN Avatar
    SDN

    There’s already been a couple of state level proposals to tie licensing to accepting Obamacare patients. I give it a year until concierge doctors are told by DEA that they aren’t allowed to prescribe drugs.

  6. […] know I’ve been kvetching about this before, but the coming massive invasion of privacy by the federal government is going to […]