Sobel Richard
Havard Medical School, USA.
Hastings Cent Rep. 2007 Jul-Aug;37(4):40-50. doi: 10.1353/hcr.2007.0062.
HIPAA is often described as a privacy rule. It is not. In fact, HIPAA is a disclosure regulation, and it has effectively dismantled the longstanding moral and legal tradition of patient confidentiality. By permitting broad and easy dissemination of patients' medical information, with no audit trails for most disclosures, it has undermined both medical ethics and the effectiveness of medical care.
《健康保险流通与责任法案》（HIPAA）常被描述为一项隐私规则。但它并非如此。事实上，HIPAA是一项信息披露规定，它实际上打破了长期以来患者保密的道德和法律传统。通过允许广泛且轻易地传播患者的医疗信息，而且大多数信息披露都没有审计追踪，它既损害了医学伦理，也降低了医疗护理的效果。
