Edgar H, Sandomire H
Silver Program in Law, Science and Technology, Columbia University.
Am J Law Med. 1990;16(1-2):155-222.
Promises of confidentiality of HIV-related medical records and protection from discrimination based on HIV seropositivity are two of the legislative inducements state governments have offered to encourage voluntary HIV testing. Yet neither can be granted without impact on others whose interests range from those of a lover to those of an insurer. Politics as well as practicalities prevent the absolute protection of records from unauthorized disclosure and of individuals from discrimination. This article details the already enacted statutory compromises that have been made to resolve the conflicts of these competing interests and closely examines the myriad fine decisions made in reaching those legislative decisions.
对与艾滋病病毒相关的医疗记录保密的承诺，以及保护艾滋病病毒检测呈阳性者免受歧视，是州政府为鼓励自愿艾滋病病毒检测而提供的两项立法诱因。然而，给予这两项措施中的任何一项，都会对从恋人到保险公司等其他利益相关者产生影响。政治因素以及实际情况使得无法绝对保护记录不被未经授权披露，也无法绝对保护个人不受歧视。本文详细介绍了为解决这些相互冲突的利益之间的矛盾而已经颁布的法定妥协措施，并仔细审视了在做出这些立法决定过程中所做出的无数细微决策。
