David Winn is right, when you sign up for the military, you have to do whatever they say.
The problem is that the Administration and the federal government has the same thing in mind for every American--no control over access to PHI.
The payers think they own our PHI and should be able to do whatever they want with it--even though it's both illegal and unethical. That is why industry is pressing Congress to pass an HIT bill without consumer control over access to PHI. BUT---people will lie or not participate in electronic health systems if their data is used without consent---which means we will never get the kind of research we want because the data analyzed will be incomplete and flawed.
Americans just want to be asked for consent for research and be sure that HIT systems are safe and secure.
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