title: The privacy rule that's not.
abstract: 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.
authors.affiliation: Havard Medical School, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Sobel
mesh_terms: D030881:Disclosure / Q000331:legislation & jurisprudence*; D004992:Ethics, Medical; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D018907:Privacy / Q000331:legislation & jurisprudence*; D014481:United States