Date: 18/07/2018 12:37:26
From: Arts
ID: 1253679
Subject: My Health record

From recent forum discussions and concerns it would be a nice discussion point of opinions and ideas on why or why not people would opt out of using My Health Record.

It seems there is not much reason for access all areas of personal medical records. This article states

“The project aims to give patients and doctors access to timely medical information — test results, referral letters and organ donation information, for starters”

worries me because it looks like it’s the first of a series of initiatives that the record will hold.. what’s next?

and if you tell them not to what if they do? and what if they don’t and there is pertinent information needed for another practitioner?

(speaking of practitioners, who can access the data? )

does that include pharmacists? silver chain workers? phlebotomists?

but they still exist somewhere on the system

What about insurance companies? Prospective employers?

shouldn’t? shouldn’t? that isn’t very reassuring. Also…

“There are plans to use aggregated, anonymised My Health Record data for research and other purposes — this is known as “secondary use”. “

ok, but…

“Secondary uses must be of public benefit and cannot be “solely” commercial, and insurance agencies will not be allowed to participate.”

‘soley’? hmmmm

“Australian organisations (and some overseas, in certain circumstances), including Australian pharmaceutical companies, will be able to apply to access My Health Record data for approved secondary purposes.”

double hmmmmm.

does this mean that my health can impact on my children’s job prospects “Oh, I see your mum had an appendectomy in 1983.. we have recently discovered that the appendix is vital to the health and overall work ethic of all offspring, I’m sorry, but thank you for coming in”

Cyber attacks

This one is probably the most concerning to most people..

so more people able to access.. and…

also

if the doctor downloads the file there’s nothing to stop them from sharing the information.. not even some flimsy legislation to protect you.

speaking of the legalities..

well, that’s some good news (unless you are a criminal) but you won’t necessarily know that any law enforcement body has accessed your data.

my other question, unanswered, is that if you opt out.. can you years later, opt back in?
something to consider.. would love to hear your thoughts.

Reply Quote

Date: 18/07/2018 12:45:20
From: transition
ID: 1253681
Subject: re: My Health record

>The ADHA is authorised by law to disclose someone’s health information if it “reasonably believes” it’s necessary for preventing or investigating crimes and protecting the public revenue, among other things specified under section 70 of the My Health Records Act.

that’s a substantially open access criteria, a license.

Reply Quote

Date: 18/07/2018 12:51:17
From: poikilotherm
ID: 1253682
Subject: re: My Health record

Arts said:

my other question, unanswered, is that if you opt out.. can you years later, opt back in?

yes

Reply Quote

Date: 18/07/2018 12:59:21
From: sarahs mum
ID: 1253686
Subject: re: My Health record

I remember one of the local GPs describing me as “another hysterical psychotic woman.” Sorry if I ruined his day. I was responding badly to medication. He wasn’t listening. I found another GP. I never went to him again.He and his type can f*** off writing in my record.

I am also wondering if, in a world of bad medicine practice, whether it is better when I come across a medic, for them to do an assessment instead of going to the book of Sarahs Mum, finding out about my hysteria and psychosis, and to check instead on whether I am actually having a heart attack.

Reply Quote

Date: 18/07/2018 13:07:51
From: buffy
ID: 1253688
Subject: re: My Health record

sarahs mum said:


I remember one of the local GPs describing me as “another hysterical psychotic woman.” Sorry if I ruined his day. I was responding badly to medication. He wasn’t listening. I found another GP. I never went to him again.He and his type can f*** off writing in my record.

I am also wondering if, in a world of bad medicine practice, whether it is better when I come across a medic, for them to do an assessment instead of going to the book of Sarahs Mum, finding out about my hysteria and psychosis, and to check instead on whether I am actually having a heart attack.

It’s good practice to arrive at your own conclusions. Sometimes I even test my own previous notes by not reading some of the record before beginning the examination. I’ll start people’s prescription for glasses “from scratch” every few visits rather than just building on previous readings. When I refer someone to a specialist, I say what they are referred for, but I expect the specialist to do a thorough examination for themselves. I don’t claim to be always right, and they should not assume I am. And anyway, they are doctors and I am an optometrist.

Reply Quote

Date: 18/07/2018 13:11:37
From: buffy
ID: 1253689
Subject: re: My Health record

http://www.abc.net.au/news/2018-07-18/my-health-record-former-digital-transformation-boss-has-concerns/10006788

Reply Quote

Date: 18/07/2018 13:17:46
From: Peak Warming Man
ID: 1253691
Subject: re: My Health record

buffy said:


sarahs mum said:

I remember one of the local GPs describing me as “another hysterical psychotic woman.” Sorry if I ruined his day. I was responding badly to medication. He wasn’t listening. I found another GP. I never went to him again.He and his type can f*** off writing in my record.

I am also wondering if, in a world of bad medicine practice, whether it is better when I come across a medic, for them to do an assessment instead of going to the book of Sarahs Mum, finding out about my hysteria and psychosis, and to check instead on whether I am actually having a heart attack.

It’s good practice to arrive at your own conclusions. Sometimes I even test my own previous notes by not reading some of the record before beginning the examination. I’ll start people’s prescription for glasses “from scratch” every few visits rather than just building on previous readings. When I refer someone to a specialist, I say what they are referred for, but I expect the specialist to do a thorough examination for themselves. I don’t claim to be always right, and they should not assume I am. And anyway, they are doctors and I am an optometrist.

Yeah, in the end it is up to the practitioners judgment as to how they use (or not) the data available.

Reply Quote

Date: 18/07/2018 13:26:24
From: buffy
ID: 1253693
Subject: re: My Health record

It’s sounding a bit censusy now…

http://www.abc.net.au/news/science/2018-07-18/my-health-record-opt-out-confusion/10000008

I wonder if it’s outsourced to the same company…

Reply Quote

Date: 18/07/2018 15:41:31
From: poikilotherm
ID: 1253729
Subject: re: My Health record

https://www.gizmodo.com.au/2018/07/my-health-record-the-case-for-opting-out/

Reply Quote

Date: 18/07/2018 15:48:12
From: Arts
ID: 1253734
Subject: re: My Health record

poikilotherm said:


https://www.gizmodo.com.au/2018/07/my-health-record-the-case-for-opting-out/

thanks.. this

“It won’t just be your doctor who has access to this centralised digital record of your personal health information. The default position is that numerous people will have access – doctors, pharmacists, physiotherapists, nurses, and unidentified staff of various organisations. “

this

“Third-party access jeopardises security”

and this

“one such health app (HealthEngine) was selling patient information to law firms, so patients with serious conditions and injuries were contacted repeatedly by strangers pushing them to pursue legal claims. Many didn’t know how their sensitive medical information was revealed. “

all address my concerns.. as well as the relative obscurity about the government wanting us to or not to.. do they even know anymore? the whole thing seems like it needs more work for me to have confidence in it…

Reply Quote

Date: 18/07/2018 16:19:09
From: roughbarked
ID: 1253745
Subject: re: My Health record

Arts said:


poikilotherm said:

https://www.gizmodo.com.au/2018/07/my-health-record-the-case-for-opting-out/

thanks.. this

“It won’t just be your doctor who has access to this centralised digital record of your personal health information. The default position is that numerous people will have access – doctors, pharmacists, physiotherapists, nurses, and unidentified staff of various organisations. “

this

“Third-party access jeopardises security”

and this

“one such health app (HealthEngine) was selling patient information to law firms, so patients with serious conditions and injuries were contacted repeatedly by strangers pushing them to pursue legal claims. Many didn’t know how their sensitive medical information was revealed. “

all address my concerns.. as well as the relative obscurity about the government wanting us to or not to.. do they even know anymore? the whole thing seems like it needs more work for me to have confidence in it…

Whre’s the opt out link again?

Reply Quote

Date: 18/07/2018 16:35:08
From: Arts
ID: 1253758
Subject: re: My Health record

you have to log into your mygov account then follow the opt out links from there

Reply Quote

Date: 18/07/2018 16:44:47
From: poikilotherm
ID: 1253766
Subject: re: My Health record

Arts said:


you have to log into your mygov account then follow the opt out links from there

No.

https://www.myhealthrecord.gov.au/for-you-your-family/opt-out-my-health-record

Reply Quote

Date: 18/07/2018 16:45:30
From: poikilotherm
ID: 1253768
Subject: re: My Health record

Arts said:


you have to log into your mygov account then follow the opt out links from there

but if you already have one

https://www.myhealthrecord.gov.au/for-you-your-family/howtos/cancel-my-record

Reply Quote

Date: 18/07/2018 16:49:40
From: Divine Angel
ID: 1253771
Subject: re: My Health record

Arts said:


you have to log into your mygov account then follow the opt out links from there

You basically need a PhD in computer engineering to work the myGov website.

Reply Quote

Date: 18/07/2018 16:49:47
From: Arts
ID: 1253772
Subject: re: My Health record

poikilotherm said:


Arts said:

you have to log into your mygov account then follow the opt out links from there

No.

https://www.myhealthrecord.gov.au/for-you-your-family/opt-out-my-health-record

oh, look at that.. I went through my mygov site .. thanks

Reply Quote

Date: 18/07/2018 16:50:08
From: sarahs mum
ID: 1253774
Subject: re: My Health record

Arts said:


you have to log into your mygov account then follow the opt out links from there

what if you don’t have a mygov account?

Reply Quote

Date: 18/07/2018 16:51:23
From: roughbarked
ID: 1253777
Subject: re: My Health record

Arts said:


you have to log into your mygov account then follow the opt out links from there

ta.

Reply Quote

Date: 18/07/2018 16:52:15
From: Arts
ID: 1253778
Subject: re: My Health record

Divine Angel said:


Arts said:

you have to log into your mygov account then follow the opt out links from there

You basically need a PhD in computer engineering to work the myGov website.

I find it clunky, but workable… although I am used to the Uni moodle/noodle site so…

Reply Quote

Date: 18/07/2018 16:52:27
From: Arts
ID: 1253780
Subject: re: My Health record

sarahs mum said:


Arts said:

you have to log into your mygov account then follow the opt out links from there

what if you don’t have a mygov account?

use the link poik provided

Reply Quote

Date: 18/07/2018 16:53:32
From: roughbarked
ID: 1253781
Subject: re: My Health record

poikilotherm said:


Arts said:

you have to log into your mygov account then follow the opt out links from there

No.

https://www.myhealthrecord.gov.au/for-you-your-family/opt-out-my-health-record

Thankfullness.

Reply Quote

Date: 18/07/2018 16:55:08
From: roughbarked
ID: 1253784
Subject: re: My Health record

Divine Angel said:


Arts said:

you have to log into your mygov account then follow the opt out links from there

You basically need a PhD in computer engineering to work the myGov website.

Indeed it is a pain.

Reply Quote

Date: 18/07/2018 17:00:14
From: transition
ID: 1253793
Subject: re: My Health record

possibly worth a read

https://www.myhealthrecord.gov.au/for-you-your-family/howtos/why-you-might-already-have-my-health-record

Reply Quote

Date: 18/07/2018 17:14:57
From: Bubblecar
ID: 1253796
Subject: re: My Health record

I don’t expect my health record will cause me any problems, so I’m not going to worry about it.

Reply Quote

Date: 18/07/2018 17:17:36
From: roughbarked
ID: 1253799
Subject: re: My Health record

Bubblecar said:


I don’t expect my health record will cause me any problems, so I’m not going to worry about it.

Ever the optimist.

Reply Quote

Date: 18/07/2018 17:24:11
From: Bubblecar
ID: 1253802
Subject: re: My Health record

roughbarked said:


Bubblecar said:

I don’t expect my health record will cause me any problems, so I’m not going to worry about it.

Ever the optimist.

Realist. There’s nothing in my health record that could be anything than potentially useful in my health care.

Reply Quote

Date: 18/07/2018 17:24:45
From: Bubblecar
ID: 1253803
Subject: re: My Health record

Bubblecar said:


roughbarked said:

Bubblecar said:

I don’t expect my health record will cause me any problems, so I’m not going to worry about it.

Ever the optimist.

Realist. There’s nothing in my health record that could be anything than potentially useful in my health care.

anything than = anything other than

Reply Quote

Date: 18/07/2018 17:37:35
From: roughbarked
ID: 1253809
Subject: re: My Health record

Bubblecar said:


roughbarked said:

Bubblecar said:

I don’t expect my health record will cause me any problems, so I’m not going to worry about it.

Ever the optimist.

Realist. There’s nothing in my health record that could be anything than potentially useful in my health care.


THe doctors already have that.

Reply Quote

Date: 19/07/2018 09:07:35
From: Divine Angel
ID: 1253952
Subject: re: My Health record

I reckon us forumers could put together a pretty good health record of all the other forumers.

Reply Quote

Date: 19/07/2018 09:10:39
From: kii
ID: 1253954
Subject: re: My Health record

Divine Angel said:


I reckon us forumers could put together a pretty good health record of all the other forumers.

My notes are on a thumb drive, finally got them off the old hard drive. I can prioritise that research next week.

Reply Quote

Date: 19/07/2018 09:27:47
From: Bogsnorkler
ID: 1253956
Subject: re: My Health record

Divine Angel said:


I reckon us forumers could put together a pretty good health record of all the other forumers.

Reply Quote

Date: 19/07/2018 10:20:39
From: Arts
ID: 1253975
Subject: re: My Health record

Bogsnorkler said:


https://www.zdnet.com/article/my-health-record-systems-collapse-under-more-opt-outs-than-expected/

Reply Quote

Date: 20/07/2018 19:32:44
From: mollwollfumble
ID: 1254458
Subject: re: My Health record

> It seems there is not much reason for access all areas of personal medical records. This article states. The project aims to give patients and doctors access to timely medical information — test results, referral letters and organ donation information, for starters. Timely medical information… for starters

I like it. Not everyone has their own personal physician these days, so medical information is scatterred all over the place. I go to two different medical centres so my medical data is split, and that’s even just living in the same place. The medical information I have to write on the card I carry with me on seniors trips is hardly sufficient.

> worries me because it looks like it’s the first of a series of initiatives that the record will hold.. what’s next?

Ah, a true believer in the domino effect. Nixon would love you.

Reply Quote

Date: 20/07/2018 19:37:57
From: Arts
ID: 1254461
Subject: re: My Health record

mollwollfumble said:


> It seems there is not much reason for access all areas of personal medical records. This article states. The project aims to give patients and doctors access to timely medical information — test results, referral letters and organ donation information, for starters. Timely medical information… for starters

I like it. Not everyone has their own personal physician these days, so medical information is scatterred all over the place. I go to two different medical centres so my medical data is split, and that’s even just living in the same place. The medical information I have to write on the card I carry with me on seniors trips is hardly sufficient.

> worries me because it looks like it’s the first of a series of initiatives that the record will hold.. what’s next?

Ah, a true believer in the domino effect. Nixon would love you.

I am not a crook!

Reply Quote

Date: 21/07/2018 01:02:39
From: sarahs mum
ID: 1254565
Subject: re: My Health record

https://www.theguardian.com/commentisfree/2018/jul/20/there-is-no-social-license-for-my-health-record-australians-should-reject-it

it is important to know something about the scheme’s principal proponent, Tim Kelsey, who led a remarkably similar initiative in England, care.data, which collapsed spectacularly for failing to bring along the public, destroyed institutional trust, and was subject to a series of damning independent reviews.
Reply Quote

Date: 21/07/2018 01:03:18
From: sarahs mum
ID: 1254566
Subject: re: My Health record

dog has his shit together

https://www.theguardian.com/commentisfree/2018/jul/19/opt-out-cassandra-the-information-technology-wobbegong-on-my-health-record

Reply Quote

Date: 21/07/2018 01:56:04
From: transition
ID: 1254601
Subject: re: My Health record

sarahs mum said:


https://www.theguardian.com/commentisfree/2018/jul/20/there-is-no-social-license-for-my-health-record-australians-should-reject-it

it is important to know something about the scheme’s principal proponent, Tim Kelsey, who led a remarkably similar initiative in England, care.data, which collapsed spectacularly for failing to bring along the public, destroyed institutional trust, and was subject to a series of damning independent reviews.

i’m thinking positively about it, that any (potential) medical file (additions) are encouragement to stay healthy, and not visit a doctor.

not unlike the old tonic you took when a kid, it was so ghastly the aversion acted like a prophylactic against illness.

back in the day they might’ve otherwise made it taste sweet, or give me a buzz, and every occasion now I felt slightly unwell i’d reach for a packet of lollies, or i’d be indulging the miseries for some antidepressants, or I may have moved on to speed or crack or something.

for some distraction I pathologize medicalization.

Reply Quote

Date: 21/07/2018 02:12:39
From: transition
ID: 1254603
Subject: re: My Health record

10:12 AM
Friday, 20 July 2018

g’morning yesterday, kii

Reply Quote

Date: 21/07/2018 13:43:30
From: sarahs mum
ID: 1254715
Subject: re: My Health record

https://www.theaustralian.com.au/news/inquirer/big-brother-is-watching-and-we-all-of-us-need-to-worry/news-story/60828af76ef9890724fa460a58184a09

good article. How did they sneak it past Rupert?

Reply Quote

Date: 21/07/2018 17:00:42
From: transition
ID: 1254735
Subject: re: My Health record

sarahs mum said:


https://www.theaustralian.com.au/news/inquirer/big-brother-is-watching-and-we-all-of-us-need-to-worry/news-story/60828af76ef9890724fa460a58184a09

good article. How did they sneak it past Rupert?

can’t read that, i’d need subscribe

fucken ‘tards in Canberra, it’s all been fucked since they knifed Abbot, and Rudd previous of the otherside, but going back to wanna-be-Menzies the shit set in.

basically with peoples medical files you limit the information, and possible access to information.

somewhere this idea came into existence that information’s really good. Well it’s not. The usual thing is people reduce it.

Reply Quote

Date: 21/07/2018 17:09:40
From: Bogsnorkler
ID: 1254738
Subject: re: My Health record

transition said:


sarahs mum said:

https://www.theaustralian.com.au/news/inquirer/big-brother-is-watching-and-we-all-of-us-need-to-worry/news-story/60828af76ef9890724fa460a58184a09

good article. How did they sneak it past Rupert?

can’t read that, i’d need subscribe

fucken ‘tards in Canberra, it’s all been fucked since they knifed Abbot, and Rudd previous of the otherside, but going back to wanna-be-Menzies the shit set in.

basically with peoples medical files you limit the information, and possible access to information.

somewhere this idea came into existence that information’s really good. Well it’s not. The usual thing is people reduce it.

The federal government, and the Health Minister in particular, wants us all to sign up to the My Health ­Record system so it can track and share our health records electronically. It is so keen for Australians to be part of the new system that, rather than embracing an opt-in approach, it is shunning best practice and forcing anyone who doesn’t want to be involved to opt out.

If you do nothing, if your complacency gets the better of you, then your health records automatically will be uploaded into the MHR system. Governments usually are more than happy to spend millions of taxpayers’ dollars on ­“information campaigns” — supposedly to better ­inform the public about public policy initiatives. Too often those campaigns have a highly partisan edge to them, such as the Work Choices ads before the 2007 federal election.

Yet on this occasion, when best practice is being ignored and people need to actively opt out of the MHR system, there is no advertising push, no information campaign to make people aware of the options. Frankly, it’s Orwellian and the government should be ashamed of itself.

The window to opt out is only three months. After that, you can seek to have your record removed from the system but it still will be stored electronically (just not accessible) for 30 years after your death, after which time they will become available.

It’s a case of using the cabinet papers rules to oversee the health records of individual citizens. It’s ridiculous. And of course the ­security risks remain that the stored data may be hacked.

In an ­extraordinary interview on ABC radio during the week, the former head of the government’s own Digital Transformation Office, Paul Shetler, said that if he were an Australian citizen he definitely would opt out of the MHR system. Why? Because it could be a “tech wreck” in the making.

Privacy rights are something many of us increasingly have become complacent about in this digital age. Many of us share personal details online voluntarily via social media.

My political science students are far less outraged by the invasive nature of voter-tracking software that major parties use to build a picture about individual voters than was the case 10 or 15 years ago. This little-known example of citizens’ rights to privacy being ­invaded is the most egregious in our society. Political parties are private organisations, so they don’t need to submit themselves to Freedom of Information laws as public bodies do. Yet the parties exempted them­selves from Privacy Act laws that require private organisations to disclose to people what information they have on us. Hence the offices of major parties have an electronic file ­on most, if not all, citizens detailing all sorts of information about them that they will never see and can never fact-check.

These are the same politicians who now want to collect your health records electronically with what can be described only as poor system oversight.

Given high-profile international hacking incidents in recent months, a growing consciousness finally is emerging that citizens of even a robust democratic culture should watch out what they choose to share with others. In theory the MHR system should be a positive and valuable clinical tool — a way doctors and healthcare professionals can share information about patients electron­ically to improve health outcomes. But it just isn’t that simple.

Perhaps surprisingly, the clinical benefits of the system are ­highly questionable at best and downright dangerous at worst. A survey of doctors by the Australian Medical Association found 76 per cent of ­respon­dents did not think the MHR system would improve patient out­comes. Surely that’s the only reason to support such an invasion of privacy.

In fact, the Office of the Australian Information Commissioner has said the system doesn’t even include a complete history of a ­patient’s medical history. It merely offers a snapshot, a “summary”.

There are no guarantees the ­information is up to date. There are no guarantees all allergies and medicines being taken have been included. Indeed, there are no guarantees the information stored is even accurate. This is a huge clinical problem because it means that in an emergency situation doctors can’t rely on what the MHR system tells them, raising legal and ethical problems.

No wonder so many doctors surveyed questioned the systems usefulness.

The reason there are so many holes in the accuracy of information stored in the MHR system echoes the reasons there is so little security of that same information. Access points to the data and ­details are wide and varied. This is why the Australian Digital Health Agency has claimed that there are real risks from the online transferring of information stored.

Consumers won’t know who has seen their records, or when. The system doesn’t even have the capacity to track the online ­accessing of information by individuals within organisations.

In other words, you’ll know a particular hospital or pharmacy has prised its way into your personal health information, but if it’s a big organisation you won’t know who actually did so.

And it’s not only doctors who get access. Nurses, other health workers and even basic administrators can all log in and see everything and anything stored in your record (which may not even be accurate) and you will never know about it.

Frankly, the government’s willingness to sign off on this initiative without a proper information cam­paign reflects its lost interest in the privacy of Australian citizens. Big government is some­thing we have become used to as the state slowly works its way into all aspects of our lives. Liberals should be alarmed at how a party carrying the nomenclature of the philosophy to which they ascribe has been willing and able to expand government intrusion. But invasions of privacy, whether via health records or voting intentions as carried in partisan voter-tracking software, represent more than big government. It’s Big Brother — an Orwellian principle that technology today can facilitate all too easily.

Peter van Onselen is a professor at the University of Western Australia and Griffith University.

Reply Quote

Date: 21/07/2018 17:12:38
From: transition
ID: 1254739
Subject: re: My Health record

cheers, Bogsnorkler

Reply Quote

Date: 21/07/2018 17:13:17
From: roughbarked
ID: 1254740
Subject: re: My Health record

transition said:


sarahs mum said:

https://www.theaustralian.com.au/news/inquirer/big-brother-is-watching-and-we-all-of-us-need-to-worry/news-story/60828af76ef9890724fa460a58184a09

good article. How did they sneak it past Rupert?

can’t read that, i’d need subscribe

fucken ‘tards in Canberra, it’s all been fucked since they knifed Abbot, and Rudd previous of the otherside, but going back to wanna-be-Menzies the shit set in.

basically with peoples medical files you limit the information, and possible access to information.

somewhere this idea came into existence that information’s really good. Well it’s not. The usual thing is people reduce it.

You kid me not.

Reply Quote

Date: 21/07/2018 17:15:39
From: roughbarked
ID: 1254741
Subject: re: My Health record

transition said:


cheers, Bogsnorkler

Indeed, thanks Boris.

Reply Quote

Date: 21/07/2018 17:36:54
From: sarahs mum
ID: 1254744
Subject: re: My Health record

roughbarked said:


transition said:

cheers, Bogsnorkler

Indeed, thanks Boris.

Yeah. On reflection I don’t know why Rupert let me read it in the first place.

Reply Quote

Date: 21/07/2018 18:11:39
From: Ian
ID: 1254748
Subject: re: My Health record

sarahs mum said:


roughbarked said:

transition said:

cheers, Bogsnorkler

Indeed, thanks Boris.

Yeah. On reflection I don’t know why Rupert let me read it in the first place.

He’s not the personification of evil after all.. no more than that lovely health minister bloke.

MHR sounds like it’s full of potential pitfalls. Think I’ll opt out.

Reply Quote

Date: 22/07/2018 01:03:18
From: transition
ID: 1254856
Subject: re: My Health record

>Frankly, the government’s willingness to sign off on this initiative without a proper information cam­paign reflects its lost interest in the privacy of Australian citizens. Big government is some­thing we have become used to as the state slowly works its way into all aspects of our lives. Liberals should be alarmed at how a party carrying the nomenclature of the philosophy to which they ascribe has been willing and able to expand government intrusion. But invasions of privacy..”

closer to reality, perhaps, you live in times where dressing things up as their opposite is apparently the norm.

there is no big government, more it has shrunk (tightening up) to the point of lousy expediency.

and it’s the lousy expediency that slowly works its way into all aspects of our lives.

an ideological way you’re meant to internalize and replicate. The chill and squeeze does the work.

Reply Quote

Date: 22/07/2018 01:31:54
From: transition
ID: 1254858
Subject: re: My Health record

all the opt-outs are evidence of the chill and squeeze (the effect), which exists among those that don’t opt out too (probably many more of them).

goes all the way back to wanna-be-menzies years, the way.

Reply Quote

Date: 22/07/2018 05:19:51
From: SCIENCE
ID: 1254867
Subject: re: My Health record

http://www.abc.net.au/news/2018-07-20/singapore-health-database-hack-steals-details-of-1.5m-people/10019492

Reply Quote

Date: 22/07/2018 14:14:52
From: sarahs mum
ID: 1254925
Subject: re: My Health record

Police and the Australian Taxation Office could get access to your sensitive online My Health Record, a situation senior medicos have blasted as ”utterly outrageous” and undermining trust in the health system.

A leading global cybersecurity firm Centrify has warned the My Health Record is not secure and creates a huge ‘honey pot’ of sensitive information that will “attract the bad guys” of cybercrime.

It comes as Singapore’s General and Children’s Hospitals were hacked and Prime Minister Lee Hsien Loong’s health records were stolen along with the records of about 1.5 million other patients.

Every Australian will get an online My Health Record that will reveal medical secrets such as if they have had an abortion, a drug or alcohol addiction, a sexually transmitted disease or mental illness, unless they opt out by October 15.

Former Australian Medical Association president Professor Kerryn Phelps says allowing police access to My Health Record information will undermine trust in the medical profession and the health system.

Under section 70 of the My Health Records Act police are allowed to access your record without a warrant for “the prevention, detection, investigation, prosecution or punishment of criminal offences, breaches of a law imposing a penalty or sanction or breaches of a prescribed law”.

“If someone has a cocaine problem, will they want to tell their doctor and seek help if they think it has any possibility of being uploaded to a site that can be accessed by police?” Prof Phelps asks.

Section 70 of the My Health Records Act also allows the System Operator (Australian Digital Health Agency) to disclose health information included in a healthcare recipient’s My Health Record for the “protection of the public revenue”.

“What in earth has that got to do with your health record?” Dr Phelps asks.

International public health consultant Bill Bowtell, one of the architects of Australia’s world leading 1980s AIDS campaign supports the principle of a centralised health record but says police should not be allowed to access it and the legislation should be changed to reflect this.

Australians with HIVshould consider opting out of the new system because of the risk of return of stigma and discrimination and risk prosecution for reckless endangerment if police can access records, he says.

Women who have an abortion in states where it is illegal could also face also prosecution and jail terms of up to 10 years if police can get access their medical records without a warrant.

Around 65,000 to 80,000 abortions take place every year in Australia and one in four women is estimated to have terminated a pregnancy at some stage in their life.
Police could access women’s My Health Records to charge them if they had an abortion in states here it is illegal says Bill Bowtell. Picture Getty Images

Mr Hunt claimed this week that it was “incorrect” to say law enforcement bodies could access the My Health Record and that a court order would be needed.

However, the My Health Record legislation says the Australian Digital Health Agency can release the information to law enforcement bodies as long it “reasonably believes that the use or disclosure is reasonably necessary “.

“The Digital Health Agency is clear and categorical — no documents have been released in more than six years and no documents will be released without a court order,” Mr Hunt told News Corp.

The Australia Digital Health Agency chief Tim Kelsey says the agency has not and will not release any documents without a court/coronial or similar order.

Professor Phelps and Mr Bowtell said the legislation should be amended by Parliament to reflect this position.

During the midst of the Centrelink robodebt crisis last year Human Services Minister Alan Tudge released to a journalist internal departmental briefings about an internet blogger’s personal circumstances, which included detail on her relationship and tax history.

In May this year the acting Privacy and Information Commissioner, Angelene Falk, determined that the Department of Human Services was justified in releasing the personal information of the blogger Andie Fox to the media.
Health Minister Greg Hunt Picture Mick Tsikas AAP

Meanwhile global cybersecurity firm Centrify has warned your most sensitive health secrets will be vulnerable to hackers and may be seen by unauthorised health employees if doctors fail to log off the system.

Cybersecurity specialist Centrify operates in Australia, the US and Europe and delivers security to more than 5000 worldwide organisations, including over half the Fortune 100 companies.

“The challenge for My Health Record is that putting vast amounts of confidential health data into a single online database creates a huge ‘honey pot’ to attract the bad guys, so security needs to be at the heart of the entire system,” Centrify senior director Niall King said.

“Even putting aside the danger of cyber attacks, data breaches can arise from unauthorised employees accessing the system or a doctor leaving the surgery without logging off the system,” he said.

https://www.themercury.com.au/lifestyle/health/doctors-outraged-that-police-ato-can-access-my-health-record/news-story/92e2ecb06f3e2581ff101a6420c0c379

Reply Quote

Date: 22/07/2018 14:26:13
From: Bogsnorkler
ID: 1254930
Subject: re: My Health record

https://www.theguardian.com/australia-news/2018/jul/22/my-health-record-identical-to-failed-uk-scheme-privacy-expert-says

Reply Quote

Date: 22/07/2018 14:56:33
From: sarahs mum
ID: 1254937
Subject: re: My Health record

okay. I am out. I have filled out govt forms that produced more anxiety.

Reply Quote

Date: 22/07/2018 15:35:00
From: transition
ID: 1254949
Subject: re: My Health record

sarahs mum said:


okay. I am out. I have filled out govt forms that produced more anxiety.

Oh you could have potentially shared so much, with good intentioned people, utilitarian types with a privileged understanding of health, and privacy’s part in that. Opportunity lost.

:-) don’t mind me making light of it with sarcasm.

Reply Quote

Date: 22/07/2018 16:46:46
From: btm
ID: 1254975
Subject: re: My Health record

When My Health Record was first introduced (about 2012, IIRC,) it was “opt-in” — that is, you had to ask to have you data included in the system. Since too few people decided to “opt-in”, they’ve changed it to “opt-out.” As we’ve seen here and elsewhere, so many people are “opting-out” that their servers have crashed. Since they still can’t get it to work, I predict that they’ll make it mandatory (you’ll have no choice; your data will be included.)

Reply Quote

Date: 22/07/2018 17:20:34
From: poikilotherm
ID: 1254987
Subject: re: My Health record

btm said:


When My Health Record was first introduced (about 2012, IIRC,) it was “opt-in” — that is, you had to ask to have you data included in the system. Since too few people decided to “opt-in”, they’ve changed it to “opt-out.” As we’ve seen here and elsewhere, so many people are “opting-out” that their servers have crashed. Since they still can’t get it to work, I predict that they’ll make it mandatory (you’ll have no choice; your data will be included.)

I think they’ll need some new privacy legislation to do that, shouldn’t be too hard but it’d give a political opponent something to run with.

Reply Quote

Date: 22/07/2018 22:29:58
From: wookiemeister
ID: 1255104
Subject: re: My Health record

hackers

Reply Quote

Date: 22/07/2018 23:46:08
From: transition
ID: 1255113
Subject: re: My Health record

wookiemeister said:


hackers

most of the concerns i’m seeing are fairly insignificant compared with the likely chilling effect. And even if adoption of My Health was mandatory for all you’d still have chill.

you could probably explain a lot of the chill that’s happening (and still to happen, and that unseen) as a response to the situation that anybody accessing your information doesn’t have to ask your permission, or inform you beforehand.

imagine a slightly different situation, involving a more direct ethical responsibility of doctor toward client, and of client medical-related information (your file for example). Conjure a small practice, with no electronic systems or centralized data system. You have to consider this to get to the truth of what’s happening, the cause of the chill.

a doctor in this simpler example would have to consider the most ethical way to respond to requests from third parties for information regards you. Top of the list is whether you should be informed of the request, and assume the answer for most cases is “yes”, and further there is timeliness of informing you of the request (opportunity to ask who, why, prepare, make a decision, and act).

your doctor has the substantial responsibility of information security, or call it confidentiality. You engage a doctor’s services with some general agreement to do with confidentiality (it’s assumed, and very real). Your doctor is involved in that agreement.

basically the centralized system undermines that agreement, waters it down maybe at least. So there’s the dimension of the medical people’s personal liabilities, which might be conveniently diluted.

people know that, hence the chill.

Reply Quote

Date: 23/07/2018 00:27:37
From: transition
ID: 1255117
Subject: re: My Health record

would My Health dilute (distribute) the growing industries’ liabilities bottom to top, making it more attractive for a broad scope of (potential) players.

I think so.

i’d expect all the opt outs (via your personal controls over, the offer) really just helps do that.

you won’t be able to nail your doctor for leaks/breaches of confidentiality.

the system will change the reality of what you might assume the agreement is between you and your doctor when you engage their services.

Reply Quote

Date: 24/07/2018 07:20:59
From: buffy
ID: 1255335
Subject: re: My Health record

http://www.abc.net.au/news/2018-07-24/digital-health-agency-changes-my-health-record-app-contracts/10026644

Reply Quote

Date: 24/07/2018 07:23:41
From: roughbarked
ID: 1255336
Subject: re: My Health record

buffy said:


http://www.abc.net.au/news/2018-07-24/digital-health-agency-changes-my-health-record-app-contracts/10026644

Too little, too late?

What’s the point of notifying after breaches happen?

Reply Quote

Date: 24/07/2018 10:23:57
From: Cymek
ID: 1255353
Subject: re: My Health record

It’s valuable information so I assume someone will sell if off for commercial gain probably underhanded and without permission but under the guise they wouldn’t do such a thing at all.

Reply Quote

Date: 30/08/2018 20:47:12
From: roughbarked
ID: 1269251
Subject: re: My Health record

So. Where are we up to? How many have opted out?

Reply Quote

Date: 30/08/2018 20:49:38
From: sarahs mum
ID: 1269253
Subject: re: My Health record

roughbarked said:


So. Where are we up to? How many have opted out?

Me. I’m out.

Reply Quote

Date: 30/08/2018 20:49:48
From: boppa
ID: 1269254
Subject: re: My Health record

all our family has

Reply Quote

Date: 30/08/2018 20:50:03
From: Peak Warming Man
ID: 1269255
Subject: re: My Health record

I’m in.

Reply Quote

Date: 30/08/2018 20:51:46
From: roughbarked
ID: 1269256
Subject: re: My Health record

Peak Warming Man said:


I’m in.

We are all in by default.
If you don’t answer, the option hasn’t been exercised.

Reply Quote

Date: 30/08/2018 21:02:09
From: party_pants
ID: 1269257
Subject: re: My Health record

Peak Warming Man said:


I’m in.

me twelve.

Reply Quote

Date: 30/08/2018 21:03:53
From: roughbarked
ID: 1269258
Subject: re: My Health record

roughbarked said:


Peak Warming Man said:

I’m in.

We are all in by default.
If you don’t answer, the option hasn’t been exercised.

THe question being: So. Where are we up to? How many have opted out?

Reply Quote

Date: 30/08/2018 21:07:29
From: roughbarked
ID: 1269260
Subject: re: My Health record

party_pants said:


Peak Warming Man said:

I’m in.

me twelve.

That makes two out and two in and out, two by two, discounting myself who hasn’t yet exercised the option. :)

Mrs rb still a survivor, says she really needs any practitioner to be able to access her data and I completely agree. However, I am also listening to all the arguments.

Reply Quote

Date: 1/09/2018 08:57:25
From: roughbarked
ID: 1270129
Subject: re: My Health record

Visiting a doctor feels nothing like logging into Facebook, but for how long?

http://www.abc.net.au/news/science/2018-09-01/health-data-growth-has-privacy-legal-implications/10156396

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