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CodeAndCuffs | 2 years ago

> You omitted the end of my sentence in your quote, which is operative in this case.

My apologies. I've re-added it with an edit note.

I think its a reach to say 'the system' was created to exploit 4th amendment loopholes, especially in this case. Again, the patients privacy isn't compromised by the pharmacies at all here. The state has its claim of a vested interest in prescription activity, much like with drivers licenses and vehicle registration, and has a database of said data, much like with licenses and vehicle registration.

If I start running tags to see where someone lives to stalk them, thats bad, and illegal. If I start running prescription data for someone to see what they're on and stalk them, thats bad and illegal.

If a car dealer says "These VINs on the car dont match, we think something was stolen" we can investigate it by accessing the state database. We will likely see some personal information of someone who isnt guilty of anything in the process of this investigation. If a doctor says "This person filled a prescription under my name that I didnt write" we can investigate it by accessing the state database. We will likely see some personal information of someone who isnt guilty of anything in the process of this investigation.

My assertion here isnt "Everything is fine, change nothing". Its "If you're concerned about privacy here, you are looking at the wrong target". Warrant requirements could be reasonable. Whether we get them or not, I think a good start would be auto-redacting Prescription Monitoring Program reports. If Doctor Adams says Bill filled a fraudulent script, because Adams doesnt write for percocet, I shouldnt see every name for every prescription on Adams' report. That should be redacted. Then if I see a script for percocet, which we've established is fraudulent, we then un-redact the "patient" name.

Again, CVS handing me a copy of a prescription that I already know is fake is the least significant issue at hand.

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refulgentis|2 years ago

I've been here, aka worked at Google and became confused why people didn't trust it, since I now trusted it.

Succinctly:

- you described an _excellent_ process

- the key part is "concerningly sometimes ppl handed me stuff before I identified myself"

- there's nothing you can say or do to alleviate that

Furthering the Google analogy, with intent to clarify:

The Google version of this is "you can have all the data behind 20 locks and and 32 keys and 5 biometric measures and never let human eyes actually see it. Now let's turnover all Google employees. You sure they'll do the same thing?"

(the answer is no, after The Great McKinsey-ification and the corner-cutting and self-justification of lies demonstrated since ChatGPT)