I walked into my exam room to see a patient I first met two decades ago. His medical problems included poorly controlled diabetes, hypertension, hyperlipidemia, and a substance abuse disorder. Over the years, our health care system has served him well as he has remained free of diabetic complications and now leads a productive life. Watching this transformation has been both professionally rewarding, personally enjoyable, and I look forward to ...

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During my 2+ decade tenure as a physician I have always believed that a physician’s promise of confidentiality was a pre-requisite to obtaining accurate information from a patient. With the enactment of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) the rules which stipulate when a physician must disclose confidential medical information (protected health information, PHI) without the prior consent of the patient were codified into law. In today’s ...

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