Faughnan Home | FP
Web Starter | Contact Info | Glossaries and Links | Site
In May of 1996 I participated in a novel presentation for a
meeting discussing progress towards Electronic Patient Records
(EPR). Our group largely focused on the positive aspects of the
EPR, which is also known by many other acronyms (EMR, CPR, CBPR,
LMR, EHR, etc.).
Of course, there is a potential downside to virtually all new
technologies. I had the dubious honor of presenting the downside.
Although I am one of the people working on developing and
implementing these systems, and I look forward to having better
tools to take care of my patients, it wasn't too hard to imagine
some ways things could go wrong.
I used the device of a television show, called "20
Minutes", looking back from the year 2010 (shorter attention
spans then, of course). The US of 2010 is rather like is today.
The EPR has brought many benefits, but there's been a price to
pay as well. The commentator wonders if things could have been
done better, and outlines the remedies emerging in 2010.
How likely are my "Dark Visions"? Not likely, and
they are eminently avoidable. The Bennett bill in the US Senate
has some good starting points. Certainly not all of them will
come true, though some might.
I was asked by several people to put the future timeline I
used up on the web. I've not include my commentary, however. Hope
you find it interesting ...
Return to Table of Contents
Anchor: John G. Faughnan M.D.
May 13, 2010
- elite vs. public health care systems
- power of electronic publication and commerce
- power of data mining and linked databases
- fall of the clinician
1996-2000: Consolidation of health care
- five "Care Corporations" (CareCorps) serve
- international telemedical specialists provide low-cost
24-hr decision support and consultation services
- falling care provider incomes from physician
overproduction, operational efficiencies, enabling
1996-2000: Rise of Info-Commerce
- 1998: Digi-Cash supports Net micro-payments
- off-shore data repositories arise "Pirate Webs"
- First suicide following accusations of sexual misconduct
on "Amy's Black Wall" Web site
2001 - 2002: Transition
- Physician unionization movement defeated
- Time cover story details emerging "servant
- increasing wealth concentration in top 10% US population
- Two hundred people die from toxic herbal concoction
placed on an alternative care web site.
2003 - 2004: Transition
- personal health counseling a growth industry, staffed by
former physicians and nurses
- standard-tier serves 90% of the population, elite-tier
- Pirate Webs market dating screen service
- CareCorp Data-Ring selling private health data to Pirate
2003 - 2004: Commerce in Personal Data
- CareCorps offer free dental care to members who allow
storage of DNA profiles
- CareCorps waive copays for members who join home
monitoring programs: stool lipids, urine drug monitoring
- CareCorps credit card has low interest rates, tracks
food, alcohol, and tobacco purchases.
- India world center of clinical expert systems, available
- Public Service Act: all persons working with public must
provide access to medical records and undergo a DNA scan
for deviance genes.
- CareCorps CEO passes encryption codes to daughter's
2005: Data Mining Saves Manhattan
- terrorists hide nuclear weapon in Manhattan
- NSA overrides medical database security, data mining
leads to capture of key terrorist
- the Database Security Act consolidates health databases
to enable national security use
2006: Public Concerns Rise
- most employers using Pirate Webs to screen employees.
- hacker places fraudulent retrovirus test results on
- elite-tier health care providers return to a paper record
- national Luddite party launched
2007: Ebola-Alpha strikes Los Angeles
- Los Angeles quarantined after Ebola-Alpha epidemic.
- Database Security Act invoked, CDC and NSA abort epidemic
and lift quarantine.
- Database Security Act amended to support epidemic
2008: High Tide
- Supreme Court rules that CareCorps may request DNA
records as a condition of insurance.
- CareCorps provide incentives for members to carry
- Senator Kelly discovers his HIV-7 status on pirate web
- Class Action suit against CareCorps for "data
2009: The Pendulum Shifts
- survey finds pirate webs have entries for 20% of US
- President Levin assumes office.
- Health Privacy and Data Commerce Task Force formed.
What have we learned?
- information technology is enabling technology
- digitized data flows in the direction of profit
- privacy threats come from authorized users
- shared risk motivates shared control
What will the task force recommend?
- privacy legislation - patient control over data
- data injury compensation from national insurance pool
- tighten Database Security Act
- misuse of private information a felony
- any person may choose to "opt out" selected
records from the network
- ban commerce in private information?
Return to Table of Contents
Author: John G. Faughnan.
The views and opinions expressed in this page are strictly those of the page author. Pages
are updated on an irregular schedule; suggestions/fixes are welcome but they may take
weeks to months to be incorporated. I reserve copyright except where noted, if you want to
repost or quote a page just ask. Anyone may freely link to anything on this
site and print any page; no permission is needed for linking, printing, or
distributing printed copies.