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Health Works Collective > News > Big Brother in Your Medicine Cabinet
NewsPolicy & Law

Big Brother in Your Medicine Cabinet

JohnCGoodman
JohnCGoodman
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Should individuals be required to give up their privacy and submit to government tracking as a condition of receiving medical care? Some Colorado elected officials say yes. They introduced House Bill 12-1242. It would make providing a biometric identifier a condition of getting a prescription or regulated over-the-counter drug.

Should individuals be required to give up their privacy and submit to government tracking as a condition of receiving medical care? Some Colorado elected officials say yes. They introduced House Bill 12-1242. It would make providing a biometric identifier a condition of getting a prescription or regulated over-the-counter drug.

Want to buy SUDAFED 12 Hour or pick up a prescription at Wal-Mart? Prepare to be fingerprinted or iris scanned or the like and have the details of your purchase, along with your name, address, biometric identifier, and prescriber name and address and biometric identifier stored in a government database. Dispensing a drug to someone who doesn’t provide this information would be a Class 1 misdemeanor, punishable with a minimum sentence of a $500 fine, or six months in jail, or both.

Though supporters talk about the importance of controlling methamphetamine precursors, alerting people to harmful drug interactions, and eliminating doctor shopping by prescription drug abusers, the language of the bill makes it crystal clear that the ultimate goal of this legislation is the improvement of the state’s ability to track and control physician prescribing. It explicitly requires the adoption of an “electronic prescribing system” in order to “monitor the collection of biometric identifiers” for everyone in the state who needs any prescription or restricted over-the-counter drug, “and to record and store” information on “the prescribing of prescription drugs…by practitioners in this state,” the “dispensing or delivering or prescription drugs to an individual in this state,” and “the dispensing or delivering of restricted over-the-counter substances.”

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The ACA has put patients at the center of healthcare services. A patient-centric healthcare approach in this digital era means a revised definition of quality in the physician-patient relationship. When it comes to healthcare services, patients shell out a hefty amount from their pocket and want nothing less than the best. The services in healthcare are no longer limited to just cost as consumers now evaluate quality and experience in the same equation. Research highlights from the 2015 Healthcare Consumer Trends by National Research Corporation states that reputation in healthcare matters more to consumers when choosing a brand than any other industry, e.g. hospitality, retail, airline, etc. The new generation of quality measurements in healthcare require a different mind-set and a different 'toolbox' to handle the hurdles. It’s the need of the hour for healthcare providers and others across the healthcare value chain to adopt the patient-centric approach for surviving in the vast competitive ocean of healthcare services. Patient-centric care is an approach that develops through effective communication, empathy and a positive physician-patient relationship. The primary purpose is to improve patient care outcomes and satisfaction and to reduce patient symptoms and unnecessary costs. It’s a win-win situation for both physicians and patients. While healthcare providers are able to support their patients in becoming more compliant with treatment and management of their conditions/diseases, patients feel more satisfied with the care that they are receiving. PwC’s Health Research Institute’s annual report 2016 states that health systems should keep an eye on the consumer experience as they expand and extend. More partnerships and more caregivers could mean confusion for patients and poor customer experiences. To differentiate their practice among competitors, patient satisfaction can be used as a competitive distinguishing factor. Although patient satisfaction cannot really provide tangible benefits, but an experience that exceeds patient expectations for what a practice/hospital can provide is very important as it creates loyal patients who return for future health needs and refer their family and friends. Happy and satisfied patients are a secret marketing weapon for healthcare providers, whether they are physicians, dentists, physiotherapists or hospitals. Your patients are the new-age digital health decision-makers. In this era of Internet and social media, they now have multichannel access to information related to health. Needless to mention, they have gained new power to make their decisions; whether it’s choosing a healthcare provider or referring a physician to family and friends. By converting your satisfied patients to be your brand advocates, you can capitalize and use their voice as an effective marketing strategy to reach out to many other potential patients. To strive and thrive, in the U.S. many healthcare organizations are applying patient-centric approaches to healthcare. It’s all about what matters to patients, so it makes a lot of sense for the healthcare industry to place patients' healthcare experience at the center of their policies and procedures. The best deliverables are a combination of great communication for a positive physician-patient relationship, disciplined measurement and analysis of patient feedback and commitment to technology innovation – the formula for improving patient engagement and care.
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If passed, this bill would allow government to gather previously unavailable data on the biometric identifiers of law-abiding individuals. When combined with data from Colorado’s All-Payer Claims Database, which already requires detailed reporting on all medical encounters, and the ObamaCare electronic health record, the biometric identifier and drug data will give the state all the information it needs to monitor and control both the medical treatments physicians are allowed to offer and the medical treatments that individuals can receive.

The bill language does not specify conditions under which people will be guaranteed access to their medications should the software fail, slow to a crawl, or misidentify someone. The actual rules will be written by bureaucrats. There is no safe harbor for people faced with a slow database or one that is not working except for a nebulous “good faith” provision. The bill does not explicitly protect the right of a third party to pick up a prescription for someone else. Virtually all politically powerful inpatient facilities were exempted.

Instead of guaranteeing access, the bill specifically says that no drug can be dispensed if the software produces a “critical alert” or “warning” that requires a “practitioner” to biometrically acknowledge receipt of the “critical alert” or “warning.”

The question, of course, is what happens if the software denies access to someone in Colorado who has been seeing an out-of-state physician who manages to practice top-flight medicine without being hooked up to Colorado’s nanny-state monitoring system? Will access also be denied to someone prescribed pain medications that the software doesn’t like by a surgeon who can’t come to the biometric reader right now because he has his fingerprints in someone’s guts? Will people who travel a lot and fill prescriptions at a national pharmacy chain be denied drugs in Colorado?

Supporters, including companies that stand to do very well by locking the state into their proprietary software, say that the bill will not raise costs, will not inconvenience anyone, and will help combat illegal drug use. They probably also believe that Santa Claus delivers complex database systems, that the Tooth Fairy pays their maintenance costs, and that they are from the government and they’re here to help.

    

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