• The move towards inter-connected electronic health records in the United States and other countries increases access by not only medical professionals but those who are associated with them (covered entities such as insurance companies). A delicate balance needs to be struck between safeguarding patient privacy and necessary access to medical record information. There are a host of inter-twined technological and social issues that have yet to be resolved. For example medical billing is an inaccurate source to derive a patient record yet medical insurance coverage decisions are often based on such data. Most patients and lawmakers are unaware of the ramifications of inter-operable electronic health records. Health information privacy has not been adequately addressed by most healthcare organizations.

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