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ForumsCrypto & PrivacyPharmacy payment data and HIPAA — 6 month update

Pharmacy payment data and HIPAA — 6 month update

SallyK_inj Tue, Jul 9, 2024 at 3:56 PM 35 replies 2,221 viewsPage 1 of 7
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SallyK_inj
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Iowa
Jul 9, 2024 at 3:56 PM#1

Posting this because the summary going around does not say what the paper says, and the difference matters for how people here are using it.

The trade-off is reversibility against privacy and there is no option that gives you both. Card payments are reversible and disclose the most; crypto discloses least and is irreversible, which is precisely why pressure toward it is a warning sign when it comes from a seller rather than a buyer. Escrow only means anything where the escrow agent is independent of both parties, which is rarely the case in practice.

Where I think it is weakest: the follow-up is short relative to how long people actually take these drugs, so durability is an assumption here rather than a finding.

The narrow version of the question is how people are thinking about the trade-off between reversibility and privacy, because you cannot have both. Numbers rather than impressions, if you have them.

Note on sourcing:
Figures above are from the primary publication rather than the press summary. If a number here disagrees with one you have, post yours and we will work out which of us is reading a secondary source.
25 20amy_econ_NJ, bbq_ray_KC, oliver_london and 22 others
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BenResearch_OR
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Dec 2023
Oregon
Jul 9, 2024 at 4:26 PM#2
SallyK_inj said:
The trade-off is reversibility against privacy and there is no option that gives you both.

No disagreement, though it depends on where somebody is starting from, and this thread has been assuming a starting point nobody stated.

24 19PharmD_Rodriguez, julia.endo, JessicaM_2024 and 21 others
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Dr.BariatricHTX
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Houston, TX
Jul 9, 2024 at 4:56 PM#3
SallyK_inj said:
The trade-off is reversibility against privacy and there is no option that gives you both.

This is where I part company with the consensus forming above. The objection nobody has made: this only works if the measurement is doing what we assume it is doing, and that assumption has not been tested here.

Last edited: Jul 9, 2024 at 10:56 PM
23 18Dr.EM_Chicago, pete_RVA, CarlaRPh_TPA and 20 others
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hyun_seoul
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Jul 9, 2024 at 5:26 PM#4

Answering the narrow version, because the broad one does not have a single answer. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

22 17BariatricNurseD, MASHdoc_SA, GenomicsKate and 19 others
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NurseAsh_DET
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Jul 9, 2024 at 8:13 PM#5
BenResearch_OR said:
No disagreement, though it depends on where somebody is starting from, and this thread has been assuming a starting point nobody stated.

Adding a me-too, because a thread of one person's experience is not much use. Nothing to add that would improve it.

Last edited: Jul 10, 2024 at 2:13 AM
21 16emily_PDX, Dr.SleepRoch, laura_annarbor and 18 others
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