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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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Jul 9, 2024 at 3:56 PM#1

This gets cited here weekly, usually second-hand, so it is worth setting out what it does and does not establish.

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 completion rate deserves as much attention as the headline, because a large effect among those who finished is a different claim from a large effect among those enrolled.

What I am after is how people are thinking about the trade-off between reversibility and privacy, because you cannot have both. I would rather have one careful answer than five confident ones.

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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HPLC_Greg
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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.

True, and it depends on a baseline nobody has stated. Without knowing where someone started, the same number can be an excellent result or a disappointing one.

24 19JenPlateau, SallyK_inj, CryptoCarl and 21 others
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RetaRick_CA
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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.

I read this differently from SallyK_inj, on substance rather than tone. I would resist the confidence. Half of what this board was certain about two years ago has since been quietly dropped, and nobody went back to correct the threads.

23 18DadBodDave, AmyNC_wife, SkepticalSean and 20 others
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VanRx_Mike
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Jul 9, 2024 at 5:26 PM#4

This one has a reasonably settled answer, so here it is. It helps to ask what evidence would change your mind before you look at any. If nothing would, the discussion is not about evidence, and it is better to say so early than to spend nine posts discovering it.

Last edited: Jul 9, 2024 at 8:26 PM
22 17Dr.Martinez, mike_mod, SarahChen_PharmD and 19 others
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pam_columbus
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Jul 9, 2024 at 8:13 PM#5
HPLC_Greg said:
True, and it depends on a baseline nobody has stated.

Same pattern here, and in the same order. Nothing to add that would improve it.

21 16emma_london, tammy_FL, Dr.LipidDallas and 18 others
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