◼ At the border, online, at the doctor’s office, you’re no longer protected from unreasonable search and seizures. - Peter Van Buren/Mother Jones
Here's a bit of history from another America: the Bill of Rights was designed to protect the people from their government. If the First Amendment's right to speak out publicly was the people's wall of security, then the Fourth Amendment's right to privacy was its buttress. It was once thought that the government should neither be able to stop citizens from speaking nor peer into their lives. Think of that as the essence of the Constitutional era that ended when those towers came down on September 11, 2001. Consider how privacy worked before 9/11 and how it works now in Post-Constitutional America....
While the NSA's electronic basket of violations of the Fourth Amendment were, pre-Snowden, meant to take place in utter secrecy, here's a violation that sits in broad daylight: since 2002, my doctor can disclose my medical records to the NSA without my permission or knowledge. So can yours.
Congress passed the Health Information Portability and Accountability Act (HIPPA) in 1996 "to assure that individuals' health information is properly protected." You likely signed a HIPPA agreement at your doctor's office, granting access to your records. However, Congress quietly amended the HIPPA Act in 2002 to permit disclosure of those records for national security purposes. Specifically, the new version of this "privacy law" states: "We may also disclose your PHI [Personal Health Information] to authorized federal officials as necessary for national security and intelligence activities." The text is embedded deep in your health care provider's documentation. Look for it.
How does this work? We don't know. Do the NSA or other agencies have ongoing access to the medical records of all Americans? Do they have to request specific ones? Do doctors have any choice in whose records to forward under what conditions? No one knows. My HMO, after much transferring of my calls, would ultimately only refer me back to the HIPPA text with a promise that they follow the law.
The Snowden revelations are often dismissed by people who wonder what they have to hide. (Who cares if the NSA sees my cute cat videos?) That's why health-care spying stands out. How much more invasive could it be than for your government to have unfettered access to such a potentially personal and private part of your life—something, by the way, that couldn't have less to do with American "security" or combating terrorism.
Our health-care providers, in direct confrontation with the Fourth Amendment, are now part of the metastasizing national security state. You're right to be afraid, but for goodness sake, don't discuss your fears with your doctor....
