Obamacare Privacy? What Privacy?

Reported by CBS – not exactly a bastion of the VRWC…

Democratic Health Care Bill Divulges IRS Tax Data

Firstly, as written, the current (House) bill REQUIRES full access to individual tax records:

Section 431(a) of the bill says that the IRS must divulge taxpayer identity information, including the filing status, the modified adjusted gross income, the number of dependents, and “other information as is prescribed by” regulation. That information will be provided to the new Health Choices Commissioner and state health programs and used to determine who qualifies for “affordability credits.”

Section 245(b)(2)(A) says the IRS must divulge tax return details — there’s no specified limit on what’s available or unavailable — to the Health Choices Commissioner. The purpose, again, is to verify “affordability credits.”

Section 1801(a) says that the Social Security Administration can obtain tax return data on anyone who may be eligible for a “low-income prescription drug subsidy” but has not applied for it.

In case you went to Harvard please note the citation numbers. These identify actual sections of the proposed legislation, which seem to be written in English. It’s not the Chief inventing this…just passing along information.

Meanwhile, there’s still the electronicization of health records mandated in the stimulus porculus bill…and not much worry about privacy:

A better candidate for a future privacy crisis is the so-called stimulus bill enacted with limited debate early this year. It mandated the “utilization of an electronic health record for each person in the United States by 2014,” but included only limited privacy protections.

It’s true that if the legislative branch chooses to create “affordability credits,” it probably makes sense to ensure they’re not abused. The goal of curbing fraud runs up against the goal of preserving individual privacy.

If we’re going to have such significant additional government intrusion into our health care system, we will have to draw the privacy line somewhere. Maybe the House Democrats’ current bill gets it right. Maybe it doesn’t. But this vignette should be reason to be skeptical of claims that a massive and complex bill must be enacted as rapidly as its backers would have you believe.

Based on past performance…the Chief is HIGHLY skeptical that the Congs will do what is necessary to install adequate privacy protections.

One thought on “Obamacare Privacy? What Privacy?”

  1. Also, simply taking information from the IRS would not be a good way of ensuring that affordability credits were not abused. Someone who intends to cheat on health credits might very well cheat on their taxes. Furthermore, not everyone has to file.

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