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Pittwater Life August 2018 Issue

To Your Health. Flood of Complaints. Matt Burke. B-Line U-Turn. Taste of the Beaches.

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News<br />

GP urges ‘opt out’ of digital health record<br />

Newport GP Dr Julian Northover<br />

has warned locals to<br />

do their due diligence before<br />

deciding to remain part of the<br />

Federal Government’s new ‘My<br />

Health Record’ – which automatically<br />

stores individuals’<br />

personal health information in<br />

a massive digital database and<br />

places the onus on people to<br />

‘opt out’ of the program rather<br />

than gain their approval to<br />

participate.<br />

A passionate opponent, Dr<br />

Northover said there were<br />

numerous reasons why he had<br />

already opted out (the window<br />

triggered July 16 and runs<br />

through October 15).<br />

“I did not feel I could trust<br />

the government My Health Record<br />

(‘MyHR’) with my personal<br />

health information which I<br />

disclosed in confidence to my<br />

local doctor,” Dr Northover told<br />

<strong>Pittwater</strong> <strong>Life</strong>.<br />

“Nor did I feel I could trust<br />

the government to not change<br />

the rules about access to my<br />

health data in the future; the<br />

government’s refusal to delete<br />

our records if requested once<br />

they are created; the 900,000-<br />

plus health providers and<br />

administrators with access<br />

rights to MyHR; the 100,000-<br />

plus ‘venerable’<br />

computers accessing<br />

MyHR; the<br />

sharing / cross<br />

match of records<br />

by many government<br />

departments<br />

without my knowledge<br />

or consent;<br />

the potential to<br />

use MyHR to deny<br />

/ reduce access to<br />

health insurance or<br />

life/income insurance;<br />

and the use of MyHR in<br />

any judicial process through<br />

subpoena.”<br />

Dr Northover said other concerns<br />

included the potential<br />

use of MyHR to limit employment<br />

prospects through<br />

‘authorised releases’.<br />

“There’s also the linking of<br />

MyHR to other family members<br />

and peers, as well as to<br />

newer big data tools including<br />

artificial intelligence which<br />

will further interrogate our<br />

OPPOSED: Dr Northover.<br />

records,” he said.<br />

“I do not feel that MyHR is<br />

a prudent thing for society,<br />

where we are at the cusp of<br />

storing genetic<br />

information as<br />

part our patient<br />

records.<br />

“Alarmingly, I<br />

did not feel that<br />

MyHR had been<br />

explained to me<br />

– especially the<br />

costs and risks – in<br />

sufficient detail<br />

(including through<br />

my role as a ‘IT<br />

literate’ general<br />

practitioner).<br />

“And I did not feel that<br />

MyHR will add substantially to<br />

my clinical care as a patient –<br />

nor did I feel that the minimal<br />

patient benefits of emergency<br />

presentations and allergies<br />

justified what we are signing<br />

up to.”<br />

Dr Northover said anyone<br />

old enough to remember the<br />

‘Australia Card’ proposal<br />

would recall the debate it<br />

created and the way it was<br />

“watered down” to the creation<br />

of Tax File Numbers.<br />

“Now we live in a newer<br />

digital age where the level of<br />

interrogation of big data for<br />

government and corporate use<br />

will far exceed anything we<br />

can imagine today.”<br />

He said he did believe however<br />

that further efficiencies<br />

in healthcare information were<br />

required to help better manage<br />

care and its costs – but that the<br />

current format “signs us and<br />

our children to a more onerous<br />

and less-forgiving future”.<br />

“This will become a bigger<br />

story in the media as people<br />

become aware of what they<br />

are getting pushed into,” he<br />

said. “Let’s ‘opt out’ for a better<br />

discussion… and while you’re<br />

at it, the kids too!”<br />

More info can be found at<br />

‘For Sale – Your Privacy and<br />

Your Health Data’ at privacy.<br />

org.au; also read the Australian<br />

Medical Association’s view<br />

ama.com.au/gp-network-news/<br />

my-health-record<br />

* What it means – read Jennifer<br />

Harris’ law column p54.<br />

12 AUGUST <strong>2018</strong><br />

The Local Voice Since 1991

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