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At 10:40 +0100 on 08-10-1996, Ross Anderson wrote: > IBM has joined up with a number of other firms to develop encryption > products with `key recovery' so that they will be exportable. It makes > the front page of www.ibm.com. The idea appears to be that by combining > the market muscle of Apple, Atalla, DEC, Bull, Hewlett-Packard, IBM, > NCR, RSA, Sun, TIS and UPS, with the regulatory muscle of the NATO > governments they can force solutions acceptable to the US intelligence > community on everybody else in the world. > > IBM's view on health care computing is: > > o Internet Health Care > > With an Internet-based health care system, patient records can be > stored in a central location and accessed immediately by all properly > authorized personnel required in the various processes. The > information may be used by a primary care physician, by medical > specialists, in the hospital and pharmacy and by the insurance > company. Cryptographic functions, such as confidentiality, integrity, > and authentication, are necessary and are invoked by the application, > transparent to the users. Smart cards could also be incorporated, as a > method of transporting patient medical records. > > (source: www.ibm.com/Security/crypto/html/wp_sc3.html) > > The assumption that health records must be centralised may come naturally > to a mainframe vendor, but it doesn't exactly give me a warm feeling! > > Ross As far as I know it is probable that the Dutch government will have the opinion that: - they don't want the social security number as the patient identifier. (Systems designed for insurence purposes are not allowed to be used in other settings) - they don't want central repositories of files with patient data; - they want (at most) central repositories where information will be stored where information could be found; - they want that each care provider will be responsible for his own data entry, storage, retreival, and security. Because of all this I'm very relieved to live in my country. Their plans are congruent with mine. Greetings Gerard Freriks,huisarts, MD C. Sterrenburgstr 54 3151JG Hoek van Holland the Netherlands (31) 174-384296/ Fax: -386249 ARS LONGA, VITA BREVIS %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%