Trump admin seeks medical records of federal workers—for vague reasons

Fatesrider

Ars Legatus Legionis
25,508
Subscriptor
HIPAA explicitly prohibits that kind of demand.

They can get anonymized data as long as it can not personally identify anyone. But the actual records only are exchanged between health care providers directly involved in the care of that individual and other health care providers. Much of the insurance information is also anonymized with case numbers and not names.

So this is blatantly illegal.

Yes, I know they do that. And I hope that fucker lives long enough to be thrown into prison for what he's doing.
 
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famousringo

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It'll be for either hate or a grift. Or both.
It's always both.

Whatever kind of pogrom it is, those wielding the power of the state will seize land and rifle through the pockets of the outgroup before they're sent to the camps. Even those who aren't insiders, but happen to be the majority, get to enjoy 'more opportunities' even if they don't get to do the actual mugging.

It's part of how consent of the majority is maintained. Society can feel richer for the ingroup as they burn through the spoils, even if the pie is actually shrinking overall.
 
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Bill T.

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At what point do the people who assent to these demands start to face legal trouble?

Do you get a "Get Out of Jail Free" card if you knowingly do something illegal just because you were told to by a superior?
Legal trouble with whom? Do you really think the DoJ is going to prosecute people for doing what the admin demands?
 
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At what point do the people who assent to these demands start to face legal trouble?

Do you get a "Get Out of Jail Free" card if you knowingly do something illegal just because you were told to by a superior?
When your superior was handed king-style immunity by a corrupt and unhinged court and has (and has abused already) the power of pardon and asserts control over the "justice" system, there is no point at which that happens. All things are in the service of the party leadership and the oligarchs.
 
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Hypatia

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When I encounter someone who seems to defend or at least somewhat support this regime’s actions, I always ask, “So you would be comfortable with Obama/Biden/Mamdani/etc exercising this precise power?”

Now, I don’t expect consistency from this crowd but what has genuinely surprised me is that they react as though this thought had never actually occurred to them. I’m not talking about the “Trump for eternity” crowd. They clearly hope he simply becomes a monarch and never leaves office. Therefore, why worry about the opposition ever again?

I’m talking about those people who could theoretically break with Trump but, for whatever reason, haven’t yet. These people don’t think a monarchy is a danger. They just “like Trump” or whatever. They seem genuinely stymied by my question. It had never dawned on them that an office of accumulated power could be wielded by people they disagree with.

It’s incredible.
 
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C.M. Allen

Ars Tribunus Angusticlavius
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HIPAA explicitly prohibits that kind of demand.

They can get anonymized data as long as it can not personally identify anyone. But the actual records only are exchanged between health care providers directly involved in the care of that individual and other health care providers. Much of the insurance information is also anonymized with case numbers and not names.

So this is blatantly illegal.

Yes, I know they do that. And I hope that fucker lives long enough to be thrown into prison for what he's doing.
And the entities holding that information should be proactively informed that ANY kind of compliance with the Trump regime's demands will be grounds for a class-action lawsuit from 100m+ Americans. So they'd better fucking refuse to comply.
 
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cfenton

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At what point do the people who assent to these demands start to face legal trouble?

Do you get a "Get Out of Jail Free" card if you knowingly do something illegal just because you were told to by a superior?
Depends on the crime and how clearly illegal your actions are. If your boss at the health insurance company tells you to go shoot someone, you're probably not going to get very far using that as a defense. If your boss at the health insurance company tells you to hand over these documents to the government and tells you they cleared it with the legal department, that's probably a reasonable defense.
 
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Just thinking about many people I've worked with who would be terrified by this kind of thing and would absolutely face risk of harm. Think people who've faced involuntary psychiatric holds and treatment, some under entirely false pretenses. (Yes, ffs, that happens, but that's a tangent.) Think the collateral of families and myriad types of professionals, lawyers, random admin, dragged in too. All handed to neo nazi crooks - some already even convicted - and delusional psychopaths.

One bit of irony is that there is really quite a bit of hand-wavy shenanigans in billing and treatment (especially stuff like aforementioned involuntary kinds), but not in the ways these clowns will think.

And what happens to the data after? Does it get store in "Grok"? JFC
 
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DaveJ85

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Federal health care benefits are pretty good compared with most private sector plans. Apart from picking up politically sensitive medical issues, eg, abortion and gender dysphoria, maybe who got vaccinated for what. They could pick up who is raising the cost of the benefit plan -- expensive cancer treatments, hemophilia treatment. Also possibly things like sickle cell treatment and care. Payments related to disability. Cutting these benefits could save a lot, and in the in view of this administration, unload a lot of deadwood and DEI hires and possibly in the long run pay for a couple more drones or golf trips.
 
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LDA 6502

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I would say "political retaliation or targeting of workers who sought certain medical care, such as abortion or transgender care" is far and away the most likely outcome of, and internal justification for, this move.
And it is really simple for them to find: the ICD-10 F64 section of codes all refer to transgender care. If you've ever had medical, surgical, or psychiatric care billed under those codes, they'll know.
 
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AdamM

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Maybe Federal Workers will get some sort of single payer system instead of ... 65 companies?

I'm sure there's zero chance of that but things happen.

Here the government 100% gets to know the entire details of what's happening to you and so in fact does your boss.
Republicans will support single payer when they figure out they can weaponize it.
 
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emag

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Federal health care benefits are pretty good compared with most private sector plans. Apart from picking up politically sensitive medical issues, eg, abortion and gender dysphoria, maybe who got vaccinated for what. They could pick up who is raising the cost of the benefit plan -- expensive cancer treatments, hemophilia treatment. Also possibly things like sickle cell treatment and care. Payments related to disability. Cutting these benefits could save a lot, and in the in view of this administration, unload a lot of deadwood and DEI hires and possibly in the long run pay for a couple more drones or golf trips.
https://www.kff.org/health-costs/2025-employer-health-benefits-survey/

https://www.bls.gov/ebs/factsheets/medical-care-premiums-in-the-united-states.htm

https://www.opm.gov/healthcare-insurance/healthcare/plan-information/compare-plans/ (BCBS standard and basic have traditionally been the two default selections)

Federal government employee health plans are not better (by employee expense) than the national average, and significantly worse than average for "professional"/union employment (and also worse than marketplace coverage when considering average subsidies). City and state employees to tend to have better health plans, though.
 
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