And why do we care who has our medical information?
Because in the US, we've decided that the only people that get health care are those with jobs. So getting a job is deeply tied to one's state of health. Accidental leaking of your health care information could lead to losing your job, or failure to obtain one. Other laws try to tackle that, but nonetheless, we all have the fear that if our potential employer (especially) knew how much we might really cost, we wouldn't get that job. And the fact of the matter is that no employer wants to employ a sick person if they can help it.
We'd be better off decoupling health care from employment. One side effect would be that medical information wouldn't be so secret. This is rather important when you consider that that information should perhaps be shared among health care providers, patients with the same ailments, and especially, family (possibly distantly related but genetically susceptable, for instance).
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