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Medicine and Health Care The history of medicine and medical history Actuarial science Genetic determinism –Nature versus nurture
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The Protection of Medical Information The legality of releasing medical records Physicians responsibility and the Hippocratic Oath Is there a need for anonymity
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The Insurance Industry Power asymmetry and treatment release forms The Medical Information Bureau Physicians caught in the middle
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Access to Your Own Medical Information State by state laws Adoption records
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Computerized Patient Records The up side The down side
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HIPAA The Health Insurance Portability and Accountability Act of 1996 Key Provisions
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Direct Marketing The case against intrusive marketing – the desire to control information about yourself The case for direct marketing – free speech, provides a service, it’s a $1T industry
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The Post Office and Direct Marketing Change of address information Bulk mail
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Affinity Programs and the Like Supermarket data – The Farmer Jack card Pharmaceutical data Warranty data Rebates
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Noteworthy Privacy Abuse Cases Eli Lilly Lotus and Experian Double Click
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Opt-in versus Opt-out What’s the difference? Who cares? Practical problems with opt-out Web pop-up example
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Action against Direct Marketers Exercise anonymity Publicize and litigate Track them using seeded names Make use of current laws and advocate for new laws
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Minors How are minors targeted? COPA ToySmart case
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Who Owns Your Information? Considering your name as property What is property? Pros and cons of a royalty scheme for marketers using your name
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The Avrahami Case Sued for using his name without prior consent (rental of subscription lists) DMA argued: 1) it’s common practice, 2) Avrahami should have opted out Case remanded to a different court – eventually dismissed because his name had been misspelled
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Do You Own Your Body? Where does it begin and end? Is extracted genetic information yours? HeLa cells and Mo cells Locke’s desert/labor theory of property
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The Biotech Industry Osteoporosis drug Informed consent Ethical issues
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Genetic Information and Ethnicity Discrimination based on a predisposition for some medical condition associated with ethnicity Ashkenazi Jews The Iceland experiment
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