I’ve been down this road about a decade ago. The two main issues boil down to permission slips and where data gets stored. Distributed storage means permission slips are irrevocable. Revocable permission slips require centralized storage.
Permission slips tend to be handled via face machines, scanned paper documents, etc in medicine today with centralized disparate databases.
I’ll interpret that as, ya agree w me, it’s bad idea
I don’t see this as solving a problem…but as a way to liberate money from stupid VC types, it has worked to some effect in the past.
Could ya explain further. Not familiar with usa health records. Nostr not private, not even slightly. Isn’t there massive privacy issues at stake with such an endeavour?
Documenting permission to share a patients medical record with other treating physicians is explicitly NOT required by law (called the HIPPAA act). But most places make people fill out forms granting permission to share data with treating providers anyways (because penalties are massive for sharing with non-treating folks).
Somehow people want to shoehorn data transfer and permission slips together into something bitcoin-ish…but the walled garden model is incentivized by the penalties built into the law.
Is Vitor aware of this??? Cause that matches his proposal of the NIP the way I read it
