Tuesday, January 22, 2019
A Minorââ¬â¢s Right to Confidentiality Essay
In August of 1996 congress passed the health amends Portability and Accountability Act (HIPAA) patients began to see an improvement in the access and consistence of the health insurance coverage. It was not until April 14, 2003 that the privacy portion was passed aegis individualised health information. Mevery defers defend individual laws that were already in vest to protect the health information of patients. HIPAA was not intended to eliminate the res publica law but to cover that which was not addressed by state laws. The state law leave alone prevail providing it is more(prenominal) stringent than the HIPAA policy. In general, the passing of the HIPAA gave patients additional information and greater access to personal aesculapian information while protecting that same information from in book disclosure. close of the protected information that has raised controversial concerns is regarding a insignificants right to privacy and pargonntal access.Minors Rights v ersus Parental RightsHIPAA rules frust tread the authorized individuals that legally can obtain a persons private health information. HIPAA recognizes parents and guardians as personal exemplars, which permits authorization and access as appropriate with the regulations. The guidelines provide that person that has legal authority over other adult or emancipated minor shall be considered the personal representative and afforded much(prenominal) authority as relevant to the law. The second part addresses unemancipated bush league and parents or guardians, shall be regarded as personal representation and give the appropriate authority for decisions regarding a patients PHI (Mary Beth Kirven & Daniel J. Hall, 2003). There are exceptions as with any rules and those exceptions are as follows1. The minor consents to such(prenominal) health concern wait on no other consent to such health bearing assist is required by law, regardless of whether the consent of another person has besides been obtained and the minor has not requested that such person be treat as the personal representative. 2. The minor may lawfully obtain such health care benefit without the consent of a parent, guardian or other person acting in loco parentis, and the minor, a court, or another person authorized by law consents to such health care service. 3. A parent, guardian, or other person acting in loco parentis assents to an agreement of secludedity between a covered health care provider and the minor with respect to such health care service (Mary Beth Kirven & Daniel J. Hall, 2003).These exceptions provide for a minor, the ability to keep only(prenominal) specific health information as confidential from any individual which the minor chooses. In the state of Michigan, this information is protected only if for treatment of pregnancy, human immunodeficiency virus or venereal malady and substance abuse (FindLaw, 2011). Benefits could be do by adding contraception to the prot ected information in the HIPAA policy as well in an effort to protect minors that reside in states that have no laws or public policy that address such issues. Teens have a right to conceal medical information only regarding pregnancy or infection of a sexually transmitted disease or actively addicted to drugs, which will then allow the countenance of privacy. This teaches teenagers that poor decision making will be rewarded with the opportunity to shuffling more decisions.Promiscuous Adolescent BehaviorSince the early 1970s girlish sexual bodily function has been in the public eye, the actual rate of activity had not changed, it only become more obvious. The average age of espousal was increasing along with the estimated life expectancy. The population was simply waiting long-lived to get married but not waiting to have sex. The media have placed these topics to the front of this nation with the various stories that seem to glamorize two sex and teen pregnancy. The United t ell aparts is a nation that has sex everywhere, most entertainment media and many marketing tools use sexuality to attract the consumer and grapple the products.Society needs education and accessibility to counter balance the photo that is forced upon them from marketers in an effort to keep the sexual content to a minimum and to have the ability to see beyond the sexual temperament of the actual products uses and its benefits. Speculation is that the awareness created through these controversial television serial publication (Teen Mom, 16 and pregnant) has contributed to the decrease in teen pregnancy. jibe to Womens Health and Health Care Reform, The United States continues to have the highest teen pregnancy rate of developed countries (Chavkin, Rosenbaum, Jones & Rosenfield, 2010). The alternative is that adolescents may feel more easygoing with the ability to obtain appropriate supplies and education, both of which have become more accessible because of state and federal laws.Legal EntanglementsUnfortunately, a recent look for was made by Indiana Republican Representative Mike Pence, pass an amendment to eliminate the Title X program. This Pence Bill is an attempt to prevent programs such as Planned Parenthood from obtaining federal funds for any rationalness (Miller, LaVaute & Heritage Media, 2011). The primary focus of this amendment was the use of pro-life tax-payers property to fund and promote spontaneous abortion. A debate over this is still on-going now at the national level, yet here locally thither are still health clinics providing the necessary services to many adolescents, including prenatal care when needed (Miller, LaVaute & Heritage Media, 2011). The controversy over the abortion service is the main factor in the attempt to remove the funding. According to Planned Parenthood, abortions that are performed in its clinics make up less than 3 percent of its services. There were 332,278 abortion procedures performed in 2009. T here were as well as 830,000 embrace exams, and nearly 4 million were tested and/or treated for sexually transmitted diseases (Miller, LaVaute & Heritage Media, 2011).Public PolicyPublic policy is the only protections that adolescents have to depend on. It will allow protection from both diseases and unwanted pregnancy, and this is limited to only specific minors in the State of Michigan. HIPAA does not pre-empt this policy as it is more stringent in well-nigh states than the HIPAA law, this is one limitation to the policy. An excerpt in the Guttmacher Institute report on public policy indicates, Although the public remains ambivalent, professional organizations familiar with the scientific evidence uniformly support the provision of reproductive health care to minors on a confidential basis. Public policy developments at the state and federal level, however, suggest that teenagers access to confidential services will remain under attack in the months and years to come (2005 ). certaintyHistory has proven that children will continue to have sex and nail down disease and become pregnant therefore laws protecting the privacy of reproductive health can actually diminish the barriers and increase access to protection for many patients. Planned Parenthood has played an intricate role in providing access to education and protection for millions of adolescents. Removing the funding for programs such as this also reduces access to education, treatment and supplies, resulting in increased diseases and increases in unwanted pregnancies that afterwards lead to a higher poverty rate. Ideally abstinence is the preferred method to prevent unwanted pregnancy and disease, however, reality shows that this is generally not the practiced method. Protection for adolescents is needed in all societies to promote obligation and growth for every individual. It is a mature and responsible decision to attend the protection and education that is needed even when access is li mited. Laws are passed to protect mankind, not adults or parents or any one population laws are created to protect any person that needs protecting, including minors.ReferencesChavkin, W., Rosenbaum, S., Jones, J., & Rosenfield, A. (2010). Womens health and health care reform The key role of comprehensive reproductive health care. Retrieved fromhttp//www.mailmanschool.org/facultypubs/womenshealthcarereform.pdf FindLaw. (2011). Michigan medical records law. Retrieved from http//law.findlaw.com/state-laws/minors-and-the-law/michigan/, http//law.findlaw.com/state-laws/minors-and-the-law/michigan/ Guttmacher Institute. (2005, November). Teenagers access to confidential reproductive health services The Guttmacher report on public policy. Retrieved from http//www.guttmacher.org/pubs/tgr/08/4/gr080406.html Mary Beth Kirven, E., & Daniel J. Hall. (2003, June). Health insurance portability and accountability act of 1996 Applicability to the courts an initial assessment. Retrieved from http//www.ncsconline.org/WC/Publications/CS_PriPubHIPPA96Pub.pdf Miller, J., LaVaute, G., & Heritage Media. (2011, March). Washtenaw county Young and pregnant Part 1 Prevention. Retrieved from http//www.heritage.com/articles/2011/03/01/life/doc4d6d5ec57105e610360187.txt?viewmode=fullstory
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