The Devastating Impact of Fiscal Incentives on Healthcare Data Security

Dr. Adam Tabriz

Eliminating The Incentives is The First Step Towards Restoring The Sovereignty Of The Doctor-Patient Relationship
Healthcare TechnologyPhoto byChristian Bowen on Unsplash

Health data typically pertains to information about someone's or a particular population's health and well-being. Health data today is also associated with some influencers, such as environmental, socioeconomic, and behavioral information pertinent to the health of said individuals or populations.

Health data is the central component of the much broader expanse of information resources, the Healthcare Information. The latter also includes everything else, yet the indirect set of information. These include communications like physicians' clinical decision-making strategy, administrative and operational workflow procedures and protocols during patient care, and much more.

Healthcare data and information is not exclusively about that specific patient. The physicians' Clinical decision-making is also a valuable commodity that is being exploited without crediting the originator in Machine Learning (ML), hoping that one-day Artificial Intelligence (AI) will replace physicians.

Incentives to Commandeer Healthcare Data are Not Just Imminent But are Here!

From private patient information to social determinants of health and proprietary physician clinical decision-making to clinic operation, all constitute irrefutable incentives for corporate disruption of the healthcare domain amidst digitalization.

The interplay of incentives fuels healthcare information abuse. Technology trends are downplaying the value of healthcare data by claiming that "there won't be digital health without sacrificing a part of our privacy."

That is ludicrous!
The real threat to healthcare data is not necessarily from illegal cyberattacks but from unethical data exploitation.
The fact is, with healthcare ever becoming digitalized, securing healthcare data is more than ever necessary.

Giving in to the notion that corporate fiscal incentives outweigh public incentive is unacceptable. However, It is acceptable to distribute healthcare data incentives amongst its legitimate actors and owners.

Fiscal Incentives for Healthcare Data are, Indeed, The Stakeholder Incentive.

The information technology industry should not take access to vast data silos for granted. They can, indeed, charge for the products and services they provide. Nonetheless, they must still reimburse the valid data owner for its access and use.

Whether legal, illegal, ethical, or unethical, healthcare data breaches and abuse happen today and happen often. The fiscal impact of healthcare data abuse is vast and will continue to rise in years to come unless we break the cycle of incentives and abuse by decentralizing its ownership.

While protecting healthcare information, particularly that of patients' data, is important; nonetheless, the ubiquitous nature of digital health data and its high monetary value makes it challenging to protect from abuse. On the other hand, more than the traditional centralized nature of data storage is needed to overcome those impediments.

The double standard of Healthcare data protection rests its case on the fact that everyone is talking about protecting patients' personal information without taking steps to assign data ownership and control to individual patients. One can say the same thing about healthcare data which are the proprietary assets of physicians and other stakeholders.

Simply shifting the incentives to fair proprietors of healthcare data through the decentralization of information is prudent to presume that it will disincentivize those with alternate missions.

Data silos are strategically feasible to tap into and convenient for corporate access. That is why efforts to contain healthcare information abuse have been, so far, nothing but failure.

Furthermore, economic tensions and international trends encourage entertainers to act on healthcare data exposures.

The Entanglement Of Incentives May Be The Tribulation

The infrastructural and logistics oversight of healthcare data storage and management is a fundamental problem. Over the decades, it has drawn many non-medical and medical corporate stakeholders into healthcare. Unfortunately, among these newcomers, not all support the healthcare infrastructure's sovereignty, long-term security, and tactical mission.

Healthcare data is frequently exploited behind the corporate scenes, shared, and traded for billions of dollars with little or no incentives for the original owners to authorize if they had a choice.

The sundry incentives that benefit those with "fiscal gain only intention" may be a problem we face today. But that needs to change!

Suppose incentives are blocking the road to protect healthcare data from the wrong hands and directing the benefit of data to the right target. In that case, we must reshape those incentives to advance toward a more secure and healthy system. That is establishing a healthcare delivery and management logistics system that allows all stakeholders independent, collaborative, and sovereign participation to share trade and exchange healthcare-related data at their willpower. And while at it, the system must guarantee transparency and accountability.


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