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Everyone knows patients as well as doctors that the confidentiality of medical records has virtually disappeared. Amitai Etzioni, a well-known social scientist, documents the violation of the privacy of medical records that occurs when unauthorized persons gain access to such information in record rooms or on computers what worries most people about the easy accessibility of their records. Of greater concern is that "most violations of the privacy of medical records are the result of [the] legally sanctioned . . . unconcealed, systematic flow of medical information . . . to non health-care parties including employers, marketers,
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