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from the author | Future of Medicine | Health IT | Policy | Privacy

The 'Journal' Asks, Should Patients Have Identification Numbers?

Today’s Wall Street Journal includes a special Big Issues health care section. A post on their blog caught my attention: Should Patient Have Elec­tronic Iden­ti­fi­cation Numbers?

The idea is that people who use health care would each be assigned a uni­versal patient iden­tifier, or UPI. This unique number would link to a person’s health records. In prin­ciple it would facil­itate transfer of a patient’s medical history between doctors, hos­pitals and, likely, insurance com­panies. There are argu­ments pro – mainly having to do with effi­ciency and patient safety; and against – mainly having to do with privacy.

My issue is that it reminds me of Auschwitz. But apart from that par­ticular asso­ci­ation, labeling people with numbers seems dehu­man­izing — what’s already a big neg­ative in modern health care. I/​​we need to realize that already we have numbers. Most people have social security numbers. I have several hos­pital ID numbers and insurance company numbers.

As for privacy, that’s

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