Private: Keep Confidential

"Confidentiality is one of the core tenets of medical practice."

So asserts the University of Washington Medical School. "Yet daily, physicians face challenges to this long-standing obligation to keep all information between physician and patient private."

In my free-associative state --- when 'confidentiality' or 'confidential' is my linguistic launch pad; 'privacy' or what i hope to be 'private' is --- top of mind --- like a top-level-domain.

But my mind suffers from a kind of e-dissonance ---- locked and loaded --- Even stream-of-consciousness it turns out --- is a 21st Century art form complicated by desire, expectation, need, relevancy.

Can Kafka help me?

Stanford University asserts: "The term “privacy” is used frequently in ordinary language as well as in philosophical, political and legal discussions, yet there is no single definition or analysis or meaning of the term. The concept of privacy has broad historical roots in sociological and anthropological discussions about how extensively it is valued and preserved in various cultures. Moreover, the concept has historical origins in well known philosophical discussions, most notably Aristotle's distinction between the public sphere of political activity and the private sphere associated with family and domestic life. Yet historical use of the term is not uniform, and there remains confusion over the meaning, value and scope of the concept of privacy."

"Does anyone really expect to have privacy anymore? Seriously?" says a Blackberry-toting West Coast source.

Assume a physician takes a call on her smart-phone. Assume she is riding the train when she takes that call.

How confident can she be of her ability to uphold her patient's privacy?

Seriously.

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