Anything you say between the time of arrest and when you read you your Miranda rights in court is inadmissible. If they try to introduce a statement that was made prior to the reading you have the RIGHT to have that statement rendered inadmissible / "tossed out".

This is so not true. There are several exceptions to the reading of Miranda rights, including a "spontaneous statement" made while not under direct questioning of the crime. There is a lot of novice misunderstanding of Miranda, and the best advice to anyone under arrest is simply to say nothing other than ID information to a police officer.

You are incorrect. Unsolicited utterances may be admissible - this is a frequent misunderstanding of Miranda.

And that's why HIEs exist. The problem is solved, no magic bullet required.

As an aside, HIEs also provide interesting analytics solutions that blockchain cannot.

Thank you so much for bringing some clarity to this discussion. I made it a point to visit all blockchain vendors at HIMSS 2017 and there was not a single answer for 10 MB CCD, let alone imaging data.

On top of that, HIEs solve many of the "sharing" use cases today. The challenges in healthcare data sharing are semantic interoperability. Trust is tertiary and easily solved using existing standards.

Fortunately, that strategy does not work for HIPAA protected health information. Any identifying number or information fragment that allows you to connect back to the original patient is not allowed. In small communities, this can be as little as age, diagnosis, and zip code.

I expect some interesting court cases over this.

While I agree with your premise that this is the perfect example of why we would want government to fund specific types of R & D, I'd argue that private industry is terribly interested in analytics and the ability to provide enhanced clinical decision support and measure previously unknown positive outcomes based on specific treatment protocols or inputs.

HIT companies have saturated the existing EHR market - competitive advantage will come from the ability to derive value from existing data.

Absolutely true! In addition, that needs to be a "fuzzy" five minutes, plus or minus a non-determinate amount of time to prevent further gaming of the system.

The solution is simple. The will to implement it is not there - too much money and special interest in HFT.

I believe that Jason Bateman was in a recent documentary on this topic - seemed very factual, and you should probably consider his plan of action:

http://www.imdb.com/title/tt2024432/?ref_=sr_1

-jd

DEA does now allow for eRx of controlled substances, but most of the vendor community has not yet caught up to the new regulations.