It's in the Cards

TITLE: IT'S IN THE CARDS 8-00-09 (Three Part Version)

ANCHOR LEAD

THEY CAN STORE INFORMATION THAT GETS YOU THROUGH LOCKED DOORS, GIVES YOU CASH, AND GETS YOU ON SUBWAYS. NOW THEY CAN EVEN STORE YOUR MEDICAL AND INSURANCE INFORMATION. THEY'RE SMART CARDS…BUT AS ________________REPORTS, WHEN IT COMES TO YOUR MEDICAL RECORDS, THEY MAY NOT BE SMART TO USE.

#1 Length :48

NAT SOT :02
NAT SOT/Bank machine

WRAP ONE
IT'S ONE THING TO USE A CARD AT AN ATM…IT'S ANOTHER TO USE IT TO SAVE YOUR LIFE.

NAT SOT :03
NAT SOT/ Sirens

WRAP TWO Length :21 (Continued over NAT)
A SMART CARD CONTAINING YOUR MEDICAL HISTORY CAN PROVIDE INSTANT ACCESS TO EVERYTHING ABOUT YOU. 3G INTERNATIONAL MAKES A SMART CARD WITH AN INTEGRATED CIRCUIT CHIP THAT CARRIES ABOUT 800 DATA ELEMENTS ON EVERYTHING FROM X-RAYS TO EKG'S.

NATS : Length :06
"Some things that we include are the treatments, medications, allergies, those type of conditions."

WRAP THREE Length :05
MANY IN THE MEDICAL FIELD, LIKE DR. PETER MOYER, THINK MEDICAL SMART CARDS MAKE SENSE.

ACT :Dr. Peter Moyer, Boston Medical Center Length :11
"Having a card that could have a composite of your medical history, would make it much easier---particularly much easier for us in the setting of emergency medicine ---to access data in a hurry."

WRAP FOUR Length :05
BUT OTHERS ARE CONCERNED ABOUT PRIVACY AND ETHICAL ISSUES. MORE ON THAT IN A MOMENT.

#2 Length :45

ACT :George Annas,Boston University School of Public Health Length :13
"There will be all kinds of people and organizations that would like to see your medical records, and yes could use them for their own purposes, but my question is why should they? Why should we give up our privacy to them?"

WRAP FIVE Length :13
THAT'S WHAT MEDICAL ETHICIST GEORGE ANNAS THINKS ABOUT SMART CARDS. IN HIS BOOK ABOUT MEDICAL PRIVACY CALLED SOME CHOICE: LAW, MEDICINE AND THE MARKET, HE MAINTAINS THEY POSE AN UNNECESSARY RISK. MANY PATIENTS AGREE.

ACT :Patient Length :10
"Your whole medical history. I mean there's a certain amount of confidentiality that goes along with your medical records and to me it shouldn't be out there for anybody to find."

WRAP SIX Length :08
SOME CARDS HAVE SECURITY SYSTEMS THAT USE FINGERPRINTS OR SPECIAL PASSWORDS. WHEN WE RETURN, WE'LL HEAR HOW SMART CARDS ARE WORKING AT ONE MEDICAL CENTER.

#3 Length :45

WRAP SEVEN Length :12
BOSTON'S BETH-ISRAEL-DEACONESS MEDICAL CENTER WAS ONE OF THE FIRST IN THE NATION TO GO TO A TOTALLY COMPUTERIZED SYSTEM.

NATS :02
Key strokes

WRAP EIGHT Length :04
DR. CHARLES SAFRAN ACKNOWLEDGES THAT THERE ARE NO GUARANTEES WHEN IT COMES TO SECURITY.

ACT : Dr. Charles Safran/Beth Israel-Deaconess Medical Center in Boston Length :11
"Once we provide anyone with access we've introduced some risk to the patient…to each of us as potential patients.

WRAP NINE Length :09
7 TO 10 THOUSAND COMPUTER TERMINALS AND PRINTERS STORE AND RETRIEVE PATIENTS' RECORDS. DR. SAFRAN BELIEVES THE BENEFITS OF INSTANT ACCESS OUTWEIGHS ANY THREAT.

ACT :Dr. Charles Safran,Beth Israel-Deaconess Medical Center in Boston Length :09
"I would urge people to accept a certain amount of risk providing that they trust their clinicians to protect their information."

WRAP TEN Length :
Local Talent Wrap

LOCAL ANCHOR LOCKOUT

MEDICAL SMARTCARDS ARE JUSTTHE BEGINNING. SOME SEE THE DAY COMING WHEN EVERYTHING ABOUT US-OUR BANK ACCOUNTS, PASSWORDS, TRANSIT CREDIT, PREFERENCES AND HEALTH INFORMATION WILL BE ON ONE CARD…OTHERS THINK THAT PEOPLE WILL NEVER ENTRUST ALL THAT INFORMATION TO A CHIP ON A CARD.

TITLE: IT'S IN THE CARDS 8-00-09A (Single Part Version)

ANCHOR LEAD

THEY CAN STORE INFORMATION THAT GETS YOU THROUGH LOCKED DOORS AND GIVES YOU CASH. THEY CAN EVEN STORE ALL OF YOUR MEDICAL AND INSURANCE INFORMATION. THEY'RE SMART CARDS…BUT AS ________________REPORTS, WHEN IT COMES TO THEIR MEDICAL RECORDS, SOME PEOPLE WONDER IF THEY'RE SMART TO USE.

NAT SOT :02
NAT SOT/Bank machine

WRAP ONE Length :20
IT'S ONE THING TO USE A CARD AT AN ATM…IT'S ANOTHER TO USE IT TO SAVE YOUR LIFE.

NAT SOT :03
NAT SOT/ Sirens

WRAP TWO (continued over NATS)
A SMART CARD CAN PROVIDE INSTANT ACCESS TO EVERYTHING ABOUT YOUR MEDICAL HISTORY-- FROM X-RAYS TO EKG'S, MEDICATIONS TO ALLERGIES. MANY IN THE MEDICAL FIELD, LIKE DR. PETER MOYER, THINK MEDICAL SMART CARDS MAKE SENSE.

WRAP THREE Length :08
BUT OTHERS, LIKE GEORGE ANNAS, AUTHOR OF A BOOK ON MEDICAL PRIVACY CALLED SOME CHOICE: LAW, MEDICINE AND THE MARKET, ARE CONCERNED ABOUT PRIVACY.

WRAP FOUR Length :02
MANY PATIENTS AGREE WITH HIM.

WRAP FIVE Length :14
BOSTON'S BETH-ISRAEL-DEACONESS MEDICAL CENTER WAS ONE OF THE FIRST IN THE NATION TO GO TO A PAPERLESS SYSTEM WHERE COMPUTERS STORE AND RETRIEVE PATIENT RECORDS.

NATS :02
Key strokes

WRAP SIX (continued over NATS)
DR. CHARLES SAFRAN ACKNOWLEDGES THERE ARE SECURITY RISKS…BUT SAYS THEY'RE WORTH IT.

WRAP SEVEN
Local Talent Wrap

LOCAL ANCHOR LOCKOUT

MEDICAL SMART CARDS ARE JUSTTHE BEGINNING. SOME SEE THE DAY COMING WHEN EVERYTHING ABOUT US-OUR BANK ACCOUNTS, PASSWORDS, TRANSIT EDIT, PREFERENCES AND HEALTH INFORMATION WILL ALL BE ON ONE CARD…OTHERS THINK THAT PEOPLE WILL NEVER ENTRUST ALL THAT INFORMATION TO A CHIP ON A CARD.

Contacts:

Dr. Peter Moyer
Chief of Emergency Medicine
Boston Medical Center
617-414-4030

Dr. Moyer is a national advocate for the smart card system.

George Annas, mJD MPH
Professor and Chair of the Health Law Department
Boston University School of Public Health
617-6384626

Annas is a prolific writer on medical ethics. In his book "Some Choice: Law, Medicine and the Market" he argues that our increasing reliance on superficial choice language hides the criticial personal and policy issues at stake in our health care.

Dr. Charles Safran
Director of Research
Beth Israel-Deaconess Medical Center
Boston, MA 508-620-7050

Dr. Safran was instrumental in transforming Beth Israel Deaconess Medical Center into an almost paperless system.

Localization Tips:

Find out if any of your local hospitals or HMOs are testing Smart Cards.
Find out if any of your local hospitals have changed to a paper free system to maintain medical files.
Talk to a local medical ethicist.
Talk to a local privacy attorney about legal issues related to possible misuse of information obtained from Smart Cards.
Call some privacy attorneys and find out if they've ever represented a client who sued for misuse of medical information. It does not have to be from Smart Card misuse. The victim could talk about the damage that these kinds of information leaks can cause.