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Security and privacy after September 11: the health care example 911事件后的安全和隐私:以医疗保健为例
IF 1.3 3区 社会学 Q2 Social Sciences Pub Date : 2002-04-16 DOI: 10.1145/543482.543493
Peter P. Swire, Lauren Steinfeld
This article examines the interaction between data privacy, which was a highly salient political issue before the events of September 11, and cyber-security and homeland security, which became much more salient after those events. The article illustrates the shift in salience by examining the USA-PATRIOT Act, which was passed quickly in the fall of 2001 despite containing a number of surveillance provisions that had been explicitly rejected by Congress in 2000. To understand the interaction between privacy and security, the article examines the medical privacy rule issued in 2000 under the Health Insurance Portability and Accountability Act (HIPAA). (In the interests of full disclosure, the authors were the lead White House officials in coordinating the privacy rule.) The analysis here shows that the HIPAA rule stands up well to the concerns of the post-September 11 era. Concerns about public safety are met by existing provisions that permit disclosures to protect national security, to react to emergency circumstances, and to respond to law enforcement inquiries. The article explores in particular detail the proposed Model State Emergency Health Powers Act, drafted in the wake of the 2001 anthrax attacks. Professors Lawrence Gostin and James Hodge have argued that this Act is justified by a new "model of information sharing" for medical information. Our article concludes that public health concerns are appropriately addressed by the current HIPAA rule, and that a "model of information sharing" sends precisely the wrong signal about how the health system will handle issues of data privacy and security. More generally, the article analyzes situations of "security vs. privacy", where the two values are antagonistic, and situations of "security and privacy", where the two values work together. Security in some instances means greater surveillance, information gathering, and information sharing. For instance, law enforcement can monitor the online movements of hackers or hospitals can more quickly report cases of anthrax infection. These situations of "security vs. privacy" are defined as instances where security is promoted by getting information to the proper decisionmakers. As these information flows increase, privacy decreases. By contrast, security measures often promote privacy. Good security is one of the standard privacy fair information practices, because otherwise any hacker can get into a sensitive database. Good security, moreover, creates audit trails about which authorized users have accessed particular systems or data. Such auditing mechanisms promote the fair information practice of accountability, by deterring wrongdoing and making enforcement more effective. Finally, the authors explain how the most cost-effective and thorough implementation of privacy occurs at the time of a computer system overhaul. This approach is fundamental to HIPAA, which provided that privacy and security protections should be built at the same time as the sh
本文考察了数据隐私与网络安全和国土安全之间的相互作用。数据隐私在9 / 11事件之前是一个非常突出的政治问题,而网络安全和国土安全在这些事件之后变得更加突出。这篇文章通过对《美国爱国者法案》(USA-PATRIOT Act)的考察,说明了这种显著的转变。该法案在2001年秋天迅速获得通过,尽管其中包含了一些在2000年被国会明确否决的监控条款。为了理解隐私和安全之间的相互作用,本文考察了2000年根据《健康保险可携带性和责任法案》(HIPAA)颁布的医疗隐私规则。(为了充分披露,这些文件的作者是负责协调隐私规定的白宫官员。)这里的分析表明,HIPAA规则能够很好地应对后9 / 11时代的担忧。现有规定允许为保护国家安全、应对紧急情况和回应执法调查而披露信息,从而满足了对公共安全的关切。这篇文章特别详细地探讨了在2001年炭疽袭击之后起草的《示范国家紧急卫生权力法》。Lawrence Gostin教授和James Hodge教授认为,该法案被一种新的医疗信息“信息共享模式”所证明是合理的。我们的文章得出结论,现行的HIPAA规则适当地解决了公共卫生问题,而“信息共享模型”恰恰发出了关于卫生系统如何处理数据隐私和安全问题的错误信号。更概括地说,本文分析了“安全与隐私”这两种价值观对立的情况,以及“安全和隐私”这两种价值观协同工作的情况。在某些情况下,安全意味着更多的监视、信息收集和信息共享。例如,执法部门可以监控黑客的在线活动,医院可以更快地报告炭疽感染病例。这些“安全性与隐私”的情况被定义为通过向适当的决策者获取信息来提升安全性的实例。随着这些信息流的增加,隐私也在减少。相比之下,安全措施通常会促进隐私。良好的安全性是标准的隐私公平信息实践之一,否则任何黑客都可以进入敏感的数据库。此外,良好的安全性可以创建关于哪些授权用户访问了特定系统或数据的审计跟踪。这种审计机制通过阻止不法行为和使执法更有效,促进公平的信息问责做法。最后,作者解释了最具成本效益和最彻底的隐私实施是如何在计算机系统大修时发生的。这种方法是HIPAA的基础,它规定在转向电子健康记录的同时应该建立隐私和安全保护。简而言之,911事件后对安全的新强调,是一个重大的战略机遇,可以从总体上改善数据处理实践,无论是在安全和隐私方面。
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引用次数: 29
'To Do a Great Right, Do a Little Wrong': A User's Guide to Judicial Lawlessness “大义小错”:司法无法无天的用户指南
IF 1.3 3区 社会学 Q2 Social Sciences Pub Date : 2001-10-22 DOI: 10.2139/SSRN.288432
W. Farnsworth
This essay offers guidelines for courts to follow when engaging in extralegal decisionmaking. It begins by hypothesizing that the remedial decision in Bush v. Gore - the decision not to permit Florida to engage in further recounting - is best understood as an example of such a decision, i.e., as a case where the Court ordered an outcome it thought would serve the country's interests despite being unjustifiable by reference to traditional legal standards. The essay argues that the courts' usual practice of limiting themselves to decisions they can support with plausible interpretations of legal doctrine helps to constrain judges and provides a partial, but useful, brake on the temptation to make undemocratic and unwise decisions; as judges abandon doctrine in favor of more bluntly pragmatic grounds for decision, it becomes important for them to observe other constraints that can serve the purposes normally furnished by an adherence to more traditional judicial methods. The essay suggests a series of such constraints and considers whether they were observed in Bush v. Gore. First, such decisions should be reserved for cases where the harm to be averted is unambiguous, i.e., where the costs and benefits of the proposed judicial action are sufficiently uncontroversial to serve as impartial bases for decision. This was not the case in Bush v. Gore, as it was both empirically and conceptually difficult to determine in a politically neutral way whether the benefits of the Court's remedial decision outweighed the costs. Second, such decisions should be taken only to address problems with which actors and institutions cannot effectively cope, and should do so in calibrated ways that allow other actors to check the court's judgment. In Bush v. Gore there were other actors in a position to deal with the problems that the court's remedy was intended to address, and the remedy left inadequate room as a practical matter for those other actors to check the court's power. Third, such decisions should be avoided where there is a risk of self-dealing; they also should be bipartisan - especially where the risk of self-dealing cannot be avoided. The stakes of Bush v. Gore included the selection of the figure who would fill any vacancies on the Court for the subsequent four years, and the Court split along customary partisan lines in making its decision. In these circumstances the Court should not have ventured into extralegalism if it was unable to rally more than five votes to do so - and particularly THOSE five votes. In its favor, it can be said that the remedial decision was a limited strike; it did not create a precedent that is likely to set a bad example for the Court or for other courts, or against which public opposition will be able to accumulate. I conclude that in light of these considerations, the Court's remedial decision in Bush v. Gore was ill-taken if understood as an exercise in well-intentioned lawlessness, or as a study in a judicial pragmatism t
本文为法院从事法外决策提供了指导方针。本文首先假设,布什诉戈尔案的补救决定- -不允许佛罗里达州进行进一步重新计票的决定- -最好被理解为这种决定的一个例子,即,在这个案件中,法院命令了一个它认为符合国家利益的结果,尽管参照传统法律标准是不合理的。这篇文章认为,法院通常的做法是将自己限制在他们可以通过对法律原则的合理解释来支持的决定上,这有助于约束法官,并提供了一种局部但有用的制动,以防止做出不民主和不明智的决定的诱惑;当法官放弃理论而倾向于更直接的务实的判决理由时,对他们来说,重要的是要遵守其他的限制,这些限制可以服务于通常由坚持更传统的司法方法所提供的目的。这篇文章提出了一系列这样的限制,并考虑在布什诉戈尔案中是否存在这些限制。第一,这种决定应保留在要避免的损害是明确的情况下,即所提议的司法行动的成本和利益是足够无争议的,可以作为决定的公正基础。布什诉戈尔案并非如此,因为无论是从经验上还是从概念上,都很难以政治中立的方式确定法院的补救决定的好处是否大于成本。其次,此类决定只应用于解决行为者和机构无法有效应对的问题,并且应以允许其他行为者检查法院判决的校准方式进行。在布什诉戈尔案中,有其他行为者可以处理法院补救措施旨在解决的问题,而作为一个实际问题,补救措施没有给其他行为者留下足够的空间来制约法院的权力。第三,在存在自我交易风险的情况下,应避免做出此类决定;他们还应该是两党合作的——尤其是在无法避免自我交易风险的情况下。布什诉戈尔案的利害关系包括选出在随后的四年中填补最高法院空缺的人选,最高法院在作出裁决时按照惯常的党派路线分裂。在这种情况下,法院如果不能争取到五票以上的支持,特别是这五票,就不应该冒险采取法律外主义。对它有利的是,可以说补救决定是一次有限的罢工;它没有开创一个先例,可能会为最高法院或其他法院树立一个坏榜样,也不会引起公众的反对。我的结论是,鉴于这些考虑,如果将法院在布什诉戈尔案中的补救决定理解为一种善意的无法无天的行为,或者将其理解为一种司法实用主义的研究,将对原则的忠诚置于实际考虑之下,那么法院的补救决定就是错误的。可以代替原则的审慎约束没有得到遵守。
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引用次数: 4
The Most Dangerous Justice Rides Again: Revisiting the Power Pageant of the Justices 最危险的正义再次骑行:重新审视法官的权力选美
IF 1.3 3区 社会学 Q2 Social Sciences Pub Date : 2001-07-16 DOI: 10.2139/SSRN.276370
Paul H. Edelman, J. Chen
Who is the most powerful Supreme Court Justice? In 1996 we measured voting power on the Court according to each Justice's ability to form five-member coalitions. From the set of all coalitions formed by the Court during its 1994 and 1995 Terms, we developed a generalized Banzhaf index of the Justices' relative strength. Generally speaking, participating in a greater number of unique coalitions translates into greater judicial voting power. To supplement the small number of decisions then available, we derived hypothetical five-Justice coalitions from the intersections of actually observed coalitions involving more than five members. Professor Lynn Baker contested our model, favoring instead an additive measure based on the number of times each Justice participated in any winning coalition. This Article stages a new Power Pageant of the Justices in light of the cases decided by the Court since 1996. For more than seven Terms, the Court has retained the same personnel. This stability provides a unique opportunity to test competing measures of judicial voting power. We hypothesized in 1996 that a larger set of cases might obviate the need to resort to inferred coalitions. Analysis of this larger data set in fact undermines the validity of both our measure and that of Professor Baker over the long run. We conclude that there are three different measures of voting power each reflecting a different aspect of judicial power.
谁是最有权力的最高法院法官?1996年,我们根据每位大法官组成五人联盟的能力来衡量最高法院的投票权。根据最高法院在1994年和1995年任期内形成的所有联盟,我们制定了一个关于法官相对实力的通用班扎夫指数。一般来说,参与更多独特的联盟意味着更大的司法投票权。为了补充当时可用的少量决策,我们从实际观察到的涉及5个以上成员的联盟的交叉点推导出假设的5个正义联盟。林恩·贝克(Lynn Baker)教授对我们的模型提出了质疑,他倾向于采用一种基于每位大法官参与任何获胜联盟的次数的附加衡量标准。本文根据1996年以来最高法院判决的案件,对法官进行了新的权力展示。在七届以上的任期内,法院一直保留相同的人员。这种稳定性为测试司法投票权的竞争性措施提供了一个独特的机会。我们在1996年假设,更大的案例集可能会消除诉诸推断联盟的需要。从长远来看,对这一更大数据集的分析实际上削弱了我们的衡量标准和贝克教授的衡量标准的有效性。我们的结论是,有三种不同的投票权衡量标准,每一种都反映了司法权的不同方面。
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引用次数: 6
Beyond Indian Law: The Rehnquist Court’s Pursuit of States’ Rights, Color-Blind Justice, and Mainstream Values 超越印度法律:伦奎斯特法院对国家权利的追求,不分肤色的司法,和主流价值观
IF 1.3 3区 社会学 Q2 Social Sciences Pub Date : 2001-01-01 DOI: 10.1017/9781108770804.011
David H. Getches
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引用次数: 22
Procreative liberty and contemporaneous choice: an inalienable rights approach to frozen embryo disputes. 生育自由与同期选择:冷冻胚胎争议的不可剥夺权利途径。
IF 1.3 3区 社会学 Q2 Social Sciences Pub Date : 1999-11-01
C H Coleman
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引用次数: 0
The Economics of Legal History 法律史经济学
IF 1.3 3区 社会学 Q2 Social Sciences Pub Date : 1983-01-01 DOI: 10.4337/9781784716400
Herbert Hovenkamp
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引用次数: 7
期刊
Minnesota Law Review
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