this post was submitted on 26 Oct 2024
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Reality is more nuanced than this. You can absolutely be HIPAA compliant while using “cloud” servers as long as they are sufficiently isolated and secured. The requirements are definitely insufficient to protect your data from a Motivated State Actor™ but they are good enough to keep your data away from an abusive family member or crazy ex. I have worked on systems that handle patient data as well as other systems with restrictions I can’t discuss and I can assure you patient data is much easier to move around and handle compared to state secrets.
Edit: funny story, I just got back from a doctor appointment where they asked me to sign a consent form for recording and transcription of the visit by a computer system. It’s definitely happening, in practice.