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MEDICAL PRIVACY
~ Minnesota "Smart card" Defeated in 1997 ~
Development may occur under Tradepoint Minnesota
The Office of Technology (OT) was passed into law but the smart
card called "MNCard" that OT intended to develop and implement was
defeated. Had it passed into law, state employees would have been
issued the card in the first year and all citizens were to receive
the card within three years. Initial versions of the bill mandated
state employee participation but the bill was changed to voluntary
involvement after authors and committees heard opposition to the
mandate.
The MNCard was to be state-issued by a
state-approved vendor which would hold the
individually-identifiable embedded information on databanks. Its
computer chip would be able to include such health related
information as your health insurance information, your medical
records, your social security number, and your unique patient
identifier number. In addition, calling card and banking features,
library access, driver's license, and state park permits could be
placed on the card. State employee cards would also have parking
ramp, vending machine, work station safety, and building entrance
features. All this information was to be housed in the databank of a
state-approved vendor.
Opponents claimed that the card was a privacy infringement,
violated the Fourth Amendment, and would allow state officials to
freeze the use of all features on the card to penalize a citizen with
or without substantiated cause. They also worried that participation
would no longer be voluntary after the card was instituted. As one OT
staff member stated,
"This is a voluntary
project expected to go to a non-voluntary project at some point...There needs to be time to let
the paranoia subside before you get a chance to use it." (4/8/97
Government Operations House Committee).
As chief Senate author of the Governor's Office of Technology bill
and co-author of the MNCard bill, Sen. Runbeck (R-Circle Pines)
attempted to amend funding for the MNCard into the Government
Operations Funding Bill after it failed in the House Government
Operations bill. However, because of expected expense to taxpayers,
the amendment was defeated.
An interesting conversation occurred in the
House Government Operations Finance Committee.
After Rep. Rukavina (D-Virginia) stated that even the Republican
members of the Government Operations Finance committee opposed
funding the card, Rep. Phyllis Kahn (D-Mpls.), author of the bill,
asked, "What do you intend to do with MNCard?" Rep. Rukavina replied,
"Kill it!" Rep. Kahn responded, "I
intend to come back at some point with some resurrection of MNCard."
She may not have to. During a late-in-the-session presentation on
Tradepoint Minnesota, the new United Nations/OT operation, a question
was raised about smartcard development and the defeat of the MNCard.
The presenter made it clear that the card would most likely be
developed through Minnesota Tradepoint, which will be funded by
state, United Nation, and World Bank dollars.
According to Dr. Don Riley, Chief
Information Officer of the University of Minnesota, and head of the
United Nations Trade Points initiative, Tradepoint Minnesota intends
to use this increased international trade transaction capability for
"telemedicine[and] health care provision." The MNCard may be a part
of the overall marketing strategy and implementation.
Since final authority over Tradepoint Minnesota
activities lies in the hands of the United Nations, the
prospects for MNCard development are unknown.
Used with permission.
© The CCHC Update, Winter 1998, Citizens for Choice in Health
Care,
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