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Joined 8 months ago
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Cake day: March 13th, 2024

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  • You’d need to limit the capacity to vote on credibility to people who are members of the community. If you haven’t joined, you can’t make a judgment about what is or isn’t a good faith post, but your own post can be voted by members. Rather than being attached to just the user, it would probably be better if it were referenced to the user per community. Even so, it’s essentially karma, and could probably be gamed.

    Otherwise, you’ve just reinvented upvotes.





  • Point of fact, I’m not bobs_monkey, the originator of the rhetorical tone. Fax in healthcare continues to survive well past its prime because there is an inherent loophole: analog data transfer is functionally unsuited to encryption. This allows fax to be operated at a “best effort” level of security. There are handling protocols that are meant to keep traditional fax transmissions as private as possible, but these are layer 8 processes with limited enforceability. Beyond that, traditional fax represents a pathway around requirements on encryption while still meeting HIPAA compliance standards.

    FOIP is an improvement, but it still allows for interoperability with a traditional fax machine connected to a POTS line in some GP’s office that they’re unwilling to part with. That means the FOIP user can only be confident of the transmission being secure on their side. I can’t speak to the overall adaptation of FOIP in hospital systems, but I do know that there are non-isolated instances of hospitals still relying on traditional fax as opposed to adopting a cloud-fax solution. Hell, there are still major hospitals using SL-100s as their primary phone switches.

    I don’t even want to get into codec mismatches, because that falls out of scope when it comes to a privacy discussion.

    Long story short, achieving HIPAA compliance is a low bar with regards to fax, and if that were to change I believe we’d see fax disappear (finally!) shortly thereafter.