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Michael, I am not sure which point you want me to expand upon. I'll start with the last comment about lawyers. Before I retired our small multispecialty clinic used film in our xray studies. The lawyers wanted our original films for court cases, but if those films were damaged, destroyed or lost, we would not have the films for comparison when studies like chest x-rays were repeated. Now with digital recording of x-ray studies the "copies" are the same as the "originals." As to Medicare problems we would have a doctor order a chest xray on somebody scheduled for surgery. The doctor would just put "pre-op" for a history. He/she would not say that the patient had a history of bad lung disease or heart failure. Medicare will deny any chest x-ray done on a person before surgery. Many people do not need a chest x-ray prior to surgery, but Medicare does not trust the ordering physician to have the knowledge or the good sense to decide who needs a chest exam before surgery. Most of the time I would then review the medical record and find out what was wrong with the patient and why the chest x-ray was ordered. Then we would resubmit the bill to Medicare and almost always get paid. I did this eb=ven though I knew by the time I saw the record, added the additional history and then we re-billed Medicare, there was no profit. But I refused to give my services away for free. Incidentally, by now I have seen the patient's record, my clerk has and probably the person in billing has seen the record. Privacy? Not as much as you might think.