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Jekyll and Hyde embodies how information security affects today's healthcare ecosystem. When security works, it promotes patient health and a smooth operating ecosystem (Dr. Jekyll); when it doesn't, privacy and health compromises can occur (Mr. Hyde). In this paper, the authors argue that unusable security triggers this split personality and in doing so, compromises the heart of the healthcare ecosystem: The trust relationships that comprise the system. This compromise creates a trust void that ecosystem participants fill with more unusable security further reinforcing the split personality.
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