San Francisco physician Paul Abramson has made headlines of late for allowing patients to pay for services using Bitcoin, a decentralized form of digital currency, at his private practice, My Doctor Medical Group. Though Abramson believes Bitcoin is a safer option than having patients use credit card for payment, there are certainly security and regulatory questions to be answered about Bitcoin. Bitcoin has been a polarizing technology since its inception in , as Forbes notes , when open-source developers, named Satoshi Nakamoto , created a system of electronically exchanging monetary value in a supposedly anonymous manner and without needing a financial institution.
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The technology has had its ebbs and flows since then and there have been inconsistent messages from Congress as to whether Bitcoin will be federally regulated. According to slashgear.
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In spite of cryptography advancements, current privacy and security concerns are legitimate, as hackers accessed a Bitcoin wallet back in August after finding an Android mobile security gap. Given the popularity in mobile usage among patients and clinical staff in healthcare, apprehension in using Bitcoin consistently for patient payment would be understandable. Your personal and business information is protected behind the HIPAA medical privacy regulations and our even-stricter practice policies.
Our medical director Paul Abramson MD is a long-time advocate of personal privacy rights, and is committed to respecting the privacy needs of the most discriminating clientele. My Doctor Medical Group is now pleased to announce that we accept payment for medical services in Bitcoin, the virtual currency that offers heightened security and enhanced privacy. THats a paddling. Data stored on god know's what but something tells me it will not be compliant with data protection laws in the US or EU, Thats definitely a paddling. This service looks a lot like another one called "justAnswer".
Were some experts reply to your questions for some money. And the pages are publicly accessible. It works actually Maybe the idea behind putting everything in public view is more to prevent people getting advices for too serious conditions. I used justAnswer one time for a dermatological issue. I was pretty impressed by the result in fact, in a few minutes I had an answer, which condition I must have, and which OTC medicine I should take.
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Healed in a few days. At first I thought I had some std and freaked out.. Just looking through some of the consults on justAnswer makes it seem like the lack of a physical exam is a real problem.
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It's probably less so for dermatology stuff since they can use a good picture to tell for most things, but for other complaints it's almost impossible to get a good feel. It seems like a big liability issue for a lot of these. My father is a doctor. I had that discussion with him multiple times.
About remote consultations. He said it's very difficult for most of cases. He need to touch his patient. He can't give a diagnostic otherwise. He could also miss very a important illness. I see services like Just Answer only for easy to recognize issues. And in fact, if the guy is a real doctor he's just gonna reply "sorry but you should see a doctor in person.
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I can't tell remotely". The problem is being sure every doctor registered on the website is a real one. I think JustAnswer has some verification process. OP's service should have one otherwise I'm not touching it. I doubt they're even licensed. Quote from the site where they essentially denounce licenses:. The important thing to understand here is that government issued doctor licences are not the only way and, possibly, not a sufficient way to tell whether a doctor is good. At CoinMD we also believe in openness, second opinions and constant doctors and patient reviews. In fact, doing a whois lookup on the domain, it seems it's hosted in the Netherlands.
Maybe they have different regulations there? Well, when the Dutch government comes looking, they better be able to show the doctors are licensed because practicing medicine without proper licensing is unlawfull here too. My guess is that those guys correctly identified that people who have no access to medical help for whatever reasons care a lot less about doctor's liabilities, they just need help.
It's like with FDA - yes, they protect people from new untested drugs, but how many die because they don't get them in time? Cool story bro. But doing something that is morally right won't keep you safe from lawsuits. Knowing the law and acting accordingly will. I'm upvoting OP because it will be very interesting to watch, regardless of whether this succeeds or not.
Go have a look at the amount of things stopped in the various phases of trials. It is is more like the other way around, how many would have died if the were untested.
The question is not whether it should be tested or not. The question is whether an individual should make a choice of using it or not. If FDA simply gave advice to people, whether they should use a drug or not, it'd be a completely different story. Then you'd have different consumer protection organizations like FDA, but private on the market, competing with each other and testing various drugs.
People then would decide for themselves whom to trust and what ratio of risk to success they would like to take. Right now you have a monopolist in consumer protection market with the force of keeping any product it wishes from the market. That can't be good. Given how Pharm companies run rings around the supposedly independent licensing bodies already you think giving them a free hand would produce better results?
Given how Pharm companies run rings around the supposedly independent licensing bodies. I would stay far away from this site. The answers to the question "How do I know those doctors are real doctors?
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While this site is anonymous for both patients and doctors, you may still be sure of the quality of the service that you're receiving because:. All questions are open to the public, so anyone including other doctors can review them. Just because doctors can review them, that doesn't mean they will. And surely it's the answers that the supposed doctors give that need reviewing. You don't currently have to pay for asking a question.
You are only offered to pay when you get your answer and it's completely voluntary at the moment. How does the fact I don't have to pay guarantee the quality of the response I get? I presume the argument is that if I'm not satisfied I don't have to pay, which means that the doctor has to give good advice if he wants to be paid. But if I'm asking a doctor for help, it's because I don't know enough about my condition. So how do I know what is good advice?
The doctor could give an answer that sounds informative and correct, but it could actually be bogus.
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I don't know. I'm none the wiser -- that's why I'm here. Later, as the number of doctors grows, we'll be instituting several procedures to verify if newly hired professionals are qualified. We'll be talking more about it in a little while. Why not tell me what the verification process is now? If these procedures aren't already "instituted" shouldn't that be "implemented"? I'll take a government-issued license, which in large parts of the world implies some level of actual training, over a review system run on a website that doesn't even give the names of the doctors.
For a company that believes in "openness" there is also little on CoinMD. Not for the first time when it comes to a bitcoin "business", details that would make trust easier by demonstrating legitimacy are nowhere to be seen. Yeah what's to stop a random person from reviewing it and making crazy medical claims? Or more likely, what's to stop a first year medical student from pretending to be a doctor to earn some cash on the side. I think the idea is good but there's too many liability and legal issues as it is, let alone the fact that they don't bother to verify whether you're getting advice from a doctor or a random person pretending to be a doctor and looking up your symptoms on wikipedia.
You need SSL on this. I don't think that people are comfortable, me included, to divulge personal information over the open net. So it's completely anonymous.. So there's literally no guarantee you're speaking to a doctor. Information about Page Insights Data.
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