Despite assurances from federal officials that the move to electronic health records and a nationwide health information network would be accompanied by stronger protections for patient information--that indeed, the great HIT experiment could not work without consumers being confident that their records would be safe--privacy and security simply have not topped the agenda.

Someone in the government likely will take issue with that assertion. I look forward to publishing a forthcoming reply. But I hope the reply addresses the sorry state of health I.T. security as the era of meaningful use becomes real, and the lost year that 2010 was in terms of increasing the protection of health information. Consider:

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