Last summer, David Lazarus wrote in the L.A. Times about CVS’s prescription drug rewards program, which requires patients to sign a HIPAA release form in order to obtain rewards. Neither Walgreen’s nor Rite-Aid require a release for their programs, so it can’t be necessary to run the reward program itself. Lazarus also notes that the final screen encountered during the enrollment process asks you to acknowledge that “my health information may potentially be re-disclosed and thus is no longer protected by the federal Privacy Rule.”
I periodically get letters from my pharmacy (Walgreen’s), informing me of the opportunity to participate in a clinical study being run by a contract research organization. The letter seems to be sent to anyone taking a specific medication, since I don’t actually have the condition that is being studied. The letter says that they have not shared any of my personal information with the company, and that “[t]his letter and study should not be construed as a recommendation or endorsement by Walgreens.” It is even explicit that they have been paid to send the letters. All of that said, though, I find the idea that a pharmacy has joined the advertising business deeply distasteful.
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So, what ethical standards do you think should govern the policies and practices of pharmacies, especially large chains? And should we be looking to bioethics, or to business ethics, to think about these cases?