c health officials may seek access for better information. Records are sent to insurers to justify payment and research needs statistics. Accidental disclosures also occur. For example, a conversation may be overheard, a lab technician may notice test results of a friend, information may be left on a computer screen, or email or FAX messages may be sent to the wrong address. Curiosity and insider subornation may lead to information accessed and released to outsiders. A recent study found 206 cases of direct discrimination-employment and insurability problems that were due to unauthorized use of information (Rindfleisch, 1997, 95-96).
Caring for the terminally ill in the home raises many issues. Home care may include "respirators and total parenteral nutrition in the home, technologically dependent children, technologies that provide intravenous access, pain control, hydration, nutrition, drug infusion, and respiratory care for cancer patients, and long-term, high-tech care for HIV Infection/AIDS patients" (Jecker, 1996, 554).
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