Comments by "Allison James" (@allisonjames2923) on "Real Stories"
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I worked on a 6-star luxury cruise liner for a while & Filipinos were hired mainly to be deck staff, bar backs & lower paid jobs. They were invariably friendly, smiley people who worked hard. There were two Filipinos who were bartenders, who did exactly the same work as the rest of us (European & I was the sole Australian) yet got paid half what we did, because “the money was worth more in the Philippines”. Even though they were on board for 12 month contracts & had the same expenses that we did! We protested when we found out & managed to get them a pay rise, and we’d always give the bar backs (the staff who collected glasses, washed them etc) half of our tips. The racism embedded in the system was incredible. The ships mainly catered to wealthy Americans with some rich Europeans & a very few Hispanics. The cruise company was owned by Japanese, the highest level staff - the officers, were generally Scandinavian or English, had single cabins & were allowed to mingle with guests to some degree; the bar staff, waitresses, dining staff, stewards/stewardesses etc were mainly Eastern European, we had cabins for 2 with an ensuite, no guest mingling allowed; Filipinos were deck staff, had 4 to a cabin; entertainment/casino/concessionaire staff were usually American/British & lived in a different section of the ship & the Chinese were the staff who worked in the laundries & engine rooms & had big bunk style rooms. We only ever even caught a glimpse of them when we went to pick up uniforms from the laundry, or on the first day of a cruise when we had to do lifeboat drills. They even had an entirely separate mess & while we had a social director dedicated to crew welfare who organised regular parties for us & we even had our own bar, they weren’t allowed to even mingle with us socially. Was a real eye opener for me.
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@vminaj90 Saying someone’s first name & giving no other details does not identify them in any way to anyone but possibly the girl herself, as she’s the only one likely to remember the circumstances. Since I do not have access to nor am I storing any health records about her, nor did I provide any health services to her, there is no violation of HIPAA at all. “Compliance with the U.S. Health Insurance Portability and Accountability Act (HIPAA) requires companies that deal with protected health information (PHI) to have physical, network, and process security measures in place and follow them.
Anyone providing treatment, payment, and operations in the field of healthcare are subject to HIPAA compliance rules. Business associates, including anyone who has access to patient information and provides support in treatment, payment, or operations, must also meet HIPAA compliance. Also bound by HIPAA are other entities, such as subcontractors and any other related business associates. HIPAA compliance is a living culture that health care organisations must implement within their business in order to protect the privacy, security, and integrity of protected health information. HIPAA laws were enacted primarily to:
Modernise the flow of healthcare information.
Stipulate how personally identifiable information (PII) maintained by the healthcare and health insurance industries should be protected from fraud and theft.
Address limitations on healthcare insurance coverage, such as portability and the coverage of individuals with pre-existing conditions.[3]
HIPAA mandated national standards to protect sensitive patient health information from being disclosed without the patient’s knowledge or consent. The U.S. Department of Health and Human Services (HHS) issued the HIPAA Privacy Rule to implement this mandate.[4]
The Privacy Rule does have 12 exceptions where patient data can be shared with other entities without the consent of the patient. They include:
Victims of domestic violence or other assault.
Judicial and administrative proceedings.
Cadaveric organ, eye, or tissue donation.
Workers compensation.[5]
Another key element of HIPAA compliance is the Security Rule, which exists within the Privacy Rule. This subset is all individually identifiable health information that a covered entity creates, receives, maintains, or transmits in electronic form. Key elements of the HIPPA Security Rule include:
Ensure the confidentiality, integrity, and availability of all electronic protected health information.
Detect and safeguard against anticipated threats to the security of the information.
Protect against anticipated impermissible uses or disclosures.
Certify compliance by their workforce.
Protected health information (PHI) is any demographic information that can be used to identify a patient or client of a HIPAA-beholden entity. Common examples of PHI include names, addresses, phone numbers, Social Security numbers, medical records, financial information, and full facial photos, to name a few.”
From: What is HIPAA Compliance? Next Generation Compliance Solutions Proofpoint dot com
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