Would you consider it a privacy breach if someone on the janitorial staff had access to patient records?No, I'm saying employees here are expected to act in accordance with the law.
The comparison is it's all pretense. Let's not pretend that (iirc) some labor union cares about privacy. People can be expected to act responsibly. When a doc needs my assistance figuring out why he can't order a surgery on his patient, I can be trusted to not be nosy and search thru the patient's whole medical chart. And when I can't resolve the issue and have to forward it to somebody else, we trust that person to unnecessarily go thru a patient's med chart. Just like if I sell you an amp tomorrow and you now have my personal info, I trust that you're not going to pull my tax records. They're pretending there is some threat to privacy that truly doesn't exist.
