I think HIPPA is important if for no other reason than that privacy is important. If you tie privacy to the way HIPPA is implemented and therefore decide that privacy is a Bad Idea, you're throwing the baby out with the bathwater: a bad idea.
The main problem here is that people can't define who they want to have the "spouse"-like rights. I'm Pro-Choice, which applies here in the sense that Gilda's choice is of her wife. I don't see a problem with her choice. I see a problem with other people insisting on deciding, against her given preferences, that her wife has no such rights.
HIPPA, as a concept, doesn't seem to be the issue. The issue here is perhaps the way it's implemented, and with the society doing the implementing. That, I submit, is broken. I can't wait 'till 21 January 2009, when maybe the next US President will be better. But I'm not holding my breath.
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