Comment by coreyh14444
6 hours ago
Just a quick point as an American living in Denmark, one of the reasons government programs like this work so well is everything is delivered digitally. We have "e-boks" https://en.digst.dk/systems/digital-post/about-the-national-... official government facilitated inboxes so when they need to notify you of vaccinations or whatever else, it arrives to your inbox. And basically 100% of residents use these systems.
I fail to see how e-boks makes this work. Younger people check their e-boks less frequently than average, so sending a physical letter to their address would work just as well if not better.
What makes it work is the public registers.
e-boks sends a text message to the phone, so I see it much faster than a paper mail.
e-boks is like gmail (and others) in that it keeps your old mail. So you can easily find old stuff, a great improvement on paper mail.
I don't even check my physical mailbox once a week.
Denmark is one of the very most digital countries. Physical mail is very much on the way out. We no longer has mailboxes to send mail, you have to go to a shop to send letters, which now cost at last $6 per letter due to the low amount of mail sent.
It is only a matter of less than 10 years before letters will be fully gone.
Thats all besides the point. Which was that e-boks is not making vaccine programs possible or successful.
Okay, well Ireland has similar vaccination rates, broader childhood vaccination coverage, and no central medical records at all, so while e-boks may assist administration, it's certainly not necessary.
> no central medical records at all
Which is bad, we definitely should have them. Referral data appears to be managed through Healthlink, which may just be a privatised not always used medical record system.
I'm a proponent of EHRs but not necessarily of centralised medical records, which have not been shown to improve outcomes and which do impose serious privacy risks on patients.
HealthLink is a messaging system and stores no EHRs at all. eHealth is the National EHR programme aiming to roll out EHRs by 2030 nationwide.
It will be a no-opt-out centralised EHR and combined social care record.
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So should a desire for privacy preclude access to routine vaccination?
How private are you wanting to be? If they don’t know your current status you’d get spammed all the time for various things.
If you want full privacy you’d get no notifications and would have to go and ask for various things which you many not know exist.
In high-trust societies these things work, yes. Not all societies are high-trust. Often, they once were high-trust but are no longer thanks to sociopathic, non-empathetic actors.
Funny, how the unreasonable cycle of alternating votes for establishment parties is broken by voting for even more untrustworthy right wing parties.
We all need something like ranked/list voting and incorporate invalid votes into the result so urgently.
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High trust societies generally don't need centralisation to provide positive outcomes.
> Often, they once were high-trust but are no longer thanks to sociopathic, non-empathetic actors.
Citation needed.
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