I'm not sure if it's required, but it's a common retort used to argue why someone thinks HIPAA is a private contract law rather than regulation of factual speech, so I prefer to just nip that scenario in the bud from the get go.

In any case I wasn't arguing for or against regulating factual speech. Only pointing out that it is done in the USA. This seems to get peoples feathers real ruffled, for whatever reason.

Hah! Ok, fair, I could see that. There are sooooo many misunderstandings about HIPAA that make me cringe every time I hear them. “I can’t tell you if I’m sick. HIPPA!” “It’s illegal for you to ask me if I’m vaccinated. HIPPA!” “You can’t bill me for this. HIPPA!”

It’s like the medical version of a sovereign citizen legal theory, where it simultaneously applies to everything and nothing, depending on what’s most convenient at the moment.

It's partially because it's so complicated.

I was a licensed healthcare professional and even I was shocked when my medical information was given to police without a warrant, a legal arrest, and without my consent. As it turns out, totally legal.