nostr:nprofile1qy2hwumn8ghj7un9d3shjtnyd968gmewwp6kyqpqg0r3hj3tdcn0xl5uvrjxsywv2nj6r0fnzwmc5g8hgjzacz4rr9tqpghq00 

You're raising a lot of important issues. We can't tell if they've been considered. 

HIPAA allows physicians to consult each other about a patient without requiring patient consent! "Treatment is the provision, coordination, or management of health care and related services for an individual by one or more health care providers, including consultation between providers regarding a patient and referral of a patient by one provider to another." 

https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html#permit