economic abuses, or discrimination by third-party payers, employers and others who take advantage of the burgeoning market in health data; insider abuse, or record snooping by hospital or clinic workers who are not directly involved in a patient’s care but examine a record out of curiosity, for blackmail, and so on; and malevolent hackers, or people who, via networks or other means, copy, delete, or alter confidential information 30 Threats to confidentiality and privacy