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A Dermatologist is consulting a patient that is worried about a mole. The doctor feels it is suspicious and wants to take a photo of it before removing it.
If a dermatologists takes photos of 12 patients a day with a scenario similar to described above, to the letter of the law, they would rack up fines of over $500 million per year (12 photos per day x 5 days per week x 48 weeks a year x $174,000 per breach)!
If a corporation is facilitating this and they had a practice of 4 dermatologists, they would rack up files of nearly $20 billion (12 photos per day x 4 dermatologists x 5 days per week x 48 weeks a year x $1,700,000 per breach)!