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those which have some <strong>in</strong>formation and are encrypted. There<br />

are two dist<strong>in</strong>ctions.<br />

One, the <strong>in</strong>formation, although it may seem to<br />

the person who is mak<strong>in</strong>g the decision at the time is<br />

sufficient to make it anonymous may not make it anonymous.<br />

Secondly, after the fact a researcher with<br />

f<strong>in</strong>d<strong>in</strong>gs, which he or she regards as important enough, will<br />

have <strong>in</strong>formation which could be unencrypted. That is a<br />

fundamental dist<strong>in</strong>ction it seems to me and the whole notion<br />

that <strong>in</strong> certa<strong>in</strong> research you need fire walls or you need<br />

one way barriers and the like because you have <strong>in</strong>formation<br />

which has an encrypted number on it, which if unencrypted,<br />

goes directly to an <strong>in</strong>dividual suggests that there is a<br />

dist<strong>in</strong>ction.<br />

I do not th<strong>in</strong>k that what I have heard thus far<br />

expla<strong>in</strong>s to me why you want to lump those two together.<br />

DR. EMANUEL: I th<strong>in</strong>k, Alex, the answer to that<br />

question is let's get through the protections we would like<br />

and see if, <strong>in</strong> fact, they collapse or they do not collapse.<br />

Right? That, I th<strong>in</strong>k, is the rationale that led us to<br />

collaps<strong>in</strong>g them because, <strong>in</strong> fact, the k<strong>in</strong>d of protections<br />

you would want, the k<strong>in</strong>d of consent or IRB review that you<br />

would want for those two different categories, <strong>in</strong> fact,<br />

collapses them. They would be the same.

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