In the last decade more and more health services are being outsourced to private companies, many of which are located or operational outside of the United States. Examples of this include interpretation of x-rays, data management of health information, pharmacy and medication distribution, and management of reimbursement and payment services for insured populations. What would you be concerned about (or not?) with an outsource company providing services "from a distance" as well as securing the privacy of your health information?