 Confidentiality thrives as a legal duty and institutional practice, despite the emergent trend towards voluntary openness about personal medical information. The specifics of health and medical care have become acceptable topics of ordinary conversation outside the family circle. In the U.S., public figures have taken the lead, speaking out about their Covid-19, heart attacks, AIDS, erectile dysfunction, dementia, Parkinson’s disease, melanoma, prostate cancer and breast cancer. Disclosures that would have been considered indelicate or stigmatizing thirty years ago are made freely today, whether to make conversation, share a concern, educate the public, or endorse a non-profit or pharmaceutical product.