[dragonwriter]

To put it simply, anyone claiming HIPAA is the reason for that is just lying (since HIPAA has no such requirement) and would invent some other excuse -- or simply refuse without explanation -- without HIPAA. In fact, HIPAA patient access requirement mandates that patients have access to, and a right to receive copies of, their records under most circumstances, and refusal to provide such access is an actionable violation of HIPAA -- without HIPAA, there would be no recourse.

[big_maybe]

Pre HIPAA I never had a problem obtaining my records. The trouble is less-knowledgeable health gatekeepers are relentlessly indoctrinated into believing that privacy is paramount. A records request that doesn't follow a rigid checklist is defaulted to REJECT. And it is in the name of protecting the patient's privacy.