That is the whole point. Clinton's guidelines would have made it necessary to get a release for the x-rays from the x-ray specialist to give the x-ray to the doctor and possibly another release for the interpretation. Bush just overruled that and got rid of that rule. He also made sure that that little slip that your doctor gives you is not considered medical records that you have to sign an ok to release for before he/she (your doctor) would give it to you to have the x-ray taken. There are also many times that medical professionals call and consult with each other. Would you like to have to drive to both doctor's offices to sign releases before they could call each other and talk? Under Clinton's rules (thankfully they have not gone into effect and because of Bush they will not) you would have to sign each of these times.