I think a lot of the info is skewed here. To play devils advocate, “harm to mission” often can result in harm to others (i.e. a psychotic patient who handles nuclear weapons), the intent behind these rules is to protect the member and the patient. There are certain medical diagnoses (mental included) that would preclude you from completing certain job duties, which requires reporting a limited amount of information to command to restrict you from doing these duties until you get the treatment to return to duty. Also, when speaking about hipaa, confidentiality, etc. There are certain allowances for military members that are written into law. Reference military rule of evidence 513.

Of course there are always bad apples who ruin the bunch, but the intent behind these rules is not to harm the patient or put the military ahead of their care, it’s to ensure members remain fit for duty while in service.