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#11
Mark Phelps,
I wouldn't call 3rd party software or tweaks pirated. There is several tweaks and ways to disable or block windows updates just search google. Careful a couple of those program install malware or additional software. One is a real complicated registry tweak. Some of theses programs also disables some or all of the privacy issues.
I think you may need to do additional steps to use windows 10 in a H.I.P.P.A regulated environment from what I read about compliance.