Ability to paste images when "Require authentication to download" is turned on

The "Require authentication to download" is required for HIPAA-compliant setups. At present, it robs agents the ease of copy/pasting images into their editor.  Yet, whether the agent or the end user provides an image, we can see it without having to download. There has got to be a way to enable secure inline images so agents can copy/paste images again. This is not a novelty or just a convenience, agents will now instead have to save, consider the naming of the file, store files locally, not be able to place the image inline contextually with helper text, we're talking this really increases the time to reply/deal with customers as well as adversely affect our ability to communicate with them.

Please give this some attention. Security should not come at such a cost of UX. We should be able to make that call if an image has PHI or not, should require attachment treatment or what.