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If you think the guardian is not performing their responsibilities bring it to the courts attention.
In general terms he often "can" provide information if he chooses to, and he seldom "has to". He may not wish to if he feels stepmother would not share it herself, or that it is questionable whether she would share it or not.
Not sure what specifically your question is, but it should probably be legally addressed with an elder law attorney if you feel you are being denied basic medical information and you have a true need-to-know issue. Are you asking if this guardian can share information with you about the private medical options, condition, diagnosis, prognosis?
A guardian may request any and all information from medical team and in most cases the medical doctors don't even have to chart that they shared information with a guardian. Medical doesn't have to tell anyone what information they gave a guardian, or even what recommendations.
A guardian acts for the principle. If the principle has family members who should be aware of conditions, and the principle can no longer share his or her own information, then the guardian CAN if he wishes and thinks it appropriate, share some information. If he has reason to think the principle would not want information shared he can withhold information as well. That is to say that he doesn't HAVE TO share anything.
I hope you can clarify your question a bit so we can more easily try to address it. Do know also that the law is different for minors. They must give permission for their medical information to be shared.
A guardian would do well to keep medical information minimal and as to status and prognosis. Such as "Aunt is not doing well, as you can see; she has had a serious stroke; we cannot yet know how things will go. Doctors are addressing issues as they arise. We must hope for the best."
Guardians can share ALL INFORMATION with other medical entities that they feel is appropriate to share. That is to say guardians can release all patient information to the medical team.