6 - Being Informed When You Give Consent to Medical Care

Summary

A little more than a decade ago, an article appeared in a major medical journal on the topic of informed consent. It began with these two very curious sentences: “Informed consent is a foundational concept of medical ethics. Since its enunciation almost four decades ago, it has engendered, and continues to engender, a great deal of debate and opposition among practicing physicians.” Neither sentence is particularly remarkable standing alone, but how could both sentences be true? If informed consent truly is foundational to medical ethics, how could it still be the subject of debate and opposition by members of the medical profession? My advice to patients, and to those who care about and sometimes must advocate for them, is to focus your primary attention on the second of the two sentences in the quoted passage and take it as a red flag flapping in the winds of controversy that blow continuously through the landscape of health care. Why this is an appropriate response will, it is hoped, be abundantly clear to everyone who reads this chapter from start to finish.

The organization of this chapter is based on a series of important questions and answers you will need to consider to ensure that your rights and those of your loved ones are protected when seeking or undergoing medical treatment. The questions are as follows:

• What is informed consent, and why is it important?

• How did informed consent come to be recognized, and what do its origins indicate about its acceptance by health care professionals?

• […]