The AMA (American Medical Association, which doctors do not have to join) has an interesting definition of "informed consent".
The process of informed consent occurs when communication between a patient and physician results in the patient’s authorization or agreement to undergo a specific medical intervention.
As I read it, the conversation can be almost anything at all, and as long as the doc can talk the patient into doing it, that's informed consent.
There's no requirement that the patient understand the tradeoffs and arguments. With the complicated issues around Covid and the vaxes, and the pervasive propaganda, doctors themselves disagree about this stuff. How can the general public be said to be giving informed consent when they have no f***ing clue what they're agreeing to? But the AMA definition allows that.
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Informed Consent
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Code of Medical Ethics Opinion 2.1.1
Informed consent to medical treatment is fundamental in both ethics and law. Patients have the right to receive information and ask questions about recommended treatments so that they can make well-considered decisions about care. Successful communication in the patient-physician relationship fosters trust and supports shared decision making.
CME course: Informed consent and decision making
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The process of informed consent occurs when communication between a patient and physician results in the patient’s authorization or agreement to undergo a specific medical intervention. In seeking a patient’s informed consent (or the consent of the patient’s surrogate if the patient lacks decision-making capacity or declines to participate in making decisions), physicians should:
- Assess the patient’s ability to understand relevant medical information and the implications of treatment alternatives and to make an independent, voluntary decision.
- Present relevant information accurately and sensitively, in keeping with the patient’s preferences for receiving medical information. The physician should include information about:
- The diagnosis (when known)
- The nature and purpose of recommended interventions
- The burdens, risks, and expected benefits of all options, including forgoing treatment
- Document the informed consent conversation and the patient’s (or surrogate’s) decision in the medical record in some manner. When the patient/surrogate has provided specific written consent, the consent form should be included in the record.
In emergencies, when a decision must be made urgently, the patient is not able to participate in decision making, and the patient’s surrogate is not available, physicians may initiate treatment without prior informed consent. In such situations, the physician should inform the patient/surrogate at the earliest opportunity and obtain consent for ongoing treatment in keeping with these guidelines.
AMA Principles of Medical Ethics: I, II, V, VIII
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Code of Medical Ethics: Informed Consent & Shared Decision Making
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Code of Ethics Opinions pages. Informed consent to medical treatment is fundamental in both ethics and law. Patients have the right to receive information and ask questions about recommended treatments so that they can make well-considered decisions about care.
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