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Doula Activism & Politics This forum is for activism efforts, networking and discussing political and social issues, such as circumcision, that impact doulas and their work.


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Old 06-26-2007, 12:54 PM   #1
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Troubling new consent procedure

So this morning I went in for my mammogram. And the hospital had a new consent procedure I found VERY troubling. Instead of a paper form, where I could cross out sections I did not agree to, etc. they had an electronic consent form machine. It looked just like the credit card machines at retail stores where you sign your name with the special pen.
The clerk hands me the special pen and says "Sign here" - and the screen says:
"I have read and agree to the consent and privacy information" and has space for the signature.
I told her that I have NOT read the consent form, and do not wish to sign that I have unless I have read it. She has to go get her supervisor. Supervisor hems and haws, calls someone else, and finally calls someone on the phone, who tells her where to find the consent form.
It's laminated and chained to the underside of the counter. I look it over, and there is a provision that your films may be read by a student. I am NOT ok with that. I ask how I can delete that from my consent. They have no idea.
The woman essentially tells me that I must sign as is or not get a mammo. I tell her to call the hospital administration, or at least tell me where it is so I can discuss it with them. She calls and is told to have me write "no students" over my signature in the box. I do, but I am VERY unhappy with this new procedure, and wondering how in the world that info will get into my chart so it can be honored.
Took 45 minutes to do that - the mammo itself took less than 20.
And I stopped by L&D on my way out, and sure enough, the electronic consent boxes are on the counter there, too.
This hospital is part of the dominant health system here - they own more than half the hospitals in the state, they own the insurance company, and they employ 90% of the doctors with priviledges in thos hospitals. It's positively incestuous. A couple years ago, they made a policy that all patients must sign MANDATORY arbitration agreements (meaning they couldn't ever sue their doctors or hospitals) or all treatment not required by EMTALA would be refused. After a HUGE public outcry, the state legislature banned that practice. But it seems they are up to no good again with this consent procedure that does not even show the form to patients.
I so wish we had other insurance, but dh's company is small (less than 150 employees, and most of them part-time, so probably only 50-75 who get benefits) and so there is no option.
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Old 06-26-2007, 01:01 PM   #2
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Wow! This is bad. Do you have a "trouble shooter" type team on a local news station? You know the kind that goes after scam artists and such. You would give them a tip that hospitals are taking away patient rights?
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Old 06-26-2007, 01:20 PM   #3
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Yeah, the news station seems to be a good route, Tamara.
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Old 06-26-2007, 01:31 PM   #4
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Absolutely! Go the news station route! That is just wrong! It's just one more way that we are supposed to bow-down to the medical community and hail them as all-knowing! No way! While I trust that amazing medical advances have been made and so on and so forth, that doesn't mean that I trust them with moral decisions (oh, he%% no!) or other personal rights, etc! Thanks for posting this! I'm keeping my eye out!!!!!
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Old 06-26-2007, 01:37 PM   #5
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This doesn't suprise me but it angers me just the same. Good for you though for being assertive and not just signing on the dotted line when your gut told you not to A lot of people would not have wanted to bother and just signed it to get it over with
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Old 06-26-2007, 02:36 PM   #6
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That doesn't really surprise me, either. It is really hard to believe that they want you to sign for something that you haven't even read and they don't know where it is. How many people just sign and don't ask questions?! TOO MANY!! It is really unfortunate that they teach "informed consent" in medical school/nursing school (I am in nursing school now..) but very very rarely actually see anyone really inform their clients of what they are getting themselves into...So sad...please ask questions whenever you are having a medical procedure, or at the pharmacy or anything that has to do with your health. Good for you for standing up for yourself! At least they are saving a couple trees....
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Old 06-26-2007, 02:39 PM   #7
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yeah, I'd call the news station. That's just wrong imo. It's good that they're saving trees, but still!
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