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consents. I do not th<strong>in</strong>k it is a complex -- I do not th<strong>in</strong>k<br />

it is any more complex than we would like to use your<br />

tissue for research to say are there certa<strong>in</strong> th<strong>in</strong>gs that<br />

matter to you about how we use your tissue.<br />

I th<strong>in</strong>k that the compromise here was a<br />

practical one from the medical community's po<strong>in</strong>t of view<br />

and aga<strong>in</strong> it was our belief that we wanted to give patients<br />

an opportunity to participate. They do not have it now <strong>in</strong><br />

a know<strong>in</strong>g way. So this was step one to give them a way of<br />

know<strong>in</strong>gly participat<strong>in</strong>g.<br />

DR. MURRAY: Thanks, Pat.<br />

Zeke?<br />

DR. EMANUEL: Like my fellow commissioners I<br />

want to thank you for an excellent and spirited discussion.<br />

I would like to identify -- I found many areas<br />

<strong>in</strong> which your approach is very consonant with the<br />

subcommittee's approach. I th<strong>in</strong>k overall there is very<br />

little disagreement and actually a lot of agreement,<br />

<strong>in</strong>clud<strong>in</strong>g the issue of standardization of rules for IRB's<br />

try<strong>in</strong>g to create a framework that is uniform to m<strong>in</strong>imize<br />

exceptions so that people know what the rules are while<br />

recogniz<strong>in</strong>g that <strong>in</strong> some cases there may be extraord<strong>in</strong>ary<br />

reason.<br />

This issue of ownership is one you did not hear

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