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the complication and cost of the pathologist but for the<br />

comprehension and the consistency of the people out there<br />

and mak<strong>in</strong>g sure that once it is implemented without<br />

dra<strong>in</strong><strong>in</strong>g all 600,000 doctors and X million nurses, we can<br />

be reasonably assured that people are go<strong>in</strong>g to know what is<br />

out there.<br />

So my -- I first was aga<strong>in</strong>st your form, then<br />

very for your form, then hav<strong>in</strong>g tried to do a general form<br />

com<strong>in</strong>g to the view that a layered consent is a good idea<br />

but probably two layers is the limit you are go<strong>in</strong>g to get.<br />

MS. BARR: Yes. You know, I th<strong>in</strong>k that I<br />

probably agree with you about all of that and I th<strong>in</strong>k also<br />

that we struggled <strong>in</strong> an earlier edition of a genetics<br />

question specifically.<br />

DR. EMANUEL: Right.<br />

MS. BARR: And took it out. It is not clear to<br />

me that if you are go<strong>in</strong>g to work on a general consent and<br />

you might want to break down <strong>in</strong>to genetic -- germ l<strong>in</strong>e<br />

genetic research versus other research as the right -- as a<br />

way of break<strong>in</strong>g this down with the two choices and that we<br />

might want to beef up the <strong>in</strong>formational brochure about just<br />

what that is and what its implications are. We talk about<br />

it <strong>in</strong> a pretty simple way <strong>in</strong> our <strong>in</strong>formed consent and <strong>in</strong><br />

the brochure and that was as a result of focus groups which

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