Entire Transcript in Adobe Acrobat Format - National Reference ...

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contemporaneous consent he or she would want to be involved
or is it better to go ahead where there has at least been
the conversation and there was an apparent agreement to go
ahead? That is the question.
I am not telling you that the answer is
ineluctable but it does seem to me that if you -- it is
possible to distinguish those two categories of subjects
and I, for one, would think it is at least better, if not
perfect because we do not know how good the consent process
was, to go ahead where the subject has had it raised that
there may be kinds of research that has no potential
benefit to you. You do not have to participate in that.
Some people choose to and some people do not. We are
giving you an opportunity now to indicate your wish on that
because at the point where it becomes relevant you may be
in a phase of your illness where we cannot ask you or where
you cannot answer us.
Now, I would argue that there is reason to
believe that is preferable to going ahead when we have no -
- we have never asked the question and we have never had
that kind of directive.
Then the second question, when we face that
issue someone is going to have to be involved in the
decision process with the investigator. Do you have