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DR. MURRAY: Zeke, can I make just one po<strong>in</strong>t<br />

that would go for all of the -- particularly the ones<br />

collected <strong>in</strong> terms of cl<strong>in</strong>ical care?<br />

DR. EMANUEL: Right.<br />

DR. MURRAY: Whether previously or now. If<br />

there is on the record that a person did not want their<br />

tissue used for research that preempts any possible use.<br />

We do not -- we did not specifically note that <strong>in</strong> this<br />

table but that should be noted.<br />

DR. EMANUEL: The other th<strong>in</strong>g to note is that<br />

we heard from Bartha Knopers that <strong>in</strong> Europe or at least <strong>in</strong><br />

the Netherlands they were go<strong>in</strong>g to a presumed consent with<br />

an opt out. For our reasons we had thought and discussed<br />

why that might not be good and it might encourage sloppy<br />

record keep<strong>in</strong>g if you could not identify a record and other<br />

reasons.<br />

So I th<strong>in</strong>k, <strong>in</strong> general, we are mov<strong>in</strong>g to hav<strong>in</strong>g<br />

the general consent process and we had thought through some<br />

of the problems and difficulties because we had heard from<br />

some of the people <strong>in</strong> our m<strong>in</strong>i-hear<strong>in</strong>gs about the fact that<br />

they do not remember even sign<strong>in</strong>g a consent form and they<br />

felt coerced, et cetera.<br />

Now without go<strong>in</strong>g through each of the boxes, I<br />

mean we can aga<strong>in</strong> try to discuss --

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