Posted on January 26, 2019 at 11:34 AM
Informed non-dissent is a way for clinicians to communicate with patients and surrogates when clinicians judge there is only one reasonable course of action.
In traditional informed consent, the clinician asks the patient/surrogate to choose and consent from two or more possible treatment plans. In contrast, with informed non-dissent, the clinician announces or declares the treatment plan and proceeds with it unless the patient/surrogate objects. In other words, authorization is inferred from the absence of veto rather than from the presence of explicit agreement.
This brief scene from All the President’s Men illustrates this in a different context.