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My argument is to support the need for informed consent in some circumstances in which significant risk to the patient may be incurred. There are reasonable and legitimate exceptions. "In emergency settings, for example, it is even considered ethical to include patients in a randomized trial of an experimental treatment without consent, provided that appropriate safeguards are implemented" (Miller & Emanuel, 2008). However, a pillar of research and medicine is patient autonomy. This concept is deeply rooted in American culture if we examine fields outside of medicine such as gun control, democracy, and religion. "Researchers must provide information regarding the risks and benefits of participation and help people understand this information' (Melnyk & Fineout-Overholt, 2015) so each individual can weigh the options and elect based on their knowledge and values.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare (3rd Ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Miller, F., & Emanuel, E. (2008). Quality-Improvement Research and Informed Consent. The New England Journal of Medicine, 358(8), 765-767.

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