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<p>Bioethics textbooks rehearse a familiar catechism: autonomy, beneficence, non-maleficence, justice. Of these, autonomy is treated as sacred. It is invoked whenever we wish to reassure ourselves that medicine has finally shed its paternalistic past. Yet autonomy in practice has always been more theater than substance. Consent forms are signed without being read, “shared decision-making” often means patients nodding at pre-packaged options, and disclosure serves the institution’s liability more than the patient’s understanding.</p>

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The hollow performance of autonomy: on the farce of informed consent in the age of clinical decision support systems

  • 期刊论文

  • 发表日期：

    2026年3月31日

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  • Alexandra Kijek

摘要

Bioethics textbooks rehearse a familiar catechism: autonomy, beneficence, non-maleficence, justice. Of these, autonomy is treated as sacred. It is invoked whenever we wish to reassure ourselves that medicine has finally shed its paternalistic past. Yet autonomy in practice has always been more theater than substance. Consent forms are signed without being read, “shared decision-making” often means patients nodding at pre-packaged options, and disclosure serves the institution’s liability more than the patient’s understanding.