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So Winfield believes that all patients should be delighted at the idea of electronic summary care records.1 If they are such an obvious blessing, why not invite patients to opt in to the system? She will be knocked down in the stampede. This was what the BMA and Patient Concern have always wanted.
Instead, we have been presented with a system of presumed consent where the vast majority of patients will have no sight of their records to be uploaded. Presumed consent is no consent at all, and it is all credit to the BMA for recognising this.
Competing interests: None declared.