While I agree with the overall message your idea that it’s paternalistic to not give everyone detailed information on each test. That’s not only unrealistic but most patients do not have the ability to integrate that into decision making for each test. The mathematical and scientific educational level of most people is low so it’s wishful thinking to have such a sophisticated discussion. And most patients want to have the expert (the doctor) advise them. Not put it all back on the patient
Respectfully, that position risks conflating professional guidance with withholding material information.
Patients do not need to master the science to participate meaningfully, but they do have a right to understand purpose, risks, and alternatives at a level they can grasp. Advising is appropriate. Substituting advice for disclosure is not.
While I agree with the overall message your idea that it’s paternalistic to not give everyone detailed information on each test. That’s not only unrealistic but most patients do not have the ability to integrate that into decision making for each test. The mathematical and scientific educational level of most people is low so it’s wishful thinking to have such a sophisticated discussion. And most patients want to have the expert (the doctor) advise them. Not put it all back on the patient
Here is a very simplified intro to prenatal bloods: oday we will take a small sample of blood from your arm.
We check your blood type and Rh factor. This tells us if you might need a medicine later in pregnancy to protect the baby.
We check for anemia. Low iron can make you tired and can affect the baby’s growth.
We test for infections such as HIV, hepatitis B, and syphilis. Finding these early lets us treat you and lower risk to the baby.
We check immunity to rubella (German measles). If you are not immune, we plan a vaccine after delivery.
Some women also choose genetic screening (like Down syndrome screening). This does not diagnose a problem but shows if more testing should be offered.
The risks from the blood draw are small. You may feel a brief pinch, get a small bruise, or feel lightheaded.
The results help us care for you and your baby. You can ask questions at any time, and you may choose which tests you want or do not want.
Respectfully, that position risks conflating professional guidance with withholding material information.
Patients do not need to master the science to participate meaningfully, but they do have a right to understand purpose, risks, and alternatives at a level they can grasp. Advising is appropriate. Substituting advice for disclosure is not.