My experience as a patient and as a nurse, is that informed consent is considered burdensome by many physicians, who themselves don't actually know the adverse affects associated with many pharmaceutical interventions, so there is a tendency to downplay or even, sadly, gas-light to push aside pt. concerns and just move the patient through the system as quickly as possible. Just last week, I shared the drug monograph with the patient who identified an adverse effect relevant to her history that I was not aware of, in my short interview with her in a triage environment. I connected her to the physician to discuss her concerns before proceeding with the treatment, so that she would have actual informed consent. I have noticed that with the roll out of the covid vaccines, many patient's had questions about adverse effects associated and physicians seemed unwilling to discuss these with patients and were very dismissive. The unintended consequence of this, especially in light of subsequent vaccine injury that is coming to light, is that the physician/patient relationship has been violated. I see many patients reluctant to even come into hospital now, when they clearly would benefit from our care, and it seems to be related to lack of trust that has now developed. I try to reassure patients, but many are very suspicious of their MHRP now, and that is a new development.