For now. It always begins as voluntary. But then doctors will start to treat people who opt out the way TSA treats me when I opt out: a hostile adversary.

I already get glares and sighs when I dare to actually read every word of a multipage form I am expected to sign without reading. Was told once I would lose my appointment if I took longer than a few minutes to read more than 10 pages because I could not be checked in until I signed. Other patients are waiting, your exercise of your human rights is inefficient.

Then soon I'll have to pay a higher copay to opt out. Then I won't be able to opt out at all.

All in the name of optimizing patient NPS scores and patient throughput.

There is no legal requirement to inform patients about the use of scribes, human or AI. If a telehealth session is recorded many states are two party and require telling the patient, but AI scribes are treated the same way other electronic tools are are are covered by your general informed consent policy. We inform patients in writing, their providers make the patient aware, and they are given the opportunity to opt out of the use. No recordings are kept, the session goes directly to transcription, that transcript is deleted after the note is saved.