No, doctors should not ask permission.

A doctor-patient relationship is not a store-consumer relationship. The patient does not "buy" or "choose" what the doctor will tell him or her.

It would be horribly irresponsible for a physician to withhold information, critique, and recommendations.

I want a doctor to do his or her job: give an honest and critical diagnosis, prognosis, assessment, and recommendations. Be polite, but don't sugar coat it. A visit with a physician is a time to face reality, not be treated as an infant who cannot handle the truth.

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