The opt-out approach was viewed by some respondents as violating responsibilities to patients because it might shift the beneficiary of testing from the individual to society.
Respondents stated that making patients bear the costs of HIV testing would violate responsibilities to patients and violate patients' rights because it would create a barrier to good health care.
In terms of violating responsibilities to patients and patients' rights, one major theme underscored a belief in the value of the "teachable moment" to counsel patients on risk taking behaviors that would be lost if the uncoupling strategy were used.
Some respondents commented that nontargeted HIV screening could potentially violate responsibilities to patients and patients' rights if patient needs and readiness were not assessed prior to testing, if proper informed consent was not used, or if poor processes and procedures were implemented.
Further, the themes expressed on this topic were under the premise that if or when patients are tested without their knowledge or permission, this action would violate responsibilities to patients and patients' rights, might erode patients' confidence in their healthcare providers, and compromise patient autonomy and individual patients' needs.
In another statement, Dr. Smith did not specifically name Dr. Mott but said that while all people have the right to express personal views, a person violates their responsibility when "one speaks from the privilege of that office and wrongly conveys that one speaks for others".
Because that violates individual responsibility.
Last week a four-vote majority of the six-member election commission violated their responsibilities by deliberately opening loopholes in several of the law's major provisions.
The suit also maintained that Mr. Grubman had violated his responsibilities as a lawyer by representing both Mr. Joel and CBS Records, with whom Mr. Joel's lawyers were then negotiating.
"He was threatened with the use of deadly force and he responded, and citizens, you know, have certain obligations under the law, and he did not violate the responsibilities of obligations that citizens have under the penal law," Mr. Kelly said.
