Given the obvious limitations of asking patients to
calibrate their feelings or even to recount their
experiences in the last 90, 180, or 360 days, it seems
to me inevitable that Big Brother will sooner or later
resort to continuous recording technology to document
medical proceedings not only in dialysis clinics but
in ALL situations where public funds are expended for
medical diagnosis or treatment.

Just as in contemporary court rooms all speech, - even
among spectators - is electronically recorded, so will
all conversations between nephrologists, technicians, 
nurses, patients even among themselves be recorded, 
possibly subjected to voice recognition analysis 
and certainly subject to selected transcriptions,
triggered by a patient's complaint or by suspected staff
deficiencies or errors. An environment which will stifle
spontaneity and prove very oppresive to all participants. 
The future isn't pretty.