The client may make an informed choice and decide not to remedy all of the
legal problems that are detected, just as a patient may make an informed
choice to forgo treatment for conditions detected in a general history and
physical. However, once a legal problem has been identified, it becomes more
dangerous to ignore. Conduct that was negligent when done unknowingly
becomes intentional or reckless once the physician is notified that the behavior
is questionable. This does not mean that ignorance is defensible. Medical care
practitioners who violate the law can be prosecuted irrespective of whether
they know the specifics of the law that they break. The constitutional
requirement is that the law be specific enough to define illegal behavior
clearly, not that defendants personally know they are breaking the law.