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The current major medical legal issues include: 1) Poor documentation in medical records and inadequate explanations of decision-making behind treatments, 2) Inadequate informed consent, and 3) Delays in treatment, which often lead to vascular surgeons being unfairly blamed for issues stemming from primary care referrals. The discussion emphasizes the impact of the Montgomery ruling in 1995, a Supreme Court decision in the UK that significantly altered the standards for informed consent, replacing the previous Bolam test of acceptable practice. These issues highlight the complexities and responsibilities medical professionals face in ensuring proper patient care and legal protection.