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The major medical legal issues currently include three key areas: poor documentation in medical records, inadequate explanations for treatment decisions, and insufficient informed consent. Poor documentation can lead to misunderstandings regarding patient care. Informed consent has become a significant issue, especially after the Montgomery ruling in 1995, which changed the standard of acceptable practice from the Bolam test. Additionally, delays in treatment and referrals can disproportionately affect vascular surgeons, as they often bear the blame for these systemic inadequacies initiated by other healthcare providers.