What started as a call for a specific change to disability insurance programs for medical students turned into a lengthy debate about autonomy and policy details at the annual general council of the Canadian Medical Association (CMA). In the end, 62% of delegates voted against a motion for the CMA to support medical students getting disability insurance by default rather than having to choose their own coverage. Despite the good intentions behind the motion, some physicians and medical students weren't convinced it was a good idea. Several others at the session suggest that educating medical students about their choices, rather than forcing them to opt out of an imposed policy, was the better direction to take.