I work in healthcare as a behavioral health consultant. My hospital system is making headway in installing scales in every exam room so that patients don't have to be weighed in the hallway. I have heard no talk of making weighing "optional." Personally, I have refused to be weighed before because it had nothing to do with why I was at the dr (severe migraine). I know that many patients have trouble speaking-up (it's even hard for me), but I think that training ourselves to advocate for what we want instead of waiting for institutions to give us permission is really the best way to go. I don't think that we are ever going to see every dr. office and hospital make weighing optional as it's just too engrained in the medical mind-set at this point. And, at times, it can be important as an indicator of illness and for dosing of some medications. I work in a pediatrics office, so of course we want to make sure that our infants and toddlers are growing well and that our older kids on stimulant medications aren't losing weight.