"Scientific corporations might well become almost independent states and be enabled to undertake their largest experiments without consulting the outside world - a world which would be less and less able to judge what the experiments were about"

John Desmond Bernal's quote reflects a prescient concern about the potential evolution and impact of clinical organizations in society. At its core, the statement recommends that clinical corporations might grow so effective and self-governing that they operate similarly to sovereign entities, conducting large-scale experiments without external oversight or responsibility. This visualized circumstance raises important questions about openness, principles, and governance in clinical undertakings.

Bernal's assertion starts with "Scientific corporations may well end up being practically independent states," suggesting a future where these organizations possess significant autonomy. This autonomy can come from numerous elements such as vast financial resources, advanced technological capabilities, or a detailed understanding of clinical knowledge that outmatches the general public's understanding. The metaphor of these corporations ending up being "practically independent states" implies they could wield power similar to that of nation-states, setting their agendas and priorities independent of governmental or societal control.

Moreover, the expression "be enabled to undertake their largest experiments without consulting the outside world" points to a possible detach between clinical organizations and the broader public. If these entities were to pursue experimentation without public engagement, it may wear down trust and result in possibly unchecked scientific pursuits that prioritize private or internal goals over public interest. The absence of consultation recommends a situation where collaborative dialogue and ethical considerations take a backseat to development and discovery.

Lastly, Bernal talks to a more comprehensive social obstacle when he mentions "a world which would be less and less able to judge what the experiments had to do with." As clinical understanding becomes more specialized, it produces a knowledge space in between experts and laypersons. This space might result in diminished public oversight and a lowered capability for society to knowingly examine the implications of clinical work, potentially leading to effects that are not fully comprehended until after they manifest.

In summary, Bernal's quote works as a cautionary tip of the threats related to unattended clinical autonomy and the vital significance of keeping openness, ethical standards, and public engagement in scientific pursuits.