I hate to sound like Andrea Dworkin but I don't think consent is possible between a human individual and a 500-headed corporate hydra. It is much more straightforward to turn off third party cookies entirely or "respect DNT or go to jail"
Out of 500 companies that access your data the majority might obey the law, but 50 of them won't.
There's also a basic imbalance of power -- for instance, if you don't fill out the paperwork to get medical care that says (1) everybody who could possibly have a reason to access your data can, and (2) we're going to do that at a cost 1000x more than just leaving all the paperwork out on the curb you don't get medical care.
People don't really real all those clickwrap licenses, I mean, Sony makes you scroll to the bottom of a 50 page contract just to play a video game.
It's about consent.