Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1Witthaus, R. A. (Rudolph August)
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Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1
Witthaus, R. A. (Rudolph August)
Medical jurisprudence; Poisons; Toxicology
_Who may Waive._—Those States in which the law provides for a waiver
have been enumerated;[278] in others the courts have determined that
the privilege of waiving is implied in the reason for the law. In
Indiana it has been held that although the statute contains in terms
an absolute prohibition, it creates no absolute incompetency and
the privilege may be waived by the person for whose benefit it is
made or his legal representative.[279] Under the Michigan law it
was claimed that the physician is forbidden to reveal confidences
even though he have his patient’s consent, but it has been held that
the law only creates a privilege on the same footing with other
privileged communications, which the public has no interest in
suppressing when there is no desire for suppression on the part of
the person concerned.[280] In Missouri too the patient may waive the
privilege.[281]
The protection vouchsafed by the law is designed for the benefit of the
patient, and therefore the physician himself cannot waive it.[282] The
patient can disclose his own physical condition if he so desires.[283]
But the physician cannot refuse to testify if the patient waives the
privilege.[284]
The patient can waive the privilege during his life.[285]
As it existed prior to 1891 the New York law provided that the
prohibition should operate unless it was expressly waived upon the
trial or examination by the patient.[286] This was interpreted to mean
that the patient himself was the only person who could make a waiver;
and that, therefore, the possibility of waiver ceased with the death
of the patient, while the privilege of secrecy continued unabated,
so that those claiming under the deceased patient could not waive
the privilege, nor insist upon the testimony of the physician, even
though their interests were in jeopardy on account of his silence.[287]
It seems, however, that a patient can during his lifetime waive the
privilege, the waiver to take effect after his death.[288] The express
waiver required by the statute may be given by the patient’s attorney,
because of the nature of the attorney’s agency in conducting an action
for the patient.[289]
None of the other statutes are in the exact terms of the New York
statute, but those of California, Colorado, Idaho, Minnesota, Montana,
Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington,
and Wyoming provide that the testimony shall not be given unless the
_patient_ consent; in Iowa, the waiver provided for is that of the
_person_ in whose favor the prohibition is made; and in Nebraska, of
the _party_ in whose favor the provision is enacted.
In Indiana, the privilege extends beyond the death of the patient, and
it may be waived by the party who may be said to stand in the place of
the deceased and whose interests may be affected by the disclosure.[290]
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