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1651 MEDICINE AND THE LAW. Henry Phipps, treasurer of the International Congress on Tuberculosis, to Dr. John S. Fulton, secretary-general, 714, Colorado Building, Washington, D.C., U.S.A. I MEDICINE AND THE LAW. The Prblem of Expert Testimony. AT a meeting of medical men in Boston, U.S.A., recently the following motion was carried :- That this committee recommend to the various district societies of the State a plan by which physicians, when called to make examina- tions for the purpose of testifying in court, shall make that examina- tion upon the basis of a professional consultation. Such a plan has been adopted by Dr. F. W. Anthony of Massachusetts for several years with great success ; it has, in practice, been approved both by bench and by bar. Those who favour original legislation to deal with the abuses of expert evidence allege, however, that one cannot deal with .. shysters" upon this footing, or, possibly, it may be urged upon any other footing short of discrediting them ; that lawyers will not forego the possibility of adducing biased testimony, unless, indeed, they are compelled so to do, as by the application of the " Anthony plan " ; the last objection is that certain professional experts will not willingly fall in with the suggestion. In answer to the last objection it may be affirmed that any expert witness who declined to consult with colleagues in this sense prior to the forensic examination would have diffi- culty in persuading a jury of his bonafides. In the United States objection has been raised, only to be overruled, that such an admission cannot be extracted from an expert witness under examination. If the question has been pro- pounded in the presence of the person examined, it is admitted as a part of what was said and done in that presence, and even if it is made to the physician himself it will be admitted as a question bearing upon his credibility and bias. Dr. Anthony claims that his plan deprives "the ambulance chaser " of his chief reliance, it adds to the self- respect of all physicians who testify in court, and chiefly it is the first step to the elevation of expert testimony, for the plan is as applicable in other lines as in that of medical testimony. The London Parks as Sleeping Plccees. Apparently there is a regulation for the benefit of those frequenting the London public parks under which authority is given to those in charge of them to prevent idle and dis- orderly persons from lying about on the grass and from occupying the seats. Relying upon this regulation a park constable on duty on Primrose Hill recently tried to induce a man, described as a labourer, who was lying on the grass, to move on, and was saluted by him with a volley of bad language in reply. The man was arrested and brought before Mr. Paul Taylor at Marylebone police-court, but apparently the learned magistrate was not in sympathy with the regula- lation or with the park constable’s manner of enforcing it, although the defendant was described by the constable as a perfect pest to the park, continually lying about in it. Mr. Taylor was of opinion that lying about in the park did not prove him to be an idle and a disorderly person and suggested as a parallel that he himself might be arrested if he chose to rest on the grass in Hyde Park, where, as he said, no doubt with truth, many people habitually lie. He was of opinion that proof of uncleanliness was necessary and he dismissed the charge. We are not altogether in agreement with Mr. Taylor who suggested that there might be a danger lest the police should arrest or bring a criminal charge against respectable poor people going to the pai ks to enjoy the fresh air. The respectable poor, and, indeed, respectable people who are not to be classed as poor, together with their children, find their healthy enjoyment of the open and grassy spaces provided for their recreation and pleasure curtailed and interfered with by the presence of loafers and idlers of both sexes sprawling on the grass. These are in some cases filthy and verminous but not in all. Many of them are idlers who con- trive to live well and to keep themselves a little above the condition to which rags are appropriate. Their wives work hard to support them or in other ways they pick up as much money as they require without any exertion on their own part. The police can be trusted to exercise discretion and to distinguish between disreputable loafers and citizens of the humbler class. The parks are not maintained as sleeping places for those who in summer make use of them in order to save the expense of beds in common lodging-houses and Salvation Army shelters. Hypnotism as an Excuse for Crime. To judge from the reports of French criminal trials which appear in the daily papers from time to time, accused persons in France are ready to put forward defences which are never heard of in this country. In a case reported on Monday last, a young man charged in the first instance with the murder of two persons admitted the fact but declared that at the time he was under the hypnotic influence of a certain medical man who often mesmerised him. " I had fallen asleep," he said, "when the spell came upon me.. I fought against it but was compelled against my will to go to the Prince’s house and strike at the Princess and her nephew." The medical man in question denies that he had exercised any influence in the matter. We do not know whether this defence is to be solemnly put forward in a court of justice ; we can only say that it would meet with but short shrift before a judge and jury in this country. As English law now stands we imagine that a man might as well plead drunkenness as an excuse for his misdeeds as allege that he was acting under the hypnotic influence of a third party. The defence of insanity would be out of the question. It has long been the law that to establish a defence on the ground of insanity it must be clearly proved that at the time of the committing of the act the party accused was labouring under such a defect of reason from disease of the mind as not to know the nature and quality of the act which he was doing, or, if he did know it, that he did not know he was doing what was wrong. The accused has himself done his best to place his case out- side this category by saying that he fought against the evil influence brought to bear upon him. Assaults on Offioials Disoharging their Duties. In two cases heard on the same day, the one at the Tower Bridge police-court and the other at the Thames police-court, serious assaults were proved to have been com- mitted upon officials employed to enforce the law. In the first a perfumer named Albert Lowen had attacked a factory inspector named Davis who had called at the defendant’s premises in Westminster Bridge-road with refer- ence to his failure to put up an abstract as required by the Factory Acts. The defendant asked for proof of the inspec- tor’s authority and was shown it, but nevertheless attacked him savagely and threw him violently into the street, inflicting upon him injuries which delayed the hearing of the charge from March 12th until May 30th. The defendant’s excuse was that he did not see what was on the parchment, and thought that Mr. Davis was an impostor, and witnesses on behalf of the defendant alleged that Mr. Davis had abused the defendant and behaved in an unjustifiable ntanner. Mr. Rose appears to have disbelieved these allegations, for he described the assault as an outrageous and aggravated one, inflicting a fine of 5 with the alternative of one month’s imprisonment. In the other case referred to five persons- Aaron Selway, Harris and Annie Lupinsky, Esther Cheleboloff, and Ada Matznow were charged with harbouri-ug smuggled saccharin and were ordered to pay fines ranging from E70 to f.3, with alternatives of varying terms of imprisonment for that offence. It was shown, however, by the evidence that when the seizure of the saccharin took place and while a large quantity of it was being throws out of window by some of the defendants Mr. J. H. Davies, a preventive inspector, was violently assaulted, and Mr. A. W. Cope, a supervisor who accompanied him, was threatened with a knife. In the circumstances described the fines inflicted in both cases seem scarcely to constitute sufficiently heavy punishment to act as a deterrent against similar assaults. Factory inspectors, sanitary inspectors, medical officers of health, and many others, besides officers connected with the collection of revenue of various kinds, are often compelled to visit the houses of strangers and to perform tasks which render them highly obnoxious to persons of a very rough class. They are not selected and trained with a view to their defending themselves against violence like police constables and often act without police assistance and they are entitled to a full measure of protection from the law. The foreigners, moreover, who are so frequently offenders against the laws which have to be enforced by the officials in question are usually quite well aware that they are breaking the law and know perfectly well from experience in their own countries that they ought not to
Transcript

1651MEDICINE AND THE LAW.

Henry Phipps, treasurer of the International Congress onTuberculosis, to Dr. John S. Fulton, secretary-general,714, Colorado Building, Washington, D.C., U.S.A. I

MEDICINE AND THE LAW.

The Prblem of Expert Testimony.AT a meeting of medical men in Boston, U.S.A., recently

the following motion was carried :-That this committee recommend to the various district societies of

the State a plan by which physicians, when called to make examina-tions for the purpose of testifying in court, shall make that examina-tion upon the basis of a professional consultation.Such a plan has been adopted by Dr. F. W. Anthony ofMassachusetts for several years with great success ; it has,in practice, been approved both by bench and by bar. Thosewho favour original legislation to deal with the abuses ofexpert evidence allege, however, that one cannot deal with.. shysters" upon this footing, or, possibly, it may beurged upon any other footing short of discrediting them ;that lawyers will not forego the possibility of adducingbiased testimony, unless, indeed, they are compelledso to do, as by the application of the " Anthony plan " ; thelast objection is that certain professional experts willnot willingly fall in with the suggestion. In answer

to the last objection it may be affirmed that anyexpert witness who declined to consult with colleagues inthis sense prior to the forensic examination would have diffi-culty in persuading a jury of his bonafides. In the UnitedStates objection has been raised, only to be overruled, thatsuch an admission cannot be extracted from an expertwitness under examination. If the question has been pro-pounded in the presence of the person examined, it isadmitted as a part of what was said and done in that

presence, and even if it is made to the physician himself itwill be admitted as a question bearing upon his credibilityand bias. Dr. Anthony claims that his plan deprives "theambulance chaser " of his chief reliance, it adds to the self-respect of all physicians who testify in court, and chiefly it isthe first step to the elevation of expert testimony, for theplan is as applicable in other lines as in that of medicaltestimony.

The London Parks as Sleeping Plccees.Apparently there is a regulation for the benefit of those

frequenting the London public parks under which authorityis given to those in charge of them to prevent idle and dis-orderly persons from lying about on the grass and from

occupying the seats. Relying upon this regulation a parkconstable on duty on Primrose Hill recently tried to induce aman, described as a labourer, who was lying on the grass, tomove on, and was saluted by him with a volley of badlanguage in reply. The man was arrested and brought beforeMr. Paul Taylor at Marylebone police-court, but apparentlythe learned magistrate was not in sympathy with the regula-lation or with the park constable’s manner of enforcing it,although the defendant was described by the constable as aperfect pest to the park, continually lying about in it. Mr.Taylor was of opinion that lying about in the park did notprove him to be an idle and a disorderly person and suggestedas a parallel that he himself might be arrested if he chose torest on the grass in Hyde Park, where, as he said, no doubtwith truth, many people habitually lie. He was of opinionthat proof of uncleanliness was necessary and he dismissed thecharge. We are not altogether in agreement with Mr. Taylorwho suggested that there might be a danger lest the policeshould arrest or bring a criminal charge against respectablepoor people going to the pai ks to enjoy the fresh air. Therespectable poor, and, indeed, respectable people who are notto be classed as poor, together with their children, find theirhealthy enjoyment of the open and grassy spaces providedfor their recreation and pleasure curtailed and interferedwith by the presence of loafers and idlers of both sexessprawling on the grass. These are in some cases filthy andverminous but not in all. Many of them are idlers who con-trive to live well and to keep themselves a little above thecondition to which rags are appropriate. Their wives workhard to support them or in other ways they pick up as muchmoney as they require without any exertion on their ownpart. The police can be trusted to exercise discretion andto distinguish between disreputable loafers and citizens of thehumbler class. The parks are not maintained as sleepingplaces for those who in summer make use of them in order to

save the expense of beds in common lodging-houses andSalvation Army shelters.

Hypnotism as an Excuse for Crime.To judge from the reports of French criminal trials which

appear in the daily papers from time to time, accusedpersons in France are ready to put forward defences whichare never heard of in this country. In a case reported onMonday last, a young man charged in the first instance withthe murder of two persons admitted the fact but declaredthat at the time he was under the hypnotic influence of acertain medical man who often mesmerised him. " I hadfallen asleep," he said, "when the spell came upon me..I fought against it but was compelled against mywill to go to the Prince’s house and strike at thePrincess and her nephew." The medical man in questiondenies that he had exercised any influence in thematter. We do not know whether this defence is to be

solemnly put forward in a court of justice ; we can only saythat it would meet with but short shrift before a judge andjury in this country. As English law now stands weimagine that a man might as well plead drunkenness as anexcuse for his misdeeds as allege that he was acting underthe hypnotic influence of a third party. The defence ofinsanity would be out of the question. It has long been thelaw that to establish a defence on the ground of insanity itmust be clearly proved that at the time of the committing ofthe act the party accused was labouring under such a defectof reason from disease of the mind as not to know thenature and quality of the act which he was doing, or, if he didknow it, that he did not know he was doing what was wrong.The accused has himself done his best to place his case out-side this category by saying that he fought against the evilinfluence brought to bear upon him.

Assaults on Offioials Disoharging their Duties.In two cases heard on the same day, the one at the

Tower Bridge police-court and the other at the Thamespolice-court, serious assaults were proved to have been com-mitted upon officials employed to enforce the law. In thefirst a perfumer named Albert Lowen had attacked afactory inspector named Davis who had called at thedefendant’s premises in Westminster Bridge-road with refer-ence to his failure to put up an abstract as required by theFactory Acts. The defendant asked for proof of the inspec-tor’s authority and was shown it, but nevertheless attackedhim savagely and threw him violently into the street,inflicting upon him injuries which delayed the hearing ofthe charge from March 12th until May 30th. The defendant’sexcuse was that he did not see what was on the parchment,and thought that Mr. Davis was an impostor, and witnesseson behalf of the defendant alleged that Mr. Davis had abusedthe defendant and behaved in an unjustifiable ntanner. Mr.Rose appears to have disbelieved these allegations, for hedescribed the assault as an outrageous and aggravated one,inflicting a fine of 5 with the alternative of one month’simprisonment. In the other case referred to five persons-Aaron Selway, Harris and Annie Lupinsky, EstherCheleboloff, and Ada Matznow were charged with harbouri-ugsmuggled saccharin and were ordered to pay fines rangingfrom E70 to f.3, with alternatives of varying terms ofimprisonment for that offence. It was shown, however, bythe evidence that when the seizure of the saccharin tookplace and while a large quantity of it was being throws outof window by some of the defendants Mr. J. H. Davies, apreventive inspector, was violently assaulted, and Mr.A. W. Cope, a supervisor who accompanied him, wasthreatened with a knife. In the circumstances described thefines inflicted in both cases seem scarcely to constitutesufficiently heavy punishment to act as a deterrent againstsimilar assaults. Factory inspectors, sanitary inspectors,medical officers of health, and many others, besides officersconnected with the collection of revenue of various kinds,are often compelled to visit the houses of strangers and toperform tasks which render them highly obnoxious to personsof a very rough class. They are not selected and trainedwith a view to their defending themselves against violencelike police constables and often act without police assistanceand they are entitled to a full measure of protection from thelaw. The foreigners, moreover, who are so frequentlyoffenders against the laws which have to be enforced

by the officials in question are usually quite well awarethat they are breaking the law and know perfectly well fromexperience in their own countries that they ought not to

1652 ROYAL COLLEGE OF SURGEONS OF ENGLAND.-LOOKING BACK.

resist lawfully constituted authority with violence. If thosewho represent the law, on the other hand, transgress theirconduct can be complained of in the proper manner.

ROYAL COLLEGE OF SURGEONS OFENGLAND.

THE ELECTION TO THE COUNCIL,As we have already announced, on Thursday, July 2nd,

the Fellows of the College will elect four Fellows to fill thevacancies on the Council. Every year three members ofCouncil retire and those due to retire this year are Mr.J. Ward Cousins, Mr. A. Pearce Gould, and Mr.W. Harrison Cripps. Mr. F. Howard Marsh has resignedtwo years before the termination of his period of officeand therefore there will be four vacancies to be filled.Mr. Ward Cousins was first elected in 1895 as a substitutemember, again as a substitute member in 1897, and againin 1900. Mr. Pearce Gould was elected in 1900 and is acandidate for re-election. Mr. Harrison Cripps was electedin 1905 as a substitute member, and he also will no doubtapply for re-appointment. Other candidates are Mr. W.Arbuthnot Lane, Mr. J. Lynn Thomas, Mr. GeorgeEastes, and Mr. William Frederick Haslam. It is probablethat Mr. C. B. Lockwood will also be a candidate. At the

forthcoming election the successful candidate who receivesthe smallest number of votes will serve as substitute memberfor Mr. Howard Marsh and will retire in 1910. The followingtable gives the dates at which the several members of theCouncil will retire.

In 1909.-Mr. W. Watson Cheyne, first elected 1897.Mr. A. W. Mayo Robson, first elected 1893.Mr. R. Clement Lucas.

In 1910.-Mr. J. H. Morgan.Mr. H. H. Clutton.

In 1911.-Mr. H. T. Butlin, first elected 1895.Mr. Clinton C. Dent.Mr. G. H. Makins.

In 1912.-Mr. F. S. Eve, first elected 1904,Mr. A. A. Bowlby.Mr. G. Barling.

In 1913.-Mr. Rickman J. Godlee, first elected 1897.Mr. Edmund Owen, first elected 1897.Mr. C. H. Golding-Bird.

In 1914.-Mr. H. Morris (President), first elected 1893.Mr. F. Richardson Cross, first elected 1898.Mr. G. A. Wright.

In 1915.-Mr. C. W. Mansell Moullin, first elected 1902.Mr. W. Bruce Clarke.Mr. Charters J. Symonds.

BRITISH MEDICAL BENEVOLENT FUND.

AT the May meeting of the committee 22 cases were

considered and grants amounting to .6166 were made to 17 ofthe applicants. A vacant annuity was filled by the electionof an approved candidate. Appended is an abstract of thecases relieved -

Widow, aged 64 years, of L.F.P.S. GIasg. Since husband’s death,after a long illness, about a year ago, applicant has endeavoured tosupport herself by letting lodgings. No children. Voted .85, withleave to apply again in six months if necessary.Widow, aged 57 years, of L.F.P.S. Glasg. Left quite unprovided for

at husband’s death about 10 years ago. Nine children who do all thatis possible. Relieved nine times, .S125. Voted J65.

Daughter, aged 37 years, of late M.D. Glasg. Is a daily comnanionto an invalid lady. but earnings are insufficient for her own mainten-ance and a little help she is obliged to give her mother. Relieved fourtimes, ;E22. Voted ;E5.Daughter, aged 66 years, of late M.R.C.S. Has supported herself for

many years but is now dependent on relations and is a candidate forthe Epsom pension. Voted ;E5.M.R.C.S., aged 67 years. Is incapacitated by hemiplegia and

dependent on a son whose earnings are small. Voted .e5.M.R.C.S., L.S.A., aged 68 years. For some time past has been quite

incapacitated by paralysis and heart disease. Eight children, of whomonly three are entirely self-supporting. Has a small pension from aboard of guardians but it is quite inadequate for unavoidable expenses.Relieved six times, J390. Voted .E12.Daughter, aged 76 years, of late M.R.C.S. Has a small annuity and

hopes shortly to be elected to a U.K. B.A. pension, but requires a littlehelp meantime. Relieved once, JE12. Voted .E5.Daughter, aged 52 years, of late M.R.C.S., L.S.A. No income and

regular work impossible owing to bad health. Relieved twice..B20.Voted JE10.

Daughters. aged 47 and 45 years, of late M.R O.S.. L R.C.P. Noincome; endeavour to support themselves by letting lodgings in thesummer and by knitting in the winder. Relieved eight times, JE87.Voted 212.Daughter, aged 66 years, of late M.D. No income and only able to

obtain occasional employment. Relieved ten times. 291. Voted 212.Widow, aged 43 years, of L R.C.P., L.R.C.S. Edin. Quite unpro-

vided for at husband’s death several years ago and is in extremely badhealth. Is assisted by the Ladies’ Working Guild. Children unable tohelp. Relieved 13 times, JB148. Voted 212.Daughter, aged 51 years, of late L.R.C.P. Edin. No income. Is a

great sufferer from rheumatic gout and dependent for a home on twounmarried sisters who have to earn their own living. Relieved threetimes, :B26. Voted ;E10.Widow, aged 51 years. of L.R.C.P.I. No income and has not yet

recovered from the effects of a very serious operation. Relieved once,212. Voted 212.Daughter, aged 51 years, of late M.D.Lond. Income 220 a year

from the Home for Incurabtes. Has had a serious illness during thewinter and in consequence lost a lodger and is in arrears with rent.Relieved nine times, 281. Voted 210.Widow, aged 67 years, of M.D. Edin. Children unable to help and

is dependent on this fund and a little assistance given locally.Relieved four times..642. Voted :E15.Widow, aged 61 years, of L.R.C.P., L.R.C.S. Edin. Has a small

ppnsion from a City company, but it is insufficient for bare necessitiesand children are unable to help. Relieved once, .E6. Voted 26.

Wife, aged 43 years, of L.R.C.P., L.R.C.S. Edin., who is confined inan asylum. No income; dependent on a sum collected locally and nownearly exhausted, and earns a few shillings a week by fancy work.Two children, aged 15 and 12 years. Relieved once, JE15. Voted 215.

Looking Back.FROM

THE LANCET, SATURDAY, June 5th, 1830.

NON-APPOINTMENT OF SURGEONS TO TRADING VESSELS.

To the Editor of THE LANCET.SiR,-To me it has often been a subject of surprise, that

among the many laws which are enacted by our legislature,none has ever compelled merchant-vessels of a certaintonnage, and having on board a certain number of men, tocarry a surgeon. Such a defect in our maritime laws becomesstill more singular, when we call to mind the high mercantilecharacter of the British nation, and the consequent necessityfor protecting the health and lives of those employed in it.That a medical man ought to be numbered amongst the crewof all large ships bound to distant parts, is what the publichave a right to expect ; it is what the seamen, their relatives,and their friends, have a right to demand ; but that a south-seaman in particular, bound on a whaling voyage, should beallowed to sail from a British port without any medicalofficer on board, is a deep stain upon the humanity for whichEngland has ever been renowned. ’It is true a still heavierblame, amounting to criminality, is attached to the South-sea ship-owners individually, but experience teaches us weare not to depend upon the generous and benevolent feelingswhich ought to actuate those whom the labour of many poormen enriches. Such feelings are too often absent. A closeand lengthened application to a profitable business,frequently strips the heart of all that is noble, and renders itsensible to little but self-interest.

,

Whalers are generally from two to three years away fromEngland, and no class of vessels, whether merchantmen ormen-of-war, can, in time of peace, be exposed to one halfthe danger to which they are exposed. The crews are liableto every variety of malignant disease arising from vicissitudeof climate ; they are liable to innumerable accidents in thedangerous and frequently fatal employment of whaling ; theyare mostly in the habit of touching and refreshing at savageislands, where no medical attendance can be procured ; theyare, in fact, during these long, tedious, and hazardousvoyages, separated from the civilized world, having but littlecommunication with any, save with the semi-barbarousnatives of the South-sea islands.

These, Sir, I think, are forcible arguments in favour of anact of parliament, obliging all vessels, but more especiallywhalers, whose complement of men consists of-say twentyand upwards, to carry a surgeon. This would not be im-posing an unjust tax on poor merchants, as all who can fitout ships on whaling expeditions, must necessarily be con-siderable capitalists, and possess ample means of employingmedical men. In short, humanity towards our sailors, the


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