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Does the Government Have the Right To Seize Medical Records?

 
 
Reply Tue 23 Dec, 2003 04:08 pm
Quote:
Prosecutors can examine Rush Limbaugh's medical records to determine whether he should be charged with "doctor shopping" for prescription painkillers, a judge ruled Tuesday


Whatever you think of Rush Limbaugh, in this case, is besides the point. For those who are not aware of it, Rush Limbaugh is an ultraconservative talk show host with a large following.

Some weeks ago, a story broke that he had been purchasing an inordinate amount of painkillers. He admitted that it was true, that he was addicted to painkillers, on the air, and signed himself up for a five week stint in a rehab facility. No charges had been filed against him.

Now the government wants to see his medical records, in order to determine whether he was guilty of "doctor shopping", which means getting prescriptions for the same medications from a number of doctors.

What do you think of this in terms of a person's right to privacy? Can you make a case for or against subpoenaing a person's medical records, in order to determine wherther a crime has been committed?

Please keep this thread civil, and refrain from injecting politics into it.

Link to Rush Limbaugh Story
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Type: Discussion • Score: 1 • Views: 2,059 • Replies: 23
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katya8
 
  1  
Reply Tue 23 Dec, 2003 05:44 pm
I personally think it's outrageous.

Millions of people get multiple prescriptions from multiple physicians. It's nobody's business. Since when is that illegal? And since when are a person's medical records no longer private?

This must be some kind of personal or political vendetta.
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Acquiunk
 
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Reply Tue 23 Dec, 2003 06:21 pm
I have no use for Limbaugh but this is very disturbing. As I understand it the authorities have no proof that Limbaugh was using multiple prescriptions and are hoping to find it in his medical records. This used to be called a legal fishing expedition.
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ehBeth
 
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Reply Tue 23 Dec, 2003 06:26 pm
I'm not sure what the case is there, and I have no interest in Mr. Limbaugh, one way or the other, but I do know that an investigation about doctor shopping here would be related to charges against the physicians and/or pharmacists. An individual's records would definitely be part of that investigation.

If there are specific laws against doctor shopping in the jurisdiction in which the charges were laid, and there was enough evidence to convince a judge to order the records, then, well, he's got to turn them over. I think that is right.
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ebrown p
 
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Reply Tue 23 Dec, 2003 06:51 pm
I don't understand what the problem is.

Getting someones medical records is the same as getting a warrant to search someone's house.

I am pretty sure that legally the prosecution has a right to these records providing a judge agrees they have enough evidence of a crime to warrant probable cause (and it sounds like they do).

But I am curious Phoenix. Do you see a philosophical difference between subpoenaing medical records and getting a search warrant?
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Acquiunk
 
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Reply Tue 23 Dec, 2003 07:04 pm
A subpoena is not a search warrant, if I understand it correctly, It is an order to produce something or someone. If they thought they had the evidence, why didn't they ask for a search warrant?
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roger
 
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Reply Tue 23 Dec, 2003 07:07 pm
I believe there are specific protected relationships: lawyer/client, doctor/patient, and priest/confessor. You cannot, for example, obtain a search warrant and go digging through the files of a lawyer defending a suspect. There are other relationships, such as accountant/client, which have no such protection. Search warrants are allowed, and testimony of a defendant's accountant can be compelled.
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dyslexia
 
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Reply Tue 23 Dec, 2003 07:26 pm
I believe its far too complicated for me to understand the legal issues involved.
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farmerman
 
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Reply Tue 23 Dec, 2003 09:07 pm
roger, the privilege protection ceases if the lawyer/doctor/priest is part of the conspiracy.
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roger
 
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Reply Tue 23 Dec, 2003 10:47 pm
Which one?

Oh, that conspiracy! True. Criminal lawyers must never let their clients confess privately. Still, if the evidence is in the records it gets into a bit of the Catch-22 situation.
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farmerman
 
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Reply Wed 24 Dec, 2003 06:28 am
Phoenix, according to floida law, sec 893, 'doctor shopping for the purpose of securing narcotics' is a felony. So there were 2 Fed judges who agreed to sign search warrants on the proviso that these search warrants be least intrusive to Rush. IE they were secured , used in the criminal investigation and remain sealed. except for that one use.
According to case law (Griswold v connecticut) 'a persons right to privacy is not absolute, and yields to compelling need by the state. Then it goes on to state that "compelling need" includes the prosecution of criminal activity.
seems to have bases covered enough for me.
Rush is bitching about how this is a Democrat plot to secure 'payback" for the bush-Gore florida tie breaker.
Like the Dems held him down and force-fed him the days output of Pfizers " Hillbilly Heroin" division. Rush has gone off a deep one here. that even tops his unique scientific "scholarship'
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Wilso
 
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Reply Wed 24 Dec, 2003 06:32 am
dyslexia wrote:
I believe its far too complicated for me to understand the legal issues involved.


ditto ditto ditto.
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Phoenix32890
 
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Reply Wed 24 Dec, 2003 06:34 am
Quote:
I believe there are specific protected relationships: lawyer/client, doctor/patient, and priest/confessor


Quote:
roger, the privilege protection ceases if the lawyer/doctor/priest is part of the conspiracy


How can a doctor be part of the conspiracy, if there is no proof that each doctor knew of other doctors who prescribed medication? If there IS proof of a conspiracy, is the law planning to prosecute the physicians involved?

farmerman- BTW, I found your post interesting, UNTIL you threw in the political stuff, which I expressly tried to avoid. There is a bigger issue here than politics. The political ramifications could well be discussed on another thread.
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farmerman
 
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Reply Wed 24 Dec, 2003 07:18 am
Ok, I had to get in what he9RUSH) said yesterday. I felt it was germain to the root of his assertion to privacy invasion. Indeed , the government went to extremes to provide him the guarantee of least intrusion
1 They used 2 judges to develop the search warrants (search warrants have a higher burden of probable cause than does a subpoena) so his rights werent infringed by law

2 The search warrants had a proscription against opening to anyone except the principle investigators and were to be used for the criminal investigation ongoing

3 That the doctors were part of the conspiracy is my take, since there are records of prescriptions made that, include the name of the patient. These records can be brought up like your credit card history and, unless names are falsified(which, to me indicates that the doctors were at least knowledgeable of the scam)
Or the doctors were selling out of their own "sample" stash, which is medical "pushing"

as far as a doctor/lawyer client privilege busting,
If a lawyer were representing a mafia capo in a case, and , at the same time this lawyer were acting as consiglieri for the local mob, he is part of the consapiracy and hes not protected by privilege. Of course prooving it is a maze of rules that are in place to assure the rights of individuals. The same goes for medicine men.

By the by, remember this is a criminal investigation, not some civil case , protocols are being followed that will have to stand against appeal. So being conservative in how the search warrants were sent up, I feel is a credit to the legal system in Florida.
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ronmac60
 
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Reply Fri 26 Dec, 2003 10:00 am
This thread does point to a further advantage for a "National Health Plan", which, if it was in place would prevent all sorts of devices such as Doctor shopping.

Each citizen would have his/her own Health Card, such as we have in Canada. One touch of a button shows how many and to which health care service has been sought.
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blueveinedthrobber
 
  1  
Reply Fri 26 Dec, 2003 10:07 am
Isn't this a probable cause issue? Does Rushs' right, or mine too for that matter to my privacy end if there is sufficient irrefutable probable cause that a crime has been comitted?

We have that here. Rush by his own words obtained thousands of prescriptions and is a drug addict. I think there is probable cause that "doctor shopping" went on here, and if that's a legitimate crime, and there is legitimate probable cause that it took place, then Rush forfeits his right to privacy .

I fully understand that this is a slippery slope, but I'm sure Rush would agree "Law and Order first"
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dyslexia
 
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Reply Fri 26 Dec, 2003 10:15 am
I think Rush has a valid argument.
I think the D.A. has a valid argument.
Thats why we have judges.
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roger
 
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Reply Fri 26 Dec, 2003 10:51 am
So we do, and if probable cause for a warrant seems shaky, would there be such a thing as judge shopping?
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blueveinedthrobber
 
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Reply Fri 26 Dec, 2003 11:13 am
roger that's part of that slippery slope. Where does it end?

Do other countries place limits on this type of thing?

For instance.... 1 judge for a warrant, 1 try for another judge if turned down but that's it?

1 fair trial...1 appeal....then that's it?

I realize we will never eliminate corruption btw.
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Phoenix32890
 
  1  
Reply Fri 26 Dec, 2003 01:40 pm
Quote:
I think Rush has a valid argument.
I think the D.A. has a valid argument.
Thats why we have judges.


dys- I think that you have said it all!

Quote:
This thread does point to a further advantage for a "National Health Plan", which, if it was in place would prevent all sorts of devices such as Doctor shopping.

Each citizen would have his/her own Health Card, such as we have in Canada. One touch of a button shows how many and to which health care service has been sought.


ronmac60 - Not even considering the other ramifications of a "National Health Plan", I think that having all your personal information in one place, is a good reason NOT to institute such a plan. Egads, your entire medical history would be an open book for every clerk with a computer. There goes your privacy, right down the toilet!
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