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Medical confidence and the law.


 The Professional Conduct Committee of Britain's General Medical Council recently encountered two cases of gross breaches of confidentiality by physicians ignorant of their legal and ethical obligations. Practitioners should be aware that disclosure without patient consent is mandated only by a court order, not by a request from a solicitor. If faced with a court order, a practitioner must decide whether to comply. The British Medical Association's Handbook of Medical Ethics states: "A decision to refuse, while illegal, is not necessarily unethical."
