Case Summary (G.R. No. 108854)
Facts
Edgar Krohn, Jr. and Ma. Paz Fernandez were married on 14 June 1964 and had three children. Marital relations deteriorated; Ma. Paz underwent psychological testing in 1971. The couple separated in fact in 1973. Edgar obtained a copy of the psychiatric report in 1975. The Tribunal Metropolitanum Matrimoniale relied on the report among other matters to render a decree nullifying the church marriage in 1978, confirmed in 1979. A conjugal partnership dissolution was granted in 1982. Edgar filed a civil annulment petition in the Regional Trial Court on 23 October 1990, alleging psychological incapacity and attaching the confidential psychiatric evaluation report. At a 1991 hearing Edgar attempted to testify to the report’s contents; Ma. Paz objected on physician-patient privilege grounds and filed a Manifestation and a Statement for the Record reiterating her denial of the grounds.
Procedural history
The trial court admitted the psychiatric report into evidence by order dated 4 June 1991, overruling the privilege objection and allowing Edgar to testify to the report’s contents. Motions for reconsideration were denied. The Court of Appeals dismissed Ma. Paz’s petition for certiorari on 30 October 1992 and denied reconsideration on 5 February 1993. The petition to the Supreme Court followed.
Issues presented
- Whether the physician-patient privilege under Section 24(c), Rule 130, bars a non-physician (the patient’s husband) from testifying to or introducing the contents of a confidential psychiatric report prepared by physicians.
- Whether the petitioner waived the privilege by prior conduct or by failing to timely object on other evidentiary grounds (e.g., hearsay).
- Whether the Statement for the Record filed by petitioner should be admitted or struck from the record.
Petitioner’s contentions
Petitioner argued that the physician-patient privilege should bar not only physicians from testifying but also third persons (here, the husband) from disclosing privileged communications or submitting confidential medical reports. She emphasized the policy reasons behind the privilege — to ensure full and confidential disclosure to physicians and to protect the patient from humiliation and breach of privacy — and asserted that indirect disclosure by a third party would subvert the rule’s purpose. She also maintained that her Statement for the Record merely reiterated her Answer and should not have been stricken.
Respondent’s contentions
Edgar argued the statutory privilege applies only to physicians and does not prohibit third persons from testifying about medical reports they possess. He further asserted that a husband may testify against his wife in a civil case between them, and that privileged communication may be waived. Edgar claimed petitioner had waived any privilege by consenting to use of the report before the Tribunal Metropolitanum Matrimoniale and by failing to specifically object in her Answer (where she described the report as “either unfounded or irrelevant”). He also contended that the Statement for the Record effectively amounted to an amendment requiring compliance with rules on pleadings.
Legal standard on physician-patient privilege (Lim)
The Court relied on Lim v. Court of Appeals to set requisites for invoking physician-patient privilege: (a) the privilege is claimed in a civil case; (b) the person against whom the privilege is claimed is a practitioner duly authorized to practice medicine, surgery, or obstetrics; (c) the information was acquired while attending to the patient in a professional capacity; (d) the information was necessary for the practitioner’s professional action; and (e) the information was confidential and, if disclosed, would blacken the patient’s reputation. These elements frame whether Section 24(c) operates to bar testimony.
Court’s analysis on applicability of the privilege to the husband’s testimony
Applying the Lim requisites, the Court found the privilege did not bar the husband’s testimony because the person against whom the privilege was claimed was not a physician but the patient’s husband. Section 24(c) disqualifies “a surgeon authorized to practice medicine, surgery or obstetrics” from testifying on matters learned in confidence; it does not by its terms disqualify third persons who acquired a report from testifying. Consequently, petitioner’s insistence that third-party testimony should be prohibited as an indirect circumvention of the privilege was rejected: the statutory prohibition does not extend to non-physicians, and testimony by a third party does not substitute for or have the same force as testimony by the physician who prepared the report.
Court’s ruling on waiver and evidentiary objections (hearsay)
The Court further held that petitioner’s counsel failed to timely raise a hearsay objection at trial. Counsel objected on the ground of privileged communication but did not object that Edgar’s testimony constituted hearsay. By failing to raise hearsay timely, counsel waived that objection and allowed admission of the evidence. The Court emphasized that counsel’s omission was fatal to that line of objection. The Court also noted petitioner’s prior c
...continue readingCase Syllabus (G.R. No. 108854)
Citation and Procedural Posture
- G.R. No. 108854; 303 Phil. 155; First Division; Decision promulgated June 14, 1994; Decision penned by Justice Bellosillo.
- Petition for review on certiorari from the Decision of the Court of Appeals dated October 30, 1992 (dismissal of petition for certiorari); motion for reconsideration denied February 5, 1993.
- Trial court: Regional Trial Court of Makati, Branch 144, Judge Candido P. Villanueva, presiding; underlying action: petition for annulment of marriage filed by Edgar Krohn, Jr. on October 23, 1990 (Civil Case No. 90-2906).
- Relief sought in this Supreme Court petition: injunction against presentation and disclosure of the contents of a Confidential Psychiatric Evaluation Report and admission of petitioner’s Statement for the Record into the case record.
Parties and Roles
- Petitioner: Ma. Paz Fernandez Krohn — wife, subject of the psychiatric evaluation report, respondent in the annulment proceeding below.
- Private respondent: Edgar Krohn, Jr. — husband, petitioner in the annulment action, who attempted to present and testify to the contents of the Confidential Psychiatric Evaluation Report.
- Respondent Court below: Court of Appeals — denied petition for certiorari contesting trial court’s admission of the psychiatric report and striking of petitioner’s Statement for the Record.
Factual Background
- Marriage: Edgar Krohn, Jr. and Ma. Paz Fernandez were married on 14 June 1964 at the Saint Vincent de Paul Church in San Marcelino, Manila.
- Issue: The marriage produced three children: Edgar Johannes, Karl Wilhelm and Alexandra.
- Marital breakdown: Relationship became stormy; psychological testing of Ma. Paz took place in 1971 in an attempt to ease marital strain; separation in fact occurred in 1973.
- Acquisition of report and ecclesiastical proceeding: In 1975 Edgar obtained a copy of a confidential psychiatric report prepared and signed by Drs. Cornelio Banaag, Jr., and Baltazar Reyes. On 2 November 1978, presenting that report among others, Edgar obtained a decree ("Conclusion") from the Tribunal Metropolitanum Matrimoniale in Manila nullifying the church marriage on the ground of "incapacitas assumendi onera conjugalia due to lack of due discretion existent at the time of the wedding and thereafter." That decree was confirmed and pronounced "Final and Definite" on 10 July 1979.
- Civil family law proceedings: On 30 July 1982, the Court of First Instance (now Regional Trial Court) of Pasig, Branch II, issued an order granting the voluntary dissolution of the conjugal partnership.
- Annulment petition in civil court: Edgar filed for annulment of marriage in the civil trial court on 23 October 1990, relying among other things on the Confidential Psychiatric Evaluation Report.
- Petitioner’s initial pleading: Ma. Paz, in her Answer to Civil Case No. 90-2906, merely denied the psychiatric report as "either unfounded or irrelevant."
Trial Court Proceedings and Orders
- Hearing (8 May 1991): Edgar took the witness stand and attempted to testify to the contents of the Confidential Psychiatric Evaluation Report. Ma. Paz objected on the ground of privileged communication between physician and patient.
- Manifestation and Statement: Petitioner filed a Manifestation expressing a "continuing objection" to any evidence (oral or documentary) that would violate physician-patient privileged communication, and submitted a Statement for the Record asserting inter alia that "there is no factual or legal basis whatsoever for petitioner (Edgar) to claim psychological incapacity to annul their marriage, such ground being completely false, fabricated and merely an afterthought." Petitioner authorized counsel to oppose the suit and pursue a counterclaim even during her absence (she subsequently left for Spain).
- Opposition and motions by private respondent: On 29 May 1991 Edgar opposed Ma. Paz’s motion to disallow the confidential psychiatric report and moved to strike out her Statement for the Record.
- Trial court order (4 June 1991): The trial court admitted the Confidential Psychiatric Evaluation Report and overruled petitioner’s objection, reasoning in part:
- "the very issue in this case is whether or not the respondent had been suffering from psychological incapacity;"
- the respondent did not object to the psychiatric report when it was referred to in the complaint, raising only irrelevancy;
- "in the interest of justice and for the purpose of determining whether the respondent as alleged in the petition was suffering from psychological incapacity, the said psychiatric report is very material and may be testified to by petitioner (Edgar Krohn, Jr.) without prejudice on the part of the respondent to dispute the said report or to cross-examine first the petitioner and later the psychiatrist who prepared the same if the latter will be presented."
- Subsequent trial court interlocutory actions: On 27 November 1991 the trial court denied a Motion to Reconsider the June 4 order and directed that Ma. Paz’s Statement for the Record be stricken from the record; a further motion for reconsideration was likewise denied.
Proceedings in the Court of Appeals
- Petition for certiorari filed by petitioner contesting trial court orders.
- Court of Appeals Decision promulgated 30 October 1992, dismissing the petition for certiorari. Decision penned by Associate Justice Salome A. Montoya, concurred in by Associate Justices Vicente V. Mendoza (Chairman) and Quirino D. Abad Santos (Special Third Division).
- Motion for reconsideration before the Court of Appeals denied on 5 February 1993.