The Confrontation Clause and Forensic Autopsy Reports - A 'Testimonial

AuthorMarc D. Ginsberg
PositionAssistant Professor of Law, The John Marshall Law School (Chicago)
Pages117-171
The Confrontation Clause and Forensic Autopsy
Reports—A “Testimonial”
Marc D. Ginsberg
TABLE OF CONTENTS
I. Introduction ......................................................................119
II. Legal Issues Relating to the Forensic Autopsy Report ....122
A. Hearsay ....................................................................122
B. The Confrontation Clause ........................................126
1. Supreme Court Jurisprudence—Defining
“Testimonial” .....................................................126
a. Crawford v. Washington .............................127
b. Davis v. Washington ...................................129
c. Melendez-Diaz v. Massachusetts ................130
d. Michigan v. Bryant......................................131
e. Bullcoming v. New Mexico .........................131
f. Williams v. Illinois ......................................132
III. Post-Crawford Jurisprudence from the Circuit Courts of
Appeals ............................................................................135
A. First Circuit ..............................................................135
1. United States v. De La Cruz ...............................135
2. Nardi v. Pepe .....................................................137
B. Second Circuit ..........................................................139
1. United States v. Feliz .........................................139
2. United States v. Burden ......................................139
3. Vega v. Walsh .....................................................140
4. United States v. James .......................................141
Copyright 2013, by MARC D. GINSBERG.
Assistant Professor of Law, The John Marshall Law School (Chicago),
(9ginsberg@jmls. edu). B.A., Uni versity of Illino is-Chicago; M. A., Indiana
University; J.D., The John Marshall Law School (Chicago); LL.M. in Health Law,
DePaul University College of Law. The Author thanks Associate Dean Ralph
Ruebner for his suggestion that the opinion in People v. Leach, 980 N.E.2d 570
(Ill. 2012) was worthy of study and his encouragement in the preparation of this
paper. The Author thanks his wife, Janice Ginsberg, for her inspiration and
support. The Author also thanks his former research assistant, Laura Christie, and
his current research assistant, Rebecca Pierce, for their assistance in research,
proofreading, and citation checking.
118 LOUISIANA LAW REVIEW [Vol. 74
C. Sixth Circuit .............................................................143
D. Ninth Circuit ............................................................144
E. Tenth Circuit ............................................................144
F. Eleventh Circuit .......................................................145
G. District of Columbia Circuit ....................................147
IV. Post-Crawford Jurisprudence from the States .................148
A. States Holding Forensic Autopsy Reports
to be Testimonial ......................................................148
1. Massachusetts ....................................................148
2. Michigan ............................................................149
3. Missouri .............................................................150
4. New Mexico .......................................................151
a. State v. Jaramillo ...........................................151
b. State v. Navarette ...........................................152
5. North Carolina ...................................................152
6. Oklahoma ...........................................................153
7. Texas ..................................................................154
a. Martinez v. State .............................................154
b. Wood v. State .................................................154
8. West Virginia .....................................................155
B. States Holding Forensic Autopsy Reports
to be Non-Testimonial .............................................156
1. Arizona ...............................................................156
2. California ...........................................................157
3. Florida ................................................................158
4. Illinois ................................................................158
a. People v. Leach ...........................................158
b. People v. Cortez ..........................................160
c. People v. Brewer .........................................160
5. Louisiana ............................................................161
6. New Jersey .........................................................161
7. Ohio ....................................................................162
8. South Carolina ...................................................163
C. “Hybrid” Jurisdictions .............................................163
V. The Verdict—Forensic Autopsy Reports Are
Testimonial ......................................................................166
VI. Conclusion .......................................................................170
2013] TESTIMONIAL AUTOPSY REPORTS 119
I. INTRODUCTION
It bears mentioning that the blanket prohibition on the
admission of autopsy reports urged by defendant could result
in practical difficulties for murder prosecutions. If, for
example, the medical examiner who performed the autopsy
passes away before a perpetrator is apprehended and tried,
barring the use in evidence of the autopsy report could, in
some situations, effectively amount to a statute of limitations
on murder, where none otherwise exists.1
The forensic autopsy report is an important component of a
criminal homicide prosecution.2 The report, which is used to
memorialize the cause3 and manner of death4 under the auspices of a
coroner’s or medical examiner’s office,5 constitutes a significant
phase of a death investigation that is used “to (hopefully) convict the
guilty and exonerate the innocent.”6
1. People v. Hall, 923 N.Y.S.2d 428, 432 (N.Y. App. Div. 2011).
2. Medicolegal autopsies are conducted to determine the cause of death;
assist with the determination of the manner of death as natural, suicide, homicide,
or accident; collect medical evidence that may be useful for public health or the
courts; and devel op informatio n that may be useful for reconstructi ng how the
person received a fatal injury. NATL RESEARCH COUNCIL, STRENGTHENING
FORENSIC SCIENCE IN THE UNITED STATES: A PATH FORWARD 248 (2009).
The autopsy is a post-mortem medical examination for studying the
pathologic changes present and determining the cause of death. The
autopsy includes three kinds of examinations: an inspection of the
external body; an examination and dissection of the internal organs and
vital structures; and a microscopic examination of selected tissues.
Cheryl M. Reichert & Virginia L. Kelly, Prognosis for the Autopsy, HEALTH AFF.,
May 1985, at 82, 82.
3. “The cause of death is the trauma, disease, or combination of conditions
that terminated the person’s life.” ANDRE A. MOENSSENS, BETTY LAYNE
DESPORTES & CARL N. EDWARDS, SCIENTIFIC EVIDENCE IN CIVIL AND CRIMINAL
CASES § 14.09, at 666 (6th ed. 2013).
4. Manner of death may be characterized as “natural, accident, suicide,
homicide, and undetermined.” Id. § 14.10, at 666.
5. For an e xcellent description of the offices of the coroner and medical
examiner, includi ng their roles and history, see general ly Randy Hanzlick & Debr a
Combs, Medical Examiner and Coroner Systems, 279 JAMA 870 (1998); Randy
Hanzlick, Medical Examiners, Coroners, and Public Health: A Review and
Update, 130 ARCHIVES PATHOL OGY & LABORATORY MED. 1274 (2006); Randy
Hanzlick, The Conversion of Coroner Systems to Medical Examiner Systems in the
United States: A Lull in the Action, 28 AM. J. FORENSIC MED. & PATHOLOGY 279
(2007).
6. MOENSSENS ET. AL., supra note 3, § 14.03, at 654. See also Reichart &
Kelly, supra note 2, at 85 (“The correlation of autopsy findings with criminal
investigations is an invaluable asset for a just society. Forensic autopsy findings
frequently implicate the guilty and vindicate the innocent.”). To demonstrate the

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