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In English law, a medical opinion depends upon obtaining the court's permission: The Civil Procedure Rules, 1998-32.4 Court's power to restrict expert evidence (1) No party may call an expert witness or put in evidence an expert's report without the court's permission. (2) The court may give permission on or without an application. (3) The court may direct... American law requires that a scientific theory be proven by means of an expert opinion on the matter at hand: "If scientific, technical or other specialized knowledge will assist the trier of fact to understand the evidence or to determine a fact in issue, a witness qualified as an expert by knowledge, skill, experience, training or education, may testify thereto in the form of an opinion or otherwise, if (1) the testimony is based upon sufficient facts or data, (2) the testimony is the product of reliable principles and methods, and (3) the witness has applied the principles and methods reliably to the facts of the case.
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