State Of Iowa Vs. Rodney Neil Heemstra ( 2006 )


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  •                IN THE SUPREME COURT OF IOWA
    No. 18 / 04-0058
    Filed August 25, 2006
    STATE OF IOWA,
    Appellee,
    vs.
    RODNEY NEIL HEEMSTRA,
    Appellant.
    Appeal from the Iowa District Court for Warren County, William H.
    Joy, Judge.
    Defendant appeals from conviction of first-degree murder under Iowa
    Code sections 707.1 and 707.2 (2001). REVERSED AND REMANDED.
    Paul Rosenberg of Paul Rosenberg & Associates, P.C., Des Moines, for
    appellant.
    Thomas J. Miller, Attorney General, Darrel L. Mullins and Douglas D.
    Hammerand, Assistant Attorneys General, and Gary Kendell, County
    Attorney, for appellee.
    2
    LARSON, Justice.
    Rodney Heemstra was convicted by a jury of first-degree murder
    under Iowa Code sections 707.1 and 707.2 (2001).                He appealed,
    challenging the district court’s instructions to the jury, its refusal to order
    production of medical records, and its denial of his motion for new trial. We
    reverse and remand.
    I. Facts and Prior Proceedings.
    Rodney Heemstra and Tom Lyon were farmers in Warren County,
    Iowa. Since 1998 Lyon had rented a portion of land belonging to a Rodgers
    family. In July 2002 Heemstra purchased the land with a closing date set
    for March 10, 2003. As the renter in possession, Lyon was legally entitled
    to remain on the Rodgers farm until March 1, 2003.            After Heemstra
    purchased the land, relations between Lyon and Heemstra became strained
    over who would have possession of it pending transfer of title. Lyon had
    hoped to purchase the farm, and he was upset that Heemstra bought it.
    Heemstra testified to incidents in which Lyon would swear at him and make
    threats. He also presented evidence of Lyon’s temper, including a scuffle
    between Lyon and another person and heated statements by Lyon regarding
    the sale of the farm. On one occasion, Lyon was upset that waterers used
    by his cows on the land had been switched off, presumably by Heemstra.
    One time, Lyon asked a deputy sheriff, “what happens if I beat the little son-
    of-a-bitch up?” One witness testified that he heard Lyon say to himself that
    he ought to shoot some unidentified person. Another witness testified that
    he had been assaulted by Lyon in 1998 over a grain bin disagreement.
    Other witnesses had a different view of Lyon, testifying that they did not
    consider him to be a violent person.
    On January 13, 2003, Heemstra and Lyon, both driving pickups, were
    traveling in the same direction on a county road near Lyon’s home.
    3
    According to Heemstra, he was driving behind Lyon, who stopped his truck
    and angled it to block the road. Both men left their trucks. Heemstra
    testified that Lyon was hostile, contorted with rage, saying he was going to
    make “goddamn sure that I did not end up with that farm.” Heemstra,
    feeling threatened, retrieved a rifle from his truck “to neutralize [the]
    situation,” according to him. Heemstra testified that, as he was getting the
    gun, Lyon shouted obscenities at him, saying “[I didn’t] have the balls to
    pull the trigger, and he lunged at me, and I shot him.” Lyon’s body was
    later recovered in a cistern located on land farmed by Heemstra about a
    quarter of a mile from Lyon’s abandoned truck. Lyon had sustained a
    single gunshot to the head, as well as other injuries resulting from being
    dragged behind Heemstra’s truck to the cistern. The medical examiner
    could not determine whether these injuries occurred before or after Lyon
    died.
    The following day, officers went to Heemstra’s home. They had heard
    that Lyon and Heemstra had been having problems and that a truck similar
    to Heemstra’s was seen in the area where Lyon’s truck was found. When
    questioned, Heemstra initially denied knowledge of any harm to Lyon and
    said he had not seen him for several days. Heemstra consented to the
    officers searching his truck, where they found what they thought were blood
    and hair. Heemstra then admitted he had been present at Lyon’s death and
    finally confessed to shooting him. When he was asked by the officers
    whether Lyon had anything in his hands, Heemstra said, “no, I shot a
    defenseless man.” Heemstra took officers to a field where he had thrown
    the murder weapon, and after recovery of the weapon, he was arrested.
    At trial, Heemstra claimed self-defense. He introduced evidence that
    Lyon had talked about harming or killing Heemstra and that Lyon could be
    a violent person. Evidence was also presented that suggested Lyon may
    4
    have had mental health problems. In the year before his death, he had
    consulted with Dr. Barbara Ohnemus and Dr. Sandra Duncan concerning
    his anxiety and depression.      Heemstra’s attorney attempted to obtain
    records of these consultations, hoping to bolster his self-defense theory, but
    was unsuccessful.
    II. The Issues.
    On Heemstra’s appeal, he complains that the trial court erred in (1)
    instructing the jury on felony murder, (2) quashing his request to obtain the
    victim’s medical records, and (3) denying his motion for new trial based on
    alleged jury misconduct. He also alleges ineffective assistance of counsel by
    failing to file a motion to suppress Heemstra’s statement to officers and
    failing to make a timely request for Lyon’s medical records.
    III. The Statutes.
    Under Iowa Code section 707.2:
    A person commits murder in the first degree when the person
    commits murder under any of the following circumstances:
    1. The person willfully, deliberately,           and   with
    premeditation kills another person.
    2. The person kills another person while participating in
    a forcible felony.
    A “forcible felony” is defined by section 702.11 as “any felonious child
    endangerment, assault, murder, sexual abuse, kidnapping, robbery, arson
    in the first degree, or burglary in the first degree.” The combination of
    sections 707.2(2) and 702.11 constitute what is commonly known as the
    “felony murder” rule.
    IV. The Court’s Instructions.
    The district court instructed on both alternatives for first-degree
    murder:    willful, deliberate, and premeditated murder under section
    5
    707.2(1) and felony murder under section 707.2(2).           The marshaling
    instruction on first-degree murder advised the jury:
    The State must prove all of the following elements of
    Murder in the First Degree:
    1. On or about the 13th day of January, 2003, the
    defendant shot Tommy Ray Lyon.
    2. Tommy Ray Lyon died as a result of being shot.
    3. The defendant acted with malice aforethought.
    4. Either
    a. The defendant was participating in Willful Injury
    as defined in Instruction No. 26 [felony murder], or
    b. The defendant acted willfully, deliberately,
    premeditatedly, and with specific intent to kill Tommy Ray
    Lyon.
    5. The defendant was not justified.
    (Emphasis added.)
    “Willful injury,” as referred to in the felony-murder instruction, is
    defined by Iowa Code section 708.4:
    Any person who does an act which is not justified and
    which is intended to cause serious injury to another commits
    the following:
    1. A class “C” felony, if the person causes serious injury
    to another.
    2. A class “D” felony, if the person causes bodily injury
    to another.
    The court’s explanation of willful injury, found in Instruction No. 26, stated:
    The offense of Willful Injury contains the following four
    elements:
    1. On or about the 13th day of January, 2003, the
    defendant intentionally pointed a firearm at Tommy Ray Lyon or
    displayed a dangerous weapon in a threatening manner.
    2. The defendant specifically intended to cause a serious
    injury to Tommy Ray Lyon.
    6
    3. Tommy Ray Lyon sustained a serious injury.
    4. The defendant did not act with justification.
    (Emphasis added.)
    The State argues that the pointing of the gun or displaying it in a
    dangerous manner constituted willful injury. There is no dispute that
    Heemstra pointed the gun at Lyon and did so intentionally; he admits that.
    He argues, however, that the act of “point[ing] a firearm . . . or display[ing] a
    dangerous weapon in a threatening manner” does not fit the statutory
    definition of willful injury and cannot provide the basis for felony murder.
    In fact, Instruction No. 26 does not describe a felony at all, according to
    him, but an aggravated misdemeanor under Iowa Code section 708.1(3) (A
    person commits misdemeanor assault when he “[i]ntentionally points any
    firearm toward another, or displays in a threatening manner any dangerous
    weapon toward another.”).
    V. The Defendant’s Challenge to the Instructions.
    A. Standard of review. We review challenges to jury instructions for
    correction of errors at law. State v. Breitbach, 
    488 N.W.2d 444
    , 449 (Iowa
    1992). To the extent that error is based on constitutional grounds, our
    review is de novo. State v. Ortiz, 
    618 N.W.2d 556
    , 558-59 (Iowa 2000).
    B. Preservation of error. On appeal Heemstra claims that, if the jury
    found he had committed willful injury, it would be permitted to find first-
    degree murder under the felony-murder instruction without finding the
    elements of deliberation, premeditation, and specific intent to kill.         He
    further argues that, while forcible felonies may infer such elements under
    the felony-murder rule, that was not the case here because the act specified
    in the court’s felony-murder instruction was not a forcible felony, as defined
    by section 702.11.
    7
    The State counters that Heemstra failed to preserve error on his
    argument that pointing a gun at a person cannot be considered willful
    injury under the felony-murder instruction.         Heemstra’s trial counsel
    objected to the instruction by stating:
    By submitting willful injury as the predicate felony, it plainly
    permits the jury to find the defendant guilty of murder in the
    first degree without proof of deliberation, premeditation and
    specific intent to kill, and additionally, by permitting the jury to
    infer malice from the commission of the offense of willful injury
    permits the jury to find the defendant guilty of first-degree
    murder without proof of malice.
    We believe this objection was sufficient to alert the court to the
    problem inherent in the felony-murder instruction, i.e., if the jury found
    Heemstra pointed the gun at Lyon intending to cause serious injury and
    that serious injury resulted, it could find felony murder, despite the fact
    that the gun pointing was not a forcible felony for purposes of felony murder
    and without proof of willfulness, deliberation, and premeditation.
    The State argues that, even if the willful injury under Instruction No.
    26 “embrace[d] both misdemeanor and felonious assault, the error is
    harmless. Heemstra has always acknowledged he shot Lyon.” We disagree
    with the conclusion that any confusion was harmless. While Heemstra
    admits he shot Lyon, he does not admit he shot him willfully, deliberately,
    and with premeditation as required to constitute first-degree murder under
    section 707.2(1). Further, Heemstra does not admit he shot Lyon while
    participating in a forcible felony under section 707.2(2) for felony-murder
    purposes.
    C. Comparison of murder alternatives. First-degree murder under
    Iowa Code section 707.2(1) requires proof that the murder was committed
    “willfully, deliberately, and with premeditation.” In contrast, first-degree
    murder based on the felony-murder rule under section 707.2(2) does not
    8
    require proof of any of these elements; they are presumed to exist if the
    State proves participation in the underlying forcible felony. See State v.
    Williams, 
    285 N.W.2d 248
    , 270 (Iowa 1979) (“[A] showing that the murder
    occurred in the perpetration of a felony is merely a particular statutorily
    prescribed method for showing the mental elements of deliberation and
    premeditation.”).
    The rationale of the felony-murder rule is that certain crimes are so
    inherently dangerous that proof of participating in these crimes may obviate
    the need for showing all of the elements normally required for first-degree
    murder. This reduced quantum of proof in establishing first-degree murder
    has caused the felony-murder doctrine to be called “[o]ne of the most
    controversial doctrines in the field of criminal law . . . .” Erwin S. Barbre,
    Annotation, What Felonies Are Inherently or Foreseeably Dangerous to
    Human Life for Purposes of Felony-Murder Doctrine, 
    50 A.L.R. 3d 397
    , 399
    (1973). The California Supreme Court has observed that:
    The felony-murder rule has been criticized on the
    grounds that in almost all cases in which it is applied it is
    unnecessary and that it erodes the relation between criminal
    liability and moral culpability. Although it is the law in this
    state, it should not be extended beyond any rational function
    that it is designed to serve.
    People v. Washington, 
    402 P.2d 130
    , 134 (Cal. 1965) (citations omitted).
    Because violence is the sine qua non of felony murder under Iowa’s statute,
    as well as at common law, the felony-murder statute limits itself to felonies
    involving violence.
    Even if the acts of the defendant were considered to be willful injury,
    as the State argues, the question remains whether willful injury may be
    considered a predicate for felony murder under the facts of this case. A
    long line of Iowa cases have answered that question in the affirmative, but
    we believe we must revisit the issue and reach a contrary conclusion.
    9
    Beginning with State v. Beeman, 
    315 N.W.2d 770
    (Iowa 1982), we
    have held that willful injury could serve as the predicate felony for felony
    murder because willful injury is, by statute, a “forcible felony.” 
    Id. at 776-
    77. We discussed that theory further in State v. Ragland, 
    420 N.W.2d 791
    ,
    793 (Iowa 1988):
    Murder is committed when “a person kills another
    person with malice aforethought.” Iowa Code § 707.1. A
    murder becomes first-degree murder when it is committed
    under any of four sets of circumstances. 
    Id. § 707.2.
    Pertinent
    to this case, a murder is in the first degree when committed
    “while participating in a forcible felony.” 
    Id. § 707.2(2).
    There
    is no suggestion in our statutes that “forcible felony” was not
    intended to include the crime of willful injury.
    One writer, critical of the Beeman line of cases, has observed:
    The result of [Beeman] continued since the court’s
    decision in 1982 with mixed reviews. The use of willful injury
    as a basis for a felony murder charge relieves the State of its
    obligation to prove the murder was premeditated, deliberated,
    and specific intent was formed to kill. However, the other
    felonies must be committed independently. A murder in the
    first degree under the theory of premeditation, deliberation,
    and specific intent to kill cannot be committed without also
    committing the offense of willful injury. Because malice may
    be permissibly inferred from the underlying felony . . .
    conviction of murder in the first degree becomes a virtual
    certainty. Other jurisdictions have not followed the approach
    adopted by the Iowa Supreme Court in Beeman.
    ....
    The legislature can, unintentionally, expand the felony
    murder doctrine by creating new criminal statutes that are
    felonious assaults. An example is a recent amendment to the
    assault chapter of the Iowa Code [(Iowa Code section 702.11(2),
    which provided that less serious, class “D,” versions of willful
    injury would not be considered as forcible felonies)].
    Had the legislature not classified the amendment as a
    non-forcible felony and the courts applied the Beeman
    analysis, an assault resulting in a death would be classified
    murder in the first degree. Death is obviously a bodily injury.
    Premeditation, deliberation and specific intent to kill are not
    elements. Since assault is a general intent crime, no specific
    intent demonstrating an evil purpose is required. Coupled with
    an instruction that malice may be inferred from the
    commission of an assault, the application of Beeman creates
    10
    an ever expanding felony murder rule. It is doubtful the
    legislature ever intended such a result, and one must question
    the court’s reasoning in Beeman.
    4 Robert R. Rigg, Iowa Practice Criminal Law (I) § 3:16, at ___ (2006)
    (footnotes omitted).
    A law review note poses several scenarios that, in the absence of
    sound prosecutorial discretion, could test the outer constitutional
    parameters of our felony-murder law under the Beeman line of cases:
    A woman strikes her friend intending to cause serious
    injury, but death results instead. A father leaves his young
    child alone at home knowing that the child may be at risk, and
    the child accidentally dies. Can the criminal justice system
    treat these crimes the same as willful, deliberate, and
    premeditated murders? In Iowa, the answer may be yes.
    These individuals could be guilty of first degree felony murder
    and face life imprisonment without possibility of parole.
    Kristy L. Albrecht, Iowa’s Felony-Murder Statute:                  Eroding Malice and
    Rejecting the Merger Doctrine, 
    79 Iowa L
    . Rev. 941, 941 (1994) (footnotes
    omitted). 1
    Ordinarily in felony murder based on assault, the assault causing
    death is considered to be merged into the murder and cannot be used as an
    independent felony for felony-murder purposes.                       As stated by the
    Massachusetts Supreme Court,
    in felony-murder the conduct which constitutes the felony
    must be “separate from the acts of personal violence which
    constitute a necessary part of the homicide itself. Thus,
    although rape, arson, robbery and burglary are sufficiently
    independent of the homicide, . . . aggravated battery toward the
    deceased will not do for felony murder . . . .”
    Commw. v. Quigley, 
    462 N.E.2d 92
    , 95 (Mass. 1984) (quoting Wayne R.
    LaFave & Austin W. Scott, Jr., Criminal Law § 71, at 559 (1972)).
    1These    results are possible because the woman’s striking of her friend could
    constitute willful injury under Iowa Code section 708.4, and the negligent father could be
    found guilty of child endangerment under Iowa Code section 726.6. Both crimes could
    qualify as forcible felonies under section 702.11 and, therefore, serve as predicate offenses
    for felony-murder purposes.
    11
    This principle is illustrated by an interesting Massachusetts case,
    Commonwealth v. Kilburn, 
    780 N.E.2d 1237
    (Mass. 2003). In that case, the
    defendant committed two assaults with a weapon: the first was committed
    by brandishing the gun in the face of the victim and, at a later time, by
    actually shooting and killing the victim. The court held the second assault,
    the one that caused the victim’s death, could not be considered a predicate
    felony because it was merged into the murder itself. The first assault did
    constitute a basis for felony murder. The rationale was that,
    [a]bsent this requirement, the assault that precedes every
    killing would serve as the predicate for felony-murder in the
    first degree, and the distinction between degrees of murder
    would be lost.
    
    Kilburn, 780 N.E.2d at 1240
    .
    The court in Kilburn said:
    While the act of shooting [the victim] clearly caused the
    homicide in this case, the gunman’s brandishing of a pistol
    with the intention of arousing fear in [the victim] did not. [The
    victim] died of a gunshot wound; he did not die of fright.
    Applying the causation test for merger . . ., we conclude that,
    while the second of the two assaults on [the victim] merged
    with the murder, the first did not.
    
    Id. at 1241.
    Similarly, in Commonwealth v. Gunter, 
    692 N.E.2d 515
    (Mass.
    1998), assaults by the defendant against other occupants of an apartment
    were independent felonies that could support felony murder, but the assault
    against the occupant who was killed could not because it was not an
    independent felony. 
    Gunter, 692 N.E.2d at 526
    .
    The California Supreme Court reversed a felony-murder conviction
    under facts similar to the present case in People v. Ireland, 
    450 P.2d 580
    (Cal. 1969). In that case, the State attempted to use the act causing the
    death to establish the predicate felony. The court stated:
    We have concluded that the utilization of the felony-
    murder rule in circumstances such as those before us extends
    12
    the operation of that rule “beyond any rational function that it
    is designed to serve.” To allow such use of the felony-murder
    rule would effectively preclude the jury from considering the
    issue of malice aforethought in all cases wherein homicide has
    been committed as a result of a felonious assault—a category
    which includes the great majority of all homicides. This kind of
    bootstrapping finds support neither in logic nor in law.
    
    Ireland, 450 P.2d at 590
    (quoting People v. Washington, 
    402 P.2d 130
    , 134
    (Cal. 1965)). According to the Oregon court,
    [i]n order to preserve the distinctions between the degrees of
    murder and manslaughter, courts in other states have held
    that where the only felony committed (apart from the murder
    itself) was the assault upon the victim which resulted in the
    death of the victim, the assault merged with the killing and
    could not be relied upon by the state as an ingredient of a
    “felony murder.”
    State v. Branch, 
    415 P.2d 766
    , 767 (Or. 1966).
    VI. Analysis of the Iowa Rule.
    We explained the rationale for our view of willful injury in felony-
    murder cases in Beeman:
    Section 707.1, The Code, provides: “A person who kills another
    person with malice aforethought either express or implied
    commits murder.” Section 707.2(2) provides: “A person
    commits murder in the first degree when he or she commits
    murder under any of the following circumstances: . . . The
    person kills another person while participating in a forcible
    felony.” “Forcible felony” is defined as “any felonious assault,
    murder, sexual abuse, kidnapping, robbery, arson in the first
    degree, or burglary in the first degree.” § 702.11. Willful injury
    is a felonious assault, section 708.4, and thus, like sexual
    abuse, may serve as the underlying felony in a felony-murder
    
    instruction. 315 N.W.2d at 775
    . Briefly stated, felony murder may be based on the
    commission of a forcible felony under Iowa Code section 707.2(2), and
    willful injury is a forcible felony under Iowa Code section 702.11, as it
    constitutes a “felonious assault” under Iowa Code section 708.4. Because a
    forcible felony may be the basis of murder under section 707.2(2), the
    Beeman court reasoned that willful injury qualifies as a predicate offense.
    13
    On further reflection, we adhere to the view that willful injury is a
    forcible felony under Iowa Code section 702.11 and, in some circumstances,
    may serve as a predicate for felony-murder purposes. For example, if the
    defendant assaulted the victim twice, first without killing him and second
    with fatal results, the former could be considered as a predicate felony, but
    the second could not because it would be merged with the murder. See
    
    Kilburn, 780 N.E.2d at 1243
    . Otherwise, all assaults that immediately
    precede a killing would bootstrap the killing into first-degree murder, and
    all distinctions between first-degree and second-degree murder would be
    eliminated.
    It is argued in this case that,
    [a]lthough the reasoning of those courts and
    commentators that reject the use of felonious assaults as
    crimes for which felony murder may be established is based on
    sound policy considerations, those considerations have been
    rejected by [the Iowa] legislature. As a result, this court is not
    free to invoke those considerations no matter how valid we find
    them to be.
    This is simply not true. The legislature has never considered the issue of
    whether, when the act causing willful injury is the same as that causing
    death, the two acts should be deemed merged.
    In a similar case from New York, People v. Moran, 
    158 N.E. 35
    (1927),
    the defendant was charged with felony murder based on his felonious
    assault on the victim. The court, writing through Chief Judge Cardozo,
    described the New York statute:
    Homicide is murder in the first degree when perpetrated with a
    deliberate and premeditated design to kill, or, without such
    design, while engaged in the commission of a felony.
    
    Moran, 158 N.E. at 36
    . In Moran the defendant had been convicted on the
    basis that he had committed a felonious assault; however, the court
    reversed, stating:
    14
    [I]t is not enough to show that the homicide was felonious, or
    that there was a felonious assault which culminated in
    homicide. Such a holding would mean that every homicide,
    not justifiable or excusable, would occur in the commission of
    a felony, with the result that intent to kill and deliberation and
    premeditation would never be essential. The felony that
    eliminates the quality of the intent must be one that is
    independent of the homicide and of the assault merged therein,
    as, e.g., robbery or larceny or burglary or rape.
    
    Id. Although the
    State argues that merger principles should not apply to
    these facts, nothing in any of the statutes relied upon to support that
    argument suggests that the legislature had any intent to abolish the
    principle of merger under the circumstances of this case. Furthermore, we
    should not defer to the legislature for a signal for us to adopt a legal
    principle that is the responsibility of the court and within the power of the
    court to apply, based on legal precedent, common sense, and fairness.
    We now hold that, if the act causing willful injury is the same act that
    causes the victim’s death, the former is merged into the murder and
    therefore cannot serve as the predicate felony for felony-murder purposes.
    In reaching this conclusion, we agree that we should not attribute to the
    legislature an intent to “create[] an ever-expanding felony murder rule” by
    characterizing every willful injury as a forcible felony for felony-murder
    purposes. See Rigg § 3:16, at ___. We realize that this view is inconsistent
    with our prior cases, including Beeman and its progeny. We therefore
    overrule those cases, insofar as they hold that the act constituting willful
    injury and also causing the victim’s death may serve as a predicate felony
    for felony-murder purposes. Those cases include 
    Beeman, 315 N.W.2d at 777
    . We also overrule the cases that followed it: State v. Anderson, 
    517 N.W.2d 208
    , 214 (Iowa 1994); State v. Rhomberg, 
    516 N.W.2d 803
    , 805
    (Iowa 1994); 
    Ragland, 420 N.W.2d at 793
    ; and State v. Mayberry, 
    411 N.W.2d 677
    , 682-83 (Iowa 1987).
    15
    The rule of law announced in this case regarding the use of willful
    injury as a predicate felony for felony-murder purposes shall be applicable
    only to the present case and those cases not finally resolved on direct
    appeal in which the issue has been raised in the district court.
    VII. The Prejudice Issue.
    When a general verdict does not reveal the basis for a guilty verdict,
    reversal is required. State v. Martens, 
    569 N.W.2d 482
    , 485 (Iowa 1997)
    (“[T]he validity of a verdict based on facts legally supporting one theory for
    conviction of a defendant does not negate the possibility of a wrongful
    conviction of a defendant under a theory containing legal error.”); State v.
    Hogrefe, 
    557 N.W.2d 871
    , 881 (Iowa 1996) (“With a general verdict of guilty,
    we have no way of determining which theory the jury accepted.”).
    Because we have no indication as to which basis of guilt the jury
    accepted, we must reverse and remand for a new trial.
    VIII. The Medical Privilege Issue.
    On retrial an additional issue is certain to be raised—whether the
    defense is entitled to obtain the medical records of the deceased victim.
    Prior to trial, Heemstra obtained a subpoena duces tecum for Lyon’s medical
    records to bolster his self-defense claim based on possible threats by the
    victim. Dr. Duncan and the victim’s estate moved to quash the subpoenas,
    and Heemstra resisted.      These records were provided to the court in
    response to the subpoena. The court did not reveal the records to the
    defendant or the State, but it did review them in camera for two limited
    purposes: (1) to determine if any direct threats were made by the victim
    regarding Heemstra and (2) to determine if statements made by the victim
    revealed the existence of potential witnesses who may shed light on Lyon’s
    relationship with Heemstra. After the court reviewed the records, it found
    they contained no evidence concerning the two areas that the court had
    16
    identified. The defendant’s attorney asked the court to expand the scope of
    its in camera review, stating:
    I think that the defendant’s due process rights and his
    Sixth Amendment rights to confront his accusers and to
    compel the production of information that would be relevant
    and helpful to his defense, is broader than those two areas and
    we can, of course, only trust the court to be sensitive to those
    due process and Sixth Amendment rights to compulsory
    process and to confront his accusers.
    The court denied Heemstra’s request for disclosure and ordered the records
    to be sealed.
    Iowa Code section 622.10(1) provides:
    A practicing attorney, counselor, physician, surgeon, . . .
    mental health professional, . . . who obtains information by
    reason of the person’s employment, or a member of the clergy
    shall not be allowed, in giving testimony, to disclose any
    confidential communication properly entrusted to the person in
    the person’s professional capacity, and necessary and proper to
    enable the person to discharge the functions of the person’s
    office according to the usual course of practice or discipline.
    A statute dealing specifically with mental health professionals,
    including psychologists, provides:
    Except as specifically authorized in [provisions not applicable
    here], a mental health professional, data collector, or employee
    or agent of a mental health professional, of a data collector, or
    of or for a mental health facility shall not disclose or permit the
    disclosure of mental health information.
    Iowa Code § 228.2(1). This section is broader than the general privilege
    statute, Iowa Code § 622.10, because it is not limited to “testimony” by the
    psychologist.
    Heemstra contends that Lyon’s medical records will show that Lyon
    had character traits of “unmanageable anger, aggression and violence and
    that he sought and received medical treatment for those problems within
    months of his death.” He argues that he should be entitled to receive these
    records on three grounds: (1) the records are essential to his ability to
    17
    receive effective assistance of counsel and due process, (2) the statutory
    provisions of Iowa Code sections 228.2 and 622.10 do not expressly prohibit
    their disclosure, and (3) the disclosure of the medical records by the victim’s
    estate in its wrongful death suit against Heemstra constitutes a waiver of
    any claim of confidentiality. We first address the waiver issue.
    IX. The Waiver Issue.
    Heemstra argues that, even if the evidence he seeks is protected by
    the psychotherapist-patient privilege, the privilege was waived by the
    victim’s estate by filing a wrongful-death claim against Heemstra. In the
    civil case, Tom Lyon’s medical records were furnished to Heemstra’s civil
    attorney under a protective order that prohibited the attorney from
    furnishing the records to Heemstra or Heemstra’s criminal defense lawyer.
    In this appeal, Heemstra argues that the Lyon estate’s authorization
    for release of the psychotherapists’ records “constitutes at least a partial
    waiver of any claim of confidentiality” in the criminal case. We reject this
    argument. We believe a right as valuable as a psychotherapist privilege
    should not be deemed to be waived by implication except under the clearest
    of circumstances. In any event, waiver in one proceeding is not a valid
    waiver in another, even if we were to accept Heemstra’s invitation to take
    judicial notice of the civil file. See United States v. Goodman, 
    289 F.2d 256
    ,
    259 (4th Cir.), vacated and remanded on other grounds, 
    368 U.S. 14
    , 
    82 S. Ct. 127
    , 
    7 L. Ed. 2d 75
    (1961); 8 Wigmore on Evidence § 2276, at 470-72
    (McNaughton rev. 1961). We conclude that Lyon’s estate did not waive the
    psychotherapist-patient privilege for purposes of the present case.
    X. Scope of the Privilege.
    The wording of section 622.10 appears to limit the privilege to
    testimony. See In re Marriage of Hutchinson, 
    588 N.W.2d 442
    , 446 (Iowa
    1999).
    18
    [T]he section 622.10 privilege includes declarations by a
    witness in court or in a deposition. On the other hand, the
    privilege does not prohibit a physician in a nontestimonial
    setting from disclosing any confidential communications. Only
    the physician’s ethical obligation prohibits the physician from
    making the disclosure without the patient’s consent.
    
    Id. (citations omitted);
    see also McMaster v. Iowa Bd. of Psychology Exam’rs,
    
    509 N.W.2d 754
    , 757 (Iowa 1993) (privilege limited to disclosure of
    communications by giving testimony); Roosevelt Hotel Ltd. P’ship v.
    Sweeney, 
    394 N.W.2d 353
    , 355 (Iowa 1986) (“Section 622.10 applies only to
    the testimonial use of privileged information . . . because it comes into play
    ‘in giving testimony.’ ”); Chidester v. Needles, 
    353 N.W.2d 849
    , 852 (Iowa
    1984) (subpoena does not require disclosure of privileged communications
    because it does not involve the giving of testimony). However, recent cases
    show a more expansive view of the medical privilege under section 622.10.
    For example, we have held that “[t]he privilege extends to medical records
    that contain information which would be inadmissible at trial as oral
    testimony from the physician.” State v. Eldrenkamp, 
    541 N.W.2d 877
    , 881
    (Iowa 1995); see also State v. Demaray, 
    704 N.W.2d 60
    , 64-65 (Iowa 2005)
    (stating that medical records containing the results of Demaray’s blood test
    were covered by the physician/patient privilege).         This more liberal
    interpretation of section 622.10 is logical because the privilege would be
    virtually meaningless if it prohibited testimony but did not protect the very
    records upon which such testimony would be based.
    Our procedural rules and cases applying section 622.10 have shown
    great solicitude for the physician-patient privilege.    Under rule of civil
    procedure   1.503(1),   privileged   information   is   generally   not   even
    discoverable. In addition, we have said that the
    physician-patient privilege is intended to promote free and full
    communication between a patient and his doctor so that the
    doctor will have the information necessary to competently
    diagnose and treat the patient.
    19
    State v. Deases, 
    518 N.W.2d 784
    , 787 (Iowa 1994), and that we “construe
    the statute liberally to carry out its manifest purpose.” 
    Eldrenkamp, 541 N.W.2d at 881
    .
    Sound public policy supports a more protective treatment for mental
    health records than those in other doctor-patient situations. As the seventh
    circuit has observed, concerning recognition of a psychotherapist-patient
    privilege,
    [r]eason tells us that psychotherapists and patients share a
    unique relationship, in which the patient’s ability to
    communicate freely without the fear of public disclosure is the
    key to successful treatment. . . .
    Moreover, communications with a psychotherapist often
    involve highly personal matters, the disclosure of which “would
    frequently be embarrassing to the point of mortification for the
    patient.” Indeed, courts and commentators have focused on an
    individual’s right of privacy, “a fundamental tenet of the
    American legal tradition,” to justify the psychotherapist/patient
    privilege.
    Jaffee v. Redmond, 
    51 F.3d 1346
    , 1355-56 (7th Cir. 1995) (quoting In re
    Doe, 
    964 F.2d 1325
    , 1328 (2d Cir. 1992)), cert. granted, 
    516 U.S. 930
    , 
    116 S. Ct. 334
    , 
    133 L. Ed. 2d 234
    (1995); accord Chung v. Legacy Corp., 
    548 N.W.2d 147
    , 149 (Iowa 1996) (suggesting certain patient-physician
    communications may fall within a protected zone of privacy).
    Heemstra argues that he needs the records, not for the purpose of
    admitting them as evidence, but to further investigate Lyon’s propensity
    toward violence. He claims his constitutional right to confront witnesses,
    compulsory process, and right to present a defense were all impaired by the
    court’s denial of access to Lyon’s medical records. He argues that we
    should adopt a “balancing” test under which a court weighs the patient’s
    need for privacy and confidentiality against the defendant’s need for the
    information to effectively defend his case.
    20
    In a civil case regarding the psychotherapist-patient privilege, the
    United States Supreme Court, in Jaffee v. Redmond, 
    518 U.S. 1
    , 
    116 S. Ct. 1923
    , 
    135 L. Ed. 2d 337
    (1996), recognized the existence of the
    psychotherapist privilege, but rejected the argument that a “balancing” test
    should be used.
    We part company with the Court of Appeals on a
    separate point. We reject the balancing component of the
    privilege implemented by that court and a small number of
    States. Making the promise of confidentiality contingent upon
    a trial judge’s later evaluation of the relative importance of the
    patient’s interest in privacy and the evidentiary need for
    disclosure would eviscerate the effectiveness of the privilege.
    As we explained in Upjohn [Co. v. United States, 
    449 U.S. 383
    ,
    
    101 S. Ct. 677
    , 
    66 L. Ed. 2d 584
    (1981)], if the purpose of the
    privilege is to be served, the participants in the confidential
    conversation “must be able to predict with some degree of
    certainty whether particular discussions will be protected. An
    uncertain privilege, or one which purports to be certain but
    results in widely varying applications by the courts, is little
    better than no privilege at 
    all.” 449 U.S. at 393
    , 101 S. Ct. at
    
    684[, 66 L. Ed. 2d at 593
    ].
    
    Id. at 17-18,
    116 S. Ct. at 
    1932, 135 L. Ed. 2d at 349-50
    (footnote omitted).
    While advocating the importance of the psychotherapist privilege, the
    Court also acknowledged that it was not absolute, leaving open the
    possibility that subsequent courts may adopt exceptions. It stated:
    Although it would be premature to speculate about most future
    developments in the federal psychotherapist privilege, we do
    not doubt that there are situations in which the privilege must
    give way, for example, if a serious threat of harm to the patient
    or to others can be averted only by means of a disclosure by
    the therapist.
    
    Id. at 18
    n.19, 116 S. Ct. at 1932 
    n.19, 135 L. Ed. 2d at 349-50 
    n.19.
    Courts in some criminal cases have recognized that, despite their
    solicitude for various testimonial privileges, these privileges must be
    tempered by defendants’ constitutional right to present a defense. The
    defendant points to Davis v. Alaska, 
    415 U.S. 308
    , 
    94 S. Ct. 1105
    , 39
    
    21 L. Ed. 2d 347
    (1974), in urging this court to engage in a balancing test.
    Davis involved an Alaska statute that provided for confidentiality of a
    juvenile’s offense record. The Supreme Court held that the rights of a
    criminal defendant who sought to introduce a juvenile witness’s record
    could override the statutory confidentiality in order to effectively cross-
    examine the juvenile. The Court stated that:
    We do not and need not challenge the State’s interest as
    a matter of its own policy in the administration of criminal
    justice to seek to preserve the anonymity of a juvenile
    offender. . . . Serious damage to the strength of the State’s
    case would have been a real possibility had petitioner been
    allowed to pursue this line of inquiry. In this setting we
    conclude that the right of confrontation is paramount to the
    State’s policy of protecting a juvenile offender. Whatever
    temporary embarrassment might result to [the witness] or his
    family by disclosure of his juvenile record . . . is outweighed by
    petitioner’s right to probe into the influence of possible bias in
    the testimony of a crucial identification witness.
    . . . [W]e conclude that the State’s desire that [the
    witness] fulfill his public duty to testify free from
    embarrassment and with his reputation unblemished must fall
    before the right of petitioner to seek out the truth in the
    process of defending himself.
    The State’s policy interest in protecting the
    confidentiality of a juvenile offender’s record cannot require
    yielding of so vital a constitutional right as the effective cross-
    examination for bias of an adverse witness.
    
    Davis, 415 U.S. at 319-20
    , 94 S. Ct. at 
    1112, 39 L. Ed. 2d at 355-56
    (citation omitted).
    In United States v. Hansen, 
    955 F. Supp. 1225
    (D. Mont. 1997), the
    defense subpoenaed a psychiatrist’s treatment records of a deceased victim.
    That court noted the public’s interest in a psychotherapist-patient privilege
    and weighed it against the defendant’s constitutional right to a fair trial.
    Without detailed discussion, the court simply stated, “I find that the
    defendant’s need for the privileged material outweighs this interest.” In
    reaching this conclusion, the court noted that the patient was deceased.
    22
    
    Hansen, 955 F. Supp. at 1226
    .       Also, in United States v. Alperin, 
    128 F. Supp. 2d 1251
    (N.D. Cal. 2001), a federal magistrate rejected the victim’s
    argument that the psychotherapist-patient privilege barred production of
    the records. The court found that the victim’s mental health could be
    material to the defendant’s self-defense claim and that this evidentiary
    benefit   outweighed   the   victim’s    “strong   interest   in   keeping   her
    communications with her psychiatrist confidential.”                
    Alperin, 128 F. Supp. 2d at 1255
    .
    Although Iowa’s privilege statutes generally prevent disclosure of
    medical records, a court
    can . . . require the disclosure of information that would
    otherwise be privileged. For example, it has long been
    recognized that the criminal defendant’s Sixth Amendment
    right to confront the witnesses against him means that the
    government cannot simultaneously prosecute an individual
    and assert privileges that would inhibit his defense.
    23 Charles Alan Wright & Kenneth W. Graham, Jr., Federal Practice &
    Procedure § 5436, at 887 (1980) (footnotes omitted).
    In McMaster we recognized a right to privacy in medical records, but
    suggested the use of a balancing test to determine whether a “compelling
    need” existed to obtain the evidence. We said:
    “The privacy interest must always be weighed against such
    public interests as the societal need for information, and a
    compelling need for information may override the privacy
    interest.”
    
    McMaster, 509 N.W.2d at 759
    (quoting 
    Chidester, 353 N.W.2d at 853
    ).
    We believe the present case presents a bona fide claim of compelling
    interest sufficient to require a limited disclosure of the privileged
    information, based on the unique facts presented. In contrast to cases such
    as Jaffee, which rejected disclosure, this is a criminal case—one in fact that
    carries the most severe penalty provided by our law. The subject of the
    23
    privilege is deceased and at least some of the information is presently in the
    public domain in the civil suit. Most importantly, the information sought
    might reasonably bear on the defendant’s possibility of success in
    supporting his claim of self-defense. Specifically, he might be able to use
    this evidence, if it shows an explosive disposition on Lyon’s part, to cross-
    examine Lyon’s widow, who stated that Lyon sought medical treatment only
    for depression.
    We conclude that a limited disclosure of the medical records should
    be ordered in this case.     In doing so, the medical privilege is neither
    abridged nor waived. We provide only for an in camera examination of the
    records, as the trial judge previously provided, except that the records shall
    be made available to defense and prosecution counsel, to aid in the
    weighing process, under a protective order prohibiting any further
    dissemination without court order. The records, after copies are provided to
    counsel, shall be retained by the clerk as confidential records.
    XI. Conclusion.
    We hold it was error to submit felony murder based on willful injury
    and to refuse defense counsel access to Lyon’s psychotherapy records. We
    need not discuss Heemstra’s new-trial issues or ineffective-assistance-of-
    counsel claims because we assume these issues will not arise on retrial. We
    reverse and remand for a new trial.
    REVERSED AND REMANDED.
    All justices concur except Carter and Cady, JJ., who dissent.
    24
    #18/04-0058, State v. Heemstra
    CARTER, Justice (dissenting).
    I dissent. In deciding the case as it does, the majority of the court
    disregards the plain meaning of the controlling statutes in order to obtain a
    result that is more pleasing to its own sense of justice than the
    interpretation of the statute that is plainly evinced by the wording of the
    legislation and the legislative history.
    I. Felony Murder.
    The rule of statutory interpretation that is embodied in our rules of
    appellate procedure insists that in determining the meaning of statutes “the
    court searches for the legislative intent as shown by what the legislature
    said, rather than what it should or might have said.” Iowa R. App. P.
    6.14(6)(m). What the legislature has said in our felony-murder statute and
    the other statutes bearing on that subject is not subject to dispute. The
    basic felony-murder statute reads:
    A person commits murder in the first degree when the
    person commits murder under any of the following
    circumstances:
    ....
    2. The person kills another person while participating in
    a forcible felony.
    Iowa Code § 707.2(2) (2001). A forcible felony is defined in our criminal
    code as “any felonious child endangerment, assault, murder, sexual abuse,
    kidnapping, robbery, arson in the first degree, or burglary in the first
    degree.” 
    Id. § 702.11
    (emphasis added). 2
    2Certain  felonies that would otherwise fall within the foregoing definition are
    excepted, including the class “D” felony version of willful injury. See Iowa Code
    § 702.11(2)(a). This is not significant in the present case, however, because the felony-
    murder claim submitted to the jury was predicated on the contention that Heemstra
    committed murder while participating in the class “C” felony version of willful injury, which
    was the same offense on which a felony-murder conviction was predicated in State v.
    Beeman, 
    315 N.W.2d 770
    , 776-77 (Iowa 1982).
    25
    If we interpret this statute according to its plain meaning, it is
    obvious that the adjective “felonious” modifies all of the offenses thereafter
    identified, including, among the others, the word “assault.” A standard
    legal dictionary defines “felonious assault” as “[a]n assault that is of
    sufficient severity to be classified and punished as a felony.” Black’s Law
    Dictionary 110 (7th ed. 1999). The class “C” felony version of willful injury
    was, at the time of Lyon’s killing, a felonious assault because it was
    classified by law as a felony, see Iowa Code § 708.4(1), and the elements of
    the crime, i.e., an act intended to cause injury, satisfied the definition of
    assault embodied in Iowa Code section 708.1(1). The jury could certainly
    have found from the evidence that in killing Lyon defendant performed an
    act with the intent to cause him serious injury. In order to trigger the
    felony-murder doctrine, it was not necessary for the State to show that
    intent was realized. Iowa Code § 702.13 (A person is participating in a
    public offense during the entire period commencing with the first act done
    directly toward the commission of the offense and is participating whether
    the person is successful or unsuccessful in committing the offense.).
    The willful-injury offense upon which felony murder was predicated in
    State v. Beeman, 
    315 N.W.2d 770
    (Iowa 1982), was identical with the
    present class “C” felony version of that crime. Because that crime fell
    within the statutory definition of forcible felony and because a person
    commits murder in the first degree when he or she kills another person
    while participating in a forcible felony, this court held in Beeman that willful
    injury could serve as a basis for a felony-murder conviction under Iowa
    Code section 707.2(2). 
    Beeman, 315 N.W.2d at 777
    .
    In upholding a felony-murder conviction based on willful injury,
    Beeman did not ignore the merger argument that the majority now opts to
    adopt. That case discussed the court’s earlier consideration of that doctrine
    26
    in State v. Hinkle, 
    229 N.W.2d 744
    , 750-51 (Iowa 1975). 
    Beeman, 315 N.W.2d at 777
    .         Although in Hinkle this court held that the merger
    argument had not been preserved for consideration, it discussed the
    doctrine, as considered by other courts, and stated:
    Other jurisdictions confronted with a properly-presented
    “felony merger” issue have demonstrated a reluctance to allow
    the State to bootstrap a higher degree of murder solely on the
    basis of a felonious assault . . . . Among courts considering the
    doctrine it has gained widespread acceptance.
    
    Hinkle, 229 N.W.2d at 750
    (citation omitted).
    After considering the merger doctrine as approved in other
    jurisdictions, the court stated in Beeman:
    We conclude that the inclusion, by the legislature, of “felonious
    assault” in sections 707.2(2) and 702.11, indicates that it
    intended that felonious assaults, including willful injury under
    section 708.4, be felonies that may serve as the basis of a
    felony-murder and that the merger doctrine discussed in
    Hinkle not apply to such 
    assaults. 315 N.W.2d at 777
    .          This result was compelled by the unambiguous
    wording of the controlling statutes and the long-standing judicial
    recognition that the legislature is aware of the meaning of all related
    statutory provisions and does not enact inconsistent provisions without
    expressly recognizing the inconsistency. State v. McSorley, 
    549 N.W.2d 807
    ,
    809 (Iowa 1996). In the present situation, the legislature is presumed to
    have knowledge of those offenses constituting forcible felonies when it used
    the unqualified term “forcible felony” in the enactment of the felony-murder
    provision. The idea that in including willful injury among those offenses
    giving     rise   to   felony   murder   the   legislature   had   in   mind   a
    compartmentalization of assaultive conduct with the conclusion of an
    earlier assault prior to the act that does the victim in is absurd. The felony-
    murder doctrine does not depend on the completion of any forcible felony,
    27
    but only the initiation of an act done directly toward the commission of the
    offense. Iowa Code § 702.13.
    Not only is the result obtained in Beeman compelled by the plain
    language of the controlling statutes, it is also supported by the fact that, in
    adopting a felony-murder component for all forcible felonies, the legislature
    rejected a proposal of the Criminal Code Review Study Committee, which it
    had appointed, providing that homicide and assaults would not be a basis
    for felony murder.      See John J. Yeager, Crimes Against the Person:
    Homicide, Assault, Sexual Abuse and Kidnapping in the Proposed Iowa
    Criminal Code, 
    60 Iowa L
    . Rev. 503, 510-11 (1975) [hereinafter Yeager]. The
    Criminal Code Review Study Committee employed Professor John J. Yeager
    of Drake Law School and Professor Ronald Carlson of the University of Iowa
    College of Law as its drafting consultants. See Mark E. Schantz, Objectives
    of Criminal Code Revision: Guidelines to Evaluation, 
    60 Iowa L
    . Rev. 430,
    432 (1975) (discussing background of 1976 criminal code review). The
    Criminal   Code    Review    Study    Committee     submitted    a   proposed
    comprehensive revision of the criminal code to the 1974 legislative session.
    
    Id. This was
    introduced as S.F. 1150. While this was pending, Professor
    Yeager, in the article previously cited, discussed the approach of the
    proposed code revision in regard to felony murder:
    The present first degree murder statute [pre-1978 law] refers to
    only five of the dangerous felonies. If a homicide occurs in the
    course of the commission of some felony other than the five
    listed, under present law a first degree murder conviction will
    depend upon a showing of “premeditation and deliberation.”
    The Proposed Code classifies as first degree homicide any
    killing which results when one engaged in a felony of any
    nature (other than homicide or assault) intentionally resorts to
    personal violence.
    28
    Yeager, 
    60 Iowa L
    . Rev. at 510-11 (emphasis added) (footnotes omitted).
    The section of S.F. 1150 to which the Yeager article refers was chapter 1,
    section 703, which read as follows:
    A person commits homicide in the first degree when he
    commits criminal homicide under the following circumstances:
    1. He intentionally commits a homicide, provided that
    none of the mitigating circumstances as stated in sections
    seven hundred four (704) and seven hundred five (705) of this
    division exist.
    2. While participating in a felony other than homicide or
    assault, or while escaping or attempting to escape from lawful
    custody, he directs violence toward any person which causes
    the death of such person or another person.
    3. He participates in a forcible felony other than homicide
    or assault and thereby causes the death of some person.
    (Emphasis added.)
    Contrary to the recommendation of the Criminal Code Review Study
    Committee, the felony-murder rule adopted by the legislature included all
    forcible felonies, including felonious assaults. See 1976 Iowa Acts ch. 1245,
    §§ 211, 702.2. This was a clear rejection of the view that felonious assaults
    may not provide a basis for applying the felony-murder doctrine. We have
    recognized that, when a statute is passed leaving out qualifying words that
    had been contained in proposed legislation, the statute should not be
    interpreted in a manner that would invoke the omitted qualification.
    Builders Land Co. v. Martens, 
    255 Iowa 231
    , 236, 
    122 N.W.2d 189
    , 191-92
    (1963).
    Although the reasoning of those courts and commentators that reject
    the use of felonious assaults as crimes for which felony murder may be
    established is based on sound policy considerations, those considerations
    have been rejected by our legislature. As a result, this court is not free to
    invoke those considerations no matter how valid we find them to be. As the
    majority has noted, this court has stood strong on this issue in the years
    29
    following Beeman, and we have reaffirmed that decision on no less than four
    occasions. This chain of authority presents yet another reason why the
    result reached in Beeman should not now be altered. We have recognized
    that stare decisis is particularly applicable “where the construction placed
    on a statute by previous decisions has been long acquiesced in by the
    legislature, by its continued use or failure to change the language of the
    statute so construed, the power to change the law as interpreted being
    regarded, in such circumstances, as one to be exercised solely by the
    legislature.” Cover v. Craemer, 
    258 Iowa 29
    , 34-35, 
    137 N.W.2d 595
    , 599
    (1965) (quoting 21 C.J.S. Courts § 214 (1959) (currently contained in 21
    C.J.S. Courts § 167 (1990))). That principle of law has been previously
    invoked by this court in our consideration of the Beeman line of cases. See
    State v. Rhomberg, 
    516 N.W.2d 803
    , 805 (Iowa 1994) (“A proposed change in
    the law, if desired, is in the province of the legislature.”).
    The majority attempts to justify its clear disregard of the legislature’s
    approach to felony murder by suggesting that applying the interpretation
    approved in Beeman tests the outer constitutional parameters of the felony-
    murder doctrine. There is no basis for such a suggestion. The acceptance
    of willful injury as a basis for felony murder was challenged on both due-
    process and equal-protection grounds in State v. Ragland, 
    420 N.W.2d 791
    (Iowa 1988). In rejecting the due-process challenge, we observed that our
    felony-murder statute did not relieve the state of the burden to prove all of
    the elements of the basic crime of murder. It only affected the degree of
    guilt based on the culpability of those acts that constitute the crime of
    willful injury. 
    Ragland, 420 N.W.2d at 794
    . Those acts require, with regard
    to the class “C” felony, that the defendant intends to cause serious injury to
    the victim. Serious injury includes bodily injury that creates a substantial
    risk of death. See Iowa Code § 702.18(1)(b)(1).
    30
    In rejecting the equal-protection challenge lodged in Ragland, we
    found that there was a rational basis for concluding that the crime of willful
    injury posed a greater risk to the victim than other crimes for which felony
    murder may not be invoked. 
    Ragland, 420 N.W.2d at 794
    .                         A similar
    rejection of these constitutional arguments was made by the United States
    Court of Appeals in a federal habeas corpus case in which that court
    concluded
    “[defendant’s constitutional] argument that “second degree
    murder . . . cannot be enhanced by ‘participating’ in an act
    which is also an element of murder,” simply lacks a
    constitutional basis. [The] argument is, at base, an argument
    against the merger doctrine, which some states apply to
    prevent felonies that are an integral part of homicide, such as
    assault, from being used to support a felony murder charge.
    The Supreme Court of Iowa has specifically rejected the merger
    doctrine as it applies to forcible felonies . . . .
    Heaton v. Nix, 
    924 F.2d 130
    , 134 (8th Cir. 1991) (citations omitted).
    The cases from other jurisdictions on which the majority relies are
    inapposite because in none of those cases did the court reject as a basis for
    felony murder a crime embedded by definition in the controlling statutory
    law. The California and Oregon statutes involved in People v. Ireland, 
    450 P.2d 580
    (Cal. 1969), People v. Washington, 
    402 P.2d 130
    (Cal. 1965), and
    State v. Branch, 
    415 P.2d 766
    (Or. 1966), were not degree-of-guilt statutes,
    but rather employed felony murder as an alternative to killing with malice
    aforethought. 3 A separate-degree-of-guilt statute in those states contained
    3The  California statutory scheme for felony murder is described as follows by that
    state’s highest court:
    The felony-murder rule operates (1) to posit the existence of malice
    aforethought in homicides which are the direct causal result of the
    perpetration or attempted perpetration of all felonies inherently dangerous
    to human life, and (2) to posit the existence of malice aforethought and to
    classify the offense as murder of the first degree in homicides which are the
    direct causal result of those six felonies specifically enumerated . . . .
    31
    a felony-murder theory for establishing first-degree murder, but those
    statutes did not include felonious assaults among the felonies from which
    first-degree murder might be determined. 4
    In Massachusetts, where the Kilburn and Gunter cases discussed by
    the majority were decided, felony murder is a common-law doctrine not
    governed by statute. See Commw. v. Claudio, 
    634 N.E.2d 902
    , 906 (Mass.
    1994) (“The felony-murder rule in Massachusetts ‘is defined by common
    law.’ ” (Citations omitted.)). For this reason, the Massachusetts appellate
    court was free to adopt a felony-murder rule of its own choosing. Because
    the felony-murder doctrine in Iowa is statutory and the predicate offenses
    are determined by statutory designation, this court does not enjoy that
    freedom.
    II. Alleged Inadequacy of the Willful-Injury Instruction.
    Defendant contends and the majority suggests that the elements of
    the willful-injury instruction are inadequate because they only refer to
    intentionally pointing a firearm or displaying a dangerous weapon in a
    threatening manner, actions that do not constitute the class “C” felony
    version of willful injury. This is not a valid contention.
    The court’s instructions must be considered as a whole in
    determining whether the correct rules of law were imparted to the jury.
    People v. Ireland, 
    450 P.2d 580
    , 589 (Cal. 1969). The Oregon felony-murder scheme has
    been described as follows by that state’s highest court:
    The purpose of the felony-murder rule is to relieve the state of the
    burden of proving premeditation or malice whenever the victim’s death is
    caused by the killer while the killer is committing another felony. Since a
    malignant purpose is established by proof of the defendant’s other felony,
    malice is redundant with reference to the killing. If the collateral felony is
    one of those named in [designated statute] the murder is first degree. If the
    collateral felony is any other felony, the murder is second degree.
    State v. Branch, 
    415 P.2d 766
    , 767 (Or. 1966).
    4See   footnote 2.
    32
    Gremmel v. Junnie’s Lounge, 
    397 N.W.2d 717
    , 722 (Iowa 1986). The court’s
    instruction on willful injury not only required the jury to find the pointing of
    a gun or the displaying of a dangerous weapon in a threatening manner but
    also to find that in so doing defendant intended to cause a serious injury to
    Lyon and did in fact cause a serious injury to him. This instruction alone
    includes all of the basic elements of the class “C” felony version of willful
    injury, but the instructions as a whole go further.         The willful-injury
    instruction is employed as an expansion on the marshaling instruction for
    first-degree murder. The matters required to be proved by that instruction
    must be considered in connection with the willful-injury instruction in
    determining what the jury was required to find. The first-degree murder
    marshaling instruction required the jury to find that “the defendant shot
    Tommy Ray Lyon,” “Tommy Ray Lyon died as a result of being shot,” and
    “the defendant acted with malice aforethought.”          In combination, the
    instructions state all of the necessary elements for a finding of first-degree
    murder using willful injury as the predicate felony on a felony-murder
    theory.
    III. The Medical Privilege Issue.
    In considering the court’s conclusion requiring in camera examination
    of privileged medical records, I do not face the same issue as the majority.
    The majority opinion has determined that the case should be reversed on
    the felony-murder issues and thus does not need to find prejudice in order
    to invoke its view on the availability of the privileged medical records for
    purposes of a retrial. I, on the other hand, find no other basis for reversing
    defendant’s conviction and will not vote to reverse on the medical-privilege
    issue unless I am able to conclude that demonstrable prejudice to
    defendant occurred from the trial court’s ruling upholding the privilege.
    Approaching the issue in this manner, I am satisfied that sufficient
    33
    prejudice has not been demonstrated to warrant a reversal of defendant’s
    conviction. Defendant was able to present substantial evidence to the jury
    concerning Lyon’s violent temper directed at both defendant and third
    parties on prior occasions. The issue that the jury was required to decide
    was Lyon’s conduct immediately prior to the time of his killing. Neither past
    conduct nor medical history gives rise to more than an educated guess as to
    that circumstance. Consequently, I do not find that the absence of the
    medical evidence warrants a reversal. I would affirm defendant’s conviction
    in all respects.
    Cady, J., joins this dissent.
    34
    #18/04-0058, State v. Heemstra
    CADY, Justice (dissenting).
    I respectfully dissent for the same reasons articulated by Justice
    Carter. I write to elaborate on those reasons.
    The majority first concludes that the act constituting willful injury
    may not also serve as the predicate felony under the felony-murder rule.
    This holding is not only contrary to established precedents of this court, but
    it is contrary to the manner our legislature has chosen for the felony-
    murder rule to operate in Iowa. Under fundamental principles of judicial
    decision making we are obligated to follow our precedents absent compelling
    reasons. See Channon v. United Parcel Serv., Inc., 
    629 N.W.2d 835
    , 857
    (Iowa 2001) (“[U]nder the doctrine of stare decisis there is a preference for
    upholding prior decisions of this court.”); Miller v. Westfield Ins. Co., 
    606 N.W.2d 301
    , 306 (Iowa 2000) (noting holdings should be overruled only
    “when error is manifest”). There are no compelling reasons in this case to
    overrule our prior holdings, especially since these holdings are based on the
    judgment of our legislature as reflected in our statutes. Under our limited
    role in government, it is not for us to chart a different course from the
    legislature absent a conflict with our constitution. There is no such conflict
    in this case.
    I also believe the opinion by the majority has inflicted harm to the
    longstanding protections and sound policies of the physician-patient
    privilege. Regrettably, the damage to this centuries-old doctrine comes from
    a factual claim by Heemstra that could best be described as a red herring.
    It is important to understand that Heemstra knew of Lyon's propensity
    towards violence, or his quick temper, and has no compelling need to
    examine medical records, which until today, were safely protected under the
    physician-patient privilege.
    35
    Perhaps facts of a case could be envisioned that would support the
    exception carved from this historic doctrine by the majority, but this case
    does not come close to presenting those facts. Courts have an obligation to
    carry forward our bedrock principles of law, such as the physician-patient
    privilege, so as to provide the same protections for society as in the past.
    The physician-patient privilege has now been seriously compromised based
    upon a dubious justification that will mean victims of crimes in the future
    will be required to open their private, confidential communications with
    their doctors based upon the same assertions of self-defense. This is an
    unnecessary invasion of privacy, and could ultimately have a chilling effect
    on the willingness of patients to openly disclose critical personal
    information to a physician.
    I acknowledge the rights of criminal defendants to a fair trial can, and
    should, carry significant weight in the balancing process with the rights of
    others. The rights of a criminal defendant, however, should not tip the
    scale when prejudice to the defendant will not result. Heemstra did not
    suffer any prejudice at the hands of the physician-patient privilege in this
    case, and there is no reason to create an exception to a rule that has served
    society so well for so long. No arm of government should be entitled to
    invade private, sensitive communications between citizens made by them
    under the belief that the communications would remain private, absent the
    most compelling reasons. There are no compelling reasons in this case, and
    courts should be quick to protect and preserve the legitimate privacy of
    individuals from intrusion, not open the door.
    I would affirm the district court decision.