The current use of expert medical opinion in both adversarial and inquisito
rial legal matters has been criticised and a number of alternatives have be
en suggested. These alternatives include pre-trial (non-adversarial) consen
sus reports by panels of experts, College-appointed panels of experts, or e
xpert assessors to sit with and advise the judge. A further model that dese
rves consideration is that of the Repatriation Medical Authority (RMA). Thi
s has an established role in the compensation system for Australian Veteran
s and specified Defence Force personnel, The RMA provides Statements of Pri
nciples which state the causes, within the bounds of the Veterans' Entitlem
ents Act, of a specified disease, injury or death on the basis of the avail
able 'sound medical scientific evidence'.
The RMA is an example of the uses of epidemiology in providing compensation
-based social services. This model has emerged as one which has clear impli
cations for other compensation environments as well as in other evidence-ba
sed social policy decision making arenas.
A description of the development and function of the RMA is outlined and th
e essential features for its operation are detailed. Fundamentally, this mo
del promotes consistency and equity by the use of impartial and evidence-ba
sed decision making.