FOR PUBLICATION
ATTORNEYS FOR APPELLANTS CARL ATTORNEYS FOR APPELLEE:
S. WROBLESKI, M.D., CHRISTOPHER ZEE-
CHENG, M.D., AND GARY HAMBEL, M.D.: PHILLIP W. OGDEN
TIMOTHY A. OGDEN
CALVERT S. MILLER Ogden & Ogden LLP
DIANA S. BAUER Warsaw, Indiana
Miller, Carson, Boxberger & Murphy LLP
Fort Wayne, Indiana
ATTORNEY FOR APPELLANTS TIMOTHY
CHAMBERLAIN, M.D., AND TIMOTHY
CHAMBERLAIN, M.D., P.C.:
ROBERT F. PARKER
Burke, Costanza & Cuppy LLP
Merrillville, Indiana
ATTORNEY FOR APPELLANTS C. BRYAN
WAIT, M.D., AND WHITLEY MEMORIAL
HOSPITAL, INC.:
N. JEAN SCHENDEL
Hunt Suedhoff Kalamaros LLP
Fort Wayne, Indiana
ATTORNEY FOR APPELLANT ALFRED
F. ALLINA, D.O.:
MARY R. FELDHAKE
Locke Reynolds LLP
Indianapolis, Indiana
IN THE
COURT OF APPEALS OF INDIANA
Timothy R. Chamberlain, M.D., )
Timothy R. Chamberlain, M.D., P.C., )
C. Bryan Wait, M.D., Alfred F. Allina, )
D.O., CARL S. WROBLESKI, M.D., )
Christopher Zee-Cheng, M.D., )
Gary Hambel, M.D., Whitley Memorial )
Hospital, Inc., a/k/a Whitley County )
Memorial Hospital, Inc., and Lutheran )
Hospital of Indiana a/k/a Lutheran )
Hospital of Indiana, Inc., )
)
Appellants-Defendants, )
)
vs. ) No. 02A04-0302-CV-92
)
RICHARD STEVEN WALPOLE, )
)
Appellee-Plaintiff. )
INTERLOCUTORY APPEAL FROM THE ALLEN SUPERIOR COURT
The Honorable Daniel G. Heath, Judge
Cause No. 02D01-0201-CT-14
October 6, 2003
OPINION - FOR PUBLICATION
BROOK, Chief Judge
Case Summary
Appellants-defendants Timothy R. Chamberlain, M.D., Timothy R. Chamberlain, M.D., P.C., C. Bryan Wait,
M.D., Alfred F. Allina, D.O., Carl S. Wrobleski, M.D., Christopher Zee-Cheng, M.D., Gary
Hambel, M.D., Whitley Memorial Hospital, Inc., a/k/a Whitley County Memorial Hospital, Inc., and
Lutheran Hospital of Indiana a/k/a Lutheran Hospital of Indiana, Inc. (collectively, Appellants) appeal
from the denial of their motion for preliminary determination. We affirm.
Issue
Appellants raise two issues on appeal, which we consolidate and restate as whether
the Indiana Wrongful Death Act
See footnote
limits recovery under the Indiana Medical Malpractice Act.
See footnote
Facts and Procedural History
On September 30, 1998, Richard Steven Walpoles father died while under the care
of Appellants. On May 1, 2000, Walpole filed his first amended proposed
medical malpractice complaint with the Indiana Department of Insurance,
See footnote alleging that he had
incurred funeral and burial expenses and [had] lost the love, care, affection, society,
companionship, and services of his father and has experienced extreme mental anguish due
to Appellants negligence. Appellants App. at 4. On January 9, 2002,
Wrobleski, Zee-Chang, and Hambel filed a motion for preliminary determination under the Medical
Malpractice ActSee footnote seeking an order precluding Walpole from recovering for the loss of
his fathers love, care, and affection under the Wrongful Death Act. The
remaining appellants later joined in the motion. On December 16, 2002, the
trial court denied Appellants motion. Appellants now appeal.
Discussion and Decision
Appellants contend that Walpole may not seek damages for the loss of his
fathers love, care, affection, society, companionship, and services under the Medical Malpractice Act
because he would not be able to recover them under the Wrongful Death
Act.
See footnote
Appellees counter that the damages provisions of the Wrongful Death Act
do not apply to the Medical Malpractice Act.
All parties agree that this appeal turns on statutory interpretation. A question
of statutory interpretation is a matter of law to be determined by this
court.
Perry-Worth Concerned Citizens v. Bd. of Commrs of Boone County, 723
N.E.2d 457, 459 (Ind. Ct. App. 2000), trans. denied. Although Appellants do not
specifically mention the concept, they essentially contend that the Wrongful Death Act is
in pari materia with the Medical Malpractice Act and that the damages provisions
of the former must be applied to the latter.
See footnote
Statutes relating to
the same general subject matter are in pari materia and should be construed
consistently and harmoniously, rather than in a manner that renders them conflicting.
Estate of Cummings by Heck v. PPG Indus., Inc., 651 N.E.2d 305, 309
(Ind. Ct. App. 1995), trans. denied (1996).
We note, however, that the rule of construction requiring statutes
in pari materia
to be construed together is only to be applied as an aid in
determining the meaning of a doubtful statute; it cannot be invoked where the
language of the statute is plain and unambiguous. Comm. Hosp. of Anderson
and Madison County v. McKnight, 493 N.E.2d 775, 777 (Ind. 1986). We
must determine, then, whether the Medical Malpractice Act is ambiguous as to the
damages recoverable thereunder.
Indiana Code Section 34-18-8-1 provides in part that a patient or the representative
of a patient who has a claim under this article for bodily injury
or death on account of malpractice may
[f]ile a complaint in any
court of law having requisite jurisdiction. Indiana Code Section 34-18-2-22 defines patient
as
an individual who receives or should have received health care from a health
care provider, under a contract, express or implied, and includes a person having
a claim of any kind, whether derivative or otherwise, as a result of
alleged malpractice on the part of a health care provider. Derivative claims
include the claim of a parent or parents, guardian, trustee, child, relative, attorney,
or any other representative of the patient including claims for loss of services,
loss of consortium, expenses, and other similar claims.
Quite simply, the Medical Malpractice Act is plain and unambiguous as to the
damages recoverable thereunder. Consequently, we may not construe these provisions of the
Medical Malpractice Act with the Wrongful Death Act. Cf. McKnight, 493 N.E.2d
at 777 (When the meaning of a statute is plain and unambiguous, there
is no room for judicial construction. The Medical Malpractice Act is plain
and unambiguous in designating who qualifies as a representative and in designating those
who are eligible to pursue derivative claims. The Medical Malpractice Act is
also plain and unambiguous in designating that such claims can be for bodily
injury or death.) (citation omitted).
Even if the Medical Malpractice Act were ambiguous in this regard, the Medical
Malpractice Act and the Wrongful Death Act do not relate to the same
general subject matter and are therefore not in pari materia. The Medical
Malpractice Act governs claims arising from the malpractice of a certain class (health
care providers), while the Wrongful Death Act governs claims arising from a certain
type of harm (death). We simply cannot conclude that the two acts
are in pari materia. Cf. Mathias v. Coop. Vendors, Inc., 170 Ind.
App. 659, 672-73, 354 N.E.2d 269, 277 (1976) (Nor do we consider the
Cigarette Tax Act and the Retail Tax Act to be in pari materia.
It is true that both are excise taxes, and that both ultimately
levy a tax on the retail purchaser of cigarettes. One, however, specifically
levies a tax on all cigarettes sold, used, consumed, handled or distributed within
this state
, while the other imposes a tax on transactions of retail
merchants constituting selling at retail
. (Emphasis supplied). One is a
tax on a particular product, the other on a transaction. While the
sales tax has the effect of increasing the price of a package of
cigarettes, it is the buying/selling transaction that is being taxed, not the cigarettes
themselves.) (citations omitted) trans. denied.
Moreover, even if the Medical Malpractice Act were ambiguous and in pari materia
with the Wrongful Death Act, there would be no need to harmonize the
two acts because they do not conflict. A claim arising from a
death is properly brought under the Wrongful Death Act, unless the death was
allegedly caused by a health care providers malpractice, in which case the complaint
must brought under the Medical Malpractice Act.
See footnote The two acts are mutually
exclusive and do not conflict in any way.
Finally, even if the Medical Malpractice Act were ambiguous,
in pari materia with
the Wrongful Death Act, and in conflict with it, we would nonetheless conclude
that the damages provisions of the Medical Malpractice Act must apply in the
instant case. When two statutes on the same subject must be construed
together, the court should attempt to give effect to both, however, where the
two are repugnant in any of their provisions, then the later statute will
control and operate to repeal the earlier to the extent of the repugnancy.
S.W. Forest Indus., Dunlap Div. v. Firth, 435 N.E.2d 295, 297 (Ind.
Ct. App. 1982) (emphasis added). The General Assembly enacted the predecessor to
the Wrongful Death Act in 1881 and the Medical Malpractice Act in 1975.
See 1881 (ss) Ind. Acts Ch. 38, § 8; 1975 Ind. Acts
146, § 1. Thus, the Medical Malpractice Act would control in any
event.
In sum, Walpoles potential recovery for his claim under the Medical Malpractice Act
is not limited by the damages provisions of the Wrongful Death Act.
The Medical Malpractice Act plainly and unambiguously provides that Walpole may pursue claims
for loss of services, loss of consortium, expenses, and other similar claims.
Ind. Code § 34-18-2-22.
See footnote Appellants argument must fail.
Affirmed.
SHARPNACK, J., concurs with opinion.
BAKER, J., dissents with opinion.
IN THE
COURT OF APPEALS OF INDIANA
TIMOTHY R. CHAMBERLAIN, M.D., )
TIMOTHY R. CHAMBERLAIN, M.D., P.C., )
C. BRYAN WAIT, M.D., ALFRED F. ALLINA, )
D.O., CARL S. WROBLESKI, M.D., )
CHRISTOPHER ZEE-CHENG, M.D., GARY )
HUMBEL, M.D., WHITLEY MEMORIAL )
HOSPITAL, INC. a/k/a WHITLEY COUNTY )
MEMORIAL HOSPITAL, INC., and LUTHERAN )
HOSPITAL OF INDIANA a/k/a LUTHERAN )
HOSPITAL OF INDIANA, INC., )
)
Appellants-Defendants, )
)
vs. ) No. 02A04-0302-CV-92
)
RICHARD STEVEN WALPOLE, )
)
Appellee-Plaintiff. )
SHARPNACK, J. concurring
I concur with the lead opinion. However, I write separately to emphasize
the relationship between the Indiana Medical Malpractice Act, Ind. Code § 34-18, (MMPA)
and the Indiana Wrongful Death Act, Ind. Code § 34-23-1, (WDA). The
tort of wrongful death predates the MMPA and was created by the WDA.
See Gen. Motors Corp. v. Arnett, 418 N.E.2d 546, 548 (Ind. Ct.
App. 1981) (noting that the right to maintain an action for wrongful death
is purely statutory and did not exist at common law). The tort
of wrongful death did not come about as a development in the common
law as did the tort of medical malpractice. Compare id. (discussing the
development of tort of wrongful death) with Johnson v. St. Vincent Hosp., Inc.,
273 Ind. 374, 387, 404 N.E.2d 585, 594 (1980) (discussing development of tort
of medical malpractice), abrogated on other grounds by Collins v. Day, 644 N.E.2d
72 (Ind. 1994). The WDA provided the cause of action and specified
who could bring it, against whom it could be brought, what damages could
be recovered, and for whose benefit those damages were recoverable. See I.C. §
34-23-1.
The tort of medical malpractice also predates the MMPA and came as a
development of the common law.
See Johnson, 273 Ind. at 387, 404
N.E.2d at 594 (noting that the relationship of health care provider and
patient imposed a common law legal duty upon the health care provider).
So, too, did derivative causes of action for loss of services, etc., for
tortious injuries to spouses and children. See Dearborn Fabricating and Engg Corp.,
Inc. v. Wickham, 551 N.E.2d 1135, 1136 (Ind. 1990) (discussing a parents common
law claim for injuries to a child and a persons common law claim
for injuries to a spouse). Children, at common law, have no claim
for loss of services, etc., by reason of tortious injury to a parent.
See Dearborn Fabricating, 551 N.E.2d at 1139 (holding that, at common law,
a child may not maintain an action for loss of parental consortium when
the parent is negligently injured by a third person).
If this case were for the death or injury to Walpoles father caused
by the tort of a negligent truck driver, Walpole would have no cause
of action because he is a nondependent child and not the personal representative
of the decedent.
See I.C. § 34-23-1. However, Walpole brought this
action under the MMPA. Thus, the issue is whether the MMPA created
causes of action with respect to medical malpractice that did not exist before
its adoption, or merely required that already recognized causes of action for death
or injury by reason of medical malpractice be processed through the MMPA for
purposes of determining liability and limiting damages.
The dissent in this case essentially comes to the conclusion this court came
to, over dissent, in
Warrick Hosp., Inc. v. Wallace, 435 N.E.2d 263 (Ind.
Ct. App. 1982), an opinion authored by Judge Ratliff. There, a widow
brought an action based on the death of her husband resulting from alleged
medical malpractice on the part of the defendant. Id. at 265.
She also claimed a loss of consortium and services for the time from
her husbands admission to the defendant hospital until his death there some twelve
days later. Id. The widow was not the personal representative of
her husbands estate at the time she brought the action. Id.
She was not appointed personal representative until more than a year later, and
nearly three years after her husbands death. Id. Under the authority
of Gen. Motors Corp. v. Arnett, 418 N.E.2d 546 (Ind. Ct. App. 1981),
the widow would have had no cause of action for the death of
her husband by reason of failing to meet the requirement of becoming the
personal representative and bringing the action in that capacity within two years of
his death as required by the WDA. Warrick, 435 N.E.2d at 266.
Our court in
Warrick put the issue as [d]oes the Medical Malpractice Act
create a cause of action for wrongful death separate and distinct from that
created by the Wrongful Death Act? Id. at 265. Our court
held that:
The wrongful death statute was enacted to provide a remedy which did not
exist at common law, that is, a cause of action for damages for
death caused by the wrongful act of another. On the other hand,
the Indiana Medical Malpractice Act was enacted to meet the problems of the
rapidly escalating cost to physicians of malpractice insurance, the near unavailability of such
coverage to physicians engaged in certain high risk specialties, and because (h)ealth care
providers had become fearful of the exposure to malpractice claims and at the
same time were unable to obtain adequate malpractice insurance at reasonable prices.
Johnson v. St. Vincent Hospital, Inc., (1980) Ind., 404 N.E.2d 585, 589-90.
The legislature thus responded to the vital needs of the community to preserve
the availability of health care services to the citizens of this state.
Id. The obvious purpose of the Medical Malpractice Act is to provide
some measure of protection to health care providers from malpractice claims, thus to
preserve the availability of such professional health care services to the community.
Sue Yee Lee v. Lafayette Home Hospital, Inc., (1980) Ind.App., 410 N.E.2d 1319,
trans. denied.
We do not believe that the Medical Malpractice Act (IC 16-9.5-1-1 et seq.)
[
See footnote
]
created any separate cause of action for wrongful death or that the legislature
intended to do so. The obvious purpose of the act was to
protect health care providers from malpractice claims, Sue Yee Lee v. Lafayette Home
Hospital, Inc., supra, not to create new and additional causes of action.
Were it to create a separate cause of action it would increase the
incidence of such claims rather than protect against them.
* * * * *
We hereby hold that the right to prosecute a claim for wrongful death
based upon medical malpractice is governed by the wrongful death statute with regard
to the parties eligible to institute such proceeding, the persons for whose benefit
recovery may be had, and the manner of distribution of such proceeds.
We also hold that such a plaintiff must meet and comply with all
conditions precedent necessary to bring such an action, specifically including being duly appointed
as the patients personal representative within two years of the date of death.
We further hold that the procedural requirements of the Medical Malpractice Act,
the filing of the proposed complaint and submission to the medical review panel,
must be met if the defendant is a qualified health care provider under
that act. Finally, we hold that the limitations on the amount of
recovery in the Medical Malpractice Act apply to such a claim.
Since the claim for wrongful death here did not meet the required conditions
precedent of the Wrongful Death Act in that Mary E. Wallace was not
duly appointed personal representative of Clarences estate within two years of his death,
summary judgment should have been granted on this claim. Therefore, we reverse
the trial courts judgment denying summary judgment on the wrongful death claim.
Warrick, 435 N.E.2d at 267-269. Judge Robertson dissented in Warrick, writing, inter
alia:
I believe that language of IC 16-9.5-1-6 clearly authorizes Mary Wallace to maintain
an action for wrongful death. The language provides that a patient or
his representative having a claim under this article for bodily injury or death
to file a complaint subject to the provisions of chapter nine. Mary
Wallace is a representative within the definition of IC 16-9.5-1-1(f) by the nature
of her marital relationship with the deceased. I do not accept the
idea that the Legislature did not intend, the provisions of Medical Malpractice Act
to apply where the patient died as a result of the alleged malpractice.
The express use of the language bodily injury or death evidences an
intent by the Legislature that IC 16-9.5-1-6 should apply when the patient dies.
The majority opinion ignores the rule of statutory construction that, if possible,
effect and meaning must be given to each word and that no part
of a statute is to be held meaningless if that part can be
reconciled with the rest of the statute. Foremost Life Insurance Co. v.
Department of Insurance, (1980) Ind., 409 N.E.2d 1092.
Warrick, 435 N.E.2d at 272 (footnote omitted).
There things stood until 1986, when our supreme court decided
Cmty. Hosp. of
Anderson and Madison County v. McKnight, 493 N.E.2d 775, 776 (Ind. 1986), rehg
denied. There, a widow and her son (it does not appear whether
the son was a dependent or a minor) filed a proposed complaint under
the MMPA. Id. at 776. Neither of them was acting as
personal representative of the decedent. Id. The trial court denied the
defendants motion for summary judgment. Id. Our court, on the authority
of Warrick, reversed. See Cmty. Hosp. of Anderson and Madison County v.
McKnight, 482 N.E.2d 280 (Ind. Ct. App. 1985), rehg denied. Our supreme
court granted transfer and vacated the court of appeals opinion. See McKnight,
493 N.E.2d at 777. In doing so, it wrote as follows:
The resolution of this case turns on whether a person pursuing a claim,
which involves the death of a patient, against a health care provider must
first be appointed personal representative under the Wrongful Death Statute, I.C. § 34-1-1-2.
We hold that the clear language of the Medical Malpractice Act I.C.
§ 16-9.5-1-1 et seq. renders such a requirement unnecessary. The pertinent parts
of the act are set forth here:
I.C. § 16-9.5-1-1-(c)
(c) Patient means a natural person who receives or should have received health
care from a licensed health care provider, under a contract, express or implied,
and includes any and all persons having a claim of any kind, whether
derivative or otherwise, as a result of alleged malpractice on the part of
health care provider. Derivative claims include, but are not limited to, the
claim of a parent or parents, guardian, trustee, child, relative attorney, or any
other representative of such patient including claims for loss of services, loss of
consortium, expenses and all such similar claims.
I.C. § 16-9.5-1-1(f)
(f) Representative means the spouse, parent, guardian, trustee, attorney, or other legal agent
of the patient.
I.C. § 16-9.5-1-6
Subject to chapter 9 [of this article], a patient or his representative having
a claim under this article for bodily injury or death on account of
malpractice may file a complaint in any court of law having requisite jurisdiction
and demand right of trial by jury. No dollar amount or figure
shall be included in the demand in any malpractice complaint, but the prayer
shall be for such damages as are reasonable in the premises. [I.C.
§ 16-9.5-1-6, as added by Acts 1975, P.L. 146, § 1.]
The above provisions clearly designate who is qualified to prosecute a claim.
Plaintiffs-Appellees here fall within the scope of qualified persons: Lucille McKnight as
spouse, and Shane Keith McKnight as child.
Defendants-Appellants argue that the above provisions should be construed in conjunction with the
Wrongful Death Statute, I.C. § 34-1-1-2, and that such a construction supports a
requirement that a plaintiff must first be appointed personal representative. Traditional rules
of statutory construction do not support appellants position.
When the meaning of a statute is plain and unambiguous, there is no
room for judicial construction. See State v. Jacobs (1924), 194 Ind. 327,
142 N.E. 715. The Medical Malpractice Act is plain and unambiguous
in designating who qualifies as a representative and in designating those who are
eligible to pursue derivative claims. The Medical Malpractice Act is also plain
and unambiguous in designating that such claims can be for bodily injury or
death.
* * * * *
Appellants further argue that the provisions of the Medical Malpractice Act concerning a
claim for death are dependent upon the estate distribution mechanisms inherent in the
Wrongful Death Statute. Consequently, without the appointment of a personal representative to
trigger the distribution mechanisms, it is impossible to determine the proper beneficiaries of
a successful claim for death under the provisions of the Medical Malpractice Act.
This argument has no merit. A trial court is particularly well
suited to effect a just and proper distribution of damages if such distribution
be necessary. Furthermore, the absence of distribution mechanisms in the Medical Malpractice
Act does not render its definitions of those qualified to file a claim
dependent on the Wrongful Death Statute.
To the extent that the holding in
Warrick Hospital, Inc. v. Wallace (1982),
Ind.App., 435 N.E.2d 263 conflicts with the holding here, it is expressly overruled.
McKnight, 493 N.E.2d at 776-777.
As I see it,
McKnight is controlling here. One could argue that
the widow and son would be the ones for whose benefit a wrongful
death action could be brought, but it remains the case that neither of
them, as individuals, could maintain a wrongful death action under the WDA.
In McKnight, their right to proceed was based on the provisions of the
MMPA. The plaintiff here is a child of the deceased patient.
He falls within the provisions of the MMPA and may assert a claim
for loss of services, loss of consortium expenses, and all such similar claims.
Ind. Code § 34-18-2-22. Therefore, I concur.
IN THE
COURT OF APPEALS OF INDIANA
TIMOTHY R. CHAMBERLAIN, M.D., )
TIMOTHY R. CHAMBERLAIN, M.D., P.C., )
C. BRYAN WAIT, M.D., ALFRED F. )
ALLINA, D.O., CARL S. WROBLESKI, M.D., )
CHRISTOPHER ZEE-CHENG, M.D., GARY )
HAMBEL, M.D., WHITLEY MEMORIAL )
HOSPITAK, INC. a/k/a WHITLEY COUNTY )
MEMORIAL HOSPITAL, INC., LUTHERAN )
HOSPITAL OF INDIANA a/k/a LUTHERAN )
HOSPITAL OF INDIANA, INC., )
)
Appellants-Defendants, )
)
vs. ) No. 02A04-0302-CV-00092
)
RICHARD STEVEN WALPOLE, )
)
Appellee-Plaintiff. )
Baker, Judge, dissenting
I respectfully dissent from the majoritys determination that Walpolea non-dependent adult childmay recover
non-pecuniary damages in this medical malpractice case. I cannot agree with the
majoritys view that the Wrongful Death and Medical Malpractice Acts are mutually exclusive.
Slip op. at 7. The Wrongful Death Act applies in such
instances to bar plaintiffs other than surviving spouses and dependent next of kin
from seeking non-pecuniary damages for loss of consortium, love, and services. Moreover,
inasmuch as the Medical Malpractice Act mentions derivative claims, it restricts them, bringing
them within a regime that requires a medical review panel and award caps.
I. Wrongful Death and Medical Malpractice Acts
I would note that no cause of action for wrongful death existed at
common law. Wolf v. Boren, 685 N.E.2d 86, 87 (Ind. Ct. App.
1997). With the passage of the first Wrongful Death Act in 1881,
a cause of action was established such that a plaintiff could seek redress
for the loss sustained by the death of another in certain circumstances.
Holmes v. ACandS, 709 N.E.2d 36, 39 (Ind. Ct. App. 1999). Our
current Wrongful Death Act reads, in relevant part:
When the death of one is caused by the wrongful act or omission
of another, the personal representative of the former may maintain an action therefore
against the latter, if the former might have maintained an action had he
or she, as the case may be, lived, against the latter for an
injury for the same act or omission.
. . . .
That part of the damages which is recovered for reasonable medical, hospital, funeral
and burial expense shall inure to the exclusive benefit of the decedents estate
for the payment thereof.
The remainder of the damages, if any, shall,
subject to the provisions of this article, inure to the exclusive benefit of
the widow or widower, as the case may be, and to the
dependent
children, if any, or dependent next of kin.
Ind. Code § 34-23-1-1 (emphasis added). Thus, it is apparent to me
that the plain language of the Wrongful Death Act limits recovery for non-pecuniary
damagesthe remainder of the damages mentioned in the statuteto surviving spouses and dependents
when the person sustaining the injury died as a result of a tortfeasors
actions. Necessary v. Inter-State Towing, 697 N.E.2d 73, 76 (Ind. Ct. App.
1998).
With the Wrongful Death Act already in existence, the General Assembly passed the
Medical Malpractice Act in 1975, an Act whose policy was one of limitation
of liability.
Garrison v. Foy, 486 N.E.2d 5, 9 (Ind. Ct. App.
1985). Indeed, under our current Medical Malpractice Act, a plaintiff must first
file a proposed complaint with the Indiana Department of Insurance. Ind. Code
§ 34-18-7-3. Then, either party may request the formation of a medical
review panel to review the evidence of malpractice. I.C. § 34-18-10-2.
The panels decision, while not final, is persuasive. Finally, damages are capped,
as any claimant may not recover more than $1.25 million. I.C. §
34-18-14-3. Quite simply, nothing in the text or legislative history of the
Medical Malpractice Act indicates that an expansion of recovery for plaintiffs was envisioned
by our General Assembly. It would be remarkably contrary to the intent
of the Medical Malpractice Act if, as Walpole argues, that Act expanded the
scope of liability.
In my view, a more reasonable reading of Indiana Code section 34-18-2-22 is
the
one voiced in Warrick Hospital, Inc. v. Wallace, 435 N.E.2d 263 (Ind.
Ct. App. 1982). In Wallace, the decedents wife sued the hospital for
wrongful death and loss of consortium due to negligent medical treatment. However,
the wife was not timely appointed as administratrix for her decedents estate.
The Wallace court first noted that the Medical Malpractice Act did not create
any separate cause of action for wrongful death or that the legislature intended
to do so. Id. at 267. Thus, the Wallace court held
that the wifes failure to be appointed administratrix was fatal to her claim
because the right to prosecute a claim for wrongful death based upon medical
malpractice is governed by the wrongful death statute with regard to parties eligible
to institute such [a] proceeding. Id. at 268. Moreover, the Wallace
court stated that the procedural requirements of the Medical Malpractice Act, the filing
of the proposed complaint and submission to the medical review panel, must be
met. Id.
A more reasonable reading of Indiana Code section 34-18-2-22 is that the Medical
Malpractice Act folds the common law non-pecuniary derivative claims into the Medical Malpractice
Acts administrative requirements and award caps. Thus, if a common law non-pecuniary
derivative claim is brought by a parent or parents, guardian, trustee, child, relative,
attorney, or any other representative of an injured patient that
still lives, the
plaintiff must adhere to the Medical Malpractice Acts procedures and cannot immediately bring
a claim in court. I.C. § 34-18-2-22.
Moreover, at common law, no cause of action could be brought for non-pecuniary
damages after the injured spouseor patientdied.
Bemenderfer v. Williams, 745 N.E.2d 212,
219 (Ind. 2001) (holding that common law rule was that consortium damages were
not recoverable after injured spouse died). Thus, but for the Wrongful Death
Act, claims for non-pecuniary damages would be barred. The Wrongful Death Act
operates to allow non-pecuniary claims involving a deceased patient, but only spouses and
dependents, going through the Medical Malpractice Act, may bring them. In sum,
a plaintiff suing for a non-pecuniary derivative claim because an injury was done
to a living patient is required to comply with the Medical Malpractice Acts
procedures. Pursuant to the Wrongful Death Act, a non-pecuniary derivative claim for
an injury suffered by a patient who died as a result of medical
malpractice may be brought but only by a spouse or dependent.
The concurrence argues that
Community Hosp. of Anderson and Madison County v. McKinght,
493 N.E.2d 775 (Ind. 1986), is controlling. There, the wife and son
of the decedent brought a medical malpractice action against the hospital. Neither
wife nor son was appointed personal representative as required by the Wrongful Death
Act. Thus, our supreme court noted that the specific issue on appeal
is whether the trial court erred in denying summary judgment where neither plaintiffs
nor any other person or entity has been appointed as a personal representative
authorized to prosecute a wrongful death claim. Id. at 776. The
McKnight court allowed the wifes claim under the Medical Malpractice Act to continue,
noting that the Medical Malpractice act was plain and unambiguous in designating who
qualifies as a representative and in designating those who are eligible to pursue
derivative claims. Id. at 777. Here, by way of analogy, the
concurrence claims that since Walpole falls under the provisions of the Medical Malpractice
Act, he may assert a claim for loss of services and consortium.
Slip op. p. 8.
II. Equal Privileges and Immunities
The majoritys interpretation of the Medical Malpractice Act not only contravenes the intent
behind that Act but violates Article I, Section 23 of our constitution.
Under the
majoritys view, a non-dependent child would be allowed to sue medical providers for
non-pecuniary damages if his father died because of the providers malpractice. Yet,
the same non-dependent child would be prohibited by the Wrongful Death Act from
seeking non-pecuniary damages if a truck negligently ran over his father.
Article I, Section 23 of our constitution states that The General Assembly shall
not grant to any citizen, or class of citizens, privileges or immunities, which,
upon the same terms, shall not equally belong to all citizens. Our
supreme court announced a test to determine whether legislation violates Article I, Section
23 in Collins v. Day:
First, the disparate treatment accorded by the legislation must be reasonably related to
inherent characteristics which distinguish the unequally treated classes. Second, the preferential treatment
must be uniformly applicable and equally available to all persons similarly situated.
Finally, in determining whether a statute complies with or violates Section 23, courts
must exercise substantial deference to legislative discretion.
644 N.E.2d 72, 80 (Ind. 1994). In Martin v. Richey, our supreme
court upheld the constitutionality of the Medical Malpractice Act against charges that it
unreasonably treated medical malpractice victims different than victims of other torts:
[T]his Court has held that a classification scheme which distinguishes between victims of
medical malpractice and victims of other torts, or viewed from another perspective, between
health care providers and other tortfeasors, is reasonably related to the goal of
maintaining sufficient medical treatment and controlling malpractice insurance costs in Indiana, and therefore
is not unreasonable.
711 N.E.2d 1273, 1281 (Ind. 1999) (emphasis added). In my view, the
majoritys opinion turns Martin on its head by expanding the recovery for victims
of medical malpractice.
Moreover, the majoritys opinion violates the first prong of
Collins. In applying
Collins, the Martin court held that the disparate treatment afforded to medical malpractice
victims was rationally related to the goal of maintaining an adequate pool of
medical professionals in Indiana and limiting insurance costs. Id. Here, the
majoritys decision to expand the liability of medical providers is rationally related to
no expressed overarching goal
See footnote
and in fact does violence to the goals stated
in Martin. Simply put, the majoritys interpretation of the Medical Malpractice Act
in this circumstance unconstitutionally treats similarly situated persons differently and completely ignores a
central tenet of Martin.
III. Goleski v. Fritz
I also believe that an analysis of an additional case is warranted here,
even though the majority has not discussed it in its opinion. Walpole
argues that Goleski v. Fritz, 768 N.E.2d 889 (Ind. 2002), establishes an independent
claim for loss of consortium, love, and services. However, Walpoles reliance on Goleski
v. Fritz, 768 N.E.2d 889 (Ind. 2002), is misplaced. Goleski held that
Dorothy Vetterthe deceased patients wifehad a derivative claim for loss of consortium within
the context of the Medical Malpractice Act. Id. at 891. Dorothys
husband Lawrence allegedly died on account of the defendants medical malpractice. Dorothy
filed a proposed complaint with the Indiana Department of Insurance, yet she died
before her case could be brought to a conclusion. Id. at 890.
However, GoleskiDorothys daughterwas appointed administratrix of Dorothys estate and argued that the
cause of action survived Dorothys death and became part of Dorothys estate.
The trial court ruled that Goleski could not maintain the action for loss
of consortium. The Wrongful Death Act provided no cause of action, the
trial court held, because Goleski was not the personal representative of Lawrences estate.
The trial court also held that the Medical Malpractice Act provided no
help for Goleski because she was not Lawrences representative as that word was
defined in the Medical Malpractice Act. Our supreme court reversed the trial
court, holding that, as a relative,
Dorothy had a derivative claim for loss
of consortium and that Indianas survival statute operated to preserve that derivative claim.
Id. at 891-92. Thus, the derivative claim passed to Dorothys estate.
Goleski was free to bring the claim as administratrix of Dorothys estate
but not in her own name. Id. at 892. In sum,
our supreme courts opinion is nothing more than an affirmation that the Medical
Malpractice Act allows non-pecuniary awards to spouses of deceased patients and that such
actions survive the death of the spouse. Goleski does not apply here
because Walpole is not a spouse, as was Dorothy, or a dependent child.
Furthermore, there is no question regarding the survivability of an action, as
was the case in Goleski.
Inasmuch as the majoritys view has the potential of creating certain anomalous results
in these circumstances, is contrary to the public policy embodied in our Medical
Malpractice Act, and violates Article I, Section 23 of our state constitution, I
dissent and therefore vote to reverse the denial of the appellants motion for
preliminary determination.
Footnote:
Ind. Code §§ 34-23-1-1 to 34-23-1-2.
Footnote: Ind. Code §§ 34-18-1-1 to 34-18-18-2.
Footnote:
See Shelton v. Wick, 715 N.E.2d 890, 894 (Ind. Ct. App.
1999) (The [Medical Malpractice] Act provides that submission of a proposed complaint to
the Department of Insurance and presentation to a medical review panel is a
condition precedent to filing a medical malpractice claim in a court in Indiana.),
trans. denied (2000).
Footnote:
See Ind. Code § 34-18-11-1 (allowing trial court to preliminarily determine
issue of law in medical malpractice action).
Footnote: Appellants concede that Walpole may seek to recover reasonable hospital, medical,
funeral, burial, and estate administration expenses. See Ind. Code § 34-23-1-1 ([W]hen
[the] decedent leaves no
widow, widower, or dependent children, or dependent next
of kin, surviving him or her, the measure of damages to be recovered
shall be the total of the necessary and reasonable value of such hospitalization
or hospital service, medical and surgical services, such funeral expenses, and such costs
and expenses of administration [of his or her estate], including attorney fees.).
Footnote:
Appellants do not explain why
only the damages provisions of the
Wrongful Death Act should apply to the Medical Malpractice Act. Indeed, if
we were to construe the Medical Malpractice Act and the Wrongful Death Act
together, we would necessarily conclude that Walpole is barred from pursuing his claim
altogether because he is not the personal representative of his fathers estate.
Footnote:
We note that although the Medical Malpractice Act requires that all
malpractice actions against health care providers (whether arising from death or injury) be
brought under that act, the Wrongful Death Act does not specifically require that
all actions arising from death be brought under that act.
Compare Ind.
Code § 34-18-8-4 ([A]n action against a health care provider may not be
commenced in a court in Indiana before
the claimants proposed complaint has
been presented to a medical review panel
and
an opinion is
given by the panel.) (emphasis added) with Ind. Code § 34-23-1-1 (When the
death of one is caused by the wrongful act or omission of another,
the personal representative of the former may maintain an action therefor against the
latter, if the former might have maintained an action had he or she,
as the case may be, lived, against the latter for an injury for
the same act or omission.).
Footnote:
Our conclusion is consistent with our supreme courts disposition of a
similar issue in
Goleski v. Fritz, 768 N.E.2d 889 (Ind. 2002). In
Goleski, the decedents widow, who was not the personal representative of her husbands
estate, filed a proposed medical malpractice complaint with the Department of Insurance.
The Goleski court determined that under Indiana Code Section 34-18-2-22, widow, as a
relative, could have pursued derivative claims for lost financial support, love, affection, kindness,
attention, companionship, and reasonable funeral and burial expenses. Id. at 891.
Although the Goleski court did not directly address the issue of damages, it
is worth noting that it did not refer to the Wrongful Death Act
and relied entirely on the Medical Malpractice Act in determining the claims available
to widow.
Footnote:
Repealed by Pub. L. No. 2-1993, § 209 and recodified as Ind.
Code § 27-12, which was repealed by Pub. L. No. 1-1998, § 221
and recodified as Ind. Code § 34-18.
Footnote: While the desire to compensate victims of medical malpractice is
certainly a legitimate goal, decisions balancing the needs to compensate tort victims and
to preserve the cost and availability of medical care are best left to
the political branches of government.