To channel cases into ordinary negligence or medmal, look to implications for medmal insurance, court says

Paul Brennan via PublicDomainPictures.net

A Massachusetts court sometimes might have difficulty distinguishing between claims of ordinary negligence and claims of medical malpractice, only the latter of which must be filed first with a special tribunal. If a case implicates medmal insurance, it's more likely the latter, a court reasoned in May.

The Appeals Court had little difficulty, though, finding that a complaint over life-threatening allergic reaction to a drug administered in the emergency room sounds in medical malpractice. The plaintiff therefore erred by failing to file with the commonwealth medmal tribunal and post the necessary bond before proceeding in the Superior Court.

The court demarcated the boundary between ordinary negligence and medmal claims with reference to the legislative purpose in creating the tribunal: "to guarantee the continued availability of medical malpractice insurance." A court may be guided also by factors derived from case law: "(1) whether medical or professional judgment or competence was exercised, ...  (2) whether the claim is 'treatment-related,' even if not a traditional malpractice claim, ... and (3) whether 'the same set of facts supports both' the medical malpractice and allegedly non-medical claims...."

The instant plaintiff's "claims centered on her arriving at the emergency room suffering from an asthma attack, and the hospital's failure to provide a proper medication to her, which resulted in a severe allergic reaction. More specifically, the hospital was alleged to have deviated from the 'standard of care' by administering a medication containing lactose to [plaintiff,] who had a lactose allergy known to the hospital." The implication of medical judgment plainly positioned the case in medmal.

The case is Lane v. Winchester Hospital, No. 21-P-476 (Mass. App. Ct. May 17, 2022). Justice William J. Meade wrote the opinion of the unanimous panel.

Families retain common law rights over loved ones' remains when a church sells a graveyard, court holds

Photo by Bicanski via Pixnio

Principles of common law trust give families a say over the disposition of their loved ones' remains when a church closes and sells its burial ground, the Massachusetts Appeals Court held in May.

The chronic closure of churches and sale of their buildings has spun off a collateral issue of what happens to human remains and who gets to decide.

The 2015 closure of the Episcopal Church of the Holy Spirit of Wayland, Mass., generated such a problem. The diocese decided to close the church and agreed to sell the property to the Coptic Church.

The Coptic Church was not keen, though, to take over and maintain the churchyard burial grounds as they were. The Coptics were interested in developing the property, and they have a religious objection to cremation, which was the state of some of the deceased.

The Episcopal Church explored disinterment and relocation options with families of the deceased. The last burial there was in 2006. Not all families were willing to get on board; some wanted their loved ones to stay put. The Episcopal Church therefore endeavored to move the remains without consent, to see the sale to the Coptic Church go through, and litigation ensued.

The court reviewed the potentially applicable law of property and contract. Both parties made good arguments, and none persuaded the court dispositively. In essence, the church claimed conventional property ownership, and the families pointed to a contractual promise of "perpetual care."

The court instead decided to hang its hat on the amorphous but persuasive notion of common law trust. Some kind of right clearly persists in family over members over the disposition of loved ones' remains, the court reasoned, because we don't think twice in entertaining disputes between family members when there is a question about where a loved one should be laid to rest. Something more than mere property must be going on; the court quoted a New York court's "eloquent" reasoning in an 1844 case:

"When these graves shall have worn away; when they who now weep over them shall have found kindred resting places for themselves; when nothing shall remain to distinguish this spot from the common earth around, and it shall be wholly unknown as a grave-yard; it may be that some one who can establish a 'paper title,' will have a right to its possession; for it will then have lost its identity as a burial-ground, and with that, all right founded on the dedication must necessarily become extinct."

The instant case is hardly akin to that distant day, the court countered; rather, the complainants here are first-degree survivors. "For these reasons," the court concluded, "we now hold that in the absence of a governing statute, common law trust principles apply to the disinterment of human remains from a dedicated burial ground until the families of the deceased have abandoned the remains or the burial ground is no longer recognizable as such."

The court made short work of the Coptic Church's claim that its freedom of religious exercise would be violated by the presence of cremated remains. Essentially, the court reasoned, the bodies are already there. And the family's religious rights might as well be implicated were the court to countenance disinterment.

The court acknowledged that many questions would arise from this decision, for example, regarding the family's right to visit their loved ones' graves under new ownership. But those are questions for another day.

The unusual case is Church of the Holy Spirit of Wayland v. Heinrich, Nos. 21-P-7 & 21-P-8 (Mass. App. Ct. May 5, 2022). Justice James R. Milkey wrote the opinion of a unanimous panel.

N.J. limits mode-of-operation doctrine in classic slip-and-fall claim over grocery store grapes

Open Food Facts CC BY-SA 3.0

A grocery-story-grape, slip-and-fall case in New Jersey prompted the state high court to limit the mode-of-operation doctrine in premises liability.

I don't usually take interest in the nuances of New Jersey tort law, but the mode-of-operation doctrine is a significant player in Massachusetts, where I teach. Also, slipping on grocery-store grapes is so prototypical a case in the doctrine that it's a cliché, so I could not resist.

"Mode of operation" enjoys wide but not universal support in U.S. tort law. As well explained by Wilson Elser attorney Jennifer L. Moran in commenting on the New Jersey case:

[The] doctrine relieves a plaintiff of the burden of proving actual or constructive notice of a dangerous condition in a situation in which a dangerous condition is likely to occur as a result of the nature of the business, the property’s condition or a demonstrable pattern of conduct or incidents. The rule has been applied where food is sold or served in open containers or bins, such as food courts, supermarkets or fast food restaurants. In many cases, a plaintiff’s failure to provide any evidence that the defendant had actual or constructive knowledge of the alleged dangerous condition is the defendant’s sole opportunity to obtain summary judgment to dismiss the claim. 

The doctrine is highly correlated with self-service business, and, as I said, grab-and-go grocery-story grapes count. 

A friend of mine is a grocery store manager in Australia, and you don't want to get him started on grape-related customer slip-and-falls. The aggravation is multiplied by customers' insistence on eating the merchandise, which one might think should bring some kind of assumption-of-risk theory into play. The store once tried to sell grapes in sealed bags, my mate said, but did away with them because customers were outraged to see their nicking snackery curtailed. The store had to tolerate losses and risk as a cost of customer satisfaction. My mate was elated at the advent of no-slip flooring in the produce department.

Anyway, you can see why innovation in the presentation of grape inventory has been a big deal in the grocery biz. And Sam's Club no doubt thought it was onto something big when it started selling grapes in clamshell containers.

In the New Jersey case, the court held 4-2 that the clamshell packaging moved grapes out of the mode-of-operation doctrine. Moran explained:

The court therefore found there was no foreseeable risk that grapes would fall on the ground in the process of ordinary handling by customers. The court held the mode of operation doctrine did not apply and the plaintiff had to establish the defendants knew or should have known that the grapes were on the floor for a period of time prior to the accident and failed to take reasonable remedial action. In this recent decision, the court limits the application of the mode of operation doctrine because the merchandise was in a sealed container, finding the pre-packaged merchandise did not create a foreseeable risk of spillage and there was no nexus between the plaintiff’s fall on grapes and the self-service sale of grapes in containers.

Sam's Club accomplished something that had eluded a defendant in 2003, Moran further recounted, when the court refused to suspend mode of operation for "grapes that were sold in open-top, vented plastic bags that permitted spillage."

If shoppers remain true to form, the dissent might have the better argument in the end. Dissenting justices opined that Sam's Club knows that its customers still open the clam shells in the store, setting grapes loose.

The case is Jeter v. Sam's Club, No. A-2-21 (085880) (N.J. Mar. 17, 2022). Justice Lee A. Solomon wrote the majority opinion.

Lengthier U.S. limitations period allows claim over accidental deaths of medical students in Nevis

The Massachusetts three-year statute of limitations rather than a foreign one-year statute of limitations permitted wrongful death suits in the tragic case of two medical students killed while studying abroad, a trial court ruled in March.

Plaintiffs' decedents were students from New Jersey and California studying at the Medical University of the Americas (MUA) on the island of Nevis, in the Federation of St. Christopher (Kitts) and Nevis, in the West Indies. MUA is a nonprofit based in Devens, Massachusetts.

MUA campus, Nevis
(Bazi014 CC BY-SA 3.0 via Wikimedia Commons)

The women suffered fatal burns in their MUA dormitory when a gas cooking stove connected to an external propane tank exploded. Plaintiffs sued MUA two years later in negligence, alleging failure to inspect and maintain the stove and gas piping.

The defendant sought dismissal under the one-year statute of limitation in Nevis law. The plaintiffs contended that the more generous three-year limitations period in Massachusetts pertained.

The Superior Court in Worcester, Mass., explained the choice-of-law analysis, relying on Commonwealth high court precedent and the Restatement (Second) of Conflict of Laws:

Massachusetts applies a functional approach in determining the statute of limitations when a choice of law question arises.... Generally, Massachusetts "will apply its own statute of limitations permitting the claim unless: (a) maintenance of the claim would serve no substantial interest of the forum; and (b) the claim would be barred under the statute of limitations of a state having a more significant relationship to the parties and the occurrence." .... "Stated in affirmative terms, a forum should apply its own statute of limitations permitting the claim if it would advance a substantial forum interest and would not seriously impinge upon the interests of other states." .... The focus of this choice of law analysis is on the timeliness of the action, rather than the underlying claim.

The court reasoned that oversight of the dorm was a function of the defendant's management in and directives from Massachusetts. And Nevis's interest was less than Massachusetts's when it is a Massachusetts defendant that faces liability.

The defendant also sought dismissal for forum non conveniens, and the court decided that the question is premature.

The case is Balasanyan v. R3 Education Inc., No. 2085CV01052 (Mass. Super. Ct. Mar. 29, 2022), Justice David M. Hodge presiding.

Court denies police immunity under state tort claims act in death of intoxicated man in protective custody

Michael Coghlan CC BY-SA 2.0 via Wikimedia Commons

In a lawsuit over the death of an intoxicated man in police protective custody, the defendants were not entitled to immunity under exceptions to the Massachusetts Tort Claims Act (MTCA), the Commonwealth Appeals Court held in April.

Police in New Bedford, Mass., took the plaintiff's decedent into protective custody upon finding him in a state of heavy intoxication and disturbing the peace. Police put the man in a county jail cell, where he got into an altercation with another detainee. The other detainee pushed the man to the ground, where he hit his head. The man died from complications of the injury.

Defendant officials sought immunity from the plaintiff's negligence lawsuit under the discretionary function exception to the MTCA, section 10(b), and under the causation limitation of MTCA section 10(j).

Section 10(b) is similar to the discretionary function exception of the Federal Tort Claims Act. It disallows tort claims when public defendants exercise policy-making discretion, even when discretion is abused. The theory behind this exception is that public officials require latitude to make decisions, good and bad, and not every government decision should be second-guessed in litigation. The tort claims act reserves for litigation cases in which standards of conduct are set or clear, and the plaintiff alleges negligence relative to that standard.

The court denied defendants discretionary function immunity, because state law provides that persons in protective custody should be held at police stations, referred to appropriate care facilities, or returned home. The plaintiff alleged that the decedent's commitment to the county jail was improper and proximately caused the injury and death. Police had no discretion under the law to detain the decedent in the county jail.

MTCA section 10(j) is a creature specially of commonwealth law and articulates a potent liability limitation arising in causation. Section 10(j) disallows liability for 

any claim based on an act or failure to act to prevent or diminish the harmful consequences of a condition or situation, including the violent or tortious conduct of a third person, which is not originally caused by the public employer or any other person acting on behalf of the public employer.

Thus, state defendants disavow liability under section 10(j) when the plaintiff's liability theory is in the nature of a failure to supervise or intervene, and the more proximate cause of the injury is the conduct of a third party. Here, the defense pointed to the push to the ground by the decedent's fellow detainee, if not the decedent's own provocation.

The court also denied the defendants 10(j) immunity. The official act relevant to the plaintiff's claim was the decision to place the decedent in a county jail cell with potentially dangerous detainees, the court opined, not the precise mechanism of injury that ensued.

The case is Baptista v. Bristol County Sheriff's Department, Nos. 20-P-731 & 20-P-778 (Mass. App. Ct. Apr. 15, 2022). Justice Peter J. Rubin wrote the opinion of the unanimous panel.

Attorneys spell out False Claims Act elements

Nick Youngson CC BY-SA 3.0 Pix4free.org via The Blue Diamond Gallery

Two attorneys in April endeavored to articulate the elements of claims under the False Claims Act.

The False Claims Act (FCA) (DOJ, LII) facilitates lawsuits against persons who defraud the government. An important aspect of the statutory scheme is the authorization of qui tam actions, by which individual litigants may apply for government permission to sue on the public's behalf. Qui tam representatives can be entitled to a percentage of the recovery, which can mean a substantial sum of money. (Consider a case I wrote about in May 2021.)

With government subsidies characterizing recovery from the 2008 financial crisis and then, more recently, the pandemic, I added a sliver of False Claims Act content to my survey of tort-like statutory actions in my 1L Torts II class. I feel obliged to give students at least one exposure to the FCA, because I fear that they will otherwise never see a hint of it in law school. And I don't mind fantasizing that one of my alums one day will win a big qui tam award and think to throw a little love my way. Hey, that's more likely than a meaningful pay raise from my employer.

Accordingly, it's my intention to add the FCA to my Tortz textbook as I develop its second-semester coverage. I might be onto something, because, in April, two attorneys wrote articles articulating FCA fundamentals: A.J. Bolan, healthcare litigation associate at Barnes & Thornburg, wrote a piece for JD Supra, and Molly K. Ruberg, litigation partner at Bass, Berry & Sims, wrote a piece (login wall) for Lexology.

Both writers laid out these elements:

1. A false claim.
2. The false claim was made with the requisite scienter (or knowledge that it was false).
3. The false claim is material to payment.
4. The false claim caused the government to pay money.

Falsity may be express or implied, both writers explained, and most courts require objectively verifiable falsity. Scienter may be accomplished by (1) actual knowledge, (2) deliberate ignorance, or (3) reckless disregard, both writers said.

Under the statute, materiality means “having a natural tendency to influence, or be capable of influencing, the payment or receipt of property,” both writers quoted. Courts disagree over whether causation must be but-for or proximate, they agreed.

Flawed instruction on 'reasonable alternative design' requires vacatur of tobacco defense judgment

Plaintiff's decedent started smoking in the early 1960s,
at age 13 or 14, with free samples of Kents.
(David Shay CC BY-SA 2.5 via Wikimedia Commons)

An error in jury instruction was small but crucial in a Massachusetts tobacco liability case, resulting in partial vacatur in the Appeals Court.

The plaintiff, decedent's representative, alleged design defect as cause of terminal lung cancer. The jury was instructed that the plaintiff had to prove the availability of a reasonable alternative design by the time the plaintiff was addicted.

That instruction described too tight a time frame, the court held. "[T]he jury should have been told to assess whether a reasonable alternative design existed at the time of distribution or sale."

The court explained:

If a manufacturer continues to make and sell a harmful and addictive product even though a safer alternative is available, the fact that the consumer is addicted to the product makes it more—not less—important for the manufacturer to adopt the available safer alternative. The purpose of anchoring liability to the point in time when the defective product is sold or distributed is to give manufacturers an incentive to create safer products [citing, inter alia, the Third Restatement of Torts].... Were we to adopt the defendants' view that liability should attach only up until the point in time a smoker becomes addicted to cigarettes, that incentive would be severely diminished, or even eliminated. Such a rule would in essence immunize cigarette manufacturers from liability to addicted persons even though they continue to sell or distribute defective products despite the availability of reasonable alternative designs. We see no reason to limit liability in this way, especially given the addictive nature of cigarettes, the speed with which smokers can become addicted to them, and the years—if not decades—thereafter during which a person continues to smoke and thus remains exposed to the dangers of cigarettes. In this regard, we note further that, as the expert testimony bore out, ... the degree or point of addiction to tobacco may be viewed as a continuum rather than a bright line. For this reason, it is all the more important that manufacturers be encouraged to produce safer, less addictive products at all points in time so as to increase the possibility that an addicted smoker be able to quit.

The court vacated the judgment in favor of defendants insofar as it arose from the erroneous instruction.

The case is Main v. R.J. Reynolds Tobacco Co., No. 20-P-459 (Mass. App. Ct. Apr. 8, 2022). Justice Gabrielle R. Wolohojian wrote the opinion for a unanimous panel.

Habeas petition for woolly monkey was valid, Ecuadorian court rules, recognizing right of nature

A silvery woolly monkey at the Louisville Zoo
(Ltshears CC BY-SA 3.0 via Wikimedia Commons)

The Constitutional Court of Ecuador entered a landmark ruling on the rights of nature in January when it recognized the legitimacy of a habeas petition on behalf of a woolly monkey named Estrellita.

Estrellita was removed from the wild illegally almost two decades ago. Fortunately she came to be in the care of a librarian and effectively became part of the family for 18 years. But when Estrellita suffered a respiratory emergency, and the family sought medical treatment, authorities seized her for commitment to a zoo. Fearful of the profound distress that must have afflicted Estrellita, besides her ailment, the family filed a habeas petition. Estrellita died, but the petition persisted in the courts.

I wrote in December about the Ecuadorian court's landmark ruling on indigenous rights. As I wrote then, the decision implicitly recognized the right of nature in tandem with indigenous peoples' conservation of natural resources. The Estrellita case makes explicit the judicial recognition of Ecuador's constitutional right of nature, independent of human rights.

Elizabeth Gamillo wrote about the case for Smithsonian in April. Her story linked to a certified translation of the final judgment in the case, "Estrellita Monkey," No. 253-20-JH/22 (Rights of Nature and animals as subjects of rights) (Ct. Const. Ecuador Jan. 27, 2022).

Gamillo added: "Other countries, like Canada and New Zealand as well as several cities in the United States, have treaties or local laws that give wild animals some protection. In November 2021, the United Kingdom recognized several invertebrates, including lobsters, octopuses and crabs, as sentient beings. However, these rights have not been applied at the constitutional level, Science Alert reports."

Police negligence suit against BLM organizer goes ahead after La. Supreme Court greenlights duty

BLM protest in Baton Rouge in 2015
(Alisdare Hickson CC BY-NC 2.0 via Flickr)

A lawsuit against Black Lives Matter organizer DeRay Mckesson lives on since the Louisiana Supreme Court opined in March that state law allows imposition of a duty in tort law and does not preclude liability to police under the firefighter rule.

I wrote about the Mckesson case in April and November 2020. In the case's winding appellate disposition, the U.S. Supreme Court faulted the Fifth Circuit for jumping the gun on Mckesson's First Amendment defense and entreated the court to certify questions of state tort law to Louisiana.

It is not alleged that Mckesson himself threw any projectile at police, so the defense asserted that the intentional criminal action of a third party supervened in the chain of causation between Mckesson's organizing and police officer injury. But the Louisiana Supreme Court was unsympathetic, characterizing the pleadings as alleging related criminal conduct by Mckesson. The court reasoned:

Under the allegations of fact set forth in the plaintiff’s federal district court petition, it could be found that Mr. Mckesson’s actions, in provoking a confrontation with Baton Rouge police officers through the commission of a crime (the blocking of a heavily traveled highway, thereby posing a hazard to public safety), directly in front of police headquarters, with full knowledge that the result of similar actions taken by BLM in other parts of the country resulted in violence and injury not only to citizens but to police, would render Mr. Mckesson liable for damages for injuries, resulting from these activities, to a police officer compelled to attempt to clear the highway of the obstruction.

The court also rejected Mckesson's the firefighter-rule defense. The common law rule (in Louisiana, "the professional rescuer's doctrine"), not universally recognized, ordinarily disallows recovery by emergency responders for injury incurred in the course of the job, upon the theory that the job is what the responder is compensated for, and responsible parties should not be deterred from summoning emergency response.

The court took the occasion of the Mckesson case to ponder whether the firefighter rule survived the statutory adoption of comparative fault in Louisiana. The rule embodies a form of implied assumption of risk, the court reasoned. Louisiana is not a pure civil law jurisdiction, but the courts rely heavily on statute in accordance with the civil law tradition. Though the legislature left the details of comparative-fault adoption to the courts to work out, the high court acknowledged, the lack of any explicit recognition of the firefighter rule left it displaced.

The case in Louisiana is Doe v. Mckesson, No. 2021-CQ-00929 (La. Mar. 25, 2022). The case in the Fifth Circuit is No. 17-30864.

In law symposium, Enríquez follows up genetics book

CRISPR-Cas9 editing of the genome
(NIH Image Gallery CC BY-NC 2.0 via Flickr)

My friend and once-upon-a-time law student Paul Enríquez, J.D., LL.M., Ph.D. (LinkedIn, SSRN), in the spring published The Law, Science, and Policy of Genome Editing in the Boston University Law Review Online (2022).

Dr. Enríquez published the remarkable book Rewriting Nature: The Future of Genome Editing and How to Bridge the Gap Between Law and Science with Cambridge University Press last year. The BU Law Review then invited him to discuss his work as the centerpiece of a Zoom symposium, which I was privileged to attend, in the fall.

In the present article, Enríquez engages with and responds to the dialog of the symposium. Other contributors are Dana Carroll, Katherine Drabiak, Henry T. Greely, Jacob S. Sherkow, Sonia M. Suter, Naomi R. Cahn, Allison M. Whelan, and Michele Goodwin.

Here is the introduction.

Genome editing is the most significant breakthrough of our generation. Rewriting Nature explores the intersection of science, law, and policy as it relates to this powerful technology. Since the manuscript went to press, genome-editing developments have continued apace. Researchers have reported encouraging results from the first clinical trials to treat β-thalassemia and Sickle-Cell Disease, the first wheat-crop variety that is resistant to a crippling fungal disease and features no growth or yield deficits, and proof-of-concept data establishing the therapeutic effects of the first clinical trial involving the injection of a therapy directly into the bloodstream of patients suffering from a genetic, neurological disease. Chinese regulators promulgated rules to approve gene-edited crops. These and other developments are testament to the expansive reach and promise of genome editing. Rewriting Nature showcases the technology’s power to transform what we eat, how we provide healthcare, how we confront the challenges of global climate change, who we are as human beings, and more.

One of my goals in writing the book was to help spur robust dialogue and debate about the future of genome editing and the synergistic roles that law, science and public policy can play in promoting or hindering specific uses of the technology. I am grateful to the Boston University Law Review for organizing this symposium on Rewriting Nature and bringing together an extraordinary group of gifted scholars, academics, entrepreneurs, and thinkers, including several members of the National Academy of Sciences, as well as scientists and lawyers to engage in diverse discussions of my book.... I am encouraged by the consonance on a vast range of ideas among participants but even more so by the disagreement, as it presents opportunities for engagement and progress. My Essay, thus, focuses on the hard questions and challenges that spring from our disagreements, which allowed me to clarify, refine, and expand on ideas presented in Rewriting Nature and to articulate new ones that point towards future work.