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Application of the President and Directors of Georgetown College, Inc., a Body Corporate
331 F.2d 1010
D.C. Cir.
1964
Check Treatment

*1 quo. To refuse status preserve the re- that the law

act, later to find unwilling action, I was quired a risk Margolius Ralph Bernard Messrs. on accept. to act I determined Washington, Deckelbaum, C.,D. were H. Jones, of life. pe- side pleadings H. on for Jessie

titioner. Edward Bennett Williams Messrs. Taft, Washington, C., R. D. Peter pleadings Di- on the for President and Georgetown Inc., College, rectors of opposition. Judge, Chief Before Bazelon, Washington, Miller, Fahy, Wilbur K. DI- Application AND of the PRESIDENT Wright Danaher, Burger, Bastian, COL- GEORGETOWN RECTORS OF banc, Judges, en McGowan, INC., Body Corporate. LEGE, Chambers. Misc. 2189. No. PER CURIAM. Appeals Court of States pleading Upon Columbia Circuit. District of consideration of a Rehearing styled En “Petition Feb. 1964. Banc” in the above-entitled matter and opposition thereto, it is Ordered the court en banc petition is denied. said Judge (con- WASHINGTON, Circuit curring) : hospital, and left the Mrs. Jones has expired has order of 17th the by these circum- its own terms. Under my stances, precluded we are in view passing ques- on the merits holding presented, and tions hence from rehearing en banc. rehearing Our denial of a instances, banc, in this as in all other ap- necessarily taken as to be proving panel the action of a or a sought Each in matter to be reheard. in vot- his own discretion exercises had, should be whether presented. He under the circumstances agree may may the action judge. panel He or a not be merits should think reached, variety reasons. for a full tíim before is whether of the factors act.1 Some should by the late listed considered were “rigorously Supreme tiorari, Court, insisted that which exercises implication authority discretionary with it no a denial carries somewhat similar regarding deciding grant deny views on Court’s whether to eer- whatever *2 1011 Georgetown presently patient Judge Stephens pub- article a in an at Chief pointing University Hospital years ago, out and that she lished several hearings by being grant in the extremis further it that the exercised,” represented “sparingly physician that the in at- has been full court tendance, “constitut- treated as the resident at has not been chief Georgetown general Hospital, ing court of Edwin Wes- in banc a the court panel. tura, opinion that appeals” decision is of the blood from a Concerning necessary Shop Stephens, Talk transfusions are immedi- Court, ately OF 20 order to her life and it JOURNAL save Business of ASSOCIATION, being represented by ap- at 103 BAR further THE D. C. plicant (1953). true actions same is that consent to the adminis- 109 judge. My own reason tration thereof can be obtained nei- voting here patient her for denial ther nor hus- for para- preceding band; in the been stated therefore graph. applicant “Ordered act- ing through duly its accredited Judge, DANAHER, would dis- Circuit physicians licensed attendance controversy. of a case lack miss for may administer such transfusions as physicians are in the Judge MILLER, K. WILBUR necessary in attendance to save her (dissenting): life,” my unwill- giving reasons In Although proposed order was order, foregoing agree ingness to the styled “Application The President and begin expedient at the be- I think it Georgetown College, Inc., a Directors of story sketching ginning by Body Corporate,” pro- was no there entry; to its which led circumstances Court; ceeding pending in the District alone, appearance standing for, it has the complaint, petition or there no had been order. an innocuous routine application formal written filed. attorneys 17, 1963, September two On “application” request the oral appeared chambers of District attorneys that the tendered Judge tendered A. Tamm and day, Edward signed To and entered. they request- following order, which nothing there is on file the District sign: him to ed Court office Clerk’s with reference Judge “application.” on Tamm endorsed “Order “Denied,” paper the word which of Court District United States denying meant that course he for the District of Colum- application oral the order. Civil bia Division plain, think, very that at least Application Presi- “In re: Judge Tamm’s was based denial Directors dent nothing fact him there was before Georgetown College, Inc., a juris- upon act, that which he could Body Corporate had not diction of the District been Court having invoked, on to be come and that “This cause controversy. pending upon application The Presi- case or heard Georgetown dent Directors of p. 17 the 4:00 m. on About body unannounced, corporate, College, Inc., attorneys appeared, own- same Georgetown operating Uni- at the chambers of of this court being repre- versity Hospital, requested and it an immediate review applicant Judge denying ap- sented counsel Tamm’s action plication authority Jesse E. Jones is Mrs. administer [sic] 252, 255, (Opinion 94 L.Ed. of Frank- the merits of a case which it has declined 562 , Maryland J.). furter, Baltimore review.” Show, Radio U.S. 70 S.Ct. hospital, at the memorandum order and attach- transfusion danger of death ment.” in imminent said They did not file from loss of blood. accomplished The blood transfusion was Judge petition for review of written immediately signed. after the order was *3 sign the order but Tamm’s refusal judge appellate September 19 the On single judge merely orally requested concerning his memorandum ac- filed a Judge had action Tamm take the just which tion, he said inter alia: in which judge appellate to take. The refused “ * * * obvious that by telephone hospital’s spoke the not in mental con- woman was the physician who confirmed chief resident re- dition to make a decision. I was by representations made counsel and the press the her because luctant judge thereupon proceeded the to the and be- of her condition seriousness spoke hospital. husband There he to the suggest repeated- I that to cause felt that, on of the ligious who re- advised ly the imminence of death without approve grounds, would not he might place strain on her re- blood blood transfusion his wife. The ligious her convictions. I asked judge advised the husband obtain oppose whether she would the blood immediately but, counsel con- after brief it. transfusion if the allowed court sideration, do the husband declined to indicated, make She as best I could patient’s so. The then at called the out, her that it then would not be repeated room and her the doc- what added.) responsibility.” (Emphasis only reply tors had said. Her audible days after September 20—three “Against was, my on And him will.” accomplished— had been the transfusion Then, 17, p. at 5:20 onm. by phy- hospital four affidavits filed the Georgetown Hospital, appellate the the transfusion to the effect sicians judge signed Judge the order which necessary. had been sign Tamm had declined to and then Jones, 1963, E. Jessie October On signed following order, additional petition for rehear- patient, filed by which was filed our Clerk the same vacating banc for an and day: September 17 quashing order of and applicant having appeared “The The transfusion. authorized the which petition me before for the presented issuance of a writ states permitting applicant to admin- follows: ister such transfusions as are question is whether a free “The physicians of the in attend- the United States citizen adult necessary ance to save the life against to ac- her will can forced ap- Mrs. Jesse E. [sic] Jones and it cept to which she treatment medical pearing September 17, 1963, that on religious objects on both appli- District Court denied such grounds. cation; hearing having and a been importance “This case vital is of conducted before me at all which granted due should be parties present interested upon implications of the to the broad thereon, due consideration had right question presented. signed, pursuant provisions to the religion free exercise of Section Title right of citizen to have his a free Code, States the attached order body part are all a inviolate granting such relief which counsel rights guaranteed by the Constitu- presented had to the District Court problem tion. The tionally raised here addi- Judge and which had been denied doctor-patient- affects all him, it is therefore throughout relationships country. Thus, that the Clerk entire while the “Ordered hereby unusual, court prin- fact directed file issue n ciple broad description na- In situation. these vital proceedings ture rehearing says: case this a qualities make important recon- peculiarly calls en banc Court full procedure sideration mat- which the “The rehearing.” aof ter before this Court came argu- extensive petition contains counsel, no issue but clear following support of ments point on at this time.” raised propositions: however, me, seems clear to “Respondent a constitu- before this come matter did guaranteed tionally to the free duly presented that, court and it been had n exercise n eludes religion, of her appeal, of this *4 ‘abstain from summary the not dis a authorized make merits, and the Court of order The position blood.’ the of matter on the applicant fore- in therefore, the action of procedural are, the These defects upon of a violation her is blood validity purported fatal of or to the the liberty the and of single her conscience September by ders entered 17 a by guaranteed First Amend- the judge appeal actually when no had been the of Constitution Argument to the justified, ment filed. is court States.” physical United in present here, such were circumstances as ordering blood transfu “Respondent a citizen free 2. against patient sions the will of an adult de- has been the United States necessarily presupposes properly con a liberty by inva- prived of the her actually court stituted an filed and action proc- person without due sion of her pending argument, and before it. Such contrary Fifth to the of law ess persuasive, no matter how extensive and to the Constitution Amendment cannot validate the action which tak the United States.” destroy en because it cannot ,here precedent is created here 3. “The purported basic facts which make the or- persons many other so a threat mere nullities: that no action was judicial substitution of that ap District Court and that discretion for individual discretion court; that, had Pea principle to should be examined ap an there been actual a sin^le aPPeal> leading.” is where it see pellate judge not to act. authorized , , , subject “Respondent still ... is„ ,. , merely object de- I to the order which ... Septem- . . dated .... . ... the order the Court . rehearing, without for meS the Petltl0n liberty Her her 17 1 I i 1963 continues , „ , », /y» j , ., more, two l»j J. (cid:127) lid ulllUCO i . m effect the llUCl vdi . . ... it leaves UtiX . because i i , infringed . ... the order until , , , , ,, ., September this 17 orders of ... « orders of , , , be quashed, the Court there- . . should ,, , , may . cited hereafter court which precedents, , , grant rehearing. . fore summary only ad not rehearing petition Such transfusions ministration against of blood being banc com- which is denied without patient, also the will of the but by foregoing presume ment I order. judge proposition .for that one majority the reason summoning which actuates the court, without two theory September colleagues that him and with his to act with 17 may is now moot in that the transfusion him, out take record before has been unprecedented administered action which drastic and hospital. petition has left the was taken this matter. strong argument presents a gection nI) Under Article 2> contrary which merits consideration. States, the Constitution of the judicial power concerned, however, cases extends I am not now Although by de- questions presented this Section controversies. the substantive judicial power, rehearing; it does fines and limits am dis- I by particular by procedural aspects prescribe method turbed

1014 judge appellate as that which was-- may power invoked. suggested, provided taken here. ever, It has been how- invoking Rule it is method Procedure, provision that the which au- Code of Civil Rules Federal appellate judge thorizes one an enter is com- civil action reads: “A preserve quo pending filing complaint order to the status with the menced appeal justifies employed procedure shown, nowas court.” has been As suggestion think, is, here. The I without here, complaint action was so civil filed appeal prop- foundation. Even if an had of the Dis- commenced erly Judge- been in this invoked. trict Court was not proffered Tamm’s der, may refusal to enter the or- do one institute not understand that by entering the orders entered on merely civil action judge asking pre- court did not chambers district quo; contrary, serve the sign order; status proffered the- him to nor changed completely quo orders appeal the status refusal from his by granting fully finally ante by orally requesting all of circuit sought, disposing the relief thus of the- to review it. matter its merits. This fact is con- controversy Even when a case firmed, perhaps unwittingly, by ma- properly presented Appeals, to a Court of *5 jority’s denying petition for re- judge empowered thereof is not to hearing banc, implicitly relies take the action decisive which was on mootness. here. The determination such matters

is committed a to division of three that, I think merely denying instead of judges, quor- of which two constitute a petition rehearing, we should' um, pro- or to the court en banc. This is ground dismiss it that there was by 46(b), 46(c) vided subsections and 46 no controversy presented case or or de- (d) of Title 28 U.S.Code: consequently termined and that there is nothing “(b) But, to pe- rehear. In each circuit whether the court may rehearing tition for hearing authorize be denied or de- dis- missed, purported Septem- termination of cases orders and contro- ber expunged by should separate versies consisting be so divisions, there would each nothing judges. our records of three which could be- Such precedent cited as a divisions shall sit at future similar times and ac- by single tion places appellate a judge. and hear the cases and contro- We- have assigned inherent versies to as take the court di- that action sponte. sua rects. “(c) impugn Cases and I do to not mean controversies shall the motives colleague signed by heard and of our determined a who court these orders. or by division impelled, sure, of not more He was I am than humani- three judges, hearing impulses unless tarian a or and doubtless was him- rehear- ing before the self under court in considerable strain bane because of is or- by majority dered a the critical situation of the which he had be- circuit judges of the circuit come involved. In who the interval are in about ac- twenty tive an appearance service. A court in hour and minutes between the- banc shall attorneys consist judges of all active circuit at his cham- signing circuit. bers and the of the order at the hospital, opportunity had “(d) majority A of the number of legal' for research judges as to substantive authorized to constitute a problems procedural questions court thereof, or division provid- volved. He should not have been asked in paragraph ed (e), shall constitute act in these circumstances. quorum. a June c. Stat. 871.” suppose- suggest is not correct I it emergency that, a me, serious sections, where there seems to do not These it life, district or a circuit provide by permit or action

1Q15 right regardless hospital it it, of whether the had a meet act require the court to en- so. was entitled to empowered to do law he is whether always easy separate force. It is not truth of shows This situation concepts standing party of a adage bad law. make hard cases issue; justiciability of an two tend say that BASTIAN am authorized I merge blend and times. But Judges, join BURGER, beyond challenge would seem dissent. party seeking has the relief burden showing affirmatively legally protected Judge. BURGER, Circuit right which is or is about to be invaded should dismiss believe we opposing party. invaded an jus- of a en banc for want What, then, legally enforceable controversy, Judge Danaher ticiable “right” of the in this context ? merely deny does, than it. rather hospital, assume first canWe presents episode hand on the one This responsibilities doctor, has certain like a grave example dilemma which .an who, person and duties toward engage those in the heal (cid:127)confronts who emergency, its comes under or choice very the other some arts and on hand of the No affirmative act care. na “basic and fundamental on the issues threatening invading suggested r.1 scope judicial powe We ture hospital. must any So we n can sympathize with the can one but we legal “invasion” of an decide whether safely appropriately temporize relationship spelled out of can be obligation other; with the we have accept a patient’s refusal between n dealwith basic whether thought nec medical treatment standard .judicially cognizable presented issue *6 possible essary preserve to life and the refuses, legally competent when a adult relying if, hospital consequences to the n grounds conscience, to to a of consent give consent, it fails to on her refusal of preserve treatment essential injury or fol a transfusion and death life. At the outset I would assume that impact, possible economic lows. judicial appraisal we cannot make a of apart implications inher the moral justiciability any on the basis con of pre responsibilities, perhaps ent in its sequences attributable to the issued arguable hos sented an basis end, in the name of this court. The de right. pital’s protected claim economic of obviously developed, .sirable it can in an unenviable Samari stood “Good not establish the existence of a or case n controversy categori posture patient tan” when the such did if not exist inde eally a blood trans refused consent to pendent, sequel of the to the enforced emerg fusion a medical called for medical treatment. ency.2 violating between The choice justiciability “The touchstone in is patient’s convictions of conscience * jury legally protected right to a accepting hardly an her decision was n JointAnti-Fascist Refugee v. Committee easy one. McGrath, 140, 624, 341 U.S. 71 S.Ct. disputed However, (1950) it is not (principal since opin L.Ed. 817 ion). patient issue, and her husband volunteered therefore, The threshold vitality tinuing Judge underscore serves with Miller’s lias dealt majority problem, e., the failure of a of this court phase of i. whether one assuming arguendo definitively upon presented pass the issues jus- of a existence controversy, hospital to us. took the ticiable juris- necessary steps to invoke the court’s emergency jurisdiction assuming as- whether, 2. The existence of an diction although Court, jurisdiction is no record to show sumed in was the District hospital patient agree or when the reached his executed here. emergency thought .analysis. to arise. when an Judge Washington’s or- view that 17, 19C3, con- of der sign hospital rigidly to relieve the a waiver would forever embalm all reme- liability consequences any of of dies and all actions the mold 18th transfusion, century Legal concerning to effect the failure courts. claims right protected energy age economic space claim to a atomic may and the well damage sphere appear unsupport- suggested would arise and the standard Jus- sufficiently ed. tice Frankfurter malleable encompass claims and remedies not legally out protected arise Can a ago years gen- dreamed of 200 even hospital duty-right other of some ago, provided always they eration are obliga- moral patient, as a toward general competence within the preserve costs ? life at all tion to pointing courts. What he to was to construct is difficult me For appropriateness treatment, judicial protected legally out actionable adjudication, fitness relationship. en- affirmative depend upon showing turn of invasion right growing out of aof forcement possible legally right. protected duty moral Frankfurter defi- The breadth of to meet not seem does toward manifest that he nition also makes especially justiciability the standards of narrowly addressing himself judicial compul- only remedy is when the judicial limited nature federal touching con- area of the sensitive sion distinguished state from that of religious belief.3 science and general jurisdiction, for the courts of judicial of Westmin- courts those on ‘the Power Colonial “Limitation general expressed the 1780’s courts ster of States’ attempting litigant jurisdiction. requirement must Rather he was judicial proper scope ‘standing or, com- more to contrast to sue’ have legisla- prehensively, business with business a federal sovereigns, controversy only tures, see if executives entertain a Pauling McNamara, D.C. No. ‘justiciable.’ Both character- it is inference, and, by 23, 1963, Cir., Dec. that a court izations mean will strictly private which are those matters the nature decide a unless gov- beyond all reach of challenged, and thus concern the kind of the action injury neatly di- power. relationship *7 cannot We inflicted, ernmental and the problems and decisions of life’s parties all are such that vide between the assign one compartments and judicial into determination is consonant three great of Branches generally speaking, three was, to each with what courts Government.4 of the Colonial the business when and the courts Westminster Brandéis, views whose Justice Mr. was Joint the Constitution framed.” “right to be let inspired much have Refugee v. Anti-Fascist Committee philosophy, in Olmstead said alone” McGrath, 150, supra, 71 341 U.S. at 438, 478, States, 48 S. U.S. 277 (separate S.Ct. at 95 L.Ed. 817 (dis (1928), 944 L.Ed. Ct. 72 J.). Frankfurter, senting opinion) : suggested by our Constitution “The makers of Mr. Jus- The Standard * * * sought protect Ameri- or abso- tice Frankfurter is not archaic thoughts, beliefs, their cans in their lete than is the more Constitution years sensations. simply nearly their old. emotions and is their because it against They conferred, Moreover, as Gov- not Justice Frankfurter did ernment, alone— concept justiciability let mean that judicial com- in which vaccination 4. The cases Mrs. invoke Because Jones could pelled smallpox power enjoin and other communica- does a Mood transfusion point mean,' com- corollary, for such are not in Me diseases not as a public pulsion comparaMe right compel health was enforcement it. has a police power. measures under the rights timely and both decisive choice die. comprehensive of most May hospital require physician civi- valued most and the patient may the courts decide? A man.” lized requiring, in a critical condition suggests that Nothing utterance experts, minds of a certain medical or thought individual an Brandéis Justice surgical procedure. has If rights only sensible as to possessed these objections to that treatment based on thoughts, reasonable emo- beliefs, valid religious rejects conviction, or if he sug- tions, sensations. or well-founded opinion, empower- courts are the many great gest include he intended ed to decide for him? foolish, absurd even unreasonable greatest jurists have of our Some conform, re- such do ideas which judicial emphasized aware- the need for great fusing at even medical treatment judicial power ness of the limits on risk. acknowledgement simply of human is an lim- judicial narrow and power is That fallibility, concept deeply in our embedded ited is Cardozo, Judicial in The Nature of the System. re- for external need Thus the Process, said: Judges powers of Federal on the straints corollary to important plainly an free, judge, “The even when he It constitutionally tenure. secured their wholly not to still not He is free. as it quite in the 1780’s as clear pleasure. is not a He innovate today for ex- not notorious that men are roaming knight-errant, at will they possess ercising when self-restraint beauty pursuit of his own ideal of pow- plenary permanent tenure both goodness. He is to draw his single System no Branch our er. Under princi- spiration consecrated both, and no of Government yield spasmodic ples. He is safely be could Branch of Government vague unregulated sentiment, to entrusted with both. to exercise a dis- benevolence. He is by tradition, cretion meth- informed unique episode by a Confronted analogy, disciplined odized inquire this, must seems to me we system, ‘the subordinated jurisdiction over assumption where primordial necessity order in the Physicians, lead us.5 such matters could enough in all con- social life.’ Wide surgeons hospitals others —and science is the field of discretion seem- often confronted with well—are remains.” ingly con- demands irreconcilable flicting pressures. Philosophers periphery the- the boundaries at the guidelines ologians problems are less pondered have these where religious presents groups appealing have claim and different evolv- that an clear *8 solutions; choices, precisely the solutions and this is but ed different difficult group is called are sometimes restraint doctrines of one area which pow- our groups light acceptable nature or sects. Vari- absolute to other here, often, finality readily which examples mind: ers ous come heed may require we should acts. But someone crisis childbirth attends our recon- of restraint of the mother the life Cardozo’s counsel decide whether sacrificed; are to the idea child shall absent cile ourselves or the edge interesting chal- mootness as soon their 5. There is another facet upon. briefly: lenged only acted This order was needs mentioned emergent form of instant relief in effect not nature of the factual situation perhaps confronting This also mootness. instant but demonstrates that pre- appear “interlocutory situation of does not serving its re what on face was preserve quo really in order status Once the ultimate relief. lief” was jurisdiction where granted, but rather no more remained relief. relief was total terim claims to consider. Were we to view the moot, have to acknowl- now we would myriads problems and troubles judges powerless solve; are and this is

as it should be. matters essen- Some tially private concern and others of enor- beyond public concern, mous are judges. Pauling reach Cf. v. McNa-

mara, supra.

I am authorized to state WILBUR BASTIAN,

K. MILLER and join Judges, in the views. above SCHOLL, Preissler,

Bettie M. Detlev Au drey Preissler and Jean F. J. Per gola, Appellants, COLUMBIA,

DISTRICT OF Appellee.

No. 18023. Appeals

United States Court of District of Columbia Circuit.

Argued Jan. 1964.

Decided Feb. *9 Washington, Friedlander,

Mr. Mark P. C.,D. P. Fried Messrs. Mark whom lander, Jr., Blaine P. Friedlander Harry C., Washington, Friedlander, D. P. brief, appellants.

Case Details

Case Name: Application of the President and Directors of Georgetown College, Inc., a Body Corporate
Court Name: Court of Appeals for the D.C. Circuit
Date Published: Feb 3, 1964
Citation: 331 F.2d 1010
Docket Number: 2189_1
Court Abbreviation: D.C. Cir.
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