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Clarke v. Oregon Health Sciences University
175 P.3d 418
Or.
2007
Check Treatment

*1 581 affirmed;judgment Appeals January decision of Court Argued and submitted proceedings for further remanded to circuit court reversed and case of circuit court 28, 2007 December CLARKE, Michael Jordaan minor, litem, ad guardian his Clarke, Sari Review, on Respondent v. UNIVERSITY, HEALTH SCIENCES

OREGON corporation; M.D.; Adnan Cobanoglu, Mustafa Sharma, M.D.; Blizzard, M.D.; K. Sanjeev John David M.D.; Soifer, M.D.; E. Betsy A. Fiamengo, Steven Wilson, R.N., Stewart, R.R.T.; and Ana Jennifer Review, Petitioners on REDDY, M.D., k. M. Veerappa Defendant, OREGON, STATE OF Intervenor on Review. S53868)

(CC 05116; A124560; CA SC P3d 418 *3 Gary PC, William F. Rudnick Gary, Harrang Long argued him the cause for on review. With on briefs petitioners Rudnick, Lidz, were Sharon A. Jerome and Susan D. Marmaduke, Portland. on Clarke, respondent H. the cause for

Kathryn argued her A. Gaylord, review. With on the briefs were William and Eyerman, Bradley, Gaylord Eyerman Linda K. Todd A. Bradley, P.C., Portland. General, filed a Metcalf, Attorney

Janet A. Assistant brief her Oregon. on behalf of intervenor on review State of With Hardy Myers, Attorney Mary on the brief were General, and Williams, H. General, Solicitor Salem.

Roy Lindsay, Weigler, Pulvers, Hart, Neil & LLP, Portland, filed briefs on behalf of amicus curiae Port of Portland. Attorney

Janet A. Metcalf, General, Assistant filed a brief support petition for review on behalf of amicus curiae Oregon. State of Cooney, Cooney,

Thomas E. Paul A. and David J. Madigan, support petition filed a brief for review on Oregon behalf of amicus curiae Medical Association. Landis, David C. Portland, filed a brief on behalf of Oregon amicus curiae Medical Association. Meng, Harry Agnes Auerbach, Snider,

Linda Paul Sowle, Brattain, Dori M. Mark B. Comstock, Brown, James M. Downs, Ronald W. filed briefs on behalf of amici curiae League Oregon Oregon Cities, Counties, Association of County, Oregon Multnomah Association, School Boards Oregon Oregon Association, Small Schools Association of Oregon Officials, Inc., School Business Confederation of Special School Administrators, and Districts Association of Oregon.

Mark Rauch, Salem, S. filed a brief on behalf amicus City County curiae Insurance Services.

Robyn Lyon, Torp Ridler, E. LLP, Barbee B. Tonkon Oregon Portland, filed a on brief behalf of amicus curiae Business Association. Leonard, Portland,

Maureen filed a brief on behalf of Lawyers amicus curiae Trial Association. Jeffrey Wobbrock, Portland, White,

Lawrence R. Washington D.C., filed a on brief behalf of amicus curiae American Association for Justice. *4 Muniz, Justice, Gillette, Durham,

Before De Chief Balmer, Walters, Kistler and Justices.**

** Linder, J., participate did not in the consideration or decision of this case.

584-a MUNIZ, DE C. J. opinion

Balmer, J., concurred and filed an in which joined. Kistler, J.,

584-b MUNIZ, C. J.

DE Tort case, Oregon In this we address whether 30.265(1) and ORS (OTCA), Act ORS specifically Claims Clause 30.270(1), case, to this violates the applied 10, of the Constitution. of Article 30.265(1) provides, part: officers, employ-

“The sole cause of action for tort of body acting scope within the agents public ees or eligible representation or duties and employment their or 30.287 shall be and indemnification under ORS 30.285 body only. remedy pro- an action vided *6 any ORS 30.260 to 30.300 is exclusive of other any officer, employee agent or against whose act or omission action or suit a officer’s, such body within public scope gives

employee’s agent’s employment or or duties or suit. other form of civil action or suit rise to the action No shall an action suit is an permitted. be or If agent filed officer, employee public body, appropriate or on body only motion the shall be substituted as the defendant.” 30.265(1) added). 30.270(1), turn,

ORS ORS in (emphases limits the to: against any public body recoverable

“(a) $50,000 any any for claimant number of claims damage property, including to or destruction of conse- quential damages, arising single out of a accident or occurrence.

“(b) $100,000 any general special claimant as and damages or occurrence arising single for all other claims out of a accident $100,000,

unless those exceed may special special which case the claimant recover additional damages, but in no event shall the total award of $100,000. damages exceed

“(c) $500,000 arising of claims out of a number single accident or occurrence.” 30.270(1) added). I, 10, section

ORS (emphasis Constitution states: Oregon secret, justice but shall be adminis-

“No court shall be and with- tered, purchase, completely and without openly every remedy by man have due course delay, out and shall 586 person, property, done him in his of law for

reputation.” Whitlow, In the recent case of Jensen v. 334 Or (2002), rejected challenge court a facial 51 P3d 599 this 30.265(1) id. at but under Article “as-applied” challenge, id. at 415-16. declined to decide challenge “as-applied” and We now address such an hold in 30.270(1) 30.265(1) application of ORS and ORS this case violates Article section 10. AND PROCEDURAL HISTORY

I. BACKGROUND pleadings. following We take the facts from granted judgment pleadings the trial court on the Because pursuant in the B,1 to ORCP 21 this court assumes facts pleadings Sager McClendon, 33, 35, to be true. v. (1983). P2d 697 February

Plaintiff Jordaan Clarke was born (OHSU) University and Science with con- Health May genital heart defect. He was admitted to OHSU surgery, surgical Following repair that condition. for the plaintiff placed surgical care unit. While in was in a intensive oxygen deprivation prolonged unit, suffered damage. causing permanent him brain damage a direct result of the Plaintiffs brain was agents. employees negligence and certain of its of OHSU expenses totally permanently His Plaintiff is disabled. *7 $11,073,506, health care will amount to for total life and earning capacity and his $1,200,000, is loss of his future $5,000,000. are noneconomic brought against plaintiff this action OHSU 2001, against him.2 Pursuant and the individuals who treated 30.265(1), substitute OHSU as the ORS defendants moved to granted trial court defendant in the action. The sole 1 closed, pleadings but within such time as ORCP 21 B states: “After the are trial, may judgment pleadings.” delay any party move for on the not to 2 Blizzard, MD; Cobanoglu, John are Mustafa The “individual defendants” MD; Soifer, MD; MD; Sharma, MD; Fiamengo, Betsy Sanjeev Jennifer Steven “Defendants,” Wilson, opinion, Stewart, RRT; includes the RN. in this and Ana only Oregon Health and Science defendants. “OHSU” refers individual University. plaintiff complaint nam- filed a second amended motion, ing only answer, In its OHSU admitted OHSU as defendant. ways alleged negligent it in one or more of the that was plaintiff negligence permanent and that its resulted “plaintiff plaintiff. sustained OHSU also admitted damages in excess of the mone- economic and noneconomic tary Oregon Claims Act as a result of limitations of Tort injuries negligence caused of OHSU.” judgment pleadings pursu-

OHSU moved for on the contending B, ant to that the trial court should ORCP judgment against enter in favor OHSU in the liability maximum under ORS $200,000, amount of 30.270(1). OHSU’s granted The trial court OHSU’s motion and judgment against entered in the amount $200,000. OHSU appealed, challenging

Plaintiff the substitution of arguing OHSU for the individual defendants and that the entry judgment $200,000 trial court’s in the amount of right I, denied him the to a in violation ofArticle sec- Oregon right 10, tion Constitution, of the as well as the to a jury Appeals trial under Article The I, section 17.3 Court of rejected plaintiffs argument I, 10, Article section as to his because, concluded, claim OHSU it OHSU would liability have been immune from at common law. Clarke v. (2006). App OHSU, 610, 615-22, 138 P3d 900 That rejected plaintiff’s court, for the reason, I, same Article sec- argument 17, tion as to OHSU. Id. 622-23. Appeals, accepted plaintiff’s however, Court of argument respect I,

Article section with to the substitu 30.265(1). tion of OHSU as the sole defendant under ORS Id. argued that, because, at 623-34. Plaintiff at common law in 1857, he would have had a cause of action employees permits legis OHSU, I, Article section remedy only provides adequate lature to abolish that if it remedy. argued Plaintiff further substitute Id. at 623-24. recovery against limited that, OHSU was not an because 30.265(1) adequate case, substitute in this vio agreed lated Article section 10. Id. at 624. The court Constitution, cases, provides: “In all civil by Jury right of Trial shall remain inviolate.” *8 588 constitutionally provide adequate

the did rem OTCA not “recovery edy explaining that of less than two case, in this given percent damages particularly the of one’s economic — injuries alleged remedy ‘incapable nature the of —is ” injured.’ (quot restoring right Id. at 626 the that has been ing Inc., 83, 119-20, 332 Or Transfer, Smothers v. Gresham (2001)). applied that, concluded as 23 P3d 333 this court 30.265(1) I, Clarke, case, violated Article section 10. App judg 206 Or The court reversed the trial court’s 633. to reinstate the claims ment and remanded with instructions against the individual defendants.4 Id. at 634. sought challenging court,

Defendants review in this Appeals’ the conclusion that in this case the OTCA Court constitutionally adequate provide a substitute rem does not edy required part, I, under Article section 10. For his as challenges Appeals’ the Court conclusion also against spe regarding I, 10, OHSU; Article section claims his Appeals’ cifically, plaintiff the Court of con takes issue with sovereign clusion that OHSU would have been entitled to immunity at law. We allowed review to address the common important concerning adequacy of the OTCArem issues edy I, under Article section 10.5

II. DISCUSSION primary earlier, As noted issue this case is 30.265(1) 30.270(1), applied whether ORS and ORS begin 10. case, I, facts of this violate Article section We with OTCA, then turn to an overview ofArticle overview analyze at hand. I, section and then issue A. the OTCA Overview public immune from tort Before bodies were (1981).

liability. Pernoll, 67, 69, 291 Or 628 P2d 729 Smith v. person injured by negligence public employee A of a act- pursue ing scope employment of his or her could within against public employee, an employer. but not action Krieger P2d Just, 328, 331-32, v. 319 Or 876 See 4 10, argument, agreed plaintiffs with Article section Because the court 17, argument regarding court declined to reach Clarke, App at 634. claims the individual defendants. 5 permitted the state to intervene on review. This court (1994) (citing Ogle Billick, 92,Or 453 P2d 677 v. 754 (1969)). OTCA, enacted the which immunity partially Jensen, Or bodies. waived *9 included a mone- of the OTCA at 416-17. The 1967 version liability, tary 1967, 627, ch Or Laws limitation on the state’s employees, liability public § officers, the of 4, did not alter but agents. individuals, there- Jensen, 334 Or at 417. Those or personally within for torts committed fore, remained liable employment. scope Id. and of their the course legislature the OTCA. The 1975, In the amended indemnify required public officers, that bodies 1975 version “arising employees, alleged agents against claims out of an and tort duty.” performance occurring in of act or omission (internal quotation marks and cita- Jensen, 334 Or at 417 16(1). omitted); Additionally, § 1975, 609, Or Laws ch tions the to claims extended the limitation on against employees, agents public officers, of all bodies. § 1975, 609, ch 13. Jensen, 417; 334 Or at Or Laws legislature again the OTCA. Or 1991, revised language § ORS 1991, 861, Laws ch 1. That revision added 30.265(1) entirely any against eliminated offi- that claim agent employee, cer, Jensen, for their work-related torts. or amendments, Pursuant to the 1991 sole 334 Or 417. by public offi- cause action available for torts committed public employees, agents cers, or is an action body. § 861, amendment, ch 1. After that ORS Or Laws 30.265(1) requires if filed a “shall be that, now an action is body agent, public public employee, officer, or only claim as the defendant.” That substituted substituted against body subject lim- to the OTCA’s is 30.270(1); 30.265(1); Jensen, 334 Or at ORS itations. 417. The 1991 amendments were request

added at the change. requested reasons for the state, which asserted three May Judiciary Testimony, Committee, HB House (statement Attorney Deputy Landau, 1991, Ex E of Jack General). provided for indemnification First, because law pur- “serve[d] naming parties no the officers as officers, state argued pose.” that the limi- claimants had Second, Id. some liability liability apply to the ofthe state did not tation on the loop- sought “plug individuals; therefore, the state Finally, were that “a lot ofresources hole.”Id. state noted spent” litigating properly which state officials are named in any given Here, Jensen, lawsuit. Id. the 1991 revision frames the issues in this case.

B. Overview Article section 10 begin by again quoting We our overview the text of section 10: justice secret, “Nocourt shall be but shall be adminis- openly purchase, completely tered, and without and with- delay, every remedyby out man shall have due courseof person, property, law reputation.” done him in his added.) (Emphasis Pearce, In Priest v. 411, 415-16, (1992), methodology 840 P2d 65 this court set forth a interpreting provisions methodology requires of the Constitution. That pro-

an examination of the text of the history provision, vision, the and the case law concern- ing provision. applied methodology Id. This court *10 I, 10, the second clause of Article section in Smothers v. (2001). Inc., Transfer, Gresham 23 P3d 333 Smothers, the court first examined the text of I, Smothers, Article section 10. 332 Or at 91-94. The court by using noted that the second clause of Article affirmatively remedy by “shall,” the word mandated that a injury rights due course of law be available the event of to respecting person, property, reputation. or Id. at 91. The contemporaneous court also noted that dictionaries indicated “remedy” process through that referred “both to which a person may injury required seek redress for and to what is person injured.” restore a However, who has been Id. at 92. picture scope the court concluded that “no definitive of the or remedy emerges” examining only effect ofthe clause from text the of clause. Id. at 94.

The court then turned to the historical circum- provision. stances of the Id. The Clause, the court explained, commentary can be traced to Edward Coke’s on Chapter Magna the second sentence of 29 of the Carta of Chapter provides: 1225. Id. The translation of 29 imprisoned, taken, “Nofreeman shall be or or disseised be freehold, liberties, outlawed, customs, ofhis or or free or be

591 pass nor will we not exiled, any destroyed; or otherwise or him, judgment of his him, nor condemn but lawful upon man, we by the law of the land. We will sell to no peers, or justice right.” man either or deny will not or defer to Id. at The Second Part Coke, Edward (quoting of (1797)) (internal quota- Institutes the Laws England, omitted). on that commentary tion marks to Coke’s According evolved to a guarantee the second sentence chapter, of law for every subject remedy by injury had a course Smothers, 332 Or at 96-97. That goods, land, person. guar- or among antee made its to the American colonies way through, commentary English other Coke’s on the common things, law. Id. at 103-04. The court summarized the results of its historical inquiry: sum,

“In when the Constitutional Convention provided convened considerable courts and commentators had

insight background meaning into the remedy rights. clauses in state declarations or bills of Those purpose cases and commentaries revealed that the edy of rem- protect rights. clauses was to ‘absolute’ common-law injuries rights, For to those the remedial side of the com- provided mon law had causes of action were intended right justice. Remedy clauses mandated the to restore availability continued absolute rights.”

Id. at 112. the court examined the case law surround-

Finally, section 10. Id. at 115-24. Smothers cases, Early ing held that “the clause is to explained, purpose save from those which legislative jural rights abolishment had well to the enactment of our prior become established (internal Id. marks and cita- quotation Constitution.” omitted). course, changed tion This court’s jurisprudence *11 Court decision however, Supreme a United State following that a Pro- upheld guest passenger facing Equal statute v. Id. at 116-17 Silver (discussing tection Clause challenge. (1929)). Silver, L 221 There- 117, 57, 280 US 50 S Ct 74 Ed this court relied on Silver Remedy to hold that the after, com- abolishing Clause not from prohibit legislature does Constitution Oregon mon-law that existed when rights v. Perozzi Smothers, at 117 (discussing was drafted. 332 Or 592 (1935)).

Ganiere, 330, 345, 40 P2d 1009 This court fol- Smothers, lowed Silver and Perozzi in decisions. subsequent Smothers, however, Or at 117-19. In this court disavowed 332 with Perozzi. It did so because of the line of cases beginning Perozzi’s erroneous reliance on Silver’s interpretation claim, in Remedy Protection Clause a Clause Equal deciding that could to the extent that those cases held or rights respecting person, property, repu- abolish absolute Clause. Id. at 118-19. Remedy tation without violating Smothers Instead, cited with cases approval predat- v. Perozzi. Id. at 119. Those cases Mattson included ing Astoria, 577, 580, (1901), Or 65 P 1066 which held that 39 Remedy preserve Clause] was intended to the com-

“[the and right injury person property, mon-law of action for legislature may change remedy while the procedure, or the form of exercise, and precedent attach conditions to its * * * remedies, new it perhaps abolish old substitute deny remedy entirely.” cannot (internal v. Oregon City, omitted), and 53 citations Batdorff 408-09, (1909), P held unconstitu- Or which away remedy tional a ordinance that took from those city city failure to maintain the streets. injured by negligent Smothers also looked to an federal court written early opinion Matthew who had been of the by Judge Deady, president that explained Constitutional Convention Clause as follows: meaning Remedy remedy guarantied by “[T]he [Article 10] is not novel, indefinite, or remote intended for injury redress regarded pale legal that was not then as within the stood, law, it took redress. But whatever then for, every cognizance remedy by of and furnished a man shall * * * remedy law. If continue to have a due course of away can taken [a] then known and accustomed be provision, may what other the face of this constitutional opinion, of novel legislature, spasm not? Can the some slander, away every take man’s assault bat- tery, recovery or the of a debt?” 1887). (D Clackamas,

Eastman v. County of 32 F Or Smothers concluded those, cases, and other early Based on (1) mandates due remedy by Clause *12 every person in the event of available to course oflaw shall be (2) process “remedy” injury; both the remedial includes right required been a that has what is to restore well as (3) wrong injured; “injury” or harm for which a cause is a Oregon Consti- when the drafters wrote of action existed Smothers, 332 Or at 124. tution in 1857. history, reviewing and case law as text,

After following forth the above, outlined analysis the court in Smothers set applied Clause claims: to be alleged question “[T]he is whether the has first rights injury protects. I, that Article section 10 to one ofthe absolute differently, the drafters wrote the Stated when didthe commonlaw of Oregon Oregon Constitutionin recognize alleged injury? a cause action for the If the question yes, if has answer to that abolished is and the the common-lawcause of action for rights protectedby clause, that are then the sec- constitutionally question provided a ond adequate is whether it has cause of substitute common-law injury.” actionfor that apply analysis plaintiffs at Id. 124. We now the Smothers arguments I, under Article section 10. against

C. claim OHSU Plaintiff’s we is Smothers, Under the first issue must address recognized plaintiffs whether the common law would have negligence plain- claim OHSU contends that OHSU. against it, tiff have had a claim because OHSU would not sovereign immunity under the would have been entitled to Oregon. If would have been entitled to common law of sovereign immunity OHSU limi- law,

at common then the OTCA’s I, Article a claim OHSU would not violate tation of recog- law would not have section because the common injury alleged. against OHSU for the nized a cause of action 508, 518, 783 P2d 506 Portland, See Hale v. Port 308 Or (1989) (holding a claim that a statute that abolishes or limits 10). against public entity Article section does not violate have been entitled to sover- We conclude that OHSU would among immunity eign other rea- because, law common entity performs functions a state-created sons, OHSU is traditionally by performed the state. previously Appeals noted,

As the Court of concluded liability that OHSU would have been immune from at com- rejected plaintiffs mon law and therefore argument regarding App Clarke, OHSU. at 622. against pub- The court reasoned that “a lic remedies body perform created the state to functions on behalf of [of the state would have been understood the drafters the on the entirely dependent Constitution] to have been legislature.” Appeals will of the Id. at 618. The Court of con- *13 public body according because, cluded that OHSU was such a creating it, to the text of the statute OHSU is a state-created public corporation, performs governmental which functions. that, Id. at 621-22. The court therefore held because right would have had no to a absolute common-law action against pro- OHSU, claim OHSU was not by tected Article 10. at section Id. 622. We now address plaintiffs challenge to that conclusion. premise “Our Constitution is framed on the that the * * state is immune suit *.” v. from Vendrell School District 360 P2d 282 (1961). al, 263, 278,

No. 26C et 226 Or That premise IV, is embodied in Article section of the provides, part, Constitution, which in relevant “Provision may by general bringing law, made be suit originating existing State, after, as to all liabilities at the adoption [.]” time of the trine of this court of this Constitution Because the doc sovereign immunity implicit constitution, is

may doctrine; instead, not the doctrine abolish may only by legislature pursuant be waived or altered general Although Vendrell, law. 226 Or at 278-79. the doc constitutionally protected, interprets trine is this court sovereign immunity possi doctrine of “within the narrowest provision.” ble bounds consistent with the constitutional State v. (1962). Shinkle, 528, 539, 231 Or 373 P2d 674 With principles analyze in mind, those we now whether OHSU enjoyed sovereign immunity have at common law. would presumes IV, “State” is liability, specify are immune from but does not what entities encompassed that, said in addi that term. This court has agencies, tion the state itself and its entities that are enjoy immunity full from “instrumentalities” of the state instrumentality Hale, An suit. “perform[s] 308 Or 518. of the state functions,” state id. at 518. See James & Yost also (1959) Higher Edu., 598, 600, v. Board 340 P2d 577 (an “charged carrying instrument of the state is with out one government”).6 Additionally, of the functions of an instru- mentality only powers ofthe state “has such and duties as the [it] powers state entrusts to and these and duties are set forth by statutory Yost, enactment.” James & 216 Or at 600-01. previous provide guidance

Our cases some as to instrumentality what constitutes an Hale, of the state. In this court concluded that the Port of Portland was an instru- mentality immunity of the state entitled to from civil lia- bility. Hale, 308 Or at 517-18. The court noted that the Port was created to “have full control of [the Rivers] Willamette and Columbia at [Portland, East Albina], Portland and and between said sea, cities and the so grant far and to the full extent that this State can the same.” (internal omitted). quotation Id. at 517 marks and citation Although expanded the Port’s functions had since its creation serving greater to include Northwest, Pacific the court instrumentality concluded that the Port remained an state because the Port continued to promote shipping maritime interests of the Portland area. Id. at 518. *14 “instrument^] This court also has used the term * * * of the state” in a case which determined that the State Higher enjoyed sovereign immunity. Board of Education Noting Yost, James & 216 Or at 600-01. that the State Board Higher separate entity” of Education was “not a and distinct state, from the arm the court also it described as “an instrument or charged carrying state, with out one of the func- of government, peoples tions of to-wit, the education of the of added). (emphasis explained the state.” Id. at 600 The court See id. at 518-19 prietary” plaintiff. suit street conclude that OHSU is an OHSU was [6] only proprietary functions, however, Other maintenance, when functions. public engaged engaged (noting bodies, Hale, in a example, this court’s inconsistent “governmental” functions, such as instrumentality governmental 308 Or municipal corporations, enjoyed immunity was is not 518. The distinction between governmental or of the entirely proprietary state, conclusions clear from our but not when or we do not address whether proprietary). function when it treated concerning engaged previous governmental Because we whether cases. “pro from only Higher had those Education

that the State Board of by legislature. powers Id. at 600- and duties as outlined question “[t]here little can be The court concluded that 01. Id. at 600. is one the state.” that the action but concept of has also illuminated This court government a chal- in the context of of instrument lenge state corporations public XI, under Article to the creation of provides Constitution, which 2, of the section may general “[cjorporations laws, but shall under be formed Assembly by special by Legislative laws.” not be created Woolley, 37, 726 P2d 918 Eckles v. 302 Or In State ex rel legislature’s (1986), creation evaluated whether the the court (SAIF) Corporation vio- Fund ofthe State Accident Insurance explained that Article 2. The court XI, lated Article XI, section section purpose, corporation of a for a

“allowsthe creation stockholders; citizens, an instru- are not ‘whosemembers powers, delegated government sub- certain ment with of legislature, ject offi- and its members to the control of the agents government or for the administration cers or ” discharge public duties.’ (quoting Woolley, Portland, v. The Port at 47 Cook 302 Or added)). (1891) (emphasis The court 580, 583, 27 P 264 20 Or “exclusively govern- Corporation’s concluded SAIF private management investment absence mental profit” objective operate private it from the excluded Woolley, prohibition Or at 49.7 2. XI, ofArticle glean certain attributes cases, we From those generally possessed An of the state. instrumentalities traditionally performs instrumentality a function ofthe state Additionally, generally out performed the state the state. powers instrumentalities, either and duties of its lines the statutory An method. instru or some other enactment via part, subject, mentality to the control at least in the state is way. of the state some recently arm of the that SAIF was not an concluded note that this court We SAIF, immunity. v. purposes Amendment Johnson of Eleventh state for (2007). case, however, Elev the test for *15 139, 156, noted in that As we 164 P3d analysis required immunity to determine than the is different enth Amendment immunity purposes. “instrumentality*’ entity for of the state state is an whether an analysis). 147-48,151 (outlining Amendment factors of Eleventh

Id. at

We now examine whether an OHSU is instrumental ity of the state and have, therefore, would been immune at prior common law. Plaintiff that, concedes OHSU instrumentality was an state, of the but asserts that since legislature public 1995, when the recreated OHSU as a cor poration, longer instrumentality OHSU no anis of the state. proceeding On the limited record before us in this we dis agree with contention. part

Prior to OHSU was of the State System Higher Education. Since OHSU has been a “public corporation” under 353.020; ORS that term is defined entity carry public public

“an that is created the state to out carry missions and services. In order to out these public corporationparticipates services, missions and provides providedby pri- activities or servicesthat are also enterprise. public corporation granted vate A is increased operating flexibility in success, order to best ensure its retaining principles public accountability while and fun- public policy. public damental The board of directors of a corporation appointed by is the Governor and confirmed delegated authority the Senate but is otherwise policy manage operations set corporation.” of the 353.010(2). legislature ORS The also decreed that OHSU governmental entity performing governmental “shall be a functions and

exercising governmental powers” and “shall be independent public corporation purposes with statewide explicitly and missions.” ORS Thus, 353.020. the statute states that OHSU shares the first attribute anof instrumen- tality performing providing functions or serv- state — government traditionally performed ices that has or provided. stated, however, also that OHSU municipal govern-

“shall not be considered a unit of local or agency purposes ment or a state of state statutes or con- provisions.” stitutional view, 353.020. our this state- ment does not alter our conclusion that OHSU would have been considered immune at common law. Whether OHSU is municipal government” to be considered “unit of local or agency” inquiry determining a “state is not the end of if *16 An at common law. immunity have enjoyed OHSU would even if it is nei- of the state” “instrumentality can be an entity To agency. or a state municipal government ther a unit of instrumen- OHSU is an make the determination of whether the entire context of state, we must examine of the tality That statu- corporation. OHSU as a public statutes creating that OHSU is below, demonstrates context, as examined tory entitled that would have been of the state instrumentality at common law.8 immunity of some statutes, specified the legislature those the mis- functions, in describing and public OHSU’s services Specifically: of OHSU. sions and purposes “(1) Oregon of the Health public policy be the It shall missions as a University carrying out its Science and public corporation:

“(a) Oregon by pro- of of the State people To serve health, science, engineering and their viding education region. and students of the state management for “(3) carry out the fol- university designated to The is of the State missions on behalf purposes and lowing public Oregon: of “(a) appro- programs educational high quality Provide university; for a health and science

priate

“(b) care, engineering, in health Conduct research sciences; general and sciences biomedical “(c) outpa- inpatient of Engage provision in the systems delivery care care and health tient clinical state; throughout the

“(d) education, research programs Provide outreach care; and health

“(e) local, and statewide resource regional Serve as providers; health care “(f) health care to provide a commitment Continue Oregon. of patient population the underserved OHSU, applicable under specifically made the OTCA is We note also that 353.100(1). “(4) public purposes university carry shall out that, manner in the this section in the and missions of University Oregon Health and Science determination of the Directors, welfare of the promotes public Board best Oregon.” of the State of people purposes, include therefore,

ORS 353.030. OHSU’s people “promot[ing] the State welfare of providing part through education and health [,]” in 353.030(4). people Without of the State. ORS care to question, particular health combination of education and teaching hospital tradi- in the form a research and is care tionally performed last state, at least for the a function (one e.g., century. See, & 216 Or at 600 of the the Yost, James government of the is “the education of functions peoples state state”). functions, as stat- OHSU’s outlined *17 possesses an it the first of ute, demonstrate that attribute instrumentality the state. of possesses an second of

OHSU also the attribute instrumentality Yost, the state. In & this court of James possessing pow- an the those described instrument of state [it].” 353.050, ers “as the state entrusts to Id. at 600. ORS “[p]owers legislature duties of outlined more than 20 and including university setting policies officials,” for board and university, entering including partner- contracts, into joint ships entering real transac- ventures, and into estate suing being investing name, funds, and in tions, sued its own borrowing developing programs. funds, and academic power granted or The also the board OHSU any judgment “[p]erform that the board to or other acts in the of university necessary requisite, appropriate or are carrying accomplishing purposes in or out the described 353.050(25). granted by chapter.” powers This list this ORS though suggests by legislature, powers broad, outlined instrumentality OHSU is an of the state. impor- governance also structure of OHSU is an instrumentality the state. indicator that OHSU is tant who, board directors consists of members OHSU’s except president, appointed are Governor OHSU’s 353.040(1). Except confirmed the Senate. ORS president member of the board and a student OHSU’s four-year directors, each member serves a term. ORS 353.040(2). authority The Governor has the to remove board hearing. cause, member for after notice and 353.040(7). charged “exercising] The board is with all powers Oregon University” of the Health and Sciences “governing] university.” carrying ORS 353.050. In powers, university governmental out those “the shall be a entity performing governmental exercising functions and governmental powers.” Id. entirety

Based on the of the statutes discussed above, instrumentality we conclude that OHSU is an performing agree state state functions. We therefore with the Appeals’ Court of conclusion that OHSU would have been immunity entity entitled to at common law. When an would liability legisla have been immune from ture’s choice to limit that law, at common

entity’s liability does not violate Article Hale, 10. 308 Or at 518. Therefore, the applied OTCA’s limitation, as claim against OHSU, does not violate Article I, section 10.9 D. claim the individual Plaintiff’s defendants Having Oregon concluded that the common law recognized negli- would not have a cause of action for gence against OHSU, we now address whether the OTCA’s elimination of a cause of action the individual defen- dants, combined with its limitation, survives scru- tiny under section 10. As we noted earlier, guarantees “every Constitution man shall have remedy by per- due course of law for him done in his property, reputation.” son, § Or Const, I, Art 10. *18 arguments sup review,

On defendants offer several porting Appeals their assertion that the Court of erred in 9 briefly plaintiffs argument damages We address that the limitation of the right jury I, I, OTCA violates his to a trial under Article section 17. Article section 17, any theory recovery. Jensen, is not the source of substantive claim or of 334 Or Instead, Products, Inc., at 422. as this court summarized in Lakin v. Senco 62, 82, (1999), I, 17, “guarantees jury 987 P2d 463 Article section a trial in civil provided jury actions for which the common law a trial when the Consti * * same). adopted Jensen, tution in (quoting was See also 334 Or at 422 Here, plaintiff we have against concluded that would not have had a civil action Therefore, damages cap against OHSU under the common law. the OTCA’s as plaintiffs right jury I, OHSU does not violate to a trial under Article section 17. holding application the OTCAin this case violated that the of Remedy I, First, that Article defendants contend the Clause. remedy guarantees only of some kind be that a 10, section remedy type or of certain available, not that the be plaintiff view, because Therefore, defendants’ amount. remedy him in form of an action has a available to the here infirmity. I, 10, no section Sec- OHSU, there is Article Appeals the Court of erred ond, defendants assert that comparing the of under the OTCA amount available by plaintiff. to amount claimed Defendants the of argue “substantial,” term in this that as that had been used Remedy jurisprudence, a does not call for such court’s comparison; Clause that

instead, defendants contend “substantial” very process most, or, at the that a sub- refers to the remedial remedy only illusory the need one that is not stitute be practical equivalent remedy of no at all.10 foregoing,

From the state contends that the court the remedy legislatively review a substituted on a cate- should gorical way, only. suggests Put that basis another the state of a substitute is ade- the determination whether quate case, on of an individual but should not focus the facts legislature on struck the instead should focus the balance creating remedy. that, a substitute The state asserts category potential plaintiffs unless a left a rem- is without legislative edy, policy choice is conclusive. hand,

On the other contends that procedure seeking protects Clause both as well Plaintiff redress as substance that redress. argues a that, farther when the abolishes remedy, provide it is “sub- common-law must remedy. stantially equivalent” to the common-law 10, chal- I, This has addressed Article section court lenges prior Hale, this to OTCA on three occasions. challenge rejected to OTCA an Article court section City applied brought of Portland as to an action “remedy” guaranteed by Defendants’ contention only administering justice, process to and not the substance refers Smothers, remedy afforded, decision in 332 Or at is contradicted our seeking process ‘remedy’ we word refers both a remedial noted earlier: “The injured.” right required is restore that has redress for and to what been *19 (Port).

(City) and the Port ofPortland Hale, 308 Or at 517-24. plaintiff injuries stemming that case suffered from an alleged City failure ofthe and the Port to maintain a road. Id. plaintiffs expenses at 511. The medical totaled more than upon by City $600,000; however, motion the and Port, the plaintiff trial damages court struck the s claim for in excess of damages $100,000 limitation in effect at the time and judgment against City entered $100,000. the Port for plaintiff challenged constitutionality review, Id. On damages that limitation. Id. The court in Hale first concluded that the Port would liability have been immune from law; common therefore, “deny plaintiff any right limitation did not he ha[d] guarantee the Port virtue of the Constitution I, section 10, because there never was right.” such a Id. at 518. The court reached a different conclu- regarding City, sion damages City. analyze and therefore went on to plaintiffs

limitation as to the claim explained Id. at 521-24. The court that Article section permits legislature remedy, to alter a common-law “so long party injured entirely remedy. as the is not left without a * * * [T]he remedy precisely type need not be of the same enough remedy extent; it is that the is a substantial one."Id. added). (emphasis upholding at 523 the OTCA’s emphasized limitation, Hale that the had struck a municipal corporations new potential balance between plaintiffs. Id. The court concluded that the available plaintiff although was “substantial” because, the OTCA potential recovery, reduced expanded the size of the it also requiring class of that could recover not plaintiff municipal corporation to demonstrate that the was engaged proprietary activity injured plain- in a when it quid pro quo tiff. Id. The court described that as follows: counterbalancing “A conferred, benefit has been but a bur- imposed. may disadvantage den has been This work to the advantage some, of all whohad a while it will work to the of others. But may continueto have one.This not be may what wants. It court, not evenbe what this if making it were in the business of substantive law on this subject, legisla- wouldchooseto enact. But it is within the authority spite ture’s to enact in of the limitations of the OregonConstitution, Article section 10.” asserting separately, Linde concurred Id. at 523. Justice legislative cities from immunization of has allowed “the court tort liability only are the individuals who on condition that legal qualifying personally responsible as a for harm claim Because Hale included no remain Id. at 530. liable.” *20 agreed public against Linde with officers, Justice individual Id. the court’s conclusion. the OTCA’sconstitution

The court next addressed ality Chartier, in Neher v. I, 10, under Article section (1994). plaintiffs adult case, In that 417, 879 P2d 156 by operated daughter Tri and killed a bus was struck Oregon Transportation County Metropolitan (TriMet). District of brought wrongful plaintiff a death Id. at 420. The and the driver. Id. at 420-21. The action TriMet bus arguing judgment pleadings, on the defendants moved liability they under ORS that were immune from 30.265(3)(a),11 the decedent was covered the work because compensation 421. The law at the time ofher death. Id. at ers’ granted Id. The Court of trial court the defendants’ motion. plaintiff Appeals review, at 421-22. On affirmed. Id. argued $3,000 that the burial available to a dece benefit compensation if scheme, under the it is dent’s estate workers’ only remedy wrongful at hands of available for death remedy, public employee, in a is a denial of a “substantial” agreed, I, violation of Article section 10. Id. at 422. The court 30.265(3)(a) explaining that ORS denied the decedent’s sur they viving parents would have been entitled wrongful at The court to under the death statutes. Id. 426-27. 30.265(3)(a) emphasized parents’ that ORS abolished the allegedly neg remedy against municipality and the both the ligent employees municipality. Therefore, at Id. 428. 30.265(3)(a) I, Article that ORS violated the court concluded section 10. Id.12

11 30.265(3)(a) provided, part: ORS officers, acting “Every body employees agents within the and its * * * duties, liability

scope employment for: their are immune from “(a) any person by any Any workers’ claim for to or death of covered compensation law.” (2002), 210, 222-23, McClung, court dis Or 47 P3d 476 this In Storm v. 30.265(3)(a) Neher, violated Arti to the extent that it concluded that avowed Neher, I, 10, because, I, contrary holding to the Article section cle section only injuries protection of action existed in 1857. affords for which cause recently, Jensen,

Most 334 Or 417-21, this court 30.265(1), face, addressed whether ORS on its Arti- violated involving ques- I, cle section 10. was a Jensen case certified tions from the United States District Court for the District of Oregon. plaintiff alleged Id. at 415. The in that case that a parent daughter foster tody her abused while she was in the cus- of the Children Services Division of the State of (CSD). plaintiff alleged agents Id. at 416. The that individual employees negligent. and defendants moved to strike and of CSD were Id. The individual

dismiss claims pur- them and to substitute the state as the sole defendant suant to ORS 30.265(1). pending, Id. While that motion was certify questions moved the district court to 30.265(1). constitutionality this court to the as of ORS Id. questions This court declined to consider of the certified presented “as-applied” challenges 30.265(1); to ORS only challenges instead, the court considered facial Addressing challenge statute. Id. at 415-16. the facial under applied two-step analysis Article section court this governing Smothers, claims set forth in 332 Or at 124: *21 step injury “[0]ur first is to determine whether the that

plaintiff alleged remedy has is one which the clause guarantees tively, remedy. question If a we answer that affirma- if and the has abolishedthat common-law step leg- claim,then our second is to determinewhether the provided constitutionally adequate islature has a substi- remedy tute forthat abolishedcommon-lawclaim.” (internal omitted). Jensen, 334 Or citation The court deciding, injury alleged assumed, without that the was one guarantees remedy. I, for which Article section a Id. The 30.265(1), analyzed required court then whether ORS which plaintiff bring body alone, to an action constitutionally provided adequate remedy. a substitute Id. capable at 418-21. The court concluded that the OTCAwas of application. constitutional Id. at 421. The court reasoned: every damages ‘cap’ implicated case, “Because and is not damages yet a award has to be determined in because remedy damages ‘cap’ case, this does not render right plaintiff ‘incapable restoring available to that ” injured.’ has been 119-20). (quoting This court Or at Smothers, 332 Id. at 30.265(1) face, vio- not, on its does that ORS therefore held 421. Jensen, 334 Or at 10. I, late Article section con- the OTCA 10, cases outside of I, Article section Phillips, example, guidance. provide in Greist v. For text also (1995), held a statu- this court 291, 906 P2d 789 remedy tory case, the In that “substantial.” be substitute damages application limitation set court reviewed the wrongful 284.14 claim. Id. at to a death in ORS 18.56013 forth Following jury economic trial, the awarded to the million noneconomic $100,000 $1.5 personal representative. Pursuant Id. at 286. decedent’s dam- the trial court reduced the noneconomic 18.560, plaintiff argued ages that, $500,000. review, Id. On application things, among of ORS the trial court’s other damages award violated her noneconomic 18.560 to reduce rejected argu- I, 10. Id. at 290. The court section citingHale proposition that Article ment, and Neher for the party injured long is not 10, is not violated so section remedy. The court Id. at 290-91. left without a substantial $600,000 concluded that total emphasizing “substantial,” received under ORS 18.560 was historically statutory wrongful death actions in that had recovery subject and that the statute to low limits of been damages. limit Id. at 291. contained no on economic leg- whether “the Smothers, the court addressed seeking deprived plaintiff ha[d] of a means for islature redress for * * [his] 120 n 19 Smothers, *.” 332 Or at original). Although (emphasis did not illuminate Smothers under Article constitutes the contours of what aspect address the restorative and, fact, did not *22 13 $500,000 damage awards of placed noneconomic a limitation on ORS 18.560 Oregon Act except brought pursuant to the Tort Claims in all civil actions for those Greist, Compensation 284 n 1. That statute Oregon Act. 322 Or at Workers’ and the Lakin, I, 17, 329 Or at 82. section in under Article was later held unconstitutional 14 statutory wrongful Remedy applied ato Clause Greist assumed Storm, that, Or at 222- in 334 in accordance with our decision We note death action. 23, I, subject to Article sec legislatively are not created causes of action limits on tion 10. Smothers did all,

of the Clause at that Arti- observe I, 10, cle section does not “freeze in common-law rem- place [ ] edies.” Id. at 119. Instead, legislature may alter common- remedies, not substitute an ‘emasculated “may law but that has remedy incapable is been restoring right Id. at 119-20 v. Jaloff, West 184, 113 Or injured.” (quoting (1925)).15 195, 232 P 642 sum, I,

In this court has held that Article consistently statement, section is not an but was merely aspirational intended the framers of the Constitution to Oregon pre serve for future or other generations, legislative encroachment, a for right remedy injury obtain under circum person, property, reputation interests a for Oregon proyided remedy stances which law those See, e.g., when ratified its constitution. injuries (“At Smothers, minimum, remedy by 332 Or at a to be law, due course of must be available for statutory remedy the same or harms for which the common-law cause wrongs 1857.”). However, of action existed in as our review of the demonstrates, cases does not eliminate the form power vary modify both recovery injury, and the measure of for an as it does long not leave the with an “emasculated” version of injured party that was available at common law. remedy identify

The constitution’s terms do not what would an of a due deprivation “remedy by constitute impermissible * * Const, done Or Art 10. That injury course of law § (as does) an affirmative guarantee it phrase embodying action rather than a more familiar restraint on government mandate, has or a particular lawmaking procedural pro- in our cases. It inconsistency may duced some be degree injuries, despite a court held that ambulance drivers would remain because such a construction took court’s decision in West. tion on recoverable ing remedy culated did not court also some other Smothers’s use of the involve —and remedy wholly inadequate for a explained private efficient statute damages. that such a therefore did not Smothers, that could have been construed to limit such committed phrase in its away under “emasculated place.” “from by private provide “could not be many Id. 119-20. conditions.” —an injured person (emphasis remedy” liable citizen and analysis taken West, added). (Emphasis has its away of a negligently gives 113 Or at good statutory without West, origins him an emas common-law added.) however, liability, inflicted provid limita this this

607 that some of the stems from an erroneous con- inconsistency sideration of Article as a “due of law” process (so Perozzi, 149 Or at clause. See Other holding).16 prob- 350 when, understandably, litigants lems arise advocate for analysis modes of and formulas without to the context regard Hale, in them. For in example, which this court has discussed the court determined that a limited remedy against public However, bodies for personal injury permissible. was Hale court in had no occasion to consider the constitutional- ity of a scheme that altered the common-law liability right victim a action indi- any to personal injury bring Hale, vidual the full tortfeasor for amount. 308 Or at damage (“this (Linde, J., case no claim concurring) presents 30.265”). or against public employees agents,’ ‘officers or Similarly, Greist involved the context of a special statutory limitation on a that remedy itself had created Hale, and, for death like wrongful did not consider a limit on tortfeasor. See a common-law remedy an individual Greist, 322 Or at 290-91 (describing context of dispute).

Smothers a more represents recent effort this court to identify substance of the remedy guarantee the context of a personal incurred injury by plaintiff while for a working private court, This earlier employer. citing cases, acknowledged legislature’s reservoir of lawmaking authority adjust remedial rem- processes substantive edies to satisfy constitutional command to “rem- provide * * Smothers, due edy by course of law for injury 332 Or at However, 119. in focusing on that this court stated authority, that alteration may not substitute an “emasculated” ver- was available at common law. Id. sion of the 119-20.

Our assessment of the done in his “injury [plaintiff! is in the context Plain person” relatively simple of this case. tiff and defendants admit for alleges, purposes pro this that, due ceeding, suffered here as a personal of defendants’ has suffered consequence negligence, plaintiff $11,073,506, economic the sum of for damages anticipated $1,200,000 life and health care for lost future expenses, process question We need not revisit the “due of law” to decide this case. This Smothers, reasoning court disavowed that 332 Or at 121-22. damages

earning capacity, $12,273,506. total economic alleges, admit, and defendants Plaintiff also $5,000,000. in the has suffered noneconomic sum dispute Oregon adopted that, There is no guarantee, plaintiff when its and, if would have been entitled seek types of from the individ- successful, to recover both ual defendants. legis- amendment OTCA, to the

With the 1991 recovery plaintiffs right to seek a full lature eliminated torts committed employees, agents. public officers, That *24 any injured person, circumstances, in those amendment left damages capped remedy and $100,000 with a of in economic body damages against public $100,000 in noneconomic only.17 entirely any against eliminates claim The statute also by requiring the individual tortfeasors substitution of those body as the sole individual defendants defendant. attempt justify

The individual defendants to statutory liability by complete of their contend- elimination body ing damage against public that ORS that the awards a 30.270(1) adequate “remedy by an due allows constitute arguing, they rely opinion In on this court’s course of law.” so indicates, Hale is Hale, however, as our discussion above statutorily distinguishable. adequacy a Hale examined the of monetary remedy against public capped in a claim bodies. respect 511-12, case, 521-24. In that with to Hale, 308 Or at 30.270(l)(b) public body damages recoverable ORS states that shall not exceed: damages “$100,000 any general special all other claimant as and for to damages single arising unless those claims out of a accident occurrence $100,000, may special recover additional exceed in which case the claimant special damages

damages, exceed but in no event shall the total award of $100,000.” above, damages damages, are described as noneconomic General as noted now nonmonetary losses, including damages pain suffering, encompass and for and See, distress, e.g., reputation, companionship. ORS emotional 31.710(2)(b) and loss limiting damages (defining of a statute noneconomic the context cases). Special damages recovery damages now are in civil for noneconomic losses, damages out-of-pocket to the verifiable described as economic and refer earning impairment including expenses, loss of income and future medical (defin- 31.710(2)(a) See, damaged property. e.g., capacity, repair and costs to ing damages). economic sovereign enjoy municipal immu- not defendant that did the nity, injured plain- analysis did not address the court’s right full relief from individual tiffs traditional seek statutory here, scheme at issue Id. at 521-24. The tortfeasor. any tort- claim an individual contrast, eliminates in this case. not assist the defendants feasor. Hale does support defen- the individual Neither does Greist statutory damage explained limitation above, the dants. As recovery percent eco- of 100 at issue in Greist allowed damages. damages up in noneconomic $500,000 and nomic recovery Placing eco- at 291. no limit on Greist, 322 Or fully plaintiffs their out-of- allowed to recover nomic pocket including expenses medical, burial, for and losses, explained Id. The court also memorial services.

wrongful case, “came exis- claim, death at issue in that into historically, recovery that, tence with a limitation” wrongful context, had Id. Considered in that death been low. legislative that the choice did not violate the court concluded legislation contrast, under section 10. Id. recovery legisla- merely adjust review here does not tively scheme; instead, created remedial it eliminates a remedy against common-law an individual tortfeasor.

We view economic of over representative of lifetime million as of the enormous cost $12 currently permanent medical care associated with *25 personal injuries by negligence severe a state caused the medical of agent, argue employee. not

officer, or Defendants do damages “injury” within the that those do not constitute anything legis- meaning in the of the constitution. Nor does suggest by legislature. Yet, lation such a conclusion the injured person’s legislature completely has eliminated an right recovery damages preexisting a full for those to obtain negligently individual tortfeasors who caused the from the injuries. legislature explained, is authorized As we have vary modify nature, or I, 10, under Article section to remedy. recovery for a common-law form, or the amount of However, that authority clear, we not unlimited. To be is goal amending respect legislature’s the OTCA goal legislature that the entitled to conclude 1991—the was encouraging public employment qualified health care professionals by protecting litiga- them from the demands of personal liability important tion and the threat of anis one.18 simply nothing However, there is can we discern from history, our nature, form, state’s or from the or the recovery preexisting amount of available for the common-law permit claim, that would this court lim- to conclude that the permanent by ited and severe caused med- negligence ical that is now available under the OTCA meets remedy requirement. I, the Article section (1) sum, we hold OHSU would have been sovereign immunity entitled to fore, and, at common law there- against would have had no common-law claim protection OHSU that 10; entitled I, is under Article section (2) sovereign immunity, because OHSU is entitled to against can limit recoverable OHSU to chooses, I, amount it unfettered section 10’s (3) Remedy Clause; however, the elimination of a cause of 30.265(1), public employees agents in action or ORS applied as claim the individual defen- dants, I, violates the Clause of Article section remedy against body, because the substituted 30.270(1), specified in ORS anis emasculated version of the remedy that was available at common law.19 Appeals

The decision ofthe Court of is affirmed. The judgment of the circuit court is reversed and the case is proceedings. remanded to the circuit court for further concurring. BALMER, J., injured by negligence Plaintiff medical was (OHSU). employees Oregon University Health and Science note, however, professionals provide patient We that OHSU health care who system, pursuant private relationship care outside of the OHSU to a between the 30.268(2) the OTCA. See patient professional, protected and the are not (noting constituting patient provided other that “services care that are at a location campus scope employment [OHSU clinics] than the are not within the of state or exclusively provided pursuant private are to “an rela duties” when those services tionship”). OTCA, case, concluded that the in this violates Article Because we have plaintiffs argument not that the limitation of we need address right jury his trial under Article section 17. OTCA violates *26 (which pur- present damages OHSU, for suffered Plaintiff poses, primarily dispute) million, of at least does not $11 Oregon’s past care. current his and future medical the cost of recovery $100,000 for economic limit statutes damages losses) (medical wages, and costs, lost and similar damages, pain such as $100,000 for noneconomic another analysis agree majority’s suffering. I the and with with the lead to that result its conclusion that statutes deprive had at common law of a that he remedy, providing adequate in viola- an substitute without “Remedy 10, of the the Clause” of Article tion of Oregon Constitution. separately points. First, two the

I to make write plaintiff here should have limit on the available to ago by legislature legisla- long been increased —and opportunity appropri- take this to reconsider the ture should malpractice ate claims act limits for medical claims tort against majority correctly Second, states that the OHSU. Remedy legislature prevent modi- Clause does not from fying recovery or amount of even from eliminat- form —or adequate ing long provides an claims, as as it —common-law remedy. cases, that, substitute I would add under this court’s legislatively damages injured imposed a limit that an on patient may employees and its would recover OHSU long not violate the Clause as as that limit does not remedy. deprive patient of a Those cases “substantial” majority’s also decision does not demonstrate existing threaten statutes in which the has action, altered or eliminated common-law causes of such as compensation system. the workers’ begin point apparent

I with a that should be to all arbitrarily cap parties low on and amici this case: damages malpractice for medical claims OHSU long legisla- employees problem called for a its is a that has imposes cap present claims act tive solution. The tort damages $100,000 and another $100,000 for economic agencies public committed noneconomic for torts employees regard the nature of the tort. and their without appropriate may for most Those limits well be ORS 30.270. by public employees. Car accidents in which torts committed public employee fault; failure to clear ice from a is at leading sidewalk from —the *27 may occasionally cap, injuries those kinds of exceed but ordinarily they It is for that reason that drivers and will not. carry per person $100,000 often insurance of homeowners per tragically $300,000 But, and accident. as this case so malpractice medical claims is such illustrates, the nature of expenses damages in future medical and lost that the form of wages often can be hundreds of thousands or millions of dol- malpractice insur- reason, lars. For that doctors don’t have virtually every $300,000; rather, doctor in $100,000 ance of or coverage Oregon malpractice has medical insurance of at maintaining coverage many million, least with doctors $1 per million occurrence.1 million or $3 $5 by The insurance obtained individuals for claims by arising driving homeownership from their and doc- —and necessarily malpractice claims—does not determine tors for pur- liability legislature should set for the limits of poses that the Oregon Act, Claims let alone the level that is ofthe Tort Remedy very required however, least, Clause. At the regard- private the decisions of ing individuals and institutions coverage provide some indication of the their insurance private ordinarily and, actors face indi- kinds of claims those likely rectly, remedy kind of for those claims would be ofwhat Remedy purposes “adequate” of the or for “substantial” Clause. every Oregon virtually event, In the fact that malpractice insurance that far exceeds doctor carries employees suggests caps applicable to OHSU and its changed. my legislature view, those limits need to be malpractice claims, increase should, at least for medical substantially immediately per- existing and, claims limit and retroactively. haps,

My point to the standards which second relates legislative modifications of common-law this court reviews they are consistent to determine whether causes of action from 45 tors had Professional tice Insurance (up from 22.2 According percent malpractice Liability percent Availability to one 1996), insurance with a Insurance, comprehensive while 26.8 1996). Affordability p A Report percent survey, per Professional occurrence on Factors had a 2003,34.9 (2004). per Panel for occurrence Impacting limit of million percent $1 Analysis Medical limit of million Oregon of Medical $5 (a Malprac decline doc Remedy Clause cases with the Clause. This court’s changing legislature adjust Oregon cir law to allow the cumstances action or action; however, by creating, eliminating, altering or causes of providing defenses or immunities to the cause of changes

if eliminate a common-law those legislature provide must an that existed remedy. adequate v. Gresham See Smothers substitute (2001). major Inc., 83, 124, 23 P3d 333 Transfer, flexibility: legislature “[T]he ity recognizes is authorized vary modify nature, under Article remedy,” recovery form, or the amount of for a common-law long injured adequate person rem as as an has an substitute edy. (Remedy 609; 343 Or at see also 343 Or at 606 Clause vary power “does not eliminate the modify of the recovery both form and the measure of injury, long injured party it as does not leave the with an ‘emasculated’ version that was available at *28 law.”). common difficulty, Remedy course, of this as other determining remedy cases, Clause constitutionally adequate. is whether a substituted is court

This has not articulated a precise majority probably possible test, and it is not do so. As the try identify

notes, we have used different words to remedy Many required. simply what kind of is cases have legislature may plaintiff held that the remedy,” leave a not “without Astoria, 577, 579, Mattson v. 39 Or 65 P 1066 (1901), only remedy. or with an “emasculated” Westv. Jaloff, (1925). 184, 195, 232 P In Portland, Hale v.Port of (1989), 508, 523, 308 Or earlier 783 P2d the court reviewed the Remedy Remedy Clause decisions and stated that the (or legislature Clause “is not violated when the alters even abolishes) long injured party action, cause of so as the is not entirely remedy. remedy cases, left need without a the Under those precisely type enough extent, not he the same it is of added.) (Emphasis that the is a substantial one.” upheld cap damages legislature Hale, this court on that the part plaintiffs expansion had enacted of an the as class public body: conferred, who could sue a “A has benefit been counterbalancing imposed. may but a burden has been This disadvantage some, work to the while it will work to the advantage of others.” Id. any imposes argues that a limit

Plaintiff that statute damages plaintiff have recovered at com- on the that a could Remedy plaintiffs per- Clause. From mon law violates the Remedy respect, disagree spective I with —the but —which eliminating plaintiffs prevents legislature the from Clause against individual defendants in this case cause of action long substituting defendant, as OHSU as the sole liability. any Plaintiff asserts that there is limit on OHSU’s a limit of million or million even if the set $1 $10 liability, unconstitutional as on OHSU’s that limit would be damages applied any plaintiff exceeded whatever whose position happened that to be.2 Plaintiff takes the limit plaintiff action law, common had a cause of because, at damages, against defendants for all his with- the individual any limit out whatsoever. position supports plaintiffs that case

No applied when act limit would be unconstitutional tort claims to a damages plaintiff exceeded that limit. Hale is whose directly upheld point. a tort There, this court almost on City against damage $100,000 on a claim claims limit of (1) alleged though plaintiffs economic Portland, even (2) damages law, the $600,000, and at common exceeded city for an had a claim would have (because city against the claim was unlimited amount rejected acting proprietary capacity). This court in a argument plaintiffs limit $100,000 that the on city violated the could be recovered exceededthat amount. Clause because cap, although upholding “alimit court concluded As this may placed be recov- on the size of award has been persons have one.” had a continue to ered,” all “who *29 in case, to this the court 308 Or at 523. More relevant Hale, legislature recognized modifies a common- that when the Hale disadvantage change may to the of that “work claim, law advantage of others.” Id. it work to the some, while will 2 challenge existing act limit —or to such the tort claims Plaintiffs (or only plaintiff challenge necessarily applied” available an “as would he limit — damages actually In similarly plaintiff) exceeded the limit. whose situated (2002), rejected Whitlow, a facial chal P3d 599 this court v. 334 Or Jensen Jensen, and ask us to overrule lenge limit. Plaintiff does not to the tort claims act majority not do so. the does distinguishable because

Plaintiff asserts that Hale is did not involve a claim case, one, that unlike this legislature that the had eliminated. individual defendants Although upon in Justice Linde relied that fact his concur- (Linde, ring opinion, concurring), played J., 308 Or at 527 it majority’s analysis. majority Rather, in the the in no role statutory adjusting lia- Hale viewed the scheme there as the bility by making city public of defendants the liable for torts governmental capacity committed in its that it not would Similarly, case, have liable for at common law. in this been statutory adjusted liability defen- scheme by eliminating dants claim the indi- common-law making vidual their torts— defendants OHSU liable for liability from which it would have been immune at common adjustments accompanied by cases, law.3 both those were imposition damages that, of a limit on the amount statutory without the limit, could have been recovered at common law. Phillips, (1995), v.

Greist 322 Or 906 P2d 789 rejected argument plaintiff also makes here. In that wrongful jury plaintiff case, death had awarded the non- economic million, but the trial court had $1.5 pursuant $500,000 reduced the award to former 18.560(1) (2003). plaintiff renumbered as ORS 31.710 The in argument Greist made the same here: makes cap “wholly legitimate that the denies a losses (quoting $500,000.” Greist, that exceed added). emphasis brief; court, however, This con- plaintiffs recovery cluded that $500,000 in noneconomic damages, damages, $100,000 addition to in economic was remedy,” though a “substantial even it was a fraction of the jury amount that the had awarded. majority distinguishes from this Hale Greist grounds nothing persuasive. that I However,

case on find majority opinion holdings cases undermines those prohibit that the Clause does not imposing caps long caps from on tort as those do 3 Indeed, majority part reaffirms OHSU’s status as of the state and there immunity, partaking sovereign except fore of the state’s to the extent waived statute. *30 Hale and remedy.” a of a “substantial deprive plaintiff

not Greist both may regard hold that the act with legislature limit on cer- classes statutory of claims or and that a Clause, Remedy tain kinds of claims does not violate the even limit the that can be recovered a may damages it though view, a claim. In my particular plaintiff particular in this case is not statutory with the scheme issue problem rather that a liability capped, cap the fact that OHSU’s is but $100,000 for nonecon- $100,000 for economic damages mal- for medical damages remedy omic is not substantial claims. practice summarize, 10, does not “freeze

To existed when the common-law causes of action that place Smothers, in 1857.” drafters wrote the Constitution those rem- Rather, may modify Or at 124. the legislature claim, the nature of the plaintiff’s edies by changing defenses, plain- the amount of that the available or retains a substantial recover, long tiff as the may plaintiff done him in his person, property, repu- “for Here, the modification made legislature tation.” —the the individual defendants of the claims against elimination defendant, as the with only and the substitution of OHSU not leave liability on OHSU’s described above —did caps claim. malpractice for his with substantial case That of the issue this also understanding under- in the nothing majority’s opinion demonstrates adjusted has legislature mines other statutes which The most obvious example and liabilities. rights common-law Smothers, In this court system. compensation is workers’ * * * rec- “implicitly the court’s earlier decisions stated authority constitutional substi- ognized legislature’s negligence for the common-law compensation tute workers’ 332 Or at 125. injuries.” action for work-related cause of worker provides injured scheme compensation workers’ without injuries for work-related compensation with however, the the employer’s negligence; necessity proving may may receive injured that a worker particular amounts in a successful neg- he or she could recover well be less than sense, In a an injured the employer. action ligence of benefits that are at the level capped worker’s program. compensation receives under the workers’ worker having prove the of the trade off of not However, because (and procedural advantages) negligence employer’s other severity injured are related to the workers’ benefits because provides injury, compensation the workers’ scheme remedy” generally workers with a “substantial purposes. Clause statutes, has determined other *31 public policies by encourag- important will advanced be

ing certain and has modified common-law causes of activities involving participate those who in such activities. action limit the circumstances in which “GoodSamaritan” statutes injured by emergency person person provides another who transportation, assistance, medical or treatment defibrillator damages. 30.800; 30.802; can recover See ORS ORS ORS provide 30.807. Other statutes individuals with limited immunity reporting abuse, 419B.025, child and for disclosing employee information about former to a new employer. leg- statutes, ORS 30.178. those and similar islature has modified the common-law cause of by, example, requiring prove “gross action negligence” “negligence,” by providing rather than limited immunity to defendants for some kinds of conduct. The majority’s decision, like this court’s earlier Clause respond perceives cases, allows the to what it important public policy long needs, be as it does not elimi- providing nate a common-law cause of action without an ade- quate remedy. substitute joins concurring opinion. J.,

Kistler, this

Case Details

Case Name: Clarke v. Oregon Health Sciences University
Court Name: Oregon Supreme Court
Date Published: Dec 28, 2007
Citation: 175 P.3d 418
Docket Number: S053868
Court Abbreviation: Or.
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