Cruz-Gascot v. Hima-San Pablo Hospital Bayamon, 728 F. Supp. 2d 14

Cruz-Gascot v. Hima-San Pablo Hospital Bayamon

728 F. Supp. 2d 14

D.P.R.

2010

Check Treatment

Docket

OPINION AND ORDER 1

BESOSA, District Judge.

On September 22, 2008, plaintiff Maribel Cruz-Gascot (“Maribel Cruz”), along with her father and siblings, filed a complaint against defendants 2 alleging eleven causes *17 of action due to the death of Maribel Cruz’s mother, Maria Gascot-Pagan (“Maria Gaseot”). The causes of action included claims for medical malpractice and negligence pursuant to article 1802 of the Puerto Rico Civil Code, Laws of P.R. Ann. tit. 31 § 5141, and EMTALA violations. 42 U.S.C. § 1395dd (Docket No. 1). Plaintiffs moved for voluntary dismissal of the EMTALA and the state court claims by all plaintiffs except Maribel Cruz on December 22, 2008, (Docket No. 5), and the Court granted the motion on February 13, 2009. (Docket No. 16.) Maribel Cruz, “on her own behalf and not as a representative of Maria [Gascon’s estate,” (Docket No. 60 at 14), then filed an amended complaint on December 22, for ten causes of action including negligence and medical malpractice under article 1802. (Docket No. 6.)

On May 19, 2010, defendants HIMASan Pablo Hospital Bayamon (“HSPB”), Dr. Ildefonso Rivera-Rivera and his Conjugal Partnership (“Dr. Rivera”), and Dr. Ismael Rodriguez-Rivera (“Dr. Rodriguez”), moved for summary judgment on plaintiffs survivorship and personal claims under article 1802. (Docket No. 53.) Defendants contend that plaintiffs claim for the damages she inherited from her mother belong to the estate of Maria Gaseot under Puerto Rico law, which requires the joinder of all heirs to the cause of action. Id. at 6-8. Because the other heirs to Maria Gascot’s estate to be joined are necessary, and indispensable parties pursuant to Federal Rules of Civil Procedure Rule 19, but non-diverse, defendants argue that the Court must dismiss plaintiffs survivorship claim. Plaintiff opposed the motion for summary judgment, arguing that Puerto Rico law and common law precedent show that not all heirs need to be accumulated in an inherited claim under article 1802. (Docket No. 60.) For the reasons discussed below, the Court GRANTS defendants’ motion for summary judgment regarding plaintiffs survivorship claim.

Defendants also contend that in violation of Rule 26 they have been unable to depose plaintiffs expert, Dr. Manuel A. Quiles, and that the doctor’s failure to appear for a deposition warrants exclusion for failure to comply with this Court’s orders. (Docket No. 53 at 15.) Defendants argue that without Dr. Quiles’ testimony, plaintiff is unable to establish all of the elements required by article 1802 for a tort action and plaintiffs malpractice claim should be dismissed. Id. at 15-16. On July 1, 2010, however, this Court ordered the deposition of Dr. Quiles to be set for July 16, 2010. (Docket No. 80.) Dr. Quiles’ deposition was taken on July 14, 2010, (Docket No. 82), and the Court noted plaintiffs compliance with the Court’s order. (Docket No. 83.) Accordingly, defendants’ request for dismissal of plaintiffs malpractice claim because of their inability to take Dr. Quiles’s deposition is deemed MOOT and is DENIED.

FACTUAL BACKGROUND

At approximately 10:00 p.m. on September 21, 2007, Maria Gaseot arrived with her husband, Ramon Cruz-Torres (“Ramon Cruz”), at the Diagnostic and Treatment Center (“CDT”) in Cataño, Puerto Rico because Maria Gaseot was feeling sick and had chest pains. (Docket No. 6 at 4.) Two hours after Maria Gaseot had “some laboratories performed,” at around 12:20 a.m. on September 22, 2007, the CDT discharged Maria Gaseot, and she was transferred by ambulance to the Emergency Room at HSPB. Id. at 4-5. She was diagnosed with acute inferior myocardial infarct, 3 and the HSPB ordered her admis *18 sion to the Telemetry unit. 4 Id. On September 23, 2007, Dr. Rivera stopped the administration of a medication called “Tridil” to Maria Gascot around 11:30 a.m., but at around 2:05 p.m. Dr. Rodriguez started Maria Gascot on Tridil again. Id. at 5-6. Dr. Rodriguez last saw Maria Gascot at around 2:05 p.m. on September 23, 2007. Id. at 6.

On September 24, 2007, at around 3:00 a.m., Maria Gascot was “found severely diaphoretic and hypotensive, with a blood pressure of 40/20mmHg by one of the physicians walking through the corridor” at HSPB. (Docket No. 6 at 6.) Maria Gascot died at the HSPB on September 24, 2007, at around 5:00 a.m. Id.

DISCUSSION

I. SUMMARY JUDGMENT STANDARD

A court’s discretion to grant summary judgment is governed by Rule 56 of the Federal Rules of Civil Procedure. Rule 56 states, in pertinent part, that the court may grant summary judgment only if “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(c); See also Santiago-Ramos v. Centennial P.R. Wireless Corp., 217 F.3d 46, 52 (1st Cir.2000).

Summary judgment is appropriate if “there is no genuine issue as to any material fact and ... the moving party is entitled to a judgment as a matter of law.” See Fed. R. Civ. P. 56(c). The party moving for summary judgment bears the burden of showing the absence of a genuine issue of material fact. See Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).

Once a properly supported motion has been presented, the opposing party has the burden of demonstrating that a trial-worthy issue exists that would warrant the court’s denial of the motion for summary judgment. For issues where the opposing party bears the ultimate burden of proof, that party cannot merely rely on the absence of competent evidence, but must affirmatively point to specific facts that demonstrate the existence of an authentic dispute. See Suarez v. Pueblo Int’l, Inc., 229 F.3d 49 (1st Cir.2000).

In order for a factual controversy to prevent summary judgment, the contested facts must be “material” and the dispute must be “genuine”. “Material” means that a contested fact has the potential to change the outcome of the suit under governing law. The issue is “genuine” when a reasonable jury could return a verdict for the nonmoving party based on the evidence. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). It is well settled that “[t]he mere existence of a scintilla of evidence is insufficient to defeat a properly supported motion for summary judgment.” Id. at 252, 106 S.Ct. 2505. It is therefore necessary that “a party opposing summary judgment must present definite, competent evidence to rebut the motion.” Maldonado-Denis v. Castillo-Rodriguez, 23 F.3d 576, 581 (1st Cir.1994).

In making this assessment, the court “must view the entire record in the light *19 most hospitable to the party opposing summary judgment, indulging in all reasonable inferences in that party’s favor.” Griggs-Ryan v. Smith, 904 F.2d 112, 115 (1st Cir.1990). The court may safely ignore “eonelusory allegations, improbable inferences, and unsupported speculation.” Medina-Muñoz v. R.J. Reynolds Tobacco Co., 896 F.2d 5, 8 (1st Cir.1990).

II. PLAINTIFF’S SURVIVORSHIP CLAIM

A. ARTICLE 1802 AND THE “SUCESION”

Defendants argue that plaintiffs claim for damages for the pain and suffering endured by Maria Gascot constitutes an inherited cause of action under article 1802. Defendants contend accordingly that all heirs to Maria Gascot’s estate must be joined as parties.

In Puerto Rico, 5 two tortious causes of action deriving from an unlawful death arise under article 1802:

[O]ne is the personal action of the original victim of the accident for the damages that the same suffered; and the other, the action which corresponds exclusively and by own right to the deceased’s close relatives for the damages the death of their predecessor caused them. Caez v. U.S. Casualty Co., 80 P.R.R. 729, 736. When, as in the instant case, both causes of action are exercised by the heir[ ] of the original victim we can differentiate them by calling one the inherited or patrimonial action and the other the direct or personal action.

Widow of Delgado v. Boston Ins. Co., 1 P.R. Offic. Trans. 823, 101 D.P.R. 598 (1973). 6

A decedent’s estate under Puerto Rico inheritance law is called a “sucesión,” which “is the transmission of rights and obligations of a deceased person to his [or her] heirs.... The inheritance includes all of the property, rights and obligations of a person which are not extinguished by his [or her] death ... and is transmitted ... from the moment of his [or her] death.” Id. A sucesión “is not an entity distinct and separate from the persons composing it,” Ruiz-Hance v. Puerto Rico Aqueduct & Sewer Authority (PRASA), 596 F.Supp.2d 223, 229 (D.P.R.2009) (internal citation omitted), and it “does not have existence by itself as a juridical person or entity on behalf of which a lawsuit can be brought.” Arias-Rosado v. Gonzalez Tirado, 111 F.Supp.2d 96, 99 (D.P.R.2000). 7

B. JOINDER OF NON-DIVERSE HEIRS

Plaintiff and defendants dispute whether all heirs to a decedent’s sucesión must be joined as parties, pursuant to Federal Rule *20 of Civil Procedure 19, to a lawsuit for an inherited action. The question is of particular importance here, where subject matter jurisdiction is based solely on diversity. Several non-diverse heirs are absent, and their joinder would destroy diversity jurisdiction.

1. PARTIES’ARGUMENTS

Plaintiff Maribel Cruz, as the daughter of Maria Gascot, seeks damages for the “excruciating, conscious pain and suffering” that her mother allegedly experienced prior to her death. (Docket No. 6 at 16.) Defendants argue that plaintiffs claim constitutes an inherited cause of action pursuant to article 1802 that is transmitted by Maria Gascot’s death to her heirs. According to defendants, the Puerto Rico Court of Appeals has dismissed complaints that fail to join all members of a sucesión to a cause of action because such joinder is required. 8 (Docket No. 53 at 7.) Defendants point out that some courts 9 in this district have found that one heir may bring an action for inherited damages on behalf of the estate. Defendants argue that such cases were incorrectly decided, however, because they “mistakenly” applied Puerto Rico community property concepts to the sucesión and did not appreciate the sucesion’s “special nature”. Id. at Note 6.

Defendants contend that the First Circuit Court of Appeals, after being urged to follow the reasoning adopted in Arias-Rosado, Rodriguez-Rivera, and Ruiz-Hance, assumed that Puerto Rico law was uncertain. (Docket No. 53 at Note 6.) (citing Jimenez v. Rodriguez-Pagan, 597 F.3d 18 (1st Cir.2010)). Defendants reason that, because “[a]n action claiming an inherited right of the estate such as the pain and suffering of the deceased belongs to the [s]ucesion as an indivisible unit and requires the participation of all the members of the ‘[s]ucesion,’ ” id. at Note 6, plaintiff Maribel Cruz’s siblings must be parties to the survivorship claim. Id. at 6-8. Defendants argue that the non-diverse siblings in this case would preclude diversity jurisdiction and that the inherited damages claim must be dismissed. Id. at 8-9.

Citing inter alia the district court cases that defendants seek to refute, plaintiff responds that any of the heirs of an estate may file a survivorship claim because all heirs benefit if the individual prevails. (Docket No. 60 at 10.) To support her argument, plaintiff cites Tropigas de Puerto Rico v. Tribunal Superior, 2 P.R. Offic. Trans. 816, 102 D.P.R. 630 (1974). In Tropigas, the Supreme Court of Puerto Rico quoted Spanish doctrine to buttress its conclusion that when any of the heirs brings a cause of action, all of the other heirs benefit. 2 P.R. Offic. Trans. 816, 102 D.P.R. 630 (“[E]ven in the case of an undivided inheritance, any of the hems, may exercise, for the benefit of the estate in common, the actions corresponding to the deceased----”)

*21 Plaintiff also cites Cintron v. San Juan Gas, 79 F.Supp.2d 16, 19 (D.P.R.1999) to argue that plaintiff alone will adequately protect the survivorship claim. Because plaintiff and the non-diverse heirs have identical interests in the survivorship claim, “any judgment in favor of one or more participants benefits all other participants in a community of property, whereas any adverse judgment only prejudices the one who filed the judicial action.” (Docket No. 60 at 10-11.) Plaintiff contends that the comments of the First Circuit Court of Appeals in Jimenez are not binding to this Court and urges the Court to consider Puerto Rico’s community property law. Id. at 11-12. Because she contends that Puerto Rico’s inheritance law “keeps silence” as to whether an individual heir may sue alone for an inherited claim, plaintiff urges the Court to turn to the Puerto Rico Civil Code and address the interpretations of the Supreme Court of Puerto Rico to deny defendants’ motion for summary judgment. Id. at 15.

2. PRECEDENT

This Court “has interpreted Puerto Rico law to provide that an individual participant in a community of property does not impair other participants’ interests merely by asserting common legal rights to the property while the other participants are absent.” 10 Jimenez v. Rodriguez-Pagan, 597 F.3d 18, 26 (1st Cir.2010). The analyses set forth in Arias-Rosado, Rodriguez-Rivera, and Ruiz-Hance turn on the Supreme Court of Puerto Rico’s reasoning that any heir to an estate may defend the heirs’ common rights because “[i]f he/she prevails, his/her victory is for the benefit of all the co-owners.” Arias-Rosado, 111 F.Supp.2d at 99 (citing Danz v. Suau Ballester, 82 P.R.R. 591, 595 (1961); Tropigas de Puerto Rico v. Tribunal Superior, 102 D.P.R. 630, 641 (1974); Cintron v. San Juan Gas, 79 F.Supp.2d 16, 19 (D.P.R.1999)). Because an adverse judgment “only prejudices the one who filed the judicial action,” the district court reasoned that there is no risk that an absent heir’s interest would be impaired or not well-protected. Ruiz-Hance, 596 F.Supp.2d at 229-30 (citing Arias-Rosado, 111 F.Supp.2d at 99). The district court has also reasoned that because any heir may represent the estate in matters affecting the community rights, a complaint does not need to be “filed by, or in the name of, the succession.... ” Cintron, 79 F.Supp.2d 16, 19 (D.P.R.1999).

The First Circuit Court of Appeals recently “harbor[ed] considerable skepticism” as to whether non-diverse heirs are not indispensable under Rule 19, Jimenez, 597 F.3d at 23, “even to the point of eliminating federal diversity jurisdiction.” Id. at 25. In Jimenez, a decedent’s widow filed an action in this Court to collect her late husband’s share of proceeds from an apartment complex development and to exercise an option on a piece of property allegedly reserved for him. Id. at 22. Jurisdiction was based on diversity. Id. The defendants moved to dismiss for failure to join an indispensable party pursuant to Rule 19, arguing that the decedents’ three other heirs had to be joined, but that their joinder would defeat complete diversity. Id. After the widow amended her complaint to join just one of the decedent’s heirs, who was diverse and thus did not destroy complete diversity, “[t]he defendants renewed their motion to dismiss, maintaining that [the widow] was not an adequate representative of the estate and that an adverse judgment could affect the *22 non-diverse heirs’ interests.” Id. at 22-23. The widow also filed a parallel complaint in the Court of First Instance for the Commonwealth of Puerto Rico, naming all of the decedent’s heirs as parties. Id. at 23.

The court of appeals in Jimenez, taking Arias-Rosado, Rodriguez-Rivera, and Ruiz-Hance, (the same cases plaintiff relies on and defendants criticize in this case), “at face value,” suspected that a federal suit failing to name the non-diverse hems “is something of a free shot for the non-diverse heirs. Success inures to their benefit while failure is costless.” 597 F.3d at 26. The court of appeals’ ability to adjudicate the Rule 19 issue in Jimenez was hampered by the “unsettled state of governing Puerto Rico law.” Id. at 25. Part of the court of appeals’ hesitance stemmed from the fact that the district court cases that the plaintiffs cited “sound[ed] exclusively in tort” while the claim before it in Jimenez was based in contract. The plaintiffs had also failed to cite even one single authority supporting their interpretation that the law extended to contract claims. Id. at 26. Put “in an awkward position,” the court of appeals considered it “hard to say that the district court abused its discretion when the ostensible abuse is a matter of unsettled law.” Id. at 26. It reasoned, however, that “[contractual proceeds due to the decedent belong to the undivided estate just as much as a wrongful death judgment.” Id. Concluding that it was ill equipped to rule on the underlying question of Puerto Rico law, the First Circuit Court of Appeals stated that “[u]nder different circumstances ... [it] would consider certifying the underlying question to the Supreme Court of Puerto Rico.” Id. at 27.

Unlike the action in Jimenez, this case involves tortious causes of action under article 1802. In light of the court of appeals’ skepticism in Jimenez, this Court questions whether the case law regarding the concept of a sucesion is fully developed. To conduct its analysis, the Court surveys the varied interpretations of the concept of a sucesión reached by the Supreme Court of Puerto Rico.

As early as 1911, the Supreme Court of Puerto Rico recognized that “[t]he rights to the succession of a person are transmitted from the moment of his [or her] death and that [h]eirs succeed the deceased in all his [or her] rights and obligations.” Velilla v. Piza, 17 P.R.R. 1069, 1073 (1911). Discussing heirship, the supreme court stated that multiple heirs “acquire altogether the rights of their predecessor.” Id. at 1074 (emphasis added). Because heirship “conveys a joint right to the aggregate heritage,” all of the heirs become owners in common upon the death of their predecessor. Id. Until the estate is partitioned and adjudicated, the community of property remains intact and “no one of the heirs may be considered to be the sole and exclusive owner of any particular portion or fixed and specific aliquot part of the property of the heritage.” Id. The supreme court interpreted the Civil Code to “confer a right to each and all of the properties of the heritage, but not a specific right to certain properties, which can only be acquired by an adjudication lawfully made in partition proceedings.” Id.

In Danz, the Supreme Court of Puerto Rico addressed the trial court’s “conclusion that since the question of law raised by some of the [heirs] had prevailed, all the others were bound by said decision.” 82 P.R.R. at 594. Acknowledging that a sucesión has no existence as a juridical person and is “not an entity distinct and separate from the persons composing [it],” id. at 595, the supreme court found that each heir’s rights should be judged individually because each individual may have a different attitude towards the complaint. Id. at *23 595. In exploring whether an adverse judgment as to some co-defendant heirs bound all of the other heirs, the supreme court recognized an “individual separability of the interest in the community of property,” id., and applied the article 333 of the Civil Code which states: “Each one of the part-owners shall have the absolute ownership of his part and that of the fruits and profits belonging thereto, and he may, therefore, sell, assign, or mortgage the same, and even substitute another person in the enjoyment thereof, or lease such part, unless personal rights are involved.” Id. at 595-96. Laws of P.R. Ann. tit. 31 § 1278.

Twelve years later in Widow of Delgado, the Supreme Court of Puerto Rico recognized article 1802 as the source of the inherited or patrimonial action and the direct or personal action. The supreme court explicitly stated that “one is the personal action of the original victim of the accident for the damages the same suffered; and the other, the action which corresponds exclusively and by own right to the deceased’s close relatives for the damages the death of their predecessor caused them.” 1 P.R. Offie. Trans. 823, 101 D.P.R. 598 (emphasis added). The supreme court cited article 608 of the Puerto Rico Civil Code to iterate that an inheritance includes all property, rights, and obligations of a decedent and that heirs succeed the decedent in all of his or her rights upon the decedent’s death. Id. Laws of P.R. Ann. tit. 31 § 2090. An original victim’s right to claim for serious damages resulting from pain and suffering before his or her death “is a property privately owned, transmitted by his [or her] death to his [or her] heirs and claimable by the latter as a part which it is of their legal inheritance.” Id. Moreover, the heirs of a decedent have an “unquestionable juridical and economical interest” in an inherited cause of action. Id.

The following year in Tropigas, the supreme court cited several commentators on the Spanish Civil Code to support its finding that any of a decedent’s heirs may exercise an action because it will benefit all the other heirs. 102 D.P.R. 630 (1974). One commentator wrote that when an inheritance remains undivided, each one of the heirs may “exercise the actions corresponding to the deceased, provided they result in benefit of the estate, and not in prejudice of the other co-heirs.” Tropigas, 102 D.P.R. 630 (citing VI-I Castan, Derecho Civil Español, Común y Foral, 1960 ed., p. 247). Another commentator wrote that an heir who exercises the right of the decedent does not acquire anything for himself or herself, but rather acquires damages in favor of the inheritance. Id. (citing XII Scaevola, Codigo Civil, Book III, Tit. Ill, 1950 ed., 55). While the commentators and the supreme court reasoned that each one of the heirs may exercise an action corresponding to the deceased so long as the action “result[s] in benefit of the estate, and not in prejudice of the other co-heirs,” id. (citing V Manresa, Comentarios al Codigo Civil Español, Book III, Tit. Ill, 1972 ed., 443), none specifically defined or described the meaning of “benefit” or “prejudice” in context. See id.

3. SUCESION ANALYSIS

While the First Circuit Court of Appeals concluded that the state of the governing Puerto Rico law is “unsettled,” this Court prefers to characterize the law as being “undeveloped.” Heeding the First Circuit Court of Appeals’ skepticism and considering Puerto Rico property law, this Court exercises its power of independent judicial review to determine whether the non-diverse heirs to Maria Gascot’s sucesión are necessary and indispensable parties to *24 plaintiff Maribel Cruz’s survivorship action.

The Court disagrees with the reasoning in Arias-Rosado that “[t]he fact that the succession is not an entity separate and apart from its members does not mean that all of its participants must always, appear together to assert or defend matters affecting the estate.” 111 F.Supp.2d at 99. Plaintiffs siblings and father were original parties to this lawsuit. By strategically dismissing them as parties along with the federal EMTALA claims, it appears that plaintiff sought to save her claims in this federal forum by creating diversity jurisdiction. As the only diverse heir of Maria Gascot’s sucesión, plaintiff Maribel Cruz maneuvered to create diversity that she herself knew did not originally exist when her siblings were co-plaintiffs. The Court looks upon such a strategic manipulation with disfavor and concludes that applying this District’s logic in Arias-Rosado, Rodriguez-Rivera, and Ruiz-Hance at “face value” leads to an incongruous result. Plaintiff now enjoys federal jurisdiction and awards “something of a free shot for the non-diverse heirs. Success inures to then-benefit while failure is costless.” Jimenez, 597 F.3d at 26.

The court of appeals in Jimenez uncovered a “difficulty” regarding the sufficiency of damages awarded from a successful judgment in federal court. Questioning whether such a judgment would be “sufficient to bind the non-diverse heirs ... or ... would leave those heirs free to double down in the second suit?”, the court of appeals identified an example of the undeveloped authority describing the nature of a sucesión. Jimenez 597 F.3d at 27. Without having sufficient briefing of case law or any authority to support either party’s reasoning in Jimenez, the court of appeals was unable to answer this question.

Faced with the undeveloped state of the governing Puerto Rico law, this Court approaches the issue here by first looking to the language set forth in Widow of Delgado 11 and other Puerto Rico case law. Describing the two tortious causes of action that arise out of a wrongful death under article 1802, the Supreme Court of Puerto Rico stated that only “one is the personal action of the original victim of the accident for the damages the same suffered....” 1 P.R. Offic. Trans. 823, 101 D.P.R. 598 (emphasis added). An inherited action such as plaintiffs wrongful death action here is “a personal action of the original victim of the accident for the damages that the same suffered,” Widow of Delgado, 1 P.R. Offic. Trans. 823, 101 D.P.R. 598, and a wrongful death judgment “belong[s] to the undivided estate.” See Jimenez, 597 F.3d at 26. As such, no individual heir may be the “sole and exclusive owner of any particular portion,” or have any “specific right to certain properties,” of the estate. Velilla, 17 P.R.R. at 1074. Because plaintiff Maribel Cruz has filed her survivorship claim “on her own behalf and not as a representative of Mrs. Gascoh-Pagan’s estate,” (Docket No. 60 at 14), she seeks to attain certain damages as a sole owner of the inherited claim (or her part in it). The Court finds this to be *25 contrary to what is set forth in article 1802 that only one cause of action exists for the personal action of the original victim. Otherwise, a question would remain as to whether the other heirs to Maria Gascot’s estate could file similar, additional suits.

Under Puerto Rico property law, furthermore, a thing or a right is “owned in common” when it belongs undividedly to many people. 31 L.P.R.A. § 1271. When two or more persons are titleholders to the same right, or that right is attributed to a plurality of subjects, the right belongs to all of them in common. Asociacion Residentes Urb. Sagrado Corazon v. Arsuaga Alvarez, 160 D.P.R. 289, 306-07 (2003). 12 In Sagrado Corazon, the Supreme Court of Puerto Rico reasoned that the right that each co-participant has for the communal thing is necessarily subordinate to the rights of all of the other co-participants. Sagrado Corazon, 160 D.P.R. at 308. Anything done in relation to that common thing requires a certain degree of joint action between the co-participants, because otherwise one could prejudice the community or the interests of each participant. Id. Accordingly, this Court finds that because plaintiff Maribel Cruz’s rights are subordinate to those of all of her co-heirs, her inheritance action requires joint action by her siblings.

A co-participant of common property has different authority to bind the other participants of the community depending on whether his or her action is one for preservation, administration, or alteration of the common property. Sagrado Corazon, 160 D.P.R. at 308. In an act to preserve the thing or right held in common, each of the co-participants may exercise the act and require the others to contribute to those expenses, 31 L.P.R.A. § 1274; in an administrative act for management and better enjoyment of the common thing or right, a resolution of the majority of the participants binds all of the participants, 31 L.P.R.A. § 1277; and in an act to alter the common property, no single owner can make any change without the unanimous consent of the others, even if the action would benefit all co-participants. 31 L.P.R.A. § 1276. Administrative acts “preserve the present value of the thing, without binding it for the future. They also include those acts that permit a thing to increase in value as the circumstances permit it to benefit without need of taking any risk or suffering heavy loss.” De la Fuente v. A. Roig Sucrs., 82 P.R.R. 499, 507 (1961). Acts of alteration to a thing or right, on the other hand, “are acts of material disposal that imply a change in the use and enjoyment or in the substance and integrity of the thing, which may modify its purposes and nature and which mean an extralimitation of the powers that legally correspond to each owner.” Id. at 508 (quotation and citation omitted).

Plaintiffs inheritance cause of action, though seemingly an act of administration, more closely resembles an act of alteration. An alteration means the change in the destiny of the communal thing or a modification in its form, substance, or material, Sagrado Corazon, 160 D.P.R. at 311, and that is a distinct possibility here.

This suit certainly was not filed to preserve the value of the inheritance received from Maria Gascot or to increase its value. This suit was brought to determine the value of Maria Gascot’s pain and suffering which is transferred to her heirs. Even if this suit were to be considered an administrative act, however, Maribel Cruz would *26 need the concurrence of a majority of the heirs in order to bind them all, a concurrence that does not exist in the record. That concurrence may be sufficient for Maribel Cruz to bring the action on the heirs behalf. Nevertheless, a settlement of the case may entail an act of alteration of the inheritance because it may entail reducing the amount of the damages inherited. An act of alteration would necessitate the consent of all the heirs, and that consent is not in the record, either. This consent by all the heirs cannot be given before the suit is filed or even during the time it progresses through the litigation process. The consent may only be given when a settlement offer is received, at which time if one of the heirs balks, a settlement is not possible even if all the other heirs agree to the settlement terms. See Jimenez, 597 F.3d at 27. The Court cannot be held hostage by an heir who is not a party to the case. The Court cannot stress enough that the heirs have been recognized by the Supreme Court of Puerto Rico as the continuance of the legal personality of their predecessor. Planas Merced v. Aviles Aviles, 2002 WL 1308232, 2002 P.R.App. LEXIS 2845. 13 (citing cases) As an act of alteration, plaintiff Maribel Cruz alone may not make any changes to this right without the consent of all her coheirs, even if the action would benefit all. See 31 L.P.R.A. § 1276.

This Court’s conclusion, that all heirs of a sucesión must be named as parties to a federal suit based on diversity jurisdiction, is also grounded by the policy consideration mentioned above. As the legal standards regarding a sucesión currently read according to several opinions by other judges of this Court, all heirs to a sucesión are not required to participate in an action involving the decedent’s estate. The citizenship of each of the absent heirs is thus ignored, even in a case whose federal subject matter jurisdiction is based solely on diversity. See Arias-Rosado, 111 F.Supp.2d at 100 (“[T]he members of a succession are not indispensable parties in a survivorship claim, consequently, their citizenship is irrelevant to the determination of diversity in this case.”). This result is plainly inconsistent with the idea that “[federal courts are courts of limited jurisdiction.” Hall v. Curran, 599 F.3d 70, 71 (1st Cir.2010). To permit any heir whose citizenship would not destroy diversity to file an inheritance claim individually, and simultaneously to allow all other heirs whose citizenship would defeat diversity to remain absent, encourages heirs to create federal subject matter jurisdiction that would otherwise not exist. This Court is simply not willing to allow such a “free shot” for all of the non-diverse heirs. Plaintiffs ruse to create diversity jurisdiction must fail, and this Court will not allow her survivorship claim to proceed in federal court if it would not otherwise satisfy jurisdictional requirements.

C. RULE 19 JOINDER ANALYSIS

Defendants argue that plaintiff Maribel Cruz’s siblings are necessary and indispensable parties pursuant to Rule 19. To determine if someone is a necessary party, courts “decide whether a person fits the definition of those who should ‘be joined if feasible’ under Rule 19(a).” Pujol v. Shearson/American Express, Inc., 877 F.2d 132, 134 (1st Cir.1989). That party is one (1) without whom the court cannot accord complete relief; or (2) who claims an interest relating to the subject of the action and is situated such that disposing *27 of the action in the person’s absence may as a practical matter impair or impede the person’s ability to protect the interest; or (3) whose claimed interest in the subject of the action would leave defendants subject to substantial risk of incurring multiple or otherwise inconsistent obligations. Fed. R. Civ. P. 19(a)(1); see also Picciotto, 512 F.3d at 16. If the court determines that someone is a necessary party under Rule 19(a) but one that cannot be feasibly joined, then the court proceeds under Rule 19(b) to determine “whether, in equity and good conscience, the action should proceed among the existing parties or should be dismissed.” Fed. R. Civ. P. 19(b); see also In re Cambridge Biotech Corp., 186 F.3d 1356, 1372 (Fed.Cir.1999). In other words, the court determines whether or not the party is “indispensable.” In re Cambridge Biotech Corp., 186 F.3d at 1372 (quoting Pujol, 877 F.2d at 134).

1. RULE 19(a)

Pursuant to Rule 19(a), this Court must decide whether, in the absence of plaintiff Maribel Cruz’s siblings, complete relief can be accorded to plaintiff; whether plaintiffs siblings claim an interest relating to the subject of this federal action and are so situated that disposing of the action may impair or impede their ability to protect their interests; or whether the defendants would be subject to a substantial risk of incurring multiple or otherwise inconsistent obligations if this case is allowed to proceed without joining the absent heirs.

Plaintiffs siblings would not need to be joined under Rule 19(a)(1)(A) to the extent that plaintiff Maribel Cruz’s federal suit seeks only damages for herself and the absence of the non-diverse heirs should not prevent the court from awarding plaintiff money damages for her own pain and suffering. This determination, however, assumes that plaintiffs federal suit can be properly brought by plaintiff as an individual, rather than on behalf of Maria Gas-cot’s estate. Plaintiff “brought the survivorship claim on her own behalf and not as a representative of Mrs. Gascot-Pagan’s estate,” (Docket No. 60 at 14), which this Court believes is contrary to the language set forth in article 1802 and subsequent case law interpreting the two causes of action. 14

*28 Pursuant to Rule 19(a)(l)(B)(i), the non-diverse heirs claim an interest relating to the subject of the federal suit, and this Court’s disposition of the action in their absence may impair or impede their ability to protect that interest. Each individual heir to a sucesión possesses a right to a portion of the estate, and the heirs succeed the deceased in all her property, rights, and obligations. Widow of Delgado, 1 P.R. Offic. Trans. 823, 101 D.P.R. 598. Similar to a community of property where a right belongs to several people in common, all heirs to a sucesión become co-titleholders, having qualitatively equal shares. See Sagrado Corazon, 160 D.P.R. at 307. Any ruling by this Court regarding the tortious damages owed to Maria Gascot’s estate, therefore, necessarily affects the non-diverse heirs’ interests in the sucesión. Plaintiffs siblings’ absence thus deprives them of the opportunity to participate in the proceedings, in the outcome of which they have a definite interest. See, e.g., Baker v. Estate of Rosenbaum, 58 F.R.D. 496, 498 (D.P.R.1972).

Plaintiff Maribel Cruz’s siblings are necessary parties pursuant to Rule 19(a)(l)(B)(i) because a determination made in this case regarding Maria Gascot’s estate will impact the non-diverse heirs’ interests, and they may be harmed by this Court’s resolution in their absence. Because there are overlapping and identical issues in plaintiffs federal suit and the non-diverse heirs’ state court suit for the suffering that Maria Gascot experienced prior to her death, a determination in this federal suit that any of the defendants acted negligently, for example, would undoubtedly influence the state court’s determination as to the very same acts. See Pulitzer-Polster v. Pulitzer, 784 F.2d 1305, 1311 (5th Cir.1986) (“Practically speaking, the same witnesses will come to the witness stand and say much the same things in the two lawsuits. No doubt, credibility findings will be important, and the state court may respect prior findings by the federal court.”).

The previous eases decided by judges of this Court disagree, reasoning that any heir may represent “matters affecting the community rights,” because a favorable judgment “will inure to the benefit of his co participants, who will not be prejudiced by an adverse judgment.” Cintron, 79 F.Supp.2d at 19; see also Ruiz-Hance, 596 F.Supp.2d at 229. According to that reasoning, if the present heir wins, the absent heirs benefit, but if the present heir loses, the absent heirs are unaffected. See Arias-Rosado, 111 F.Supp.2d at 99 (“[T]here is no risk that the interest of the absent heirs may be impaired or not well protected ... [because] ‘any judgment in favor of one or more participants benefits all other participants in a community of property’ whereas ‘an adverse judgment only prejudices the one who filed the action.’ ”) (citing Danz, 82 P.R.R. at 594; Perez v. Cancel, 76 D.P.R. 667, 675 (1954)). That logic rests on the propositions that an heir’s favorable judgment disposes of the survivorship claim and benefits all of the absent heirs, while an adverse judgment does not prejudice the absent heirs because they may still assert a survivorship claim in state court. Arias-Rosado, 111 F.Supp.2d at 99.

The Court finds such reasoning unpersuasive, particularly in light of the First Circuit Court of Appeals’ acknowledgment that settlement of a state law claim is an interest that would be prejudiced by an adverse judgment in federal court. In Picciotto v. Cont’l Cas. Co., 512 F.3d 9, 16 (1st Cir.2008), the court of appeals held that “[settlement position is a valid consideration in the practical inquiry required by Rule 19(a)(2)(i) because, even without a direct preclusive effect, an adverse judgment could be ‘persuasive precedent in a *29 subsequent proceeding, and would weaken [the absent party’s] bargaining position for settlement purposes.’ ” Id. (quoting Acton Co. v. Bachman Foods, Inc., 668 F.2d 76, 78 (1st Cir.1982)) (citing Gonzalez v. Cruz, 926 F.2d 1, 6 (1st Cir.1991)).

Although this Court believes that the analyses in the three previous district court cases are misleading, it will also analyze whether Rule 19(a)(l)(B)(ii) is satisfied. Defendants argue that they could be subjected to a “substantial risk of incurring multiple or otherwise inconsistent obligations” as to Maria Gascot’s non-diverse heirs, who have filed a state court action that arises out of the same incident. (Docket No. 81 at 7-8.) “Inconsistent obligations” under Rule 19(a) “occur when a party is unable to comply with one court’s order without breaching another court’s order concerning the same incident.” Delgado v. Plaza Las Americas, Inc., 139 F.3d 1, 3 (1st Cir.1998). Although “the mere possibility of inconsistent results in separate actions does not make the plaintiff in each action a necessary party to the other,” Plaza Las Americas, 139 F.3d at 3, the clause is designed to avoid subjecting a defendant to “a double or otherwise inconsistent liability.” Fed. R. Civ. P. 19 advisory committee note.

Here, there is a substantial risk that the defendants will face double liability as a result of this lawsuit. If the state court allows recovery in the non-diverse heirs’ inheritance claim, plaintiff Maribel Cruz will receive the benefit of damages awarded to Maria Gascot’s estate because she is a member of the sucesión. Similarly, if her federal suit proceeds, Maribel Cruz may receive damages individually for the same harm that the state court already compensated. The defendants would, in both cases, be liable for both judgments. See Pulitzer, 784 F.2d at 1311. The Court therefore finds that plaintiffs siblings, the other heirs of Maria Gascot’s sucesión, are persons to be joined if feasible under Rule 19(a).

This Court further finds that it is not feasible to join the non-diverse heirs of Maria Gascot’s estate to plaintiffs inherited cause of action. When a federal court’s subject matter jurisdiction is grounded in diversity, as in this case, “the joinder of a nondiverse party is not feasible because such joinder destroys the court’s subject matter jurisdiction.” Picciotto, 512 F.3d at 17. A federal district court has “ ‘original jurisdiction of all civil actions where the matter in controversy ... is between ... citizens of different States.’ 28 U.S.C. § 1332(a). This statutory grant requires complete diversity between the plaintiffs and defendants in an action. Strawbridge v. Curtiss, 7 U.S. (3 Cranch) 267, 2 L.Ed. 435 (1806).” Picciotto, 512 F.3d at 17. The word “State” includes the Commonwealth of Puerto Rico. 28 U.S.C. § 1332(e). Because plaintiffs siblings are residents of Puerto Rico, (Docket No. 1 at 3), and defendant HIMASan Pablo Hospital is a corporation organized or operating under the laws of the Commonwealth of Puerto Rico, (Docket No. 6 at 2), aligning them on opposite sides would destroy diversity jurisdiction.

2. RULE 19(b)

Although plaintiffs siblings cannot be joined in the action without divesting the Court of its subject matter jurisdiction, additional criteria exist pursuant to Rule 19(b) to determine whether the parties are “indispensable.” Jimenez v. Rodriguez-Pagan, 597 F.3d 18, 25 (1st Cir.2010). The critical question in the Rule 19(b) context is “ ‘whether in equity and good conscience’ the action may proceed in [the party]’s absence.” Id. (citing B. Fernandez & HNOS, Inc. v. Kellogg USA Inc., *30 516 F.3d 18, 23 (1st Cir.2008) (quoting Fed. R. Civ. P. 19(b))).

To answer that question, the district court must consider four factors specified in the Rule: (1) the extent to which a judgment rendered in the person’s absence might prejudice that person or the existing parties; (2) the extent to which any prejudice could be lessened or avoided by (A) protective provisions in the judgment; (B) shaping the relief; or (C) other measures; (3) whether a judgment rendered in the person’s absence would be adequate; and (4) whether the plaintiff would have an adequate remedy if the action were dismissed for nonjoinder.

Jimenez, 597 F.3d at 25 (citing Fed. R. Civ. P. 19(b)). If the court finds that the litigation cannot proceed in the party’s absence, the court must dismiss the case. Id. at 25 (citing B. Fernandez, 516 F.3d at 23).

Under the first factor, and as mentioned above, the absent heirs’ interests in settling their Puerto Rico state law claim would be prejudiced by an adverse judgment in this case. See, e.g., Picciotto, 512 F.3d at 18. Plaintiff Maribel Cruz’s interest in this federal forum, moreover, is weak. Because relief is available to her in the Puerto Rico state court, the federal court has no special expertise in the subject of her suit, and she has no judgment in federal court to protect, her interests would not be prejudiced by dismissing her federal claim. See Pulitzer 784 F.2d at 1312; Cf. Provident Tradesmens Bank & Trust Co. v. Patterson, 390 U.S. 102, 110, 88 S.Ct. 733, 19 L.Ed.2d 936 (1968).

Regarding the second factor, “it would be difficult if not impossible ... to shape relief that would not implicate [the absent heirs’] interests.” See Picciotto, 512 F.3d at 18. Given the prejudicial impact on a potential settlement of the absent heirs’ Puerto Rico state law claim, “no protective approach [is] possible because the prejudice to [the absent heirs] would result from the potential outcome of the litigation itself, not the specific terms of any judgment.” Picciotto, 512 F.3d at 18. Because this Court takes the view that an inherited or patrimonial claim, like the one in this case, is an indivisible cause of action belonging to all heirs of a sucesión, an adverse adjudication by this Court would prejudice the absent heirs.

It is unclear under the third factor whether a judgment rendered in the non-diverse heirs’ absence would be adequate. The Court finds unpersuasive the reasoning in the three previous cases that, because a judgment in favor of plaintiff Maribel Cruz’s survivorship claim will benefit her absent siblings, “it is beyond any doubt that complete relief may be accorded in this case in the absence of the non diverse heirs.” See Arias-Rosado, 111 F.Supp.2d at 99. Similar to the plaintiffs in Jimenez, plaintiff Maribel Cruz’s siblings and father have filed a parallel action in the Court of First Instance of the Commonwealth of Puerto Rico. (Docket No. 54 at 2.) This Court expresses the same skepticism as the First Circuit Court of Appeals in Jimenez: Suppose that plaintiff Maribel Cruz is successful here in recovering some monetary damages under her survivorship claim, yet the amount of damages is not the full amount that she seeks. “Does that constitute a successful judgment sufficient to bind the non-diverse heirs under the plaintiffs’ theory of the law, or is it instead an adverse judgment that would leave those heirs free to double down in the second suit?” Jimenez, 597 F.3d at 27. Just as the First Circuit Court of Appeals was “unaware of any authority one way or the other” to answer such a “difficulty,” this Court is similarly “ill equipped to rule on this question of *31 Puerto Rico law.” See id. Viewing the inherited claim as a single, indivisible cause of action, however, the Court agrees with defendants that “a judgment cannot be entered in the absence of all the members who are required to participate in the action.” (Docket No. 81 at 9.)

If this federal action were dismissed for nonjoinder, plaintiff Maribel Cruz would have an adequate remedy under the fourth factor. Because relief may be afforded to her in the Puerto Rico state court, where she can join the other heirs to pursue the inherited claim, an adequate remedy exists.

For the reasons set forth above, joinder of the necessary party heirs is not feasible under Rule 19(a). Because the non-diverse heirs are also indispensable parties pursuant to Rule 19(b), the survivorship action cannot proceed without them. See Picciotto, 512 F.3d at 20 (“By definition, the Rule 19(b) indispensability determination means that there is no viable lawsuit without the missing party.”) Jurisdiction in this case is grounded in diversity of citizenship, and “the absence of a nondiverse, indispensable party is not a mere procedural defect. Rather, it destroys the district court’s original subject matter jurisdiction.” See id. Accordingly, defendants’ motion for summary judgment as to plaintiffs survivorship claim is hereby GRANTED.

CONCLUSION

For the foregoing reasons, the Court GRANTS in part and DENIES in part defendants’ motion for summary judgment. Maribel Cruz’s individual claim for her own pain and suffering survives.

IT IS SO ORDERED.

Notes

. Christine D’Auria, a second-year student at Northwestern Law School, assisted in the preparation of this Opinion and Order.

. The original defendants were: HIMA-San Pablo Hospital Bayamon; Diagnostic and Treatment Center in Cataño; Dr. Ildefonso Rivera-Rivera, his wife, Mrs. Rivera and the conjugal partnership comprised between them; Dr. Ismael Rodriguez-Rivera, his wife, Mrs. Rodriguez and the conjugal partnership (comprised between them); Sindicato de Aseguradores para la Suscripción Conjunta de Seguro de Responsabilidad Profesional Médico-Hospitalaria; ABC and DBF Insurance Companies; John Doe and James Roe as well as any other Joint Unknown Tortfeasors and their respective XYZ Insurance Companies.

. "Myocardial infarct” is commonly known as a "heart attack.” http://www.nlm.nih.gov/ medlineplus/ency/article/000195 .htm.

. "The telemetry unit is an area of a hospital where special machines are used to help staff closely monitor patients, especially for changes in blood pressure and the rate and rhythm of the heart.”

http://uimc.discoveryhospital.com/mam. php?t=enc&id=3048.

. In a diversity jurisdiction case, a federal court must apply the substantive law of the forum where the action is filed. Hanna v. Plumer, 380 U.S. 460, 471, 85 S.Ct. 1136, 14 L.Ed.2d 8 (1965); Erie R.R. Co. v. Tompkins, 304 U.S. 64, 78, 58 S.Ct. 817, 82 L.Ed. 1188 (1938). Accordingly, Puerto Rico law applies to this case.

. "The official translations of many Puerto Rico Supreme Court cases cited ... do not contain internal page numbers. Accordingly, we cannot include pin-point citation references for those cases.” Citibank Global Markets, Inc. v. Rodriguez Santana, 573 F.3d 17 (1st Cir.2009).

. Although in the discussion to follow this Court adopts a different interpretation of Puerto Rico law than that adopted by Ruiz-Hance, 596 F.Supp.2d 223, Arias-Rosado, 111 F.Supp.2d 96, and Rodriguez-Rivera v. Rivera Rios, 2009 WL 564221, 2009 U.S. Dist. LEXIS 17495 (D.P.R.2009), the Court follows the language contained in those opinions addressing the definition of a "sucesión” in order to maintain consistency in stating the relevant standards.

. Defendants' motion for summary judgment cites Xavier Jose Planas-Merced v. Shirley Arias-Arias, KLAN0200237, 2002 PR App. LEXIS 2875, a case written in the Spanish language. “Where a party makes a motion to dismiss based on a decision that was written in a foreign language, the party must provide the district court with and put into the record an English translation of the decision.” Puerto Ricans for Puerto Rico Party v. Dalmau, 544 F.3d 58, 67 (1st Cir.2008). In light of the defendants' failure to provide such a translation, the Court cannot consider the case in its analysis. See id.

. Defendants specifically criticize this District's analyses regarding the sucesion in Arias-Rosado, 111 F.Supp.2d 96 (Gierbolini, J.); Rodriguez-Rivera, 2009 WL 564221, 2009 U.S. Dist. LEXIS 17495 (Casellas, J.); and Ruiz-Hance, 596 F.Supp.2d 223 (Perez-Gimenez, J.).

. Three district court cases that so hold and that Jimenez addresses are: Arias-Rosado, 111 F.Supp.2d 96 (Gierbolini, J.); Rodriguez-Rivera, 2009 WL 564221, 2009 U.S. Dist. LEXIS 17495 (Casellas, J.); and Ruiz-Hance, 596 F.Supp.2d 223 (Perez-Gimenez, J.).

. The First Circuit Court of Appeals continues to rely on the language in Widow of Delgado to define the claims that are available to "heirs of a person who died through another’s negligence.” See, e.g., Correa v. Hospital San Francisco, 69 F.3d 1184, 1197 (1st Cir.2009); See also, Montalvo v. Gonzalez-Amparo, 587 F.3d 43, 46 n. 3 (1st Cir.2009). Widow of Delgado states the legal standard applicable to tort actions such as the wrongful death inherited claim that Maria Gascot’s heirs may bring in this case, and those legal standards prevail over the language set forth by its predecessor, Danz, 82 D.P.R. 591.

. Although no official translation exists of the Sagrado Corazon case, the Court has ordered certified translations of the sections of the case necessary for its analysis. The translation will be filed in the record.

. There is no official translation for Planas Merced case. As with the Sagrado Corazon case, the Court has ordered certified translations of the sections of the case necessary for its analysis. The translations will be filed in the record. See note 12.

. The Court agrees with defendants that “with respect to the transmitted or inherited action, it is clear that it is only one cause of action that belongs indivisibly to all the members of the sucesión.” (Docket No. 81 at 7.) Under the article 1802 "personal” claim, each person "acquires an independent action against the person causing the unlawful death, for the source of responsibility is precisely the particular and personal damage suffered by each one of the plaintiffs.” Caez v. U.S. Casualty Co., 80 P.R.R. 729, 735 (1958). The Supreme Court of Puerto Rico, however, has distinguished the article 1802 personal claim affording an individual heir an independent action "for the damage which the death personally caused him” from the article 1802 claim that "stem[s] from a hereditary right ... for the damages suffered by the deceased.” Id. at 735-36 ("[O]ur law recognizes two different and independent actions: first, [the decedentj's personal action as original victim of the accident for the damages that he suffered; and second, the right of action accruing exclusively, and in its own right, to each [heir] to claim damages for his or her [decedentj's death.”).

The Court believes that the "inherited” action under article 1802 may only proceed with all heirs to the sucesión because by definition, the action itself derives its existence from the rights of the decedent, not those of any individual heir. Unlike in a personal claim, the damages that each heir claims under an inherited claim are not different; thus, there exists just one cause of action for an inherited claim. As such, plaintiffs inherited survivorship claim cannot be split, affording each heir an independent action as plaintiff Maribel Cruz seeks to do here. The inherited claim cannot move forward without joining the other heirs to Maria Gascot’s sucesión as parties.