James R. Spencer v. General Hospital of the District of ColumbiaJames R. Spencer v. General Hospital of the District of Columbia
- Reporters:
- , ,
- Before:
- Bazelon
Lead Opinion
Appellant’s complaint in the District Court alleged that (1) he had, as a paying patient, been admitted to the District of Columbia General Hospital for diagnosis and treatment of a pain in his back, (2) the Hospital’s employees had “negligently, or recklessly, or carelessly” treated him, including the improper performance of surgery, and (3) the injuries so suffered were compensable in damages. The Hospital, an agency of the District Government, moved to dismiss the complaint before trial as barred by the immunity to suit assertedly enjoyed by the District of Columbia as a governmental entity. In granting the motion for this reason, we think the District Court erred.
I
In support of the judgment appealed from, appellee insists that Elgin v. District of Columbia,
Calomeris was, like the case now before us, a suit to recover for allegedly negligent medical treatment of a paying patient at D.C. General Hospital. Classifying the operation of the Hospital by the District Government as the perform
We agree with Judge Holtzoff that the defense of governmental function to a complaint for negligence, mistreatment or malpractice is ‘an obsolescent and dying doctrine’, but we also agree with him that since it is a phase of government immunity Congress alone can replace it. We join in his suggestion that the attention of the Congress might well be directed to it. Congress did not include the District of Columbia Government in the Federal Tort Claims Act. * * *
In Elgin, we put to one side an issue tendered to us in terms of a plea that we abolish the doctrine of sovereign immunity in tort for the District Government. In doing so, we took note of various expressions by this court, in addition to Calomeris, to the effect that abolition was a matter for the Congress,
Under these circumstances the Elgin court did not think itself disabled by stare decisis from deciding in that case that the mere fact that a public school was involved did not foreclose further
The error of the District Court in the case before us resides in its apparent allegiance to Calomeris rather than to Elgin. Each, in the broad sense of “governmental” versus “proprietary,” involved the former. Neither, in the narrower terminology of “ministerial” versus “discretionary,” involved the latter. And we perceive no distinctions between the operation of hospitals, on the one hand, and schools, on the other, that offer meaningful bases for differentiation in the imposition of tort liability for acts of the kind alleged in those cases and in the one before us. We do not, therefore, consider Calomeris as retaining the authority to command the result reached by the District Court, and we hold that Elgin pointed ineluctably towards denial of the motion to dismiss to the degree that that motion was grounded upon municipal immunity.
II
In reaching the result we do by reference to Elgin, we confront both (1) appellee’s argument that only Congress may abolish the tort immunity of the District Government, and (2) the view expressed in concurrence in Elgin that that decision does not go far enough because it fails to effect such abolition. In commenting upon these contrasting stances towards municipal immunity, it may be useful to take a hard look first at what is customarily subsumed under the rubric of “abolition.”
Professor Davis, surely one of the sternest and most relentless critics of immunity, has characterized Elgin as being “as complete an abolition of the doctrine of sovereign immunity from tort liability as any judicial opinion that has been written by any of the state courts that have abolished that doctrine.”
Of course, if what is meant by that term is the abandonment of the “governmental-proprietary” distinction and of the concomitant readiness of .the courts to bar suit whenever the sovereign is found to be acting in the former
The truth is, presumably, that Professor Davis, Judge Bazelon, and the California Supreme Court all mean the same thing when they speak of abolition or abrogation, and that is the total rejection of the concept that the classification of a function as “governmental” ends, rather than begins, the inquiry into whether a tort action should be permitted to proceed against a public entity. The California Supreme Court in Muskopf said that “[abrogation of governmental immunity does not mean that the state is liable for all harms that result from its activities”; and, in the companion case of Lipman, it observed that Muskopf was far from holding “that a public body has no immunity where the discretionary conduct of governmental officials is involved.” In Lipman the Court held that the acts in question “were of a discretionary character,” and that, because there is a vital public interest in the “free and independent judgment” of public officials, the school district there sought to be sued was immune.
In regarding Elgin as determinative here, we do neither more nor less than has been done by the growing number of state courts which are customarily categorized as having “abolished” municipal immunity in tort. See K. Davis, supra Note 3, at § 25.01. Perhaps more significantly, we do nothing essentially different in kind from what was done on occasion in this jurisdiction long before Elgin. We do not expose the District Government to liability in tort for every conceivable injury resulting from the performance of its functions.
We do reaffirm, for the purpose of a claim of medical malpractice in a District hospital, the position we took in Elgin — which was, we repeat, not without precedent in this jurisdiction — that a plaintiff is not automatically out of court whenever it appears that the injury grew out of the operation by the District of a school, or a hospital, or in the course of any other activity carried on by the District because it is a government. In these self-same activities there are situations where wise considerations of public policy will readily suggest the undesirability of subjecting the District to suit.
To the argument of appellee that we should await Congressional action, the answer is that the issue is not one of our power to act. As, en banc, we hereby provide a formal interment of the “governmental-proprietary” test of immunity, we flout no visible purpose or policy of Congress but, rather, only bury one of our own offspring — one whom we periodically treated as illegitimate well in advance of Elgin. As to the policy of what we do, we see no virtue in staying our hand until Congress chooses to recognize formally that we have changed the direction of a course that we set long ago.
It is said that we should heed the failure of Congress to include the District of Columbia under the Federal Tort Claims Act (
The judgment of the District Court is reversed and the case remanded with directions to reinstate the complaint.
It is so ordered.
Notes
Chief Judge BAZELON, and Judges TAMM, LEVENTHAL, ROBINSON, and ROBB join in this opinion. Judge PRETTYMAN concurs in a separate opinion, in which Judge DANAHER joins. Judge WRIGHT concurs in a separate opinion, in which Chief Judge BAZELON also joins.
. Harbin v. District of Columbia,
. Booth v. District of Columbia, 100 U.S. App.D.C. 32,
As long ago as 1861, the United States Supreme Court held the District Government answerable in tort for the negligent construction of a bridge, Weightman v. Corporation of Washington,66 U.S. (1 Black) 39 ,17 L.Ed. 52 (1861); and, as recently as Urow v. District of Columbia, Note 1 supra, this court echoed the Weightman distinction between a “discretionary” or “legislative” function, on the one hand, and a “ministerial” act, on the other. For other expressions of the U. S. Supreme Court on the matter of municipal immunity in tort for the District Government, see Barnes v. District of Columbia,91 U.S. 540 ,23 L.Ed. 440 (1875), Johnston v. District of Columbia,118 U.S. 19 ,6 S.Ct. 923 (1886), and District of Columbia v. Woodbury,136 U.S. 450 ,10 S.Ct. 990 ,34 L.Ed. 472 (1890). Our cases ultimately came to rest upon so-called exceptions for nuisances and street maintenance, but it was not pretended that these exceptions were founded upon any view of the activities in question as non-governmental. See Smith v. District of Columbia,89 U.S.App.D.C. 7 ,189 F.2d 671 (1951).
. K. Davis 3 Administrative Law Treatise, § 25.01 at p. 107 (1965 Pocket Part). The literature of attack upon the inadequacies and injustices of immunity founded upon the “governmental-proprietary” distinction is as extensive as it is unanswerable. Professor Davis, like other critics, can summon the most respectable authority for his assertion that that distinction “is probably one of the most unsatisfactory known to the law * * * ” § 25.07 at p. 460 (1958).
. Muskopf v. Corning Hospital District,
. Lipman involved a claim for defamation brought against a school district and certain of its officers. The district was held immune from suit because the officers were acting in a discretionary role when the words complained of were uttered, but the suit was permitted to proceed against the officer-defendants because they exceeded the scope of their authority in making the statements to the press.
Muskopf and Lipman occasioned a comprehensive study of the immunity problem by the California Law Revision Commission which eventuated in the enactment hy the California Legislature in 1963 of a thorough-going statute on the “Liability of Public Entities.” Oal. Gov’t Code § 815 et seq. (West 1964). The scheme of the statute generally may be described as abolishing all common law tort liability for public entities whether the function in question be “proprietary” or “governmental,” and prescribing by statute those circumstances in which such liability may be asserted.
. As Elgin remarked, Urow, supra Note 1, was just such a case. There, although professing an incapacity to do anything about the . District Government’s immunity in tort in the absence of Congressional action, we analyzed the claim presented in terms of a “discretionary—
. First among the exceptions to liability provided by
“Any claim based upon an act or omission of an employee of the Government, exercising due care, in the execution of a statute or regulation, whether or'not such statute or regulation be valid, or based upon the exercise or performance or the failure to exercise or perform a discretionary function or duty on the part of a federal agency or an employee of the Government, whether or not the discretion involved be abused.”
Concurrence Opinion
with whom
Appellant alleges that he, a paying patient, was injured by the negligent performance upon him of a discography operation by D.C. General Hospital. His suit has been dismissed on the pleadings in reliance on this court’s Calomeris de
I
At the time Calomeris was decided, a substantial line of cases had established the general proposition that the District of Columbia, like other municipalities, was liable for torts committed in the exercise of its “proprietary,” but not in the exercise of its “governmental,” functions.
The distinction between “governmental” and “proprietary” functions of government for purposes of tort immunity has been almost universally condemned. In the words of Harper and James: “No satisfactory test has been devised
There is on the face of it little logic in the “governmental-proprietary” distinction. As Harper and James note, two criteria are most often put forward as marking the boundary between the two concepts.
The second criterion advanced is whether the service provided is “traditionally” governmental.
Dissatisfaction with the law of municipal immunity does not rest solely on the illogic of the distinctions made in the area. It stems further from discontent with the whole concept of a broad sovereign immunity in tort, whether for local, state or national governments. New doctrines in the law have sustained such voluminous, searching and nearly unanimous attack as the principle that governments should not respond in dam
The notion that governmental immunity in tort properly derives from the English common law principle that “the King can do no wrong” has been shown to rest on an erroneous reading of history.
When in the course of performing their functions governments lawfully acquire goods and services, they are expected to pay the costs. No one has ever given an adequate argument why the same governments should not a fortiori pay the costs when in performing the same functions they wrongfully injure innocent people.
The doctrines of sovereign and municipal immunity were made by judges as part of the common law.
In this jurisdiction, the movement against sovereign — here municipal — immunity found expression in the Elgin case.
Drawing on two recent cases,
In my view, the principle of Elgin requires that appellant in this case be allowed to proceed to trial. He has alleged that appellee negligently performed upon him a discography operation, resulting in serious personal injuries. Thus his is a commonplace suit for a single act of medical malpractice. He does not require us to review policy decisions taken by responsible officials of the District of Columbia in the area of health. Those policies, which are not in question here, include accepting patients like appellant at the hospital, and performing operations of this type upon them. That policy was applied in this case. Appellant alleges that in the course of carrying it out the hospital medical staff failed to meet the standards of due care imposed by local tort law upon the medical profession. Thus the complaint here is of a fault in execution, of a kind which our courts evaluate many times a year. Within the meaning of Elgin, such faults are ministerial, and hence subject to redress in tort.
This is not to say that the performance of an operation does not involve judgment and discretion. The point is that medical, not governmental, judgment and discretion are involved. The common law of malpractice, as normally applied to private doctors and hospitals, already grants the leeway properly left for expert judgment in the relatively stringent requirements it imposes upon plaintiffs in medical negligence suits. No further leeway is required for the publicly employed doctor or the public hospital than for their private counterparts.
II
Although I am convinced that Elgin stands as a four-square precedent requiring reversal in the case before us, I should add that in my view it marks the beginning rather than the end of the reform of our law of municipal immunity. The court in Elgin felt that recent panel decisions of this court constrained it from considering whether the tort immunity of the District of Columbia should be entirely abrogated.
Concurring in Elgin, Chief Judge Bazelon noted that the decision took “a useful step toward modernizing the archaic doctrine of sovereign immunity.”
I believe that Chief Judge Bazelon’s more flexible rule is the proper one. I would entirely abolish any special governmental immunity in tort. There would then remain the determination of which governmental actions causing private injury were tortious. It is clear that not all of them can be. Almost every act of government involves injury to someone, and yet “it is not a tort for
The distinction between the two views is more than a semantic one. The Elgin position could easily rigidify into a rule that any time an official or an agency adopts a “plan,” injuries arising from the plan itself, as distinguished from its negligent execution, cannot be compensated in tort.
In any case, it seems to me clear that whether under the “discretionary-ministerial” principle made the law of this jurisdiction in Elgin, or under a regime recognizing no governmental immunity in tort, appellant here should be allowed his day in court against D.C. General Hospital.
. Calomeris v. District of Columbia,
. Elgin v. District of Columbia, 119 U.S. App.D.C. 116,
. Roth v. District of Columbia,
However, cases in this jurisdiction are by no means unanimous in applying the “governmental-proprietary” distinction. In the first case involving the District’s liability in tort, the Supreme Court found no municipal immunity for negligent construction of a bridge; it distinguished between the “legislative” or “discretionary” powers of the city and its “specific and clearly defined duty.” Weightman v. Corporation of Washington,
Further, exceptions have been recognized to the rule of governmental immunity in the case of street maintenance, Smith v. District of Columbia, 89 U.S. App.D.C. 7,
. 2 F. Harper & F. James, The Law of Torts § 29.6 at 1621 (1956).
. 3 K. C. Davis, Administrative Law Treatise § 25.07 at 460 (1958).
. Indian Towing Co. v. United States,
. 2 F. Harper & F. James, supra Note 4, at 1621-1623.
. Cf. Bolster v. City of Lawrence,
. Cf. Hill v. City of Boston,
. See Seasongood, Municipal Corporations : Objections to the Governmental or Proprietary Test, 22 Va.L.Rev. 910, 914-915 (1936) : “The London police force was not established until 1829. It is not a hundred years since fire companies were generally private and voluntary.”
. In addition to the works of Davis, Harper & James and Seasongood already noted, representative among the voluminous criticism of the governmental-proprietary distinction are Borchard, Government Liability in Tort, 34 Yale L.J. 129, 134-143 (1924), and Fuller & Casner, Municipal Tort Liability in Operation, 54 Harv.L.Rev. 437, 443 (1941).
. See, e. g., Borchard, Government Liability in Tort, 34 Yale L.J. 1, 129, 229 (1924r-1925); Borehard, Governmental Responsibility in Tort, VI, 36 Yale L.J. I, 747 (V), 1030 (VI) (1926-1927); 3 K. O. Davis, supra Note 5, § 25.01; 2 F. Harper & F. James, supra Note 4. eh. 29 passim.
. See, e. g., Borehard, supra Note 12,
. See, e. g., 2 F. Harper & F. James, supra Note 4, at 1611-1612; cf. President and Directors of Georgetown College v. Hughes,
. Russell v. The Men of Devon, 100 Eng. Rep. 359, 362 (1788).
. See 2 F. Harper & F. James, supra Note 4, at 1612; Muskopf v. Corning Hospital District,
. See generally Borehard, supra Note 12, 36 Yale L.J. 1; cf. Muskopf v. Corning Hospital District, supra Note 16,
. The District of Columbia has statutorily waived immunity for automobile torts committed by its employees within the scope of their employment.
. In Calomeris we referred to sovereign immunity as “an obsolescent and dying doctrine,” but left it to the legislature to eliminate or reform it.
. Hargrove v. Town of Cocoa Beach, Fla.,
. See, e. g., Nelson v. Maine Turnpike Authority,
The cases on both sides are collected and summarized in 3 K. C. Davis, supra Note 5, § 25.04 (1965 Pocket Part).
. Supra Note 2.
. District of Columbia v. Tyrrell, supra Note 3.
. Booth v. District of Columbia, 100 U.S. App.D.C. 32,
. Elgin v. District of Columbia, supra Note 2,
.
.
.
.
. The substantial break which Elgin represented with the old “governmental-proprietary” distinction led Professor Davis to list it among those decisions abolishing municipal immunity. 3 K. C. Davis, supra Note 5, § 25.01 (1965 Pocket Part).
.
.
. Ibid.
. Dalehite v. United States,
. For a discussion of the difference between a negligent plan and negligent execution of the plan, concluding that even where the negligence is part of the plan liability can result, see District of Columbia v. Caton, supra Note 3,
Concurrence Opinion
(concurring):
I oppose with all possible emphasis the suggestion that the court attempt to eliminate sovereign immunity from among the defenses available to the Government in tort cases in this jurisdiction. I think that to be a matter of legislative policy rather than a judicial question. But the immunity of the local municipal corporation from liability for torts committed by it or its agents in the course of the performance of duties imposed by statute is quite a different thing. It does not involve sovereignty in the classic sense; it is a problem concerning municipal functions and the liability therefor. I see no reason why a court should not construe and apply the latter.
I am authorized to say that Senior Circuit Judge DANAHER concurs in the foregoing statement.