90 Pa. Commw. 586 | Pa. Commw. Ct. | 1985
Lead Opinion
Opinion by
The Commonwealth of Pennsylvania, Bureau of Workers’ Compensation (Bureau)
Helen Kilvady (Claimant) filed a fatal claim petition on November 14, 1972 alleging that her husband, John Kilvady (decedent), died on January 17, 1972 from silicosis as a result of exposure to a silica hazard throughout the course of his employment with U.S.S. Decedent worked for U.S.S. from 1924 until November 8, 1957, when, due to the closing of his plant and to pulmonary problems, he left that employment. He came under the treatment of Dr. E. P. Kleinschmidt at some time before he left work and in July, 1957, Dr. Kleinschmidt diagnosed him as being totally disabled due to emphysema, glomerulonephritis and hypothyroidism. Dr. Kleinschmidt last examined decedent in 1966.
An autopsy performed by Dr. J. M. Brandon determined that decedent had been suffering from silicosis for some time prior to his death and that silicosis was the cause of his death. Dr. Brandon, however, was unable to determine if decedent became totally disabled from silicosis within four years after his separation from U.S.S. Subsequently, Dr. Brandon’s autopsy report was reviewed by Dr. Kleinschmidt. As a result of that report, Dr. Kleinschmidt revised his 1957 diagnosis and concluded that decedent had been disabled by silicosis in 1957.
On June 22, 1976, a referee dismissed Claimant’s petition concluding that she had failed to establish that decedent had been totally disabled from an occupational disease within a four year period after his last exposure to a silica hazard, and further concluded that his death had occurred more than four years
The referee complied with the common pleas court’s order, but again dismissed the claim petition, rejecting Dr. Kleinschmidt’s testimony as being speculative. The WCAB affirmed the referee and dismissed Claimant’s appeal. On appeal to the common pleas court, the court reversed the decision of the WCAB and remanded the ease to the referee for a determination of benefits due Claimant. The common pleas court concluded that its prior holding with regard to Section 301(c) was the law of the case and held that the referee’s characterization of Dr. Kleinschmidt’s testimony as speculative constituted a capricious disregard of competent evidence.
On appeal to this Court, the Bureau and U.S.S.
Section 301(c) provides, in pertinent part, that “ [w] her ever compensable disability or death is mentioned as a cause for compensation under this act, it shall mean only compensable disability or death resulting from occupational disease and occurring within four years after the date of [the employee’s] last employment in such occupation or industry.” In applying these provisions, we have held that we must defer to the legislative limitations.
Limitations, because they are arbitrary, are often harsh. The benefits of The Pennsylvania Occupational Disease Act, . . . are founded upon actuarial facts. There is unhappily a practical limit to the amounts of benefits employers and the public can provide. This limit must be established by the Legislature possessed of all the facts, not by a court deciding one ease, however unfortunate.
Gray v. Bethlehem Steel Co., 4 Pa. Commonwealth Ct. 590, 593-94, 288 A.2d 828, 829-30 (1972). The only circumstance which has been held by our appellate courts to be an exception to this general rule is when the decedent had filed a disability claim during the statutory period and the widow’s claim was construed to be a continuation of the benefits awarded to the decedent during his lifetime. See Toffalori v. Donatelli Granite Co., 157 Pa. Superior Ct. 311, 43 A.2d 584 (1945). Claimant, however, argues that we should expand that exception to permit her to file for death benefits some fifteen years after decedent’s last exposure, notwithstanding the absence of a disability claim filed by her husband within the statutory period.
Because of our resolution of the Section 301(c) issue, we need not determine whether the disputed testimony of Dr. Kleinschmidt was speculative. Accordingly, we reverse the order of the common pleas court and reinstate the order of the WCAB leaving to the legislature the question of the need for changes.
Now, August 1, 1985, on the appeal of the Commonwealth of Pennsylvania, Bureau of Workers’ Compensation, No. 554 C.D. 1984, the order of the Court of Common Pleas of Westmoreland County, No. 3663 of 1983, is reversed and the order of the Workmen’s Compensation Appeal Board is reinstated.
Order in 640 C.D. 1984
Now, August 1, 1985, on the appeal of the United States Steel Corporation, No. 640 C.D. 1984, the order of the Court of Common Pleas of Westmoreland County, No. 3663 of 1983, is reversed and the order of the Workmen’s Compensation Appeal Board is reinstated.
The Bureau is the appellant in No. 554 O.D. 1984.
U.S.S. is the appellant in No. 640 O.D. 1984.
Act of June 21, 1939, P.L, 566, as (mended, 77 P.S. §§1201-1603.
77 P.S. §1401 (c). The common pleas court held that due .to the lack o£ knowledge that decedent was suffering from silicosis until after his death, Claimant's fatal claim petition was not barred by Section 301(c) even though decedent’s death occurred more than four years after his last exposure.
Both the Bureau and U.S.S. addressed their briefs to both Commonwealth Docket numbers. The Bureau’s brief was received and filed in this Court on April 18, 1984 with a copy to U.S.S. on the same date. U.S.S.’ brief was received and filed herein on June 25, 1984. Our reading of these submissions reveals a remarkable resemblance between them.
77 P.S. §1411. Section 811 essentially creates a time frame for notice of disability to a liable employer witbin wbieb compensation payments are either delayed or denied depending on the number of days which pass from the date on which a compensable disability begins and the date on which such notice is given.
77 P.S. §1415. Section 315 requires that the parties agree on compensation payable or that a claim petition be filed within a specified number of months after a compensable disability begins or a compensable death occurs on penalty of a permanent bar to the later filing of claims on such disability.
Roschak wag decided on April 26, 1945 and Toffalori on July 19, 1945.
Dissenting Opinion
Dissenting Opinion by
I respectfully dissent.
When the deceased retired, he was being treated by his physician, Dr. E. F. Kleinschmidt, for pulmonary emphysema. Silicosis was never diagnosed as the cause of his disability. It was only after his death and autopsy some twelve years after retirement that Dr. Kleinschmidt changed his diagnosis and concluded that silicosis was indeed the cause of decedent’s disability which existed at the time of retirement. This widow then filed her death claim which was within the sixteen months of the date of death but beyond the four years from the date of his last employment. The only medical evidence presented was that of a Dr. J. M. Brandon, the pathologist, and Dr. Kleinschmidt. The referee concluded that there was no medical evidence to show that the decedent was disabled, reasoning that Dr. Kleinschmidt’s testimony was speculative.
The issues involved are (1) did claimant make out a claim since she filed her petition more than four
Our well-recognized scope of review where the party with the burden of proof does not prevail before the fact finder is to determine whether there was an error of law and/or a capricious disregard of the evidence. Britten v. Workmen’s Compensation Appeal Board, 57 Pa. Commonwealth Ct. 610, 426 A.2d 1253 (1981).
In interpreting section 301(c), the court in Moore v. Dodge Steel Co., 206 Pa. Superior Ct. 242, 213 A.2d 130 (1965), indicated that the right of the widow to compensation under the Occupational Disease Act, is a separate cause of action, independent and not derivative from the right of her deceased husband. Thus, to create a right for the widow’s claim, death must have occurred within four years of his last employment.
Yet, at the same time, the court recognized that its duty to construe the Act liberally presented problems, particularly recognizing that occupational diseases are often latent and insidious. Such injuries may not be discoverable until some time after the employment which has caused the injury has ceased. It cannot reasonably be said that the injury dates necessarily from the last date of exposure and that the period begins to run from that date. Rather, it begins to run after it is discoverable and it becomes apparent that a compensable injury or disease was sustained. Cia
The same reasoning applies to a death claim arising out of an occupational disease. The right to a cause of action arises when it becomes apparent that a compensable injury ivas sustained. How, otherwise, could the widow possibly have known that she had a valid claim until it was discoverable? To hold otherwise would convert section 301(c) into a statute of repose, contrary to the intent of the legislature.
While it is' true that the fact finder determines the credibility and weight of a witness’s testimony, even when unrefuted, for the referee to consider Dr. Kleinschmidt’s testimony as speculative when he was faced with no other conflicting medical testimony, and when the medical testimony was buttressed by the pathologist’s autopsy report, was unreasonable and a capricious disregard of such testimony. One of ordinary intelligence could not possibly have avoided this evidence in reaching a result. Britten.
Section 301(e) of the Pennsylvania Occupational Disease Act, Act of .Tune 21, 1939, P.D. 566, as amended, 77 P.S. §1401 (c) states, “compensation . . . shall mean only compensable disability or death . . . occurring within four years after the date of his last employment in such occupation or industry.”