Thе parents of Andrew Kuehn brought this diversity suit in a federal district court in Wisconsin both on his behalf and on their own behalf against a Los Angeles hospital and its liability insurer, Wisconsin being a direct-action state. Wis. Stat. § 803.04(2). (The insurance company’s liability is purely derivative, so we can ignore it.) The district judge granted summary judgment for the defendants on the ground that under Wisconsin’s conflict of law rules, which are applicable to this diversity suit because Wisconsin is the state in which the suit was brought, the law governing the plaintiffs’ tort claims is California law, under which the plaintiffs have no right to relief. So he dismissed the suit, and the plaintiffs appeal, arguing that Wisconsin’s conflict of law rules make Wisconsin law, not California law, applicable to the substantive issues in the suit.
The facts are gruesome. In 1994, Andrew, aged 2, was diagnosed as having neuroblastoma, an often fatal children’s cancer. His parents enrolled him in an experimental treatment program offered by Childrens Hospital of Lоs Angeles in cooperation with the hospital of the University of Wisconsin. The treatment required Andrew to go to Childrens Hospital to have bone marrow removed from him, the marrow to be cleansed of cancer cells by the hospital and shipped back in a vacuum-sealed container to the University of Wisconsin hospital, where the marrow would be reinserted in him. His parents flew with him to Los Angeles and the bone marrow was removed without incident at Childrens Hospitаl. The removal of bone marrow is a painful process that requires drilling many holes in the patient’s hips. After removal the marrow was duly treated and then sent back to the University of Wisconsin hospital via Federal Express. The container in which Childrens Hospital shipped the boy’s marrow was defective, however; and in addition Childrens Hospital turned the container wrong side up, which made it more likely to tip over in transit, and also took no special measures, as it could easily have done, to ensure prompt delivery. Delivery was in fact delayed; and the delay, in combination with the container’s having been
The treatment was unsuccessful and Andrew died eight months later, but no evidence has been presented that the botch of the first marrow treatment and resulting delay in the reinsertion of the cleansed marrow hastened his death. As the case comes to us, shorn of some of its original claims, it is a suit not for wrongful death or for the expenses of the treatment but only for the pain and suffering that Andrew underwent in the second extraction of marrow, which would have been unnecessary had Childrens Hospital not been negligent, and for the emotional distress that its negligence caused his parents. There is not even a claim that the hospital’s negligence, while it cannot be shown to have hastened Andrew’s death, deprived him of a chance of a longer life, viewed as a legally protected interest separate from life itself. See, e.g, Doll v. Brown,
We do not think that there is any conflict between California and Wisconsin law with respect to the second claim, for negligent infliction of emotional distress. The Kuehns concede that it is barred under California law. Under that law, the plaintiff must either have a very close preexisting relationship with the defendant, which in this case would require that one of the plaintiffs have been a patient of Childrens Hospital, Burgess v. Superior Court,
The claim of negligent infliction of emotional distress is barred under Wisconsin law as well. Wisconsin like other states has been concerned about the expansionаry potential of this tort. A serious injury often has a ripple effect. A child is killed; his mother is deeply shocked by the news; if he was killed as a result of someone’s negligence, the mother’s shock is a consequence of that someone’s negligence; why shouldn’t he be liable for it? It is this sort of thinking that gave rise to the tort in the first place. See, e.g., Thing v. La Chusa, supra,
But rather than say that only the direct victim may sue, modern judges, either more sentimental than their predecessors or more confident of their ability to screen out phony cases, have drawn lines — arbitrary ones, but serviceable. Wisconsin’s lines are slightly different from California’s. Wisconsin has drawn the fine around the case in which the plaintiff is a close relative of the immediate victim (also a requirement under California law), the injury to the victim is fatal or very severe, and the plaintiff either witnessed the accident or arrived at the scene of the accident immediately afterward so that in either case he was witnessing an “extraordinary event, namely the incident and injury or the scene soon after the incident with the injured victim at the scene.” Bowen v. Lumbermens Mutual Casualty Co.,
So this is a bystander case; and the first condition imposed by the Wisconsin courts in such a ease, that the plaintiff be a closе relative of the immediate victim of the defendant’s negligence, is satisfied here, but neither of the others is. If Andrew had been killed or crippled in an auto accident caused by someone’s negligence, and Andrew’s parents had witnessed the accident or been called to the scene before Andrew had been removed from it, they would have had a good claim against the injurer. Bowen v. Lumbermens Mutual Casualty Co., supra,
Although the claim of emotional distress thus must fail regardless of which state’s law applies, there is an undeniable conflict between California and Wisconsin law with regard to the plaintiffs’ other claim, the claim for damages for the pain and suffering that the second extraction inflicted on Andrew. In California, a claim for such damages does not survive the death of the victim. Cal.Civ.Proc.Code § 377.34; Sullivan v. Delta Air Lines, Inc.,
In choosing California law, the district judge emphasized the first and the last two items on Wisconsin’s list. He thought that sincе the negligent act and injury had occurred (or at least had occurred mainly) in California, the parties would have expected California law to apply. And he thought that since Wisconsin’s residents have a big stake in cancer research, and imposing tort liability on Childrens Hospital would retard such research, California’s nonsurvival rule was both the better law and the one that actually served Wisconsin’s interests better. The defendant adds that subjecting Childrens Hospital tо the different tort rules of all 50 states (for the hospital draws its patients from all over the country) would make the hospital’s legal obligations highly uncertain and therefore costly, and that California’s rule on the nonsurvival of claims for pain and suffering is the better rule because it denies Andrew’s parents a windfall, since it was his pain and suffering and he is dead.
Which state’s law applies under the applicable conflict of law rules is a pure question of law. Gramercy Mills, Inc. v. Wolens,
That leaves us with three criteria to consider. The first criterion, predictability, might seem to point unerringly to California, because that’s where the medical procedure that caused the child’s pain and suffering was performed. Closer considеration shows the compass wobbling. The defendant is arguing in effect for lex loci delicti — the law of the place of the tort should govern. That was the reigning rule in the early part of this century, Zelinger v. State Sand & Gravel Co.,
Suppose you broke your leg in Illinois but were sent across the state line to Wisconsin to have it set. If the setting of the bone though done without any negligence was painful, the pain would be deemed an incident of the injury in Illinois, and Illinois would be the locus delicti even if the only damages you were seeking were for the pain and suffering of the setting. It would be like a case in which the plaintiff, injured in one state, is treated in his state of domicile; the state of injury would still, we take it, be the locus delicti, though we cannot find a case on the question.
Since the tort occurred in Wisconsin rather than in California, the defendant cannot get any mileage out of the doctrine of lex loci delicti even if it retains some force in Wisconsin, of which we cannot find any evidence. This does not resolve the issue of predictability. But that issue can be resolved by noting that if Childrens Hospital, a sophisticated enterprise, had wanted predictability of outcome it would undoubtedly have included in its contract with the Kuehns pursuant to which Andrew was enrolled in the expеrimental bone marrow extraction and reinsertion program a clause specifying California as the state whose law would apply in the event of a suit growing out of the experimental treatment. Ever since informed consent became the rage, hospitals have been expert at including elaborate disclaimers in their contracts with patients. Choice of law clauses are common and when reasonable are enforced. E.g., Bush v. National School Studios, Inc.,
Onе can, it is true, find cases that say that contractual choice of law provisions govern only contractual disputes and not torts. E.g., Lazard Freres & Co. v. Protective Life Ins. Co.,
A defendant’s failure to negotiate a choice of law provision when as in this case the defendant has a written contract with the potential plaintiff makes the claim that applying the law оf another state would unsettle the defendant’s legal obligations ring hollow. It may indeed unsettle them but evidently the defendant does not much care. It is not as if Childrens Hospital could not have foreseen that it might be sued in another state— specifically Wisconsin. Its cooperative arrangement with the University of Wisconsin in the treatment program in which Andrew was enrolled clearly made it suable there. There is no suggestion, moreover, that exposing Childrens Hospital to the different tort laws of the different states would subject it to conflicting obligations. The only difference between California and Wisconsin tort law, so far as bears on this case at any rate, is in the scope of liability for negligence, not in the standard of care. It is not as if California had required one method of packing and shipping bone marrow and Wisconsin another.
So considerations of predictability do not strongly favor California law in this case, and the оther considerations strongly favor Wisconsin law. Even if one thought that imposing slightly greater liability for negligence on Childrens Hospital would have a perceptible effect on the vigor of cancer research in the United States, which is exceedingly unlikely even apart from the fact that the negligence was in the shipping of a good rather than in the course of medical research, the injury to Wisconsin’s residents from this imperceptible diminution in research would be outweighed by the state’s interest in obtaining for its residents the measure of relief that the state believes appropriate in tort eases. Or so the Wisconsin courts would probably think. See Heath v. Zellmer, supra,
California’s rule (nonsurvival) is not the better rule, moreover, but the worse rule or at least the more archaic one. The needs of cancer research cannot logically have any weight in the choice. That would imply that
The defendant is correct that if the victim is dead the award of damages for his pain and suffering constitutes a windfall — the award is to someone other than the victim. But that logic is too powerful; it implies that all tort suits should abate with the death of the victim, not just suits seeking damages for pain and suffering. That was the common law rule, but it was changed in the nineteenth century, T.A. Smedley, “Wrongful Death — Bases of the Common Law Rules,” 13 Vand. L. Rev. 605, 624 (1960); Keeton et al., supra, §§ 125A, 126, pp. 940-42, and its survival (the survival of nonsurvival) in California with respect to pain and suffering is quaintly vestigial, rather than its being the better law and the law of the future. A few states retain this vestige, 3 Stuart M. Speiser, Charles F. Krause & Juanita M. Madole, Recovery for Wrongful Death and Injury § 14:8, p. 33 n. 90 (3d ed.1992), but we cannot find any articulated justification for it. Although the California legislature did in 1961 reject a recommendation by the state’s law review commission to abolish it, Grimshaw v. Ford Motor Co.,
The objection to making a tort suit abate with the death of the victim is that it gives the injurer an incentive to make a clean kill and reduces the deterrent effect of tort law by eliminating any tort sanction for inflicting fatal injuries. The objection is diminished when the rule of abatement is limited as California has done to one item of damages. But it reappears in that situation as an objection to drawing arbitrary distinctions with less cаuse than in the case of negligent infliction of emotional distress with which we began. So strongly do the other considerations besides predictability favor Wisconsin law in this case that the application of that law was predictable-thus completing the sweep. So saying, we acknowledge our inability to understand the precise bearing of predictability in a conflicts analysis, save perhaps in a contract case in which the law has changed since the parties made their contract. One predicts the resolution of a conflicts issue by applying the conflicts rule, so to consider predictability as an additional component of the rule is circular. No matter. It is reasonably clear that Wisconsin law is applicable. The dismissal of the emotional distress claim is affirmed, but the dismissal of the pain and suffering claim is reversed and the case remanded for further proceedings consistent with this opinion.
AFFIRMED IN PART, REVERSED
IN PART, AND REMANDED.
