This case concerns the application of the Federal Tort Claims Act to injuries suffered by children of members of the armed forces where those injuries are connected with a parent’s military service. Under
Feres v. United
States,
I.
Because the district court dismissed the complaint for lack of subject matter jurisdiction, we take as true all factual allegations in the complaint and construe them in the light most favorable to the plaintiffs. According to the complaint, Stanley West was inducted into the United States Army on January 15, 1971. Before his induction, Army doctors performed a physical examination which included the taking of a blood sample. After his induction, Stanley received his identification (“dog”) tags which listed his blood type as “A-Negative.” According to the complaint, Stanley’s blood type is actually “A-Positive,” and the Army was negligent in mistyping his blood.
In 1973, Stanley was discharged from the Army and married L. Ann West. Ann’s blood type is “A-Negative.” On March 21, 1979, Ann gave birth to twin daughters, Lindsay and Lorri. Both were born with birth defects resulting from the incompatibility between their parents’ blood types. Despite extensive medical treatment, Lorri died when she was one week old. Lindsay survived, but she has required extensive medical treatment for her condition.
The theory of the complaint is that the Army’s negligence in mistyping Stanley’s blood at his pre-induction physical examination was a proximate cause of Lorri’s death and Lindsay’s injuries which resulted from the incompatibility between their parents’ blood types. We emphasize that the record before us presents no issues concerning proximate cause, duty or the medical basis for the plaintiffs’ claims. We intimate no views on the merits of the claim; we address here only the question of subject matter jurisdiction.
The Wests filed their complaint under the Federal Tort Claims Act. 28 U.S.C. § 1346 and §§ 2671-2680. Stanley and Ann were not physically injured by the Army’s alleged negligence; their claims all derive from the injuries of their daughters.
2
The United States moved to dismiss
*1122
the complaint for lack of subject matter jurisdiction and for failure to state a claim upon which relief could be granted. The district court concluded that the daughters’ alleged injuries arose out of or were incident to Stanley’s military service and that subject matter jurisdiction was therefore lacking under the doctrine of
Feres v. United States,
II.
In
Feres
the Supreme Court held that “the Government is not liable under the Federal Tort Claims Act for injuries to servicemen where the injuries arise out of or are in the course of activity incident to service.”
Plaintiffs argue that Feres does not apply to this case because the alleged negligent conduct occurred before Stanley was inducted into the service and because the injuries to his daughters occurred after his discharge. The government contends that the alleged negligent mistyping of Stanley’s blood was incident to his military service and that the case therefore falls within the Feres doctrine. In our view, the alleged negligence was “incident” to Stanley’s military service, but that conclusion does not bar these claims based on injuries to his daughters.
Several cases have addressed the
Feres
doctrine with regard to alleged negligence in pre-induction physical examinations. In
Joseph v. United States,
*1123 In this case, the alleged negligence may have occurred when Stanley was still a civilian. The mistyping of his blood might have occurred immediately, before his induction, or it might have occurred later when, for example, his dog tags may have been misprinted. However, in our view the appropriate inquiry is the broader question whether the Army’s alleged negligence was “incident” to the service member’s military service. We think that the allegedly negligent mistyping of Stanley’s blood was incident to his military service. The purpose of the blood typing at the pre-induction physical is not to determine whether the person is fit for military service but is instead to provide information on dog tags and in personnel records for future medical treatment in the military. According to the complaint, Stanley did not learn the results of the blood typing until he was issued his dog tags in basic training. (If he had not been inducted, there would have been no reason for the Army to inform him of the results of the blood test.) According to the complaint, the Army's negligence was not completed until the Army issued Stanley his dog tags and thus negligently informed him of his blood type. Under these circumstances, therefore, the Army’s alleged negligence was incident to Stanley’s military service.
III.
The more difficult issue in this appeal arises from the fact that it was Stanley’s daughters, not Stanley, who were allegedly injured by the Army. The
Feres
holding was that the government is not liable under the FTCA “for injuries to
servicemen
where the injuries arise out of or are in the course of activity incident to service.”
In applying
Feres
to tort claims by family members of military personnel, two lines of cases have emerged. In the first line, courts have interpreted the doctrine to bar the claims of family members which
derive from
the injury to the service member, including, for example, claims for loss of consortium or companionship.
See, e.g., DeFont v. United States,
However, in the second line of cases, the
Feres
doctrine has not applied to bar claims where spouses and children of service members have been injured
in their own right
by military personnel. This situation has often arisen where military medical personnel negligently treat a spouse or child.
See, e.g., Portis v. United States,
It is difficult to classify the claim before us as purely
derivative
of Stanley’s injuries (since the claim does not arise out of any injury to Stanley). Yet it is not wholly independent of Stanley’s service, for we have determined that the blood typing itself was incident to his military service. In
*1124
a recent case involving injuries to a soldier and his children, the District of Columbia Circuit has resolved the tension between these two lines of cases by reading narrowly the “independent injury” line and by holding
Feres
to bar claims by family members where “each claim had its ‘genesis’ in an injury to a serviceman incident to military service.”
Lombard v. United States, supra,
But the holdings of
Feres
and subsequent Supreme Court decisions do not apply by some inescapable logic to the present claims by a soldier’s daughters. The “derivative injury” and “independent injury” lines of cases do not provide convenient categories easily applicable to this situation where the children’s injuries have a causal connection with their father's military service but not with any military injuries he may have suffered. Therefore, in our view, the proper application of
Feres
to the children’s claims in this case requires us to consider the matter before us in terms of the policies underlying the
Feres
doctrine. In its decisions interpreting
Feres,
the Supreme Court has consistently considered
Feres
in terms of those policies.
See Stencel Aero Engineering Corp. v. United States,
As the
Feres
doctrine has evolved, three major policy considerations have emerged as the basis of the doctrine.
See Stencel Aero, supra,
The Court in
Feres
was concerned about the possibility that lawsuits by military personnel would have detrimental effects on military discipline. As the Court said in
United States v. Brown,
This “military discipline” factor is a shorthand means of anticipating the consequences of having civilian courts inquire extensively into military affairs.
Hunt v. United States,
However, it is important to recognize that the military discipline factor is not an absolute. The civilian courts may inquire into military actions which have injured civilians even if the courts might in some degree have to “second-guess” military decisions or require members of the armed forces to testify about their decisions and actions.
Cf. Stencel Aero, supra,
We believe that the threat to military discipline in this case is minimal. The plaintiffs are not asking the court to inquire into activities which are distinctively military in nature. They are alleging only that government personnel negligently mistyped Stanley’s blood. These allegations in no way implicate distinctively military activity; blood typing presumably occurs generally in hospitals and clinics — wherever transfusions can be given. And it is difficult to imagine how an inquiry into the Army’s performance of a simple, straightforward laboratory procedure or perhaps the imprinting of dog tags could threaten the military relationships which are the primary focus of the
Feres
doctrine. Thus any concerns about military discipline are far less substantial in this case than they were in
Mondelli, Lombard, Monaco
and
Agent Orange.
The radiation and Agent Orange cases involved challenges to activity integral and perhaps unique to military duty, training and combat. For example, the soldiers in
Lombard
and
Monaco
had allegedly been exposed to radiation while working on the Army’s top secret “Manhattan Project” to develop an atomic bomb during World War II. According to the complaint in
Mondelli,
the plaintiff’s father was ordered to stand near the site of a test nuclear explosion and then to march toward the blast area without protective clothing. The soldiers in
Agent Orange
had been exposed to herbicides in southeast Asia during the Vietnam War or in the course of distributing herbicides for use in southeast Asia.
By contrast, this case involves only an inquiry into a routine medical test which happened to be performed by Army medical personnel. The case seems to present no threat at all to military discipline. There is nothing of distinctive military character in a test of blood type or the communication of its results. The court will not have to inquire into the “complex, subtle, and professional decisions as to the composition, training, equipping, and control of a military force,”
Gilligan v. Morgan,
*1127 The fact that the alleged mistyping occurred in connection with Stanley’s pre-induction physical is also relevant to our determination that military discipline is not implicated here. Stanley was a civilian at the time of the examination, and the Feres doctrine certainly does not prevent courts from examining military activity which impacts upon civilians immediately as well as injuring them ultimately. Stanley’s ties to the military at the time of the examination were minimal. Although we have concluded that the blood test was “incident” to his service for purposes of the Federal Tort Claims Act, the relationship certainly was not a strong one. An inquiry — based upon his daughters’ claims — into this peripheral aspect of his service simply does not raise the disturbing prospects which are the foundation of the Feres doctrine.
We recognize that courts have been reluctant to decide on a case-by-case basis whether pursuit of a particular claim would threaten military discipline, at least where the claims are for
injuries to service personnel. See, e.g., Hunt v. United States,
*1128 Where the threat to military discipline is minimal, and where neither of the other Feres policies is implicated in any way, we will not extend Feres to these children’s claims. The Feres doctrine is a judicially-created exception to the applicability of a broad remedial statute. While the doctrine has withstood the test of time, Feres and its progeny do not require us to broaden the doctrine beyond the scope of the policies which are its foundation — particularly when we are confronted with purely civilian injuries.
For the foregoing reasons, we reverse the judgment of the district court dismissing the action for lack of subject matter jurisdiction, and we remand the case for further proceedings. Circuit Rule 18 shall not apply on remand.
Reversed And Remanded.
Notes
. If the FTCA does not provide a remedy, the United States has sovereign immunity against this claim and the federal courts lack subject matter jurisdiction over the claim.
Broudy v. United States,
. There are four counts in the complaint. In Count One, Ann West as administrator of Lorri’s estate seeks damages for Lorri’s pain and suffering before her death. In Count Two, Ann as administrator of Lorri's estate seeks damages for Lorri’s wrongful death. In Count Three, Stanley and Ann as parents of Lindsay and *1122 Lorri seek damages for medical expenses and funeral expenses. Finally, in Count Four, Stanley and Ann as parents and guardians of Lindsay seek damages for Lindsay's pain and suffering, medical expenses and physical disabilities.
. In
Redmond, supra,
the district court held that the Army’s conduct in determining whether a soldier was qualified to serve was "inseparably intertwined” with the soldier’s military service.
. The FTCA does not, however, apply to claims "arising out of the combatant activities of the military or naval forces, or the Coast Guard, during time of war,” 28 U.S.C. § 2680(j), or to claims based upon a "discretionary function or duty” of the government, 28 U.S.C. § 2680(a).
. The Fifth Circuit’s two opinions in
Johnson v. United States
are also illuminating. There a mentally ill soldier had been negligently released from a military hospital; he shot and wounded his wife and then shot and killed himself. In its first opinion,
Johnson v. United States,
. In a recent case the Fifth Circuit applied the
Feres
doctrine to bar a claim by a child who alleged that he was injured by the negligence of Air Force medical personnel who treated his mother while she was in the Air Force and was pregnant with the child.
Scales v. United States,
