Lead Opinion
delivered the opinion of the court:
The common issue in these consolidated appeals is whether the plaintiffs’ actions arising from medical treatment are barred by the four-year repose period prescribed by statute for bringing such actions. Under that provision, no action concerning medical treatment may be brought against a hospital more than four years after the time of the occurrence on which the cause of action is based. (See Ill. Rev. Stat. 1983, ch. 110, par. 13 — 212.) The four-year repose provision went into effect on September 19, 1976; in both cases here the treatment occurred more than four years before the effective date of the new period and the actions were filed more than four years after that date.
The history of each case may be stated briefly. In cause No. 60027 the plaintiff, Dominic Mega, filed his complaint in the circuit court of Cook County on September 24, 1982. The action arose from a series of X rays administered to the plaintiff at Holy Cross Hospital for several months in 1949 for treatment of an enlarged thymus gland. The plaintiff alleged that as a result of the X-ray treatment tumors developed on his thymus gland, a condition that he discovered in March 1981. The defendant moved to dismiss the complaint as barred by the four-year period of repose, and the trial judge granted the motion. The appellate court reversed that judgment (
In cause No. 60038 the plaintiff, Michael M. Sieman, filed his action in the circuit court of Cook County on December 8, 1981. The plaintiff alleged that from 1947 through 1954 he underwent a series of X-ray treatments for tonsillitis at Holy Cross Hospital and that as a result of that treatment tumors developed on his thyroid gland, a condition that he discovered on January 8, 1980. Although Sieman’s condition was discovered less than four years after the effective date of the statutory amendment imposing the four-year repose period, the action was filed more than four years after the effective date, and therefore the defendant moved to dismiss the action as untimely; the trial judge granted the motion. The appellate court reversed that judgment (
When plaintiff Sieman brought his action in December 1981, section 21.1 of the Limitations Act (Ill. Rev. Stat. 1979, ch. 83, par. 22.1) provided in pertinent part:
“No action for damages for injury or death against any physician or hospital duly licensed under the laws of this State, whether based upon tort, or breach of contract, or otherwise, arising out of patient care shall be brought more than 2 years after the date on which the claimant knew, or through the use of reasonable diligence should have known, or received notice in writing of the existence of the injury or death for which damages are sought in the action, whichever of such date occurs first, but in no event shall such action be brought more than k years after the date on which occurred the act or omission or occurrence alleged in such action to have been the cause of such injury or death.” (Emphasis added.)
By the time plaintiff Mega commenced his action in September 1982, section 21.1 had been recodified as section 13 — 212 of the Code of Civil Procedure and also had been amended (Ill. Rev. Stat., 1982 Supp., ch. 110, par. 13 — 212), but the two provisions were identical in all respects relevant here.
Under the general rule, in the wake of a statute shortening a limitations period or providing one where one did not exist previously, a plaintiff whose cause of action arose before that date will be allowed a reasonable period of time in which to bring his action. (Hupp v. Gray (1978),
In Moore v. Jackson Park Hospital (1983),
As in Moore, the acts involved here occurred more than four years before the effective date of the 1976 amendment, which left no time in which to file the actions; like the plaintiffs in Moore, then, the plaintiffs here were entitled to á reasonable period of time following that date in which to bring their actions. Unlike the plaintiffs in Moore, however, the plaintiffs here did not file their actions until more than four years after the four-year repose provision took effect. We conclude that the reasonable time to which the plaintiffs here were entitled did not extend beyond that provided by the new repose period, computed from its effective date, September 19, 1976. Therefore, the actions must be considered untimely. (See Orlicki v. McCarthy (1954),
We realize that our holding here means that plaintiff Mega’s action was barred before he learned of his injury. That is the effect of the four-year period of repose provided by the 1976 amendment, however, and it will affect acts occurring after September 19, 1976, in the same way that it operates here. The period of repose gives effect to a policy different from that advanced by a period of limitations; it is intended to terminate the possibility of liability after a defined period of time, regardless of a potential plaintiff’s lack of knowledge of his cause of action. (See Gates Rubber Co. v. USM Corp. (7th Cir. 1975),
In Anderson this court reviewed, for the first time, the four-year repose provision and in a comprehensive opinion held that it was constitutional. In reaching that conclusion, the court in Anderson recognized that the repose provision could have the effect of barring a cause of action before its discovery. (
The discovery rule is not required by the “certain remedy” provision of the Illinois Constitution (Ill. Const. 1970, art. I, sec. 12). The corresponding provision in the previous constitution (see Ill. Const. 1870, art. II, sec. 19) was interpreted as “an expression of a philosophy and not a mandate that a ‘certain remedy’ be provided in any specific form or that the nature of the proof necessary to the award of a judgment or decree continue without modification” (Sullivan v. Midlothian Park District (1972),
The repose provision at issue here does not have the drastic effect prohibited by Heck. It restricts the time within which an action must be brought, but it does not eliminate an entire category or type of action. That the repose provision may, in a particular instance, bar an action before it is discovered is an accidental rather than necessary consequence. Moreover, various circumstances may ameliorate its operation. The repose provision now is expressly subject to section 13 — 215 of the Code of Civil Procedure (Ill. Rev. Stat. 1983, ch. 110, par. 13— 215), which extends the time in which to bring a cause of action if the cause has been fraudulently concealed. Also, principles of equitable estoppel may prevent a defendant from invoking the four-year repose period as a bar. Witherell v. Weimer (1981),
Notably, the “certain remedy” provision has not played a role in the development of the discovery rule in the decisions of this court. Application of the discovery rule in Illinois, a recent phenomenon, has depended primarily on “balancing the increase in difficulty of proof which accompanies the passage of time against the hardship to the plaintiff who neither knows nor should have known of the existence of his right to sue” (Rozny v. Marnul (1969),
As Anderson recounted, until 1965 the limitations period that governed all actions for medical malpractice was the two-year period for personal injuries. (Anderson v. Wagner (1979),
Legislative approval came a year later, in 1965, when section 21.1 of the Limitations Act (Ill. Rev. Stat. 1965, ch. 83, par. 22.1) took effect. Addressing the situation involved in Mosby, section 21.1 provided that in an action based on the negligent failure to remove a foreign substance, other than flesh, blood, or bone, introduced into the body in the course of treatment or operation, the period of limitations did not begin to run until the plaintiff knew or should have known of the injury; the statute also provided an outside limit of 10 years, measured from the treatment or operation, for bringing the action.
In 1970 application of the discovery rule to cases of medical malpractice was broadened considerably by this court’s decision in Lipsey v. Michael Reese Hospital (1970),
There matters stood until 1975, when section 21.1 was amended to provide that an action for medical malpractice could be brought within two years of its discovery but not later than five years of the occurrence; the provision in that section regarding foreign substances was left intact (see Ill. Rev. Stat. 1975, ch. 83, par. 22.1) . Thus, the legislature codified the rule in Lipsey but restricted its operation by imposing a five-year period of repose. These amendments were part of an attempt by the legislature to address the crisis in medical malpractice. Certain aspects of that program later were declared unconstitutional in Wright v. Central Du Page Hospital Association (1976),
Section 21.1 was amended again in 1976. The legislature shortened the repose period to four years and deleted the separate provision regarding foreign substances (see Ill. Rev. Stat., 1976 Supp., ch. 83, par. 22.1) . The four-year repose provision has been a part of the statute since that time. In later amendments, the statute was expressly made subject to the separate provision regarding fraudulent concealment, and dentists and registered nurses were added to its scope. See Ill. Rev. Stat. 1983, ch. 110, par. 13—212; Ill. Rev. Stat., 1982 Supp., ch. 110, par. 13—212; Ill. Rev. Stat. 1981, ch. 83, par. 22.1.
In Illinois, then, the history of the discovery rule in the area of medical malpractice has been directed and shaped largely by the legislature. A repose period of one length or another has always limited application of the discovery rule in cases involving foreign objects, from its initial application in 1965. The discovery rule was not applied to other forms of medical malpractice until 1970, and in those cases was without restriction only until 1975, when a five-year repose period was added to section 21.1; the next year that was shortened to four years. The repose periods reflect the legislature’s balancing of an individual’s interest in recovery against the problems and costs perceived in medical malpractice actions and the public’s interest in having available to it affordable health care (see Anderson v. Wagner (1979),
The discovery rule may be applied by the court in the absence of the expression of a contrary intent by the legislature. (Lipsey v. Michael Reese Hospital (1970),
“It should be emphasized that it is not the province of this court to pass on the wisdom or desirability of legislation. (Garcia v. Tully (1978),72 Ill. 2d 1 , 10.) As long as the means chosen by the legislature to achieve a desired end are lawful and inoffensive to the State and Federal constitutions, our inquiry may proceed no further.”
Having determined that the repose provision is constitutional (see Moore v. Jackson Park Hospital (1983),
For the reasons stated, we reverse- the judgments of the appellate court and affirm the judgments of the circuit court.
Appellate court reversed; circuit court affirmed.
"WARD and SIMON, JJ., took no part in the consideration or decision of this case.
Dissenting Opinion
dissenting:
I cannot agree with the majority in this case because I believe the result reached is unjust and violative of the Constitution of the State of Illinois.
As the majority states, plaintiff Sieman argued that barring his cause of action before he was aware of its existence violated section 12 of article I of the Illinois Constitution. (
“Every person shall find a certain remedy in the laws for all injuries and wrongs which he receives to his person, privacy, property or reputation. He shall obtain justice by law, freely, completely, and promptly.” (Emphasis added.) Ill. Const. 1970, art. I, sec. 12.
In response to plaintiff Sieman’s argument, the majority cites Anderson v. Wagner (1979),
“The plaintiffs also contend, in an unarticulated due process argument, that under section 21.1 it is possible that a person’s cause of action may be barred by the 4-year-maximum time limit before he learns of his injury. This problem is not directly involved in these cases.” (Emphasis added.)79 Ill. 2d 295 , 311.
Then, in dicta, in Anderson, this court discussed the fact that the 4-year limitation had been enacted in response to the medical malpractice crisis and therefore “the reasonableness of the statute must be judged in light of the circumstances confronting the legislature and the end which it sought to accomplish.” (
Then, in Moore v. Jackson Park Hospital (1983),
“So, while the Illinois legislature’s response to the medical malpractice crisis may effectively limit the time in which future plaintiffs (plaintiffs whose injuries occur after the effective date of the 1976 amendment) can bring an action, we will not read into the statute a retroactive application so as to instantaneously extinguish a cause of action that existed prior to the amendment.” (Emphasis added.)95 Ill. 2d 223 , 237.
The majority states that “[t]he constitutionality of the provision seemingly was reaffirmed in Moore.” (
In Moore, the court further stated:
“In 1976, the Illinois legislature did not clearly indicate its intention as to the applicability of the 1976 amendment. Since there is no express language as to retroactive application, we must give section 21.1 a prospective construction. This is the only equitable and rational solution to the dilemma the plaintiffs in these cases face.” (95 Ill. 2d 223 , 235-36.)
Therefore, Moore does not hold that the repose provision as applied to plaintiffs like those in Moore, or the plaintiffs herein, is constitutional. Moore also does not hold that a plaintiff who was injured prior to the effective date of the amendment and who does not bring suit until four years after the effective date is barred from bringing suit. In Moore, we held that the plaintiffs therein should have been allowed a reasonable time after the effective date of the amendment to bring their suits for their already discovered injuries. While it is true that the plaintiffs in Moore had filed their suits within the four years after the effective date of the amendment, we did not decide that plaintiffs such as Sieman and Mega would be forever barred if they did not bring suit within four years after the effective date of the amendment. The majority states that to allow a period greater than four years after the effective date would defeat the purpose of the statute. (
To interpret Moore for the broad statements that the majority suggests is error. Moore stands for the proposition that plaintiffs who were injured prior to the effective date of the amendment and who could have brought suit cannot now be instantaneously barred from seeking redress for their undiscoverable injuries. Locking the courtroom door on this group of plaintiffs before they could even have discovered their injuries or availed themselves of the judicial process is unconstitutional in Illinois. The majority states that this amendment “restricts the time within which an action must be brought, but it does not eliminate an entire category or type of action.” (
In Daugaard v. Baltic Cooperative Building Supply Association (S.D. 1984),
Two South Dakota statutes set forth time limits which precluded the plaintiffs from recovering. The statutes provided:
“No action to recover damages for any injury to real or personal property, for personal injury or death arising out of any deficiency in the design, planning, supervision, inspection and observation of construction, or construction, of an improvement to real property, nor any action for contribution or indemnity for damages sustained on account of such injury, may be brought against any person performing or furnishing the design, planning, supervision, inspection and observation of construction, or construction, of such an improvement more than six years after substantial completion of such construction. Date of substantial completion shall be determined by the date when construction is sufficiently completed so that the owner or his representative can occupy or use the improvement for the use it was intended.” (Emphasis added.) S.D. Codified Laws Ann. sec. 15 — 2—9 (1984).
“In the application of any statute of limitations to a cause of action against a manufacturer, lessor or seller of a product, regardless of the substantive legal theory or theories upon which the action is brought, for or on account of personal injury, death, or property damage caused by or resulting from the manufacture, construction, design, formula, installation, inspection, preparation, assembly, testing, packaging, labeling, or sale of any product or failure to warn or protect against a danger or hazard in the use, misuse or unintended use of any product, or the failure to provide proper instructions for the use of any product, the cause of action shall be barred if it accrues more than six years after the date of the delivery of the completed product to its first purchaser or lessee who was not engaged in the business of selling such product, regardless of the date the defect in the product was or should have been discovered. This section shall not apply to causes of action which have arisen prior to July 1, 1978.” (Emphasis added.) S.D. Codified Laws Ann. sec. 15-2-12.1 (1984).
Article VI, section 20, of the South Dakota Constitution provided: “All courts shall be open, and every man for an injury done him in his property, person or reputation, shall have remedy by due course of law, and right and justice, administered without denial or delay.” S.D. Const., art. VI, sec. 20.
Even though these South Dakota statutes had specified prospective application, the court declared them unconstitutional because it held that the State courts had to be open to the injured and the oppressed. The court stated that the two statutes were “a locked deadbolt and shackle on our courtroom doors” (Daugaard v. Baltic Cooperative Building Supply Association (S.D. 1984),
There may be some that would argue that the Daugaard case is distinguishable because, in Daugaard, the court held that even though the statute was to be applied prospectively it unconstitutionally barred causes of action before the plaintiffs could have discovered their injuries. We have not gone that far in Illinois, but I believe the reasoning used in that opinion is helpful in understanding the dilemma of the plaintiffs in the instant cases.
The United States Supreme Court has held:
“What the Constitution does require is ‘an opportunity [to be heard,] *** granted at a meaningful time and in a meaningful manner.’ ” (Emphasis added.) (Boddie v. Connecticut (1971),401 U.S. 371 , 378,28 L. Ed. 2d 113 , 119,91 S. Ct. 780 , 786.)
The Illinois Constitution is the basis upon which all of our State laws must be premised. Like the South Dakota Constitution, our constitution clearly directs that the courts of this State shall be open to the injured. “A statute could not bar the existing rights of claimants without affording this opportunity; if it should attempt to do so, it would not be a statute of limitations, but an unlawful attempt to extinguish rights arbitrarily, whatever might be the purport of its provisions.” (Emphasis added.) Wilson v. Iseminger (1902),
Statutes of limitation proceed on the premise that an injured party has a full opportunity to try his rights in the courts within certain time limits. (Daugaard v. Baltic Cooperative Building Supply Association (S.D. 1984),
In conclusion, I believe the majority has reached the wrong result in this case and has incorrectly interpreted Moore. It is unconstitutional to preclude these plaintiffs who were injured prior to September 19, 1976, from bringing suit. There is not a “certain remedy in the laws” for them, and they cannot “obtain justice by law, freely, completely, and promptly.” Therefore, I respectfully dissent.
