109 F. 294 | 1st Cir. | 1901
This is a suit brought by a patient to recover damages for an injury alleged to Have been sustained by the
That the defendant is a charitable corporation admits of no doubt. This was expressly recognized by the legislature of Massachusetts in chapter 358 of the Acts of 1890, and was decided in McDonald v. Massachusetts General Hospital, 120 Mass. 432, 21 Am. Rep. 529, the defendant there differing from the defendant here in no respeet material to this case. ■ , -•
The plaintiff was what is sometimes called a “paying patient,” the rate of her payment being $14 a week. Upon this ground her counsel has sought to distinguish her case from that of a patient in the hospital who pays nothing. In our opinion, the difference is immaterial. As has been said, the defendant was a charitable corporation; that is, a corporation organized exclusively for charity. That the ministrations of such a hospital should be confined exclusively to the indigent is not usual or desirable. Those of moderate means from necessity, and not a few rich people from choice, resort to grea;t charitable hospitals for treatment, especially in surgical cases. Throughout the world this is the custom in these institutions, whether they are maintained by individual, religious, or municipal charity. From patients who are not indigent, a payment is commonly permitted or required. Commonly, and in the case at bar quite manifestly, this payment does not make full pecuniary compensation foi’ the services rendered. Those who make a considerable payment not infrequently receive in some respects a more expensive service than do those who make a small payment or none at all; but the payment required is usually calculated upon the patient’s ability to pay, rather than upon the whole cost of the treatment he receives. That-this' was the defendant’s rule appears plainly from its printed form of application, which it required all applicants to fill out alike, whether they paid something or nothing. In this form the inquiry concerning payment was stated as follows: “How much per week applicant can pay,”- — thus indicating that the amount of the contribution was to be determined, not by the value or cost of the service rendered, but by the ability of the patient to aid the charitable purposes of tbe hospital. In our opinion, a paying patient in the defendant hospital, as well as a nonpaying patient, seeks and receives the services of a public charity.
That such a hospital in its treatment of a rich patient shall’ be held to a greater degree of care than in its treatment of a pauper is not to be tolerated. Certain luxuries may be given the former which the latter does not get, and this for various reasons; but the degree of protection from unskilled and careless nurses must.be the same in both cases. Again, it would be absurd to make the defendant’s liability for an accident, like that here alleged, depend upon the payment of that insignificant proportion of the cost of the service
We have to determine, then, if a patient admitted to a hospital maintained for charity can recover judgment against that hospital for injuries caused by the negligence of a nurse employed therein. There is a great weight of authority in favor of the defendant in the ease put, but the courts have differed so widely in their reasoning that a somewhat extended examination is necessary, both of the cases decided and of the principles upon which they rest. The liability of the defendant for which the plaintiff contends is the liability of a master for the torts of his servant. “The master is answerable for every such wrong of the servant or agent as is committed in the course of the service and for the master’s benefit, though no express end or profit of the master be proved.” Barwick v. Bank, L. R. 2 Exch. 259, 265. At one time it seems that the master’s profit was deemed a necessary element. “The maxim of respondeat superior is bottomed on this principle, that he who expects to derive advantage from an act which is done by another for him must answer for an injury which a third person may sustain from it.” Hall v. Smith, 2 Bing. 156, 160. As is said in Pol. Torts (4th Ed.) pp. 67, 88, this rule belongs wholly to the modern law, and no reason for it, at any rate no saitsfying one, is commonly given in our books. It is in some sense an exceptional rule to begin with, and is itself subject to several exceptions. With some of these exceptions we have to concern ourselves.
Many cases hold that public or municipal corporations are not liable for some of the torts of their servants, though committed in the course of their service. Thus, in Benton v. Boston City Hospital, 140 Mass. 13, 1 N. E. 836, 54 Am. Rep. 436, it was said: “The trustees are a body created for the performance of a duty which, under the authority of the statute, the city of Boston has assumed for the benefit of the public, and from the performance of which no profit or advantage is derived, either by the trustees or by the city.” In this case the trustees were held not liable for injury to a patient caused by the negligence' of the superintendent. To the same general effect are City of Richmond v. Long’s Adm’rs, 17 Grat. 375, 94 Am. Dec. 461; Maia’s Adm’r v. Eastern State Hospital, 97 Va. 507, 34 S. E. 617, 47 L. R. A. 577; Sherbourne v. Yuba Co., 21 Cal. 113, 81 Am. Dec. 151; Murtaugh v. City of St. Louis, 44 Mo. 479. The cases'just cited all resemble the case at bar, in that the plaintiff there, as here, sought to recover for negligence or malpractice in a hospital not maintained for profit; but the principle upon which they rest has no essential connection with hospitals or malpractice, but is applicable equally to many other kinds of damage. Thus the leading case in Massachusetts upon the subject is Hill v. City of Boston, 122 Mass. 344, 23 Am. Rep. 332, where the action was for damage caused by the defective construction of a school house, and the case most commonly arising is probably that concerned with damage caused by a defective highway. In different jurisdictions the liability of municipal corporations for the negligence of their
“The law is stated to he that the road fund is liable for the misconduct of any person employed by the road trustees. This direction assumes that the act done was an act not within the provisions of the statute; that it was not done in consequence of those provisions; for otherwise the direction would he in that respect improper, since whatever is done under the authority of the statute gives no right of action. If that was not so, the result would be that all the damages, though not arising from any act done by the immediate authority of the road trustees, would be liable to he compensated out of the trust fund,- — a proposition which certainly cannot he supported by the law which regulates the liability of master and servant.”
By this language, and other which need not he quoted, Lord Coitenham was supposed to have held that the action could not be maintained against the road trustees in their corporate capacity, for the .reason that the fund in their hands was impressed with a. trust incompatible with its distribution among persons damaged by the negligence of their servants. See Feoffees of Heriot’s Hospital v. Ross, 12 Clark & F. 507, a case which will presently he discussed. While the point actually decided in Duncan v. Findlafer has never been overruled (indeed, the house of lords never overrules its own decisions), yet the principle supposed to be laid down by Lord Cottenham has been distinctly repudiated. Mersey Docks & Harbour Board Trustees v. Gibbs, L. R. 1 H. L. 93. Whatever may be the limit of the liability of a political or municipal body in Great Britain for the torts of its servants, that limit is now in no way determined by any doctrine concerning the application of a trust fund The historical origin of the doctrine, may probably be found in Russell v. Men of Devon Co., 2 Term R. 667, 672, and Hall v. Smith, 2 Bing. 156.
There is force in the argument that, by the understanding of both railroád and employé, the latter, in permitting himself to be treated by' the railroad’s doctor, intrusts his person to the skill of the individual doctor rather than to any supposed skill of the railroad; 'provided, at any rate, that the doctor selected by the railroad is skilled in his profession. The class of cases just mentioned has a close, resemblance to the case at bar, though there are differences. In the cases cited, the negligence was that of the doctor; in the case at bar, that of a nurse. . To hold a nurse to be the servant of the corporation is easier than to hold the doctor, and yet in neither case is the relation altogether that of ordinary service. A nurse, in her treatment of the patient, hardly takes her professional orders from the railroad’s superintendent or from its ordinary officials, but rather from the doctor in charge. On the other hand, the railroad is not a: charitable corporation, and in tendering medical aid to its employés, even when that is not called for by the contract of - employment, may perhaps be supposed to act for purposes not purely charitable. So far as is known, there is no case which affirms the liability of the railroad under the circumstances stated. It has been held that the owners of a vessel, though required by statute to provide medical care and medicines for their passengers, are yet not liable for the malpractice of the doctor employed, provided there was no negligence in selecting him. Allan v. Steamship Co., 132 N. Y. 91, 30 N. E. 482, 15 L. R. A. 166, 28 Am. St. Rep. 556. See Laubheim v. De Koninglyke Neder Landsche Stoomboot Maatschappy, 107 N. Y. 228, 13 N. E. 781, 1 Am. St. Rep. 815.
We come now to the cases precisely or substantially in point. In McDonald v. Massachusetts General Hospital, 120 Mass. 432, 21 Am. Rep. 529, it was held that a patient could not recover for damage caused by the negligence or incompetence of a hospital interne or by the negligence of an attending surgeon. In delivering the opinion of the court, Mr. Justice Devens said: >
“The defendant was a public charitable institution under the laws of tlie commonwealth. The object for which it was incorporated was to provide a general hospital for sick and insane persons. St. 1810, c. 94. Its funds are derived from grants and donations made by the commonwealth from profits which it is entitled to receive from the Massachusetts Hospital Life Insurance Company and other companies incorporated in the commonwealth, and from the grants, devises, donations, bequests, and subscriptions of benevolent persons, and from the board of paying patients. While tlie pficfe of board is placed as low as the funds of the hospital will permit, patients who are there received are expected to pay as nearly as possible according to their own circumstances and to the accommodations they receive. . In addition to the accommodations provided for such patients, a certain number of free beds are furnished from the general funds of the institution and from donations made especially for tills object, the occupants of which ar£ not expected to pay anything. Regulations of Hospital, c. 15, §§ 1-4. Of one of these beds the plaintiff was an occupant. The corporation 1ms lit? capital stock, no provision for making dividends or profits, and whatever it may receive from any source it holds in trust to bo devoted to the object of sustaining the hospital and increasing- its benefit to the public, by extend? ing or improving its accommodations and diminishing its expenses. Its funds are derived mainly from public and private charity. Its affairs, are conducted for a great public purpose, that of administering to the comfort of the sick, without any expectation, on the part of those immediately interested in tlie corporation, of receiving- any compensation which will inure to tlieir own benefit, and without any right to receive such compensation. This establishes its character as a public charity. Jackson v. Phillips, 14 Allen, 539. The fact that its funds are supplemented by such amounts as it may receive from those who are able to pay wholly or entirely for tlie accommodation they receive does not render it the less a public charity. All sums thus obtained are held upon the same trust as those which are the gifts of pure benevolence. Gooch v. Association, 109 Mass. 558. Nor do. the facts that the trustees, through its agents, are themselves to determine who are to be the immediate objects of the charity, and that no person lias individually a right to demand admission to its benefits, alter its character. All cannot participate in its benefits. The trustees are those to whom Is confided the duty of selecting those ivho shall enjoy them, and prescribing the terms upon which they shall do so. If this trust is abused, the trustees are under the superintending power of this court as a court of equity, by virtue of its authority to correct all such abuse, and the Interest of the public therein — that is to say, of the indefinite objects of the charity — may be repre-: sented by the attorney general. Sanderson v. White, 18 Pick. 328, 29 Am. Dec. 591; Attorney General v. Old South Soc. in Boston, 13 Allen, 474.”
See, also, Benton v. Boston City Hospital, 140 Mass. 13, 1 N. E. 836, 54 Am. Rep. 436.
Considerations similar to those quoted from McDonald v. Massachusetts General Hospital were suggested in Railroad Co. v. Artist, 9 C. C. A. 14, 60 Fed. 365, 23 L. R. A. 581; Downes v. Harper Hospital, 101 Mich. 555, 60 N. W. 42, 25 L. R. A. 602, 45 Am. St. Rep. 427; Haas v. Society, 6 Misc. Rep. 281, 26 N. Y. Supp. 868; Williams v. Industrial School (Ky.) 24 S. W. 1065; Maia’s Adm’rs v. Eastern State Hospital, 97 Va. 507, 34 S. E. 617, 47 L. R. A. 577; Perry v. House of Refuge, 63 Md. 20, 52 Am. Rep. 495. As we. understand the reasoning, it amounts to this: All the funds of a public charitable hospital are held in trust for a particular charitable purpose. It is a breach of trust to apply them to any other purpose. The payment of damages recovered for the negligence of the hospital servánts is not within the terms of the trust. Hence the funds cannot be employed for that payment, and, if the funds cannot be so employed, a bare judgment against the corporation is nugatory, and should not be permitted.
If this proposition is true, then, as suggested by the learned judge who presided at the trial below, it follows that if the defendant, by its servants, should negligently permit the staircase of a building from which it derives a profit to fall out of repair, it would not be liable for damage suffered by reason of this negligence. It follows also that a person walking along the street, and injured by the fall of a stone cornice negligently maintained above the sidewalk, can or cannot recover for the damage suffered, according as the building from which the stone falls is the property of a private individual or of a public charity. Indeed, the principle extends even further than this. There is no less impropriety in diverting funds impressed with a trust for the benefit of individuals than in diverting those impressed with a trust for a public charity. Yet the effectual though indirect liability of a private trust fund for the torts of those concerned in its management is undoubtedly recognized. It is true that a suit cannot be maintained against a trustee, as such, for torts committed in the management of the trust property. The suit is brought against the trustee as an individual. The judgment and execution run against him individually. When these are satisfied, however, the trustee is reimbursed from the trust estate, unless individually at fault. Shepard v. Creamer, 160 Mass. 496, 36 N. E. 475; Baker v. Tibbetts, 162 Mass. 468, 39 N. E. 350; Benett v. Wyndham, 4 De Gex, F. & J. 259. The trust fund is protected from immediate levy to satisfy the execution, not because of its complete immunity, but rather from technical reasons connected with the legal estate of the trustee in the property. Its technical immunity affords it no ultimate protection. Indeed, the law on this point is so plain that no .case can be found in the Massachusetts Reports expressly sanctioning the payment from a private trust fund of damages for a
If it be sought to charge a trust fund with payment for a tort committed by the trustee and unconnected with the trust property, doubtless the argument just quoted would be unanswerable. For example, if the trustees of the Massachusetts General Hospital hold a separate fund devised for the support and care of the insane at Waverly, that fund cannot be levied upon to satisfy a judgment recovered for an injury committed in the hospital maintained in Boston for medical and surgical cases, and vice versa; but, where a charitable corporation is otherwise liable for a tort committed in the administration of its trust, we see no sufficient reason why the trust fund may not be levied upon in satisfaction of the execution. We are unable, therefore, to agree with the proposition which altogether exempts a trust fund from liability for the torts of those concerned in its administration.
It remains to notice the case of Feoifees of Heriot’s Hospital v. Ross, 12 Clark & F. 507, often cited in the reports of this country, though strangely little noticed by the courts of Great Britain. That was a suit against the trustees of a public charitable boarding school in their corporate capacity, for improper failure to admit an applicant to the benefit of the school. Lord Cottenham said:
“The question tlien comes to this, whether by the law of Scotland a person who claims damages from those who are managers of a trust fund, in respect of their management of that fund, can make it liable in payment. It is obvious that it would be a direct violation, in all cases, of the purposes of a trust, if this could be done; for there is not any person who ever created a trust fund that provided for payment out of it of damages to be recovered from those who had the management of the fund. No such provision has been made here. There is a trust, and there are persons intended to manage it for the benefit of those who are to be the objects of the charity. To give damages out of a trust fund would not be to apply it to those objects whom the author of the fund had in view, but would be to divert it to a completely different purpose.” Page 513.
The pursuer was seeking the benefit of the trust fund as one who had been entitled thereto under the deed of trust (though no longer
In Hearns v. Waterbury Hospital, 66 Conn. 98, 33 Atl. 595, 31 L. R. A. 224, a case like that' at bar, the defendant was held not liable. There was much discussion of the English cases. In dealing with Mersey Docks & Harbour Board Trustees v. Gibbs and similar cases,- we think the court did not distinguish clearly between public bodies and private corporations established for public charitable purposes. The exemption from liability declared in the Connecticut case was based upon the theory that “a charitable corporation like the defendant, whatever may be the principle that controls its liability for corporate neglect in the performance of a corporate duty, is not liable, on grounds of public policy, for injuries caused by personal wrongful neglect in the performance of his duties by a servant whom' it has selected with due care, but in such case the servant is alone responsible for his own wrong.” Page 126, 66 Conn., page 604, 33 Atl., and page 233, 31 L. R. A. With the principle laid down thus broadly we need not agree in order to decide this ■ case. If a servant of the defendant engaged in the care of Beck Hall, for example, injures a tenant by his negligence, and the act of negligence would render liable an ordinary landlord, it may well.be that this.defendant would be liable, as suggested by the learned judge before whom the trial was had below.
In McDonald v. Massachusetts General Hospital it was also said:
“It might well be questioned whether any contract could be inferred between the plaintiff and defendant. It has offered to him freely those ministrations which, as tlie dispenser of a public charity, it has been able to provide for his comfort, and he has accepted them.”
The plaintiff’s action is an action of tort, and no contract as such need be proved. If a .person “once actually undertakes and enters upon the execution of a particular work, it is his duty to use reasonable care in the manner of executing it so as not to cause any injury to third persons which may be the actual consequences of his acts; and he cannot, by abandoning its execution midway and leaving things in a- dangerous condition* exempt himself from liability to any person who suffers injury by reason of his having left them without proper safeguards.” Osborne v. Morgan, 130 Mass. 102, 103, 39 Am. Rep. 437.
We assume that there was evidence competent to establish a tort on the part of the nurse for which the plaintiff could recover against the'nurse. We assume that there was evidence that the nurse was the servant of the'defendant, and that her tort was committed in
As Sir Frederick Pollock has said in the sentence immediately following the quotation given above, “Thus I am not compelled to be a parent; but, if I am one, I must maintain my children. I am not compelled to employ servants; but, if I do, I must answer for their conduct in the course of their employment.” The absence of a contract made with the defendant does not exempt it from liability. If, indeed, there can be shown an agreement by the plaintiff to hold the defendant harmless for the acts of its servants, then it follows that this action cannot be maintained, and we agree with the learned judge of the court below that this agreement arises by necessary implication from the relation of the parties. That a man is sometimes deemed to assume a risk of negligence, so that he cannot sue for damages caused by the negligence, is familiar law. Such is the case of common .employment, and such are the cases of athletic sports and the like, put by Pollock on page 150 et seq. Such is the case at bar. One who accepts the benefit either of a public or of a private charity enters into a relation which exempts his benefactor from liability for the negligence of his servants in ad
We have thus indicated the grounds upon which rests, in our opinion, the defendant’s exemption from liability in this case. Though we feel constrained to differ from the reasoning followed by some other courts in reaching the same conclusion, we are not unmindful that the identity of conclusion reached, though by different roads, is a strong proof of its correctness. Doubtless a weight of authority is more overwhelming if it is identical in reasoning as well as in result, but identity of result is in itself no mean argument for its justice.
We come now to the few cases opposed to the weight of authority just referred to. The most important of these is Glavin v. Rhode Island Hospital, 12 R. I. 411, 34 Am. Rep. 675. There the declaration alleged that, in consideration of the plaintiff’s promise to pay reasonable compensation, the defendant promised to supply him with such surgical and medical attention as were necessary for the care and cure of his injuries, but that the defendant’s servants neglected properly to care for the plaintiff, or to supply proper surgical treatment to him, and “conducted” so carelessly and improperly and. unskillfully that his arm had to be amputated. The declaration further alleged that the defendant, regardless of the obligation incumbent upon it, neglected to provide competent officers and servants to treat the plaintiff. Upon the evidence, the plaintiff’s case was that he had been injured by the malpractice of an interne before the arrival of an experienced surgeon, who should have been summoned at once. There seems to have been some evidence that the interne was carelessly selected by the defendant, though this evidence is not stated in the report. The defendant was a public charitable institution, like the defendant in this case. The court held
Although the decision in Glavin v. Rhode Island Hospital is today the law in Rhode Island, so far as the matter is unaffected by statute, yet it is to be noticed that the legislature promptly changed the law in reference to all institutions like the defendant. We do not deem this fact to have an important bearing upon the case at bar, though it indicates that the sense of the community is shocked by holding a public charitable hospital liable for a servant’s negligence in caring for a patient.
In Ward v. St. Vincent’s Hospital, 39 App. Div. 624, 57 N. Y. Supp. 784, the action was for breach of an express contract by the defendant to furnish the plaintiff with a skillful, competent, and trained nurse. If this contract was proved, of course the defendant was liable for the damage resulting from its breach, and that case has no bearing upon this. In Donaldson v. Commissioners, 30 New. Br. 279, the declaration alleged damage caused by malpractice in letting the disease of a patient’s eye progress to the destruction of the eye. The defendant demurred, and the majority of the court overruled the demurrer. One judge, in his opinion, relied upon an express contract which, so far as can be learned from the report, was not alleged in the declaration. The physicians were considered the servants of the defendant. The ground of the decision appears to have been that the defendant could escape its liability only by maintaining successfully the principle supposed to be laid down by the dicta in Duncan v. Findlater. As those dicta had been denied by the highest authority, the plaintiff prevailed.
For the reasons above given, and in spite of the cases of Glavin v.
