UNITED STATES of America, Appellant, v. James F. MERRIGAN and James F. Merrigan, Jr., Defendants and Third-Party Plaintiffs, v. Thomas J. McKINNEY, Third-Party Defendant.
No. 16657.
United States Court of Appeals Third Circuit.
Decided Jan. 16, 1968.
Argued Nov. 24, 1967.
The judgment of the district court is affirmed.
Hastie, Circuit Judge, dissented.
Robert M. Hanlon, Hanlon, Argeris & Amdur, Asbury Park, N. J., for appellees.
Before HASTIE, FREEDMAN and VAN DUSEN, Circuit Judges.
OPINION OF THE COURT
FREEDMAN, Circuit Judge.
This is an action by the United States of America under the Medical Care Recovery Act (
The Medical Care Recovery Act was passed following a report by the Comptroller General of the substantial moneys expended by the government for medical care and treatment of persons injured by the negligence of others, which it was unable to recover from the tortfeasors under the decision in United States v. Standard Oil Company, 332 U.S. 301, 67 S.Ct. 1604, 91 L.Ed. 2067 (1947). The Supreme Court there denied the government‘s claim for the recovery of the value of medical care it furnished to a serviceman injured by the negligence of the defendant, saying that the decision to create such a liability was one for Congress to make as a matter of federal fiscal policy and not appropriate for judicial creation. 332 U.S. at 314-316, 67 S.Ct. 1604. The Court rejected the effort to sustain the government‘s claim under state-created doctrines of subrogation, on the ground that the claim was not one of subrogation but was essen-
The principal section of the statute is
“§ 2651. Recovery by the United States.
“(a) Conditions; exceptions; persons liable; amount of recovery; subrogation; assignment.
“In any case in which the United States is authorized or required by law to furnish hospital, medical, surgical, or dental care and treatment (including prostheses and medical appliances) to a person who is injured or suffers a disease, after the effective date of this Act, under circumstances creating a tort liability upon some third person (other than or in addition to the United States and except employers of seamen treated under the provisions of section 249 of this title) to pay damages therefor, the United States shall have a right to recover from said third person the reasonable value of the care and treatment so furnished or to be furnished and shall, as to this right be subrogated to any right or claim that the injured or diseased person, his guardian, personal representative, estate, dependents, or survivors has against such third person to the extent of the reasonable value of the care and treatment so furnished or to be furnished. The head of the department or agency of the United States furnishing such care or treatment may also require the injured or diseased person, his guardian, personal representative, estate, dependents, or survivors, as appropriate, to assign his claim or cause of action against the third person to the extent of that right or claim.
“(b) Enforcement procedure; intervention; joinder of parties; State or Federal court proceedings.
“The United States may, to enforce such right, (1) intervene or join in any action or proceeding brought by the injured or diseased person, his guardian, personal representative, estate, dependents, or survivors, against the third person who is liable for the injury or disease; or (2) if such action or proceeding is not commenced within six months after the first day in which care and treatment is furnished by the United States in connection with the injury or disease involved, institute and prosecute legal proceedings against the third person who is liable for the injury or disease, in a State or Federal court, either alone (in its own name or in the name of the injured person, his guardian, personal representative, estate, dependents, or survivors) or in conjunction with the injured or diseased person, his guardian, personal representative, estate, dependents, or survivors.”2
Subsection (a) of the Medical Care Recovery Act unmistakably confers on the government what the congressional reports describe as an “independent right of recovery” from the tortfeasor of the reasonable value of the care and treatment it furnishes to the injured person.3 What is involved here is the construction of the Act‘s remedial or
The question then remains whether subsection (b), written in permissive rather than mandatory terms, cuts down the government‘s independent right of action established in subsection (a). The purpose cannot have been to destroy entirely the government‘s right to bring an independent suit. There is no contention that the right to sue does not clearly exist if the injured person fails to sue the tortfeasor within six months of his receipt of medical care, for the statute literally declares that in such a case the government may bring its action “alone“, if it so chooses. Equally, the injured party who has waited beyond six months may still sue the tortfeasor even if in the interim the government has already brought its own action for its claim. The history of the statute as well as its provisions make it clear beyond question that it is not to be read as limiting in any manner the rights of the injured person against the tortfeasor.6 If the government sues alone after six months have gone by, the injured person‘s action brought thereafter may run concurrently with it, for subsection (b) provides for that event, stating that after six months the government may sue “either alone * * * or in conjunction with the injured * * * person.” This is no more than recognition of the realistic fact that a court would normally consolidate the two parallel actions involving the same defendant on a claim of liability for the same tortious act. Thus the
Similarly, there is no time limitation which restricts the government‘s right to intervene or join in a suit brought by the injured person, and thus it may become a party to his action even though he did not bring it until the six months had expired. It would be anomalous to say that although the government may intervene in his action brought within six months or after six months have gone by, it may not bring its own action which may be consolidated with his, if he has brought his action within six months.
The truth of the matter is that the six months provision is an incongruous residue left in the statute from the earlier intention to provide to the government no more than a derivative right of subrogation. The Comptroller General had suggested that the government‘s right of subrogation be postponed for a specified period to allow the injured person to prosecute his claim.7 As the statute ultimately emerged from Congress the government‘s right was not derivative, but an independent right of action.
We are thus compelled to the view that the six months provision must be given the most limited effect which the statutory language permits. In this view it can mean only that the government must wait for six months to afford the injured person the opportunity to bring his action first. When he does sue, the government may intervene at any time, even after the six months period has expired. It may intervene even though the injured person‘s action was brought after the six months period had run. This leads inescapably to the conclusion that although the government may not bring its independent action until six months have gone by, that period does not mark a kind of partial statute of limitations against the assertion of its independent right of action. It may at any time after six months bring its action even if the injured person has already brought suit for his damages within the six months period.
Any other construction would produce unacceptably absurd results. The injured person might settle an action which he commenced within the six months period, before the government had the opportunity to intervene. Literally read subsection (b) in such a case would bar the government from bringing its own action because the condition of a failure by the injured person to commence an action within six months would not be met. As the court held in United States v. Wittrock, 268 F.Supp. 325 (E.D.Pa. 1967), such a suit and settlement may not be permitted to bar the government‘s subsequent action.8 We approve that decision in preference to United States v. York, 261 F.Supp. 713 (W.D.Tenn.1966), holding to the contrary, which is now pending on appeal.9 There is no rationale in the statutory purpose for distinguishing a case in which the injured person‘s suit has gone to judgment instead of being settled.
The fear of double recovery against the tortfeasor seems to us unfounded. In many states a plaintiff whose medical care is paid for by the government is not entitled to recover its value from the tortfeasor.11 In the present case it is stipulated that no evidence concerning the value of hospital or medical services supplied by the government was introduced in the injured plaintiff‘s suit against the tortfeasor, nor has the latter claimed that the jury was charged that it could allow recovery for these items as an element of the plaintiff‘s damages. If a plaintiff wishes to prove medical expenses, he must demonstrate their amount and if they have been borne by the government this fact will inevitably come to the attention of the defendant, who can take steps to insure that he is not subjected to double liability. Indeed, the present case is a good illustration that what is involved in cases such as this is not really the risk of a double recovery against the defendant for the value of the medical services furnished the injured person. Instead the defendant would enjoy a windfall as a result of the injured person‘s inability to recover for the value of the medical services because he did not supply them if the government which had furnished them would be unable to recover. The injured person would have the usual protection of a substantial statute of limitations before his claim against the tortfeasor would be barred, but the government‘s right of action would be lost if the injured person‘s suit was brought before the six months period had gone by and then was terminated before the government intervened, all of which might occur without notice to the government. It would be a strained construction which would impute such an intention to Congress in establishing the government‘s independent right of recovery.
We hold, therefore, that the United States had the right, after six months from the date it began to furnish medical care to the injured person, to institute its independent action for the recovery of its value, even though he had sued the tortfeasor within that time and had already reduced his claim to judgment before the United States commenced its action.
The judgment of the district court will be reversed and the cause remanded for further proceedings.
HASTIE, Circuit Judge (dissenting).
As the majority opinion states, the Medical Care Recovery Act,
I agree with the majority that “subsection (b) prescribes the procedure for enforcement of the government‘s right of recovery“. That subsection covers only two situations. First, it allows the United States to join in any action brought by or in the interest of the injured individual. Second, the United States is empowered to bring its own suit if a private “action or proceeding is not commenced within six months after” the United States first supplied medical care to the injured individual. This is all the procedural subsection provides. It simply does not afford a remedy in the present case where a private suit was filed within the six months period and the United States failed to intervene.
I think the majority agree with the reasoning and conclusion stated in the immediately preceding paragraph. But, while recognizing that subsection (a) of section 2651 declares and defines the right created by the statute and subsection (b), as its title indicates, states the authorized “enforcement procedure“, the majority conclude that subsection (a) somehow independently gives courts implied authority to permit other enforcement procedures. Moreover, in thus extending the reach of subsection (a), the majority are compelled to disregard the restrictive language of subsection (b)(2) which explicitly limits the government‘s right to bring independent actions to situations in which the injured individual has failed to sue for a six month period. Indeed, under the present holding the entire subsection (b)(2) becomes pointless surplusage.
The majority believe it is fair and sensible to afford the government a remedy by way of a separate action in the present situation even though a private suit was filed promptly and the government failed to intervene. With this conclusion I have no quarrel. However, Congress specified the remedies it created in a way that excludes an independent action by the United States in this situation. Therefore, I think it is not within judicial competence to grant such a remedy, however desirable that course of action may seem.
In my judgment, the district court acted properly in denying the government a remedy. I would affirm that decision.
Frank Roswell MOORMAN, III, Appellant, v. UNITED STATES of America, Appellee.
No. 25003.
United States Court of Appeals Fifth Circuit.
Jan. 24, 1968.
