Zatuchni v. Secretary of Health and Human ServicesZatuchni v. Secretary of Health and Human Services
Lead Opinion
The Secretary of Health and Human Services (“government”) appeals the judgment of the Court of Federal Claims awarding petitioner-appellee Dory Zatuchni (“Zatuchni”) (in her capacity as executrix of the estate of E. Barbara Snyder (“Snyder”)) $804,323.90 under the National Vaccine Compensation Program (“Program”). Zatuchni v. Sec’y of Health & Human Servs.,
BACKGROUND
Snyder received a measles, mumps, and rubella (MMR) vaccine on February 10, 1992, at the age of 45. The Court of Federal Claims summarized the events that followed her vaccination:
Within two weeks of the vaccination, Ms. Snyder developed ... a rash, swollen lymph nodes, a fever, and severe pain throughout her joints and muscles. Soon thereafter, Ms. Snyder experienced other symptoms, which her physicians diagnosed as continuing chronic arthralgia and [fibromyalgia syndrome (FMS) ] attributable to the rubella portion of the MMR vaccination.!1 ] Over the next 13 years, Ms. Snyder’s physical condition deteriorated rapidly and significantly---- [She] found it impossible to continue working ... [e]ventually[ ] ... ambulated only with a walker, ... [and] required a nurse’s aid to assist her with daily living functions.
Zatuchni v. Sec’y of Health & Human Servs.,
On January 31, 1994, Snyder filed a petition for compensation with the Program. As detailed in Snyder v. Secretary of Health & Human Services, No. 94-58V,
Neither party was aware, however, that Snyder had died on April 28, 2005, several days before the special master’s decision. Following the resolution of a brief procedural challenge pursuant to Rule 25(a)(1) of the Rules of the Court of Federal Claims (“RCFC”), Zatuchni was substituted as a party for Snyder and appealed the special master’s determination. Snyder v. Sec’y of Health & Human Servs.,
On February 9, 2006, the Court of Federal Claims reversed the special master’s determination, concluding that Snyder had met her burden to demonstrate that her symptoms were caused by the vaccine. The court remanded the case to the special
The special master issued a decision on remand on May 10, 2006, concluding that Snyder’s death had been vaccine-related, and that her estate was therefore entitled to the $250,000 death benefit provided for under
On appeal, the Court of Federal Claims reversed the special master’s determination as to the claim for pre-death vaccine-related injury compensation. Zatuchni v. Sec’y of Health & Human Servs.,
DISCUSSION
The instant appeal requires us to determine whether the petitioner may receive the compensation for medical expenses, lost wages, and pain and suffering provided for under
The question of whether compensation under these subsections may be paid to the petitioner’s estate following her vaccine-related death presents a question of statutory interpretation, and requires an analysis of the text and structure of the applicable statute. Cf. Seymour v. Principi
The Program was established by the National Childhood Vaccine Injury Act of
Congress instituted this compensatory program because the traditional civil tort actions against vaccine manufacturers were producing undesirable results both with respect to the victims and the vaccine industry. Congress found that the traditional tort system was not working for victims because it resulted in lengthy delays, high transaction costs, and sometimes no recovery. Similarly, the high cost of litigation and difficulty of obtaining insurance was undermining incentives for vaccine manufacturers to remain in the vaccine market. In sum, Congress was concerned with the instability and unpredictability in the childhood vaccine market.
Lowry v. Sec’y of Health & Human Servs.,
As its structure reflects, the Program was “intended to be expeditious and fair” and “to compensate persons with recognized vaccine injuries without requiring the difficult individual determinations of causation of injury and without a demonstration that a manufacturer was negligent or that a vaccine was defective.” House Report at 12, reprinted in 1986 U.S.C.C.A.N. at 6353; see also id. at 13, reprinted in 1986 U.S.C.C.A.N. at 6354. (“The Committee anticipates that the speed of the compensation program, the low transaction costs of the system, the no-fault nature of the required findings, and the relative certainty and generosity of the system’s awards will divert a significant number of potential plaintiffs from litigation.”). “Any person who has sustained a vaccine-related injury, the legal representative of such person if such person is a minor or is disabled, or the legal representative of any person who died as the result of the administration of a vaccine set forth in the Vaccine Injury Table” may file a petition under the Program.
The Program imposes firm deadlines for both the filing and resolution of petitions, further reducing the likelihood of complex causation inquiries or extended litigation. A petition for compensation arising out of a vaccination administered before October 1, 1988 (a “pre-Act” petition), must have been filed within 28 months of that date, and, in any event, “no such petition may be
The types of compensation available to a petitioner under the Program are listed in
Compensation awarded under the Program to a petitioner undersection 300aa-ll of this title for a vaccine-related injury or death associated with the administration of a vaccine after October 1,1988, shall include the following:
(1) (A) Actual unreimbursable expenses incurred from the date of the judgment awarding such expenses and reasonable projected unreimbursable expenses which ... result from the vaccine-related injury for which the petitioner seeks compensation....
(B) Subject to section 300aa-16(a)(2) of this title, actual unreimbursable expenses incurred before the date of the judgment awarding such expenses which ... resulted from the vaccine-related injury for which the petitioner seeks compensation....[6 ]
(2) In the event of a vaccine-related death, an award of $250,000 for the estate of the deceased.
(A) In the case of any person who has sustained a vaccine-related injury after attaining the age of 18 and whose earning capacity is or has been impaired by reason of such person’s vaccine-related injury for which compensation is to be awarded, compensation for actual and anticipated loss of earnings determined in accordance with generally recognized actuarial principles and projections.
(4) For actual and projected pain and suffering and emotional distress from the vaccine-related injury, an award not to exceed $250,000.
Compensation awarded under the Program to a petitioner undersection 300aa-ll of this title for a vaccine-related injury or death associated with the administration of a vaccine before October 1, 1988, may include the compensation described in paragraphs (1)(A) and (2) of subsection (a) of this section and may also include an amount, not to exceed a combined total of $30,000, for—
(1) lost earnings (as provided in paragraph (3) of subsection (a) of this section),
(2) pain and suffering (as provided in paragraph (4) of subsection (a) of this section), and
(3) reasonable attorneys’ fees and costs (as provided in subsection (e) of this section!) ].
The question presented here is whether a petitioner who has suffered a vaccine-related injury and dies from vaccine-related causes while her petition for compensation under
Most important, the text and structure of
This argument does not withstand scrutiny. Put simply, the fact that a vaccine-related death followed a vaccine-related injury in a particular case does not alter the fact that certain expenses were incurred, wages lost, or pain and suffering endured in the interim, and these damages are no less related to or caused by a vaccine-related injury within the meaning
This interpretation of
Moving beyond
between vaccine-related injury claims and vaccine-related death claims that precludes a finding that any petitioner might be awarded the compensation contemplated here. Primary reliance is placed on
Based on its reading of § 300aa-11(b)(1)(A), the government contends that because the right to file a claim after the death of a vaccine-injured person is limited to the “the legal representative of any person who died as the result of the administration of a vaccine,” it is apparent that “a person who dies before the filing of a petition cannot request compensation for a vaccine-related injury.” Reasoning from this conclusion, the government argues that vaccine-related injury claims thus do not survive the death of the vaccine-injured person. The government’s reading of this provision goes too far. We need not decide whether
In a related argument, the government contends that the single petition rule of
We, of course, agree that a second petition seeking the death benefit would not be permitted under the circumstances just described; that result is clearly dictated by the single-petition rule in
Moreover, we note that if the government’s arguments are taken to their logical conclusion, all recovery would be denied
Given the posture of this case, we also note that there is no procedural difficulty presented by the substitution of a deceased petitioner’s legal representative following a vaccine-related death that prevents us from reaching the result contemplated here. RCFC 25(a)(1) provides that “[i]f a party dies and the claim is not thereby extinguished, the court may order substitution of the proper parties.” The Rule also details the procedural requirements for effecting the substitution. RCFC 25. In this case, substitution was made pursuant to this procedure, and while the government contested whether the petitioner’s motion for substitution was timely in light of certain delays in the probate process, this procedural question was resolved in favor of the petitioner and is not challenged here. Snyder v. Sec’y of Health & Human Servs.,
Finally, we do not find that the doctrine of sovereign immunity prevents us from affirming here. As the discussion above indicates, we do not find that the government has offered a “plausible” reading of the statute, Marathon Oil Co. v. United States,
The judgment of the Court of Federal Claims awarding the petitioner compensation pursuant to
AFFIRMED
COSTS
No costs.
Notes
. " 'Arthralgia' means joint pain.” Snyder v. Sec’y of Health & Human Servs., No. 94—58V,
. Also around this time, in response to the filing of several similar petitions, the special master assigned to Snyder’s petition was directed to conduct a general inquiry into the causal relationship between various joint-related conditions and rubella vaccinations. The special master made findings and issued reports in 1993 and 2002 that were subsequently applied to resolve petitions alleging that rubella vaccinations had caused joint-related symptoms, including Snyder's petition. See Snyder,
. The Act requires that such a petition be filed, and judgment from the Program rejected, prior to bringing an action in state court.
. "[Fjor injuries not listed in the Table, or which do not occur within the time period stipulated in the Table, the Vaccine Act authorizes recovery only if the petitioner proves actual causation.” Hines,
. This case, of course, is an exception to this general rule. As the Special Master recognized, this is a "very unusual Vaccine Act case.” Zatuchni,
. The types of recoverable "unreimbursable expenses” under these provisions are detailed in
. The government also argues that Congress’s intent to limit compensation "[i]n the event of a vaccine-related death” to the death benefit provided in subsection (a)(2) is evidenced by the fact that this subsection is the only one that makes reference to a payment made to an “estate.” We do not view this language in the same light. Read in context, this language seems to establish only that, where a vaccine-related death has occurred, the $250,000 should be paid directly to the deceased individual's estate, and not to some other entity or person, such as a surviving spouse. Similarly, while subsections (a)(1), (3), and (4) do not state that an estate may receive the compensation described therein, neither do they state that only a living vaccine-injured person may do so.
. In fact, the amendment history of subsection (b) confirms that subsections (a) and (b), as currently written, should be read as providing the same types of compensation in appropriate cases (with one exception). As passed,
may not include the compensation described in paragraph (1)(B) of subsection (a) [i.e., pre-judgment expenses] and may include attorney's fees and other costs included in a judgment under subsection (e) [i.e., costs and fees], except that the total amount that may be paid as compensation under paragraphs (3) and (4) of subsection (a) [i.e., lost wages and pain and suffering] and included as attorneys’ fees and other costs under subsection (3) may not exceed $30,000.
Pub L. No. 100-203, § 4303(e). In essence, subsection (b) was amended to mirror subsection (a) in terms of the types of compensation available, with the exception of the denial of pre-judgment expenses; compensation under all other provisions of subsection (a) was thus made available in a pre-Act case, but compensation for lost wages, pain and suffering, and costs and fees was capped at $30,000. In 1989, subsection (b) was amended again to read as it does today. The legislative history indicates that this last amendment, however, was "only intended to clarify the amount of damages” available in light of “some confusion about the allowable compensation,” and “represents no change in policy from the Act” as previously written. H.R. Rep. 101-247, at 514, reprinted in 1989 U.S.C.C.A.N. 1906, 2240. As this legislative history indicates, the current version of subsection (b) is intended to make the connection between the types of compensation available under subsections (a) and (b) even more explicit than was the case in 1987. In sum, then, because both the text
. This reading of subsection (b) also disposes of the government’s contention that the use of the conjunction "or” in the first sentence of subsection (a), which notes that compensation will be paid "for a vaccine-related injury or death,” is intended to indicate that "injury” compensation or "death” benefits, but not both, may be paid in a particular case. As subsection (b) demonstrates, this language simply describes the two broad categories of compensation available, which are then further detailed in the subsections that follow, and in no way indicates that an award of one category of compensation precludes an award of the other.
. The dissent states that our demurer here indicates that we are "troubled by the possibility of this anomalous result.” Dissent at 1327 n. 5. To the contrary, we are simply declining to decide a question not presented in the case before us. Moreover, we do not find “troubling” or "anomalous” the possibility that
The dissent appears willing to endorse such a result in order to "harmonize the federal scheme with the state alternative” in light of what the dissent perceives as Congress's intent to "replace” state law remedies with the compensation scheme provided by the Program. Dissent at 1331. The dissent reasons that "[a] rule in favor of survivorship of vaccine-related injury claims would preserve the Vaccine Act as an effective substitute for the state tort system.” Id. This reflects a misreading of the Act. Not only, as the dissent recognizes, are claimants permitted to opt-out of or withdraw from the Program under several circumstances in order to seek remedies in state court, see
. The government further contends that the statute of limitations provided in § 300aa-16(a)(2) and (3), which distinguishes between petitions arising out of "a vaccine-related injury” and cases in which "a death occurred as a result of the administration of [a] vaccine,” also supports its view that the Program generally distinguishes between “injury” cases and "death” cases.
. We recognize that RCFC 25 is purely a procedural device, and does not answer the substantive legal question of whether a claim is "extinguished” under these circumstances. Cf. Robertson v. Wegmann,
. The government cites, for example, Schu-macher v. Secretary of Health & Human Ser
"The rule does not, however, require explicit waivers to be given a meaning that is implausible. ... ‘ "The exemption of the sovereign from suit involves hardship enough where consent has been withheld. We are not to add to its rigor by refinement of construction where consent has been announced.” ’ ” Id. (quoting United States v. Aetna Cas. & Surety Co.,338 U.S. 366 , 383,70 S.Ct. 207 ,94 L.Ed. 171 (1949) (quoting Anderson v. Hayes Constr. Co,243 N.Y. 140 ,153 N.E. 28 , 29-30 (1926) (Cardozo, J.))).
Concurrence Opinion
concurring in the result and dissenting from the majority opinion.
This case presents a simple question: whether a claim for compensation for a vaccine-related injury under the National Childhood Vaccine Injury Act (the “Vaccine Act”),
I
This issue arises against a background of pervasive concern about the survival of personal injury claims. At common law, personal injury claims, unlike claims for injury to property, did not survive, but abated upon the death of either the plaintiff or the defendant. See, e.g., Restatement (Second) of Torts § 900(a) & cmt. a. (1979); see also Wex S. Malone, The Genesis of Wrongful Death, 17 Stan. L.Rev. 1043, 1044 (1965). The modern approach, however, has been to reject the common law rule and allow survivorship. See W. Page Keeton et ah, Prosser and Keeton on The Law of Torts § 126 (4th ed.1984).
The majority goes to great lengths to demonstrate that the Vaccine Act does not preclude survivorship, and I agree.
The only statutory text that could possibly be read to provide for survivorship of some Vaccine Act claims is the act’s standing provision:
[A]ny person who has sustained a vaccine-related injury, the legal representative of such person if such person is a minor or is disabled, or the legal representative of any person who died as the result of the administration of a vaccine set forth in the Vaccine Injury Table may, if the person meets the requirements of subsection (c)(1) of this section, file a petition for compensation under the [National Vaccine Injury Compensation] Program.
First, the text of section 300aa-11(b)(1)(A) simply does not address whether a claim for a vaccine related injury survives and can be pursued by the estate of the injured person. The standing language provides that the legal representative of a person “who has sustained a vaccine-related injury” may file a petition for compensation only if the injured person “is a minor or is disabled.” This language does not address whether a legal representative of a deceased, previously-injured person may file a petition for compensation. The standing provision also authorizes “the legal representative of any person who died as the result of the administration of a vaccine set forth in the Vaccine Injury Table” to bring “a petition for compensation.” This provision of
Second, it is significant that
Any right of action given by this chapter to a person suffering injury shall survive to his or her personal representative, for the benefit of the surviving widow or husband and children of such employee, and, if none, then of such employee’s parents; and, if none, then of the next of kin dependent upon such employee, but in such cases there shall be only one recovery for the same injury.
Third, and perhaps most significantly, a strained interpretation of section 300aa-11(b)(1)(A) to provide for survivorship would create an anomalous, arbitrary, and unfair result that Congress cannot have intended. The language of the Vaccine Act authorizes an action only by “the legal representative of any person who died as the result of the administration of a vaccine set forth in the Vaccine Injury Table.”
As the government points out, if this language were construed to provide for survival, a petitioner’s claim for vaccine-related injury would survive only if the petitioner died from vaccine-related causes, since the language refers only to “the legal representative of any person who died as the result of the administration of a vaccine set forth in the Vaccine Injury Table.” Id. If the petitioner died of unrelated causes,
Perhaps recognizing that section 300aa-11(b)(1)(A) cannot be read as providing for survivorship, the majority appears to base its finding of survivorship on a negative inference from another provision of the Vaccine Act, section 300aa-15(b), which governs compensation available for so-called pre-Act injuries, that is, those arising from vaccinations administered prior to the 1988 effective date of the Vaccine Act.
The plain language of section 300aa-15(b) limits the compensation available with respect to vaccinations administered prior to the effective date of the Vaccine Act by imposing a $30,000 cap on the total compensation for pain and suffering, lost wages, and attorneys’ fees, while otherwise making available in pre-Vaccine Act cases all of the same categories of compensation available in post-Vaccine Act cases under section 300aa-15(a): medical expenses, lost wages, pain and suffering, and the statutory death benefit (in addition to reasonable attorneys’ fees, as provided in section 300aa-15(e)). The majority relies heavily on the use of the word “and” in section 300aa-15(b) (referring to injury compensation “and” the death benefit) to reach the conclusion that the same individual may recover both compensation for injury and a death benefit. It then appears to read the same conjunctive language into section 300aa-15(a). Maj. Op. at 1319-20. But section 300aa-15(b), in describing the
This is made clear by section 300aa-15(b) itself. That section refers, with respect to eligibility to receive compensation, back to the standing provision of
II
Because nothing in the Vaccine Act addresses the issue of survivorship, the issue is properly addressed as a matter of federal common law. “[T]he inevitable incompleteness presented by all legislation means that” it is the “responsibility of the federal courts ... ‘to declare ... rules which may be necessary to fill in interstitially or otherwise effectuate the statutory patterns enacted in the large by Congress.’ ” United States v. Little Lake Misere Land Co.,
The issue of survivorship is among the background legal principles for which judicial gap-filling is appropriate. The Supreme Court has impliedly held,
For example, in United States v. NEC Corp.,
Although widely recognizing that federal common law governs, the courts have not clearly articulated the governing rule with respect to survivorship of personal injury claims under the Vaccine Act or more generally. One option would be to adopt the applicable state law rule. See, e.g., Robertson v. Wegmann,
Although it is not appropriate to adopt the differing rules of individual states, it is appropriate to follow the approach adopted by the vast majority of states. Nearly every state now provides for survivorship of personal injury claims by statute, rejecting the common law rule that personal injury claims do not survive death. See 3 Speiser & Rooks, supra, app. A; see also Keeton et al., supra, § 126 (“[Vjirtually every state today has some form of survival statute, the exact provisions of which vary but the gist of which is to permit a personal injury action to continue after the death of either the plaintiff or defendant.” (footnote omitted)).
In a closely related context, the Supreme Court has explained that the sweeping rejection by the states of a common law doctrine argues strongly that the common law doctrine should also be rejected as a matter of federal common law. At common law, there was no cause of action for wrongful death. See Moragne v. States Marine Lines, Inc.,
A rule in favor of survival is also consistent with the objectives of the Vaccine Act with respect to both compensation of injured individuals and protection of vaccine manufacturers. The Vaccine Act includes an opt-out provision which requires that individuals harmed by a vaccine submit a claim under the vaccine program, but allows a claimant to reject the program award and instead bring a private action
I would hold that, because the statutory language does not specify whether claims under the Vaccine Act survive, this issue is properly governed by federal common law, and that claims for vaccine-related injury accruing prior to death survive the death of a claimant. I respectfully dissent from the majority’s refusal to apply well-established law, but concur in the result that allows the estate of this petitioner to recover.
. Unlike the Vaccine Act, some statutes do expressly preclude survivorship, eliminating the need to turn to federal common law to resolve the issue. See, e.g.,
. The Supreme Court expressed this principle at greater length in Addison:
We should of course be faithful to the meaning of a statute. But after all Congress expresses its meaning by words. If legislative policy is couched in vague language, easily susceptible of one meaning as well as another in the common speech of men, we should not stifle a policy by a pedantic or grudging process of construction. To let general words draw nourishment from their purpose is one thing. To draw on some unexpressed spirit outside the bounds of the normal meaning of words is quite another.
. This explicit survivorship provision is also incorporated by reference in the Jones Act. See 46 U.S.C.A § 30104(a) (West 2006); see also Gillespie v. U.S. Steel Corp.,
. While not necessary to its result, the majority suggests that if a petitioner secured a judgment for a vaccine-related injury, and subsequently died as a result of the same vaccination, that person's legal representative might not be able to recover the statutory
. The majority appears to be troubled by the possibility of this anomalous result. It does not rely on section 300aa-l 1(b)(1)(A) as the source of the survivorship right for vaccine-related injury claims, and it explicitly avoids deciding whether a claim for vaccine-related injury would survive the injured person's unrelated death. "We need not decide whether § 300aa-l 1(b)(1)(A) would permit the estate of a person who suffered vaccine-related injuries but died of a non-vaccine-related cause to file a petition for vaccine-related injury compensation. ...” Maj. Op. at 1321.
. Section 300aa-15(b) provides, in relevant part:
Compensation awarded under the Program to a petitioner under section 300aa-ll of this title for a vaccine-related injury or death associated with the administration of a vaccine before October 1, 1988, may include the compensation described in paragraphs (1)(A) [providing for unreimbursed medical expenses for vaccine injuries] and (2) [providing a uniform death benefit] of subsection (a) of this section and may also include an amount, not to exceed a combined total of $30,000, for—
(1) lost earnings (as provided in paragraph
(3) of subsection (a) of this section),
(2) pain and suffering (as provided in paragraph (4) of subsection (a) of this section), and
(3) reasonable attorneys' fees and costs (as provided in subsection (e) of this section, [sic]
. The Supreme Court long ago implicitly recognized this principle. See Ex parte Schreiber,
. See, e.g., United States v. NEC Corp.,
Courts have also held that the principle that survivorship is determined as a matter of federal common law extends also to claims against the United States. See NEC Corp.,
. A claimant under the Program may file a written election to waive any award under the Program, and instead file a civil suit for damages, within ninety days after the entry of judgment under the Program and completion of any appeal.
. While the federal common law was not addressed by the parties, both the Supreme Court and this court have held that we must apply the correct law to an issue properly raised even if the parties do not direct us to the correct legal principles. See Kamen v. Kemper Fin. Servs., Inc.,