DeAngelis v. Lutheran Medical Center

OPINION OF THE COURT

The issue on these appeals is whether a child has a cause of action for the loss of parental consortium for injuries negligently inflicted on the parent by third parties. After a review of the considerable arguments that have been generated on both sides of the question, we conclude that no such cause of action should be recognized. We perceive several practical and policy considerations that support this conclusion, notwithstanding the real harm suffered by a child upon the loss of parental care, guidance and training.

In the first case, DeAngelis v Lutheran Med. Center, Barbara DeAngelis was admitted to the Lutheran Medical Center for a tubal ligation for the purpose of sterilization. The operation was performed by Dr. K. Y. Jamal. Some 11 months later, Mrs. DeAngelis was admitted to defendant Victory Memorial Hospital, allegedly for treatment of abdominal pains arising out of the prior operation. Subsequently, she commenced suit against the Lutheran Medical Center, Dr. Jamal and Victory Memorial Hospital, alleging medical malpractice, inter alia, in the diagnosis and treatment of her condition. The complaint also contained causes of action numbered fifth, sixth, seventh and eighth, which were brought on behalf of Mrs. DeAngelis’ three minor children, Dierdre, Denise and Joseph, which seek damages for the children’s loss of the “aid, comfort, and services” of their mother. Thereafter, defendant Lutheran Medical Center moved, and the other codefendants cross-moved, for a dismissal of the afore-mentioned causes of action asserted on behalf of the children. Special

Recently, however, the vast majority of jurisdictions have allowed the wife to recover damages for the lost consortium of her husband who had been negligently injured (s ee American Export Lines v Alvez, 446 US 274 , 284-285). In New York, the recognition of the wife’s claim came as recently as 1968, in the case of Millington v Southeastern Elevator Co. ( 22 NY2d 498 ). The Court of Appeals, relying, in part, on the passage of the Married Women’s Emancipation Acts, stated (p 509) that it was correcting “an unjust discrimination under New York law”. The concept of spousal consortium was held to include (p 502) “not only loss of support or services *** [but] also embraces such elements as love, companionship, affection, society, sexual relations, solace and more”.

In the instant cases, plaintiffs seek to extend the law of consortium to recognize a child’s claim for the loss of the companionship, love, emotional support and services, etc., of a parent arising out of the physical injuries negligently inflicted on the parent. We decline to do so based on countervailing policy considerations. “Decisions delineating the extent of tort liability are *** pronouncements of social policy which should reflect the often subtle balance of the interests involved” (see Berger v Weber, 411 Mich 1 , _, 303 NW2d 424 , 430, dissenting opn by Levin, J.). While the real and significant harm suffered by children of parents who are physically injured cannot be denied (see Hoffman v Dautel, 189 Kan 165 ; Ferriter v O’Connell’s Sons,_Mass_, 413 NE2d 690 ; Cooney and Conway, The Child’s Right to Parental Consortium, 14 John Marshall L

Additionally, the concept of duty serves to limit the scope of a defendant’s liability for negligence. “[A] successful plaintiff must demonstrate the existence of a duty, the breach of which may be considered the proximate cause of the damages suffered by the injured party” (Becker v Schwartz, 46 NY2d 401 , 410). A duty arises when the relationship between individuals, the asserted plaintiff and defendant, is such as to impose upon the latter a legal obligation for the benefit of the former (see Prosser, Torts [4th ed], § 53, p 324). While the harm suffered by the children of a parent who has been physically injured is foreseeable, foreseeability alone does not give rise to a duty (see Tobin v Grossman, 24 NY2d 609 , 615, supra; Pulka v Edelman, 40 NY2d 781 , 785). “While a court might impose a legal duty where none existed before (see, generally, 1A Warren’s Negligence, § 3.13, subd [2], pp 166-167), such an imposition must be exercised with extreme care” (Pulka v Edelman, supra, p 786 ). In the absence of duty, there is no breach and therefore no liability (see Kimbar v Estis, 1 NY2d 399 , 405). As in the case of emotional injuries suffered by a bystander as a consequence of direct physical injury inflicted on another, we find that a tort-feasor has

Moreover, the infant is provided with an alternative legal remedy of sorts. “[RJeflection of the consequential disadvantages to children of injured parents is frequently found in jury awards to the parents on their own claims under existing law and practice” (Russell v Salem Transp. Co., 61 NJ 502 , 507, supra; see, also, Koskela v Martin, 91 Ill App 3d 568 , 571, 572, supra). This overlap or duplication is a real consequence of recognizing the child’s claim, and thus, “courts should be wary of creating additional claims deriving from the same tortious act, particularly where all injuries are localized within the same family unit” (Berger v Weber, supra, p_, p 435, dissenting opn by Levin, J.). Should this type of claim be recognized, the jury would have great difficulty in distinguishing between the losses of the parent from that of the child (see Duhan v Milanowski, 75 Misc 2d 1078 , 1083). And, as stated by the California Supreme Court: “to ask the jury, even under carefully drafted instructions, to distinguish the loss to the mother from her inability to care for her children from the loss to the children from the mother’s inability to care for them may be asking too much” (see Borer v American Airlines, 19 Cal 3d 441 , 448, supra). Thus, we believe that the parent’s recovery will enable the parent to provide, if necessary, outside care and services for the child. Beyond the services of parent substitutes or mental health professionals, monetary compensation “will not enable plaintiffs to regain the companionship and guidance of a mother; it will simply establish a fund so that upon reaching adulthood, when plaintiffs will be less in need of maternal guidance, they will be unusually wealthy men and women” (Borer v American Airlines, supra, p 447 ). In addition, if the child’s independent cause of action were recognized, the child’s recovery would presumably be segregated, and would be unavailable “for control and disposition by the

Additional policy considerations also support our conclusion.

The inclusion of several secondary claims might hinder or complicate settlements. Furthermore, “the social burden of providing damages for this loss will ultimately be borne by the public through increased insurance premiums or in the enhanced danger that accrues from the greater number of people who will choose to go without any insurance” (Koskela v Martin, 91 Ill App 3d 568 , 572, supra). Since virtually every injury to a parent with minor children would be accompanied by a claim for loss of parental consortium, the expenses of settling or litigating these claims would be sizable (see Borer v American Airlines, 19 Cal 3d 441 , 447, supra). “[T]he right here debated would entail adding as many companion claims as the injured parent had minor children *** The defendant’s burden would be further enlarged if the claims were founded upon injuries to both parents” (see Russell v Salem Transp. Co., 61 NJ 502 , 506, supra; Borer v American Airlines, supra, p 449 ). We should take into account the burden of payment of awards for loss of parental consortium, not only on the particular defendant, but also on the insured community as well (see Russell v Salem Transp. Co., supra, p 506).

We are aware that courts should not shirk their duty to overturn unsound precedent and should strive to continually develop the common law in accordance with our changing society (see Millington v Southeastern Elevator Co., 22 NY2d 498 , 509, supra; Bing v Thunig, 2 NY2d 656 ; Woods v Lancet, 303 NY 349 ). Accordingly", we do not rely on the rationale of those cases which have relegated this matter to the Legislature (see, e.g., Clark v Suncoast Hosp., 338 So 2d 1117 [Fla]; Hankins v Derby, 211 NW2d 581 [Iowa]; Bradford v Union Elec. Co., 598 SW2d 149 [Mo]). Yet, the mere potential ability to change the common law is not the same as the desirability of making a particular change (see Duhan v Milanowski, 75 Misc 2d 1078 , 1082, supra). As we have concluded that policy considerations do not warrant the modification of the common law in the

Plaintiffs contend that since New York has given a wife the right to recover for the loss of the consortium of her husband, there is no basis to deny a cause of action for the child’s loss of parental consortium. However, there are significant differences between the marital relationship and the parent-child relationship that support the limitation of a cause of action for loss of consortium to the marital relationship. The spousal action rests in large part on “the deprivation of sexual relations and the attendant loss of child-bearing opportunity” (see Millington v Southeastern Elevator Co., 22 NY2d 498 , 507, supra), which does not exist as an elenient of damage in the child’s action for loss of consortium (see Borer v American Airlines, 19 Cal 3d 441 , 448, supra; Koskela v Martin, 91 Ill App 3d 568 , 572, supra). To be sure, there are some common elements of the spousal and parental consortium claims, i.e., the loss of love, affection and companionship. Yet, we perceive as significant those elements which are present in the spouse’s claim but are missing in the child’s claim. As enunciated previously, the social burden of the potential parental consortium claims would be considerably greater than only one spousal claim (see Borer v American Airlines, supra, p 449 ). In addition, the segregation of the child’s independent recovery away from the control of the parent, which would presumably not be available until the child’s attainment of majority, presents problems not found in the spousal contest. Furthermore, the degree of reliance upon the guidance of the parents may differ widely between children, considering their developing maturity. “Close society and companionship between spouses typically endures for the length of the marital relationship, ideally, for a lifetime, while the interaction of parent and child often, though not always, attenuates as the child matures” (see Berger v Weber, 411 Mich 1 ,_, 303 NW2d 424 , 441, supra, dissenting opn of Levin, J.). Also, the difficulty of calculating the child’s damages presents unique problems in the case of a child’s claim for loss of parental care, guidance and training. Should the damages be awarded individually or collectively, and, if collectively,

To a certain extent the wife’s claim was recognized to afford the wife similar rights as were historically afforded to the husband (see Millington v Southeastern Elevator Co., 22 NY2d 498 , supra). Yet, in New York, the law will not compensate a parent for the loss of a child’s affection and companionship when a child is injured; recovery is limited to the parents’ loss of services and the medical expenses incurred by the parent (see Gilbert v Stanton Brewery, 295 NY 270 ; White v City of New York, 37 AD2d 603 ; see, also, 67A CJS, Parent and Child, § 137). Essentially, the parent’s recovery is limited to a tangible, pecuniary loss; it has not been extended to the intangible, so-called sentimental losses of affection, love and companionship. Thus, while there is a reciprocally equal status of spouses in the marriage relation, with the right of each to recover for the loss of consortium of the other, there is no such reciprocity of recognition of a parent’s and child’s claim. In sum, the reasoning supporting the recognition of the wife’s claim, to end an unjust discrimination in the law, is not applicable to the child’s claim for loss of parental consortium.

Plaintiffs, relying on the law in other jurisdictions, also claim that since the child may recover for the loss of the services of the parent in a wrongful death action, it would be appropriate to provide for the child when the parent suffers injury rather than death. This contention has beén advanced by the courts in Ferriter v O’Connell’s Sons (__ Mass _, 413 NE2d 690 , supra) and in Berger v Weber ( 411 Mich 1 ,_, 303 NW2d 424 , 426, supra), which have recognized a claim for parental consortium. As the Michigan Supreme Court stated (p_, p 426): “[w]e are satisfied that the real anomaly is to allow a child’s recovery for the

In conclusion, on the basis of public policy and the results which would arise upon recognition of this type of claim, such as the additional burden placed on society through increased costs of insurance and the added expense of litigation and settlement, and in the interest of limiting the legal consequences of a wrong to a controllable degree, we decline to recognize a new cause of action on behalf of a child for the loss of parental consortium. We do not pretend to doubt the harm experienced by a child upon the loss of parental care, companionship, guidance, love and training. Yet, inclusion of the child’s claim within the parent’s recovery provides an alternative, and, in our view, suitable legal remedy for the child. It is here that we draw the line which delineates the limits of liability, upon our conceptions of public policy, which are, no doubt, “a matter upon which reasonable men may disagree” (see Becker v Schwartz, 46 NY2d 401 , 408, supra).

Hopkins, J. P., Rabin and Cohalan, JJ., concur.

Order dated March 18, 1981 reversed insofar as reviewed, without costs or disbursements, and upon reargument, the order dated November 3,1980 is vacated insofar as it denied the appellants’ motion and cross motion to dismiss plaintiffs’ fifth, sixth, seventh and eighth causes of action as to them and said motion and cross motion are granted.

In the second above-entitled action, order of the Supreme Court, Dutchess County, dated April 21, 1980, affirmed, without costs or disbursements.