Majority
The defendant issued a policy of insurance to James McMartin “ against disability or death resulting directly and independently of all other causes, from bodily injuries sustained through external, violent and accidental means.” While the policy was in force the insured, driving his automobile, sustained bodily injuries within the terms of the policy. He was taken to a hospital where, twenty days later and without having left his bed, he died.
Disregarding certain alleged errors in evidential rulings which we deem trivial and insubstantial, the sole question is whether death resulted directly and independently of all other causes from the bodily injuries.
The applicable rule of construction has been so recently and so fully discussed (Silverstein v. Metropolitan Life
In the collision the insured struck his chest against the steering wheel of his automobile. At the hospital he complained of severe pain in his chest and “ would grunt with pain ” in breathing or upon pressure. An X-ray disclosed “ some separation of the third right and left costal cartilages.” The pain gradually cleared up and on the fifth or sixth day he could take a normal breath without much distress. A laceration of the lip substantially healed within the same period. There were no other evidences of injury. The immediate cause of death was nephritis. It is not claimed that.nephritis was caused by the accident. The disease, according to the testimony of one of plaintiff’s witnesses had been chronic and progressive for a period of years — at least three years. The autopsy disclosed other serious chronic conditions — chronic appendicitis, chronic inflammation of the prostate, left coronary artery thickened, narrowed and calcified,
Upon that testimony it is said that “ the accident killed McMartin because he was unable to withstand the shock which followed it.” Upon that theory plaintiff rests her case. It is not enough. The burden was on plaintiff to show that the idiosyncratic condition of McMartin’s body, upon which the accidental injury impinged ultimately to cause death, was not a disease within the meaning of the established rule. The burden wds not met. Nephritis existent for at least three years, chronic and progressive, may not with any fitness of language or with any sense of reality be described as a mere predisposing tendency. It is a condition which in its natural and probable development may be expected to be a source of mischief, and so a disease; and if it were mentioned as inflammation of the kidneys instead of nephritis, the ordinary man in his common speech would unquestionably call it a disease.
The judgment of the Appellate Division should be reversed and that of the Trial Term affirmed, with costs in this court and in the Appellate Division. (See 264 N. Y. 671 .)
Pound, Ch. J., Lehman and O’Brien, JJ., concur; Crane and Hubbs, JJ., dissent; Kellogg, J., not sitting.
Judgment accordingly.
Cases cited
- Silverstein v. Metropolitan Life Insurance 254 N. Y. 81 p. 220, p. 221, p. 222
- Smith v. Massachusetts Bonding & Insurance 241 N. Y. 558 p. 221, p. 222
- Reynell v. Indemnity Insurance Co. of North America 258 N. Y. 572 p. 221, p. 222
- Rickerson v. Hartford Fire Insurance 149 N. Y. 307 p. 221
- Houlihan v. Preferred Accident Insurance 196 N. Y. 337 p. 221
- Hoffman v. Ætna Fire Insurance 32 N. Y. 405 p. 221
- Schumacher v. Great Eastern Casualty & Indemnity Co. 197 N. Y. 58 p. 221
- Bird v. St. Paul Fire & Marine Insurance 224 N. Y. 47 p. 221
- Goldstein v. Standard Accident Insurance 236 N. Y. 178 p. 221
- Bailey v. Interstate Casualty Co. 8 App. Div. 127 p. 221
- Lewis v. Ocean Accident & Guarantee Corp. 224 N. Y. 18 p. 221
- Wehle v. United States Mutual Accident Ass'n 153 N. Y. 116 p. 221
- Larkin v. Interstate Casualty Co. 43 App. Div. 365 p. 221
- Landress v. Phoenix Mutual Life Insurance 291 U. S. 491 p. 222