From: Martin Hogg <mhogg@staffmail.ed.ac.uk>
To: obligations@uwo.ca
Date: 15/01/2009 10:09:25 UTC
Subject: RE: ODG: Duties to the unborn
Attachments: Edinburgh University charitable status.txt

A few more brief thoughts on this issue, if I may, sparked by considering a point made by Robert and Jason yesterday – that one of the problems with recovery for ante-natal injuries is that the ‘harm’ pre-dates the birth of the injured party. I agree that this is a theoretical difficulty in these cases, as it makes it hard to say that some damage (one of the requirements in a tort/delict action) has occurred. The concept of damage surely requires that one compares the current physical or economic state of the injured party (the state at time 2) with the state that party was in prior to the harmful action or omission (the state at time 1). If the state at time 2 is worse than the state at time 1, then harm has occurred. But if one was not in existence at time 1, then how can one carry out such a comparison? All one can say is that at time 2 one has a particular physical state, but that is not better or worse or the same than a previous state one was in, because one did not have a state at the relevant prior time, one not existing then. So I agree that there is a problem here with the damage stage of the equation.

 

There is also, to return to the point I made yesterday about my jurisdiction’s approach in saying that the doctor can and does owe a free standing duty of care to the foetus in the womb, albeit one that only triggers a claim when the child is born (the approach of Lord McCluskey I quoted yesterday in the case of Hamilton v Fife Health Board), a problem with the duty stage of the equation. The law conceptualises the duty stage by saying that, at a particular time, person A owed person B a duty of care not to behave in a particular way.  Only if that can be said, can a duty of care be said to have existed which is capable of breach. So, if there is no person B in existence at the relevant time, there should be no duty of care. To get round this approach, or to ignore it, as Lord McCluskey did seems to me to be a fiction, even if one says it is not. His Lordship really skated round this point in the passage I quoted, where he simply says  “there is no difficulty whatsoever in ... holding that doctors engaged in the delivery of a foetus owe a duty of care to avoid injury to that foetus: That is trite.”  With respect, that is far from trite. On the contrary, it is asserting that a duty can be owed to a non-person, albeit only if that non-persons subsequently becomes a person. Far from being trite, this is evidently a troublesome and puzzling statement for a jurisdiction which allows recovery, as mine jurisdiction does, through the imposition of a free standing duty of care owed to the foetus.

 

So, I think there are two distinct problems with the approach of a free standing duty owed to the foetus: one is that it is problematic to say that a duty of care is owed to a non-person, and the second is that theoretically no damage seems to have been caused. The law clearly simply chooses to ignore these problems, and does so for the policy reason that it wants to allow protection to be given to children in the womb. I think we should accept however that this legitimate policy aim is achieved as a result of a legal fiction – the nasciturus principle I mentioned yesterday. To pretend there is not a fiction operating here seems to me to ignore the problems I have mentioned.

 

Martin

 

From: Jason Neyers [mailto:jneyers@uwo.ca]
Sent: 14 January 2009 12:59
To: Martin Hogg
Cc: obligations@uwo.ca; Jones, Michael
Subject: Re: RE: ODG: Duties to the unborn

 

Dear Martin and all:

 

The fact that there is a limitation on the fetus's/child's rights in that they can't sue unless they are born alive seems to indicate that this is not the ordinary application of D v S principles.

 

Rob really focuses on the problem with these cases: it is that at the moment the child is said to become a bearer of rights it has already suffered the harm. So there is no injury to the child when it is born, it just exists as it exists. It appears that the Australian cases have not really dealt with the issue at all.

 

The tension in the Canadian cases is that the courts want to protect the mother's right to deal with her own body in the way she sees fit (even if this means aborting the fetus) yet simultaneously protecting the fetus/child from interference from others. On first impression, I do not find Rob's solution convincing since it seems to create a right in everyone to assist the fetus/child, make it better off, yet one that is limited to pre-birth activities and needs. I can't see why would this right to basic assistance would be limited to pre-birth needs?

 

Perhaps another way to interpret the cases is to say that the right to bodily integrity exists from conception but that the mother (and those acting on her behalf) have some sort of privilege/immunity vis-a-vis the child/fetus that is generated by the unique relationship between mother and fetus (as discussed in Dobson). In that way the mother is entitled to do things she considers in her best interest (including aborting the child or taking risky drugs) but the fetus/child is protected from outside interference. IIRC, Ernest Weinrib made a somewhat similar argument (though not using the concept of privilege in Human Rights and Private Law) relying on the notions of special susceptibility and the case of Rogers v Elliot.

 

Does that seem like an adequate explanation/interpretation of the cases?

----- Original Message -----
From: Martin Hogg <Martin.Hogg@ed.ac.uk>
Date: Wednesday, January 14, 2009 6:43 am
Subject: RE: ODG: Duties to the unborn
To: "obligations@uwo.ca" <obligations@uwo.ca>
Cc: "Jones, Michael" <M.A.Jones@liverpool.ac.uk>


> If I may add a few words to Michael's earlier comments (although
> I profess no great expertise in this field, so forgive me if I
> am missing something crucial in my remarks).

> The Congenital Disabilities (Civil Liability) Act 1976 also
> applies in Scotland, and was enacted partly as a result of work
> done by the Scottish Law Commission leading up to the
> publication of its Report 'Liability for Ante-Natal Injury'
> (1973, Command Paper Cmnd. 5371). In line with Michael's
> comments on a dearth of English cases discussing the duty aspect
> of the 1976 Act, I can find no reported Scottish cases looking
> specifically at that issue. Most reported cases about ante-natal
> injuries in Scotland have been about the claims of relatives of
> deceased infants raised under the Damages (Scotland) Act 1976.

> However, even prior to the passage of the Act, the SLC had
> suggested in its 1973 report that:

> "although there is no express Scottish decision on the point, a
> right to reparation would, on existing principles, be accorded
> by Scots law to a child for harm wrongfully occasioned to it
> while in its mother's womb, provided it was born alive."

> This suggested, I think, the possibility of a free standing duty
> of care owed to the child, one not derived (as in s1(3) of the
> 1976 Act) from any duty owed to the parent. That also seems to
> me to be consistent with what was said in a post-1976 Act case,
> Hamilton v Fife Health Board (1993 SC 369), which concerned
> injuries sustained by a child, which subsequently died, during
> its delivery and a claim for damages by its parents. In the
> Appeal Court, Lord McCluskey asserts (if I read him correctly in
> the following passage) that there is a freestanding duty owed to
> the child, and not just to the parents, in respect of ante-natal
> injury, but that any cause of action in the child does not arise
> until the child is born:-

> "There is no difficulty whatsoever in Scots law in holding that
> doctors engaged in the delivery of a foetus owe a duty of care
> to avoid injury to that foetus: that is trite. But once the
> foetus ceases on birth to be a foetus and becomes a person there
> is a concurrence of injuria and damnum and the newly born child
> has a right to sue the person whose breach of duty has resulted
> in the child's loss. The coming into existence of that right to
> sue does not depend upon the application of any fiction. It
> depends upon the neighbourhood doctrine of Donoghue v.
> Stevenson. The doctors engaged in the medical work of assisting
> in the delivery of a child can obviously foresee that a failure
> to exercise due care and skill by them may result in injuries to
> the foetus, being injuries which will cause the child to suffer
> loss: if the loss to the living child is the foreseeable, direct
> and probable consequence of the failure to exercise due care and
> skill at an earlier stage there is a breach of duty owed, in the
> law of negligence, to the child and that breach occurs when the
> child is born. If the injuries with which he is born are
> injuries to his organs or skeleton or tissues then they are
> properly and sensibly described as "personal injuries" even
> although when they were inflicted he did not enjoy legal
> personality; they are injuries to his person although not to his
> legal persona. They are to him an impairment of his physical
> condition." (at p382)

> So, these comments do give a little definition to the duty of
> care owed to a child in respect of ante-natal injuries, but the
> law seems to me to be still quite underdeveloped. What the
> Appeal Court is asserting however is that the child need not
> rely on the civilian principle 'nasciturus pro iam nato habetur
> quotiens de eius agitur' (in a matter affecting its interests,
> an unborn child in utero is deemed to be born) in order to bring
> its claim: such a claim arises from ordinary Donoghue v
> Stevenson principles.

> Martin Hogg
> Edinburgh Law School


> --
> The University of Edinburgh is a charitable body, registered in
> Scotland, with registration number SC005336.

 

 

--
Jason Neyers
Associate Professor of Law & 
Cassels Brock LLP Faculty Fellow in Contract Law
Faculty of Law
University of Western Ontario
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