From: | Robert H Stevens <robert.stevens@ucl.ac.uk> |
To: | Neil Foster <Neil.Foster@newcastle.edu.au> |
CC: | obligations@uwo.ca |
Date: | 09/04/2009 15:10:51 UTC |
Subject: | Re: Loss of chance in medical cases |
Very disappointing. I think it is wrong as a matter of principle.
We need to separate sharply between the question of whether the plaintiff
has suffered a wrong at the hands of the defendant from the question of
what loss has been suffered as a result of the wrong.
Negligently causing other people to lose chances is not in itself
wrongful. So, if I negligently release a noxious chemical which 100,000
people inhale, if 25 years later there are 150 cases of lung cancer when
without the release there would have been only 100, all of those who
suffer from the disease can show that I have caused them to lose the
chance of avoiding the disease but none can show that I have
injured/wronged them as on the balance of probabilities each would have
suffered the disease anyway. They all lose. If there were 250 cases
instead of the normal 100, they all win.
If however I wrong you, losses consequent upon the wrong, including lost
chances, should be actionable.
So, if I break a contract with you by denying you the chance to win a
beauty contest, you can recover for the lost chance of winning: Chaplin v
Hicks.
If I negligently injure you so that you lose the chance of winning a clay
pigeon shooting contest, that loss is also recoverable: Girvan v Inverness
Farmers Dairy.
If I breach a statutory duty owed to you so that you lose valuable
commercial opportunities, that is also actionable: Sellars v Adelaide
Petroleum NL [1994] HCA 4.
If I negligently destroy your mechanical dinosaur, the lost chance of
making profits from it should be, and is, recoverable: Glenmont
Investments |Pty v O'Loughjlin (no 2) [2000] SASC 429
Is Gett v Tabet a case where the plaintiff cannot show that she has
suffered a wrong, similar to the chemical leak? I would argue no. The duty
owed by the surgeon is not the standard Donoghue v Stevenson duty, that we
owe to all others who we can reasonably foresee could be injured by our
conduct, to care with respect to them. Rather he owed a duty which he had
voluntarily assumed by accepting the patient that he would take care in
carrying out the treatment. This is (observably) not the same as the
Donoghue duty, as it is not just a duty not to injure. If she had paid she
would have a claim for breach of contract. The breach of this voluntarily
assumed duty should be actionable to the extent that she has suffered
loss: here the lost chance of avoiding brain damage.
Just as where economic loss is recoverable where suffered as a result of
the breach of a voluntarily assumed duty (Hedley Byrne), so should be lost
chances. "Pure" lost chances (ie lost chances which are not consequential
upon the violation of a right) should not be actionable, but this was not
such a case.
I think the US cases allowing for recovery of lost chances in medical
negligence cases are to be preferred, and that the recovery for lost
chances for breach of voluntarily assumed duties which is found elsewhere
(eg contract, solicitors, Spring v Guardian Assurance) should in principle
be generalised.
[As an aside Gregg v Scott was not a lost chance case as the court seems
to think. The plaintiff suffered an increased risk of an adverse outcome.
He hadn't suffered that outcome (death) at the time of trial or appeal. An
increased risk of something occurring in the future is not the same as the
lost chance of avoiding an outcome which has happened.)
Robert
> Dear Colleagues;
> An important decision of the NSW Court of Appeal rules against recovery
> for loss of a chance in medical cases. On behalf of Harold Luntz:
>
> In Gett v Tabet [2009] NSWCA 76 (9 April 2009) the court, in a joint
> judgment, has rejected the doctrine of loss of chance of a better outcome
> in medical negligence cases. It refused to follow Rufo v Hosking [2004]
> NSWCA 391; (2004) 61 NSWLR 678 (CA) and Gavalas v Singh [2001] VSCA 23;
> (2001) 3 VR 404 (CA). One must have sympathy for the trial judge, Studdert
> J, who had rejected the doctrine in Rufo at first instance, but been told
> on appeal that he was wrong. In the present case, he had held himself
> bound by Rufo (see Tabet v Mansour [2007] NSWSC 36 (9 February 2007)), but
> has again been reversed (though the CA does say he was indeed bound by
> Rufo). Even more sympathy must go to the unfortunate plaintiff, a child
> with extensive brain damage.
>
> NF: The decision is online at
> http://www.lawlink.nsw.gov.au/scjudgments/2009nswca.nsf/09da2a0a2a27441dca2570e6001e144d/
> b8cf9111de9ba837ca2575900008a8ca?OpenDocument . (Sorry about the length of
> the link- the decision is not on Austlii yet and given the Easter long
> weekend here may not be for a few days.) Those who have followed this
> on-off debate for a few years will be able to guess that I personally
> think the decision is perfectly correct as a matter of law, though I take
> Harold's point that it leaves the young plaintiff in a very bad way. Among
> the legal issues there is an interesting discussion on the circumstances
> in which an intermediate appellate court should depart from one of its own
> prior decisions.
>
> Regards
> Neil Foster
>
> Neil Foster
> Senior Lecturer & LLB Program Convenor
> School of Law
> Faculty of Business & Law
> University of Newcastle
> Callaghan NSW 2308
> AUSTRALIA
> ph 02 4921 7430
> fax 02 4921 6931
>
--
Robert Stevens
Professor of Commercial Law
University College London