Source: https://www.themundyfirm.com/blog/2013/03/17/military-personal-injury-law-123240
Timestamp: 2019-04-23 09:07:09+00:00

Document:
Seeking compensation from the United States, Levin sued under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§1346(b), 2671–2680, which waives the Government's sovereign immunity from tort suits, but excepts from the waiver certain intentional torts, including battery, §2680(h). Levin relied on the Gonzalez Act, 10 U. S. C. §1089, which makes the remedy against the United States under the FTCA preclusive of any suit against armed forces medical personnel, §1089(a). In the provision at issue in this case, §1089(e), the Gonzalez Act declares that, "[f]or purposes of " the Act, the intentional tort exception to the FTCA "shall not apply to any cause of action arising out of a negligent or wrongful act or omission in the performance of medical . . . functions."
The Government reads §1089(e) simply to shore up §1089(a)'s immunization of medical personnel against tort liability. Levin, in contrast, reads §1089(e) to establish his right to bring a claim of medical battery against the United States under the FTCA without encountering the intentional tort exception. The U. S. District Court for the District of Guam, affirmed by the Ninth Circuit, dismissed Levin's battery claim based on the reading of the Gonzalez Act proffered by the Government. We find the Government's reading strained, and Levin's, far more compatible with the text and purpose of the federal legislation. We therefore reverse the Ninth Circuit's judgment.
Originally, the FTCA afforded tort victims a remedy against the United States, but did not preclude lawsuits against individual tortfeasors. See Henderson v.Bluemink, 511 F. 2d 399, 404 (CADC 1974). Judgment against the United States in an FTCA action would bar a subsequent action against the federal employee whose conduct gave rise to the claim, 28 U. S. C. §2676, but plaintiffs were not obliged to proceed exclusively against the Government. They could sue as sole or joint defendants federal employees alleged to have acted tortiously in the course of performing their official duties.
A subsection of the Gonzalez Act key to the issue before us, §1089(e), refers to the FTCA's intentional tort exception. It provides: "For purposes of this section, the provisions of section 2680(h) of title 28 shall not apply to any cause of action arising out of a negligent or wrongful act or omission in the performance of medical, dental, or related health care functions." Section 1089(e) was patterned on a provision in a statute, enacted six years earlier, that conferred immunity on medical personnel of the Public Health Service. See 84 Stat. 1870, 42 U. S. C. §233(e) (1976 ed.) ("For purposes of this section, the provisions of [§2680(h)] shall not apply to assault or battery arising out of negligence in the performance of medical . . functions."). Targeted immunity statutes enacted around the same time as the Gonzalez Act similarly shielded medical personnel employed by specific agencies. See supra, at 3, n. 2. Each such measure contained a provision resembling §1089(e). See 22 U. S. C. §2702(e) ("For purposes of this section, the provisions of [§2680(h)], shall not apply to any tort enumerated therein arising out of negligence in the furnishing of medical care or related services."); 38 U. S. C. §7316(f) ("The exception provided in [§2680(h)] shall not apply to any claim arising out of a negligent or wrongful act or omission of any person described in subsection (a) in furnishing medical care or treatment . . while in the exercise of such person's duties in or for the Administration."); 51 U. S. C. §20137(e) ("For purposes of this section, the provisions of [§2680(h)] shall not apply to any cause of action arising out of a negligent or wrong- ful act or omission in the performance of medical . . . functions.").
In 1988, departing from the above-described agency-specific approach, Congress enacted comprehensive legislation titled the Federal Employees Liability Reform and Tort Compensation Act (Liability Reform Act), 102 Stat. 4563, and often called the Westfall Act. This embracive measure makes the remedy against the United States under the FTCA exclusive for torts committed by federal employees acting within the scope of their employment, 28 U. S. C. §2679(b)(1). Shielding all federal employees from personal liability without regard to agency affiliation or line of work, the personal immunity provision of the Liability Reform Act tracks the text of §1089(a). The comprehensive enactment, however, did not repeal the Gonzalez Act, Smith, 499 U. S., at 172, or, presumably, any of the other laws covering medical personnel employed at particular agencies. Unlike the Gonzalez Act and kindred statutes, the Liability Reform Act does not reference, as §1089(e) does, the FTCA's intentional tort exception, 28 U. S. C. §2680(h).
The petitioner, Steven Alan Levin, a veteran, was diagnosed with a cataract in his right eye. He sought treatment at the United States Naval Hospital in Guam and was evaluated by Lieutenant Commander Frank Bishop, M. D., an ophthalmologist serving in the U. S. Navy. Dr. Bishop recommended that Levin undergo "phacoemulsification with intraocular lens placement," a surgical procedure involving extraction of the cataract and insertion of an artificial replacement lens. Levin signed forms consenting to the operation, which took place on March 12, 2003. Shortly before the surgery began, Levin alleges, he orally withdrew his consent twice, but Dr. Bishop conducted the operation nevertheless. Due to complications occurring while the surgery was underway, Levin developed corneal edema, a condition that left him with diminished eyesight, discomfort, problems with glare and depth-of-field vision, and in need of ongoing medical treatment.
Levin sought compensation for the untoward results of the surgery. After exhausting administrative remedies, he commenced a civil action in the U. S. District Court for the District of Guam. Naming the United States and Dr. Bishop as defendants, Levin asserted claims of battery, based on his alleged withdrawal of consent to the surgery, and negligence, based on alleged flaws in Dr. Bishop's performance of the operation. Accepting the Government's representation that Dr. Bishop was acting within the scope of his employment while performing the surgery, the District Court granted the Government's motion to release Dr. Bishop and substitute the United States as sole defendant. When Levin failed to produce expert testimony in support of his negligence allegations, the court granted the Government's motion for summary judgment on that claim.
Next, the Government moved to dismiss the battery claim. The District Court no longer had jurisdiction over Levin's case, the Government argued, because the FTCA's intentional tort exception, §2680(h), disallows suits against the United States for battery. Levin countered that the Gonzalez Act, in particular, §1089(e), renders the intentional tort exception inapplicable when a plaintiff alleges medical battery by an armed forces physician. The District Court rejected Levin's plea and granted the Government's motion to dismiss for lack of subject-matter jurisdiction. App. to Pet. for Cert. 14a–41a.
We note at the outset that medical malpractice claims may be based on negligence, in which case the FTCA's waiver of the Government's sovereign immunity is not in doubt. See 28 U. S. C. §1346(b)(1); supra, at 2. Or they may be based on alleged lack of consent, therefore qualifying as batteries. Whether the Government's immunity is waived for such claims depends on the meaning of 10 U. S. C. §1089(e). See supra, at 4.
In determining the meaning of a statute, "we look first to its language, giving the words used their ordinary meaning." Moskal v. United States, 498 U. S. 103, 108 (1990) (citation and internal quotation marks omitted). The provision of the Gonzalez Act at issue, §1089(e), has two components: an introductory clause and an operative clause. The introductory clause prefaces §1089(e) with "[f]or purposes of this section." The operative clause instructs that 28 U. S. C. §2680(h), the FTCA's intentional tort exception, "shall not apply to any cause of action arising out of . . . negligent or wrongful" conduct taken "in the performance of medical, dental or related health care functions." §1089(e).
We set out below the parties' dueling constructions of §1089(e). Levin reads §1089(e) to negate §2680(h) for battery claims involving medical personnel of the armed forces and other specified agencies. He trains first on the operative clause of §1089(e), which contains this directive: The intentional tort exception to the FTCA "shall not apply" to claims alleging medical malpractice. But, he points out, if left unqualified, the operative clause would expose the United States to liability for medical malpractice committed by federal employees across all agencies. The introductory clause, Levin maintains, supplies the qualification: It confines the operative clause to claims covered by "this section," i.e., claims alleging malpractice by personnel in the armed forces and the other agencies specified in the Gonzalez Act. Because Levin's claim concerning Dr. Bishop's alleged battery fits that category, Levin concludes, he may sue to recover from the United States.
The Government, in contrast, reads §1089(e)'s introductory clause as instructing courts to pretend, "[f]or purposes of " the Gonzalez Act, that §2680(h) does not secure the Government against liability for intentional torts, including battery, even though §2680(h) does provide that shelter. Congress included this counterfactual instruction in the Gonzalez Act, the Government successfully argued in the Ninth Circuit, "to guard against the negative inference that, if no remedy against the United States were available for a medical battery claim, a remedy against an individual defendant must exist." Brief for United States 8. Warding off this mistaken inference, the Government asserts, §1089(e) eliminates any doubt that the military medical personnel covered by §1089(a) are personally immune from malpractice liability. Ensuring that immunity, the Government reminds us, was the very purpose of the Gonzalez Act.
The Government invites us to read the phrase "section 2680(h) . . . shall not apply," to convey "§2680(h) does apply," a reading most unnatural. Had Congress wanted to guard against any inference that individual employees may be liable, despite §1089(a)'s statement that the remedy against the United States is exclusive, see supra, at 4, n. 3, Congress might have stated, "subsection (a) applies even when §2680(h) precludes recovery against the United States under the FTCA." Or, Congress might have provided that §2680(h) shall be "deemed" or "considered" inapplicable, a formulation commonly employed to direct courts to make counterfactual assumptions. See, e.g., 7 U. S. C. §7283(b) ("For purposes of this section, raw cane sugar, refined beet sugar, and in-process sugar eligible for a loan . . . shall not be considered an agricultural commodity."); 15 U. S. C. §78o–11(e)(3)(B) (2006 ed., Supp. V) ("For purposes of this subsection, the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, and the Federal home loan banks shall not be considered an agency of the United States."); 42 U. S. C. §416(b) ("For purposes of subparagraph (C) of section 402(b)(1) of this title, a divorced wife shall be deemed not to be married throughout the month in which she becomes divorced.").
We note, furthermore, that in 10 U. S. C. §1089(c), a subsection of the Gonzalez Act adjacent to §1089(e), Congress used the counterfactual formulation absent in §1089(e). Section 1089(c) provides that certain actions brought against military employees acting within the scope of their employment "shall be . . emed a tort action brought against the United States under the provisions of title 28." SeeBarnhart v. Sigmon Coal Co., 534 U. S. 438, 452 (2002) ("[W]hen Congress includes particular language in one section of a statute but omits it in another section of the same Act, it is generally presumed that Congress acts intentionally and purposely in the disparate inclusion or exclusion." (internal quotation marks omitted)).
Were we to accept the Government's interpretation of §1089(e), the Liability Reform Act would displace much of the Gonzalez Act. To explain why this is so, we describe the situation before the Court in United States v. Smith, 499 U. S. 160.Smith presented the question whether persons injured abroad due to a military doctor's negligence may seek compensation in a U. S. court from the doctor who caused the injury. Because the FTCA excludes from the Government's waiver of immunity "[a]ny claim arising in a foreign country," 28 U. S. C. §2680(k), the plaintiffs in Smith had no remedy against the United States. They also lacked recourse to a suit in this country against the doctor, the Government urged, for the Liability Reform Act made "[t]he remedy against the United States" under the FTCA "exclusive of any other civil action." §2679(b)(1). Were that the case, the plaintiffs responded, the Liability Reform Act would effectively repeal the Gonzalez Act. See Brief for Respondents in Smith, O. T. 1990, No. 89–1646, pp. 33–46. In particular, they observed, 10 U. S. C. §1089(f)(1) authorizes the head of an agency to indemnify military doctors "assigned to a foreign country" whose negligent conduct injures a patient. But the indemnification provision would have no work to do, the plaintiffs argued, if the Liability Reform Act foreclosed suit against the doctor.
Not so, the Government responded. The Gonzalez Act would continue to serve two important functions. First, §1089(f)(1) would authorize indemnification of individual military doctors sued abroad where foreign law, rather than the FTCA, might govern. Brief for United States in Smith 34 (citing Powers v. Schultz, 821 F. 2d 295, 297–298 (CA5 1987)). Second, the Gonzalez Act would allow an FTCA suit against the United States if the doctor's malpractice ranked as "intentional," i.e., if he performed a procedure to which the plaintiff did not consent. See Brief for United States in Smith 32–34; Reply Brief in Smith 12 ("[T]he provision of the Gonzalez Act waiving sovereign immunity as to medical malpractice claims sounding in intentional tort, 10 U. S. C. §1089(e), will enable plaintiffs to pursue those claims against the United States."). Thus, the Government told this Court, "in view of the continued need for the provisions of the Gonzalez Act even after the enactment of the [Liability] Reform Act, leaving that statute on the books was an entirely sensible drafting decision." Id., at 13.
Adopting the Government's construction of the Liability Reform Act, we held inSmith that §2679(b)(1) grants all federal employees, including medical personnel, immunity for acts within the scope of their employment, even when an FTCA exception (such as §2680(k)) left the plaintiff without a remedy against the United States. 499 U. S., at 166. Our decision in Smith was thus informed by the Government's position that the Gonzalez Act would remain " 'an operative part of the integrated statutory scheme.' " Reply Brief in Smith 12 (quoting United Statesv. Fausto, 484 U. S. 439, 453 (1988)).
The Government now disavows the reading of §1089(e) it advanced in Smith. See Brief for United States 24, n. 8. Under its current reading, the Liability Reform Act does indeed override the Gonzalez Act save in two slim applications: If a military doctor employed by the United States is sued in a foreign court, or is detailed to a non-federal institution, indemnification of the doctor under §1089(f)(1) would remain possible. See id., at 26. Under Levin's reading of §1089(e), the Gonzalez Act does just what the Government said that legislation did in briefing Smith: It renders §2680(h) inapplicable to medical batteries committed by military personnel within the scope of their employment, thereby permitting civil actions against the United States by persons situated as Levin is.
Endeavoring to inject ambiguity into §1089(e) notwithstanding its direction that "section 2680(h) . . . shall not apply," the Government refers to 38 U. S. C. §7316, a parallel statute that confers immunity on medical personnel of the Department of Veterans Affairs (VA). As enacted in 1965, §7316's statutory predecessor had no provision akin to §1089(e). See 79 Stat. 1156, 38 U. S. C. §4116 (1970 ed.). Congress added such a provision in 1988, but it was not a carbon copy of §1089(e). In particular, the new provision did not include the words that preface §1089(e). It reads: "The exception provided in section 2680(h) of title 28 shall not apply to any claim arising out of a negligent or wrongful act or omission of any person described in subsection (a) of this section in furnishing medical care or treatment." 38 U. S. C. §7316(f). This phrasing, which refers to "any person described in [§7316(a)]"—i.e., any "health care employee of the" VA—does indeed express Congress' intent to abrogate §2680(h), the Government acknowledges. But §7316(f) does so, the Government adds, with the unmistakable clarity the Gonzalez Act lacks.

References: §2680
 §1089
 §1089
 §1089
 §1089
 §1089
 §1089
 §2676
 §1089
 §233
 §1089
 §2702
 §7316
 §20137
 §2679
 §1089
 §1089
 §2680
 §2680
 §1089
 §1346
 §1089
 v. 
 §1089
 §1089
 §2680
 §1089
 §1089
 §1089
 §2680
 §1089
 §1089
 §2680
 §2680
 §1089
 §1089
 §1089
 §2680
 §2680
 §7283
 §78
 §416
 §1089
 §1089
 §1089
 v. 
 §1089
 v. 
 §2680
 §2679
 §1089
 §1089
 v. 
 §1089
 §2679
 §2680
 §1089
 §1089
 §1089
 §2680
 §1089
 §7316
 §7316
 §1089
 §4116
 §1089
 §1089
 §7316
 §2680
 §7316