seaman forfeited right to further payments of maintenance and cure because he failed to complete the “physical therapy regimen” his doctor prescribed
How later courts described this case
- seaman forfeited right to further payments of maintenance and cure because he failed to complete the “physical therapy regimen” his doctor prescribed
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF LOUISIANA
IRA BOATNER CIVIL ACTION
v. NO. 18-10043
C&G WELDING, INC., ET AL. SECTION “F”
ORDER AND REASONS
Before the Court is the motion of C&G Welding and Shore
Offshore for partial summary judgment dismissing Ira Boatner’s
claim for maintenance and cure. For the reasons that follow, the
motion is GRANTED.
Background
This is a Jones Act case that arises from a shoulder injury
a rigger suffered while lifting a bundle of cable slings aboard a
barge. The motion before the Court raises one question: Has the
rigger forfeited his right to maintenance and cure by skipping
over 75% of the physical therapy sessions his doctor deemed
“absolutely critical” to his recovery? He has.
Ira Boatner worked as a rigger for C&G Welding aboard a
derrick barge owned by Shore Offshore. He tore his left rotator
cuff while lifting a bundle of cable slings. C&G Welding promptly
paid him maintenance and cure.
Four months after his injury, Boatner visited a surgeon, Dr.
Felix Savoie. Dr. Savoie recommended that Boatner undergo
arthroscopic surgery. He noted that Boatner would “require 6 months
of physical therapy to return to his heavy-duty occupation” after
the surgery. It was “absolutely critical,” he added, that “therapy
once started some 6-8 weeks post-surgery not be interrupted.”
Two months after that visit, Dr. Savoie performed
arthroscopic surgery on Boatner’s left shoulder. It succeeded. To
ensure the shoulder kept improving, Dr. Savoie ordered Boatner to
complete eighteen sessions of physical therapy. Boatner did not
comply: He attended just six sessions, citing “transportation”
issues. He says he relied on a friend for transportation because
he wrecked his car; when his friend moved, he lost his ride to
therapy. He did not tell anyone at C&G Welding about his
transportation troubles.
Ten months after his surgery, Boatner saw Dr. Savoie for a
follow-up. Dr. Savoie said Boatner’s shoulder was “not quite as
good as I had hoped because therapy was discontinued.” By then,
Dr. Savoie “thought [he] would be releasing” Boatner to return to
work. Instead, Boatner’s shoulder health was deteriorating. To
prevent further deterioration, Dr. Savoie again ordered Boatner to
attend physical therapy. But Boatner——again——failed to attend. He
skipped sixteen of the eighteen sessions prescribed this second
round. In total, he has missed twenty-eight of thirty-six physical
therapy sessions——over 75% of them
Boatner sued C&G Welding and Shore Offshore under the Jones
Act and general maritime law. He says his shoulder injury was
caused by the negligence of the defendants and the unseaworthiness
of the barge. He asks for punitive and compensatory damages,
attorneys’ fees, and payments of maintenance and cure.
Now, C&G Welding and Shore Offshore move for partial summary
judgment dismissing Boatner’s claim for maintenance and cure.
I.
Summary judgment is proper if the record discloses no genuine
dispute as to any material fact and the movant is entitled to
judgment as a matter of law. FED. R. CIV. P. 56(a). A dispute is
genuine if “the evidence is such that a reasonable jury could
return a verdict for the non-moving party.” Anderson v. Liberty
Lobby, 477 U.S. 242, 248 (1986). A fact is material if it “might
affect the outcome of the suit.” Id. at 248.
If the non-movant will bear the burden of proof at trial, the
movant “may merely point to an absence of evidence, thus shifting
to the non-movant the burden of demonstrating by competent summary
judgment proof that there is an issue of material fact warranting
trial.” In re La. Crawfish Producers, 852 F.3d 456, 462 (5th Cir.
2017) (citation omitted).
The mere argued existence of a factual dispute does not defeat
an otherwise properly supported motion. See Anderson, 477 U.S. at
248. Nor do “[u]nsubstantiated assertions, improbable inferences,
and unsupported speculation[.]” Brown v. City of Houston, Tex.,
337 F.3d 539, 541 (5th Cir. 2003). Ultimately, to avoid summary
judgment, the non-movant “must go beyond the pleadings and come
forward with specific facts indicating a genuine issue for trial.”
LeMaire v. La. Dep’t of Transp. & Dev., 480 F.3d 383, 387 (5th
Cir. 2007).
In deciding whether a fact issue exists, the Court views the
facts and draws all reasonable inferences in the light most
favorable to the non-movant. See Midwest Feeders, Inc. v. Bank of
Franklin, 886 F.3d 507, 513 (5th Cir. 2018). And the Court
“resolve[s] factual controversies in favor of the nonmoving
party,” but “only where there is an actual controversy, that is,
when both parties have submitted evidence of contradictory facts.”
Antoine v. First Student, Inc., 713 F.3d 824, 830 (5th Cir. 2013)
(citation omitted).
II.
C&G Welding and Shore Offshore move for summary judgment
dismissing Boatner’s claim for maintenance and cure. Their motion
turns on the question whether Boatner has forfeited his right to
maintenance and cure by “willfully rejecting” or “unreasonably
refusing” medical care.
A.
A Jones Act employer owes an “absolute, non-delegable duty”
to pay maintenance and cure to a seaman who “becomes ill or suffers
an injury while in service of the vessel.” In re 4-K Marine,
L.L.C., 914 F.3d 934, 937 (5th Cir. 2019). “Maintenance” is “a per
diem living allowance for food and lodging.” Id. at 937. “Cure” is
“payment for medical, therapeutic, and hospital expenses.” Id.
A seaman forfeits his right to maintenance and cure in “well-
defined and narrowly limited circumstances.” Oswalt v. Williamson
Towing Co., 488 F.2d 51, 53 (5th Cir. 1974). Two circumstances are
relevant here.
The first is when the seaman “unreasonabl[y] refus[es] to
accept medical care.” Id. at 53 (citing Brown v. Aggie & Millie,
Inc., 485 F.2d 1293 (5th Cir. 1973)). When the seaman “voluntarily
stops short” of maximum medical improvement by “refusing medical
attention,” the “justification for the payments likewise ceases.”
Oswalt, 488 F.2d at 54 (citing Brown, 485 F.2d at 1293).
The second is when the seaman “willful[ly] reject[s]” the
“recommended medical aid.” Coulter v. Ingram Pipeline, Inc., 511
F.2d 735, 737 (5th Cir. 1975). This rule, though, is “not
inexorably applied.” Id. at 737. For example, a seaman does not
forfeit his right to maintenance and cure if he has “reasonable
grounds for refusing care.” Id. Nor will forfeiture follow if
“extenuating circumstances” make his “failure to follow the
prescribed regimen either reasonable or something less than a
willful rejection.” Id. at 737-38.
B.
Invoking these authorities, C&G Welding and Shore Offshore
contend that Boatner forfeited his right to maintenance and cure
by failing to attend over 75% of the physical therapy sessions his
surgeon ordered.
The Court agrees. Boatner knew that physical therapy was
“absolutely critical” to his recovery yet skipped twenty-eight of
thirty-six sessions. He claims his lack of “transportation”
prevented him from attending, but the excuse is an unreasonable
one. He revealed that transportation was a problem only when
deposed; by then, he had missed twelve sessions. And he is still
skipping sessions. As recently as July 9, 2020, while this motion
was pending, Boatner no-showed for a session. His repeated failure
to attend physical therapy amounts to an “unreasonable refusal to
accept medical care.” Oswalt, 488 F.2d at 53. He has, in effect,
“quit participation in a course of therapy already begun,” id. at
53-54, and his truancy has harmed his shoulder health. Had he
attended physical therapy, his doctor says, he would have recovered
by October 2019. It is now July 2020.
Boatner does not dispute that he missed twenty-eight of
thirty-six physical therapy sessions. Instead, he says that
“extenuating circumstances” excuse his absenteeism. He is
mistaken. To excuse the skipped sessions, the “extenuating
circumstances” must make his “failure to follow the prescribed
regimen reasonable or something less than a willful rejection.”
Coulter, 511 F.2d at 738. As noted, his “transportation” troubles
do not render reasonable his failure to attend over 75% of the
physical therapy sessions his surgeon ordered. Boatner offers no
reasonable explanation for his failure to attend twenty-eight
sessions; that is because there is but one reasonable explanation,
and it is unfavorable to him: He deliberately failed to attend
the sessions——that is, he “willful[ly] reject[ed]” them. Coulter,
511 F.2d at 738; see also “Willful,” AMERICAN HERITAGE DICTIONARY OF THE
ENGLISH LANGUAGE at 1982 (5th ed. 2016) (“Said or done on purpose;
deliberate”).1
1 A Justice of the United States Supreme Court and a leading
lexicographer have said that the American Heritage Dictionary of
the English Language is among “the most useful and authoritative
Boatner’s second argument is as flawed as his first.
Abandoning “extenuating circumstances,” he says summary judgment
is improper because no evidence shows that the sessions he missed
were “significant enough.” He is again mistaken. His surgeon, Dr.
Savoie, said “lack of therapy” is the reason Boatner has not
returned to work. According to Dr. Savoie, Boatner would have
recovered by October 2019——over eight months ago——if Boatner had
completed the scheduled sessions. The skipped sessions carry clear
significance, and Boatner’s contention to the contrary lacks
merit.2
In skipping session after session, Boatner “voluntarily
stop[ped] short” of maximum medical recovery. Oswalt, 488 F.2d at
54. Paying him maintenance and cure is no longer justified. See
id. Because the justification for the payments no longer exists,
the “interests and principles protected by the rule of forfeiture
would be served . . . by its application” here. Coulter, 511 F.2d
at 739. The Court thus holds that Boatner has forfeited his right
to receive further payments of maintenance and cure. See, e.g.,
for the English language” for the period of 2001 to the
present. See Antonin Scalia & Bryan A. Garner, A Note on the Use
of Dictionaries, 16 Green Bag 2d 419, 423, 427-28 (2013).
2 Boatner says he missed some sessions “due to other issues
including the physical therapy facility cancelling the remaining
visits and requiring Mr. Boatner to get a new order.” He cites no
record evidence to support the assertion.
Atl. Sounding Co. v. Vickers, 782 F. Supp. 2d 280, 286 (S.D. Miss.
2011) (seaman forfeited right to further payments of maintenance
and cure because he failed to complete the “physical therapy
regimen” his doctor prescribed), aff’d, 454 F. App’x 343 (5th Cir.
2011).
IIl.
Boatner forfeited his right to maintenance and cure by failing
to attend twenty-eight of the thirty-six physical therapy sessions
his surgeon ordered. Accordingly, IT IS ORDERED: that C&G Welding
and Shore Offshore’s motion for partial summary judgment is
GRANTED. Boatner’s claim for maintenance and cure is DISMISSED
with prejudice. No further payments need be made.
New Orleans, Louisiana, July 30, 2020
MARTIN[J|L. C. (FELDMAN
UNITED STAWES DISTRICT JUDGE