Lawrence v. Ingham County Health Department Family Planning/Pre-Natal Clinic

Sawyer, J.

(dissenting). I dissent.

Defendant health clinic made a promise to Ethel Lawrence that if she would come to the clinic and promise thereafter to follow its staff’s directions, it would provide her and her unborn child with appropriate prenatal care. Despite these promises, which defendants must admit as true for purposes of the summary disposition motion, the majority concludes that Ethel’s promise to follow the clinic’s directions had no value to the clinic and, therefore, "is not a legally enforceable promise.”

It is not the office of the courts to scrutinize the adequacy of consideration. Harwood v Randolph Harwood, Inc, 124 Mich App 137, 142 ; 333 NW2d 609 (1983). In fact, even the majority concedes in its final paragraph that "the adequacy of the consideration . . . [is] a question for the factfinder ...” How, then, can the majority now say that Ethel’s promise is lacking in value? As I will explain more fully below, I am unable to sign my name to an opinion which on the one hand states that it will let the factfinder worry about the adequacy of consideration and, then, on the other hand holds that plaintiff Ethel Lawrence’s consideration "is so clearly unenforceable as a matter of law.”

I am unable to join the majority’s opinion for *427 one simple reason: it effectively ignores the fact that this matter comes before this Court by way of an appeal from a grant of summary disposition for failure to state a claim, MCR 2.116(C)(8), rather than from a jury verdict in favor of defendants or even from the grant of summary disposition under MCR 2.116(C)(10) (no genuine issue of material fact). While I am skeptical that plaintiffs will be able to prevail at trial, I am unwilling to deny them their day in court.

Summary disposition under MCR 2.116(C)(8) tests the legal basis of the complaint, not whether it can be factually supported, and is proper only when the claim is so clearly unenforceable as a matter of law that no factual development can possibly justify a right to recover. Bradford v Michigan, 153 Mich App 756, 761 ; 396 NW2d 522 (1986).

Regarding Count n of the complaint, plaintiffs allege that there was an implied contract which defendant health clinic breached. 1 The trial court *428 concluded that there could be no contract as there was no consideration on plaintiffs’ behalf:

Looking at the complaint in the light most favorable to the Plaintiff even if Plaintiff were able to sustain her proofs that she had not gotten an abortion and she had followed the directives [of the Health Department’s physicians] when she was not obligated by law to do so, the Court does not believe that under any stretch of the imagination could that be considered as adequate or any form of consideration. I think to take that as consideration would expand the definition of the contract beyond all recognition.

The majority seems to follow this view, with which I disagree.

The concept of consideration was discussed in Calamari and Perillo, Contracts (2d ed), § 4 — 1, pp 133-134:

Since the doctrine of consideration is an historical phenomenon and therefore in some of its aspects affected by fortuitous circumstances, an encompassing definition is perhaps impossible. Nonetheless, an attempt should be made. A learned *429 judge [Cardozo, C.J., in Allegheny College v Nat’l Chautauqua Co Bank, 246 NY 369 ; 159 NE 173 (1927)] has identified the three elements which must concur before a promise is supported by consideration.

(a) The promisee must suffer legal detriment; that is, do or promise to do what he is not legally obligated to do; or refrain from doing or promise to refrain from doing what he is legally privileged to do.

(b) The detriment must induce the promise. In other words the promisor must have made the promise because he wished to exchange it at least in part for the detriment to be suffered by the promisee.

(c) The promise must induce the detriment. This means in effect, as we have already seen, that the promisee must know of the offer and intend to accept. [Footnotes omitted.]

In this case, plaintiffs argue that the consideration given by Ethel Lawrence was her agreement not to have an abortion and her agreement to follow the directions of the attending physicians. 2 Either of these agreements, if in fact they were made, would constitute a form of consideration. Her agreement not to have an abortion constitutes an agreement to refrain from doing that which she was legally privileged to do. 3 Her agreement to follow the advice of the physicians constitutes an agreement to do that which she was not legally *430 obligated to do. Assuming that a factual development is made to show that Ms. Lawrence’s agreements were made to induce defendant health clinic’s agreement to provide services and, conversely, that defendant health clinic required Ms. Lawrence to make those agreements in order to receive the health services, then a contract would exist between the parties.

The flaw in the majority’s reasoning is evident from the following statement:

Plaintiff Ethel Lawrence’s agreement to follow the advice of the clinic’s medical staff regarding prenatal health care is not a legally enforceable promise.

The majority, however, offers no authority for this conclusion. I am aware of no rule of law, be it statutory, regulatory or common law, which would operate to prevent a person from contractually obligating himself to following the advice of a physician. Since a person is free to do so, upon contractually binding oneself to following a physician’s advice, that person exposes himself to a breach of contract action for a subsequent failure to follow the advice. The majority apparently confuses the unusualness of plaintiffs’ theory in application with its viability in the abstract. That is, while I would be surprised to learn that it is common practice for patients to contractually agree to be bound by their physicians’ advice, I do not believe such contracts are unenforceable as a matter of law. 4 _

*431 The same principle applies to plaintiffs’ argument concerning the agreement not to have an abortion. While I am aware of no institution which demands such a promise, I can easily imagine that a private health clinic, run by a charitable or religious organization, might well offer free prenatal care as an inducement to prevent women from having an abortion.* * 5 While such an arrangement would undoubtedly prove difficult for a court to attempt to enforce or to provide a remedy for a breach of such an arrangement, I am unwilling to conclude at this time that such agreements are legally unenforceable.

Once the conclusion is reached that a person may legally bind himself to follow a physician’s advice, or to forego an action he is legally privileged to take, it becomes a factual question whether he has made such an agreement. It is improper to resolve that factual question in the context of a motion brought pursuant to MCR 2.116(C)(8) or in an appeal from an order granted under that subrule.

The majority’s and the trial court’s alternative conclusion, that the consideration, if any, was inadequate is more easily disposed of. It is not ordinarily the role of the courts to question the adequacy of the consideration supporting the contract. Any consideration, no matter how economically insignificant, is sufficient to support a contract. See Harwood, supra at 142 . 6

To summarize, I would hold that a person may contractually obligate himself to follow the directions of a physician, or to forego an action he is *432 legally privileged to perform. Where such an obligation is given in exchange for the promise of another to perform services, that obligation serves as consideration and a contract is established.

I would stress, however, the fact that this case comes to us by way of a motion for summary disposition for failure to state a claim. 7 I express no opinion as to whether plaintiffs will be able to prove at trial, or even be able to survive a motion for summary disposition for no genuine issue of material fact, 8 that Ms. Lawrence made her agreements in exchange for defendant health department’s agreement to provide the health services. If the agreement of one did not induce the agreement of the other, then there is no contract. Similarly, we have not been called upon to consider whether defendant health department has provided consideration. Its only agreement appears to have been to provide health services. If, for example, it was under a preexisting legal duty to provide Ms. Lawrence with the health services, then its agreement to do so cannot constitute consideration. Lowery v Dep’t of Corrections, 146 Mich App 342, 359 ; 380 NW2d 99 (1985).

While I recognize that plaintiffs’ claim is, at best, novel and, at worst, tenuous, I do not believe that should provide the basis for summarily dismissing the complaint. Plaintiffs’ theory is novel and, I suspect, it will prove difficult for them to establish the existence of the alleged promises and that the promise of each party induced the promise of the other. That is, I am not at all convinced that defendant health department required Ethel Lawrence to make the promises she allegedly did in order to receive medical attention. However, the *433 point which seems to elude the majority and the trial court is that plaintiffs have not yet been called upon to convince anyone, be it this Court, the trial court, or a jury, that their claim can be borne out by the facts. To date, plaintiffs have only been called upon to state a claim. In my opinion, they have done so.

Judge Kelly once opined that "[a]s in most trials, somebody wins and somebody loses.” 9 However, the majority today would have plaintiffs lose before they have even had their day in court. To me, that is unconscionable.

I would reverse. 10

While plaintiffs allege that there was an implied in law contract, my review of plaintiffs’ allegations leads me to believe that any contract was an express contract, with part or all of the terms implied in fact. Plaintiffs’ third amended complaint alleges that defendant health clinic offered to provide medical services and plaintiff Ethel Lawrence accepted the "offer by agreeing to follow the directions of the Defendant Clinic’s physicians.” A contract implied in law

is not a contract at all but an obligation imposed by law to do justice even though it is clear that no promise was ever made or intended. To illustrate, if a physician gives a child necessary medical care in the face of parental neglect, the physician may recover from the parents, in quasi contract, the value of his services. . . . The principal function of quasi contract is generally said to be that of prevention of unjust enrichment. [Calamari and Perillo, Contracts (2d ed), § 1 — 12, pp 19-20 (Footnotes omitted.)]

The concept of an implied in fact contract differs:

When the parties manifest their agreement by words the *428 contract is said to be express. When it is manifested by conduct it is said to be implied in fact. If a telephones a plumber to come to a’s house to fix a broken pipe, it may be inferred that a has agreed to pay the plumber a reasonable fee for his services although nothing is said of this. The contract is partly express and partly implied in fact. There are cases of contracts wholly implied in fact. The distinction between this kind of contract and a contract expressed in words is unimportant: both are true contracts formed by a mutual manifestation of assent. [Id., at 19.]

Inasmuch as plaintiffs allege that there was mutual agreement, I would view this as an express, rather than implied, contract. However, whether this is viewed as an express or implied contract is unnecessary to the resolution of this case. Rather, the question is whether plaintiffs allege the existence of consideration, which is a requirement for both express and implied contracts. Lowery v Dep’t of Corrections, 146 Mich App 342, 359 ; 380 NW2d 99 (1985).

I recognize that, as pointed out by the majority, plaintiffs did not allege in their complaint that Ethel Lawrence agreed to refrain from undergoing an abortion as part of her agreement. However, plaintiffs did so argue in the trial court. Since plaintiffs could easily have added such an allegation to their complaint by way of amendment, and since amendments to complaints should be freely given, MCR 2.118(A)(2), Ben P Fyke & Sons v Gunter Co, 390 Mich 649 ; 213 NW2d 134 (1973), I believe we can properly consider that argument as part of plaintiffs’ claim of consideration. However, I would reach the same result if I considered only plaintiffs’ claim of consideration arising from the agreement to follow the physicians’ advice,

See Roe v Wade, 410 US 113 ; 93 S Ct 705 ; 35 L Ed 2d 147 (1973).

In fact, I can imagine situations in which a physician would wish to contractually bind his patient to take certain actions. For example, a physician may offer services for free or at a reduced fee in order to develop a new technique wherein the patient’s obediance is essential to the physician’s perfection and evaluation of the technique. While admittedly an uncommon occurrence, it does point to the flaw in the majority’s broad-sweeping principle.

The question of a governmental agency demanding such a promise from a woman in exchange for services opens a Pandora’s box which, fortunately, we have not yet been called upon to open.

However, the adequacy of consideration may be relevant in certain instances, such as to determine the existence of fraud. Harwood, supra at 142 .

MCR 2.116(C)(8).

MCR 2.116(0(10).

Kovacs v Chesapeake & OR Co, 134 Mich App 514, 542 ; 351 NW2d 581 (1984) (emphasis added).

However, I do agree with the majority that summary disposition on Count in of the complaint was appropriate in light of plaintiffs’ admission in the trial court that Count m did not state a claim against defendant health department.