Petition — Raphaela Martinez, Etc. v. Lawrence Schrock

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Supreme Court, U. &

] FILED

SEP 20 M6

| MICHAEL RODAK, JR. CLERK

Supreme Court of the United States ——

Ocroser TerM, 1976

No.

“6-530q

RAPHAELA MARTINEZ,

Administratrix ad Prosequendum and

General Administratrix of the Estate of

Miguel Martinez, Jr., deceased,

IN THE

Petitioner,

vS.

LAWRENCE SCHROCK, M.D. and

ANKIA CHANDRASEKARAN, M.D.

Respondents.

PETITION FOR A Warr oF CERTIORARI

ro THE UnNttrep States Court or APPEALS

FOR THE Turrp Criracurt

PETITION FOR WRIT OF CERTIORARI

ROBERT F. NOVINS,

NOVINS, FARLEY, GROSSMAN,

LISTON & YORK,

Counsel for Petitioner,

202 Main Street, CN 2032

Toms River, New Jersey 08753

N.J. Appellate Printing Co., Inc., South Plainfield, New Jersey (20!) 753-0200

TABLE OF CONTENTS

Petition for Writ of Certiorari to the United States

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Gtatemment of Gio Came ........cccccccseee _ l

Reasons for Granting the Writ .................. 38

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Cases CITED:

Barr v. Matteo,

es OD wd bdo nectkoevctebas 5, 6, 7

Doe v. McMillian,

Nee oe 7

Feres v. United States,

340 US. 135 (1080) .................05. 5, 6, 7

Henderson v. Bluemink,

511 F.2d 399 (D.C. Circuit 1974) ...... 3, 5, 6

United States v. Brown,

$06 WS. 100 (0D «5.0.56 ook sok. 5, 6-7

TABLE OF CONTENTS

APPENDIX

Opinion of the Court of Appeals ......,..-..+5-05-

Letter Opinion of the United States District Court ..

Complaint and Demand for Jury .....-.-- +++ +--+:

Petition for Removal .............-.0eeeeeeeeee:

Notice of Filing Verified Petition for Removal ....

Notice of Motion to Dismiss Complaint ............

Brief in Support of Defendants Motion to Dismiss ..

Memorandum of Law of Plaintiff ................

Order Granting Motion of Defendant .........-.-

Notice of Appeal of Plaintiff ..........-..-..+5:.

SUPREME COURT OF THE UNITED STATES

Ocrospep TERM, 1976

No.

PETITION FOR WRIT OF CERTIORARI TO

THE UNITED STATES COURT OF APPEALS

Petitioner, Raphaela Martinez, Administratrix ad

Prosequendum and General Administratrix of the Estate

of Miguel Martinez, Jr., deceased, prays that a writ of

certiorari issue to review the judgment of the United

States Court of Appeals for the Third Circuit entered

June 25, 1976, affirming the judgment of the United States

District Court dismissing the within action, and that on

hearing that judgment be reversed.

OPINIONS BELOW

The opinion of the Court of Appeals, included in

Petitioners Appendix at page A-l, is now reported at

537 F.2d 765.

The letter opinion of the United States District Court

is included in Petitioner's Appendix at A-20.

JURISDICTION

The judgment of the Court of Appeals was entered

on June 25, 1976.. This Court has jurisdiction under 28

U.S.C.A. § 1254 (1).

QUESTIONS PRESENTED

1. Whether Respondents, two Army surgeons, are

immune from suit for medical malpractice allegedly com-

mitted upon Petitioner's decedent, an Army retiree en-

titled to the services of Army medical personnel.

STATEMENT OF THE CASE

This is an action for wrongful death as a result of

medical malpractice originally instituted by plaintiff,

2 Statement of the Case

Raphaela Martinez, Administratrix ad Prosequendum and

General Administratrix of the Estate of Miguel Martinez,

Jr., against defendants who were at all times relevant

herein, Army doctors, in the Superior Court of New

Jersey, Law Division, Ocean County. ( Appendix, P.

A-22). The case was removed to the United States Dis-

trict Court for the District of New Jersey on petition of

the United States Attorney (Appendix, p. A-25). There-

after, the United States Attorney moved to dismiss plain-

tiff's complaint on the ground that defendants were im-

mune from actions such as the one brought by plaintiff

(Appendix, pp. A-29, 33), which motion was granted by

the District Court (Appendix, p. A-46). Plaintiff there-

upon took an appeal to the United States Court of Appeals

for the Third Circuit (Appendix, p. A-47). The matter

was first argued before Chief Judge Seitz and Judges

Aldisert and Gibbons on June 3, 1975, and reargued

before the entire Court en banc on May 14, 1976 (Ap-

pendix, p. A-1). On June 25, 1976, the Court of Appeals,

in an opinion from which Chief Judge Seitz and Judge

Gibbons dissented, affirmed the judgment of the United

States District Court dismissing the within action (Ap-

pendix, p. A-!).

On or about January 20, 1974, plaintiff's decedent,

Miguel Martinez, a retired U.S. Army Sergeant and a

civilian employee at the Army installation at Fort Dix,

New Jersey, entered Walson Army Hospital at Fort Dix

and became a patient of defendants, Army doctors prac-

ticing medicine there. On January 21, 1974, defendants

performed a gall bladder operation on plaintiff's decedent

in a negligent and improper manner, thereby causing

plaintiff's decedent to contract an infection which defen-

dants improperly diagnosed and treated. Subsequently,

on January 23, 1974, plaintiff's decedent expired at Wal-

son Army Hospital.

REASONS FOR GRANTING THE WRIT

|

The decision of the Court of Appeals below holding

that Respondents, Army physicians, are immune from suit

for medical malpractice arising out of services rendered

by them to Petitioner's decedent, an Army retiree entitled

to such services, is in direct conflict with the Jecision of

the United States Court of Appeals for the District of

Columbia Circuit in the case of Henderson v. Bluemink,

511 F.2d 399 (D.C. Circuit 1974), a case whose facts

are virtually identical to the facts of the case sub judice.

In Henderson, the plaintiff, the dependent wife of a

member of the armed services, brought a suit against

Major George Bluemink, an Army doctor, for alleged

negligence in treating and diagnosing plaintiff's illness,

while she was an out-patient at Walter Reed Medical

Center. Defendant moved before the United States Dis-

trict Court for Summary Judgment dismissing plaintiff's

Complaint, which Motion was granted. Thereafter, the

plaintiff appealed to the United States Court of Appeals

for the District of Columbia Circuit, which reversed the

Judgment of the District Court and remanded the case

for trial, holding that an Army physician was not immune

- from civil suit for malpractice allegedly committed upon

the dependent wife of a serviceman, who was treated by

him in an Army hospital as part of his official duties. In

arriving at this conclusion that Court reasoned as follows:

“Turning to the facts of the instant case, we cannot

say that the District Court was asked to review

federal policy decisions made by appellee in the area

of health. Pather, the complaint (no less—-but cer-

tainly no more—than one sounding in malpractice )

charged that appellee, albeit a government officer, was

4 Reasons for Granting the Writ

negligent in the practice of medicine. Since appellee

is neither a judge nor an executive officer, and is

therefore clothed at “est with a limited form of im-

munity, we reject the conclusion of the District

Court that appellee’s employment by the Army as

a medical officer confers absolute immunity for his

allegedly tortious conduct. That court's perception

of appellee’s governmental employment as the dis-

positive factor in the litigation is to us merely the

point of departure. To be sure, the acts complained

of involved the exercise of discretion in the normal

usage of that term but the significant factor is that

the discretion exercised might have been medical

rather than governmental. The chief policy under-

lying the creation of insmunity for lower govern-

mental officials is mainly that which stems from the

desire to discourage ‘the fearless, vigorous, and ef-

fective administration of policies of government.’

However, that policy is not applicable to the exer-

cise of normal medical discretion since doctors making

such judgments would ‘face the same liability outside

of government service as they would face if the com-

plaint below is upheld. A fortiori, the threat of

liability for negligence would not deter the fearless

exercise of medical discretion within government

service any more than the same threat deters the

exercise of medical discretion outside of government.

Holding government mecical personnel to the same

standards of care which they would face outside of

government service in no way burdens their public

responsibility or deters entry into government serv-

ice or the vigorous exercise of public responsibility

once having entered that service.” 511 F.2d, 399, 502-

403. (Citations and footnotes omitted. )

The Court in Henderson recognized that the acts

complained of in that case involved the use of judgment

and discretion, but found that discretion to be medical

rather than governmental and therefore not clothed with

the mantle of immunity. The court also noted that the

Reasons for Granting the Writ 5

compulsory exercise of medical discretion by a govern-

ment physician (medical judgments required because of

government service which might be avoided outside of

government service) might alter the standards of care

applicable to the exercise of medical discretion or give

rise to a limited immunity, but found factually that such

was not the case with respect to defendant's actions

therein.

The Court of Appeals in the instant matter, in reach-

ing the conclusion that an Army physician is immune

under such circumstances, failed to distinguish or even

to mention, except in a fvotnote, the opinion of the Dis-

trict of Columbia Circuit in Henderson v. Bluemink,

supra., although that case was urged upon the Court in

support of Petitioner's position. Instead, the Court below

held that for purposes of the immunity doctrine, a claim

by a retired military person is to be equated with the

claim of an individual in active service against military

personnel. As Chief Judge Seitz noted in his dissenting

opinion, this holding represents ap attempt to avoid the

applicability of Barr v. Matteo, 360 U.S. 564 (1959) in

which this Court held that for absolute immunity to ap-

ply, the government official must (1) be a policy-making

executive official and (2) be acting within the outer

perimeters of his line of duty. The majority relied in-

stead upon Feres v. United States, 340 U.S. 135 (1950),

which is not applicable to claims other than those brought

by an active duty serviceman and clearly does not apply

to the claim of a retired serviceman. Compare, United

States v. Brown, 348 U.S. 110 (1954).

It is respectfully submitted that the reasoning adopted

by the Circuit Court of Appeals for the District of Colum-

bia in Henderson v. Bluemink, supra, is equally applicable

to the facts herein and that the Court of Appeals for the

~

6 Reasons for Granting the Writ

Third Circuit erred in reaching the opposite conclusion

in the instant case. Inasmuch as the decision of the Court

below is in direct conflict with the earlier decision of the

Circuit Court of Appeals for the District of Columbia on

virtually identical facts presenting the same legal issue,

to wit: whether an Army physician is immune from suit

for malpractice by a non-active duty patient entitled to

his services, it is respectfully urged that this case war-

rants the exercise of this Court’s discretion in granting

this writ.

Il

The decision of the Third Circuit Court of Appeals

in the within matter conflicts, not only with the decision

of the Court of Appeals for the District of Columbia in

Henderson v. Bluemink, supra., but in addition, conflicts

with earlier decisions of this Court, particularly this

Court’s landmark decision in Barr v. Matteo, 360 U.S.

564 (1959). As noted above, Barr limits the application

of absolute immunity to government officers who are

policy-making executive officials acting within the outer

perimeter of their line of duty. Clearly, Respondent's,

who are active duty Army physicians, do not fall within

this class of government officials.

In attempting to avoid the applicability of Barr v.

Matteo, supra, the Court below mistakenly applied an-

other decision of this Court, Feres v. United States, 340

U.S. 135 (1950), where in was stated:

“We know of no American law.which ever has per-

mitted a soldier to recover for negligence against

either his superior officers or the government he is

serving.” 340 U.S. 135, 141.

This holding in Feres was later limited to active duty

service personnel by the holding in United States v.

~I

Reasons for Granting the Writ

Brown, 348 U.S. 110, (1954) a suit identical to that in

Feres, except that the plaintitf was a discharged service-

man, which distinguished Feres on that very basis.

It is respectfully submitted, based on the foregoing,

that the Third Circuit Court of Appeals in its opinion in

the case sub judice, clearly misapplied this Court's hold-

ing in Feres v. United States, supra and erred in not

applying the doctrine enunciated by this Court in Barr v.

Matteo, supra and in not finding, based on that doctrine,

that Respondents were not immune from Petitioner's suit.

It is therefore respectfully urged that the writ sought in

the within matter be granted by this Court.

Ill

As the majority opinion below notes, the principals

of absolute and qualified immunity for government offi-

cials have been developed largely by this Court, rather

than by Congress. Periodically, this Court has under-

taken to define the limits of this immunity and designate

the officials to whom it applies and the extent of its appli-

cation. Barr v. Matteo, supra, Doe v. McMillian, 412 U.S.

306 (1973). At the present time, in light of increasing

general concern over the issue of medical malpractice

claims and malpractice insurance costs, it is respectfully

submitted that the issue in the case suh judice, whether

and to what extent Army physicians are immune from

suit for malpractice, presents an important question of

Federal law which has not been, but should be settled by

this Court.

CONCLUSION

For the foregoing reasons, it is respectfully urged

that the within Petition for a Writ of Certiorari to the

United States Court of Appeals for the Third Circuit be

» granted by this Court.

Respectfully submitted,

/s/ Robert F. Novins

ROBERT F. NOVINS

NOVINS, FARLEY,

GROSSMAN, LISTON &

YORK ~

Counsel for Petitioner

202 Main Street, CN 2032

Toms River, New Jersey 08753

Al

APPENDIX

UNITED STATES COURT OF APPEALS

For THE THIRD CIRCUIT

No. 74-2296

RAPHAELA MARTINEZ, Administratrix ad Prosequen-

dum and General Administratrix of the Estate of Miguel

Martinez, Jr., deceased,

~

Appellant,

v.

LAWRENCE SCHROSK, M.D. and

ANKIA CHANDRASEKARAN, M.D.,

Appellees.

APPEAL FROM THE UNITED STATES DistTricr Court FOR THE

District oF NEw JERSEY

(Civil Action No. 74-1282)

“

Argued June 3, 1975

Before: Serrz, Chief Judge, Avpisert and Grspons,

Circuit Judges.

Reargued May 14, 1976

Before: Serrz, Chief Judge, VAN Dusen, ALDISERT,

ApaMs, GiBBOoNS, ROsENN, HuNTrR, Weis and Gartn,

Circuit Judges.

A2

United States Court of Appeals

Edward F. Liston, Jr., Esquire

Novins, Novins, Farley & Grossman

202 Main Street

Toms River, New Jersey

Attorney for Appellant

Jonathan L. Goldstein, Esquire

United States Attorney

Ronald L. Reisner, Esquire

Assistant United States Attorney

970 Broad Street

Newark, New Jersey

Attorneys for Appellees

A3

OPINION OF THE COURT OF APPEALS

Filed June 25, 1976

Aupisert, Circuit Judge.

Bailey v. DeQuevedo, 375 F.2d 72, 74 (3d Cir.), cert.

denied, 389 U.S. 923 (1967), held that “an enlisted man

in the armed services of the United States cannot maintain

an action against an Army medical surgeon for negligence

in an operation performed at an Army hospital in line of

duty.” The question presented here is whether that bar

can be extended to an action brought by the representa-

tive of a retired enlisted man against two Army surgeons.

The district court held that the surgeons possessed im-

munity and dismissed the complaint with prejudice. We

affirm.

Plaintiff's decedent, a retired Army sergeant and a

civilian employee at Fort Dix, New Jersey, died on Janu-

ary 23, 1975, shortly after a gall bladder operation per-

formed on him by defendants, two Army surgeons. Plain-

tiff initiated survival (N.J.S.A. 2A: 15-3) and wrongful

death (N.J.S.A. 2A: 31-1) claims in the Superior Court of

New Jersey contending that defendants’ negligence caused

the death. The action was properly removed to the dis-

trict court pursuant to 28 U.S.C. § 1442(a) where it was

dismissed with prejudice. The district court relied on the

immunity doctrine enunciated in the defamation case of

Barr v. Matteo, 360 U.S. 564 (1959) and later applied in

this circuit in Keiser v. Hartman, 339 F.2d 597 (3d Cir.

1964), cert. denied, 381 U.S. 934 (1965). Plaintiff ap-

pealed the order of dismissal.

Our starting point is the Bailey v. DeQuevedo ration-

ale,’ anchored not on Barr v. Matteo but on Feres v.

1. We cheefully concede that the Bailey rationale has not captured

universal acceptance. See, e.g., Henderson v. Bluemink, 511 F.2d 399 (D.C.

1974).

A4 Opinion of the Court

United States, 340 U.S. 135, 141 (1950): “We know of

no American law which ever has permitted a soldier to

recover for negligence, against either his superior officers

or the Government he is serving.” In denying relief to

the plaintiff in Bailey our justification was two-fold:

“the plaintiff was on ‘active duty’ and ‘subject to military

discipline, and the defendant's alleged negligent action

was ‘committed in the course of military duty.” 375

F.2d at 74 (emphasis added). Here we must decide if a

different rule should apply because: (a) the survival

claim is asserted on behalf of a retired serviceman, en-

titled to military medical care but no longer on active

duty at the time of the alleged negligent conduct or (b)

the wrongful death claim, in legal theory, belorgs to the

decedent's family, not to the decedent.

We concede that the distinction in the status of plain-

tiff and her decedent deprives these defendants of the

benefit of the rationale that “one soldier may [not] sue

another for negligent acts performed in the line of duty.”

Bailey v. Van Buskirk, 345 F.2d 298 (9th Cir. 1965), cert.

denied, 383 U.S. 948 (1966), quoted in Bailey v. DeQue-

vedo, supra, 375 F.2d at 74. But we do not believe that

the applicability of immunity doctrines ought to turn on

such distinctions. We perceive more meaningful policy

considerations at work—considerations looking not to the

particular status of the plaintiff, but to the governmental

interests inhering in the duties of the defendants. The

Supreme Court instructs:

[T]he Court has not fashioned a fixed, invariable rule

of immunity but has advised a discerning inquiry

into whether the contributions of immunity to effec-

tive government in particular contexts outweigh the

perhaps recurring harm to individual citizens .. . .

Opinion of the Court A5

Doe v. McMillan, 412 U.S. 306, 320 (1973) (emphasis

added). In particular, two considerations are to be

counterbalanced:

[OJn the one hand, the protection of the individual

citizen against pecuniary damage caused by oppres-

sive or malicious action on the part of officials of the

Federal Government; and on the other, the protection

of the public interest by shielding responsible govern-

mental officers against the harassment and inevitable

hazards of vindictive or ill-founded damage suits

brought on account of action taken in the exercise of

their official responsibilities.

Barr v. Matteo, supra, 360 U.S. at 565; see Doe v. McMil-

lan, supra, 412 U.S. at 319.

Applying these broad directives from the Supreme

Court, we perceive significant public policy considera-

tions at work here which tip the balance in favor of

immunity.

First, as in Bailey, the defendants here were Army

physicians on active duty, performing “in the course of

military duty.” They could not pick and choose their pa-

tients. The objectives of certainty and uniformity in the

law would be ill-served if immunity were wrapped around

a surgeon for a nine o clock operation in an Army hospital

on an active-duty soldier who survived the operation, but

were removed for a ten o'clock operation in the same op-

erating room on a retired soldier who did not survive the

operation. The law should not require the military sur-

geon, in exercising his informed medical judgment, to con-

cern himself with his patient's military status or with the

technicalities of tort law. The same standard of profes-

sional care obviously ought to apply in both situations,

and the same legal rules should obtain.

A6 Opinion of the Court

Second, if viewed from the perspective of avoiding

“perhaps recurring harm to individual citizens,” the plain-

tiffs position in this case is equally untenable. Immuniz-

ing these defendants from personal liability does not de-

prive the plaintiff of a remedy: she may seek relief under

the Federal Tort Claims Act, 28 U.S.C. § 1346(b), see

United States v. Brown, 348 U.S. 110 (1954). Indeed, we

were advised at oral argument that a timely Federal Tort

Claims Act claim has been filed to protect the plaintiff. In

Bailey we held the defendants were immune from per-

sonal liability even though the plaintiff was precluded

from suing under the Federal Tort Claims Act. See Feres

v. United States, supra. There was no alternative remedy

in Bailey; there is in the case at bar. Insofar as this factor

should affect the outcome, our decision today would seem

to follow a fortiori from Bailey.

Third, concerning the contribution of an immunity rule

to “effective government,” we note that this claim is

not one where liability would be borne ultimately by the

United States or by an insurance carrier. Absent a Fed-

eral Tort Claims Act suit naming the United States as a

defendant, there is no provision for joinder of or indemnity

from the United States; and malpractice insurance is not

involved here. This case raises the spectre of personal

liability on the part of military doctors.

We willingly concede that concern for the savings ac-

counts of military doctors should not be controlling in and

of itself. But viewed with regard for its possible effect on

the delivery of health care to the armed services, the pros-

pect of personal liability takes on added significance.

Surely, there is a strong governmental interest in assuring

that the military services be able to recruit and retain

2. See the Report of the House Committee on Armed Services, note 5,

infra, concerning the reasons why a plaintiff might choose not to sue the

United States, and the general absence of malpractice insurance in this kind

of litigation.

Opinion of the Court A7

competent medical personnel. Given today’s litigious

medical malpractice environment,’ we believe that such

persons would be substantially discouraged from pursuing

military medical careers by the prospect of personal liabil-

ity in malpractice actions. Civilian physicians are hav-

ing difficulty meeting the spiralling cost of malpractice

insurance premiums." Some have felt compelled to leave

previously lucrative practices. It could hardly be sug-

gested that the purchase of costly insurance would pro-

vide a solution for the more modestly compensated mili-

tary doctor. Therefore, if there is a governmental interest

in the delivery of health care to the armed services—and

we strongly believe there is—a result imposing personal

liability on military medical personnel would be antitheti-

cal to that interest.

Finally, to argue, as does the plaintiff, that the pro-

tection of military medical officers is a matter for Con-

gress,” and not for the courts, is to ignore the reality that

3. See, e.g., New York Times, June 15, 1975, at 44, col. 3 (remarks of

Dr. Malcolm C. Todd, president of the American Medical Association

(“A.M.A.”), during the 124th Annual Meeting of the A.M.A.): “Mal-

practice is the number one problem that faces the American medical

profession.”

4. “The A.M.A. undertook the financial risk of forming a re-insurance

company under pressures created by soaring malpractice premium rates and by

the commercial industry's virtual abandonment of medical malpractice cover-

age.” New York Times, June 20, 1975, at 39, col. 5. In the 10-year period

my to the A.M.A.'s action, rates jumped 1,600%, so that the annual premium

or $1 million insurance coverage came to nearly $15,000 for high risk fields

such as orthopedic seaman this figure obtained before carriers proposed

doubling rates in 1975. New York Times, June 1, 1975, at 47, re 5.

5. The House of Representatives has passed H.R. 3954, 94th Cong. Ist

Sess., to provide an exclusive remedy via the Federal Tort Claims Act for

claims against active duty military physicians, dentists, nurses, pharmacists

and paramedical personnel. Such protection had already been extended to

medical personnel of the Veterans Administrations, 38 U.S.C. §4116, and of

the Public Health Service, 42 U.S.C. §233.

The House Committee on Armed Services Report accompanying H.R.

3954 explained the problem:

. . . If the defendant loses the case he must pay the judgment. Of

course, if the individual is sued jointly with the United States and a

judgment is entered against both jointly, the United States will satisfy

the judgment. However, if the defendant is sued individually, neither the

A8 Opinion of the Court

it has been the Supreme Court, not Congress, that has

developed the principles of absolute immunity,’ as well as

the principles of qualified immunity.’’ Moreover, such an

argument ignores the fact that it was this court, not Con-

gress, that afforded protection to military physicians from

claims by persons on active military duty. Bailey v. De-

Quevedo, supra.

We see the issues reduced to this: being limited to the

salary of a military officer without the financial emolu-

ments of private civilian practice, and being under mili-

tary obligation to accept patients sent to him, should a

United States nor the individual can bring in the United States as a

party defendant in order to invoke the provisions of the Federal Tort

Claims Act.

One may ask why a plaintiff would not join the United States or sue

the United States alone in order to claim the benefit of the world’s largest

self-insurer. There are several possible reasons. For example, a

trial is not available in such a suit against the United States and the

plaintiff may care to obtain jury consideration of the circumstances

rise to the alleged malpractice. . . . Also, there are cases where the

two-year statute of limitations on claims against the United States may

have run out while the local statute for suit in a state court may not have

run. In addition, there have been instances where for emotional or vindic-

tive reasons plaintiffs have insisted on suing a physician personally for

alleged negligence. '

The present propensity of individuals to purste more actively alleged

medical malpractice and the attendant alarming increase in the cost of

malpractice insurance —- have caused physicians, dentists, nurses,

paramedics and other individuals assigned to medically-related duties in

the Department of Defense to be increasingly concerned over personal

exposure to civil liability for alleged malpractice and their increasir’

inability to meet the cost of malpractice insurance.

The Department of Justice reported to the Committee that it is de-

fending 20 such lawsuits in which 37 Defense Department defendants are

being sued personally for damages in United States District Courts. In

all but three cases there is no insurance coverage, and of those three the

limitations on liability appear to fall well below the damages claimed.

The total damages claimed in - 20 cases is in the amount of

$13,755,450.00. The Department of Justice, in reporting its experience

regarding the national eiiieation of medical saligsecine claims and

litigation, has advised the Committee that at the present time it is in-

volved in approximately 494 suits characterized as arising out of al

medical malpractice of officers or employees of the Federal establishment.

H.R. Rep. No. 94-333, 94th Cong., Ist Sess. 2-3 (1975).

6. Imbler v. Pachtman, — U.S. —, 44 U.S.L.W. 4250 (March 2, 1976);

Doe v. McMillan, 412 U.S. 306 (1973); Pierson v. Ray, 386 U.S. 547 (1967);

Barr v. Matteo, 360 U.S. 564 (1959). ;

7. Wood v. Strickland, 420 U.S. 308 (1975); Scheuer v. Rhodes, 416 U.S.

232 (1974); Pierson v. Ray, supra, note 6.

Opinion of the Court Ag

military physician be confronted with potential personal

liability for a claim of medical malpractice? Would such

liability be consonant with sound public policy? We

think not. We think that the contribution of immunity to

effective government, relating here to the armed services’

ability to recruit and retain competent medical personnel,

outweighs the perhaps recurring harm to individual citi-

zens who, in fact, have recourse under the Federal Tort

Claims Act.

The judgment of the district court will be affirmed.

Apams, Circuit Judge, concurring in the result.

I concur in the judgment of the majority, but since I

take a different route to arrive at the result, I write sepa-

rately to state my views.

A.

The facts presented in Bailey v. DeQuevedo' may ap-

pear, at first blush, to resemble those of the present case

rather closely, since both concern medical malpractice

actions brought against physicians employed on a full-

time basis by the United States Army. A distinction

between the cases exists, though, by virtue of the different

relationships the two injured parties bore to the military.

Bailey was on active duty in the armed forces, and as a

practical matter had no choice as to which doctor to util-

ize. Martinez, on the other hand, was retired, and had the

option of going to an Army doctor or te a civilian one.

The distinction is an important one, since the rationale

utilized by the Court in Bailey was that of Feres v. United

States,’ a Supreme Court decision that also involved tort

suits by persons who had been on active military duty at

1. 375 F.2d 72 (3d Cir.), cert denied, 389 U.S. 923 (1967).

2. 30 US. 135 (1950).

Al0O Opinion of the Court

the time of their injuries. The suits in Feres were not

brought against individual defendants, as in Bailey, but

against the government, under the Federal Tort Claims

Act. Focusing upon the unique “relationships of military

personnel to the Government,” the Supreme Court held

the sovereign immune from suits brought under the Act

by servicemen “where the injuries arise out of or are in

the course of activity incident to service.”

When, several years later, the Supreme Court was faced

in United States v. Brown’ with a suit identical to that in

Feres, except that the plaintiff was a discharged veteran—

precisely the difference that exists between Bailey and

Martinez—it expressly distinguished Feres on that basis.

Because Brown was not on active duty when he was

injured, the proceedings were allowed to go forward.

The Supreme Court observed that the rationales under-

lying the result in Feres—“[t|he peculiar and special

relationship of the soldier to his superiors, the effects of

the maintenance of such suits on discipline, and the ex-

treme results that might obtain if suits under the Tort

Claims Act were allowed for negligent orders given or

negligent acts committed in the course of military duty”

—did not apply to actions brought by military personnel

not on active duty. In so doing, the Court specifically

“adhere[d| . . . to the line drawn in the Feres case™

between injuries that arose in the course of active military

duty and those that did not.

The Bailey Court recognized that Feres was not pre-

cisely on point, since the defendants in Bailey were the

allegedly negligent physicians rather than the govern-

ment, but it nonetheless adopted the Feres reasoning.”

348 U.S. 110 (1954).

Id. at 112.

Id. at 113.

. 375 F.2d at 74.

Sr owrrkw

Opinion of the Court All

Significantly, the Court then proceeded to point out the

difference between Feres and Brown, in order to demon-

strate that the former rather than the latter was the cor-

rect analogue to Bailey.” The case before us today is

closer to Brown than to Feres, however, since Martinez

was not on active duty at the time of the operation in

question, and of course his executor was not on duty at

the time of suit. As such, the Brown holding would ap-

to be more persuasive than that of Feres, which

applied a rule of absolute immunity.

I thus conclude that Bailey does not require that we

automatically immunize the defendants here. Conse-

quently, I cannot agree with the determination of the

majority that Bailey should be the starting point of the

analysis or with the implication that Bailey is binding.

B.

Even if Bailey could stand for the proposition that Army

physicians are absolutely immune from a suit brought by

retired military personnel, it ought not govern the result

here. The decision in Bailey came at a time when gov-

ernment officials with discretionary duties “enjoyed an ab-

solute immunity from damage suits” "’ if they were acting

“within the outside perimeter of [their] line of duty. . . .”"

It is not disputed that the physicians here were within such

perimeter in performing the operation in question.

In the nine years since Bailey, however, the law of

immunity has undergone a marked change. One commen-

tator has observed that “[t]he common law doctrines of

personal immunity for official acts were revitalized” '* by

9. Id.

10. Note, Damages for Federal Employment Discrimination, 85 Yale L..

518, 527 (1976). ,

11. Barr v. Matteo, 360 U.S. 564, 575 (1959) (Harlan, J., announcing t}

ow of the Court). Barr was the leading case at the time Bailey was

-... McCormack, Federalism and Section 1983, 60 Va. L. Rev. 1, 10

(1974).

Al2 Opinion of the Court

the decision of the Supreme Court in Pierson v. Ray,"

which came down eight days after Bailey. Further evolu-

tion has occurred since then."*

The rule of absolute immunity that prevailed at the

time of Bailey has been modified by the Supreme Court

into a standard of qualified immunity which, as stated in

Scheuer v. Rhodes,"* is dependent upon “the scope of dis-

cretion and responsibilities of the office and all the circum-

stances as they reasonably appeared at the time of the

action on which liability is sought to be based.” In view

of the all-the-circumstances test that is to be applied, the

Supreme Court, as pointed out by the majority, “has not

fashioned a fixed, invariable rule of immunity. . . .”

As noted in Chief Judge Seitz’s dissenting opinion, a

number of the more recent Supreme Court decisions have

involved the immunity of policymaking executive officials,

and thus are factually distinguishable from the case now

before us. The principles and the approach in the extant

immunity decisions would appear to be useful in the pres-

ent context, however, even though the Supreme Court has

not addressed such a situation.

13. 386 U.S. 547 (1967).

14. See, e.g., Wood v. Strickland, 420 U.S. 308 (1975); Scheuer v.

Rhodes, 416 U.S. 232 (1974). Cf. Imbler v. Pachtman, 44 U.S.L.W. 4250

(U.S. Mar. 2, 1976).

i5. 416 U.S. 232, 247 (1974) (emphasis added). In the words of the

Fifth Circuit, “[ajbsolute immunity . . . is a juridicial relic, expressly re-

jected by the Supreme Court in both Wood and Scheuer.” Jones v. Diamond,

519 F.2d 1090, 1101 (5th Cir. 1975).

It is suggested in Chief Judge Seitz’s dissenting opinion that considerations

relevant to suits such as Scheuer and Wood, brought under 42 U.S.C. § 1983,

are not applicable to suits such as this, brought against federal officials. It

would appear, however, that this Court has expressed a contrary view. Fidtler

v. Rundle, 497 F.2d 794, 801 (3d Cir. 1974); Bethea v. Reid, 445 F.2d 1163,

1166 (3d Cir. 1971), cert. denied, 404 U.S. 1061 (1972).

16. Doe v. McMillien, 412 U.S. 306, 320 (1973). See Paton v. LaPrade,

524 F.2d 862, 872 (3d Cir. 1975): Note, The Supreme Court, 1974 Term, 89

Harv. L. Rev. 47, 220 (1975).

In Henderson v. Bluemink, 511 F.2d 399 (DC Cir. 1974), the District

of Columbia Circuit recognized a distinction between governmental discretion

and medical discretion, and declined to immunize the defendant physcian at

all.

Opinion of the Court Al3

Thus, in Doe v. McMillan," a suit against the Public

Printer, the Superintendent of Documents, and others for

invasion of privacy, the Supreme Court stated that the

doctrine of official immunity insulates “[g]overnment

officials of suitable rank for the reason that ‘officials of

government should be free to exercise their duties unem-

barrassed by the fear of damage suits in respect of acts

done in the course of those duties—suits which would con-

sume time and energies which would otherwise be devoted

to governmental service and the threat of which might

appreciably inhibit the fearless, vigorous, and effective ad-

ministration of policies of government.” '* Although the

last three words of the quotation do not specifically apply

to army physicians, the two conflicting considerations un-

derlying the doctrine of immunity are as applicable to

military doctors as to policymaking officials. They are:

On the one hand, the protection of the individual citi-

zen against pecuniary damage caused by oppressive or

malicious action on the part of officials of the Federal

Government; and on the other, the protection of the

public interest by shielding responsible governmental

officers against the harassment and inevitable hazards

of vindictive or ill-founded damage suits brought on

account of action taken in the exercise of their official

responsibilities.”

The defendant doctors in this case are skilled profes-

sionals employed by the government. They must exercise,

in the course of their daily employment, a careful discre-

tion,—albeit not precisely of the same type adverted to in

Doe and Barr—that has a direct impact on their patients.

It would disserve the public interest if these governmental

17. 412 U.S. 306 (1973).

18. Id. at 319 (quoting Barr v. Matteo, 360 U.S. 564, 571 [1959]).

19. Id. (quoting Barr v. Matteo, supra at 565).

Al4 Opinion of the Court

physicians had to concern themselves with the possibility

of a monetary judgment each time they were faced with a

discretionary decision. Thus, it would not seem realistic

to suggest, as the reasoning employed by the dissent might,

that a government agent in charge of a HUD office in a

small town, for example, would be clothed with immunity

when determining whether the government should insure

a mortgage agreement, but that the chief surgeon at a mili-

tary hospital in a major metropolis, deciding whether to

perform difficult surgery, would not be.

Nor can the absence of congressional legislation repect-

ing this situation be deemed controlling on the question

whether the defendants should be immunized. It is true

that Congress has specifically given immunity to medical

personnel in the Veterans’ Administration *’ and the Pub-

lic Health Service,*' but has not yet approved the legisla-

tion that has been proposed to immunize military medical

personnel. But as is often the case, the meaning of the

failure to enact legislation is inscrutable: Has Congress

chosen to limit immunity to physicians in the Veterans’

Administration and Public Health Service? Or has it

decided that the scope of immunity already afforded mili-

tary doctors through judicial decisions is sufficient, so that

legislation is unnecessary?” It may be that the pro-

ponents of the legislation dealing with army physicians

wished all such physicians to be immune, regardless of a

balancing approach, so that even if no tort action against

the government were available or if the harm resulted from

20. 38 U.S.C. §4116 (Supp. IV, 1974).

21. 42 U.S.C. § 233 (1970).

22. Congress immunized VA doctors in 1965, Act of Oct. 31, 1965, Pub.

L. No. 89-311, §6(a), 79 Stat. 1156, but did not act to immunize PHS

doctors until three years after this Court's Bailey decision, Act of Dec. 31,

1970, Pub. L. No. 91-623, § 4, 84 Stat. 1870. Did Congress assume that army

physicians had already been immunized by judicial decision when it addressed

the immunity of VA doctors? of PHS doctors? Or did Congress intend

specifically to exclude army doctors from protective cloak of immunity? There

is no evidence whatsoever to indicate the latter.

Opinion of the Court Al5

a nondiscretionary act—such as failure to remove a sponge

the physician would nonetheless be protected. The legis-

lative pattern cannot be determinative, for “[t|he official

immunity doctrine . . . ‘has in large part been of judicial

making...” In the absence of guidance from the

Congress, the courts face no statutory or constitutional

obstruction to the interpretation or fashioning of the doc-

trine.”*

Since qualified immunity would thus appear to be ap-

plicable, it is necessary to follow the all-the-circumstances

approach mandated by the Supreme Court in such cases.

To do so, we must review the particular facts of this case.

After such evaluation, I conclude that the defendants here

should be held immune from a suit for damages.

Many of the important factors bearing on this case are

set forth rather fully in the majority opinion. In my view,

the most determinative ones, in capsule form, are: (1) the

defendants were Army physicians on active duty, and as

such were required to perform the operation upon Martinez;

(2) the plaintiffs have an alternative remedy against the

United States under the Federal Tort Claims Act; (3) a

holding that the defendants are subject to suit may be

unduly harsh, particularly when there is an indication that

they do not carry malpractice insurance; and (4) the risk

of liability may deter competent physicians from embarking

upon a career in the military, a development that would be

counter to the national interest.”

Were one or more of the relevant factors missing--

for example, if no alternative remedy existed—the balance

23. Doe v. McMillian, supra at 318 (quoting Barr v. Matteo, supra at

569 ).

24. Id. at 323.

25. Contrary to the suggestion in Chief Judge Seitz’s dissent, these factors

would be present each time a retired military person seeks medical care from

an army physician; they are not unique to this particular case.

Al6 Opinion of the Court

could well be different. But an approach that regards

Bailey as the controlling precedent and thus supplies ab-

solute immunity in all military situations, or which pro-

vides for no immunity in any situation involving army

physcians, would not permit the flexibility that would allow

us to reweigh the totality of the considerations presented

by cases that may arise in the future.

Seitz, Chief Judge, dissenting.

It was long ago said that hard cases make bad law. I

think that aphorism is particularly applicable to the result

reached by the majority here. Reduced to its essence the

majority holds that for purposes of the immunity doc-

trine a claim by a retired serviceman against military per-

sonnel is to be equated with the claim of an individual in

active service against military personnel. In this way, the

majority attempts to avoid the applicability of Barr v.

Matteo, 360 U.S. 564 (1959). Instead they rely on Feres

v. United States, 340 U.S. 135 (1950) which, as the con-

curring opinion notes, is not applicable to a claim of a re-

tired serviceman arising after his retirement. Compare

United States v. Brown, 348 U.S. 110 (1954).

No amount of legal legerdemain can obscure the fact

that this is a state law claim by a civilian against military

personnel. As the Supreme Court held in Howard v.

Lyons, 360 U.S. 593 (1959), the immunity claim in such

cases is a matter of federal law to be formulated by the

courts in the absence of Congressional action. In addition,

Howard teaches that the controlling federal principles gov-

erning the existence and scope of such immunity, in the

absence of Congressional action, are to be found in Barr v.

Matteo, above.

In granting summary judgment in favor of defendants,

the district court relied on the doctrine of official immunity

Opinion of the Court AIT

enunciated in Barr v. Matteo, above, and adopted by this

Court in Keiser v. Hartman, 339 F.2d 597 (3d Cir. 1964).

The majority, as noted, rejects this approach, and, in my

view, commits error.

Barr was a libel action against the Acting Director of

the Office of Rent Stabilization. There the Supreme Court

extended the doctrine of absolute immunity, previously

provided as a shield to a cabinet-level official in Spalding

v. Vilas, 161 U.S. 483 (1896), to one whose position, al-

though somewhat less exalted, involved the operation of a

federal agency. The test which emerges from Barr is

two-fold. For absolute immunity to apply the government

officer must (1) be a “policy-making executive official”

and (2) be acting “within the outer perimeter of [his]

line of duty.”

I am convinced that the defendant-doctors are not

officials entitled to absolute immunity under Barr or sub-

sequent cases.' Defendants are clearly not policy making

executive officials like the agency head in Barr, and thus

are not shielded by an absolute immunity. I therefore

conclude that the district court erred in holding that de-

fendants were entitled to absolute immunity.

Lesser officials are entitled only to a qualified im-

munity, the scope of which is related to the nature and

extent of their governmental duties, see Doe v. McMillan,

412 U.S. 306, 319-20 (1972).?. There is no rigid formula as

to what duties or functions of a public servant carry with

1. It may be noted that medical personnel in the Veterans’ Administration

are immune from malpractice suits under 38 U.S.C. §4116 (Supp. 1973).

Similar legislation now pending in Congress would apply to military medical

personnel. However, up until this date Congress has not seen fit to adopt

this legislation.

2. I need not consider the Supreme Court's recent pronouncements con-

cerning the extent of immunity available to certain public officials in actions

under 42 U.S.C. § 1983 (1970), since they were based on considerations not

applicable in a case which does not fall under that statute. See Wood v.

Strickland, 420 U.S. 308 (1975); Scheuer v. Rhodes, 416 U.S. 232 (1974).

Al8 Opinion of the Court

them an entitlement to the protection of a qualified im-

munity and which do not. Each case must be scrutinized

to determine the nature of a public servant's acts. Some

of the considerations which may weigh in favor of a finding

that certain actions give rise to an official immunity are

whether the particular public servant is acting to formu-

late public policy rather than merely to administer policy

decisions, or whether the actions undertaken are broad in

scope and prospective in effect, pertain to a large number

of persons or to the public in general, and involve the

exercise of official discretion. Such actions are considered

governmental in nature and, as such, give rise to a quali-

fied immunity. By way of contrast, if the actions in ques-

tion involve carefully circumscribed or routine application

of a policy to particular individuals or situations, they are

considered ministerial and do not give rise to governmental

immunity.

In this case the acts complained of clearly were not

related to the formulation of policy nor to broad decision

making with an impact on a wide number of people. Al-

though defendants’ acts were discretionary in nature, it

is clear that they were imbued, in the words of the court

in Henderson v. Bluemink, 511 F.2d 399 (D.C. Cir. 1974),

with medical and not governmental discretion. I therefore

believe that defendants’ acts were not governmental in

nature and that defendants are not shielded from any lia-

bility which may arise out of the performance of those

acts under the doctrine of qualified immunity.

The most casual examination of the policy factors

relied on in the majority and concurring opinions shows

that they are not relevant under controlling principles.

Rather than focusing upon the scope of the defendants’

authority and the nature of their discretionary duties, both

the majority and the concurrence seem to rely instead on

=”

Opinion of the Court Ald

irrelevant factors reflecting the “equities” of the case.

Certainly, the fact that the defendants were required to

perform this operation, that they lacked malpractice in-

surance, and that plaintiff may have an alternate remedy

does not further the inquiry into whether defendants are

deserving of the qualified immunity reserved to lower pub-

lic officials. Although these considerations may ultimately

sway Congress to pass the bill presently before it, it is not

for this court to “force” a result which Congress, though

afforded the opportunity, has not yet seen fit to enact into

law.

I would reverse the judgment of the district court and

remand for further proceedings.

Gissons, Circuit Judge, dissenting

I joined in Chief Judge Seitz’s dissenting opinion, but I

believe that one consideration requires clarification and

emphasis.

In this case we have a state law which provides a rule

of decision in the absence of a federal immunity which

would supplant it.'_ There is no doubt, of course, that fed-

eral law could, subject to due process limitations which

need not be explored at this point, immunize all federal

employees from state law causes of action for all negligent

acts committed in the scope of their federal employment.’

Heretofore neither Congress nor this Circuit’ has rec-

1. N.J.S.A. 2A:15-3 (survival claim); N.J.S.A. 2A:31-1 (wrongful death

claim).

2. See, e.g., Howard v. Lyons, 360 U.S. 593 (1959).

3. L agree with Judge Adams’ analysis that Bailey v. DeQuevedo, 375 F.2d

72 (3d Cir.), cert. denied, 389 U.S. 923 (1967), is certainly not dispositive of

the specific immunity issue presented in this case. Instead, like Chi Judge

Seitz, I believe that the claimed immunity should not be recognized for the

reasons advanced by Judge Bastian in Henderson v. Bluemink, 511 F.2d 399

(D.C. Cir. 1974).

A20 Opinion oj the Court

ognized the absolute immunity claimed by defendants in

this case. But Congress, which has previously immunized

the medical personnel of the Veterans Administration *

and the Public Health Service’ from the very kind of suit

that is the subject of this case, now has under active con-

sideration a bill to extend the same immunity to active-

duty military medical personnel.’ Thus, the issue con-

fronting this court is which law-pronouncing branch of the

federal government—the federal courts or Congress—should

make the immunity determination.

In Doe v. McMillan, 412 U.S. 306 (1972), the Supreme

Court, confronted with a virtually identical choice, declined,

in the absence of Congressional action, to supplant a cause

of action under local law by absolutely immunizing the Pub-

lic Printer and the Superintendent of Documents. In-

deed, Doe v. McMillan is an a fortiori case since the

Speech or Debate Clause of the United States Constitution *

arguably afforded a constitutional basis for extending im-

munity to agents of the Congress. In this case there is no

such constitutional provision. Moreover, in Crilly v.

Southeastern Pa. Transp. Authority, 529 F.2d 1355 (3d

Cir. 1976), we were asked to supplant local law when the

reasons for applying a uniform law of labor-management

relations appeared far more persuasive than those given

for the extension of absolute immunity to cover these de-

fendants. But in Crilly we deferred, and properly so I

submit, to Congress which, just as in this case, was simul-

taneously considering proposed legislation covering the

same subject matter.”

4. 38 U.S.C. $4116 (Supp. 1976).

5. 42 U.S.C. § 233.

6. See H.R. 3954, 94th Cong., Ist Sess. (1975), which has already been

approved by the House of Representatives.

7. Art. I, §6, el. 1.

8. 529 F.2d at 1357, 1363.

Opinion of the Court A21

Instead of deferring to future Congressional judg-

ment on the creation of absolute immunity in this kind of

suit, the majority has chosen to weigh the competing policy

considerations and to make an essentially legislative judg-

ment. It has done so; however, without the benefit of the

interplay of the various competing interests which, by de-

sign, appropriately occurs within the legislative arena.

Indeed, I strongly suspect that not all of the relevant fac-

tors have even been identified, since the record before us

does not even disclose, for example, the extent to which

army surgeons are paid proficiency or incentive allowances

over and above the military pay authorized for their rank.’

What principled reasons, I ask, make this case such a

strong one for judicial legislation when compared to others

in which we have refused to create federal common law?

Unless those reasons are at least identified, the plaintiff

will be justified in suspecting that they are entirely sub-

jective.

9. See 37 U.S.C. $313 (Supp. 1976).

A TRUE COPY:

Teste:

Clerk of the United States Court

of Appeals for the Third Circuit.

(A.O.—U.S. Courts, International Printing Co.,

Phila., Pa.)

A22

LETTER OPINION OF THE

UNITED STATES DISTRICT COURT

October 23, 1974

Novins, Novins, Farley & Grossman,

202 Main Street,

Toms River, N.J. 08753

Attn: Richard A. Grossman, Esq.

Jonathan L. Goldstein, Esq.,

United States Attorney,

Post Office Building,

Trenton, N.J. 08605

Attn: Ronald L. Reisner, Esq., A.U.S.A.

Re: Martinez v. Schrock et al.,

Civil] 74-1282

Gentlemen:

This is an action brought against two physicians on

an allegation of their malpractice while both were officers

in the Medical Corps of the United States Army. They

have moved for a dismissal contending that in their ca-

pacities as Army doctors, they are immune from personal

liability.

The matter was commenced in the Superior Court of

New Jersey and removed to this court pursuant to 28

U.S.C. Section 1441(a), 28 U.S.C. Section 1442(a) and

28 U.S.C. Section 2679. Plaintiff has not moved to re-

mand to the state forum This Court therefore need only

be concerned with the motion to dismiss.

It has long been the law in almost every Circuit that a

federal official is immune from any personal liability for

acts done within the outer perimeter of his official author-

ity and in pursuance of his official duties. Barr v. Mateo,

360 U.S. 564 (1959); Howard v. Lyons, 360 U.S. 593

(1959). This immunity is absolute and extends to all

Letter Opinion A23

levels of government. Barr, supra, Koningsberg v. Hunter,

308 F. Supp. 1361 (W.D.Mo. 1970), and this principle

was firmly stated in this Circuit some time ago. Keiser

v. Hartman, 339 F.2d 597 (3d Cir. 1964).

Only one case deviates from the great wealth of author-

ity granting immunity to all levels of government. See,

Henderson v .Bluemink, (D.C. Cir. No. 73,1816) decided

July 26, 1974. In view of these authorities to the con-

trary and a careful analysis of the courts’ reasoning in

Henderson, supra, this Court is led to the view that Hen-

derson, supra, is not persuasive.

Certainly Army doctors in the performance of their

duties, mi nan they be voluntary enlistees or those

dragooned into service by way of the Draft, clearly should

be immune from personal liability. The statement in

Henderson, supra, that “...a fortiori, the threat of liability

for negligence would not deter the fearless exercise of

medical discretion within government service any more

than the same threat deters the exercise of medical dis-

cretion outside of government,” is remarkably inaccurate

in view of the almost universal insurance coverage of doc-

tors. It is difficult to see how medical officers could prop-

erly perform their duties, sometimes in the most desperate

of conditions and circumstances, under the constant threat

of actions in malpractice. Clearly, the immunity should

inure to their benefit.

The plaintiff, although entitled to bring an action

against the United States under the Federal Tort Claims

Act, either originally or by way of an amendment to this

suit, has not seen fit to do so and the motion to dismiss

must be and is granted.

The Statute of Limitations, 28 U.S.C. Section 2401,

has not yet run and the plaintiff may still pursue her proper

A24 Letter Opinion

remedy but only after filing of the proper claim with the

appropriate federal agency, which is a jurisdictional pre-

requisite, 28 U.S.C. Section 2675, to relief.

Submit an order.

Very truly yours,

/s/ Clarkson S. Fisher

CLARKSON S. FISHER

US.DJ.

CSF /efr

A25

COMPLAINT AND DEMAND FOR JURY

Plaintiff, residing at 608 Texas Drive, Toms River,

Township of Dover, County of Ocean, State of New Jer-

sey, complaining of the defendants says:

FIRST COUNT

1. On or about July 9, 1974, Letters of Administration

ad Prosequendum were granted by the Surrogate of Ocean

County to plaintiff for the purpose of prosecuting a claim

of the widow, children and next of kin and dependents

of Miguel Martinez, Jr., deceased, against defendants for _

the death of Miguel Martinez, Jr.. as hereinafter men-

tioned.

2. This action has been commenced within two years

after the death of the said Miguel Martinez, Jr.

3. At all times relevant hereto, defendants were licensed

physicians practicing medicine in the State of New Jersey.

4. On or about January 20, 1974, the said Miguel Mar-

tinez, Jr. became a patient of defendants, who agreed to

treat him for a physical disorder which in their opinion

required surgical intervention. From that time onward,

defendants owed to said patient the duty to exercise that

of care and skill generally practiced by physicians

doing operative procedures in the general medical com-

munity.

5. On or about January 21, 1974, said defendants per-

formed an operation upon said patient and undertook to

administer aftercare. Said operation and aftercare were

performed by defendants in a negligent manner, violating

the professional standard of care owing to said patient.

Said professional negligence consisted, among other mat-

ters, of causing said patient to contract a violent infection

and improperly and insufficiently diagnosing and treating

said infection thereafter.

A26 Complaint

6. As a proximate resu!t of said professional negligence

as aforesaid, the said Miguel Martinez, Jr. died on or

about January 23, 1974, to the pecuniary damage of his

dependents.

WHEREFORE, plaintiff demands judgment against de-

fendants for damages and costs of this action.

SECOND COUNT

1.-6. Plaintiff, Raphaela Martinez, General Administra-

trix of the Estate of Miguel Martinez, Jr., deceased, repeats

each and every aliegation of the First Count and makes

them a part hereof.

7.0n July 9, 1974, Letters of Administration were is-

sued to said plaintiff by the Surrogate of Ocean County,

appointing her General Administratrix of the Estate of

Miguel Martinez, Jr., deceased.

8. As a result of the professional negligence of defend-

ants as aforesaid, the said Miguel Martinez, Jr., deceased,

was caused to live in great pain for two days until the

day upon which he died. During that time he suffered

greatly and endured much pain.

WHEREFORE, plaintiff demands judgment against de-

fendants for damages and costs of this action.

DEMAND FOR JURY

Plaintiff hereby demands a jury of twelve (12) jurors

as to all issues.

NOVINS, NOVINS,

FARLEY & GROSSMAN

Attorneys for Plaintiff

/s/ Richard A. Grossman

RICHARD A. GROSS\IAN

For the Firm

A27

PETITION FOR REMOVAL

The petition of Jonathan L. Goldstein, United States

Attorney for the District of New Jersey, attorney for de-

fendant, Ankia Chandrasekaran, respectfully shows:

1. Ankia Chandrasekaran is a defendant in an action

now pending in the Superior Court of New Jersey, Law

Division, Ocean County, Docket No. L-36373-73 entitled

Rapbe«ia Martinez, Administratrix ad Prosequendum and

Ceneral Administratrix of the Estate of Miguel Martinez,

jr., deceased, Plaintiff v. Lawrence Schrock, M.D. and

Ankia Chandrasekaran, M.D., defendants.

2. A copy of the summons and complaint were served

upon the defendant, Ankia Chandrasekaran on August 2,

1974.

3. Ankia Chandrasekaran, M.D. is an officer of the

United States or an agency thereof or a person acting for

such an officer or a member of the Armed Forces of the

United States within the meaning of 28 U.S.C. Section

1442. Any actions complained of and dowe by Ankia

Chandrasekaran were done under the color of his office

or status and within the scope of his employment with the

United States as a member of the Armed Forces thereof.

4. This action, especially a federal tort claims case, is

subject to removal pursuant to the provisions of 28 U.S.C.

Section 1441(a) as an action over which the district courts

of the United States have original jurisdiction. This action

is also subject to remeval pursuant to the provisions of 28

U.S.C. Section 1442a and 28 U.S.C. 2679.

A28

NOTICE OF FILING VERIFIED

PETITION FOR REMOVAL

To: Novins, Novins, Farley and Grossman, Esquires

(without copy or bond )

Attorneys for Plaintiff

202 Main Street

Toms River, New Jersey 08753

Clerk

Superior Court of New Jersey

Law Division

State House Annex

Trenton, New Jersey

(2 copies without copy of bond)

You are hereby notified that on the 20th day of August,

1974, a verified petition for removal in the above-entitled

cause, a copy of which is enclosed, was filed in the United

States Distict Court for the District of New Jersey.

JONATHAN L. GOLDSTEIN

United States Attorney

Attorney for Defendant,

Ankia Chandrasekaran

By: /s/ Ronald L. Reisner

RONALD L. REISNER

Assistant United States Attorney

Original filed August 20, 1974.

Angelo W. Locascio

ANGELO W. LOCASCIO

Clerk

ee a

en

Notice of Filing Verified Petition for Removal A29

WHEREFORE, petitioner requests that the action de-

scribed in Paragraph 1 now pending against the defendant,

Ankia Chandrasekaran in the Superior Court of New

Jersey be removed therefrom to this Court.

JONATHAN L. GOLDSTEIN

United States Attorney

By: /s/ Ronald L. Reisner

RONALD L. REISNER

Assistant United States Attorney

A30 Notice of Filing Verified Petition for Removal

STATE OF NEW JERSEY:

SS

COUNTY OF MERCER

Ronald L. Reisner, being duly sworn according to law,

upon his oath deposes and says:

1. Iam an Assistant United States Attorney and am en-

trusted with the handling of this matter.

2. The factual allegations of the petition are true to the

best of my knowledge, information, and belief.

3. Upon the information now available to me, with

respect to the incident referred to in the complaint, Ankia

Chandrasekaran was acting within the scope of his em-

ployment and under the color of his office or status within

the Armed Forces of the United States at the time of the

incident, as indicated in the affidavit of Colonel Leon M.

Dixon which is attached hereot and made a part hereof.

/s/ Ronald L. Reisner

RONALD L. REISNER

Assistant United States Attorney

NOTARIZED

Pin eneetecttieascs etsekadensh\ ben stants Vleet

Notice of Filing Verified Petition for Removal A31

8 August 1974

AFFIDAVIT

SCOPE OF EMPLOYMENT STATEMENT

I, Colonel Leon M. Dixon, being of full age, hereby

swear and depose that:

From 10 August 1972 to the present time, DOCTOR

ANKIA CHANDRASEKARAN, 534 48 5430, Lieutenant

Colonel, United States Army, Medical Corps, Walson Army

Hospital, Fort Dix, New Jersey, has been on the medical

staff of Walson Army Hospital and has not practiced med-

icine as a private individual. On 21 January 1974, 22

January 1974, and 23 January 1974, Lieutenant Colonel

CHANDRASEKARAN was acting within the scope of his

employment as a military doctor during the treatment of

Miguel Martinez, Jr., at Walson Army Hospital, Fort Dix,

New Jersey.

/s/ Leon M. Dixon

LEON M. DIXON

Colonel, MC

Commanding

Walson Army Hospital

Fort Dix, New Jersey 08640

NOTARIZED

A32

NOTICE OF MOTION TO

DISMISS COMPLAINT

To: Novins, Novins, Farley and Grossman, Esquires

Attorneys for Plaintiff

202 Main Street

Toms River, New Jersey 08753

PLEASE TAKE NOTICE that on the 7th day of Oc-

tober, 1974 at 10:00 o'clock in the forenoon or as soon

thereafter as counsel may be heard, the undersigned, at-

torneys for defendants will move before the Honorable

Clarkson S. Fisher of the United States District Court for

the District of New Jersey, United States Court House

and Post Office Building, 402 East State Street, Trenton,

New Jersey for an order extending time to answer the

complaint and dismissing the complaint against defendants

for failure to state a claim upon which relief can be granted.

In support of this motion, the undersigned will rely

upon the affidavits of Colonel Leon M. Dixon, one of which

was filed with the Petition for Removal, and the affidavit

of Ronald L. Reisner, together with a Memorandum of

Law submitted herewith.

JONATHAN L. GOLDSTEIN

United States Attorney

By: /s/ Ronald L. Reisner

RONALD L. REISNER

Assistant United States Attorney

Original Filed September 1, 1974

eT ee ee

Notice of Motion A33

8 August 1974

AFFIDAVIT

SCOPE OF EMPLOYMENT STATEMENT

I, Colonel Leon M. Dixon, being of full age, hereby

swear and depose that:

From 10 August 1972 to the present time, DOCTOR

ANKIA CHANDRASEKARAN, 534 48 5430, Lieutenant

Colonel, United States Army, Medical Corps, Walson Army

Hospital, Fort Dix, New Jersey, has been on the medical

staff of Walson Army Hospital and has not practiced med-

icine as a private individual. On 21 January 1974, 22

January 1974, and 23 January 1974, Lieutenant Colonel

CHANDRASEKARAN was acting within the scope of his

employment as a military doctor during the treatmeit of

Miguel Martinez, Jr., at Walson Army Hospital, Fort Dix,

New Jersey.

/s/ Leon M. Dixon

LEON M .DIXON

Colonel, MC

Commanding

Walson Army Hospital

Fort Dix, New Jersey 08640

NOTARIZED

A34 Notice of Motion

AFFIDAVIT

I, COLONEL LEON M. DIXON, being of full age,

hereby swear and depose that:

On 20 January through 23 January 1974, DR. LAW-

RENCE SCHROCK was acting within the scope of his

employment as a military doctor during the treatment of

MIGUEL MARTINEZ, JR. at Walson Army Hospital, Fort

Dix, New Jersey, and not as a private physician.

/s/ Leon M. Dixon

LEON M. DIXON

Colonel, MC

Commanding

Walson Army Hospital

Fort Dix, New Jersey 08640

STATE OF NEW JERSEY

:SS

COUNTY OF BURLINGTON :

NOTARIZED

Notice of Motion A35

STATE OF NEW JERSEY:

SS

COUNTY OF MERCER

Ronald L. Reisner, of full age, being duly sworn ac-

cording to law, upon his oath, deposes and says:

1. I am an Assistant United States Attorney and am en-

trusted with the handling of the above-referenced matter

for the defendants.

2. On August 20, 1974 I mailed a stipulation extending

time to answer to October 7, 1974 to counsel for the plain-

tiff.

3. On September 9, 1974 counsel for plaintiff stated in

a telephone conversation that he had no substantive objec-

tion to extending the time for defendants to answer, but

that because of his contentions with respect to the removal

of his action as expressed in his August 26, 1974 letter

to the Court, he would only execute a stipulation in the

Superior Court of New Jersey.

4. This affidavit is made in support of defendants’ mo-

tion for an order extending time to answer the complaint

to and including October 7, 1974.

/s/ Ronald L. Reisner

RONALD L. REISNER

NOTARIZED

A36

BRIEF IN SUPPORT OF DEFENDANTS’

MOTION TO DISMISS

STATEMENT OF FACTS

Plaintiff brings this action against Doctor Ankia Chan-

drasekaran and Doctor Lawrence Schrock. At the time

of the incident giving rise to this suit, both defendants

were officers in the United States Army assigned to Wal-

son Army Hospital Fort Dix, New Jersey. Dr. Ankia

Chandrasekaran held the rank of Lieutenant Colonel,

Medical Corps. Plaintiffs allege, inter alia, that Miguel

Martinez, Jr. died as a result of the defendants’ alleged

failure to perform a gall bladder operation and to render

post-operative care properly. Apparently, although it is

not alleged, Miguel Martinez, Jr., a civilian employee at

Fort Dix, was a retired Army sergeant and was therefore

entitled to medical treatment at Walson Army Hospital,

Fort Dix, in January, 1974.

This brief is submitted in support of the defendants’

motion to dismiss, which, under F.R. Civ. P. 12(b)(6),

can be treated as a motion for summary judgment under

F.R. Civ. P. 56.

I. DEFENDANTS ARE IMMUNE FROM SUIT

The alleged acts of negligence which form the basis of

the Complaint, were performed by the defendants acting

within the scope of their authority as employees and agents

of the United States of America.

It is well settled that no action can be brought or tried

against a federal official for acts performed within the

outer perimeter of his official authority and in pursuance

of his official duties. Barr v. Matteo, 360 U.S. 564 (1959);

Howard v. Lyons, 360 U.S. 593 (1959). As noted in Barr,

supra at 572-73, this immunity from suit is absolute and

Brief in Support of Defendant's A37

Motion to Dismiss

extends to all levels of government. See, Konigsberg v.

Hunter, 308 F. Supp. 1361, 1363 (W.D. MO. 1970).

The privilege of official immunity was recognized by the

Supreme Court long before Barr and Howard. See, e.g.,

Kendall v. Stokes, 44 U.S. (3 How.) 87 (1845); Bradley

v. Fisher, 80 U.S. (13 Wall.) 335 (1872); Spalding v. Vilas,

161 U.S. 483 (1896). It has been recognized in every

Circuit Court of Appeals in the country, and, in partcular,

the Third Circuit upheld this privilege in Keiser v. Hart-

man, 339 F.2d 597 (3rd Cir. 1964), cert. denied, 381 U.S.

934 (1965); see also Josephson v. Joslin, 38 F.R.D. 344

(D.N.J. 1965).

This privilege not only protects a federal official from

judgment, but also frees him from the burden of trial. In

Babylon Milk and Cream Co. v. Rosenbush, 233 F. Supp.

735, 736 (E.D.N.Y. 1964) the Court stated:

“... the principal is one that halts at the threshold

any judicial inquiry into the existence of private in-

jury consequent upon the officer's act . . . where it

appears that the alleged private wrong grew directly

out of the defendant's functioning in his discretionary

office.”

The principle of official immunity requires: (1) that the

official be acting within the scope of his employment, and

(2) that his duties be discretionary in nature. Bivens v.

Six Unknown Named Federal Agents, 456 F.2d 1339, 1343

(2nd Cir. 1972).

It would appear clear from the record that Lieutenant

Colonel Chandrasekaran’s treatment of Miguel Martinez,

Jr. was performed within the outer perimeter of his duties

as an officer and medical doctor in the United States Army.

(Affidavit of August 8, 1974 of Colonel Leon M. Dixon

attached to petition of removal). Dr. Schrock also acted

A38 Brief in Support of Defendant's

Motion to Dismiss

within the scope of his duties. (Affidavit of August 21,

1974 of Colonel Leon M. Davis). Alleged tortious or

unauthorized acts will not remove a federal official's con-

duct from the scope of his authority. See, Gamage v. Peal,

217 F. Supp. 384 (N.D. Cal. 1962); Babylon Milk and

Cream Co. v. Rosenbush, supra.

The duties which defendants performed also meet the

other criteria entitling them to immunity. In Estate of

Burks v. Ross, 438 F.2d 230 (6th Cir. 1971), the adminis-

trative director of a government hospital and a treating

psychiatrist in the hospital were held to be vested with

discretionary duties and, therefore, to be immune. As to

the treating psychiatrist the Court noted, “While Dr.

Ging had less discretion, nevertheless in her diagnosis and

treatment of patients and in her supervisory powers over

other employees she was vested with discretion.” 438

F.2d at 235.

In Gamage v. Peal, 217 F. Supp. 384 (N.D. Cal 1962),

plaintiff brought a tort suit against, inter alia, a military

doctor. Once it was determined that the doctor was acting

wihin the scope of his employment, the Court held him

to be immune from suit:

“That medical officers in the Armed Forces . . . should

be covered by the immunity rule would appear quite

apparent if the rule, as presently applied by the United

States Circuit Courts and the United States Supreme

Court is to have consistent application. The im-

munity from liability for official acts is no longer

limited to cabinet members, department heads or

judges . . . but now extends to lesser officials in sim-

ilar capacities as the defendants sued herein.” 217

F. Supp. at 390.

See also, Taylor v. Glotfelty, 201 F.2d 51 (6th Cir. 1952);

Bates v. Carlow, 430 F.2d 1331 (10th Cir. 1970); Blitz v.

ee amt A

Brief in Support of Defendant's A39

Motion to Dismiss

Boog, 328 F.2d 596, 600 (2nd Cir. 964), cert. denied, 379

U.S. 855 (1964).

Thus, it would appear to be without question that the

defendants are immune from suit and the complaint should

be dismissed.

Finally, it should be noted that should plaintiff desire to

sue the United States, the two year statute of limitations,

28 U.S.C. Section 2401, has not yet expired.

CONCLUSION

For all of he foregoing reasons, the complaint should

be dismissed against defendants.

Respectfully submitted,

JONATHAN L. GOLDSTEIN

United States Attorney

By: /s/ Ronald L. Reisner

RONALD L. REISNER

Assistant United States Attorney

A40

MEMORANDUM OF LAW

OF PLAINTIFF

STATEMENT OF FACTS

This is a medical malpractice action instituted for the

wrongful death of Miguel Martinez, Jr. Defendants in

this suit are doctors who were employed by the United

States Army and assigned to Walson Army Hospital. The

acts of negligence concern an improperly performed gall

bladder operation and aftercare.

ARGUMENT OF LAW

Defendants have made a motion to dismiss the complaint

upon the ground that defendants are immune from civil

suit for any act of professional negligence committed while

they were employees of the United States Army. It must

be pointed out, prior to any discussion of the law, that the

acts complained of constitute deviations from accepted

medical standards and do not in any way concern acts of

a discretionary nature having to do with policy decisions.

Defendants cite a number of cases in their memorandum

which they contend indicate that they enjoy complete im-

munity from civil suit. It is submitted that none of these

cases stand for the proposition that these defendants would

enjoy total immunity. The leading case discussed is Barr

v. Matteo, 360 U.S. 564 (1959). That was a suit for libel

by employes of a federal agency against the head of that

agency. In a 5 to 4 opinion, it was held that a privilege

exists against suit for acts arising out of duties performed

by government officials in the course of their duties. The

majority stated that the question was a close one, but that

freedom to exercise discretion in discharging the functions

of government outweighed the right of an individual to

sue for a tort which might grow out of the operation of a

Memorandum of Law of Plaintiff A41

governmental office. It is clear that this case stands for the

proposition that immunity will follow those discretionary

activities necessary to keep the government and its agencies

functioning. The case of Howard v. Lyons, 360 U.S. 593

(1959) is a companion case to Barr.

There then follows a series of other cases where im-

munity was found to exist.

Spalding v. Vilas, 161 U.S. 483, 16 S. Ct. 631 (1896).

Action by attorney for employees of the Post Office Depart-

ment against the Postmaster. The Court said at page 637,

“In exercising the functions of his office, the head of an

executive department keeping within the limits of his au-

thority should not be under apprehension that the motives

that control his official conduct may at any time become

the subject of inquiry in a civil suit for damages.”

Kendall v. Stokes, 44 U.S. 87 (1845). Suit by contract-

ing parties with Department of the Post Office against Post-

master General. Held, theory of case was actually breach

of contract and immunity aplied to defendant.

Bradley v. Fisher, 80 U.S. 335 (1872). Suit by attorney

against judge of the District Court.

Keiser v. Hartman, 339 F.2d 597 (3rd Cir. 1964). Libel

action by employees of Department of Agriculture against

fellow employees.

Josephson v. Joslin, 38 F.R.D. 334 (D.N.J. 1965). Ac-

tion against I.R.S. agents for harassment in examining

plaintiff's books and records.

In the case of Bivens v. Six Unknown Named Federal

Agents, 456 F.2d 1339 (2nd Cir. 1972), Judge Medina

found no immunity. The suits were against agents of

various federal agencies for acts committed while pursuing

suspects. At p. 1343 the Court held, “But we reject the

A42 Memorandum of Law of Plaintiff

claim of immunity because we do not agree that the agents

were alleged to be engaged in the performance of the

sort of ‘discretionary’ acts that require the protection of

immunity.”

There then follows a series of cases dealing with medical

officers. In Estate of Burkes v. Ross, 438 F.2d 230 (6th

Cir. 1971) the decedent was a mental patient in a V.A.

hospital. He escaped and was killed by a train. The

theory of the case was that hospital policy did not keep him

properly confined. The Court permitted immunity to pro-

tect the director of the hospital and chief psychiatrist who

determined policy of confinement, but did not allow im-

munity against nurses and other staff personnel.

Likewise, in Blitz v. Boog, 328 F.2d 596 (2nd Cir. 1964)

a false imprisonment suit against a psychiatrist was dis-

missed because policy decision to hold patient for examina-

tion or release him required protection of immunity.

Again, Gamage v. Peal, 217 F. Supp. 384 (N.D. Cal. 1962)

was an action against a base psychiatrist and other doctors

for wrongfully diagnosing and treating a condition which

prevented plaintiff from flying. Note that plaintiff did not

allege misdiagnosis and treatment, nor did he allege a

violation of any Air Force Regulation. At p. 389 the Court

said:

“To allow the fear or risk of personal liability for their

official acts to inhibit military doctors from performing

their duty and going forward and pursuing findings

that might result in a determination of a flyer in today’s

Air Force would be contrary to the national interest.

Such action would result in endangering the lives of

the men and the public; it would hamstring the effi-

cient operation of our Air Force; and would, there-

fore, have the effect of allowing the interest of the

wronged individual to override the needs of the gov-

oe a

Pee ee en

Memorandum of Law of Plaintiff A43

ernment and the public, which is contrary to the

whole purpose of the immunity rule.”

Taylor v. Glotfeity, 201 F.2d 51 (6th Cir. 1952) in-

volved a libel action against a psychiatrist at a federal

prison facility. Immunity was held to apply. However,

this opinion may be subject to some question, since the

court cited, as authority for its decision the case of Cooper

v. O'Connor, 99 F.2d 135. That was a malicious prosecu-

tion suit against a federal prosecutor which clearly came

within the ambit of Barr.

It is clear that none of the cases listed above concerned

allegations of medical malpractice. Only Bates v. Carlow,

430 F.2d 1331 (10th Cir. 1970) involved malpractice.

However, this was a per curiam opinion which did not dis-

cuss any of the facts of the alleged claim.

An analysis of the authorities suggests the concept with

which we are dealing. Immunity from suit is a judg2-made

concept, rather than statutory or constitutional. it finds

its genesis in the Barr decision, which extents immunity

to such government officials who are required within the

course of their duties to make discretionary policy decisions

generally affecting the conduct of their duties. Clearly,

the “discretion” involved must be of policy level, since

every routine act performed by human beings involves

some discretion—to stop or go, turn left or right, etc.

Viewed in this light, the present action should not be

dismissed. Defendants are not being sued for an abuse

of discretion. They are being sued for a deviation of

accepted medical standards. If it were a matter of discre-

tion, the suit could not be maintained. Moreover, any

decisions made concerning the care of the decedent were

not general in nature, affecting the hospital or ward as a

whole, but were personal to this one case. As an analogy,

one might consider the respective roles of attorney and

A44 Memorandum of Law of Plaintiff

trial judge. The judge should be free from suit for de-

cisions and statements made while performing his official

duties. However, the attorney is subject to suit for mal-

practice if he violates a standard of care in representing

his client before that judge.

For the reasons expressed herein, it is requested respect-

fully that defendants’ motion be denied.

Respectfully submitted,

NOVINS, NOVINS,

FARLEY & GROSSMAN

Attorneys for Plaintiff

/s/ Richard A. Grosman

RICHARD A. GROSSMAN

For the Firm

DDS OAD Con le RD tne

Ss

oe een, eer ere ere

A45

ORDER GRANTING MOTION

OF DEFENDANT

This matter having been opened to the Court by Jona-

than L. Goldstein, United States Attorney for the Dis-

trict of New Jersey, counsel for the individual defendants,

Ronald L. Reisner .:ssistant United States Attorney ap-

pearing in the presence of Novins, Novins, Farley and

Grossman, Esquires, counsel for plaintiff, Richard A.

Grossman, Esquire appearing, and the Court having con-

sidered the affidavits filed and the briefs and oral argu-

ments of counsel, and a letter opinion having been filed

with the Clerk of the Court, for good cause shown;

It is on this 29th day of October, 1974 ORDERED that

the time within which the individual defendants may

answer or otherwise proceed herein be and the same

hereby is extended nunc pro tune to and including Octo-

ber 7, 1974; and

It is FURTHER ORDERED that the complaint against

the individual defendants Lawrence Schrock, M.D. and

Ankia Chandrasekaran, M.D. be and the same hereby is

DISMISSED with prejudice and without costs.

/s/ Clarkson S. Fisher

CLARKSON S. FISHER

UNITED STATES

DISTRICT JUDGE

ORIGINAL FILED

A46

NOTICE OF APPEAL OF PLAINTIFF

Notice is hereby given that Raphaela Martinez, etc.,

the above-named plaintiff, hereby appeals to the United

States Court of Appeals for the Third Circuit from the

Order of Dismissal in favor of the defendants and against

the plaintiff entered in this action on the 29th day of

October, 1974.

NOVINS, NOVINS, FARLEY &

GROSSMAN

/s/ Richard A. Grossman

BY RICHARD A. GROSSMAN

For the Firm

DATED: November 7, 1974

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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