Kevin Clanton v. United States

United States Court of Appeals for the Seventh Circuit · November 7, 2019 · No. 18-3060

Summary

In this Federal Tort Claims Act case, the Seventh Circuit vacated the judgment and remanded because the district court applied a subjective standard rather than Illinois’s objective reasonable-person standard when assessing the plaintiff’s comparative negligence. The court held that the repeal of Illinois’s periodic payment statute applied retroactively as a special remedial statute, precluding the government from electing periodic payments. The court also affirmed the district court’s damages rulings, finding no abuse of discretion in excluding Hawaii comparator cases with damages caps and concluding that Medicare Part B benefits are collateral under Illinois law, so no partial offset was required.

Court
United States Court of Appeals for the Seventh Circuit
Writing for the Court
Barrett; Ripple; Rovner
Jurisdiction
Federal
Decision date
November 7, 2019
Docket number
18-3060
Procedural posture
Appeal from the United States District Court for the Southern District of Illinois, Chief Judge Nancy J. Rosenstengel. The district court found the United States liable under the Federal Tort Claims Act for negligent care by a nurse practitioner and awarded nearly $30 million in damages. The government appeals the comparative-negligence determination and three damages rulings.
Standard of review
The court reviews de novo the district court's determination of state law in an FTCA case. The court reviews the district court's damages methodology de novo and the application of that methodology for abuse of discretion. The collateral source question is a matter of state law.
Precedential value
published
Parties
United States of America v. Kevin Clanton
Disposition
vacated

Topics

medical malpracticecomparative faultdamagesgovernment liability

Practice areas

tortsmedical malpracticefederal tort claimsdamages

Questions Presented

  1. Whether the district court applied the correct legal standard in evaluating Clanton's comparative negligence under Illinois law.
  2. Whether the district court erred in rejecting the government's election for periodic payment of damages.
  3. Whether the district court erred in its calculation of noneconomic damages.
  4. Whether the district court should have deducted a portion of Clanton's damages due to Medicare coverage.

Holdings

  1. The district court failed to apply the objective reasonable-person standard required by Illinois law. The court must compare Clanton's behavior to that of a reasonable person in his situation, not merely rely on his subjective understanding.
  2. The periodic-payment statute has been repealed, and the repeal applies retroactively because it is a special remedial statute. Therefore, periodic payment is no longer available to the government, regardless of any error by the district court.
  3. The district court did not abuse its discretion in excluding the Hawaii cases because their damages caps made them imperfect comparators. The ratio method did not affect the damages award, so any error is harmless.
  4. The district court correctly refused to offset damages because Medicare benefits are collateral under Illinois law. Both the taxpayer and Clanton contributed to the fund, and the benefits are not intended to indemnify the government.

Key quotations

"whether plaintiff … used that degree of care which an ordinarily careful person would have used … under like circumstances." (4)
"The unconditional repeal of a special remedial statute without a saving clause stops all pending actions where the repeal finds them. If final relief has not been granted before the repeal goes into effect it can’t be granted afterwards." (6)
"The justification for the collateral-source rule is that the wrongdoer should not benefit from the expenditures made by the injured party or take advantage of contracts or other relations that may exist between the injured party and third persons." (11)

Factual background

For four years, nurse practitioner Denise Jordan treated Kevin Clanton's severe hypertension. Jordan failed to properly educate Clanton about his disease or to monitor its advancement. Clanton's hypertension eventually developed into Stage V kidney disease requiring dialysis and a transplant. Clanton sued the United States under the FTCA for Jordan's negligent care. After a bench trial, the district court found the United States liable and awarded nearly $30 million in damages.

Procedural history

Kevin Clanton sued the United States under the FTCA for negligence by nurse practitioner Denise Jordan, an employee of the U.S. Public Health Service. After a five-day bench trial, the district court found Jordan deviated from the standard of care and awarded Clanton nearly $30 million in damages. The government filed a motion to reconsider on damages, which the district court denied in part. The government appeals the comparative negligence determination and three damages rulings.

Remand instructions

On remand, the district court must apply the objective reasonable-person standard to assess Clanton's comparative negligence. The court is not required to revisit its rulings on periodic payment or damages, though the damages award may be affected by the new comparative negligence analysis.

Court Document

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