County of San Diego v. Viloria

276 Cal. App. 2d 350, 80 Cal. Rptr. 869, 1969 Cal. App. LEXIS 1813
CourtCalifornia Court of Appeal
DecidedSeptember 23, 1969
DocketCiv. 9305
StatusPublished
Cited by12 cases

This text of 276 Cal. App. 2d 350 (County of San Diego v. Viloria) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
County of San Diego v. Viloria, 276 Cal. App. 2d 350, 80 Cal. Rptr. 869, 1969 Cal. App. LEXIS 1813 (Cal. Ct. App. 1969).

Opinion

ment against him in favor of plaintiff, County of San Diego, awarding the latter $5,879.27 on account of medical and hospital services defendant furnished an alien named Aguirre, an indigent person.

In July 1960, Aguirre sought admission into the United States from Mexico as an immigrant; applied to the American consul in Tijuana, Mexico, for a visa; and delivered to the consul an affidavit executed by defendant in which, among other things, he stated: “I am ready and willing to support the above- named [Aguirre] in the United States, and I guarantee that HE will not become a Public Charge.”

Aguirre, who was a farmer, was granted a visa and admitted into the United States; worked on defendant’s farm for a month; then went to work on a farm owned by a man named Tachiki; and continued to work for Tachiki until he was hospitalized for tuberculosis on November 6, 1964. In the *352 meantime Aguirre sponsored admission of his wife and three children into the United States from Mexico as alien immigrants. Thereafter a fourth child was bom in the United States. During all of this time they were residents of the County of San Diego. Aguirre and the members of his family received hospitalization in a hospital maintained by the county.

The Administrative Code of the County of San Diego governs admission to the county hospital and, among other things, authorizes admittance of a person determined to be a “medical indigent” under rules prescribed in a directive from the director of medical institutions.

On November 6, 1964, Aguirre, who was suffering from tuberculosis, was admitted to the hospital because a man with a family of four earning less than $340 per month, pursuant to the directive, is a “medical indigent” entitled to admission to the hospital, and Aguirre theretofore earned only $215 per month.

The County Administrative Code also provides: ‘' Except as otherwise provided by law or by contract all aid rendered shall be a charge against the patient, his spoúse when he is married, or his parents when he is a minor, and they shall be jointly and severally liable to pay the cost thereof.” State law requires the County of San Diego to furnish hospitalization to an indigent person. (Welf. & Inst. Code, § Welf. & Inst. Code, § 2500; Health & Saf. Code, § 1445; County of Los Angeles v. Frisbie, 19 Cal.2d 634, 639 [122 P.2d 526]; City & County of San Francisco v. Collins, 216 Cal. 187, 190 [13 P.2d 912]; In re Dudley, 239 Cal.App.2d 401, 403, [48 Cal.Rptr. 790]; Chavez v. Sprague, 209 Cal.App.2d 101, 107 [25 Cal.Rptr. 603]; Acosta v. County of San Diego, 126 Cal.App.2d 455 [272 P.2d 92].) In the event the indigent person is able to pay a part of although not the total charge for hospital services rendered him by the county, he is obligated accordingly. (Goodall v. Brite, 11 Cal. App.2d 540, 548-549, 550-551 [54 P.2d 510].) The county is authorized to fix the rate to be charged the indigent and to direct its collection. (Health & Saf. Code, § 1473.) Nevertheless, the obligation is limited in amount to the extent of the indigent person’s ability to pay. (County of Alameda v. Kaiser, 238 Cal.App.2d 815, 818 [48 Cal.Rptr. 343].) The provision of the County Administrative Code directing a-charge against patients for hospital services expressly does not apply where “otherwise provided by law” and, in this *353 manner, limits the obligation of the indigent patient to his ability to pay. (Italics added.) In the case at bench the practice of charging the indigent person for hospital services was activated by setting up an account in the name of Aguirre in which a daily charge' approximating $22 was entered as a debit, and payments from Aguirre in the sum of $5 and on account of disability insurance in the sum of $240 were entered as credits. The County of San Diego also adopted the practice of notifying the sponsor of an alien immigrant when the latter was receiving hospital services as an indigent person; had been informed defendant had executed a support affidavit as sponsor for Aguirre’s admission to the United States; and notified defendant of the latter’s hospitalization. The evidence dictates the conclusion Aguirre was admitted to the hospital because he was an indigent person within the meaning of the directive pursuant to which indigency is determined; was not admitted because defendant had executed the sponsor’s affidavit; and would have been admitted even though no sponsor’s affidavit existed.

The County sued defendant to recover the unpaid balance of the charges against Aguirre; alleged it was obligated by state law to furnish hospital services to indigent persons and Aguirre was an indigent person when the services for which he was charged were rendered; and sought recovery from defendant upon the theory he-, by virtue of his sponsor’s affidavit, was liable for services - rendered Aguirre as a public charge. Admittedly, while Aguirre was in the hospital he was unable to pay anything for the services rendered him.

The trial court found, among other things, “defendant at the time of executing said affidavit [i.e., the sponsor’s affidavit] intended to and did execute said affidavit with the intent that it become a contract of continuing guarantee enforceable by any state of the United States ... or county within said state in which Edmundo Espinoza Aguirre became, and received aid as, a public charge”; defendant executed the affidavit “with the intent that said affidavit when accepted by the American Consul in Tijuana, Mexico, constitute a legally enforceable contract between said defendant and the United States Department of Immigration and Naturalization Service”; when the affidavit was accepted by the American Consul he intended “said contract be enforceable by the United States, any state of the United States, or any . . . county . . . within said state . . .”; and hospital services were rendered Aguirre by the County of San Diego *354 for the period November 6, 1964, to February 10, 1966, during which time “Aguirre was an indigent person and a public charge of the County of San Diego.” Judgment in favor of the County against defendant for the amount of the unpaid charges was entered accordingly.

Defendant contends the circumstances attendant upon execution of the affidavit establish as a matter of law there was no intention thereby to create a legal obligation to support Aguirre, or otherwise render him liable for hospitalization furnished Aguirre as a public charge. In support of his position defendant cites Department of Mental Hygiene of Cal. v. Renal, 10 Misc.2d 402 [173 N.Y.S.2d 231], a 1958 decision by the Appellate Division of the Supreme Court of New York, and State ex rel. Attorney General v. Binder, 356 Mich.

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Cite This Page — Counsel Stack

Bluebook (online)
276 Cal. App. 2d 350, 80 Cal. Rptr. 869, 1969 Cal. App. LEXIS 1813, Counsel Stack Legal Research, https://law.counselstack.com/opinion/county-of-san-diego-v-viloria-calctapp-1969.