Lien v. United States, Department of Health & Human Services (In Re Lien)

224 B.R. 431, 1998 Bankr. LEXIS 1470, 1998 WL 569354
CourtUnited States Bankruptcy Court, D. Alaska
DecidedJuly 2, 1998
Docket19-00070
StatusPublished
Cited by3 cases

This text of 224 B.R. 431 (Lien v. United States, Department of Health & Human Services (In Re Lien)) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, D. Alaska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lien v. United States, Department of Health & Human Services (In Re Lien), 224 B.R. 431, 1998 Bankr. LEXIS 1470, 1998 WL 569354 (Alaska 1998).

Opinion

MEMORANDUM DECISION REGARDING DENIAL OF SUMMARY JUDGMENT TO THE USA

HERBERT A. ROSS, Bankruptcy Judge.

1. INTRODUCTION— Douglas Lien, a chapter 7 debtor, had prepetition Health Education Assistance Loan (HEAL) obligations. Within a year after his discharge, he married his long-time domestic partner, Carla Lien. Shortly after that, the Liens learned that a chronic medical problem which Carla suffered was more serious than they suspected. It resulted in substantial post-discharge medical expense, including the cost of pain medication which is critical to Carla’s well-being.

Is Dr. Lien barred from getting an “uneon-scionability” discharge because he voluntarily assumed the legal obligation for Carla, and all the medical bills have occurred after his discharge? I find that he is not.

2. FACTS AND PROCEDURAL BACK GROUND— Douglas Lien obtained a number of loans in the 1980s to pay for his dental education. He graduated from dental school and is licensed to practice dentistry in Alaska. His financial success at the practice of dentistry has been limited.

Lien filed a chapter 7 bankruptcy and was discharged in 1995. At the time, he was a dentist practicing in Homer, Alaska, and a large percentage of his income came from payments received from the Medicaid and Medicare programs.

On January 1, 1996, he married his longtime domestic partner, Carla Lien. Carla had been suffering from a chronic condition which had affected her jaw and face, and as a result had undergone a number of opera *433 tions before the marriage. It was only after the marriage that the Liens learned that her problem was a more serious medical condition than they suspected, described as “persistent osteomyelitis of the maxillary sinuses.” 1 The condition has resulted in substantial post-discharge medical expense for the Liens, including the cost of pain medication which is essential to Carla until she can beat the disease.

The U.S. of America had attempted to collect the HEAL loans from Dr. Lien both pre- and postpetition, but was unable to do so. So, in late — 1996, the government invoked its power to bar Dr. Lien from participating in Medicare and Medicaid programs. 2 The inability to be compensated through these programs will make Dr. Lien’s practice of dentistry financially unfeasible. As a conciliatory gesture, the government is allowing Dr. Lien to participate in these programs pending the outcome of this dischargeability proceeding.

Dr. Lien can escape the stringency of the statutes cutting off his right to participate in Medicare and Medicaid programs if he can show that his loan is nondischargeable. To do that, he must meet the strict test for proving unconscionability under 42 U.S.C. § 292f(g). See, In re Rice. 3

To establish his right to discharge of the HEAL loan, Dr. Lien filed this adversary proceeding. The government filed a motion for summary judgment. Using the standards set out in In re Rice, I have previously denied the government’s summary judgment motion, subject to further briefing on whether Dr. Lien qualifies for relief given his voluntary post-discharge assumption of the legal obligation to care for Carla (what I will call a “lifestyle change” in this Memorandum) 4 That is what this Memorandum addresses.

My concern, reason ditional briefing, was that:

• Dr. Lien was single at the time of the bankruptcy and discharge;
• All the medical expenses were incurred postpetition; and,
• The legal obligation for those medical expenses occurred post-discharge.

In trying to determine if Dr. Lien qualified for discharge of his HEAL loan, I posed to the parties a hypothetical about a debtor who, ten years after his discharge in bankruptcy and after making payments during those ten years on a HEAL loan, suffers catastrophic events. 5 Can he come back even ten years later and use his long-closed bankruptcy as a vehicle to obtain a judgment discharging the HEAL loan?

Inherently, one feels that a HEAL loan debtor must at some point lose the ability to rely on a closed bankruptcy case as a vehicle to establish unconscionability — especially where the debtor has had voluntary lifestyle changes which contribute to the facts giving rise to the claim of unconscionability.

3. LEGAL ANALYSIS—

3.1. What is the Appropriate Date to Use to Analyze the Debtor’s Financial Situation? Most eases do not analyze what is the appropriate date to use in making the determination of whether a student loan under 11 U.S.C. § 523(a)(8), (10) or a HEAL loan is nondischargeable. They merely assume the circumstances at the time of trial will be used as the basis for deciding whether repayment of the educational loan will be an undue hardship or unconscionable.

These cases often include a statement that the court should review the financial circum *434 stances of the debtor-debtor's "current" income and expense-at the time of the trial. 6

One case that did discuss the issue in more detail is In re Sobh. 7 The court entered a judgment denying a discharge for undue hardship under 11 U.S.C. § 523(a)(8)(B). In its judgment, the court included a provision that the debtors would not be barred by res judicata from circumstances changed to bring the debtor within the requirements for an undue hardship exception. The educational lender appealed to have that provision stricken. The district court found that changed circumstances might support a second adversary proceeding to determine the nondischargeabfflty of an educational loan.

The law seems to be almost universal that the court is not restricted to the debtor's circumstances on the petition date in making a determination regarding undue hardship or unconscionability. Since the events giving rise to the unconscionability occurred relatively shortly after his discharge, I find that the chapter 7 case which had been recently concluded can be used as a vehicle to seek an unconscionability discharge of Dr. Lien's HEAL obligations.

3.2.

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Bluebook (online)
224 B.R. 431, 1998 Bankr. LEXIS 1470, 1998 WL 569354, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lien-v-united-states-department-of-health-human-services-in-re-lien-akb-1998.