Mandan Deaconess Hospital v. County of Sioux

248 N.W. 924, 63 N.D. 538, 1933 N.D. LEXIS 204
CourtNorth Dakota Supreme Court
DecidedMarch 25, 1933
DocketFile Nos. 6083, 6084.
StatusPublished
Cited by8 cases

This text of 248 N.W. 924 (Mandan Deaconess Hospital v. County of Sioux) is published on Counsel Stack Legal Research, covering North Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mandan Deaconess Hospital v. County of Sioux, 248 N.W. 924, 63 N.D. 538, 1933 N.D. LEXIS 204 (N.D. 1933).

Opinion

Birdzell, J.

Two actions, one brought to recover for hospital services and one to recover for professional services of a physician rendered to a resident of Sioux county, were brought against the County of Sioux and by stipulation tried together. A jury trial was waived and in each action findings of fact and conclusions of law were made favorable to the plaintiff. Erom judgments for $651.95 and costs and $483.33 and costs, respectively, and from orders denying judgment notwithstanding or a new trial, the defendant has appealed. The cases *541 were argued together in this court and both may be properly treated in one opinion. The record presents the following facts:

During the night of the 24th-25th of June, 1928, one Wendelin Vetter, an adult who resided in an unorganized township in Sioux county, was injured in an automobile accident. He suffered á basal fracture of the shall, a fracture of both bones of the left forearm, and a compound, comminuted fracture of the bones of the left leg between the knee and the ankle. As a result of his injuries he was rendered unconscious. The accident happened approximately eleven miles north of Fort Tates, the county seat of Sioux county. During the night Vetter was taken to Doctor Nice of Solen, in the same county, who was the health officer, but not the county physician of the county. (It seems there was no county physician in the county.) Tie'was there examined superficially and the examination indicated the need of hospital facilities and the care and attendance of a good surgeon. Doctor Rice recommended that the injured man be taken where he could have such care. About four o’clock in the morning of June 25th, Vetter was taken to the plaintiff hospital for care. He was still unconscious and remained in that condition for a number of days thereafter. The hospital provided for his care, securing a special nurse between June 26th and July 14th, for which service it expended the sum of $95. The only compensation made for the service rendered to Vetter was $50, which was paid to the hospital by one who owed that sum or more to Vetter, and this $50 was applied on the charge for the special-nurse. He remained in the hospital receiving hospital care and medical and surgical attention until November 10, 1928. During all of the time, and especially during the earlier weeks of the period, his condition was such that he could not have been properly cared for in any other place than a hospital. To have required him to leave the hospital would have endangered his life and would have enhanced the probability of his becoming permanently crippled. On or about, the 2nd day of July, R. B. McDonald, a county commissioner and an overseer of the poor of Sioux county, was notified that Vetter was a patient in the hospital, was without means to provide for his care and that he was dangerously injured and helpless. The matter was also brought to the attention of the board of county commissioners of Sioux county but no action was taken.

*542 No question, was raised concerning the reasonable value of any of tbe service furnished to Vetter*, nor concerning his inability to command or pay for the service given. The only contention in the lower court and the only question raised here is as to whether the county is liable in the circumstances stated.

It is argued that there is no common law liability and that the county is only liable to the extent it has been rendered so by statute. St. Luke’s Hospital Asso. v. Grand Forks County, 8 N. D. 241, 77 N. W. 598; Hamlin County v. Clark County, 1 S. D. 131, 45 N. W. 329; Roane v. Hutchinson County, 40 S. D. 297, 167 N. W. 168.

This is a correct statement of the law, and the question before us,, therefore, resolves simply to this: whether under our statutes a county is liable for medical and hospital services rendered to an indigent person in the absence of direction by officers charged with the duty of administering poor relief. This question, it would seem, is practically concluded in this jurisdiction by an early interpretation of the poor relief statutes in St. Luke’s Hospital Asso. v. Grand Forks County, 8 N. D. 241, 77 N. W. 598, supra. In all essential particulars, at least in so far as concerns the question involved here, the present statute, article 1, chapter 38 of the Political Code of 1913, is substantially the same as article 1, chapter 22 of the Revised Codes of 1895, which was construed by this court in the case referred to. Concerning this statute, the court said (page 242 of the state report) that it provided “the persons to whom, the officers by whom, and the manner in which, the county extends its bounty to the poor. It does not include authority to those who are not therein charged with that duty, to determine who are paupers, and to furnish them succor at the expense of the county.” The court differentiated our statutory provisions from provisions in some of the other states, notably Maine, where the statute provides that when public officers should refuse or neglect to do their duty any person may, after giving due notice, render assistance and that the county should be liable. Since our statutes remain substantially the same as they were in 1895, and since no amendment has been made' which can be construed to impose an obligation on the county to support indigent persons, or to compensate for services rendered in emergency cases or under necessitous circumstances, as upon an implied contract, where the officers charged with administering poor relief *543 neglect, their duty, there is no obligation which the courts can enforce. Courts cannot create public obligations in accord with their views of the dictates of humanity even in extreme cases. The function of providing for relief at the expense of the public is essentially a legislative function and it is the duty of the courts to give effect to the intention expressed in legislation. For a court to hold that there is a liability on the part of the county in the circumstances appearing in the instant case, would of necessity amount to an interposition of its judgment for the judgment of the officers upon whom the legislation has placed the duty of acting. It would be an act of judicial legislation.

Perhaps the strongest authority in support of the contentions of the respondent is that of Sheridan County v. Denebrink, 15 Wyo. 351, 89 Pac. 7, 9 L.R.A.(N.S.) 1234. In that case the plaintiff had rendered services as a physician and surgeon to a non-resident in an emergency. The statute provided expressly that when any non-resident or any other person not coming within the definition of a “pauper” should fall sick in any county not having money or property to pay his board, nurse and medical attendance, the county commissioners upon notice thereof should “provide such assistance as they may deem necessary, by contract or otherwise” and that they should “make such allowance for board, nursing, medical attendance and burial expenses as they may deem just and equitable.” In construing this statute as applied to emergency cases, the court said (page 9 of 89 Pac., 15 Wyo. 351) :

“The legislature evidently intended this class of cases should be attended to, yet it has failed to point out the methods of giving prompt assistance in an emergency case.

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248 N.W. 924, 63 N.D. 538, 1933 N.D. LEXIS 204, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mandan-deaconess-hospital-v-county-of-sioux-nd-1933.