Marzen v. United States Department of Health & Human Services

632 F. Supp. 785, 1986 U.S. Dist. LEXIS 27164
CourtDistrict Court, N.D. Illinois
DecidedApril 4, 1986
Docket84 C 1225
StatusPublished
Cited by5 cases

This text of 632 F. Supp. 785 (Marzen v. United States Department of Health & Human Services) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marzen v. United States Department of Health & Human Services, 632 F. Supp. 785, 1986 U.S. Dist. LEXIS 27164 (N.D. Ill. 1986).

Opinion

MEMORANDUM OPINION AND ORDER

ROVNER, District Judge.

Plaintiff Thomas J. Marzen, general counsel of the National League Center for the Medically Dependent and Disabled in Indianapolis, Indiana, brought this action under the Freedom of Information Act, 5 U.S.C. § 552 (“FOIA”), seeking to compel the defendants to disclose certain records. The defendants consist of the United States Department of Health and Human Services (“HHS”), the Secretary of HHS, and two subordinate officials of HHS. 1 Specifically at issue are four records from an investigation by the Office for Civil Rights of HHS into possible discrimination against a handicapped individual involving the withholding of medical care from a newborn infant. The investigation involved the “Infant Doe” incident in Bloomington, Indiana, in *788 which certain medical treatment was withheld from a Down’s syndrome baby with a blocked esophagus who subsequently died. The government refused to release the records citing Exemptions 5, 6, 7(A), and 7(C) of FOIA, 5 U.S.C. §§ 552(b)(5), 552(b)(6), 552(b)(7)(A), and 552(b)(7)(C). In February, 1984, plaintiff filed his complaint for injunctive relief pursuant to 5 U.S.C. §§ 552(a)(3) and 552(a)(4)(B). The government then released some of the requested records, and, on May 12, 1984, filed a Vaughn index as required by Vaughn v. Rosen, 484 F.2d 820 (D.C.Cir.1973), cert. denied, 415 U.S. 977, 94 S.Ct. 1564, 39 L.Ed.2d 873 (1974), but continued to withhold four sets of documents under the exemptions cited above. Presently pending before this Court are the parties’ cross-motions for summary judgment. In addition, the government seeks dismissal of defendants Sermier and Roberts on the basis that FOIA does not permit suits against subordinate agency officials. The parties agree that there is no material disputed issue of fact which cannot be resolved by the parties’ various submissions. The motions are granted in part and denied in part for the reasons stated below.

FACTS

The baby identified in the documents as Infant Doe was born at 8:10 p.m. on Friday, April 9,1982, in Bloomington Hospital, Bloomington, Indiana. At birth, the baby was diagnosed as having Down’s syndrome and also a defective esophagus. Two doctors recommended surgery to correct the blocked esophagus, but the parents decided against surgery or any other treatment, except sedation as necessary. Everyone involved in the situation recognized that the baby would soon die if the surgery was not performed.

Infant Doe was delivered by Dr. Walter Owens, an obstetrician with privileges at Bloomington Hospital. Dr. Paul Wenzler, a general practitioner who had been the family physician for the parents, was the infant’s initial attending physician. Both Dr. Owens and Dr. Wenzler tentatively diagnosed Down’s syndrome, and Dr. Wenzler requested a consultation from Dr. James Schaffer, a pediatrician at Blooming-ton Hospital, who agreed with the Down’s syndrome diagnosis and also believed that the infant had tracheoesophageal fistula, a developmental anomaly characterized by an abnormal connection between the trachea and the esophagus resulting in the inability of food and fluids to pass from the mouth to the stomach. Dr. Wenzler and Dr. Schaffer recommended that Infant Doe be transferred immediately to Riley Hospital at the University of Indiana Medical Center, the designated neonatal high risk center, where necessary surgery to correct the tracheoesophageal fistula could be performed. A fourth doctor, Dr. James Laughlin, also a pediatrician on staff at Bloomington Hospital, examined Infant Doe and agreed with the diagnosis already made. He expressly noted, however, “There is clinically no evidence of other congenital anomalies. Further work-up work will be necessary to confirm internal organ defects.” He agreed with the recommendation of Dr. Wenzler and Dr. Schaffer that the infant be transferred immediately for surgery to correct the esophageal atresia.

The parents of Infant Doe rejected the recommendation for surgery. At 2:45 p.m. that same day, Saturday, April 10, 1982, the parents signed the following statement by which they approved Dr. Owens’ proposed course of action “that the child remain at Bloomington Hospital with full knowledge that surgery to correct tracheoesophageal fistula was not possible at Bloomington Hospital and that within a short period of time the child would succumb due to inability to receive nutriment and/or pneumonia.” The infant’s medical chart noted that the parents requested that four guidelines be followed in the care of Infant Doe:

“(1) Formula may be given if personnel wish, with full recognition that this will likely cause pneumonia and may speed child’s demise.
(2) No IV’s.
(3) No antibiotics.
*789 (4) Sedation as necessary if infant appears to be in pain or distress.”

The same day, at the instigation of the attorney for Bloomington Hospital, an emergency hearing was held before Judge John G. Baker of the Monroe County Circuit Court. During the hearing, Blooming-ton Hospital made no representation concerning the appropriate course of treatment which should be followed. Instead, the hospital’s position was that it did not have the knowledge or authority to make diagnoses or to prescribe treatment. The hospital asked the Court to issue a declaratory judgment concerning the proper course of treatment for Infant Doe. Dr. Schaffer testified that the surgery on the esophagus was 90% likely to be successful. Dr. Owens testified that he and two other doctors concurred that the recommended course of treatment should be basic techniques “to aid in keeping the child comfortable and free of pain” because “the possibility of a minimally adequate quality of life was non-existent due to the child’s severe and irreversible mental retardation.” Dr. Laughlin disagreed because “he knew of at least three instances in his practice where a child suffering from Down’s Syndrome had a reasonable quality of life,” although he knew of no instance of children who had both Down’s syndrome and tracheoesophageal fistula. The infant’s father testified that he had been a public school teacher for over seven years and on occasion had worked closely with handicapped children and with children with Down’s syndrome and that “he and his wife felt that minimally acceptable quality of life was never present for a child suffering from such a condition.” He further testified that, after consulting with all four doctors, he and his wife had determined that it was in “the best interest of Infant Doe and the two children at home and their family entity as a whole, that the course of treatment prescribed by Dr.

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Bluebook (online)
632 F. Supp. 785, 1986 U.S. Dist. LEXIS 27164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marzen-v-united-states-department-of-health-human-services-ilnd-1986.