Matthew v. United States

452 F. Supp. 2d 433, 2006 U.S. Dist. LEXIS 71419, 2006 WL 2779870

• Court: District Court, S.D. New York
• Decided: September 26, 2006
• Docket: 05 Civ. 8045(JGK)
• Status: Published

Opinion

OPINION AND ORDER

JOHN G. KOELTL, District Judge.

The plaintiffs, members of the Army Reserves and members of their families, bring this action under the Federal Tort Claims Act, 28 U.S.C. §§ 1346(b), 1402(b), 2401(b), and 2671-2680, alleging that the soldier-plaintiffs suffered injuries as a re- suit of exposure to radioactive depleted uranium (“DU”) while serving on active military duty in Iraq.

The plaintiffs assert six claims for relief in their Complaint. The first claim, asserted by the soldier-plaintiffs, alleges that those plaintiffs suffered injuries as a result of the negligence of the Department of the Army (the “Army”). (Compl.lffl 69-86.) The second claim alleges medical malpractice by Army physicians in connection with treatment rendered prior to the soldier-plaintiffs’ discharge from military service. The soldier-plaintiffs received medical treatment at medical facilities operated by the Army both overseas and in the United States. (ComplJf 87-95.) The third claim alleges medical malpractice by Army physicians in connection with treatment rendered after the soldier-plaintiffs’ discharge from military service. (Compl.lffl 96-102.) The fourth claim alleges that the plaintiff Victoria Claudette Matthew, the daughter of plaintiffs Gerard Darren Matthew and Janise Matthew, was born on June 28, 2004 with “serious and permanent physical and psychological injuries” resulting from negligent exposure to DU upon conception and thereafter. (CompLIffl 103-07.) The fifth claim alleges that, as a result of the defendants’ negligence, the plaintiff Janise Matthew has been deprived of the services and companionship of her daughter Victoria Claudette Matthew and has incurred medical expenses relating to Victoria Matthew’s exposure to DU. (CompLUf 108-11.) The sixth claim alleges that the spouse of each of the soldier-plaintiffs except Jerry Fernando Ojeda has been deprived of the services, society, and companionship of her spouse as a result of the soldier-plaintiffs’ exposure to DU. (Compklffl 112-26.)

The defendants, the United States of America and the Department of the Army, move pursuant to Rule 12(b)(1) of the Federal Rules of Civil Procedure to dismiss the Complaint on the ground that the Court lacks subject matter jurisdiction over each of the plaintiffs’ claims under the doctrine of Feres v. United States, 340 U.S. 135, 71 S.Ct. 153, 95 L.Ed. 152 (1950), or under 28 U.S.C. §§ 2680(j) and 2680(k). In the alternative, the Government moves for dismissal of the plaintiffs’ medical malpractice claims pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure for failure to state a claim upon which relief can be granted. For the reasons explained below, the defendants’ motion is granted in part and denied in part.

I.

On a motion to dismiss for lack of subject matter jurisdiction pursuant to Rule 12(b)(1) of the Federal Rules of Civil Procedure, the Court must accept the factual allegations contained in the complaint as true. See Shipping Fin. Servs. Corp. v. Drakos, 140 F.3d 129, 131 (2d Cir.1998). The Court is not limited to considering the complaint alone, however, but may also consider matters outside the pleadings such as affidavits, documents, and testimony. See Phifer v. City of New York, 289 F.3d 49, 55 (2d Cir.2002); Antares Aircraft v. Fed. Republic of Nigeria, 948 F.2d 90, 96 (2d Cir.1991), aff'd on remand, 999 F.2d 33 (2d Cir.1993); Kamen v. Am. Tel. & Tel. Co., 791 F.2d 1006, 1011 (2d Cir.1986); John Street Leasehold, LLC v. Capital Mgmt. Res., L.P., 154 F.Supp.2d 527, 533-34 (S.D.N.Y.2001), aff'd, 283 F.3d 73 (2d Cir.2002). The standard used to evaluate a Rule 12(b)(1) motion is thus similar to that used for summary judgment under Rule 56. See Kamen, 791 F.2d at 1011.

The plaintiffs have the ultimate burden of proving the Court’s jurisdiction by a preponderance of the evidence. See Malik v. Meissner, 82 F.3d 560, 562 (2d Cir.1996); Beacon Enters., Inc. v. Menzies, 715 F.2d 757, 762 (2d Cir.1983); Fier v. United States, No. 01 Civ. 2225, 2002 WL 453177, at *1 (S.D.N.Y. Mar 25, 2002), aff'd, 53 Fed.Appx. 158 (2d Cir.2002); see also Kehr Packages, Inc. v. Fidelcor, Inc., 926 F.2d 1406, 1409 (3d Cir.1991) (when subject matter jurisdiction is challenged under Rule 12, plaintiff bears the burden of persuasion); Martin v. Reno, No. 96 Civ. 7646, 1999 WL 527932 (S.D.N.Y. July 22, 1999); Harp v. City of New York, 218 F.Supp.2d 495, 496-97 (S.D.N.Y.2002).

II.

It is beyond dispute that sovereign immunity deprives a federal court of jurisdiction over claims against the United States Government except to the extent that sovereign immunity has been waived. See United Slates v. Mitchell, 463 U.S. 206, 212, 103 S.Ct. 2961, 77 L.Ed.2d 580 (1983). While the Government has, through the Federal Tort Claims Act, waived its sovereign immunity for a significant number of claims, that waiver is not absolute and federal courts are without jurisdiction to hear claims for which the Government has not consented to suit.

In one of the earliest decisions interpreting the Federal Tort Claims Act, the Supreme Court held that active service members may assert claims against the Government for injuries unrelated to their military service. Brooks v. United States, 337 U.S. 49, 51-52, 69 S.Ct. 918, 93 L.Ed. 1200 (1949). The Court therefore allowed a suit to proceed on behalf of a soldier and the estate of his brother, also a soldier, arising out of a collision between their vehicle and a vehicle driven by an Army employee. Id. at 50, 53, 69 S.Ct. 918. In so holding, the Court noted that the injuries were not incident to the soldiers’ service. Id. at 50, 52, 69 S.Ct. 918.

Just one year later, however, the Supreme Court unanimously held in Feres v. United States, 340 U.S. 135, 71 S.Ct. 153, 95 L.Ed. 152 (1950), that “the Government is not liable under the Federal Tort Claims Act for injuries to servicemen where the injuries arise out of or are in the course of activity incident to service.” Feres, 340 U.S. at 146, 71 S.Ct. 153. The Feres doctrine has been reaffirmed on numerous occasions. See, e.g., United States v. Johnson, 481 U.S. 681, 686-88, 107 S.Ct. 2063, 95 L.Ed.2d 648 (1987).

The Court of Appeals for the Second Circuit, like a number of other courts of appeals, has held that the Feres doctrine fully applies to members of the military reserves. Wake v. United States, 89 F.3d 53, 58-59 (2d Cir.1996); see also Quintana v. United States, 997 F.2d 711, 712 (10th Cir.1993); Duffy v. United States, 966 F.2d 307, 312 (7th Cir.1992); Estate of Martinelli v. United States Dep’t of the Army, 812 F.2d 872, 873 (3d Cir.1987). To the extent that the injuries asserted in the plaintiffs’ Complaint arise out of their military service, or are in the course of activity incident to their military service, therefore, the Court is without jurisdiction to hear those claims.

The Court of Appeals has identified a number of factors for courts to consider in determining whether an injury is “incident to service,” including (1) “the individual’s status as a member of the military at the time of the incident giving rise to the claim,” (2) “the relationship of the activity to the individual’s membership in the service, as well as the location of the conduct giving rise to the underlying tort claim,” and (3) “whether the activity is limited to military personnel and whether the service member was taking advantage of a privilege or enjoying a benefit conferred as a result of military service.” Wake, 89 F.3d at 58. No single factor is dispositive. Id.

The Court of Appeals has noted that there are three underlying rationales for the Feres doctrine: “(1) the distinctly federal relationship between the Government and members of its armed forces; (2) the existence of a uniform system of generous statutory disability and death benefits for members of the military; and (3) the need to preserve the military disciplinary structure and prevent judicial involvement in sensitive military matters.” Id. at 57 (internal quotation marks omitted). These considerations should permeate the process of determining whether a service member’s claim occurred within the purview of a distinctly military sphere of activity or while a military relationship was in effect. Id. at 57-58.

Each of the plaintiffs’ claims will be addressed in turn with respect to these factors.

A.

Application of the Wake factors to the first claim, the claim by the soldier-plaintiffs for negligent exposure to DU, compels the conclusion that the injuries alleged were incident to those plaintiffs’ military service and are thus barred by the Feres doctrine. The Complaint alleges that all of the soldier-plaintiffs were performing active military duty in Iraq at the time of their exposure to DU. (Compilé 18-41.) Them active duty status, and the fact that they were exposed to DU while on active military duty in a foreign nation where United States troops were, and are, engaged in military operations, establish that their injuries were incident to their military service.

Although the plaintiffs allege, in their Complaint and in their brief in opposition to this motion, that the soldier-plaintiffs were engaged in “[b]asic human functions such as breathing and eating [that] are necessary to sustain human life by all human beings throughout the world” (Comply 43), it is clear that the inquiry under the Feres doctrine is not whether the injuries complained of could only arise incident to military service, but rather whether they did in fact arise incident to military service.

Indeed, the Court of Appeals found the doctrine applicable in Wake, where a member of the Navy ROTC, who was also an inactive member of the Navy Reserves, was injured in a motor vehicle accident. Wake, 89 F.3d at 55-56, 62. Unlike the soldier-plaintiffs in this case, the plaintiff in Wake “lacked an official military status” and was on a public interstate highway in the United States at the time of her accident. Id. at 56, 58. Nevertheless, the Court of Appeals concluded that the injuries fell within the Feres bar because the plaintiff was traveling from a physical examination at a Navy facility in a Navy-owned vehicle driven by a Navy officer, and thus “was a passenger in the vehicle in her military, rather than civilian, capacity.” Id. at 60.

Other cases have similarly applied Feres broadly to injuries sustained by service members incident to their military service. In Sanchez v. United States, 878 F.2d 633, 634, 637 (2d Cir.1989), Feres was held to bar a claim against the United States for alleged negligent repair of a service member’s vehicle that caused injuries to another service member in an accident on a public highway while the service members were “on liberty.” In Bozeman v. United States, 780 F.2d 198 (2d Cir.1985), the widow of a service member killed in an automobile accident off base filed suit against the United States alleging that the NCO club where her husband had been drinking had breached its duty to discontinue serving him drinks when it was clear he was already intoxicated. The court held that Feres barred the claim because the alleged negligence took place at the NCO club, which the plaintiffs husband was only entitled to use as a result of his military status. Id. at 201.

In none of these cases did the plaintiffs allege injuries relating to actual combat, or that could only have arisen in the context of military hostilities. It is clear that the injuries alleged by the soldier-plaintiffs in this case have a much closer relationship to their active military service than did the injuries alleged in the cases cited above in which Feres was held to apply. The plaintiffs’ allegations in their first claim for relief unavoidably implicate “civilian court scrutiny of military discipline and policies” of the very type the Feres doctrine is intended to avoid. Wake, 89 F.3d at 62. The Court therefore concludes that the first claim for relief is barred by the Feres doctrine.

B.

1.

The second claim for relief, for alleged medical malpractice in military facilities both overseas and in the United States prior to the soldier-plaintiffs’ discharge from the military, is likewise barred by Feres. Numerous courts of appeals have held that claims alleging medical malpractice by military physicians in military facilities are barred by Feres where the plaintiff was an active member of the military at the time of the alleged malpractice. See, e.g., Jones v. United States, 112 F.3d 299, 302 (7th Cir.1997); Jackson v. United States, 110 F.3d 1484, 1489 (9th Cir.1997); Cutshall v. United States, 75 F.3d 426, 428 (8th Cir.1996); Hayes v. United States, 44 F.3d 377, 378-79 (5th Cir.1995); Quintana, 997 F.2d at 712; Persons v. United States, 925 F.2d 292, 295-96 (9th Cir.1991). Indeed, each of the two companion cases decided with Feres itself involved allegations of medical malpractice, and the Supreme Court noted that the common bond between the three was that “each claimant, while on active duty and not on furlough, sustained injury due to negligence of others in the armed forces.” Feres, 340 U.S. at 138, 71 S.Ct. 153. It is therefore clear that the Feres doctrine precludes claims under the FTCA for medical malpractice committed while the soldier-plaintiffs were still active members of the armed forces.

2.

The third claim for relief, alleging medical malpractice after the soldier-plaintiffs were discharged from military service, presents a somewhat different situation. In United States v. Brown, 348 U.S. 110, 75 S.Ct. 141, 99 L.Ed. 139 (1954), the Supreme Court held that Feres did not bar a claim brought by a former soldier for medical malpractice alleged to have occurred after his discharge. In Brown, the plaintiff had been injured while on active duty and honorably discharged from the military in 1944 as a result of the injury. Doctors at the Veterans Administration had operated on his knee in 1950, and then again in 1951 because the first operation had not been entirely successful. During the second operation, the physicians allegedly used a defective tourniquet, resulting in serious permanent injury to the plaintiff. Brown, 348 U.S. at 110-11, 75 S.Ct. 141. The Supreme Court noted that Feres did not overrule Brooks v. United States, but rather created a dichotomy under which FTCA claims could not be brought for injuries arising out of or in the course of activity incident to military service, but could be brought for injuries that did not so arise. Id. at 112, 75 S.Ct. 141. The Court held that the injury in Brown was governed by Brooks rather than by Feres, reasoning that the injury alleged was medical malpractice taking place after the plaintiffs discharge from the military, which was not incurred while the plaintiff was on active duty or subject to military discipline. Id. at 112, 75 S.Ct. 141. The facts that the original injury occurred while the plaintiff was in the service and that he was able to receive treatment in a Veterans Administration Hospital because of his prior service were insufficient to bring the case within the bar of Feres. Id.

As the Supreme Court did in Brown, the Court of Appeals for the Second Circuit has more recently reaffirmed that the distinction between claims governed by Brooks and those governed by Feres retains its force. Taber v. Maine, 67 F.3d 1029, 1039-40 (2d Cir.1995).

The claim of medical malpractice includes two parts. First, the plaintiffs allege that the defendants failed to inform each plaintiff of the true nature and consequences of exposure to DU and failed to inform each plaintiff about and concealed from each plaintiff the true nature of his condition, symptoms, and injuries. (Compilé 97-99.) Second, the plaintiffs allege that during medical treatment the defendants failed to diagnose properly the plaintiffs’ conditions, failed to render appropriate medical treatment, and negligently departed from accepted medical practices in the care and treatment of each plaintiff. (Compl. ¶¶ 100-102.)

A number of courts have held with respect to similar claims that the “duty to warn ‘arises only at the time when the Government first knew or should have known of the hazardous condition, and any breach of that duty begins and ends at that time.’ ” Maddick v. United States, 978 F.2d 614, 616 (10th Cir.1992) (quoting Heilman v. United States, 731 F.2d 1104, 1107 (3d Cir.1984)); see also Lombard v. United States, 690 F.2d 215, 220-23 (D.C.Cir.1982); Henning v. United States, 446 F.2d 774, 777-78 (3d Cir.1971). These courts have thus concluded that the failure to warn is a continuing tort and where it begins prior to discharge it is barred by Feres because Brown applies only to alleged injuries that occur entirely post-discharge. Maddick, 978 F.2d at 616.

The cases upon which the plaintiffs rely are not to the contrary. Both Broudy v. United States, 661 F.2d 125 (9th Cir.1981), and Thornwell v. United States, 471 F.Supp. 344 (D.D.C.1979), which found an actionable independent tort for malpractice allegedly committed after discharge, followed this rule. In Broudy, the Court of Appeals for the Ninth Circuit reversed the district court’s dismissal of an FTCA claim based upon an alleged failure to warn but based its decision on the fact that the complaint was unclear as to whether the post-discharge negligence alleged was an independent tort or a continuing tort. Broudy, 661 F.2d at 128-29. The court noted:

[I]f the Appellant can allege and prove an independent, post-service negligent act on the part of the Government, her claim would be cognizable under the FTCA. The Government’s failure to warn Major Broudy of and monitor any possible injuries arising from his exposure to radiation might constitute such an act if the Government learned of the danger after Major Broudy left the service. 1

Id. (emphasis added).

Likewise, Thomwell noted that the plaintiff had alleged two entirely separate torts, an intentional tort prior to discharge and negligence after discharge, and that the negligence claim could proceed because the tort was alleged to have occurred entirely after discharge. Thorn well, 471 F.Supp. at 351; accord Everett v. United States, 492 F.Supp. 318, 325-26 & n. 6 (D.Ohio 1980) (allowing an FTC A claim for a separate tort alleged to have taken place wholly after discharge). The Thornwell court specifically noted that “it is clear, at the very least, that a mere act of negligence which takes place while the plaintiff is on active duty and which then remains uncorrected after discharge, is not grounds for suit.” Thornvell, 471 F.Supp. at 351.

The Complaint in this case plainly alleges the same continuing concealment and failures to warn both pre- and post-discharge. {See Compl. ¶¶ 90-92, 97-99.) The Complaint also alleges that the Government was aware, or should have been aware, of the risks posed by DU and its likely presence where the soldier-plaintiffs would be stationed, prior to the soldier-plaintiffs’ arrival in Iraq and thus prior to their discharge. {See Compl. ¶¶ 44-45, 53-67.) Those allegations are therefore barred by Feres. See Maddick, 978 F.2d at 616.

The Complaint also alleges, however, that military doctors “failed to render appropriate medical treatment” for the plaintiffs’ conditions, and “negligently departed from accepted medical practices” in caring for them. (Compl.1ffl 101-102.) Unlike the duty to warn, which is breached at the time the defendant knew or should have known of the risk and failed to warn the plaintiffs of that risk, this alleged medical malpractice is not a continuing tort but rather a series of separate acts or omissions taking place wholly after the soldier-plaintiffs’ respective discharges from service. Such alleged malpractice is, under the Supreme Court’s decision in Brown, “not incident to the military service,” and it presents a cognizable claim under the FTCA. Brown, 348 U.S. at 113, 75 S.Ct. 141. The Court will therefore dismiss the third claim for relief except to the extent that it alleges failure to treat and failure to adhere to accepted medical practices after the soldier-plaintiffs were discharged from military service. 2

C.

The fourth, fifth, and sixth claims for relief, asserted by Victoria Matthew and by the spouses of the soldier-plaintiffs, are barred by the Feres doctrine to the extent that they are based on injuries for which the soldier-plaintiffs could not recover under Feres. The Supreme Court noted in Stencel Aero Engineering Corp. v. United States, 431 U.S. 666, 97 S.Ct. 2054, 52 L.Ed.2d 665 (1977), that

where the case concerns an injury sustained by a soldier while on duty, the effect of the action upon military discipline is identical whether the suit is brought by the soldier directly or by a third party. The litigation would take virtually the identical form in either case, and at issue would be the degree of fault, if any, on the part of the Government’s agents and the effect upon the serviceman’s safety. The trial would, in either case, involve second-guessing military orders, and would often require members of the Armed Services to testify in court as to each other’s decisions and actions.

Stencel, 431 U.S. at 673, 97 S.Ct. 2054. The Court therefore held a third-party indemnity action “unavailable for essential ly the same reasons that the direct action by [the soldier] is barred by Feres.” Id.

Numerous courts have applied Feres and Stencel to preclude suits by third parties for injuries that have their genesis in injuries incurred by service members incident to their service. 3 The Court of Appeals for the Second Circuit held in In re Agent Orange Product Liability Litigation, 818 F.2d 201 (2d Cir.1987), that Feres bars “a suit for damages occasioned by activities that are not meaningfully separable from a protected discretionary function” of the military. Id. at 204 (quoting Gray v. Bell, 712 F.2d 490, 516 (D.C.Cir.1983)). The relevant inquiry is not, therefore, who is injured and when the injury becomes manifest, but rather the time and nature of the negligent act alleged. Monaco v. United States, 661 F.2d 129, 133 (9th Cir.1981); see also Agent Orange, 818 F.2d at 202 (noting that, where the decision challenged is “military, political and discretionary, it is imperative that a court look primarily to the cause of injury rather than to the character of a claimant” (internal quotation marks omitted)).

It is clear that the fourth claim, in which Victoria Claudette Matthew alleges that she has suffered injuries as a result of exposure to DU “on conception and thereafter,” has its genesis in the alleged injury to her father, Gerard Darren Matthew. (Compl.1ffl 103-07.) A similar case was presented in Monaco v. United States, in which the Court of Appeals for the Ninth Circuit held that a claim by the child of a solider who had been exposed to radiation during his military service was barred by Feres. Monaco, 661 F.2d at 133. The complaint in Monaco alleged that the child’s birth defect had been caused by her father’s exposure to radiation. Id. The court reasoned that, while the complaint alleged a separate injury to the soldier’s child, and that injury manifested itself after her father’s discharge, this injury was alleged to have been caused by the military’s negligence while her father was on active duty and thus implicated the type of inquiry into military decisionmaking precluded by Stencel. 4 Id. at 133-34; see also Minns v. United States, 155 F.3d 445, 450 (4th Cir.1998) (affirming dismissal of claims by soldiers’ children for birth defects because the “servicemen’s exposure to the chemicals is the genesis of the plaintiffs’ alleged contact with the chemicals”); Grosinsky v. United States, 947 F.2d 417, 418 (9th Cir.1991) (noting that Feres “bars suits by third parties that have their genesis in injuries to members of the armed forces”); Mondelli v. United States, 711 F.2d 567, 569-70 (3d Cir.1983) (affirming dismissal under Feres of claims by a child alleging injuries caused by her father’s exposure to radiation while in the military); Lombard v. United States, 690 F.2d 215, 223 (D.C.Cir.1982) (“It is well established that Feres bars recovery by family members where the cause of action is ancillary or derivative to the serviceman’s action for his own injury received incident to military service.”)- 5 The fourth claim is therefore barred by Feres.

The fifth claim for relief alleges that Janise Matthew has suffered injuries as a result of her daughter’s exposure to DU. (Compl.lffl 108-11.) This claim, like Victoria Matthew’s claim for relief, has its genesis in Gerald Matthew’s alleged exposure to DU while on active military duty and is therefore barred for the same reasons.

3.

The sixth claim for relief alleges that the spouses of the soldier-plaintiffs lost their “services, society, and companionship” as a result of the defendants’ negligence. (CompLIffl 112-26.) To the extent that the spouses’ claims are based on the claims of the soldier-plaintiffs that are barred by Feres, the claims of the spouses are also barred because the claims of the spouses have their genesis in the soldiers’ alleged exposure to DU while serving in the military in Iraq. In Agent Orange, the Court of Appeals cited with approval the decision in Harrison v. United States, 479 F.Supp. 529, 535 (D.Conn.1979), aff'd, 622 F.2d 573 (2d Cir.1980), which held that under the FTCA a soldier’s spouse could not recover for an injury, based on “the same set of facts,” for which the soldier could not personally recover. Agent Orange, 818 F.2d at 203. A number of other courts have explicitly held that suits for loss of consortium are barred by the Feres doctrine. See, e.g., Schoemer v. United States, 59 F.3d 26, 28, 30 & n. 5 (5th Cir.1995) (affirming dismissal of claims for loss of “income, support, and consortium” by a injured service member’s wife); Persons, 925 F.2d at 297 (affirming dismissal of a loss of consortium claim under Feres and noting the near-unanimous view among the circuits that “derivative” claims are barred by Feres); Kendrick v. United States, 877 F.2d 1201, 1206-07 (4th Cir.1989) (holding that claims such as loss of consortium that are “derivative” of the service member’s own claims are barred by Feres). In view of this overwhelming precedent and the position taken by the Court of Appeals for the Second Circuit in Agent Orange, the Court is bound to conclude that the sixth claim for relief is precluded by the Feres doctrine to the extent that the spouses attempt to recover for damages that are based on the claims of the soldier-plaintiffs that are barred by Feres. Hence, the sole claim of the spouses that survives is their claim for damages as a result of injuries to the soldier-plaintiffs from so much of the medical malpractice claim alleged in the third claim that has not been dismissed under Feres.

III.

The Government also argues that the specific statutory exclusions in 28 U.S.C. §§ 2680(j) and 2680(k) bar the plaintiffs’ claims.

Section 2680(j) excludes from the Government’s waiver of sovereign immunity “[a]ny claim arising out of the combatant activities of the military or naval forces, or the Coast Guard, during time of war.” 28 U.S.C. § 2680(j). Both parties’ briefs cite the decision of the Court of Appeals for the Ninth Circuit in Johnson v. United States for the proposition that Section 2680(j) bars suit for injuries from physical violence relating to actual hostilities or “activities both necessary to and in direct connection with actual hostilities.” Johnson v. United States, 170 F.2d 767, 770 (9th Cir.1948). The Government argues that the claims all arise from the soldier-plaintiffs’ combatant activities during the Iraq war, and that Section 2680(j) applies even where there is no formal declaration of war. (Def.’s Mem. in Supp. of Mot. to Dismiss, at 19-20.) The plaintiffs counter that their injuries were not incident to “combatant activities,” which they assert had ceased in Iraq prior to their injuries. (Pis.’ Mem. in Opp’n to Def.’s Mot. to Dismiss, at 8-13.)

The statutory exemption in 28 U.S.C. § 2680(j) applies to a much narrower set of circumstances than the Feres doctrine, which rests upon a conclusion that the waiver of sovereign immunity in 28 U.S.C. § 1346 was not intended to apply to claims by service members for injuries incident to their service. Because the Court concludes that most of the plaintiffs’ claims are precluded by the Feres doctrine, the Court need not resolve whether any of the claims so precluded are independently barred by 28 U.S.C. § 2680(j). The claims that are not precluded under Feres, namely those for alleged failure properly to treat and to follow accepted medical practices with respect to the soldier-plaintiffs’ treatment after their discharge, do not arise out of actual hostilities or activities necessary to such hostilities, but rather arise out of medical treatment provided at army facilities after the soldier-plaintiffs were discharged. Those claims are therefore not barred by 28 U.S.C. § 2680(j).

Section 2680(k) excludes from the Government’s waiver of sovereign immunity “[a]ny claim arising in a foreign country.” 28 U.S.C. § 2680(k). The Government argues that, with the exception of claims relating to medical treatment provided at military facilities in the United States, the plaintiffs’ claims are precluded by this provision. As with the Government’s argument under 28 U.S.C. § 2680(j), the Court need not reach whether those claims barred by Feres are also barred under 28 U.S.C. § 2680(k).

At the argument on the current motion, the counsel for the plaintiffs made it clear that the medical malpractice alleged in the third claim which relates to post-discharge malpractice is alleged to have occurred in the United States. (See also Pis.’ Mem. at 10 (“[A]ll post-discharge malpractice claims are alleged to have occurred in the United States.”).) As the Government concedes, 28 U.S.C. § 2680(k) is not a bar to a claim for negligent medical treatment that took place in the United States. 6

IV.

The Government also moves, in the alternative, to dismiss the plaintiffs’ medical malpractice claims pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure for failure to state a claim upon which relief can be granted. On such a motion, the allegations in the complaint are accepted as true. See Grandon v. Merrill Lynch & Co., 147 F.3d 184, 188 (2d Cir.1998). In deciding a motion to dismiss for failure to state a claim, all reasonable inferences must be drawn in the plaintiffs favor. See Gant v. Wallingford Bd. of Educ., 69 F.3d 669, 673 (2d Cir.1995); Cosmas v. Hassett, 886 F.2d 8, 11 (2d Cir.1989). The Court’s function on a motion to dismiss is “not to weigh the evidence that might be presented at trial but merely to determine whether the complaint itself is legally sufficient.” Goldman v. Belden, 754 F.2d 1059, 1067 (2d Cir.1985). Therefore, the defendants’ motion should only be granted if it appears that the plaintiffs can prove no set of facts in support of their claims that would entitle them to relief. See Swierkiewicz v. Sorema, N.A., 534 U.S. 506, 122 S.Ct. 992, 152 L.Ed.2d 1 (2002); see also Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957); Grandon, 147 F.3d at 188; Goldman, 754 F.2d at 1065; Burrell v. State Farm & Cas. Co., 226 F.Supp.2d 427, 434 (S.D.N.Y.2002).

As explained above, the plaintiffs’ medical malpractice claims based on a duty to warn the plaintiffs of the risks associated with DU exposure are barred by Feres. The Government does not dispute that failure to treat and failure to adhere to commonly accepted medical practices constitute claims upon which relief can be granted, but rather asserts that these claims must be dismissed because the Complaint fails to identify with sufficient specificity the dates on which the allegedly negligent treatment was rendered and by which doctors. (Def.’s Mem. in Supp. of Mot. to Dismiss, at 22-24.)

In Swierkiewicz v. Sorema, N.A., 534 U.S. 506, 122 S.Ct. 992, 152 L.Ed.2d 1 (2002), the Supreme Court reaffirmed that “a complaint must include only ‘a short and plain statement of the claim showing that the pleader is entitled to relief.’ Such a statement must simply ‘give the defendant fair notice of what the plaintiffs claim is and the grounds upon which it rests.’ ” Swierkiewicz, 534 U.S. at 512, 122 S.Ct. 992 (quoting Conley v. Gibson, 355 U.S. 41, 47, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957)). While the Government contends that the Complaint fails to provide the Government with a fair understanding of the claims asserted, the Court does not agree. The plaintiffs’ medical malpractice claim is not governed by Rule 9(b), which requires that allegations of fraud or mistake be pleaded with specificity. See Fed.R.Civ.P. 9(b). Rather, the plaintiffs’ medical malpractice claims are only subject to the general requirements of Rule 8(a). See Long v. Adams, 411 F.Supp.2d 701, 706 (E.D.Mich.2006). The Complaint alleges that, after discharge, military physicians “failed to render appropriate medical treatment” and “negligently departed from accepted medical practices in [their] care and treatment of each plaintiff.” (Compilé 101— 02.) The Complaint also identifies a nonexclusive list of the medical facilities in which the plaintiffs were treated and speei- fies a date range between April 2003 and the time of the Complaint. (Comply 88.) These allegations provide the Government with sufficient notice of the claims, especially where records of the plaintiffs’ treatment in the identified military facilities should be in the Government’s possession. Rule 8(a) requires no more; rather, its “simplified notice pleading standard relies on liberal discovery rules and summary judgment motions to define disputed facts and issues and to dispose of unmeritorious claims.” Swierkiewicz, 534 U.S. at 512, 122 S.Ct. 992. The Court also noted that, “If a pleading fails to specify the allegations in a manner that provides sufficient notice, a defendant can move for a more definite statement under Rule 12(e) before responding.” Id. at 514, 122 S.Ct. 992.

Nor does the Complaint violate Rule 9(f) of the Federal Rules of Civil Procedure, which provides that “[f]or the purposes of testing the sufficiency of a pleading, aver-ments of time and place are material and shall be considered like all other aver-ments of material matter.” Fed.R.Civ.P. 9(f). “Rule 9(f) does not require the pleader to set out specific allegations of time and place; it merely states the significance of these allegations when they are actually interposed.” Rosen ex rel. Egghead.com v. Brookhaven Capital Mgmt. Co., 179 F.Supp.2d 330, 334 (S.D.N.Y.2002) (internal quotation marks omitted). By its plain text, Rule 9(f) permits consideration of allegations of time and place when the sufficiency of the complaint is challenged, and has thus been used primarily as a screening device permitting dismissal under Rule 12(b)(6) where the averments in the complaint make clear that the claim is time-barred, an affirmative defense that must normally be raised in an answer under Rule 8(c). See id.; see also Hoover v. Langston Equip. Assocs., Inc., 958 F.2d 742, 744 (6th Cir.1992). The Government does not suggest that the time frame alleged in the Complaint establishes that any statute of limitations has expired, and the Court notes that the Government may move under Rule 12(e) for a more definite statement if it is unable to frame a responsive pleading. Rule 9(f), however, does not provide a basis for dismissing the claims.

CONCLUSION

For the reasons explained above, the Government’s motion to dismiss for lack of subject matter jurisdiction is denied with respect to the plaintiffs’ claims, in their third claim for relief, that military physicians failed properly to treat them and negligently departed from accepted medical practices to the extend that the tortious conduct alleged occurred in the United States. The motion to dismiss is also denied with respect to so much of the sixth claim as alleges damages to the spouses of the soldier-plaintiffs based on the injuries to the soldier-plaintiffs alleged in the residue of the third claim that has not been dismissed. The Government’s motion to dismiss as to all other claims is granted. The Government’s motion to dismiss for failure to state a claim upon which relief can be granted is denied.

SO ORDERED.

1 . In Monaco v. United States, 661 F.2d 129 (9th Cir.1981), decided the same day as Brou-dy, the Court of Appeals for the Ninth Circuit squarely held that Brown could not be “extended to include post-service injury resulting from in-service negligence.” Id. at 133.

2 . Similarly, the plaintiffs’ allegation that the defendants negligently failed to diagnose properly the symptoms and injuries caused by each plaintiff’s exposure to DU cannot be dismissed at this stage of the case. The failure to diagnose is directly related to the alleged failure to render appropriate medical treatment and the negligent departure from accepted medical practices that occurred after discharge. (Compl.lffl 100-102.)

3 . This rule applies regardless of whether, as a matter of state law, the claim is considered ''derivative” of a claim that could be brought by the soldier personally or independent of such a claim. See In re Agent Orange Prod. Liab. Litig., 818 F.2d 201, 202-03 (2d Cir.1987).

4 . Indeed, the soldier's own claim in Monaco was also held barred by Feres for the same reason: Although he did not become aware of his cancer until 1971, well after his discharge, the relevant tortious activity was alleged to have taken place between 1943 and 1946, during his military service. Monaco, 661 F.2d at 130, 132-33.

5 . The plaintiffs provide no authority to the contrary, but rather rely on the dissent of then-Judge Ginsburg in Lombard v. United States and the opinion in Mondelli v. United States, in which the panel expressed misgivings about the result it reached. (Pis.' Mem. in Opp'n to Def.'s Mot. to Dismiss, at 20-21.) In each of those cases, however, the court held that the claim was barred by Feres. In Mondelli, for example, the Court of Appeals concluded: "|T]he Supreme Court has construed the FTCA to subordinate the interests of children of service personnel to the exigencies of military discipline. Although these are delicate policy judgments, they are in the final analysis committed to Congress. Consequently, we conclude, with reluctance, that the claims of Rosemarie Mondelli are barred.” Mondelli, 711 F.2d at 570.

A divided panel of the Court of Appeals for the Sixth Circuit recently held that the husband and child of a mother who had allegedly been provided with negligent pre-natal care while she was in the Navy could sue for injuries to the child. Brown v. United States, No. 04-5171, 2006 WL 2571119 (6th Cir. Sept.8, 2006). In that case, however, the court noted that the allegedly inadequate treatment produced no injury whatever to the service member and harmed only the child. The Court of Appeals held that the Federal Tort Claims Act did not bar recovery for negligent prenatal injuries to the child of a military service person that are independent of any injury to the child's parent. In this case, however, the injuries to the child are dependent on the alleged injuries to the service member because they depend on the exposure of the service member to DU.

6 . Any medical malpractice that allegedly occurred in a foreign country would be barred by 28 U.S.C. § 2680(k).