Pulliam v. Coastal Emergency Services of Richmond, Inc.

509 S.E.2d 307, 257 Va. 1, 1999 Va. LEXIS 3
CourtSupreme Court of Virginia
DecidedJanuary 8, 1999
DocketRecord 980659
StatusPublished
Cited by80 cases

This text of 509 S.E.2d 307 (Pulliam v. Coastal Emergency Services of Richmond, Inc.) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pulliam v. Coastal Emergency Services of Richmond, Inc., 509 S.E.2d 307, 257 Va. 1, 1999 Va. LEXIS 3 (Va. 1999).

Opinions

CHIEF JUSTICE CARRICO

delivered the opinion of the Court.

In this appeal, we are called upon to consider again the constitutionality of the medical malpractice cap imposed by Code §8.01-581.15.1 We previously upheld the constitutionality of the cap in Etheridge v. Medical Center Hospitals, 237 Va. 87, 376 S.E.2d 525 (1989). Two other issues involving the cap become pertinent if we reaffirm Etheridge. Because we conclude that the medical malpractice cap does not violate any constitutional guarantees, we will uphold the cap’s constitutionality and reaffirm Etheridge.

In a motion for judgment filed below, the plaintiff, Karl B. Pulliam, Executor of the Estate of Elnora R. Pulliam, sought damages of $2,000,000 from the defendants, Coastal Emergency Services of Richmond, Inc. (Coastal) and its agent, Dr. Thomas Anthony DiGiovanna (Dr. DiGiovanna), for his alleged negligence in the death of Mrs. Pulliam.2 The jury returned a verdict in favor of the plaintiff [8]*8against both defendants in the sum of $2,045,000, plus interest from the date of Mrs. Pulliam’s death.

Upon motion of the defendants, the trial court reduced the verdict to $2,000,000, the amount sued for, and, applying the medical malpractice cap, further reduced the verdict to $1,000,000 and entered judgment against both defendants in that amount. Holding that prejudgment interest is subject to the cap, the trial court disallowed the jury’s award of interest running from the date of Mrs. Pulliam’s death. We awarded the plaintiff this appeal.

The record shows that Coastal was created to provide emergency physicians to staff emergency departments in hospitals and that it contracts with hospitals for this purpose. On October 27, 1989, Coastal contracted with Southside Regional Medical Center (South-side Regional) in Petersburg to provide “at least five Physicians . . . to render professional and administrative services in [Southside’s Emergency] Department on a full-time basis.”

Coastal recruits doctors to work in emergency departments “from a number of avenues.” On October 12, 1994, Coastal contracted with Dr. DiGiovanna “to provide services on and during the days and hours scheduled by [Coastal]” and assigned him to Southside Regional.

The record shows further that about 3:55 a.m. on December 15, 1995, Mrs. Pulliam arrived at the emergency room of Southside Regional complaining of “legs aching.” She had been diagnosed with influenza two days earlier in the office of her private physician. At Southside Regional, she was examined by Dr. DiGiovanna. About 5:00 a.m., Dr. DiGiovanna discharged Mrs. Pulliam after prescribing a muscle relaxant and giving her printed instructions on influenza and additional instructions concerning bed rest.

Shortly after 11:00 a.m. the same day, Mrs. Pulliam returned to the emergency room of Southside Regional complaining of general weakness, particularly in her lower extremities. Following a physical examination by Dr. Boyd Roy Wickizer, Jr., Mrs. Pulliam was started on intravenous fluids and subjected to a CT scan and a lumbar puncture.3 Thereafter, she was transferred to the intensive care unit, where her condition worsened. She was pronounced dead at 9:08 p.m. An autopsy revealed that the cause of death was bacterial pneumonia and [9]*9bacteremia. She was survived by her husband, who is the executor of her estate, and a son.

A. Constitutionality of Medical Malpractice Cap.

The plaintiff’s assignment of error on this point states that “[a]s a matter of law, the trial court erred in failing to conclude that the cap on medical malpractice awards is unconstitutional as applied to Coastal and to Dr. DiGiovanna.”4 In considering this assignment of error,

we adhere to the well-settled principle that all actions of the General Assembly are presumed to be constitutional. This Court, therefore, will resolve any reasonable doubt regarding a statute’s constitutionality in favor of its validity. Any judgment as to the wisdom and propriety of a statute is within the legislative prerogative, and this Court will declare the legislative judgment null and void only when the statute is plainly repugnant to some provision of the state or federal constitution.

Supinger v. Stakes, 255 Va. 198, 202, 495 S.E.2d 813, 815 (1998) (citations and interior quotation marks omitted).

In Etheridge, we rejected challenges to the constitutionality of the medical malpractice cap based upon contentions that the cap “violates the Virginia Constitution’s due process guarantee, jury trial guarantee, separation of powers doctrine, prohibitions against special legislation, and equal protection guarantee, as well as certain parallel provisions of the Federal Constitution.” 237 Va. at 92, 376 S.E.2d at 527. The plaintiff makes the same challenges here, but amplifies the arguments in several respects.5

It is clear that we cannot grant the plaintiff relief without overruling Etheridge. Immediately, therefore, the doctrine of stare decisis is implicated.

[10]*10In Virginia, the doctrine of stare decisis is more than a mere cliche. That doctrine plays a significant role in the orderly administration of justice by assuring consistent, predictable, and balanced application of legal principles. And when a court of last resort has established a precedent, after full deliberation upon the issue by the court, the precedent will not be treated lightly or ignored, in the absence of flagrant error or mistake.

Selected Risks Ins. Co. v. Dean, 233 Va. 260, 265, 355 S.E.2d 579, 581 (1987) (emphasis added).

The inquiry becomes, therefore, whether flagrant error or mistake exists in the Etheridge decision. The plaintiff contends that such error does exist and, therefore, that “[t]he doctrine of stare decisis should not deter this Court from reversing Etheridge.”

The plaintiff argues that the medical malpractice cap is unconstitutional on each of seven independent grounds. We will consider these grounds seriatim.

1. Right to Trial by Jury.

Article I, § 11 of the Constitution of Virginia provides “[t]hat in controversies respecting property, and in suits between man and man, trial by jury is preferable to any other, and ought to be held sacred.” In Etheridge, we noted that, at the time the Constitution was adopted, the jury’s sole function was to resolve disputed facts, that this continues to be a jury’s sole function,6 and that the jury’s fact-finding function extends to the assessment of damages. 237 Va. at 95-96, 376 S.E.2d at 529. We stated, however, that “[o]nce the jury has ascertained the facts and assessed the damages, ... the constitutional mandate is satisfied [and thereafter], it is the duty of the court to apply the law to the facts.” Id. at 96, 376 S.E.2d at 529.

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Bluebook (online)
509 S.E.2d 307, 257 Va. 1, 1999 Va. LEXIS 3, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pulliam-v-coastal-emergency-services-of-richmond-inc-va-1999.