Pg 8 Flashcards
What is the remedy you can collect for medical expenses from a personal injury?
This is based on the reasonable value of the medical care and services provided. The amount that the plaintiff actually paid is evidence of reasonable value but the plaintiff gets the reasonable value, not the amount he was billed or the amount he actually paid.
What are things that you can recover as a medical expense after a personal injury?
Hospital, doctor’s fees, nursing care, physical therapy, dental, drugs, lab tests, wheelchair, crutches, furniture to use at home like special beds are chairs, prosthesis, glasses, ambulance, rehab, etc.
How does discounted billing work with regard to medical expenses being recovered for personal injury?
This happens when the medical provider agrees to accept less than reasonable value and gives some kind of discount because either the insurance company has an arrangement or the P is related to the provider, etc. There’s a jurisdictional split on this:
– some say that the defendant is liable for the reasonable value, even if the hospital gave a discount, because the deal with the hospital was not meant to benefit the defendant
– others say that the discounted rate is given
If a plaintiff is injured and spends four days in the hospital, and he is billed at $1000 a day, but he submits the bill to his insurance and the hospital agrees to accept $750 a day from the insurance as full compensation, what can he recover against the defendant with regard to his hospital bills?
Jurisdictional split on discounts are given:
– some say the defendant is liable for the full reasonable value even though a discount was given because the discount was not meant to benefit the defendant
– others say the discounted rate is
What happens when you receive medical care for free with regard to recovering for the personal injury?
You can still recover the reasonable value of those medical services because the fact that your doctor was a friend or relative and didn’t charge you should not benefit the defendant
When there has been an injury to a minor, who has the cause of action?
Both the parents and the child. The parent can recover medical expenses that are paid for the child’s injury, but you cannot get a double recovery
What do you do for recovery for medical expenses when there is an increased risk of disease, such as cancer?
The plaintiff must show there’s a reasonable possibility that he will develop the disease, (more likely than not to happen).
What is the problem for getting recovery for a latent disease that you know will happen later, such as cancer because of asbestos exposure?
SOL. Courts generally say the SOL does not start running until the diagnosis of the later serious medical condition.
Can a P get the costs for medical monitoring after he suffered a physical injury?
Yes, the cost can be given to monitor people that have been exposed to injurious agents to see if that results in an injury in the future as long as the plaintiff can demonstrate the clinical value of early detection and as long as these costs do not exceed the loss. This is given even though the plaintiff may have no present injury
What are the elements that you have to prove if you want to recover for medical monitoring as a medical expense for personal injury?
- plaintiff must show he was significantly exposed to a proven hazardous substance through the negligent action of the defendant
– and as a proximate result he suffered an increased risk of contracting a serious latent disease
– and the risk makes periodic diagnostic medical exams reasonably necessary
– and monitoring and testing procedures exist that make early detection possible and beneficial
Can you recover medical monitoring costs if you were just merely exposed to something that could eventually cause a latent disease?
No, there would’ve had to have been significant sustained exposure
What is the deal for future medical expenses being recovered?
They are adjusted to the present value and they have to be established with a reasonable probability [that the plaintiff will need them for his injuries - cannot be speculative]. These are usually shown through expert testimony
Can a P recover under medical expenses for the loss of chance of survival or a shortened life expectancy?
Yes. If the plaintiff had a life expectancy of 10 years if the cancer has been properly diagnosed, but because of the doctor’s fraud he only had five years, he can recover
What is involved in loss of consortium?
This is a loss that the plaintiff suffers because of deprivation of a family relationship. This is special damages, so it must be pleaded and proven. It is often given for spouses, but there is no clear majority on whether it will be given for children.
When will the loss of consortium absolutely not be given?
If the loss was caused by the other spouse