Protecting Michigan’s Good Samaritans A Legislative Proposal Thomas N. Hubbert Senior Thesis Senior Seminar II PS 492 Dr. Gary Johnson Department of Political Science Lake Superior State University Spring 2013 Abstract In tort law, a Good Samaritan is a person who provides assistance to another in an emergency situation. Unfortunately, the well-intended actions of Good Samaritans sometimes cause harm, harm that puts them in legal jeopardy. A Good Samaritan law protects these individuals from liability. Without such protection, citizens may be reluctant to come to the aid of those in need. This gap in the law fails to protect altruistic citizens, and protection is the most important aspect of the law. With a wide variety of Good Samaritan laws across the states, it is difficult to understand why the Good Samaritan would be so vulnerable when going to the aid of a neighbor in need. Michigan’s current Good Samaritan law provides inadequate protection for its citizens. My thesis will analyze the weaknesses of this law and go on to propose more comprehensive legislation that corrects for these weaknesses. Contents Introduction…………………………………………………………………………………...........1 Good Samaritans and Altruistic Animals……………………………………………………...…2 Altruism in Philosophy……………………………………………………………………...4 Tort Law…………………………………………………………………………………………….6 The Traditional Theory………………………………………………………………………………7 The Economic Theory………………………………………………………………………………..7 The Corrective Theory………………………………………………………………………8 The Protective Theory………………………………………………………………………………10 Tort Theory in Practice……………………………………………………………………11 Tort Theory and Legislative Intent………………………………………………………………..13 The Insurance Impact……………………………………………………………………..………..14 Bad Samaritans……………………………………………………………………………20 The Nature of Emergencies………………………………………………………………………25 Michigan…………………………………………………………………………………………...26 Good Samaritan Statutes and Case Law………………………………………………………...30 Case Law……………………………………………………………………………………………..31 The Impact of Policy on Behavior…………………………………………………………36 Conclusion…………………………………………………………………………………………38 Appendix i…………………………………………………………………………………………40 References………………………………………………………………………………………….59 Lisa Torti found herself in a difficult situation. In 2004, the California resident was a passenger in a car that was following a car in which her friend, Alexandra Van Horn, was a passenger. When the car in front crashed into a light pole at forty-five miles per hour, Torti reacted. She reacted in what she considered to be in the best interest of her friend at the time of the accident, pulling Van Horn out of the car. By Torti's account, there was smoke and liquid coming from the car in a way that made her fear that the car was prone to explosion. Therefore, she reacted in the best way that she knew how. Van Horn left the accident as a paraplegic. If we place ourselves in Torti's shoes, we might ask ourselves what we would do in the same situation. Would we leave our friend sitting in the car and run from the emergency? Would we freeze up and simply stand and watch? Or would we follow Torti's example and take action? The last thing we should be asking ourselves, however, in an emergency situation, is whether we are vulnerable to a lawsuit if we try to help. The California case of Van Horn v. Torti is just one example of a serious issue in our legal system—The Good Samaritan law. A Good Samaritan law is a component of civil law that allows for those that act altruistically in an emergency situation to be protected if a person is harmed despite, or as a result of, the responder's actions. This is what a Good Samaritan law should accomplish, but there are many different varieties of this law between states. Every state has a different kind of Good Samaritan law; some are more comprehensive and others, such as the California Health Code in 2004, fail to protect those that are not medically licensed and offer what is legally determined to be non-medical assistance in an emergency. The closest things to a Good Samaritan law in Michigan is the “Liability of Certain Persons for Emergency Care” Act 17 of 1963 and the “Immunity from liability” Act 368 of 1978 in the Public Health Code. These statutes protect medically licensed persons, such as doctors, physician’s assistants, and nurses, as well as those licensed to perform CPR, from liability in rendering emergency care, but it does not protect the Lisa Tortis of the world. It is a slippery slope in our litigious society to have this kind of gap in the law that might cause those that have heard the Protecting Michigan’s Good Samaritans story of Lisa Torti, and others, to question whether they are vulnerable to a lawsuit if they try and help a person in an emergency situation. Therefore, it is necessary to investigate and establish a new and more comprehensive law for Michigan. Good Samaritans and Altruistic Animals Jesus said: "a man was going down from Jerusalem to Jericho, when he was attacked by robbers. They stripped him of his clothes, beat him and went away, leaving him half dead. A priest happened to be going down the same road, and when he saw the man, he passed by on the other side. So too, a Levite, when he came to the place and saw him, passed by on the other side. But a Samaritan, as he traveled, came where the man was; and when and when he saw him, he took pity on him. He went to him and bandaged his wounds, pouring on oil and wine. Then he put the man on his own donkey, brought him to an inn and took care of him. The next day he took out two denarii and gave them to the innkeeper. 'Look after him,' he said, 'and when I return, I will reimburse you for any extra expense you may have.' "Which of these three do you think was a neighbor to the man who fell into the hands of robbers?" The expert in the law replied, "The one who had mercy on him." Jesus told him, "Go and do likewise." Luke 10:29-37 This story, which has provided a name for hospitals, community centers, donation centers, and laws, conveys a valuable lesson about acts of kindness and helping others. The lesson of the Good Samaritan was focused on helping others in times of need, even to the point of overcoming prejudice of those who are supposed to be your enemy. In Biblical times, the Samaritans were considered pagans and enemies by the Jewish Israelites. Following the model of the Good Samaritan is more than just about helping others. It means living life in such a way that everyone is your neighbor. Frequently befriending the scum of society, healing the sick, and spending his time in the company of prostitutes, lepers, and, worst of all, tax collectors (there must be many IRS agents that wish more people would take a page from Jesus’s book), Jesus exemplified this altruistic life. Religious affiliations aside, living an altruistic lifestyle is beneficial to both the altruistic individual and to society. If all people, Christians and non-Christians alike, behaved in this way, the world would certainly be a better place to live. Taking the initiative to help our fellow humans goes beyond religion and is rooted in evolution and human nature. In fact, altruism is an idea that 2 Protecting Michigan’s Good Samaritans is completely separate from religion; we associate altruism with religion because every religious person (including those that observe the religion of Atheism) observe and practice altruism in one form or another. This is where the distinction between altruism and morality must be acknowledged. Altruistic behavior is not a facet of morality, despite the fact that most people consider altruism to be a “good” way to act. The problem with this is that morality differs greatly from one person to another, and two people with a completely different outlook on morality can both act altruistically. Altruism is not unique to humans. Altruistic behavior can be observed throughout nature in a wide variety of species. For example, bees will disembowel and kill themselves when stinging anything that might be in danger to the hive, and worker bees will work for nothing but the good of the queen bee, just so she can create more offspring. What separates humans from the other animals is the idea that humans have the capacity to think about altruism and the impact beyond basic survival instincts. Perhaps, to put the best possible construction on the matter, conscious altruism is a transcendental quality that distinguishes human beings from animals...I doubt if any higher animal, such as an eagle or a lion, has ever deserved a Congressional Medal of Honor by the ennobling criteria used in our society. Yet minor altruism does occur frequently in forms instantly understandable in human terms, and is bestowed not just on offspring but on other members of the species as well...Other than man, chimpanzees may be the most altruistic of all mammals. In addition to sharing meat after their cooperative hunts, they also practice adoption. (Wilson 1978). Altruism is a natural occurrence throughout nature, but humans, as animals that have the ability to distinguish between behavior that is good or bad based on their own personal moral compass, champion those that act altruistically and act for the greater good of humanity. There is an evolutionary phenomenon known as kin recognition that provides a glimpse at why humans seem to be predisposed to exercise altruistic behavior. Kin recognition, first proposed by William Hamilton in 1964, advances the idea that humans, among other animals, can distinguish between their genetic kin and others. This has served an important function in evolution. People have evolved with the capacity to act altruistically to those who they perceive as possible relatives, 3 Protecting Michigan’s Good Samaritans even to the extreme of self-sacrifice through social suicide. This can be observed by soldiers who are willing to give their lives for fellow soldiers in battle. On an evolutionary scale, altruism and kin recognition have evolved together. It is natural, then, to ask whether through kin selection the capacity for altruism has also evolved in human beings. In other words, do the emotions we feel, which in exceptional individuals may climax in total self-sacrifice, stem ultimately from hereditary units that were implanted by the favoring of relatives during a period of hundreds or thousands of generations? This explanation gains some strength from the circumstance that during most of mankind’s history the predominant social unit was the immediate family and a tight network of other close relatives. Such exceptional cohesion, combined with detailed kin classifications made possible by high intelligence, might explain why kin selection has been more forceful in human beings than in monkeys and other mammals. (Wilson 1978). Despite the fact that altruism is, at its core, essentially self-serving, it is still evident that it is in our nature to act altruistically due to the evolutionary process. If humans have the capacity to lie down on a grenade in battle, humans certainly have the capacity to help others in need during an emergency. Altruism in Philosophy There are many different philosophies concerning altruism. Most would agree that we are in fact altruistic creatures, but the base for such behavior has been a major talking point for many great thinkers throughout history. Aristotle described humans as political animals, and his ideas about the political association of people are still important ideas in political philosophy. In Politics, Aristotle states that the polis, or city, is a species of association, and that all associations come into being for the ultimate purpose of achieving some good, as all people act in ways that are working toward some end that they perceive as good. A society is built out of a hierarchy of political associations. Going beyond the limited knowledge of evolutionary biology in Aristotle’s time, we can start with the idea that human bodies are made up of single cell organisms that at one time joined forces to gain some benefit, thus forming bodies full of cells that all have an individual purpose but are working together for the same goal. The next association is the family, where man and woman join together to leave offspring and work together in caring and providing for their 4 Protecting Michigan’s Good Samaritans children. Families band together to form villages, villages form states, states form countries, et seq. So, Aristotle’s hierarchy of species of association points to the idea that altruistic behavior is a natural occurrence for humans, because all humans are working towards whatever they perceive as good, and the most good can be gained from joining forces for the benefit of others. Altruism is included in the philosophies of those that believe that humans are inherently selfish. Thomas Hobbes also discussed the patterns of altruistic behavior in humans. While Hobbes took a distinctly dark approach to his views on humanity, he still saw altruism as an important function in human nature. He thought that humans did simply what was necessary for survival, purely out of motivation driven by selfish desire, altruistic behavior being no exception. “The laws of Nature therefore need not any publishing, nor proclamation; as being contained in this one sentence, approved by all the world, ‘Do not that to another, which thou thinkest unreasonable to be done by another to thyself’” (Hobbes 1886). Hobbes, an atheist, included in his works this idea that is taught in all major religions: the Golden Rule. Altruism is a general phenomenon that involves taking the interests of the other as one’s own; it is often identified with the Golden Rule (present in many religious and ethical traditions as we shall shortly see)–do unto others as you would have them do unto you. The Golden Rule seems to identify altruism with morality, but it is far from clear whether acting from the Golden Rule is always moral. Hobbes endorsed the Golden Rule, but interpreted it egoistically: a person first decides how they want to be treated and then they treat others on this basis. (Scott 2007). Hobbes felt that because all humans act for their own selfish ambitions, and because of this humans live by this Golden Rule, the same used by religions as basis for living a moral life, when questioning how we are to treat others. Altruism is a natural occurrence that is not unique to humans, and we would be going against our very nature in allowing a gap in the law that would limit people or attempt to stop them from acting altruistically. People, who go out of their way to help others in emergencies, even at times putting themselves into harm ’s way, deserve protection from liability, provided they acted in a reasonable manner. Someone like Lisa Torti could act as they are naturally geared to act in a situation and be subject to liability. The arguments against allowing someone without medical 5 Protecting Michigan’s Good Samaritans training to assist a victim before professional help can arrive might say that a victim would be better off waiting for professional help to arrive, but if it is in our nature to act altruistically, it would be unwise to attempt to legislate that away. Whether the natural motives behind altruism are selfish or unselfish, altruistic behavior should be encouraged through the protection of an individual by the Good Samaritan law, rather than discouraging this behavior by allowing Good Samaritans to remain vulnerable to liability. Tort Law The rule that you are to love your neighbor becomes in law, you must not injure your neighbor; and the lawyer’s question, Who is my neighbor? receives a restricted reply. You must take reasonable care to avoid acts or omission which you can reasonably foresee would be likely to injure your neighbor. Lord Atkin (1932) Tort law involves harm caused to a private person or group due to another’s wrongful action. Contemporary tort law evolved from English Common law. In the middle ages, the king’s courts would punish citizens for “trespass against the king’s writs.” Citizens were allowed to plead to the king when they or their property was injured, directly or indirectly, by another citizen’s actions. From these basic writs came torts, which were broken into intent and fault, and are known today as intentional torts and negligence. In a complex way, reflecting on a more complex legal system than was England in the Middle Ages, torts in the United States achieve the same basic societal needs as the king’s writs. A person causes some sort of harm to another, and the law forces the tortfeasor, or one who caused the harm, to provide some sort of monetary compensation, or damages. Negligence is the largest area of tort law. Negligence occurs when there is some sort of unreasonable conduct by a party. This leads to two main questions that must be answered in establishing liability: The first, was the behavior in question unreasonable? And the second, assuming that the answer to the first is yes, was the unreasonable behavior the cause of the injury or loss to the victim of the action?This is a shallow and uncontroversial explanation of negligence, 6 Protecting Michigan’s Good Samaritans but torts are complicated, and in the details are found a wide variety of philosophies concerning what it is exactly that is and should be accomplished by negligence. The Traditional Theory The traditional view of negligence in the United States grew out of the industrial revolution. In his essay,A Theory of Negligence, Richard A. Posner outlines the three main points in this orthodox perspective. First, that negligence was a subsidy to growing industries in the industrial revolution, second, that the main purpose of civil liability is to compensate the victim of negligence for their losses in the process, through medical expenses, loss of earned pay, or suffering, and third, that negligence mirrors a moral objective. This particular mindset on negligence has come and gone. Any occasion for subsidization has long passed, laying bare the inadequacy of the negligence standard as a system for compensating accident victims. The need for compensation is unaffected by whether the participants in the accident were careless or careful and we have outgrown a morality that would condition the right to compensation upon a showing that the plaintiff was blameless and the defendant blameworthy. (Posner 1972). The function of tort law has been well established in the roots of industry, and it has evolved past simply keeping the best interests of the work force in mind. Morality is in itself a key issue that will be discussed at length throughout this paper. This stage of negligence in America shows the transition between tort law as it evolved from English Common Law to tort law as it is seen today. The Economic Theory Another theoryis the economic view of tort law. Basically, this theory claims that precautions for a potential harm should be taken up to the point where the cost of an accident would be less than the cost of the precaution. The idea behind this school of thought is that with liability, someone has to bear monetary harm, whether by paying damages to another or by paying to prevent those harms from occurring. The idea is that there is an underlying theme of economic reciprocity. The question is commonly thought of as one in which A inflicts harm on B and what has to be decided is: how should we restrain A? But this is wrong. We are dealing with a problem of a reciprocal nature. To avoid the harm to B would inflict harm on A. The real question that has to be decided is: should A be allowed to harm B or should B be 7 Protecting Michigan’s Good Samaritans allowed to harm A? ... [An] example is afforded by the problem of straying cattle which destroy crops on neighboring land. If it is inevitable that some cattle will stray, an increase in the supply of meat can only be obtained at the expense of a decrease in the supply of crops. The nature of the choice is clear: meat or crops. (Coase 1960). This theory is contentious and has faced much scrutiny. One problem with this idea that is particularly relevant in this thesis is that the economic theory might be fine for discussing crops and cattle, but it falls severely short when talking about the idea of human health and livelihood. “Economic theory can suggest one approach—the market—for making the decision. But decisions balancing lives against money or convenience cannot be purely monetary ones, so the market method is never the only one used” (Calabresi 1970). One can't simply justify breaking the law as long as one is willing to pay for it, even if paying the consequences for the broken law is cheaper than taking the precaution to avoid breaking the law to begin with. It may be one factor in creating legislation, but it is not a dominant justification for illegal negligent behavior. The Corrective Theory Another interpretation is that of tort law as a corrective system. The idea of corrective justice was first established by Aristotle. By his theory, corrective justice was the idea that when one’s gains is thrown out of balance in connection with another’s losses, the law should seek to correct the injustice of the event, reverting things to the way they were before the unjust act was committed. The overarching justificatory categories expressive of correlativity are those of the plaintiff's right and the defendant's corresponding duty not to interfere with that right. The injustice that liability rectifies consists in the defendant's having something or having done something that is incompatible with a right of the plaintiff. Right and duty are correlated when the plaintiff’s right is the basis of the defendant's duty and, conversely, when the scope of that duty includes avoiding the kind of right-infringement that the plaintiff suffered. Under those circumstances the reasons that justify the protection of the plaintiff’s right are the same as the reasons that justify the existence of the defendant's duty. (Weinrib 2002). When applied to negligence, corrective justice means that if a wrongful act is committed, the person that committed that wrong is liable for whatever is necessary to restore what is right. 8 Protecting Michigan’s Good Samaritans One might object to this idea, based on the fact that in many negligence cases, the defendant doesn’t gain from negligent action or the plaintiff doesn’t lose anything. This objection does not fully realize Aristotle’s treatment of justice and equality. But since, in Aristotle's account, the baseline for the parties' gain and loss is their initial equality, this assumption would imply that corrective justice presupposes - absurdly - an initial equality in the parties' wealth. In fact, however, equality is merely Aristotle's way of referring to the entitlement of each of the interacting parties to have what is rightfully theirs. A defendant who breaches that equality realizes a gain solely in the sense of having more than he or she ought to have as a matter of corrective justice, and similarly, mutatismutandis, with the plaintiff’s loss. (Weinrib 355). This is an important specification when applying corrective justice to negligence, as most negligence cases are going to involve someone who does not get any benefit and simply acted in a negligent way. This implies that anytime a person is harmed, an injustice is committed if the person that caused that harm isn’t harmed him or herself in a manner that returns as much equilibrium as is possible to all involved. Advocates for corrective theory, such as Jules L. Coleman, see the importance of torts in liability, such that: At the core of tort law is a certain practice of holding people liable for the wrongful losses their conduct has occasioned…The structural feature is that in the typical case decisions about who should bear a loss are rendered within a framework restricted to victim and those individuals they identify as their injurers. The question is not; who in the world should bear this loss? Instead, it is: should the injurer or the victim bear it? The substantive feature is that if a victim can show that her loss is wrongful in the appropriate sense, the burden of making good her loss falls to the individual responsible for it. (Coleman 1992). This is the general theme of corrective justice;someone did something wrong and has to pay the price for a harm or loss. In corrective theory, according to Coleman, the question comes down to whether the person who caused the harm should pay the price, or whether it should fall on the person who was already harmed. It may be natural to think that the theory of tort law as corrective justice is appropriate, especially when we or someone close to us has been harmed by another’s actions. We want to see justice fulfilled, and we look to the law to restore balance to the universe and put people in their 9 Protecting Michigan’s Good Samaritans place. However, there are problems with the logic behind this theory as a predominate theory of tort law. The Protective Theory One argument, developed by HanochSheinman,claims that the primary and secondary duties of tort law determine that the corrective function of torts is not actually at the heart of tort law. As he defines tort law, there are, “two classes of duties. Duties of the first class proscribe various types of harmful conduct; and duties of the second class require that the harm involved in any breach of a duty of the first class be remedied” (Sheinman 2003). In classifying these two duties of tort law, it must be noted that the first, prohibiting harmful conduct, is primary while the second, the remedial duty, is subordinate to the first. Accordingly, if the primary duty is fulfilled then no harmful conduct has occurred; therefore the remedial duty is conditional on some deviation from the status quo and a breach in the duty prohibiting harmful conduct. As an alternative theory, Sheinman suggests, “Tort law is essentially protective—the most important point of tort law as a whole is the prevention of, or protection from, harm.” (Sheinman 2003). This proposition is of tort law as a protector of justice—not simply as a protection for the individual citizen, but as a protection for the greater good of society as a whole. Based on his argument that the corrective duty of tort law is conditional on a breach of the primary duty, prohibiting harmful acts, it follows that the first and foremost essential purpose of tort law is the protection of harm. If we accept this as the most logical theory mentioned thus far, then in determining how a law is crafted and what the purpose of a law truly is, one should take care to think of how that law will protect the good of society in general. However, even if the theory of protection is to be thought of as the most important duty of tort law, there are other key aspects of the various theories that cannot be ignored, and with such, a hybrid theory is established. 10 Protecting Michigan’s Good Samaritans The first duty is the protection of people from harms. When that duty is breached and there is a change in the status quo, then the conditional remedial duty is activated. These are the two most important characteristics of tort law, and they must be the greatest concern of lawmakers. However, even though it is inferior to both the corrective and the protective theories of tort law, economic theory must be taken into consideration as well. While it is not enough to judge a law simply based on economic implications, it is still a factor that must be applied. Tort law is necessary to protect people from harm and to reestablish the status quo when that protective duty is breached, but there is a reasonable extent to which measures must be taken to protect people from all the potential harms of this world. We should protect the well-being and health of people, but it would be naïve to think that we would take every last step available to protect people. For instance, we drive cars because it is faster and more efficient than other modes of transportation, and time is a valuable resource. People take risks because the alternative would be to spend life in a box, sealed off from the world. The best theory of tort law, therefore, is a theory of protection, which corrects a breach in the duty of correction, and is laced with components of economic theory. Tort Theory in Practice To put this theory to the test, we can apply it to the infamous landmark negligence case of Liebeck v. McDonald’s Restaurants, better known as “The McDonald’s Hot Coffee Case.” Most people have heard of this case, and many have referred to it in disgust, lashing out at the frivolous nature of our litigious society. Few, however, understand the true facts of this case. As illustrated in HBO’s 2011 documentary, Hot Coffee, which discusses the trend of tort reform in America and refers toLiebeck in great detail, people are generally averse to the idea that someone could make millions of dollars, just because they don’t understand that coffee is hot. However, when made aware of the true facts of the case, and shown pictures of the injuries sustained by Ms. Stella 11 Protecting Michigan’s Good Samaritans Liebeck, many were given a new perspective that left them horrified and with a fresh opinion on the case and in the law in general. The facts of the case are as follows: Stella Liebeck, who was seventy-two at the time of the accident, received coffee through the drive-through window at a McDonald’swhen she was a passenger in a car driven by her nephew. She opened the lid to add cream and sugar, and spilled coffee on her lap. As a result, Liebeck suffered nearly fatal third degree burns, and was hospitalized for eight days for skin grafts and debridement treatments. McDonald’s refused to settle her initial claim of $20,000, despite having records of hundreds of claims submitted by other customers of burns over the previous decade, many of which included third degree burns. Furthermore, McDonald’s required their restaurants to sell their coffee at around 180 degrees; studies submitted at trial showed that liquids at 180 degrees would cause third degree burns in two to seven seconds after initial contact with skin. The jury initially awarded for Liebeck $160,000 in damages and $2.7 million in punitive damages, an amount roughly equal to two days’ worth of coffee sales by McDonald’s. The punitive damages were later reduced to$480,000 by the trial court, despite a harsh commentary given by the judge directed at the malicious behavior of the fast food franchise. (“The Actual Facts About—The McDonald’s Coffee Case” 1995). If we apply the theory of protection from harms to the facts of this case, the theory holds up nicely. McDonald’s was wellaware of the potential damage brought by keeping the temperature of their coffee at such a high level, and the fact that the company had ten years’ worth of customer complaints showed that they weren’t about to change. People shouldn’t need a warning label on a coffee lid to know that coffee is supposed to be hot, but it can’t be reasonably expected of them to know that the beverage they were consuming can cause life-threatening burns. The lawsuit brought by Liebeck was the kick in the pants necessary to get McDonald’s to turn down the heat, and billions of coffee consumers that have purchased McDonald’s product since that case have been protected from these burns as a result. Liebeck was compensated for her medical bills and suffering as much as was possible (she suffered from her injuries until she passed away several 12 Protecting Michigan’s Good Samaritans years later) thus fulfilling the secondary corrective duty of torts, and McDonald’s clearly wasn’t put out of business by this case, thus answering the economic concerns. The important point about looking at tort law as a protective system of justice is that civil law is crucial for the good of society. Civil law is a way of keeping people and businesses in check. Examples such as Liebeck make many think that our legal system is corrupt and broken, and this feeling is spurred on by the media in many ways. While it is true that there are circumstances where people are able to get large settlements, these settlements are often smaller than they are portrayed to the masses, and it is the fear of what these lawsuits can do to a person or a business that holds people in check. Tort Theory and Legislative Intent What then should be the legislative intent behind Good Samaritan Law? If the primary purpose of tort law is protection from harms, then you have to consider both sides of a potential law suit in which Good Samaritan law would come into play. Using Van Horn and Torti for example, one argument is that that the law should protect Van Horn from being pulled out by someone who doesn’t have medical training. It could also be argued that Torti should be protected from a lawsuit given that she was acting altruistically in an emergency situation. The real question concerning negligence in this case should be focused on whether Torti’s actions were reasonable based on the situation at hand, not whether she should have stayed away from the car completely. The issue is that if it were the mindset of a person responding to an emergency that he or she shouldn’t act because of a potential lawsuit, then a victim might be seriously injured or killed because that person didn’t act and emergency services couldn’t respond quickly enough. For example, a lady and her two year old daughter very well could have been lost to a flash flood in Arizona if it wasn’t for the quick actions of a bystander. David Rhoades was standing nearby and noticed a car that was caught in a flash flood. He was able to help the young girl and then her mother out of the car before it washed away, saving their lives. In a news interview after the 13 Protecting Michigan’s Good Samaritans accident, Rhoades stated, “I wouldn’t want my family in jeopardy for me trying to help someone else” (Degeneres). It is this kind of protection that Good Samaritans deserve from the threat of lawsuits. The Insurance Impact Another factor that must be considered is the role that liability insurance plays in tort law. Some would maintain a traditional view that insurance does not have any impact on how tort law is created and how it affects parties to suits, as well as attorneys, judges, and juries. Others, however, believe that liability insurance has a large and direct impact on tort law. Insurance raises many new issues to the discussion. One issue is whether insurance gives people a heightened sense of security, causing them to act differently in potentially harmful situations, and if so, whether their having that insurance causes judges and juries to take a different approach in determining how much compensation should be awarded for negligent behavior.If legislators felt that insurance did in fact have a significant impact on people in tort cases, then it would raise the issue of whether insurance should be a factor in creating tort law. Insurance costs impact those that have the least money to spend on protective insurance, and therefore becomes a sociological issue. Based on this notion, Tom Baker has conducted research on the impact that liability insurance has on tort law, focusing on the behavior of attorneys and litigants rather than statutes and case law. Baker claims that liability insurance has at least six impacts on tort law: First, for claims against all but the wealthiest individuals and organizations, liability insurance is a de facto element of tort liability. Second, liability insurance limits are a de facto cap on tort damages. Third, tort claims are shaped to match the available liability insurance, with the result that liability insurance policy exclusions become de facto limits on tort liability. Fourth, liability insurance makes lawsuits against ordinary individuals and small organizations into “repeat player” lawsuits on the defense side, making tort law in action less focused on the fault of individual defendants and more focused on managing aggregate costs. Fifth, liability insurance personnel transform complex tort rules into simple “rules of thumb,” also with the result that tort law in action is less concerned with the fault of individual defendants than tort law on the books. Sixth, negotiations over the boundaries of liability insurance coverage (which appears nowhere in tort law on the books) drive tort law in action (Baker 2005). 14 Protecting Michigan’s Good Samaritans If true, these claims show that insurance has a major role in the way that people act when it comes to tort law. Insurance is an Element of Tort Liability.There are four elements that must be established in a negligence case in order to establish liability. The first element is that there is a duty to do, or not do, something. The second is that there was some breach of that duty by the defendant. The third is that the plaintiff suffered some sort of harm from the breach of duty. The fourth is that the breach of duty by the defendant was a proximate cause of the harm suffered by the plaintiff. These are the elements that one would learn at law school, but in practice, lawyers don’t think much about those elements in deciding whether or not to take on a case. According to the tort attorneys interviewed by Baker, “there are three things: liability, damages, collectability. I need collectability first. I need damages second”. Lawyers want to get paid, so they take on the case that will result in the largest settlement. Because of the effect that the state of the economy has had on people and the option to declare bankruptcy, which has an effect on how much a person has to pay out, the best tort cases a lawyer can take, besides those with rich defendants, are those involving defendants with great insurance. This shows that insurance has a clear effect on who is likely to benefit from law suits. Apart from auto accidents, attorneys are far less likely to go after cases for which they are unlikely to get a decent settlement. There are a high number of people that don’t have the kind of insurance that would protect them in these cases, so there are many people that would not even be vulnerable to a negligence law suit because they rent their home, and are therefore not required to buy homeowners insurance. If this was realized by lawmakers, then it might lead to greater requirements of who has to buy insurance, which would then lead to a higher number of tort cases in the United States. A higher number of tort cases would change the system, even perhaps causing a change in the law itself. As Torti taught us, it takes only one case to draw enough attention to a law to call for change. 15 Protecting Michigan’s Good Samaritans Insurance Places a Cap on Damages. There are limits on how much an insurance company has to pay for a claim. Along with the fact that many people will not pay more into their homeowners and auto insurance than is necessary to meet the requirements of the law, and that attorneys will not take most cases in which the defendant can’t pay much out of pocket, this creates a cap on the damages that a person is likely to receive in a tort case. For present purposes, however, the reasons that liability insurance policy limits function as a cap on tort damages do not matter. What mattersis the consequence. Even tort litigation against wealthy individuals andlarge organizations has become, in all but the unusual case, an exercise inrecovering money from liability insurance companies and only frominsurance companies. (Baker 2005). This is a highly significant impact that insurance should have on the thought process that goes into drafting laws. In considering the primary and secondary purposes of tort law, protection and correction, whether lawmakers directly link tort legislation to insurance or not, it has to be assumed that insurance will be taken into consideration, at least in considering the factors that must be applied in thinking about the elements of a particular law. If the primary purpose of tort law is in protecting people from harm, and negligence cases are about getting the largest pay-out possible from the insurance company, then it creates a problem for lawmakers. If you are liable fornegligently inflicting harm on another in a nonauto accident and you don’t have homeowners insurance, then there is a good chance that you will not have to pay damages. This means that people are less likely to feel the pressure to avoid a negligent act because they do not fear the repercussions of their behavior. For those that do have liability insurance, the only issue they will face is that they will have to pay a higher insurance premium and whatever legal bills they have in defending the lawsuit. To make matters worse, this also throws a wrench in the secondary purpose of tort law in correcting for wrongs. If lawyers won’t take cases in which the defendant doesn’t have insurance coverage, then people who are harmed as a result of another’s negligent actions may be stuck paying for their own damages either out of pocket or through their own insurance 16 Protecting Michigan’s Good Samaritans companies. There is no simple fix for this problem, as it is a byproduct of an imperfect legal system, but it should be taken into consideration by legislators when drafting laws. Insurance Limits Liability. Proof that insurance has an impact on tort law can be observed in the way in which suits are claimed. There are exclusions in insurance policies that do not cover specific actions, and this causes these actions to be largely left alone by tort lawyers. If only people with insurance are sued, and if the suits are targeted at recovering insurance money, then claims that fit into one of theexclusions in the applicable liability insurance policy (and thus would notbe covered by the policy) are not worth bringing…Exclusions in liability insurance policies create, in effect, remote islands of tort liability that lawyers andlaw professors know about, but almost no one goes to visit (Baker 2005). Due to these exclusions, defense attorneys will work with plaintiff’s attorneys to have the claim fit the available coverage provided by the insurance company. Therefore, because insurance is not universal and will not cover any and all maladies that may occur, there are limits to what a person will be held accountable for. This expands the problem stated before. Not only are people without insurance not being held accountable for negligent actions, but people who do have insurance are not being held accountable because the limits of insurance in specific exclusions in policies directly creates gaps in liability, regardless of whether or not there are laws that would find a person liable for damages. If they can’t pay and their insurance company won’t pay, then they get off free and the victim of the harm committed is forced to fix the damage him or herself. The Portfolio Approach to Liability Insurance. It has been established that most negligence cases will result in an insurance company paying out the claim, and that this takes away from the spirit of the purpose of tort law. Insurance means that the law does less to protect people by discouraging negligent behavior and less to correct for negligent behavior because of most people’s inability to pay large claims, leading to attorneys not wanting to take cases without adequate insurance. Another factor that results in a change in the rules governing tort law is more focused on the 17 Protecting Michigan’s Good Samaritans economic side of tort law. Because insurance companies have large amounts of claims to deal with, cases become less about the individual nature of what they represent and more about how it might affect the portfolio of cases at large. This means that the results in one case can affect the results in another. As a result, liability insurers have an interest in the development of tort law rules and settlement norms that goes far beyond the interests of any ordinary defendant. In the terms of Mark Galanter’s classic study, liability insurers are the ultimate “repeat player.”…The repeat player phenomenon makes tort law in action less focused on the fault of individual defendants and more focused on managing aggregate costs. (Baker 2005). The implication of this factor is that tort law is less guided by what the intended effect of the law is supposed to be, and more guided by how the insurance companies conduct their business. As discussed previously, the economic theory of tort law is one that should be taken into consideration, but not as the most important part of the law. Insurance companies all but remove the primary and secondary duties of tort law and bring the economic duty to the front of the argument. Again, there isn’t a quick and easy fix for this problem, as insurance and tort law are well established and intertwined. The insurance companies take the position that they need to have an advantage because judges and juries are going to be naturally less sympathetic toward a defendant that is covered by insurance, and will therefore be more likely to allow larger damages to the plaintiff. According to Baker, there is reason to believe that this isn’t the case, but because insurance companies act as though this is grounded in fact, it has the same effect regardless of whether or not it is actually true. Insurance Fosters Cookie-Cutter Law. The large scale of tort cases in the United States and its reliance on insurance causes tort law to be reduced to a series of simple rules about how a case is settled. Simple cases are handled based on rules set by the industry. In a run-of-the-mill rear end auto collision, the person driving the car in the back is liable, as long as there aren’t any red flags that suggest that the person in the front may have been negligent. Cases are handled in an assembly line fashion; insurance handlers apply basic elements to basic rules and the results end up meaning that tort law largely loses its individualistic nature. 18 Protecting Michigan’s Good Samaritans I would never argue that tort doctrine and the consistent behavior of insurance adjusters are “law” in exactly the same sense, nor would I argue that tort doctrine is irrelevant.But I would argue that any law professor who thinks that the routine behavior of “street level bureaucrats”like insurance adjusters is not law needs to spend some time representing real people in the ordinary, low value accident cases that constitute the bulk of the tort law universe. (Baker 2005). Law that is found in a textbook or in a classroom is different than law in practice. Insurance breaks tort law down into cookie-cutter cases and is more concerned with handling the large volume of cases rather than the supposed doctrines that are supposed to apply to laws. There must be a better compromise in considering how a law looks on paper and how a law is actually going to be put into action. Insurance Defines the Boundaries of Tort Law. Each of these factors mentioned thus far has an impact on tort law. Based on a combination of all these factors, insurance seems to dictate much of how tort law is applied to cases. On a basic level, subject to exceptions, insurance creates a sphere that determines the likelihood that you will be successful in a negligence suit. If you are suing someone that has liability insurance or is upper-class wealthy, then you fall within the sphere. If you are unfortunate to be on the damaging side of negligent action at the hand of someone that doesn’t have much in the way of assets and is not covered by liability insurance, then you fall outside of the sphere. As a philosophical and doctrinal matter, tort liability certainly exists outside the boundaries of liability insurance coverage, but we are not going to go through the effort of establishing liability “out there” very often because there is no return in it. This suggests that liability insurance coverage establishes to some extent the boundaries of tort law itself, or at the very least the boundaries of tort law in action. (Baker 2005). Based on all the evidence, the conclusion must be that insurance does in fact have a major effect on tort law and that it cannot and should not be ignored. What can be taken away from this analysis is that what you can understand about tort law from a textbook and what you can understand about tort law in action are two different animals. What a legal philosopher says should be the purpose of the law and what a law actually ends up doing are two separate ideas. Because of the large scale nature of our litigious society and the fact that attorneys and insurance adjusters have to do what it 19 Protecting Michigan’s Good Samaritans takes to survive in the legal market, there are certain ways in which tort cases fall into place. In legislation, there should be a balance between tort doctrine and philosophy and real world application. Bad Samaritans In the final episode of the hit sitcom Seinfeld, the writers decided to have the main characters make their grand exit from the show in hilarity, and had them all arrested for a crime that came across as terribly silly. Jerry, Elaine, George, and Kramer were in Massachusetts and they witnessed a man being held up at gunpoint. Instead of offering assistance when the man cried for help, or calling the police, the four just made jokes and looked on—until an officer walked up and put them all under arrest. Shocked by this news, the four were forced to go into custody for breaking a new Good Samaritan law that required citizens to offer assistance in an emergency should the opportunity present itself. This law as portrayed by Seinfeld comes across as absurd, but it is a real law in some states. This type of Good, or Bad in this context, Samaritan law is a criminal law that holds people responsible should they fail to offer assistance when it is reasonable to do so. While it may seem ridiculous after watching Seinfeld, real world case examples allow for a reasonable argument for these laws. Consider the case of Kitty Genovese: On a March night in 1964, Kitty Genovese was set upon by a maniac as she came home from work at 3 A.M. Thirty-eight of her Kew Gardens neighbors came to their windows when she cried out in terror—none came to her assistance. Even though her assailant took over half an hour to murder her, no one even so much as called the police. (Latane 1969). This example is much more serious than that which was given in Seinfeld, and makes one consider the validity of Bad Samaritan laws in a more serious way. If someone was suffering and in need of assistance, we should want anyone who could possibly lend some type of hand to do whatever they possibly could to help. Bad Samaritan laws are one way this can be achieved. If a person knew that they might be held to criminal charges if they didn’t do something as simple as call 911 while 20 Protecting Michigan’s Good Samaritans witnessing an accident or a violent crime, one would think they would be more likely to pick up the phone. On the other hand, Kitty Genovese may have suffered, not only from the unfortunate attack of a brutal murderer, but also from a phenomenon known as “bystander apathy”. Psychological studies suggest that when a stressing eventoccurs, the more people there are to witness this event, the less likely that one of those persons will intervene. This is owed to what psychologists John Darley and Bibb Latane refer to as the “diffusion of responsibility.” When only one bystander is present in an emergency, if help is to come, it must come from him. Although he may choose to ignore it (out of concern for his personal safety, or desires "not to get involved"), any pressure to intervene focuses uniquely on him. When there are several observers present, however, the pressures to intervene do not focus on any one of the observers; instead the responsibility for intervention is shared among all the onlookers and is not unique to anyone. As a result, no one helps. (Darley1968). This idea that people might look on if they are afraid of what might happen, whether they might be embarrassed, put into danger, or make it worse, especially when there are many others who are seemingly available to bear the burden, spins the question about Bad Samaritans in a whole new direction. There are several psychological issues that call into question the wisdom of enacting Bad Samaritan laws. First off, there is a major discrepancy between offering help in a non-emergency situation and offering help in an emergency situation. For instance, most people are willing to offer help to fellow persons in the way of lending a hand or donating some money, but there will be times when people won’t be willing to step in during an emergency. There are reasons for this observation. The most obvious of such is the fact that the nature of an emergency means that there is a threat of potential harm. Even if an emergency is successfully dealt with, nobody is better off after wards than before. Except in rare circumstances, the best that can be hoped for if an emergency occurs is a return to the status quo. Consequently, there are few positive rewards for successful action in an emergency. At worst, an emergency can claim the lives not only of those people who were initially involved in it, but also of anybody who intervenes in the situation. (Latane 1969). 21 Protecting Michigan’s Good Samaritans People have proven to be generally altruistic, and often will not hesitate to help when there is little or no risk of suffering some harm in the process (short of parting with time or money). This illustrates the problem of trying to impose criminal sanctions on people who fail to respond to an emergency. It is not that people are purposely doing something bad in these situations; rather, the evidence suggests that people are mentally predisposed to fail when faced with an opportunity to jump into an emergency. Another aspect of emergency situations is that the average reasonable person will have experience in few, if any, situations raising that level of stress. Fortunately, although he may read about them in newspapers, or watch fictionalized accounts on television, the average person probably will encounter fewer than half a dozen serious emergencies in his lifetime. Unfortunately when he does encounter one, he will have had little direct personal experience in handling such a situation. Unlike the stereotyped patterns of his everyday behavior, an individual facing an emergency is untrained and unrehearsed. (Latane 1969). Persons who are not trained to react to an emergency are unpredictable. At this point, there are many factors that come into play. A person will have to recognize that there is an emergency, which at times can be difficult if that person does not know specifically what to look for. At this point, he or she will have to pick a course of action and act quickly. There can be many different stressors going on all at once, and the person will be unlikely to respond in the best possible way, even if they have the best intentions. Another question that must be asked when considering Bad Samaritan law, as is asked when considering Good Samaritan law, is: what is the purpose of a law? In this case, one assumption that is often made is that lawmakers are supposed to legislate morality. In a simple way, this makes sense. From childhood on, there are things that we learn are wrong, and that we should not do those things, and the government puts forward regulations that prohibit many of those behaviors and our minds correlate the two ideas. However, there are several problems with this stance. Since the earliest philosophers and before, there have been many different conceptions of morality. Even today, every person has their own individual conception of justice. We may think there are 22 Protecting Michigan’s Good Samaritans instances in which there are universal truths about right and wrong, such as murder. But that raises its own set of unique issues. For instance, should the deaths of people by drone strikes in the Middle East be considered murders? Should killing the person who is attacking another be considered murder?Should abortion be considered murder? The person protesting on the outside of the abortion clinic is likely to have a different perception of morality and justice than the person on the inside of the abortion clinic. If we all have different ideas about morality, it is illogical to think that our government should create laws simply for morality’s sake. Clearly there are many benefits in the analytical separation of law from morality, strongly associated with legal positivism. Law tolerates moral diversity and moral complexity, without explicitly celebrating or facilitating them. Contemporary law in advanced Western societies typically makes no judgment on many aspects of personal lifestyles. (Cotterrell 2000). There are things that are illegal that some think of areOK, such as marijuana, and there are things that some people think are morally wrong that are legal, such as drinking or pornography. Thus, if morality can’t be relied on as a baseline for deciding whether Bad Samaritan laws should be created, then another standard must be used. Philosopher John Stuart Mill held the position that it wasn’t in the purpose of the law to protect one’s morality, but rather to protect the individual from criminal harm. This is a much more applicable standard. We are social creatures and we have relationships with other humans because we are programmed to work together in groups; therefore it is logical that the law would seek to mirror that. “The only tenable option is to draft the laws using vague terms such as ‘minimal’ or ‘reasonable’ effort or risk on the part of the Samaritan, in order to prevent ‘serious’ or ‘grave’ harm to another” (Malm 1995). Considering the psychological implications of bystander apathy, this is a reasonable standard if the legislature feels that a bad Samaritan law is necessary for the society affected. The Michigan House currently has a Bad Samaritan bill in committee that would amend the Michigan penal code: “An individual who knows that another individual is unconscious or is in need of immediate assistance to prevent death or serious physical injury shall immediately inform 23 Protecting Michigan’s Good Samaritans and emergency services provider of the need for assistance and the location where that assistance is required.” (House Bill No. 5202). If enacted, this law would mean that failing to call emergency services, having witnessed an event in which another person was seriously injured, would be a misdemeanor crime and would bring punishment of either imprisonment up to ninety days, a fine of up to five hundred dollars, community service for not more than three hundred sixty hours, or some combination of the three. There can be made a very good argument for enacting this legislation. It is not asking bystanders to jump in front of a bullet or to run into a burning building, it is simply asking that a person call emergency services. There are, however, some problems with this bill. First, the hurdle of bystander apathy is one that cannot be overlooked. In CPR and basic first aid classes, one tactic that is taught when responding to someone in need of assistance is to look a bystander directly in the eye and tell that person specifically, “You! Call 911 and report back to me!” They teach this because if you don’t tell someone specifically that it is their responsibility to make sure that emergency services have been called, and then no one will do it, either because people will assume that someone else will have already taken care of it. Imposing criminal penalties on people who are reacting exactly the way that studies show an average person is going to react in these situations doesn’t exactly seem fair. In these cases, it would best be left to the discretion of the judge to determine who, if anyone at all, should be held responsible for failing to call for help. Another problem is that while some people will be apathetic, there will also be the Good Samaritans who go beyond calling emergency services, and will do what they can to try and prevent death or serious injury at the time of the emergency. If Good Samaritans are unprotected from liability when going out of their way to try and help a fellow human being in a time of need, then why should those who do not react be vulnerable to criminal charges? Again, a reasonable argument could be made for enacting this type of law, but there would have to be a lot of flexibility in determining if a person’s supposed lack of action warrants malicious behavior to the point of 24 Protecting Michigan’s Good Samaritans needing to be punished. The facts would have to be heavily against the person who had the chance to make the call and failed to do so. Another law recently enacted in Michigan that has been called a Good Samaritan law is the “Medical Amnesty Act” added to the “Michigan Liquor Control Code of 1998”: A minor who has consumed alcoholic liquor and who voluntarily presents himself or herself to a health facility or agency for treatment or for observation including, but not limited to, medical examination and treatment for any condition arising from a violation of sections 520b to 520g of the Michigan penal code, 1931 PA 328, MCL 750.520b to 750.520g, committed against a minor. (MCL 436.1703). This addition allows for minors who need medical care from alcohol related problems to be exempt from criminal penalties. This law, in contrast with the proposed bill requiring people to call for help in an emergency, is valid and important. If anything can be learned from the prohibition era, it is that you won’t be able to stop people from breaking the law. This is especially true for minors who can always be trusted to have bad judgment. Officers understand that many minors will drink before they reach the legal age, and will cut minors a break in some scenarios. It is better for minors to learn a lesson about alcohol through going to the hospital than for them to have a more serious medical issue because they didn’t go to the hospital out of fear for the consequences. The Nature of Emergencies In order to win a civil liability suit, there are four elements that must be established by the plaintiff based on a preponderance of the evidence surrounding the case: A duty to not cause harm to the plaintiff, a breach of that duty by the defendant, harm caused to the plaintiff, and the breach of duty shown as a proximate cause of the harm. One of the tests used to determine whether negligence occurred is to apply these elements to the question: would an average reasonable person have acted in a similar way to that of the defendant when the alleged negligence occurred? Therefore, the question that must be asked in determining whether it is necessary to legislate the protection of the Good Samaritan is, how would the average reasonable person respond to a serious medical emergency? 25 Protecting Michigan’s Good Samaritans First off, the average person in the United States does not have professional medical training and experience. In 2010 there were 850,085 actively licensed physicians (Young, Aaron 2010), 83,466 physician assistants (Elliot, Victoria Stagg 2011), and 226,500 employed EMTs and paramedics (“EMTs and Paramedics” 2012) in the United States. In 2008 there were an estimated 3,063,162 registered nurses in the United States (“The Registered Nurse Population” 2010). Assuming that these numbers are roughly the same today, then about 1.4% of the United States population (at the time of the last census in 2010) has a professional medical license. In conclusion, only around 1.4% of citizens in the United States have training beyond basic first aid, CPR and AED, and basic first responder, and therefore, the average reasonable person cannot be expected to have extensive medical training. As stated before, one cannot expect a person without medical training to handle a situation as one with medical training would. 98.6% of the United States could not be expected to know exactly what to do and how to do it when faced with a medical emergency, as most people will be faced with few, if any, of these experiences. So, in determining whether there was a breach in the duty owed to a person who was in need of medical assistance, it is reasonable to say that it cannot truly be predicted how a person might act when faced with a potential life or death situation. Michigan There are many different versions of Good Samaritan law across the states. Many, now including California, have laws to protect the individual that acts in good faith and not for compensation in an emergency situation. Others do not protect the individual. Michigan is one of those states. There are two statutes in Michigan that fall into the category of Good Samaritan law: ï‚· Act 17 of 1963 “Liability of Certain Persons for Emergency Care” and; ï‚· Act 368 of 1978 “Immunity from Liability” from Michigan’s Public Health Code. 26 Protecting Michigan’s Good Samaritans These statutes protect a number of specific medically licensed persons, provided the circumstances are not considered to be an “act or omission amounting gross negligence or willful and wanton misconduct,” but they fail to protect the private individual from. Act 17 of 1963 is broken into five sections, and was last amended in 2002. The first (section 691.1501) defines the protection afforded to physicians, physician’s assistants, and nurses. If these persons do not have a professional relationship (physician-patient) with the person in distress, and provide medical care without compensation at the scene of an emergency, they are protected from liability for civil damages, provided the act does not meet the burden of proof for gross negligence, which is a higher level of negligence, far beyond the standard of care one might expect from a reasonable person. A physician, physician's assistant, registered professional nurse, or licensed practical nurse who in good faith renders emergency care without compensation at the scene of an emergency, if a physician-patient relationship, physician's assistant-patient relationship, registered professional nurse-patient relationship, or licensed practical nurse-patient relationship did not exist before the emergency, is not liable for civil damages as a result of acts or omissions by the physician, physician's assistant, registered professional nurse, or licensed practical nurse in rendering the emergency care, except acts or omissions amounting to gross negligence or willful and wanton misconduct. (MCL 691.1501) This section also includes protection for these persons when providing sports physicals for minors. Furthermore, the Good Samaritan law from Michigan’s Health Code is very similar to this section. It includes many individuals similar to section 691.1501, and further includes various others, such as out of state medical personnel or the medical director for an education program. The next part of Act 17 of 1963 (section 691.1502) lists the various professionals that are protected when responding to an emergency that occurs inside a hospital. The list specifies that those whose in-hospital duty doesn’t include responding to emergency situations, including physicians, physician's assistants, dentists, podiatrists, interns, residents, registered nurses, licensed practical nurses, registered physical therapists, clinical laboratory technologists, inhalation therapists, certified registered nurse anesthetists, x-ray technicians, or paramedics. As in the first section, protection is given to those that don’t already have a relationship with the patient in 27 Protecting Michigan’s Good Samaritans distress and to those that have not acted in a way that is considered to be grossly negligent. The third (section 691.1504) protects individuals that provide cardiopulmonary resuscitation (CPR) or provide assistance using an automated external defibrillator (AED) to a person in need. The fourth (section 691.1505) provides protection to a “block parent volunteer”, or person who assists minors in getting to and from school as part of a non-profit organization, from liability when assisting minors in an emergency. The last (section 691.1507) protects those that are registered members of the national ski patrol system from liability when providing emergency assistance while on patrol. This section was added in 2006. The first section, MCL 691.1501, is the statute that would allow a non-medically licensed Good Samaritan to be liable for civil damages. It is made very clear that only a physician, a registered professional nurse, or a licensed practical nurse would be protected under this law when rendering emergency care at the scene of an emergency. The law that ultimately held Lisa Torti liable for her actions was much more ambiguous: No person who in good faith, and not for compensation, renders emergency care at the scene of an emergency shall be liable for any civil damages resulting from any act or omission. The scene of an emergency shall not include emergency departments and other places where medical care is usually offered. (CAL. HSC. CODE § 1799.102) This law generated much debate about legislative intent in the California court system. Supreme Court of California eventually decided that the law referred to medically licensed persons, but it is easy to see why there was so much confusion on the panels. Unlike Michigan’s Good Samaritan law, this law says nothing about physicians, physician’s assistants, nurses, or medically licensed persons of any kind. Therefore, when Van Horn v. Torti made its way to the Supreme Court of California, they had to determine whether to apply the law with Torti’s “plain language” interpretation, or to go with Van Horn’s narrower interpretation. The court decided for Van Horn’s narrow interpretation that the law did not apply to nonmedically licensed persons, having determined that that interpretation was more consistent with the 28 Protecting Michigan’s Good Samaritans statutory language in context with the statute at large. While the court did their job in determining legislative intent, the ramifications of this case brought the shortcomings of this statute to the public eye. The story hit the national scene, and was featured in an article published in Time magazine. “The Supreme Court of California has ruled that one good deed may very well not go unpunished — unleashing a debate not only on who is a Good Samaritan but also who shouldn't even think about being one” (Stateman). This is exactly the problem with Good Samaritan laws that do not protect the individual; having a law on the books that allows for people who act altruistically in a potentially life or death situation to be held liable for the damages incurred by the victim in the course of the accident is contradictory with a protective system of tort law. Because of the controversial nature of the decision rendered by the Supreme Court of California in Van Horn, a bill was quickly entered into the California legislature to make the change that would clarify what protection would be given to the average Good Samaritan. Assembly bill 83 was introduced to the California senate in 2008, and proposed the changes that would clarify that which Torti fruitlessly argued in her defense. The bill was signed into law by California governor Arnold Schwartzenneger in 2009. The statute now specifically states that “No person who in good faith, and not for compensation, renders emergency medical or nonmedical care at the scene of an emergency shall be liable for any civil damages resulting from any act or omission.” (Assembly Bill No. 83, italics added for emphasis). In addition, there is another section that clarifies that those who are not protected as medical, law enforcement, and medical personnel will be protected when providing emergency medical or non-medical care. The language of the bill, as an urgency statue, left no room for any confusion as to the purpose of the law in protecting California’s Good Samaritans, “Because the state has long encouraged Californians to assist others facing danger in an emergency, and the ability to do so without fear of potential suit has been thrown into question.” The government of California understood the importance of encouraging and protecting its Good Samaritans. 29 Protecting Michigan’s Good Samaritans California Health and Safety Code Section 1799.102, before the addition of AB 83, failed to fulfill the protective purpose of tort law. As stated before, tort law is essential in protecting society, and protecting people from being sued when assisting others in an emergency situation is important in encouraging altruistic behavior in these emergency situations. Further, I would argue that the nature of emergencies and the physcological reaction of the average reasonable person to an emergency situation predispose certain persons to act in ways similar to Lisa Torti and David Rhodes. Michigan’s current law has the same shortfalls as California’s law before the addition of AB 83. It doesn’t protect the non-medically licensed person from civil liability if that person responds to an emergency. Thankfully, there hasn’t been a major incident in Michigan that has brought a lawsuit to the attention of Michigan’s legislature, to raise the question of allowing the Good Samaritan to be so vulnerable. However, Michigan can and should follow California’s example and make a change that would provide a broader and more comprehensive protection for its Good Samaritans. Waiting for a major case to determine that a law should be changed is irresponsible and fits in with the corrective system of justice, rather than the protective system. As stated earlier, the first duty of tort law is in prohibiting certain behavior in order to protect people from disruptions to the status quo. It is the secondary duty that corrects for a breach of the first. Assuming that the position that unlicensed Good Samaritans should be protected is correct and that Michigan’s lawmakers would follow the example of California in the event an accident and lawsuit did occur, the status quo must be established before such a situation might occur in order to protect good citizens and encourage altruistic behavior. Good Samaritan Statutes and Case Law Every state has its own unique Good Samaritan law. Under the common law there is no duty to assist in an emergency. One who undertakes gratuitously or for consideration to render services to another which he should recognize as necessary for the protection of the other's person or things, is 30 Protecting Michigan’s Good Samaritans subject to liability to the other for physical harm resulting from his failure to exercise reasonable care to perform his undertaking, if(a) his failure to exercise such care increases the risk of such harm, or(b) the harm is suffered because of the other's reliance upon the undertaking. (Sutton, 2011 from 2d Restatement of Torts) Good Samaritan Laws were created to protect individuals who go to the aid of others in need. The Good Samaritan Law Project is an informational website created by Dr. Victoria Sutton, a law professor at Texas Tech University. This project is intended to bring light to the inconsistencies of the various Good Samaritan Laws between states and to promote discussion of these laws, as well as to come up with ideas for a Good Samaritan Law that would allow for the Good Samaritan to help those in need without fear of a lawsuit. Part of this project is a compilation of the laws between states and their major aspects including who is immune under each Good Samaritan Law, the legal standard for protection under each Good Samaritan Law, the jurisdiction of the protection, which types of emergencies are covered, and whether or not the action must be gratuitous to be entitled to protection. This information gives a clear picture of the discrepancies between which states allow their altruistic citizens to be protected, and which do not (up to date as of 2011, see Appendix i.)The fact that there are so many different laws covering and not covering so many different individuals is a great example of why there should be a standard for a more comprehensive Good Samaritan Law to protect the individual and encourage altruistic behavior. Case Law One of the issues surrounding Good Samaritan law is that there are so many different Good Samaritan laws between jurisdictions, and that even if a person was aware that those types of laws exist, it would be unfair to expect a reasonable person to know exactly what duties are owed to a person in distress based on the current law governing the jurisdiction of the event in question. When known and understood, policy has an effect on the way that people act in certain situations, but it is also the case that the law may be applied when the defendant didn’t understand that the actions taken were potentially wrong at the time of the accident. A person isn’t likely to stop before helping someone on the side of the road or lying on the ground to think that they may be 31 Protecting Michigan’s Good Samaritans setting themselves up for a lawsuit. As all fifty states have enacted some type of Good Samaritan statute, there are many examples of cases that show the various ways that a Good Samaritan law is cited and how courts apply the different elements of the various laws. Z. Marcia Abramson v. Ritz Carlton Hotel Co.In one case, a man was dining in the restaurant at a hotel in Jamaica when he went into cardiac arrest. His wife, a registered nurse who was certified in CPR, called for help and, with the help of a nurse and doctor who were bystanders to the incident, began administering CPR. The hotel called for a loss prevention officer, or LPO, and an ambulance was called. Two LPOs and the Assistant Director of Loss Prevention responded to the scene and then retrieved an oxygen tank and AED. The man’s wife brought suit against the hotel in the New Jersey Superior Court, claiming that the hotel breached the duty owed to her husband because the equipment was faulty and was not readily available, given the size of the hotel. The court decided for the hotel, stating that the hotel fulfilled its limited duty to its guest by calling emergency services in a timely manner. Further, the man was in the care of medical professionals from the time that he collapsed until the ambulance arrived. Because the court established that the hotel fulfilled its duty concerning the inn keeper to guest relationship, the individuals that responded were acting as voluntary individuals and were therefore protected under New Jersey’s Good Samaritan Law. That particular law stated that, “Any individual…who in good faith renders emergency care at the scene of an accident or emergency to the victim or victims thereof…shall not be liable for any civil damages as a result of any acts or omissions by such person in rendering the emergency care.” (N.J. Stat. § 2A:62A-1 (2013) from Abramson v. Ritz Carlton Hotel Co.). While there was disputed testimony that the equipment provided by the hotel was not functioning properly (the wife of the guest in distress argued that the oxygen tank was low and the AED was not fully charged) the court found that even if the equipment did not save the life of the guest, it did not harm him either. This case shows the value of the protection a Good Samaritan law should offer. The 32 Protecting Michigan’s Good Samaritans employees of the hotel responded in the way they were trained, and the guest in distress was taken to the hospital as quickly as was possible. Since this case,the hotel has updated their standard for first aid equipment and added equipment at more locations throughout the hotel, as the event showed them how their system could be improved, but they were not negligent, and that is how the U.S. Court of Appeals interpreted the case. Jackson v. Mercy Health Care Center, Inc.In another case, a man was in the operating room of a hospital in Oklahoma to witness the birth of his child by Caesarean section. While watching the preparations for surgery, the man became dizzy and was helped by hospital staff to sit on the side of his wife’s bed. He was not secured and fell off the bed, injuring himself. He sued the hospital claiming that they were negligent in failing to secure him and allowing him to fall from the bed. The hospital claimed that they were immune from liability under Oklahoma’s Good Samaritan Law, which stated: Where no prior contractual relationship exists, any person licensed to practice any method of treatment of human ailments, disease, pain, injury, deformity, mental or physical condition, or licensed to render services ancillary thereto, including licensed registered and practical nurses, who, under emergency circumstances that suggest the giving of aid is the only alternative to probable death or serious bodily injury, in good faith, voluntarily and without compensation, renders or attempts to render emergency care to an injured person or any person who is in need of immediate medical aid, wherever required, shall not be liable for damages as a result of any acts or omissions except for committing gross negligence or willful or wanton wrongs in rendering the emergency care. (76 O.S. 1991 § 5, from Jackson v. Mercy Health Care Center, Inc) The trial court agreed with the hospital’s argument, but the Court of Appeals reversed and remanded the sentence, under the reasoning that the man was not in “danger of death or serious bodily harm when hospital personnel came to his aid”. The Supreme Court of Oklahoma then reversed the decision of the Court of Appeals. In the majority opinion, the Supreme Court of Oklahoma determined that based on the three elements of immunity under Oklahoma’s Good Samaritan Law, “the absence of a prior contractual relationship between the rescuer and the injured person, the characterization of the rescuer's act as having been done in good faith, voluntarily and without compensation, and the injured person's 33 Protecting Michigan’s Good Samaritans apparent need of emergency medical aid” there were two main issues to consider. The first was of whether Jackson had a prior contractual relationship with the Hospital. The Court found that Jackson was a visitor and not a patient and therefore there was no contractual agreement between him and the Hospital that would take away their status as a Good Samaritan in this case. The second issue was whether his becoming dizzy should be considered an emergency within the legislative intent of the law. The visitor would have us give the Act a highly technical construction. It would limit the Act's ambit to situations where it is crystal clear to the medical provider — at the critical moment when a decision must be made whether to render immediate aid — that failure to act will inevitably result in death or serious bodily harm to the stranger. The primary goal of statutory construction is to determine legislative intent…Keeping in mind that the Act's purpose is to invite medical providers to intervene, the term "emergency" must be given the broadest sense possible. The threat of a malpractice suit for one's failure correctly to diagnose the seriousness of potential harm to a stranger — based upon a gauge of perfect hindsight — would seriously undercut, if not indeed destroy, the immunity's effectiveness. Within the Act's intended meaning an emergency occurs whenever a stranger appears (or may be perceived) to be ill or in need of succor.(Jackson v. Mercy Health Care Center, Inc) The majority opinion for Jackson was very specific in stating that Oklahoma’s Good Samaritan Law should be interpreted in the way that best encourages Good Samaritans, which are medical providers in this case, to assist someone in need. If this case had stopped with the decision of the Court of Appeals and the Hospital was found negligent, then those workers would have been liable for helping the man. If they had assumed that they might become liable should they help the man when he became dizzy, then he may have been hurt worse than he was when they did assist him. The legislature has obviously balanced a victim's need to be compensated for bodily harm inflicted by another's negligent rescue attempt against the public interest in encouraging medical providers to render aid in settings in which they might otherwise not feel safe to act. In the legislative judgment, providing an incentive for medical intervention in an emergency doubtless became a much higher priority than that of an injured person's competing interest in compensation.(Jackson v. Mercy Health Care Center, Inc) This is a case in which a Good Samaritan Law protected the interests of those who were acting as they were trained and helped a man in need. If it were the case that medical persons in a hospital witnessed a person in need and did not act to help that person because of the threat of a lawsuit, 34 Protecting Michigan’s Good Samaritans people would surely question that law, just as they questioned the law in California that failed to protect Lisa Torti from liability. Willard v. Vicksburg.A man was driving on an interstate highway in Mississippi when he was involved in a one-car accident. Another driver arrived at the scene and called the County Sheriff’s department to inform them that there was a serious accident and an ambulance was needed immediately. The ambulance did not leave the terminal until twenty one minutes after the phone call, which was described by expert witnesses as an excessive amount of time for responding to an emergency call. The ambulance crew removed the victim from the car and put him on a backboard for stabilization. According to the run report, the victim had no pulse and no blood pressure when the crew gave their initial assessment. Because of the length of time between the accident and the lack of proper care provided to the victim, he suffered from a condition leaving him bound to a wheelchair, visually impaired and psychologically and mentally handicapped. The victim later took his own life. The family of the victim brought suit against the Mayor representing the city of Vicksburg, claiming that the ambulance crew was negligent in their slow response time, the failure to use appropriate caution in removing the victim from the vehicle, and the failure to provide appropriate care at the scene of the accident. This case brings light to two issues. The first issue is that there is a difference between how the law should protect citizens and how the law should protect medically licensed persons. Because of the training that is given to ambulance crews, there should be a different standard for negligence in these cases than there is for individual citizens. Mississippi’s Good Samaritan Law in 1990 read as follows: No duly licensed, practicing physician, dentist, registered nurse, licensed practical nurse, certified registered emergency medical technician, or any other person who, in good faith and in the exercise of reasonable care, renders emergency care to any injured person at the scene of an emergency, or in transporting said injured person to a point where medical assistance can be reasonably expected, shall be liable for any civil damages to said injured person as a result of any acts committed in good faith and in the exercise of reasonable care or omissions in good faith and in the exercise of reasonable care by such 35 Protecting Michigan’s Good Samaritans persons in rendering the emergency care to said injured person. (Miss. Code Ann. §7325-37 (Supp. 1988). from Willard v. Vicksburg). Emergency medical technicians are trained persons who are paid with tax-payer money. It is reasonable to expect that when EMTs arrive at the scene of an accident, those individuals will have the appropriate training to handle the situation at hand. Based on the facts of Willard, it would appear that the EMTs that responded to that accident either did not have the appropriate training or were grossly negligent in their care of the victim. The care that they gave wasn’t reasonable, and they shouldn’t have been protected by the Good Samaritan Law in question. A strict reading of §73-25-37grants immunity to anyone who renders emergency care in good faith and with reasonable care at the scene of the accident or during transportation to a medical facility. Because we decide this case on other grounds, we decline to interpret the statute. However, we invite the legislature to review and amend § 73-25-37 to include a pre-existing duty exception. Those who have a pre-existing duty to render aid should not be allowed to hide behind the cloak of the Good Samaritan Statute.Additionally, the standard of care required by our statute is one of reasonableness. This is the same as the common law. In other words§ 73-25-37 fails miserably in its twofold purpose which is to remove the common law liability associated with rescue and to encourage people to stop and render aid to those in need. We invite the legislature to adopt a higher degree of protection. (Willard v. Vicksburg) This language makes it clear that the Justice of the Supreme Court of Mississippi who gave this opinion not only saw the importance of Good Samaritan Laws, but also in the logical limitations that should go along with it. The Supreme Court of Mississippi remanded this case to go to trial after the previous court granted summary judgment for the emergency personnel. The Impact of Policy on Behavior Besides examples found in case law, there are many stories that illustrate the effect of policy on how people act when other people are in need. Take for example the story of the unfortunate passing of Lorraine Bayless. Bayless was eighty-seven and living in an independent living complex for the elderly in California when she collapsed in her dining room. A nurse responded and called 911to summon Emergency Medical Services, but would not give the lady CPR when her breathing stopped, despite the pleadings of the dispatcher. The reason she would not give CPR is that it was company policy for the employees of the complex to call EMS in an emergency, but not 36 Protecting Michigan’s Good Samaritans to give direct assistance. Listening to the nurse on the phone recording is disheartening. The dispatcher says over and over again that someone needs to give the lady CPR or she is going to die, even if it is another resident or a bystander, but the nurse refuses in a lethargic and annoyed voice. This story begs the question of why a home designed for the elderly would have a policy in place that requires its employees to ignore a dying person. If she had responded and given CPR, as a nurse, she would have been protected under California’s Good Samaritan law from the ramifications of going to her assistance. While this is a company policy and not a state law, this story is a clear illustration of the dangers of having policy in place that discourages people from helping those in need. (Fantz 2013). Another story shows the problems with allowing a person who acts as a Good Samaritan and saves the life of another to be vulnerable to punishment for their reaction. Tomas Lopez was a lifeguard at a beach in Florida. He was guarding his zone of water when a person ran up and alerted him to a man in need of assistance in the water. The man was outside the lifeguard’s zone of protection, but the lifeguard got down from his tower and ran to help the man anyways. After rescuing the man, he rendered CPR and the man’s life was saved as a result of the guard’s quick action. But because he left his zone to assist someone outside of his jurisdiction, he was fired by the lifeguarding company. The initial reasoning was that the company was liable for the zone he left, but the internal investigation revealed that the zone was well protected by the other lifeguards on duty. Furthermore, other guards were fired when they responded that they would have acted in the same manner if they were faced with the same situation. The lifeguard company offered Lopez his job back, but he refused. Lopez responded as he felt was his duty as a lifeguard, and he was able to save the life of another. He did a morally excellent thing, and caused no harm in the process. There was no real reason why what he did should warrant his being fired, save for a failure in appropriate policy. (Stableford 2012). 37 Protecting Michigan’s Good Samaritans Conclusion Based on all of the reasons detailed in this thesis, it would be prudent for Michigan’s legislators to consider coming up with a new law. The current law does not provide adequate protection for the altruistic individuals that would go to the rescue of those in need. There hasn’t been a case in Michigan to test the flaws of the current law, but it would not be wise to wait for an unjust lawsuit to come about before making the necessary additions that would allow for people to act as they are naturally inclined. There are several specific factors that must be carefully acknowledged in coming up with a better Good Samaritan Law in Michigan. First, people are naturally altruistic. Those like Lisa Torti see a person in need, and are driven to help that person as best they know how. Because we can observe examples of altruism in humans and other animals, it has to be understood that legislating in a way that undermines that natural inclination to do good is unjust and against our very nature. Altruism is beneficial for people, as leading an altruistic life will generally allow for someone to be a more fulfilled person, as well as the fact that people who do good things are often inclined to put themselves into beneficial circumstances. Nice guys don’t finish last, contrary to popular belief, and the law should reflect this. The most important function of tort law is in the protection of citizens, while the correction of wrongs is secondary to that function. A Good Samaritan Law that fulfills its purpose should protect medical professionals who act within the scope of their training and do not act in a way that is grossly negligent, and it should protect private individuals that act in a reasonable manner. Again, this means that a person who acts altruistically is acting as they are naturally inclined. It also means that while people will try to help others if they feel that they are risk of death or serious injury, they will not have the kind of medical experience that you would expect from someone that is medically licensed. Therefore, gross negligence for the private individual has to fall under a 38 Protecting Michigan’s Good Samaritans much different standard than is applied to gross negligence at the hands of the medically licensed professional. Liability insurance and its impacts on tort law must be considered in creating a new Good Samaritan Law as well. Not all people are covered by liability insurance, and these are the people who are not going to be vulnerable to a lawsuit as attorneys are not likely to take a case that will likely not result in a substantial payout. If the law is intended to protect people, then it has to be a consideration that all people should fall under a certain protection, not just the people who rent their homes and don’t buy liability insurance, or those people that just do not have the assets available to pay damages in a large lawsuit. Also, insurance numbs people to the vulnerability of lawsuits. If the only consequence that one is likely to face is that they have to pay a higher insurance premium, it is less likely that vulnerability for those people will be a factor in deciding whether to act in an emergency situation. Because they would be acting in a way that they are simply responding to the emergency situation, they should be protected from lawsuits if they are not acting in a way that is grossly negligent. Michigan needs a more comprehensive Good Samaritan Law, such as has been enacted in California. The law should go beyond protecting just those who are medically licensed to protecting those that are not looking for some sort of compensation, but are just acting the role of the citizen-hero. While it is true that a person should be allowed to be compensated for damages should a person act in a way that is grossly negligent, but the Good Samaritan should not be punished for going to the aid of his neighbor. 39 Protecting Michigan’s Good Samaritans Appendix i State Alabama Ala . Code 1975 §6-5332 Alaska AS 09.65.090 Arizona A.R.S. § 321471 Who is immune? Where? Private Individual What emergencies? What actions? Cardiac only Must action be gratuitous? Yes List of professionals “at the scene of an accident, casualty, or disaster” “…accident, casualty or disaster” Private individuals “at a hospital or any other location” Emergency location, search and rescue “a person at a hospital” “at a hospital or other location” Emergency care or counseling No Only a person who is “authorized by law to provide it” “…or any other location” Advanced life support, i.e. defibrillator No Private individuals and professionals (same treatment in statute) “at a public “emergency gathering or occurrence” at the scene of an emergency” “acts or omission” & “failure to provide or arrange for further medical treatment” Yes 40 “first aid or emergency care” Yes No Protecting Michigan’s Good Samaritans “school athletic event at the site thereof” or “during transportation to a health care facility “at the scene of an emergency” “injury suffered in the course of the event” “voluntary emergency medical assistance” Yes “emergency” “Emergency care” No §1799.106 firefighters, police officers, EMT-1, EMT-II, EMT-P, the employing “public agency” Private individual and physician or surgeon [licensed by Colorado] “at the scene of an emergency” “emergency” “emergency medical services” No Yes “volunteer member of a rescue unit” “at the place of emergency or accident” “emergency or accident” “emergency care or emergency assistance” to a person not presently a patient to the good Samaritan “acts or omissions” in “emergency care or assistance” MD/Surgeon, LPN, RN, dentist, person operating a cardio resuscitator or defibrillator “to a person in need thereof” [no place specified] “to a person in need thereof” of “emergency medical services” “Rendering emergency or professional assistance” Yes (c)Physician or surgeon (d)chiropracto r or podiatrist California Ann. Cal. Bus. & Prof. Code §2395, Ann.Cal.Healt h & Safety Code §1799.106 Colorado C.R.S.A. § 13-21-108 Connecticut C.G.S.A §52=557b §2395 “licensee” “at the place of an emergency or accident” 41 Yes Protecting Michigan’s Good Samaritans Delaware 16 Del.C.§6801 Volunteer or paid firefighter, police officer or emergency medical service personnel Various municipal or state personnel “the residence of any person” A person whom firefighters believe to be in need of emergency first aid “entering the residence of any person in order to render emergency first aid” No “paid” “to a person in need” “any personal injuries” “renders emergency first aid” No Teacher or other school personnel “on the school grounds or in the school building or at a school function” During such program “any personal injuries” “renders emergency first aid” No “in apparent need” because of an allergic reaction Using a cartridge injector on a child under 16 Yes “On the school grounds or in the school building or at a school function” “to a person in need thereof” “rendering emergency care of administration of medication by injection” No “in need of rescue assistance…” “To a person who is unconscious, ill, injured or in need of rescue assistance, or “act or omission in the rendering of such first aid, emergency treatment or rescue yes, including fees paid to nonprofits or governmenta l entities or salaries paid volunteer worker “associated with” a nonprofit organization serving children under 16; or the nonprofit organization teacher or other school personnel . . .who has completed a course in first aid and in the “administratio n of medication by injection” “any person” 42 Protecting Michigan’s Good Samaritans Florida West’s F.S.A. §768.13 Private individual “Any person” or “those licensed to practice medicine” “health care provider” “hospital” “At the scene of an emergency outside of a hospital, doctor’s office, or other place having proper medical equipment” any person in obvious physical distress or discomfort” assistance “Emergency situations arising out of a public health emergency declared [by the state] , a “state of emergency” or “at the scene of an emergency outside of a hospital, doctor’s office or other place having proper medical equipment” “Prior to the time the patient is stabilized and is capable of receiving medical treatment as a nonemergenc y patient” “Act or failure to act in providing or arranging further medical treatment” Yes “emergency services pursuant to obligations” imposed by federal statues 42 USC 1395dd, et al includes “diagnosis” “Emergency response activities” “ care, treatment or services” No “Any person… who… participates with an emergency response team or agency or FEMA” 43 Yes Protecting Michigan’s Good Samaritans Any person, including licensed veterinarians “at the scene of an emergency on or adjacent to a roadway” An emergency “Renders Yes emergency care or treatment to an injured animal” Georgia Ga. Code Ann. §51-1-29.1-3 physician or surgeon [licensed in Georgia] “at the scene of an accident or emergency” “Accident or emergency” Yes §51-1-29.2 “any natural person” “during a time of emergency” and “in a place of emergency declared by the Governor” “catastrophic acts of nature, including fire, flood, earthquake, wind, storm or wave action” §51-1-29.3 “any person” “emergency” “emergency” “Act or failure to act to provide or arrange for further medical treatment or care” “Minimize and repair injury and damage to property resulting from catastrophic acts of nature, including fire, flood, earthquake, wind, storm or wave action” “emergency care or treatment by the use of or provision of a . . defibrillator” “Any physician or other medical profession” “in or on any premises other than any medical facility” installing or providing defibrillators No Private individual “at the scene of an accident or emergency” “renders emergency care” Yes Hawaii HRS § 663-1.5 “accident or emergency” 44 Yes Yes Protecting Michigan’s Good Samaritans Rescue team member or physician working with the team “in cases of emergency” “in immediate danger of loss of life” owners or operators of hospital “Attempting to resuscitate any person” No maintenance of equipment and training obligations No “Any physician” [licensed in any state] “In a hospital” “who is in immediate danger of loss of life” “Emergency medical care” Yes “Any person or other entity who publishes written general first aid information” “Any person who completes training” for defibrillation or employer publication “emergency first aid treatment” Publication of general first aid information Yes and without expectation of remuneration “The scene of an accident” “Immediate danger of loss of life” “Administering ” defibrillator Yes Idaho I.C. § 5330 Private individual or “group of persons” “The scene of an accident” “Accident” No Illinois 210 ILCS 50/3.150 (a) Licensed or authorized person (b)person, private or government who manages EMT or (d) CPR services “Being at, or stopping at the scene of an accident. . .administers first aid or medical attention” “provides emergency or non-emergency medical services” emergency or nonemergency medical services during a “training course” or in the “normal 45 No Protecting Michigan’s Good Samaritans (f) member of state board (g) EMS director Indiana IC 1631-6-1 1631-6-3 (a) certified EMT or EMT-basic advanced paramedic or EMTintermediate course of conducting their duties” “emergency” “an emergency patient” (b) ambulance drivers “Acts or omissions” when “Providing emergency medical services to an emergency patient” “negligent operation” No No 16-31-6-2 certified first responder and agency “emergency” “emergency” Use of defibrillator No 16-31-6-4 paramedic, EMTintermed, EMT-BA, EMT [certified in any state] hospital employee or other staff Private individual List of professionals 7 “in connection with a disaster emergency declared by the governor “Disaster emergency” Act or omission in providing life support or basic life support No “at the place of an emergency or accident” or in transit to or from or while person is being moved to or from an emergency shelter “Emergency or accident” “Renders emergency care or assistance” Yes Iowa I.C.A. §613.17 46 Protecting Michigan’s Good Samaritans Person at his/her work place “workplace” “workplace rescue arising out of an emergency or accident” “person involved in a workplace rescue” Yes Kansas KS ST § 65-2891 Any health care provider” “emergency or accident” “emergency care or assistance” No Kentucky KRS §411.148 Physician, RN or LPN [licensed in Kansas] or EMT who has completed a Amer Red Cross course in CPR ; or any employee of any board of education who has a course in first aid from the Amer Red Cross (a) physician, surgeon, physician assistant, nurse [licensed in Louisiana] “at the scene of an accident or emergency” or “as a result of having engaged in competitive sports” or “within a hospital or elsewhere” “at the scene of an emergency” specifically “excluding house calls” specifically excluding “house calls” “Acts performed at the scene of an emergency” Yes “at the scene of an emergency” “emergency” Yes Within the hospital or facility Emergency to which the person was not required to respond “renders emergency care or services” or providing or arranging for further medical treatment “act or omission in rendering the emergency care or service” or providing or Louisiana LSA-R.S. 37:1731 (b) physician, on-call physician or oral and maxillofacial surgeon or nurse 47 Yes Protecting Michigan’s Good Samaritans [licensed in Louisiana] Maine 14 M.R.S.A. §164 Maryland MD Code §5-603 arranging for further medical care or treatment EMT “at the scene of an emergency” “an emergency” “members or employees of nonprofit volunteer or governmental ambulance, rescue or emergency units” (1) “an individual licensed by this state to provide medical care” and (2) member of state, county, municipal volunteer fire dept, ambulance and rescue squad or law enforcement agency or National Ski patrol system or fire dept responding outside of their district emergency or rescue situation “A person who is unconscious, ill, injured or in need of rescue assistance” “at the scene of an emergency”or “in transit to a medical facility” . “an emergency” 48 “renders emergency care or services” or arranges for further medical treatment “rendering of such first aid, emergency treatment or rescue assistance” Yes “Giving any assistance or medical care” Yes Yes Protecting Michigan’s Good Samaritans (c)Private individual (or anyone not covered in the previous part) “at the scene of an emergency” “an emergency”. “providing assistance or medical aid” Yes Massachusetts M.G.L.A. 112 §12B. Any physician, physician assistant or nurse licensed in Massachusetts or any state or D.C. or Canada “emergency” “emergency” renders emergency treatment or orders a person hospitalized or causes his admission Yes Michigan M.C.L.A. 333.20965 List of persons-- no private individuals “outside a hospital” or in a hospital None identified Providing services to a patient No [same] [same] “an individual who is in or is exhibiting symptoms of cardiac arrest" “use of an automated external defibrillator” No Minnesota M.S.A. § 604A.01 Private individual “emergency” “rendering emergency care, advice, or assistance” or “use of a defibrillator” Yes, specifically excludes persons rendering care during the course of their employment. Mississippi Miss. Code Ann. §73-2537 Private individual “At the scene of an emergency or during transit to a location where professional medical care can be rendered” “at the scene of an emergency, or in transporting the injured person to a point where medical assistance can “an emergency” “actions or failure to act” or a personal injury No . 49 Protecting Michigan’s Good Samaritans be reasonably expected” Missouri V.A.M.S. 537.037 Montana MCA §27-1714 “Any person” private individual [does not require training in AED use] Any physician, surgeon, RN or LPN , licensed in any state, or EMTs [licensed in Missouri] any person trained in first aid render emergency care or assistance to the level for which he or she has been trained Any physician or surgeon [licensed in Montana] volunteer firefighter or officer of any nonprofit volunteer fire company or any other person “accident, or in competitive sports, or other emergency at the scene of an accident” “emergency” “renders emergency care or treatment by the use of . . .defibrillator” Yes “accident, or in competitive sports, or other emergency at the scene of an accident” “Render emergency care or assistance...” to anyone including “...to any minor involved in an accident …without first obtaining the consent of the parent . . “render emergency care or assistance” Yes “renders emergency care or assistance” Yes at the scene of emergency or an accident” accident “at the scene of an emergency or accident” “emergency or accident” . 50 Yes Protecting Michigan’s Good Samaritans person who operates an ambulance [same] [same] Nebraska R.R.S. Neb. §25-21,186 . Private individual “at the scene of an accident or other emergency” accident or other emergency §71-5194 emergency care provider, physician assistant, RN or LPN emergency “public emergency” §35-107 member of a volunteer fire department or volunteer first-aid, rescue or emergency squad 1. private individual . Nevada N.R.S. 41.500 . 2. Driver of an ambulance or attendant on an ambulance “in an emergency” . “emergency” . “at the scene of an emergency or while transporting an injured or ill person to or from any clinic, doctor’s Emergency, ill or injured person . 51 “operates an ambulance to and from the scene of an emergency or renders emergency medical treatment” renders emergency care or provide or arrange for medical treatment or care “provides public emergency care” No provides emergency public first-aid and rescue services No rendering emergency care or assistance or provides or arranges for further medical treatment for the injured person driving an ambulance or rendering care . Yes Yes No No Protecting Michigan’s Good Samaritans office or other medical facility New Hampshire N.H. Rev. Stat. § 508:12 . private individual . New Jersey N.J.S.A. 2A:62A-1 Private individual New Mexico N.M.S.A. 1978, §24-103 Private individual New York P.H.L. 3013 certified first responder, EMT, EMTAdvanced, person under the direction of these EMTs17 North Any volunteer Carolina medical or N.C.G.S.A§90 health care -21.16 provider at a facility of a local health department or “at the place of the happening of an emergency or to a victim of a crime or delinquent act or while in transit in an ambulance or rescue vehicle” “at the scene of an accident or emergency” or while transporting the victim(s) to a hospital or other facility “at or near the scene of an emergency” emergency victim of a crime or delinquent act in transit in an ambulance or rescue vehicle “renders emergency care” . yes, no compensatio n from the person being assisted . emergency or accident “renders emergency care” or transporting the victim(s) to a hospital or other facility No Emergency “coming to the aid or rescue of another person by providing care or assistance” Yes “in an emergency” . “person who is unconscious, ill or injured” “renders medical assistance in an emergency” Yes “rendered at the facility, center, agency or clinic” or in other facility if not No emergency required “rendering of the services” Yes 52 Protecting Michigan’s Good Samaritans at a nonprofit community health center charging a fee to the patient referred by the free clinic §90-21.14 . Private individual including volunteer medical health care provider20 at a facility of a local health department or nonprofit community center, or volunteer member of a rescue squad “Reasonably apparent circumstances ” athletic events person is unconscious, ill or injured and “reasonably apparent circumstances require prompt” actions; when “delay . . .would seriously worsen the physical condition or endanger the life of the person,” “renders first aid or emergency health care treatment” . Yes §20-166 Driver of any vehicle At the scene of the accident or collision Accident or collision by the person’s vehicle which he/she is operating (a)(2)“shall immediately stop this vehicle at the scene of the accident or collision” and (b) render to any person injured in such accident or collision reasonable assistance, including the calling for medical assistance” Yes, Failure to do this results in a Class 1 misdeamean or 53 Protecting Michigan’s Good Samaritans North Dakota ND ST 3203.1-02 . Private individual and their employer . ‘in this state” . “injured or are ill as the result of an accident or illness, or any mechanical, external or organic trauma” “renders aid or assistance necessary or helpful in the circumstances” . No 32-03.1-02.2 Volunteer health care provider [licensed in North Dakota] who works in a free clinic Private individual “at a free clinic” no emergency required “rendering of that care” Yes “at the scene of an emergency” “emergency” “for acts performed at the scene of such emergency” No “wherever required”. “emergency circumstances that suggest the giving of aid is the only alternative to probable death or serious bodily injury” “giving of aid” or “renders or attempts to render emergency care”. Yes “wherever required” “victims of an accident or emergency” “render Yes emergency care consisting of artificial respiration, restoration of breathing, or preventing or retarding the loss of blood or aiding or restoring heart action or circulation of Ohio R.C. §2305.23 . Oklahoma 76 “any person OKL.ST.ANN licensed to . § 5(1). practice any method of treatment of human ailments, disease, pain, injury, deformity, mental or physical condition”. §5(2) Private . individual 54 Protecting Michigan’s Good Samaritans blood” §5(3) . licensed person to perform dentistry or surgery [licensed in Oklahoma] . “wherever required”. “victim of an accidental act”. §5(4) Private individual “individual’s household” Oregon O.R.S. §30.800(1)(a) medical or dental care NOT “in a place where emergency medical or dental care is regularly available”. §30.800(1)(b) physician in the professional capacity of team physician athletic events. “endangered or need person” and “persons on the streets in apparent danger, or in need of aid” “injured person who is in need or immediate medical or dental care under emergency circumstances ” [same] 55 “renders emergency care requiring the performance of an operation or other form of surgery” “attempts to render [same]” without consent UNLESS adult is conscious and capable sign in the window extending home as a refuge22 providing aid and refuge in one’s home. “medical or dental care” “rendering emergency medical assistance”. Yes “medical care” “rendering emergency medical assistance” no, only expectation of no compensatio n No no, only with the expectation of no compensatio n Protecting Michigan’s Good Samaritans Pennsylvania 42 PA.C.S.A§ 8332 Rhode Island RI ST §9-127.1 South Carolina Code 1976 §15-1310 private individuals24 certified in first aid, advanced life saving or basic life support25 and performing only those procedures consistent with the person’s level of training Private individual “at the scene of an emergency” “emergency” “Acts or omissions”in rendering “emergency care, first aid or rescue”or “moving the person to a hospital or other place of medical care” Yes “emergency” “emergency” including “persons suffering from anaphylactic shock” Yes Private individual “at the scene of an accident or emergency” . “Emergency”. Private individual “During an emergency” “an emergency which is in their judgment indicated and necessary at the time” “Renders emergency assistance” “including the administration of life saving treatment to those persons suffering from anaphylactic shock” “acts or omissions” “act or failure to act” in rendering emergency care, or to provide or arrange for further medical treatment “any emergency care and services” and “operation of any motor vehicle in connection with any such care and services.” . South Dakota SDCL §20-94.1 56 Yes No Protecting Michigan’s Good Samaritans “at the scene of an accident, medical emergency and/or disaster . . . en route from such scene to a medical facility” “at the scene of an emergency” “accident, medical emergency and/or disaster” “renders emergency care” or “participates or assists in rendering emergency care,” including the use of a defibrillator “administers emergency care” including a defibrillator No Private individuals “at or near the scene of or during an emergency” “emergency” “renders emergency care” Yes Vermont 12 V.S.A.§519 Private individuals “exposed to grave physical harm” “grave physical harm” “shall…give reasonable assistance” Yes Virginia VA. Code Ann. §8.01-225 Private individual “at the scene of accident, fire, or any life threatening emergency” “renders emergency care or assistance” Yes Private individual “at the scene of emergency or who participates in transporting” “any ill or injured person at the scene of an emergency” or “enroute” to “a hospital, medical clinic, or doctor’s office” “an injured person or persons” Washington RCWA 4.24.300 “renders emergency care” or “participates in transporting” Yes Tennessee T.C.A. §63-6218 Private individual Texas TX CIV PRAC& REM §74.151 Private individual Utah UT ST §78-11-22 “emergency” 57 Yes Protecting Michigan’s Good Samaritans West Virginia W.Va Code §55-7-15 Private individual “at the scene “emergency” of an accident or to a victim at the scene of the crime” “rendering such emergency care” Yes Wisconsin W.S.A.895.48 Private individual “at the scene of any emergency or accident” or “enroute to a hospital” “emergency” “renders emergency care” Yes Wyoming Wyo. 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