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Sunday, April 20, 2008

Feres Doctrine is Doctrine of Death

Active military barred from malpractice suits
1950 ruling protects service hospitals, regardless of error
By Walter F. Roche Jr.
April 20, 2008


Minutes after routine surgery for acute appendicitis in October 2003, Staff Sgt. Dean Witt, 25, was being moved to a recovery room at a Northern California military hospital when he gasped and stopped breathing.

A student nurse assisting an understaffed anesthesia team tried to resuscitate Witt and failed. Inexplicably, Witt's gurney was wheeled into a pediatric area. Lifesaving devices sized for children, not a 175-pound adult, proved useless, according to an internal report on the incident.

Medical personnel at David Grant Medical Center at Travis Air Force Base screamed at each other. A double dose of a powerful stimulant was mistakenly administered. When a breathing tube was inserted, it was misdirected, uselessly pumping air into Witt's stomach. Errors compounded errors, and delays multiplied.



By the time a breathing tube was finally inserted correctly, Witt had suffered devastating brain damage. Three months later, he was removed from life support and died. Witt left behind a wife and two young children.

"This medical incident was due to an avoidable error," concluded a previously unpublished internal report, a copy of which was reviewed by the Los Angeles Times.

Despite the report's harsh criticism of Witt's medical care, the bereaved family could not sue for malpractice because Witt was an active-duty airman. Under limits stemming from an obscure Supreme Court ruling nearly 60 years old, military hospitals and their staffs are immune from malpractice claims if the victim is an enlisted man or woman on active duty.

A series of court rulings since 1950 have upheld the original decision, known as Feres v. United States, which denies members of the military the right to sue for damages over medical errors or even deliberate wrongs.

Feres defenders say the doctrine is necessary to protect the military from costly, time-consuming trials that could compromise military discipline. Rep. Duncan Hunter, a Republican from California, member of the House Armed Services Committee and a former fighter pilot, called Feres "a reasonable approach to ensuring that litigation does not interfere with the objectives and readiness of our nation's military."

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