McDOUGALL v. ELIUK
McDOUGALL v. ELIUK
Opinion of the Court
In this medical malpractice action arising out of the death of plaintiffs thirty-year-old wife from complications arising from undiagnosed diabetes, plaintiff appeals as of right the trial court’s finding that MCL 600.2169(1); MSA 27A.2169(1) is constitutional and that plaintiff’s only expert, Dr. Mark Robia, did not meet the qualifications set forth in the statute to testify against defendant Reuben D. Eliuk, D.O.
The parties agree that the Supreme Court’s rule-making power in matters of practice and procedure is superior to that of the Legislature. Const 1963, art 6, § 5. The rules of practice and procedure include the rules of evidence. Perin v Peuler (On Rehearing), 373 Mich 531, 541; 130 NW2d 4 (1964); Mumaw v Mumaw, 124 Mich App 114, 120; 333 NW2d 599 (1983). The parties also agree that a statutory rule of evidence not in conflict with the Michigan Rules of Evidence remains effective until superseded by rule
The general rule in Michigan regarding qualification of expert witnesses is MRE 702:
If the court determines that recognized scientific, technical, or other specialized knowledge will assist the trier of fact to understand the evidence or to determine a fact in issue, a witness qualified as an expert by knowledge, skill, experience, training, or education, may testify thereto in the form of an opinion or otherwise.
In 1986, the Michigan Legislature passed a series of bills commonly referred to as the tort reform acts of 1986. One of the acts
(1) In an action alleging medical malpractice, if the defendant is a specialist, a person shall not give expert testimony on the appropriate standard of care unless the person is or was a physician licensed to practice medicine or osteopathic medicine and surgery or a dentist licensed to practice dentistry in this or another state and meets both of the following criteria:
*505 (a) Specializes, or specialized at the time of the occurrence which is the basis for the action, in the same specialty or a related, relevant area of medicine or osteopathic medicine and surgery or dentistry as the specialist who is the defendant in the medical malpractice action.
(b) Devotes, or devoted at the time of the occurrence which is the basis for the action, a substantial portion of his or her professional time to the active clinical practice of medicine or osteopathic medicine and surgery or the active clinical practice of dentistry, or to the instruction of students in an accredited medical school, osteopathic medical school, or dental school in the same specialty or a related, relevant area of health care as the specialist who is the defendant in the medical malpractice action. [MCL 600.2169; MSA 27A.2169.3 ]
In determining whether there is a real conflict between a statute and a court rule, both should be read according to their plain meaning, Buscaino v Rhodes, 385 Mich 474, 481; 189 NW2d 202 (1971), and the common-sense meaning of the words should be given the effect most likely understood by those who adopted them. Id.
First, the conflict between § 2169 and MRE 702 is readily apparent. The plain language of MRE 702 grants the trial court discretion to qualify a witness as an expert if the expert possesses the requisite “knowledge, skill, experience, training or education.” By contrast, the trial court may not exercise discre
Second, in giving effect to the common-sense meaning of each provision, the evidentiary rule clearly embodies the same determination made by the Michigan Legislature that expert testimony is required to establish the standard of care in a medical malpractice case. However, the evidentiary rule does not exclude experts who are qualified by their knowledge, skill, experience, training, or education, from testifying against a specialist solely because the expert does not specialize in the same or a related area of medicine as the defendant and does not devote a substantial portion of professional time to the practice or instruction of the same or a related area of medicine as the defendant. While the statute barred the qualification of Dr. Robia as an expert in the present case, the trial court determined that Dr. Robia would have been qualified as an expert under the evidentiary rule.
Thus, it is evident that the two provisions are not redundant, but rather reflect two different approaches in determining the qualification of an expert as a witness. Inasmuch as the two provisions stand at odds, the evidentiary rule must be found to supersede § 2169(1). See, e.g., Mumaw, supra (this Court found a direct conflict between a statute that declared that a spouse was incompetent to testify on the issue of adultery in a divorce action and a court rule declaring that all persons are competent to testify), and Dahn v Sheets, 104 Mich App 584; 305 NW2d 547 (1981) (this Court found a conflict between the dead man’s stat
We disagree with the dissent’s conclusion that cases such as People v Adair, 452 Mich 473; 550 NW2d 505 (1996), have narrowed Perm's holding that the Supreme Court’s rule-making power in matters of practice and procedure is superior to that of the Legislature. In Adair, the Court was not confronted with a conflict between the rape-shield statute (which calls for exclusion of evidence of past sexual conduct not incident to the alleged sexual assault when the probative value is merely outweighed by prejudicial consideration) and MRE 403 (which calls for the exclusion of probative evidence when “substantially” outweighed by prejudicial considerations). Rather, in analyzing the statute as a backdrop to a determination of the meaning of the word “past” in the rape-shield statute, the Court noted that the Legislature determined that past sexual conduct is legally irrelevant and inadmissible as a matter of law. Id. at 482. The Court was not confronted with the issue that is presented in the instant case. Further, MRE 101 merely echoes Const 1963, art 6, § 5, which gives the Supreme Court rule-making power in matters of practice and procedure.
The dissent suggests that it is “antimajoritarian” in a republican form of government for the judiciary to declare unconstitutional an act of the Legislature. We vehemently disagree. Const 1963, art 3, § 2 provides: “The powers of government are divided into three branches: legislative, executive, and judicial. No person exercising powers of one branch shall exercise
On cross appeal, defendant argues that the trial court abused its discretion in finding that Dr. Robia was qualified to testify as an expert under MRE 702. We disagree.
A party offering the testimony of an expert must demonstrate the witness’ knowledge of the applicable standard of care. Bahr v Harper-Grace Hosps, 448 Mich 135, 141; 528 NW2d 170 (1995). The plaintiff bears the burden of showing that his expert possesses the necessary learning, knowledge, skill, and experience to testify. Siirila v Barrios, 398 Mich 576, 591; 248 NW2d 171 (1976). A trial court’s decision to qualify a witness as an expert is reviewed for an abuse of discretion. Bahr, supra at 141.
Dr. Robia testified to the trial court’s satisfaction regarding his qualifications and familiarity, based on education and training, with the standard of care applicable to an internist. The trial court noted that Dr. Robia is board-certified in internal medicine. Dr. Robia actively practiced as an internist until 1982 and currently spends a small percentage of his professional time in consultation. Dr. Robia regularly keeps abreast of the medical literature and testified that he
Affirmed in pari and reversed in pari.
Circuit judge, sitting on the Court of Appeals by assignment.
Plaintiff stipulated that Dr. Robia did not meet the qualifications set forth in the statute because he did not specialize in the field of internal medicine at the time of the proceedings below or at the time of the alleged malpractice.
1986 PA 178, effective October 1, 1986.
The statute was subsequently further amended to require that an expert who testifies against a specialist must specialize in the same field, not merely in a related relevant area. Also under the amendment an expert may not testify in a medical malpractice action against a board-certified specialist unless the witness is also board-certified in the same specialty and during the year preceding the occurrence a majority of the witness’ time was devoted to either the clinical practice or the teaching of that particular specialty. MCL 600.2169(lXb)(i) and (ii); MSA 27A2169(l)(b)(i) and (ii).
MCL 600.2169(2); MSA 27A.2169(2).
Dissenting Opinion
(dissenting). I respectfully dissent. I would affirm the trial court’s dismissal of plaintiff’s complaint because I agree with the trial court’s conclusion that former MCL 600.2169(1); MSA 27A.2169(1) is constitutional.
This case presents the question whether the people of this state, speaking through their legislators and faced with what they perceive to be a crisis threatening the delivery of health care due to runaway medical malpractice litigation and insurance costs, can fashion a remedy as part of the 1986 tort reforms that limits those who can qualify as expert witnesses in cases against medical specialists.
Plaintiff filed a lawsuit alleging that defendant committed medical malpractice. In order to establish such a claim, a plaintiff must demonstrate the following four factors: (1) the applicable standard of care; (2) a breach of that standard of care by the defendant; (3) an injury; and (4) proximate causation between the alleged breach and the injury. Locke v Pachtman, 446 Mich 216, 222; 521 NW2d 786 (1994). With limited exceptions, not relevant here, expert testimony is required in medical malpractice cases to establish the applicable standard of care and to demonstrate that the defendant in some way breached that standard. Id. at 230; Birmingham v Vance, 204 Mich App 418, 421; 516 NW2d 95 (1994).
As part of the tort reform legislation of 1986, the Legislature enacted former MCL 600.2169(1); MSA 27A.2169(1), which stated that expert witnesses in medical malpractice cases against specialists may not give testimony regarding the appropriate standard of care unless the person: (1) was or is licensed to practice medicine; (2) specializes or specialized at the time of the occurrence in the same or a related, relevant area of medicine as the defendant; and (3)
Section 2169 applies to defendant, because he is a specialist. Further, plaintiff conceded that his sole expert witness does not meet the qualifications of § 2169. The trial court rejected plaintiffs claim that § 2169 was unconstitutional and, given plaintiff’s lack of an expert witness, the court granted summary disposition of the complaint. Contrary to the decision of the majority, I believe that the decision of the trial court should be affirmed.
The general rules we are to consider in reviewing a claim that a statute is unconstitutional are well established. This Court must presume that the statute is constitutional and construe the statute as constitutional, unless its unconstitutionality is clearly apparent. People v McDonald, 201 Mich App 270, 273; 505 NW2d 903 (1993); Johnson v Harnischfeger, 414 Mich 102, 112; 323 NW2d 912 (1982). We must presume that the Legislature intended that the statute “not conflict with constitutional requirements.” People v Hackett, 421 Mich 338, 347, n 1; 365 NW2d 120 (1984). More specifically, this Court must not lightly presume that the Legislature intended a conflict between a statute and a rule of evidence. People v Dobben, 440 Mich 679, 697, n 22; 488 NW2d 726 (1992). A court will refuse to sustain the validity of a statute only when its invalidity appears so clearly as to leave no room for reasonable doubt that it violates a provision of the constitution. People v Piasecki, 333 Mich 122, 143-144; 52 NW2d 626 (1952). In sum, we should make every effort, and engage in every presumption, to find that the Legislature acted in accordance with the constitu
Const 1963, art 6, § 5 provides that the “supreme court shall by general rules establish, modify, amend and simplify the practice and procedure in all courts of this state.” Similarly, MCL 600.223; MSA 27A.223 states that the Supreme Court has authority to promulgate and amend general rules governing practice and procedure in all courts of record.
The function of enacting and amending judicial rules of practice and procedure has been committed exclusively to this Court (Const 1908, art 7, § 5; Const 1963, art 6, § 5); a function with which the legislature may not meddle or interfere save as the Court may acquiesce and adopt for retention at judicial will. . . ,[W]e advert to what was said above — that the rules of practice and procedure include the rules of evidence. [Id. at 541.]
In People v Daniels, 394 Mich 524; 232 NW2d 171 (1975), the Supreme Court held that a statute requiring a cash or surety bond for a defendant charged with a crime committed while released on a personal recognizance bond took precedence over a court rule requiring release on personal recognizance of a defendant incarcerated more than six months to answer for a felony charge. Three years later the Supreme Court enacted the Michigan Rules of Evidence and included the following provision in MRE 101: “A statutory rule of evidence not in conflict with these rules or other rules adopted by the Supreme Court is effective until superseded by rule or decision of the Supreme Court.” Most recently in People v Adair, 452 Mich 473, 481; 550 NW2d 505 (1996), the Supreme Court, while clearly finding that the rape-shield statute, MCL 750.520J; MSA 28.788(Í0), and MRE 403 allowed for the exclusion of evidence on different standards,
This effort to respond to the majority having been completed, it must be pointed out that this case should not, in any event, turn on the presence, or lack thereof, of a conflict between § 2169 and MRE 702. Rather, it should be disposed of on the basis that the Legislature, in enacting a measure that was more akin to a substantive law than a procedural rule, was doing that which it has express constitutional authority to do: amend or repeal the common law. Const 1963, art 3, § 7; Myers v Genesee Co Auditor, 375 Mich 1; 133 NW2d 190 (1965). Thus, MRE 702 must yield to § 2169.
The Legislature’s primacy in matters of substantive law was demonstrated in Smith v Smith, 433 Mich 606, 619-620; 447 NW2d 715 (1989). In Smith, the Supreme Court found that a then-existing court rule allowing a trial court to order postmajority child support payments in exceptional circumstances was con
The Legislature acted entirely within its constitutional power to amend or repeal the common law when it enacted § 2169. The Legislature may choose to change a common law cause of action, such as one for medical malpractice, or to abolish a cause of action altogether. O’Brien, v Hazelet & Erdal, 410 Mich 1, 15; 299 NW2d 336 (1980) (the Legislature’s constitutional power to change the common law authorizes it to extinguish common-law rights of action); Fennell v John J Nesbitt, Inc, 154 Mich App 644, 649; 398 NW2d 481 (1986) (the wide-reaching power of the Legislature permits it to entirely abrogate a common-law right). See also Bean v McFarland, 280 Mich 19; 273 NW 332 (1937) (constitutional retention of common law is expressly conditioned upon the right to abrogate the same or any part thereof).
Incontestably, the power of abolition must contain within it the lesser power to modify. Where the grant of a substantive right is inextricably intertwined with the limitations on the procedures that are employed in determining the right, a litigant such as plaintiff
Accordingly, because § 2169 constitutes a substantive change in a statutory cause of action that originated from the common law, which the Legislature is authorized to effect, it takes precedence over MRE 702. Smith, supra.
In summary, we need not embark upon this alarmingly antimajoritarian path if we merely thoughtfully review how our Supreme Court has applied the Perin doctrine. This will lead us to conclude that Perin need not be read so as to do violence to our most basic constitutional understandings. Further, this matter should be resolved on the basis that this statute is properly seen as an exercise in furtherance of the Legislature’s express constitutional authority to change or repeal the common law, such that it does not come within the reach of Perin.
For all these reasons, I would affirm the decision of the trial court and find the cross appeal moot.
The problem, as set forth in the Report of the Senate Select Committee on Civil Justice Reform, issued September 26, 1995, was as follows:
As a practical matter, in many courts merely a license to practice medicine is needed to become a medical expert on an issue.
This has given rise to a group of national professional witnesses who travel the country routinely testifying for plaintiffs in malpractice actions. These “hired guns” advertise extensively in professional journals and compete fiercely with each other for the expert witness business. For many, testifying is a full-time occupation and they rarely actually engage in the practice of medicine. There is a perception that these so-called expert witnesses will testify to whatever someone pays them to testify about.
This proposal is designed to make sure that expert witnesses actually practice or teach medicine. In other words, to make sure that experts will have firsthand practical expertise in the subject matter about which they are testifying, hi particular, with the mal*510 practice crisis facing high-risk specialists, such as neurosurgeons, ' orthopedic surgeons and ob/gyns, this reform is necessary to insure that in malpractice suits against specialists the expert witnesses actually practice in the same speciality. This will protect the integrity of our judicial system by requiring real experts instead of “hired guns.”
Michigan Code of Judicial Conduct, Canon 7. See also State Bar of Michigan Ethics Opinion JI-82, February 25, 1994.
From the fact that I believe that the majority, in the instant case, is acting in a manner that I describe as “antimajoritarian,” the majority concludes that I am suspect in my reverence for the institution of judicial review. This is an extraordinary leap of flawed reasoning. By the same
Compare 28 USC 2072, which provides that the United States Supreme Court shall have the power to prescribe rules of practice and procedure and rules of evidence and that such rules shall not abridge, enlarge, or modify any substantive right. This federal statute also states that all laws in conflict with such rules shall be of no further force or effect after such rules have taken effect. Notwithstanding this statute, it was Congress, and not the United States Supreme Court, that adopted the Federal Rules of Evidence in 1975 (PL 93-595). It also is of interest that Congress revised FRE 412 and enacted new Federal Rules of Evidence 413, 414, and 415 in 1994 as part of the Violent Crime Control and Law Enforcement Act of 1994. 1 Hackett’s Evidence: Michigan & Federal (2d ed), § 2.10, n 3.
The Adair Court stated: “MRE 403 calls for the exclusion of probative evidence when ‘substantially’ outweighed by prejudicial considerations. In contrast, the rape-shield statute calls for exclusion when the probative value is merely outweighed by prejudicial considerations.” Adair, supra at 481 (emphasis added).
Accord Kirby v Larson, 400 Mich 585, 598; 256 NW2d 400 (1977) (statute superseded by rule of evidence because no clear legislative policy reflecting considerations other than judicial dispatch of litigation could be identified).
With reference to the bond statute upheld in Daniels, the Legislature’s policy concern was the need to provide additional assurances that those charged with crimes while on personal recognizance bond would appear for further proceedings, including trial. The rape-shield statute considered in Adair represented a response to the Legislature’s concern that victims of sexual assault were frightened of testifying because of unlimited cross-examination rights, thus frustrating society’s vital interest in prosecuting sexual crimes. See People v Arenda, 416 Mich 1, 9; 330 NW2d 814 (1982).
See Mumaw v Mumaw, 124 Mich App 114, 120; 333 NW2d 599 (1983) (statute declaring a spouse was incompetent to testify superseded by subsequently adopted MRE 601, which does not recognize such an exception); Dahn v Sheets, 104 Mich App 584; 305 NW2d 547 (1981) (dead man’s statute superseded by MRE 601); People v Shipp, 175 Mich App 332, 336-338; 437 NW2d 385 (1989) (the business record statute superseded by MRE 803[6]); and People v Conner, 182 Mich App 674, 680, n 1; 452 NW2d 877 (1990) (MRE 804[a][5] found to supersede less restrictive former testimony statute). I do not discern the same kind of broad public policy motivation behind these trumped statutes. Rather, they are in nature more purely evidentiary. If I did discern a broad public policy component, I
As this Court said in discussing a challenge to a different portion of these 1986 reforms:
The state unquestionably has a legitimate interest in securing adequate and affordable health care for its residents. And it is reasonable to assume that a lessening of exposure to malpractice claims would encourage health-care providers to remain in this state. [Bissell v Kommareddi, 202 Mich App 578, 581; 509 NW2d 542 (1993).]
Reference
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- McDougall v. Schanz
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