Metropolitan Stevedore Co. v. Rambo
Metropolitan Stevedore Co. v. Rambo
Opinion of the Court
delivered the opinion of the Court.
This case under the Longshore and Harbor Workers’ Compensation Act is before us a second time, now raising the question whether the Act bars nominal compensation to a worker who is presently able to earn at least as much as before he was injured. We hold nominal compensation proper when there is a significant possibility that the worker’s wage-earning capacity will fall below the level of his preinjury wages sometime in the future.
Respondent John Rambo injured his back and leg in 1980 while doing longshore work for petitioner Metropolitan Stevedore Company. Rambo claimed against Metropolitan for compensation under the Longshore and Harbor Workers’ Compensation Act (LHWCA or Act), 44 Stat. 1424, as amended, 33 U. S. C. §901 et seq., and the parties stipulated that Rambo had sustained a 22
Rambo was later trained as a longshore crane operator and got full-time work with his new skills, with occasional stints as a heavy-truck operator to earn extra pay. His resulting annual eárnings between 1985 and 1990 were about three times what he had made before his injury. As a consequence, Metropolitan moved in 1989 to modify Rambo’s earlier disability award, see § 22, 33 U. S. C. § 922, and a hearing was held before an ALJ. While there was no evidence that Rambo’s physical condition had improved, the ALJ ordered the disability payments discontinued based on the tripling of Rambo’s preinjury earnings:
“After taking into consideration the increase in wages due to the rate of inflation and any increase in salary for the particular job, it is evident that [Rambo] no longer has a wage-earning capacity loss. Although [Rambo] testified that he might lose his job at some future time, the evidence shows that [Rambo] would not be at any*125 greater risk of losing his job than anyone else. Moreover, no evidence has been offered to show that [Rambo’s] age, education, and vocational training are such that he would be at greater risk of losing his present job or in seeking new employment in the event that he should be required to do so. Likewise, the evidence does not show that [Rambo’s] employer is a beneficent one. On the contrary, the evidence shows that [Rambo] is not only able to work full time as a crane operator, but that he is able to work as a heavy lift truck operator when the time is available within which to do so.” App. 55.
See also Rambo I, supra, at 293-294.
The Benefits Review Board affirmed the modification order, App. 57, 61, but the Court of Appeals for the Ninth Circuit reversed on the ground that § 22 authorizes modification of an award only for changed physical conditions, Rambo v. Director, OWCP, 28 F. 3d 86 (1994). We in turn reversed in Rambo /, holding that “[t]he fundamental purpose of the Act is to compensate employees (or their beneficiaries) for wage-earning capacity lost because of injury; where that wage-earning capacity has been reduced, restored, or improved, the basis for compensation changes and the statutory scheme allows for modification.” 515 U. S., at 298. Since the essence of wage-earning capacity is economic, not physical, id., at 296-298, that capacity may be affected “even without any change in the employee’s physical condition,” id., at 301.
On remand, the Court of Appeals again reversed the order discontinuing compensation payments. It recognized that when a worker suffers a significant physical impairment without experiencing a present loss of earnings, there may be serious tension between the statutory mandate to account for future effects of disability in determining a claimant’s wage-earning capacity (and thus entitlement to compensa
II
The LHWCA authorizes compensation not for physical injury as such, but for economic harm to the injured worker from decreased ability to earn wages. See Rambo I, supra, at 297-298. The Act speaks of this economic harm as “disability,” defined as the “incapacity because of injury to earn the wages which the employee was receiving at the time of injury in the same or any other employment,” § 2(10), 33 U. S. C. § 902(10). Such incapacity is conclusively presumed for certain enumerated or “scheduled” injuries, which are compensated at 66%% of the worker’s preinjury wages over specified periods of time. See §§ 8(c)(1)—8(c)(20), 8(c)(22), 33 U.S.C. §§ 908(c)(1)-908(c)(20), 908(c)(22); Potomac Elec. Power Co. v. Director, Office of Workers’ Compensation Pro
“by his actual earnings if such actual earnings fairly and reasonably represent his wage-earning capacity: Provided, however, That if the employee has no actual earnings or his actual earnings do not fairly and reasonably represent his wage-earning capacity, the deputy commissioner may, in the interest of justice, fix such wage-earning capacity as shall be reasonable, having due regard to the nature of his injury, the degree of physical impairment, his usual employment, and any other factors or circumstances in the case which may affect his capacity to earn wages in his disabled condition, including the effect of disability as it may naturally extend into the future.” § 8(h), 33 U. S. C. § 908(h).
See also § 10, 33 U. S. C. § 910 (method for determining prein-jury wages). See generally Rambo I, 515 U. S., at 297-298.
We may summarize these provisions and their implications this way. Disability is a measure of earning capacity lost as a result of work-related injury. By distinguishing between the diminished capacity and the injury itself, and by defining capacity in relation both to the injured worker’s old job and to other employment, the statute makes it clear that disability is the product of injury and opportunities in the job market. Capacity, and thus disability, is not necessarily reflected in actual wages earned after injury, see id., at 300-301; Potomac Elec. Power, supra, at 272, n. 5, and when
In some cases a disparity between the worker’s actual postinjury wages and his job-market capacity will be obvious, along with the reasons for it. If a disabled worker with some present capacity chooses not to work at all, or to work at less than his capacity, a windfall is avoided by determining present disability and awarding a benefit accordingly. See, e. g., Penrod Drilling Co. v. Johnson, 905 F. 2d 84, 87-88 (CA5 1990). At the other extreme, a worker with some present disability may nonetheless be fortunate enough to receive not merely the market wages appropriate for his diminished capacity, but full preinjury wages (say, because an employer is generous, for whatever reason). See, e. g., Travelers Ins. Co. v. McLellan, 288 F. 2d 250, 251 (CA2 1961); see also Edwards v. Director, OWCP, 999 F. 2d 1374, 1375-1376 (CA9 1993) (holding that wages from short-lived employment do not represent actual earning capacity on open market). Once again, the present disability may still be calculated and a corresponding award made.
A problem in applying the provisions applicable when there is a disparity between current wages and wage-earning capacity arises in a case like this one, however. The worker now receives appropriate market wages as high or higher than those before his injury, thus experiencing no decline in present capacity. And yet (we assume for now) there is some particular likelihood that in the future the combination of injury and market conditions may leave him with a lower capacity. The question is whether such a person is presently disabled within the meaning of the statute, and if so, what provision should be made for the potential effects of disability in the future.
There are two reasons to treat such a person as presently disabled under the statute. The first follows from the provi
Thus, if § 8(h)’s admonition to consider future effects when calculating capacity has any practical application, it must be because it may apply in a case such as this one, in which there is no present wage loss and would thus be no present award if compensation were to be based solely on present employment conditions. If the future were ignored and compensation altogether denied whenever present earning capacity had not (yet) declined, § 22 would bar modification in response to future changes in condition after one year.
There being, then, a need to account for potential future effects in a present determination of wage-earning capacity (and thus disability) when capacity does not immediately decline, the question is which of two basic methods to choose to do this. The first would be to make a one-time calculation of a periodic benefit following the approach of the common law of torts, which bases lump-sum awards for loss of future earnings on an estimate of “the difference . . . between the value of the plaintiff’s services as they will be in view of the harm and as they would have been had there been no harm.” Restatement (Second) of Torts § 924, Comment d, p. 525 (1977). This predictive approach ordinarily requires consideration of every possible variable that could have an impact on ability to earn, including “[ejnvironmental factors such as the condition of the labor market, the chance of advancement or of being laid off, and the like.” 4 F. Harper, F. James, & O. Gray, Law of Torts § 25.8, pp. 550-551 (2d ed. 1986) (footnote omitted). Prediction of future employment may well be the most troublesome step in this wide-ranging enquiry. As the tripling of Rambo’s own earnings shows, a claimant’s future ability to earn wages will vary as greatly as opportunity varies, and any estimate of wage-earning potential turns in part on the probabilities over time that suitable jobs within certain ranges of pay will actually be open. In these calculations, there is room for error.
The second possible way to account for future developments would be to do in this situation just what the Act already does through the modification provision in the run of cases: to wait and see, that is, to base calculation of diminished wage-earning capacity, and thus compensation, on current realities and to permit modifications reflecting the actual effects of an employee’s disability as manifested over time. This way, finality is exchanged for accuracy, both in compensating a worker for the actual economic effects of his injury, and in charging the employer and his insurer for that amount alone.
Metropolitan denies that the second, wait-and-see alternative is even open, arguing that § 8(h) gives the factfinder only two choices: either deny compensation altogether because a claimant’s actual wages have not diminished, or, if the ALJ concludes that the worker’s current income does not fairly represent his present wage-earning capacity, calculate the
The practical effect of denying any compensation to a disabled claimant on the ground that he is presently able to earn as much as (or more than) before his injury would run afoul of the Act’s mandate to account for the future effects of disability in fashioning an award, since those effects would not be reflected in the current award and the 1-year statute of limitations for modification after denial of compensation would foreclose responding to such effects on a wait-and-see basis as they might arise.
Our view, as it turns out, coincides on this point with the position taken by the Director of the Office of Workers’ Compensation Programs (OWCP), who is charged with the administration of the Act, and who also construes the Act as permitting nominal compensation as a mechanism for taking future effects of disability into account when present wage-earning ability remains undiminished. See Brief for Director, Office of Workers’ Compensation Programs 12-21, 24-31. The Secretary of Labor has delegated the bulk of her statutory authority to administer and enforce the Act, including rulemaking power, to the Director, see Director, Office of Workers’ Compensation Programs v. Newport News Shipbuilding & Dry Dock Co., 514 U. S. 122, 125-126 (1995); Ingalls Shipbuilding, Inc. v. Director, Office of Workers’ Compensation Programs, 519 U. S. 248, 262-263 (1997), and the Director’s reasonable interpretation of the Act brings at least some added persuasive force to our conclusion, see, e. g., Skidmore v. Swift & Co., 323 U. S. 134, 140 (1944) (giving weight to agency’s persuasive interpretation, even when agency lacks “power to control”); Robinson v. Shell Oil Co., 519 U. S. 337, 345-346 (1997).
There is, of course, the question of how high the potential for disability need be to be recognized as nominal, but that is an issue not addressed by the parties, and it would be imprudent of us to address it now with any pretense of settling it for all time. Here it is enough to recall that in those cases where an injury immediately depresses ability to earn wages under present conditions, the payment of actual compensation holds open the option of modification under §22 even for future changes in condition whose probability of occurrence may well be remote at the time of the original award. Consistent application of the Act’s wait-and-see approach thus suggests that nominal compensation permitting
H-1 1 — H h — H
The application of this legal standard to the case before us depends in part on how the burden of persuasion is allocated. Section 7(c) of the APA, 5 U. S. C. § 556(d), which applies to adjudications under the Act, see Director, Office of Workers’ Compensation Programs v. Greenwich Collieries, 512 U. S. 267, 270 (1994), places the burden of persuasion on the proponent of an order, id., at 272-281; when the evidence is evenly
In this case, the first award of compensation was based on the parties’ stipulation that Rambo suffered 22lk% permanent partial disability as a result of his injury, whereby Rambo established that the injury impaired his ability to undertake at least some types of previously available gainful labor and thus prevented him from earning as much as he had before his accident. Metropolitan sought termination of the award based solely on evidence, which the ALJ found persuasive, that Rambo is now able to earn market wages as a crané operator significantly greater than his preinjury earnings. There is therefore substantial evidence in the record supporting the ALJ’s decision to terminate actual (as
It is so ordered.
Judge Reinhardt dissented in part on other grounds. 81 F. 3d, at 845.
A different conclusion might, perhaps, be drawn from our observation-46 years ago in Pillsbury, 342 U. S., at 198-199, that the agency allowed claims to be filed within one year of injury but before recovery for present disability could be had. If that practice were assumed to be authorized by the Act, an injured worker who anticipated future loss of earning capacity could file a claim within the 1-year period permitted by § 13(a) yet defer litigation of the claim indefinitely until a capacity loss manifested itself, thereby undercutting our inference from the limitations provision that present disability must be conceived as including the potential for future decline in capacity. But it seems unlikely that when Congress enacted § 13(a) it intended workers to be able to file claims before they could establish all the elements entitling them to compensation. Moreover, while the practical effect of permitting protective filings and indefinitely deferring adjudication is in one respect the same as awarding nominal compensation when there is a significant possibility of future capacity loss, in that both approaches hold open the possibility of compensating a worker when the potential future economic effects of his injury actually appear, the former approach, unlike the latter, has the defect of putting off the adjudication of every element of the worker’s claim, including such matters as the work-related nature of the injury, until long after the evidence grows stale. We therefore think that the inference we draw from the limitations provision is the better one.
As we noted in Rambo I, however, not every fluctuation in actual wages is a ground for modification, but only those shifts reflecting a change in the worker’s underlying capacity, see 515 U. S., at 300-301, such as a change in physical condition, skill level, or the availability of suitable jobs. “There may be cases raising difficult questions as to what constitutes a change in wage-earning capacity, but we need not address them here.” Ibid.
In liberally permitting modification, the Act resembles virtually all other workers’ compensation schemes. See 3 A. Larson & L. Larson, Law of Workmen’s Compensation § 81.10, p. 15-1045 (1996). “[I]t is one of the
The need for finality in workers’ compensation awards is further reduced because compensation is paid periodically over the life of the disability, rather than in a lump sum, see §§ 14(a), (b), 33 U. S. C. §§ 914(a), (b) (providing for periodic payment of compensation). Thus, modifying a worker’s compensation award generally affects future payments only, rather than retroactively adjusting a prior lump-sum payment. “Under the typical award in the form of periodic payments ..., the objectives of [workers’ compensation] legislation are best accomplished if the commission can increase, decrease, revive, or terminate payments to correspond to a claimant’s changed condition,” subject, under most such laws, to certain time limitations. 3 Larson, Law of Workmen’s Compensation § 81.10, at 15-1045; id., § 81.21, at 15-1046 to 15-1047.
As a simplified example of the sort of calculation that would be required under this approach, a factfinder might decide in the present case that Rambo has a 75% chance of keeping work as a crane operator with
The one possible escape from this conclusion rests on an implausible reading of the Act. A claimant could, arguably, preserve a right to compensation in the future by reapplying within the 1-year period and successively each year thereafter. See § 22, 33 U. S. C. § 922 (permitting modification “at any time prior to one year after the rejection of a claim”). But this would be a strange way to administer the Act, for its very premise is that a claimant would repeatedly file reapplications knowing his disability to be without present effect and (on Metropolitan’s theory) himself without any good-faith claim to the present compensation sought.
The legislative history to the 1938 amendments to the Act, which added § 8(h), indicates that Congress understood that the reference to future effects in the new subsection would interact with § 22 by allowing compensation for permanent partial disability for employees whose job opportunities are narrowed by injury but whose wages have not declined:
“In a case such as that..., an unscrupulous employer might with profit to himself continue the original wages ... until the ... right of review of the case (sec. 22) had run,... thus defeating] the beneficent provisions of the..: Act.” H. R. Rep. No. 1945, 75th Cong., 3d Sess., 5-6 (1938); S. Rep. No. 1988, 75th Cong., 3d Sess., 1 (1938).
See Walters v. Metropolitan Ed. Enterprises, Inc., 519 U. S. 202, 208, 210-211 (1997) (weighing administrative simplicity in favor of permissible construction of statute).
The OWCP Director argues that when the employee has the burden of persuasion, the Administrative Procedure Act’s (APA’s) preponderance of the evidence standard (see infra, at 139) requires him to show that an injury-related future decline in wages is more likely than not to occur. Brief for Director, Office of Workers’ Compensation Programs 22-23. The Director’s position confuses the degree of certainty needed to find a fact or element under the preponderance standard with the fact or element to be so established, which in this case is the statistical odds that wage-earning capacity will decline in the future. “The burden of showing something by a preponderance of the evidence . .. simply requires the trier of fact to believe that the existence of a fact is more probable than its nonexistence before [he] may find in favor of the party who has the burden to persuade the [judge] of the fact’s existence.” Concrete Pipe & Products of Cal., Inc. v. Construction Laborers Pension Trust for Southern Cal., 508 U. S. 602, 622 (1993) (internal quotation marks omitted). In other words, the preponderance standard goes to how convincing the evidence in favor of a fact must be in comparison with the evidence against it before that fact may be found, but does not determine what facts must be proven as a substantive part of a claim or defense. See Greenwich Collieries v. Director, OWCP, 990 F. 2d 730, 736 (CA3 1993) (“A preponderance of the evidence is ... [e]videnee which is ... more convincing than the evidence . . . offered in opposition to it . . .” (internal quotation marks omitted)), aff’d, 512 U. S. 267 (1994). Unlike other standards of proof such as reasonable doubt or clear and convincing evidence, the preponderance standard “allows both parties to share the risk of error in roughly equal fashion,” Herman & MacLean v. Huddleston, 459 U. S. 375, 390 (1983) (internal quotation marks omitted), except that “when the evidence is evenly balanced, the [party with the burden of persuasion] must lose,” Director, Of
Even assuming that the Director’s formally promulgated construction of the LHWCA would be entitled to deference under Chevron U. S. A. Inc. v. Natural Resources Defense Council, Inc., 467 U. S. 837 (1984), see Director, Office of Workers’ Compensation Programs v. Newport News Shipbuilding & Dry Dock Co., 514 U. S. 122, 134 (1995), we do not defer to the Director’s interpretation here of the APA’s provision for allocating the burden of persuasion under the preponderance of the evidence standard, for three reasons. (1) The APA is not a statute that the Director is charged with administering. Cf. Ardestani v. INS, 502 U. S. 129, 148 (1991) (Blackmun, J., dissenting); Chevron, supra, at 842; Professional Reactor Operator Soc. v. NRC, 939 F. 2d 1047, 1051 (CADC 1991). (2) This interpretation does not appear to be embodied in any regulation or similar binding policy pronouncement to which such deference would apply. See Smiley v. Citibank (South Dakota), N. A., 517 U. S. 735, 740-741 (1996); 1 K. Davis & R. Pierce, Administrative Law Treatise §3.5, p. 120 (3d ed. 1994). (3) The interpretation is couched in a logical non sequitur, as just explained.
The dissent argues that the ALJ expressly found that Rambo’s present wages adequately reflect his future prospects. Post, at 148-150. In our view, however, the language in the modification order relied on by the dissent addresses whether Rambo’s current wages accurately reflect his earning capacity under present market conditions, see supra, at 128 (current wages do not always reflect current capacity); Edwards v. Director, OWCP, 999 F. 2d 1374, 1375 (CA9 1993) (adopting OWCP Director’s position that “earnings in post-injury employment must be sufficiently regular to establish true earning capacity”), not the distinct question whether there is a significant chance that his ability to earn will again decline in the future. See App. 53 (ALJ characterized his task as “considering] wage-earning capacity in an open labor market under normal employment conditions”). The ALJ’s failure to consider the latter question is not surprising, since prior to this case there was no governing authority from this Court or the Ninth Circuit approving nominal awards for possible future declines.
Dissenting Opinion
with whom Justice Scalia and Justice Thomas join, dissenting.
The Court holds today that an administrative law judge can award nominal worker’s compensation benefits to an injured longshoreman whose wage-earning capacity has not dropped, and probably will never drop, below his preinjury capacity. Because I believe that § 8(h) of the Longshore and Harbor Workers’ Compensation Act (LHWCA or Act), 33 U. S. C. § 908(h), requires that a worker be compensated if and only if a preponderance of the evidence demonstrates that he has a reduced wage-earning capacity — that is, a present or future loss of earning power — I respectfully dissent.
As an initial matter, I note my agreement with some of the starting points for the Court’s analysis. It is common ground that “disability” under the LHWCA is an economic, rather than a medical, concept. Ante, at 126; Metropolitan Stevedore Co. v. Rambo, 515 U. S. 291, 297 (1995). Likewise, I agree that a worker’s eligibility for compensation (i. e., his disability) under the LHWCA turns on his wage-earning capacity, which depends on his ability to earn wages now and in the future. That is, I agree that an injured worker who is currently receiving high wages, but who is likely to be paid less in the future due to his injury, is disabled under the LHWCA and is therefore eligible for compensation today. See ante, at 128-129.
I part company with the Court first because, in my view, §8(h) of the LHWCA, 33 U. S. C. § 908(h), requires an administrative law judge (ALJ) to make an up-front finding that “fix[es]” the worker’s wage-earning capacity (and hence his eligibility for compensation) by taking into account both the worker’s present and future ability to earn wages. Second,
I
My first point of disagreement with the Court is over how an ALJ should fix the wage-earning capacity of a worker like Rambo, whose current wages exceed his preinjury wages, but who claims that his ability to earn money may drop in the future. Section 8(h) of the LHWCA provides:
“The wage-earning capacity of an injured employee in cases of partial disability ... shall be determined by his actual earnings if such actual earnings fairly and reasonably represent his wage-earning capacity: Provided, however, That if the employee has no actual earnings or his actual earnings do not fairly and reasonably represent his wage-earning capacity, the deputy commissioner may, in the interest of justice, fix such wage-earning capacity as shall be reasonable, having due regard to the nature of his injury, the degree of physical impairment, his usual employment, and any other factors or circumstances in the case which may affect his capacity to earn wages in his disabled condition, including the effect of disability as it may naturally extend into the future.”
The Court holds that § 8(h) permits an adjudicator simply to postpone any determination of whether the worker will suffer a loss in earning power so long as there is a “significant possibility” that such a loss will someday come to pass.
In my opinion, the LHWCA does not permit an ALJ to award purely nominal benefits in order to guard against the possibility of a future drop in earning power. Instead, the Act requires that a future reduction in a longshoreman’s ability to earn money be immediately factored into a present determination of his wage-earning capacity. That an ALJ must make a concrete, immediate finding about a worker’s wage-earning capacity is dictated by the language of § 8(h), which calls for a determination whether a worker’s actual earnings “fairly and reasonably represent his wage-earning capacity.” A comparison between a worker’s current wages and his earning potential is possible only if the ALJ assigns a dollar amount to the claimant’s wage-earning capacity. Section 8(h) further instructs that, if the worker’s current pay does not correspond to his true earning capacity, the adjudicator must “fix such wage-earning capacity as shall be reasonable.” Again, “fix[ing]” the worker’s wage-earning capacity requires the ALJ to make a definite assessment of. whether the claimant’s capacity has gone up, down, or remained the same; it leaves no room for the equivocal finding that a worker’s capacity might have changed.
The “wage-earning capacity” that an ALJ must fix is a composite concept, measured partly by the claimant’s present earning ability and partly by his future earning ability. Accordingly, the ALJ’s finding must reflect predictable changes in the worker’s ability to earn wages. Section 8(h) lists the main factors to be taken into account: the nature of his- injury, the degree of physical impairment, his usual employment, and the effect of the disability as it may naturally extend into the future. Thus, if an ALJ credits a doctor’s testimony that a claimant can work for only five years before his injury leaves him bedridden, that worker would
Because an ALJ must make a definite finding regarding a worker’s wage-earning capacity, I disagree with the Court that a worker can ever, for purposes of the LHWCA, have a “nominal current disability.” Ante, at 135. A worker either has a reduced wage-earning capacity (however slight it may be), or he does not. To say that a claimant has a “nominal current disability,” as far as I can tell, means only that he is currently making as much as his preinjury wages. But that answers only half the question, since the worker’s future earning potential is also relevant to whether he has a reduced wage-earning capacity today and, hence, a compensa-ble disability.
The Court conflates a worker’s foreseeable future earning power, which must be considered when awarding benefits, with unforeseeable future developments, which justify reopening an award under § 22 of the LHWCA, 83 U. S. C. §922. Section 22 acknowledges that a worker’s wage-earning capacity can change over time, since it authorizes the Benefits Review Board to modify compensation orders in light of a “change in conditions.” All that means is that when circumstances arise that were not predictable in the original benefits determination, and hence were not factored into a prior determination of a worker’s wage-earning capacity, an ALJ can adjust an award. If, on the other hand, those circumstances were predicted in the original proceeding, they should have been included in the initial fixing of
The Court’s mechanism for awarding nominal damages is designed solely to circumvent § 22’s 1-year limit for reopening terminated or denied claims. The Court effectively recognizes as much, since it candidly admits that under its approach, “finality is exchanged for accuracy.” Ante, at 133. That is, the 1-year limitations period established by §22 is sacrificed in order to avoid the overcompensation and under-compensation that may result from a straightforward application of the LHWCA. Ibid. Congress has already evaluated these policy concerns, however, and has come down on the side of finality by enacting § 22. When a worker cannot demonstrate a reduction in his wage-earning capacity, in terms of his present or future ability to obtain gainful employment, §22 gives that employee only one year to show that conditions have changed. To hold open a case simply because a “change in conditions” may someday arise certainly violates the spirit, if not the letter, of § 22.
The proper tradeoff between finality and accuracy is open to reasoned debate. Indeed, some state legislatures have agreed with the Court that when a worker does not immediately suffer as a result of his work-related injury, it is better to postpone compensation until his disability manifests itself. Accordingly, they have amended their workers’ compensation statutes to allow precisely the sort of nominal-benefits mechanism that the Court approves today. See, e. g., Cal. Lab. Code Ann. § 5802 (West 1989) (“If, in any proceeding under this division, it is proved that an injury has been suffered . . . , but it is not proved that any disability has resulted, the appeals board may, instead of dismissing the application, award a nominal disability indemnity, if it appears that disability is likely to result at a future time”). But until Congress amends the LHWCA, I do not think that the Court’s approach is open to us. I would therefore hold that
II
I further believe that the APA requires that a claimant’s future economic injury be proved by a preponderance of the evidence before such an injury can provide a basis for awarding disability benefits under the LHWCA. This is true regardless of whether such a finding leads to an award of nominal benefits (as the Court holds) or whether such an injury should instead be factored into a claimant’s wage-earning capacity immediately (as I believe). I therefore disagree with the Court’s holding that merely a “significant possibility” of a future drop in a worker’s wage-earning potential is relevant to a present benefits determination.
As explained in Part I, the ultimate fact to be determined in an LHWCA benefits proceeding is a worker’s “wage-earning capacity,” which has both a present and a future component. Thus, contrary to the Court, I think that “the fact of such a decline [in a worker’s wage-earning capacity], rather than some degree of probability of its occurrence,” ante, at 138, n. 9, must be shown in order to justify a finding of disability. The Court recognizes that the APA governs benefit determinations under the LHWCA, ante, at 138, so that “the proponent of a rule or order has the burden of proof,” 5 U.S.C. § 556(d); see 33 U. S. C. § 919(d) (“[A]ny hearing held under [the LHWCA] shall be conducted in accordance with the provisions of” the APA). And this proof must be by a preponderance of the evidence. Director, Office of Workers’ Compensation Programs v. Greenwich Collieries, 512 U. S. 267, 270-271 (1994). It follows that whether a worker has a reduced wage-earning capacity is a fact to be determined by a preponderance of the evidence.
Not only does the “significant possibility” standard conflict with the APA, but the Court plucks it out of thin air. The Court seems to rely purely on its perception of “symmetry” in the LHWCA: Where an injury immediately depresses a worker’s ability to earn wages, “the payment of actual compensation holds open the option of modification under §22 even for future changes in condition whose probability of occurrence may well be remote at the time of the original award. Consistent application of the Act’s wait-and-see approach thus suggests that nominal compensation permitting future modification should not be limited to instances where a decline in capacity can be shown to a high degree of statistical likelihood.” Ante, at 136-137. But if symmetry is the goal, then there should logically be no threshold showing (beyond the injury itself) required to award nominal benefits under the LHWCA. Because §22 permits modification of ongoing awards even for completely unforeseeable changes of conditions, “Consistent application” of the Court’s “wait- and-see” theory (derived from § 22) would call for keeping open every case to guard against the possibility that new events might someday reduce a worker’s wage-earning capacity. The Court apparently realizes that such a result would completely eviscerate § 22’s 1-year limitations period, and so it feels obliged to screen out at least the most attenuated claims that conditions may change in the future. As a stopgap, it invents the “significant possibility” test.
Ill
As a final matter, I believe that the ALJ’s conclusion that Rambo “no longer has a wage-earning capacity loss,” App. 55, should be upheld regardless of whether the standard for fixing a worker’s wage-earning capacity is the one set forth by the Court or the one described in this dissent.
I agree with the Court that Metropolitan, as the proponent of a modified compensation order, met its burden of demonstrating a “change in conditions” by proving that Rambo’s actual earnings had risen significantly since he began steadily working as a crane operator. Ante, at 139. Upon that showing, § 8(h) shifted to Rambo the burden of proving that his new earnings did not fairly and reasonably reflect his wage-earning capacity., Ibid. In other words, Rambo must show that his ability to earn wages in the future is more likely than not to dip below his preinjury levels.
In his written ruling, the ALJ gave this issue his full consideration. As the ALJ observed, “higher post-injury gains/ losses are not necessarily determinative of an employee’s wage-earning capacity. One has to consider wage-earning capacity in an open labor market under normal employment conditions.” App. 53 (citation omitted). The ALJ then specifically commented on Rambo’s future job prospects: “Claim
The ALJ’s findings must be upheld if they are supported by substantial evidence. See 33 U. S. C. § 921(b)(3) (setting standard of review that Benefits Review Board must apply to ALJ’s findings). The substantial evidence standard is extremely deferential to the factfinder: “Substantial evidence is more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Consolidated Edison Co. v. NLRB, 305 U. S. 197, 229 (1938). Based on the evidence submitted by the parties, a “reasonable mind” could undoubtedly have found that Rambo’s current earnings accurately reflected his wage-earning capacity, with regard to both his present and future job prospects. Rambo testified that he had learned to operate cranes and heavy lift trucks (tasks that he can perform despite his injury), App. 30-31; that he had worked steadily as a crane operator for one shipping line for the last 2% years, id., at 37; and that his new job paid a much higher wage than he had received before his injury, id., at 38. The record clearly permitted a finding that, despite his injury, Rambo “no longer has a wage-earning capacity loss.” Id., at 55.
Reference
- Full Case Name
- METROPOLITAN STEVEDORE CO. v. RAMBO Et Al.
- Cited By
- 250 cases
- Status
- Published