COURT OF APPEALS OF VIRGINIA
Present: Judges Humphreys, Felton and Kelsey
Argued at Salem, Virginia
CENTRAL VIRGINIA OBSTETRICS &
GYNECOLOGY ASSOCIATES, P.C., AND
KWASI A. DEBRA, M.D.
v. Record No. 0399-03-2
LAWANDA P. WHITFIELD, Administratrix of OPINION BY
the ESTATE OF DEJUAN L. WHITFIELD-SMITH JUDGE D. ARTHUR KELSEY
JANUARY 13, 2004
CHIPPENHAM & JOHNSTON-WILLIS HOSPITAL, INC.
v. Record No. 0400-03-2
VIRGINIA BIRTH-RELATED NEUROLOGICAL
INJURY COMPENSATION PROGRAM
FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
Kathleen M. McCauley; Linda B. Georgiadis; (Michael L. Goodman;
Anthony Tacconi; Matthew D. Joss; Goodman, Allen & Filetti, PLLC;
LeClair Ryan, on briefs), for appellants.
William C. Carr, Jr. (Emroch & Kilduff, L.L.P., on brief), for appellee
Lawanda P. Whitfield, Administratrix of the Estate of Dejuan L.
Whitfield-Smith, Deceased.
Scott John Fitzgerald, Assistant Attorney General (Jerry W. Kilgore,
Attorney General; Judith Williams Jagdmann, Deputy Attorney General;
Edward M. Macon, Senior Assistant Attorney General, on brief), for
appellee Virginia Birth-Related Neurological Injury Compensation
Program.
Dejuan Whitfield-Smith died within a couple of hours after his birth. His estate filed a
malpractice action in Richmond Circuit Court against Chippenham & Johnston-Willis Hospital,
Inc., Central Virginia Obstetrics & Gynecology Associates, P.C., and Kwasi A. Debra, M.D. In
defense of this claim, the defendants asserted statutory tort immunity under the Virginia
Birth-Related Neurological Injury Compensation Act, Code §§ 38.2-5000 to 38.2-5021. As the Act
requires, the circuit court referred the question to the Virginia Workers’ Compensation
Commission. After hearing conflicting medical evidence, the commission held that the Act did not
apply to Dejuan’s injury and thus did not afford statutory immunity to the tort defendants. The
defendants, appellants in this consolidated appeal, seek our review of the commission’s decision.
They contend that the commission misapplied the burden of proof and made insupportable factual
findings. Disagreeing with both contentions, we affirm.
I.
On appeal, we view the evidence in the light most favorable to the prevailing party before
the commission. Clinchfield Coal Co. v. Reed, 40 Va. App. 69, 72, 577 S.E.2d 538, 539 (2003);
Tomes v. James City (County Of) Fire, 39 Va. App. 424, 429, 573 S.E.2d 312, 315 (2002).
Lawanda Whitfield gave birth to an infant son, Dejuan Whitfield-Smith, at Chippenham
Medical Center on December 30, 1998. Dr. Kwasi Debra, an obstetrician, used forceps extraction
during the delivery. When Dejuan emerged from the birth canal, his nuchal cord was wrapped
tightly around his neck.
After being cut free, Dejuan remained in severe respiratory distress. His Apgar scores were
1 at one minute, 0 at five minutes, and 0 at ten minutes.1 Dr. Debra pronounced Dejuan dead in the
delivery room and handed him over to his mother. Dejuan’s mother noticed, however, that he
appeared to be gasping for breath. A nurse also noted that Dejuan was moving his arms and legs.
1
The Apgar rating scale ranges from 1 to 10. It provides a numerical expression of a
newborn’s condition that assesses heart rate, respiratory effort, muscle tone, reflex, irritability,
and color. See generally Gaalaas v. Morrison, 233 Va. 148, 150 n.2, 353 S.E.2d 898, 899 n.2
(1987); Rutherford v. Zearfoss, 221 Va. 685, 687, 272 S.E.2d 225, 226 (1980).
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She took the child’s pulse and discovered he had a heart rate in the 150s. An intensive care team
took Dejuan to the Neonatal Intensive Care Unit. Dejuan’s condition quickly deteriorated. He was,
again, pronounced dead about two hours later.
Dr. Fabio Gutierrez performed an autopsy and concluded that the cause of Dejuan’s death
was cardiopulmonary arrest secondary to birth asphyxia as a result of being choked by his umbilical
cord during labor and delivery. Dejuan’s mother, as administratrix of her son’s estate, filed a
wrongful death action in circuit court against Dr. Debra, her medical practice, and the hospital.
Asserting that Dejuan’s injury fell within the scope of the Virginia Birth-Related Neurological
Injury Compensation Act, the defendants sought the statutory tort immunity afforded under the Act.
Pursuant to Code § 8.01-273.1, the trial court referred the question to the commission.
Before the commission, the parties submitted conflicting medical evidence on the newborn’s
precise condition prior to his death. This evidence, the defendants argued, triggered a statutory
presumption that the Act governed Dejuan’s injury. The commission disagreed, finding the
evidence insufficient to invoke the presumption.
Dr. Debra, her medical practice, and the hospital appeal the commission’s ruling to us
claiming (a) the commission failed to properly apply the Act’s statutory presumption and thereby
misallocated the burden of proof, and (b) had the presumption been applied properly, it would have
established the Act’s coverage. After reviewing the history and purposes of the Act, we will
address each of the appellants’ arguments in turn. In our judgment, neither has merit.
II.
One of only two such statutes in the nation, the Virginia Birth-Related Neurological
Compensation Act provides claimants with a no-fault remedy for compensation for qualified
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injuries. See Code § 38.2-5009.2 The Act also affords potential tort defendants (at least those
who contribute voluntary assessments to the fund under Code § 38.2-5015), with an absolute
immunity to civil malpractice liability for these injuries. See Code § 38.2-5002(B). “The Act
generally provides the sole remedy for infants who have incurred a birth-related neurological
injury caused by a ‘participating physician’ or a ‘participating hospital,’ and bars infants who
have sustained injuries of this nature from maintaining a common law tort action against such a
‘participating physician’ or ‘participating hospital.’” Berner v. Mills, 265 Va. 408, 411, 579
S.E.2d 159, 160 (2003).
This finely engineered quid pro quo, however, does not uniformly favor claimants or
potential tort defendants. In cases where malpractice litigation appears ill advised, a claimant
may seek the application of the Act to his claim to obtain benefits from the statutory
compensation fund. See Code §§ 38.2-5009, 38.2-5015(A). But in cases where litigation may
be more promising, a claimant may seek to defeat the application of the Act to his claim. Each
of our cases discussing the Act involves instances where claimants sought the application of the
Act to their claims and were willing to stipulate the resulting tort immunity afforded to potential
malpractice defendants.3 The case before us now, however, involves one of the second type: a
situation where the tort defendants in a pending malpractice lawsuit seek the application of the
Act to the claim over the objection of the claimant.
2
See generally The Definition of Compensable Injury and the Funding Mechanism of the
Virginia Birth-Related Neurological Injury Compensation Act, House Doc. No. 63 (1990); see
also Study to Increase the Scope and Magnitude of the Virginia Birth-Related Neurological
Injury Compensation Program, House Doc. No. 58 (1998).
3
Wolfe v. Va. Birth-Related Neuro. Injury Comp. Pgm., 40 Va. App. 565, 580, 580
S.E.2d 467, 474 (2003); Kidder v. Va. Birth-Related Neuro. Injury Comp. Pgm., 37 Va. App.
764, 778, 560 S.E.2d 907, 913 (2002); Coffey v. Va. Birth-Related Neuro. Injury Comp. Pgm.,
37 Va. App. 390, 401-02, 558 S.E.2d 563, 569 (2002); Va. Birth-Related Neuro. Injury Comp.
Pgm. v. Young, 34 Va. App. 306, 318, 541 S.E.2d 298, 304 (2001).
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For the Act to apply, the infant must have suffered a “birth-related neurological injury.”
See Coffey v. Va. Birth-Related Neuro. Injury Comp. Pgm., 37 Va. App. 390, 399-400, 558
S.E.2d 563, 568 (2002). Under Code § 38.2-5001, four things must be true for an injury to fit
this definition:
(1) The infant sustained “an injury to the brain or spinal cord” that was
“caused by deprivation of oxygen or mechanical injury.”
(2) The injury occurred “in the course of labor, delivery or resuscitation
necessitated by a deprivation of oxygen or mechanical injury that
occurred in the course of labor or delivery, in a hospital.”
(3) The injury rendered the infant “permanently motorically disabled and
(i) developmentally disabled or (ii) for infants sufficiently developed
to be cognitively evaluated, cognitively disabled.”
(4) Such disability caused “the infant to be permanently in need of
assistance in all activities of daily living.”4
4
The full text of the statutory definition in Code § 38.2-5001 states:
“Birth-related neurological injury” means injury to the brain or
spinal cord of an infant caused by the deprivation of oxygen or
mechanical injury occurring in the course of labor, delivery or
resuscitation necessitated by a deprivation of oxygen or
mechanical injury that occurred in the course of labor or delivery,
in a hospital which renders the infant permanently motorically
disabled and (i) developmentally disabled or (ii) for infants
sufficiently developed to be cognitively evaluated, cognitively
disabled. In order to constitute a “birth-related neurological
injury” within the meaning of this chapter, such disability shall
cause the infant to be permanently in need of assistance in all
activities of daily living. This definition shall apply to live births
only and shall not include disability or death caused by genetic or
congenital abnormality, degenerative neurological disease, or
maternal substance abuse. The definition provided here shall apply
retroactively to any child born on and after January 1, 1988, who
suffers from an injury to the brain or spinal cord caused by the
deprivation of oxygen or mechanical injury occurring in the course
of labor, delivery or resuscitation in the immediate postdelivery
period in a hospital.
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If the party seeking the Act’s application proves that the injury falls within this definition, the
Act applies. The result is the potential availability of compensation to the claimants under Code
§ 38.2-5009 and the certain availability of tort immunity for any potential tort defendants under
Code § 38.2-5002(B).
Under the Act, a rebuttable presumption of a birth-related neurological injury exists when
the proponent of the Act’s coverage proves elements one and three of the § 38.2-5001 definition.
See Code § 38.2-5008(A)(1)(a). When these two predicate facts are proved, the factfinder may
presume that elements two and four of the statutory definition are also met.5 Once the
presumption applies, the burden of proof shifts to the party opposing the presumption to disprove
elements two and four, and thereby establish “that the injuries alleged are not birth-related
neurological injuries within the meaning of the chapter.” Wolfe v. Va. Birth-Related Neuro.
5
Code § 38.2-5008(A)(1)(a) provides:
The Commission shall determine, on the basis of the evidence
presented to it, the following issues:
1. Whether the injury claimed is a birth-related neurological
injury as defined in § 38.2-5001.
a. A rebuttable presumption shall arise that the injury
alleged is a birth-related neurological injury where
it has been demonstrated, to the satisfaction of the
Virginia Workers’ Compensation Commission, that
the infant has sustained a brain or spinal cord injury
caused by oxygen deprivation or mechanical injury,
and that the infant was thereby rendered
permanently motorically disabled and (i)
developmentally disabled or (ii) for infants
sufficiently developed to be cognitively evaluated,
cognitively disabled.
If either party disagrees with such presumption, that
party shall have the burden of proving that the
injuries alleged are not birth-related neurological
injuries within the meaning of the chapter.
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Injury Comp. Pgm., 40 Va. App. 565, 578, 580 S.E.2d 467, 474 (2003) (quoting Code
§ 38.2-5008(A)(1)(a)).6
A.
In this case, the parties agree that Dejuan suffered “an injury to the brain or spinal cord”
caused by the “deprivation of oxygen or mechanical injury” — element one of the statutory
definition and the first predicate fact necessary for the presumption. They also agree that
Dejuan’s injury occurred “in the course of labor, delivery or resuscitation necessitated by a
deprivation of oxygen or mechanical injury that occurred in the course of labor or delivery, in a
hospital” — element two of the definition and a fact that may be inferred if the presumption
applies. The parties dispute whether Dejuan’s injury caused him to be “permanently in need of
assistance in all activities of daily living,” but admit that this fact may be inferred if the statutory
presumption applies.
The dispositive issue thus centers on whether appellants established that Dejuan, prior to
his death, was permanently “motorically disabled” and “developmentally” or “cognitively”
disabled — the second predicate fact necessary for the § 38.2-5008(A)(1)(a) presumption to
apply. To resolve this dispute, we must first address appellants’ argument that a predicate fact
can be established merely by “the submission of any credible evidence.” Under this view, the
presentation of any plausible evidence (regardless of whether it is in fact believed) triggers the
presumption and shifts the burden of persuasion to the other side to rebut it. After all, appellants
6
Because of the “difficulty in proving when such an injury was sustained” and the
equally difficult task of proving, prospectively, that the infant will permanently need assistance
in all activities of daily living, “the legislature enacted a presumption to assist potential claimants
in obtaining benefits.” Coffey, 37 Va. App. at 400, 558 S.E.2d at 568. Despite Coffey’s
contextualization of the issue, however, the presumption also applies in cases where the claimant
is not seeking assistance in obtaining statutory benefits, but rather is seeking to defeat the
application of the Act and its resulting tort immunity. In such circumstances, the medical
providers who seek the Act’s application to the claimant’s injury bear the burden of proof.
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correctly point out, we have described the burden as merely “a prima facie” showing, Coffey, 37
Va. App. at 401, 558 S.E.2d at 569, which literally means “at first sight” or “on first
appearance,” Black’s Law Dictionary 1209 (7th ed. 1999). That description, as a general rule,
does not connote anything more than a mere evidentiary sufficiency. See, e.g., Virginia v. Black,
538 U.S. __, 123 S. Ct. 1536, 1554 (2003) (Scalia, J., concurring in part) (“‘Prima facie evidence
of a fact is such evidence as, in judgment of law, is sufficient to establish the fact; and, if not
rebutted, remains sufficient for the purpose.’” (quoting 7B Michie’s Jurisprudence of Virginia
and West Virginia § 32 (1998)). “Prima facie evidence is evidence which on its first appearance
is sufficient to raise a presumption of fact or establish the fact in question unless rebutted.”
Commonwealth v. Dalton, 11 Va. App. 620, 623, 400 S.E.2d 801, 803 (1991) (quoting Babbitt v.
Miller, 192 Va. 372, 379-80, 64 S.E.2d 718, 722 (1951)).7
Even so, the expression “prima facie showing,” Coffey, 37 Va. App. at 401, 558 S.E.2d
at 569, need not necessarily be understood to describe a mere hypothetical sufficiency of the
evidence. Though uncommon, this expression has been used alongside an actual preponderance
standard for purposes of triggering a presumption. In Title VII cases, for example, the United
States Supreme Court describes the role of a “prima facie case” in just this way:
The burden of establishing a prima facie case of disparate
treatment is not onerous. The plaintiff must prove by a
preponderance of the evidence that she applied for an available
position for which she was qualified, but was rejected [all
7
When a trial judge in a civil jury case, for example, entertains a motion to strike
alleging that the plaintiff has not made out a prima facie case, the judge does not ask whether he
personally believes that the evidence rises to a preponderance — rather, he asks whether the
conclusion the plaintiff draws from the evidence would so “defy logic and common sense” that
no rational factfinder could adopt it. Upper Occoquan Sewage Auth. v. Blake Constr., 266 Va.
582, 590 n.6, 587 S.E.2d 721, 725 n.6 (2003); see generally W. Hamilton Bryson, Virginia Civil
Procedure 447 (3d ed. 1997).
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predicate facts] under the circumstances which give rise to an
inference of unlawful discrimination [the presumed fact].
Texas Dept. of Cmty. Affairs v. Burdine, 450 U.S. 248, 253 (1981) (emphasis added); see also
McDonnell Douglas Corp v. Green, 411 U.S. 792, 802 (1973) (holding that claimant triggers the
presumption by carrying “the initial burden under the statute of establishing a prima facie case of
racial discrimination”); cf. Wolfe, 40 Va. App. at 580, 580 S.E.2d at 474 (accepting, without
discussion, that a “preponderance of the evidence” standard applies to the § 38.2-5008(A)(1)
presumption). This description of a prima facie case requires the factfinder to subjectively
believe the evidence preponderates in the claimant’s favor, not merely to conclude that an
objective, rational factfinder could so find.
The subtle distinction between these two competing views of a prima facie case, while
seeming semantic, understates its potentially outcome-determinative impact. This is particularly
true in cases where, as here, the dispute involves not so much a contest between two
contradictory sets of facts, but rather a scramble over how to interpret the paucity of facts
favoring either side. In such cases, the party with the ultimate burden of proof must demonstrate
not only that his view of the evidence should be adopted with confidence, but also that any view
of such sketchy evidence could be confidently adopted.
We do not answer appellants’ argument, however, by weighing the competing policy
considerations underlying the assignment of the shifting burdens of proof to determine which
would best fit this case. Our task is considerably more simple. “We begin, as always, with the
language of the statute.” Duncan v. Walker, 533 U.S. 167, 172 (2001). And we strive to give
that language a “literal construction” unless doing so “would involve a manifest absurdity.”
Chase v. DaimlerChrysler Corp., 266 Va. 544, 547, 587 S.E.2d 521, 522 (2003) (citations
omitted); see also Mouberry v. Commonwealth, 39 Va. App. 576, 583, 575 S.E.2d 567, 570
(2003) (recognizing that statutory words should be given “their common, ordinary and accepted
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meaning”). This textualist approach presumes that the legislature “‘chose, with care,’ the
specific words of the statute.” Kane v. Szymczak, 41 Va. App. 365, 371, 585 S.E.2d 349,
352-53 (2003) (citations omitted).
In this case, the Virginia Birth-Related Neurological Injury Compensation Act states that
the presumption arises when the predicate facts have been “demonstrated, to the satisfaction of
the Virginia Workers’ Compensation Commission.” Code § 38.2-5008(A)(1)(a) (emphasis
added). To demonstrate a fact to the satisfaction of the factfinder means to persuade the actual
factfinder, not merely to demonstrate the plausibility of the proffered fact to a sufficient degree
that any rational factfinder could be persuaded. Relying on this statutory text, we reject
appellants’ argument that “the submission of any credible evidence” triggers the presumption.
Instead, we hold that the party asserting the presumption must demonstrate by a preponderance
of the evidence that the predicate facts are true. Only then does the presumption arise and the
burden of proof shift to the party opposing the presumption.
B.
We next address appellants’ assertion that the commission erred in holding that they did
not prove by a preponderance that Dejuan was permanently “motorically disabled” and
“developmentally” or “cognitively” disabled, the second predicate fact necessary to give rise to
the § 38.2-5008(A)(1)(a) presumption. For the following reasons, we conclude that the
commission acted within the scope of its decisionmaking discretion as factfinder.
Appellants produced the expert opinions of Dr. Edward Karotkin and Dr. Warren
Broocker. In a letter opinion, Dr. Karotkin concluded that “[e]ven if the child had responded to
the resuscitative efforts, due to the profound oxygen deprivation to his brain, he would have been
rendered permanently motorically disabled, developmentally disabled, and cognitively disabled.”
Testifying before the deputy commissioner, Dr. Broocker stated that “usually when the asphyxia
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is severe enough to cause Apgar scores” as low as Dejuan’s, “the long-term neurologic condition
of the baby will be affected. To what degree it will be affected varies from individual to
individual, but it will be affected.” Dr. Broocker admitted some doubt, however, as to the
accuracy of Apgar scores in predicting future neurological deficits. These scores have been used
“pretty glibly over the years as medical fact,” Dr. Broocker observed, and “there are some
problems with the Apgar scores actually really predicting as far as how well the baby will do
neurologically later on.” He also noted that “everybody’s got an anecdotal case of an extremely
poor Apgar score and the baby did well subsequently . . . .”
Dejuan’s estate filed the report of Dr. David Axelrod who stated that, given the paucity of
medical evidence available to make such a judgment, he did not “believe that anyone” could
make the determination whether Dejuan “would have been permanently motorically disabled and
developmentally disabled had he survived.” Based upon his review of the child’s autopsy,
“which showed no pathological damage to the brain such as bleeding, or signs of necrosis,” there
was “no evidence that this baby would have been permanently motorically disabled and
developmentally disabled if he had survived.”
The commission, pursuant to Code § 38.2-5008(C), solicited a report from a panel of
three impartial physicians. In a letter dated November 29, 2001, Dr. William N.P. Herbert,
Dr. James E. Ferguson, II, and Dr. Barbara Head stated: “Given the fact that this infant expired
approximately 2 1/2 hours following delivery, we are unable to determine that the infant was
developmentally or cognitively disabled, nor can we state that the infant would be permanently
in need of assistance in all activities of daily living.” As a result, they concluded, “the evidence
in this case does not meet the criteria” for a birth-related neurological injury under the Act.
Faced with this evidence, the commission found that appellants failed to prove Dejuan
was permanently motorically disabled and developmentally or cognitively disabled. The
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commission rejected Dr. Karotkin’s opinion because there was “no evidence to quantify the
amount of oxygen deprivation suffered by the infant . . . , no damage to the brain, such as
intracranial bleeding or any other pathology” in the autopsy report and “no blood from the cord
was obtained for testing.” Equally unconvincing to the commission was Dr. Broocker’s opinion,
which “offered no opinion as to whether the infant would have been developmentally disabled.”
Finding more persuasive the opinions of Dr. Axlerod and the three independent panel physicians,
the commission held that appellants failed to prove that Dejuan was permanently “motorically
disabled” and “developmentally” or “cognitively” disabled. Appellants, therefore, failed to
trigger the presumption and thereby shift the ultimate burden of proof.
We are in no position to disagree. Of the six physicians that reviewed the file, four stated
that they could not “determine that the infant was developmentally or cognitively disabled” at the
time of his death. Three of these four physicians were independent experts appointed by the
commission. Only one physician stated unequivocally that Dejuan was permanently motorically
disabled and developmentally or cognitively disabled — and the commission found this opinion
unpersuasive given the lack of any reliable diagnostic evidence.
“Questions raised by conflicting medical opinions must be decided by the commission.”
Wolfe, 40 Va. App. at 580, 580 S.E.2d at 474; Kidder v. Va. Birth-Related Neuro. Injury Comp.
Pgm., 37 Va. App. 764, 778, 560 S.E.2d 907, 913 (2002); Va. Birth-Related Neuro. Injury
Comp. Pgm. v. Young, 34 Va. App. 306, 318, 541 S.E.2d 298, 304 (2001). This appellate
deference is not a mere legal custom, subject to a flexible application, but a statutory command
making clear that the commission’s decision “shall be conclusive and binding as to all questions
of fact.” Code § 38.2-5011(A). Medical evidence, therefore, remains “subject to the
commission’s consideration and weighing.” Wolfe, 40 Va. App. at 580, 580 S.E.2d at 474
(quoting Young, 34 Va. App. at 318, 541 S.E.2d at 304) (citations and internal quotation marks
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omitted). And the appearance of “contrary evidence in the record is of no consequence if there is
credible evidence to support the commission’s finding.” Id.; see also Kidder, 37 Va. App. at
778, 560 S.E.2d at 913.
Despite this deference, appellants argue, the commission’s findings cannot be sustained
because Dejuan’s death, by itself, overcomes any evidentiary weaknesses in their case. Under
this theory, “the death of an infant from a birth-related oxygen deprivation injury automatically
qualifies the infant under the Act.” We find this view flawed for two reasons.
First, it is a non sequitur to assert that a disability — as that term is specifically defined
and qualified in the statute — always precedes death or is subsumed by it. While an injury may
be an anatomical antecedent to death, the same cannot be said of a statutory disability. It may or
may not, depending on the facts. A per se rule equating death with disability mixes unrelated
concepts because, as the commission correctly put it, “Death is the cessation of life, not a
measure of disability.”
Second, the Act is a comprehensive legislative enactment. It includes multiple provisions
defining its terms, describing its scope, and qualifying its reach. Despite this elaborate statutory
scheme, not a word expressly says (or, for that matter, reasonably implies) that death should
automatically be equated with the highly specific definitional criteria used to determine the Act’s
coverage. The omission of any statutory language treating death as a per se event covered by the
Act, even if problematic as a policy matter, cannot be remedied by the courts.8 “The act of choosing
carefully some words necessarily implies others are omitted with equal care.” Kane, 41 Va. App. at
372, 585 S.E.2d at 353. “Any such change to the statute must be a legislative, rather than a judicial,
undertaking.” Mouberry, 39 Va. App. at 584-85, 575 S.E.2d at 571. To advocate a statutory
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8
The 2003 session of the General Assembly added a new section to the statute addressing
infant deaths within 180 days of birth. See Code § 38.2-5009.1 (2003 Va. Acts, ch. 897).
Because the new provision applies prospectively only, we do not consider it.
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interpretation that, if accepted, would essentially rewrite the legislative text “presupposes a power in
the judiciary that simply does not exist.” Id. We thus reject appellants’ invitation to judicially graft
into the statute an unwritten provision applying the Act to all newborns who die shortly after birth.9
III.
Because the commission applied correctly the legal principles governing the presumption
and rested its factfinding on credible evidence, we affirm.
Affirmed.
9
The Commission also recognized this limitation on its powers. Its opinion in this case
concludes: “There is no presumption of disability in those cases where the infant dies shortly
after birth. Even though there may be a valid argument for the creation of such a presumption,
the Commission should not judicially change the clear language of the statute.”
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