McAleese v. Secretary of Health and Human Services

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 16-1683V Filed: August 2, 2018 UNPUBLISHED PATRICK D. MCALEESE, Special Processing Unit (SPU); Petitioner, Damages Decision Based on Proffer; v. Influenza (Flu) Vaccine; Guillain- Barre Syndrome (GBS) SECRETARY OF HEALTH AND HUMAN SERVICES, Respondent. Thomas K. Brown, Brown Law Firm, LLP, Houston, TX), for petitioner. Claudia Barnes Gangi, U.S. Department of Justice, Washington, DC, for respondent. DECISION AWARDING DAMAGES1 Dorsey, Chief Special Master: On December 22, 2016, petitioner filed a petition for compensation under the National Vaccine Injury Compensation Program, 42 U.S.C. §300aa-10, et seq.,2 (the “Vaccine Act”). Petitioner alleges that he suffered from Guillain-Barre Syndrome (“GBS”) as a result of an influenza (“flu”) vaccination administered on December 23, 2013. Petition at 1. The case was assigned to the Special Processing Unit of the Office of Special Masters. On August 1, 2017, a ruling on entitlement was issued, finding petitioner entitled to compensation for GBS. On July 25, 2018, respondent filed a proffer on award of compensation (“Proffer”) indicating petitioner should be awarded a lump sum payment of $839.282.93 representing compensation for life care expenses expected to be incurred during the first year after judgement ($17,375.32), lost earnings ($555,698.46), 1 Because this unpublished decision contains a reasoned explanation for the action in this case, the undersigned intends to post it on the United States Court of Federal Claims' website, in accordance with the E-Government Act of 2002. 44 U.S.C. § 3501 note (2012) (Federal Management and Promotion of Electronic Government Services). In accordance with Vaccine Rule 18(b), petitioner has 14 days to identify and move to redact medical or other information, the disclosure of which would constitute an unwarranted invasion of privacy. If, upon review, the undersigned agrees that the identified material fits within this definition, the undersigned will redact such material from public access. 2 National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3755. Hereinafter, for ease of citation, all “§” references to the Vaccine Act will be to the pertinent subparagraph of 42 U.S.C. § 300aa (2012). pain and suffering (“$250,000.00), and past unreimbursable expenses ($16,209.15). Proffer at 2-3. In the Proffer, respondent represented that petitioner agrees with the proffered award. Based on the record as a whole, the undersigned finds that petitioner is entitled to an award as stated in the Proffer. Pursuant to the terms stated in the attached Proffer, the undersigned awards petitioner:  A lump sum of $839.282.93 representing compensation for life care expenses expected to be incurred during the first year after judgement ($17,375.32), lost earnings ($555,698.46), pain and suffering ($250,000.00), and past unreimbursable expenses ($16,209.15) in the form of a check payable to petitioner, Patrick D. McAleese; and  An amount sufficient to purchase the annuity contract described in the Proffer at Section II.B. This amount represents compensation for all damages that would be available under § 300aa-15(a). The clerk of the court is directed to enter judgment in accordance with this decision.3 IT IS SO ORDERED. s/Nora Beth Dorsey Nora Beth Dorsey Chief Special Master 3 Pursuant to Vaccine Rule 11(a), entry of judgment can be expedited by the parties’ joint filing of notice renouncing the right to seek review. 2 IN THE UNITED STATES COURT OF FEDERAL CLAIMS OFFICE OF SPECIAL MASTERS PATRICK D. MCALEESE, Petitioner, v. No. 16-1683V Chief Special Master Dorsey SECRETARY OF HEALTH AND ECF HUMAN SERVICES, Respondent. RESPONDENT'S PROFFER ON AWARD OF COMPENSATION I. Items of Compensation A. Life Care Items Respondent engaged life care planner Linda Curtis, RN, MS, CCM, CNLP, to provide an estimation of Patrick D. McAleese’s future vaccine-injury related needs. On July 27, 2017, respondent filed a Rule 4(c) Report electing not to defend the case. On August 1, 2017, the Chief Special Master issued a Decision finding that petitioner was entitled to compensation. For the purposes of this proffer, the term “vaccine related” is as described in the respondent’s Rule 4(c) Report. All items of compensation identified in the life care plan are supported by the evidence, and are illustrated by the chart entitled Appendix A: Items of Compensation for Patrick D. McAleese, attached hereto as Tab A. 1 Respondent proffers that Patrick D. McAleese should be awarded all items of compensation set forth in the life care plan and illustrated by the chart attached at Tab A. Petitioner agrees. 1 The chart at Tab A illustrates the annual benefits provided by the life care plan. The annual benefit years run from the date of judgment up to the first anniversary of the date of judgment, and every year thereafter up to the anniversary of the date of judgment. -1- B. Lost Earnings The parties agree that based upon the evidence of record, Patrick D. McAleese has suffered past loss of earnings and will suffer a loss of earnings in the future. Therefore, respondent proffers that Patrick D. McAleese should be awarded lost earnings as provided under the Vaccine Act, 42 U.S.C. § 300aa-15(a)(3)(A). Respondent proffers that the appropriate award for Patrick D. McAleese’s lost earnings is $555,698.46. Petitioner agrees. C. Pain and Suffering Respondent proffers that Patrick D. McAleese should be awarded $250,000.00 in actual pain and suffering. See 42 U.S.C. § 300aa-15(a)(4). Petitioner agrees. D. Past Unreimbursable Expenses Evidence supplied by petitioner documents Patrick D. McAleese’s expenditure of past unreimbursable expenses related to his vaccine-related injury. Respondent proffers that petitioner should be awarded past unreimbursable expenses in the amount of $16,209.15. II. Form of the Award The parties recommend that the compensation provided to Patrick D. McAleese should be made through a combination of lump sum payments and future annuity payments as described below, and request that the Chief Special Master’s decision and the Court’s judgment award the following: 2 A. A lump sum payment of $839,282.93, representing compensation for life care expenses expected to be incurred during the first year after judgment ($17,375.32), lost earnings 2 Should petitioner die prior to entry of judgment, the parties reserve the right to move the Court for appropriate relief. In particular, respondent would oppose any award for future medical expenses, future lost earnings, and future pain and suffering. -2- ($555,698.46), pain and suffering ($250,000.00), and past unreimbursable expenses ($16,209.15), in the form of a check payable to petitioner, Patrick D. McAleese. B. An amount sufficient to purchase an annuity contract, 3 subject to the conditions described below, that will provide payments for the life care items contained in the life care plan, as illustrated by the chart at Tab A, attached hereto, paid to the life insurance company 4 from which the annuity will be purchased. 5 Compensation for Year Two (beginning on the first anniversary of the date of judgment) and all subsequent years shall be provided through respondent’s purchase of an annuity, which annuity shall make payments directly to petitioner, Patrick D. McAleese, only so long as Patrick D. McAleese is alive at the time a particular payment is due. At the Secretary’s sole discretion, the periodic payments may be provided to petitioner in monthly, quarterly, annual or other installments. The “annual amounts” set forth in the chart at Tab A describe only the total yearly sum to be paid to petitioner and do not require that the payment be made in one annual installment. 1. Growth Rate Respondent proffers that a four percent (4%) growth rate should be applied to all non- medical life care items, and a five percent (5%) growth rate should be applied to all medical life 3 In respondent’s discretion, respondent may purchase one or more annuity contracts from one or more life insurance companies. 4 The Life Insurance Company must have a minimum of $250,000,000.00 capital and surplus, exclusive of any mandatory security valuation reserve. The Life Insurance Company must have one of the following ratings from two of the following rating organizations: a. A.M. Best Company: A++, A+, A+g, A+p, A+r, or A+s; b. Moody's Investor Service Claims Paying Rating: Aa3, Aa2, Aa1, or Aaa; c. Standard and Poor's Corporation Insurer Claims-Paying Ability Rating: AA-, AA, AA+, or AAA; d. Fitch Credit Rating Company, Insurance Company Claims Paying Ability Rating: AA-, AA, AA+, or AAA. -3- care items. Thus, the benefits illustrated in the chart at Tab A that are to be paid through annuity payments should grow as follows: four percent (4%) compounded annually from the date of judgment for non-medical items, and five percent (5%) compounded annually from the date of judgment for medical items. Petitioner agrees. 2. Life-contingent annuity Petitioner will continue to receive the annuity payments from the Life Insurance Company only so long as he, Patrick D. McAleese, is alive at the time that a particular payment is due. Written notice shall be provided to the Secretary of Health and Human Services and the Life Insurance Company within twenty (20) days of Patrick D. McAleese’s death. 3. Guardianship Petitioner is a competent adult. Evidence of guardianship is not required in this case. III. Summary of Recommended Payments Following Judgment A. Lump Sum paid to petitioner, Patrick D. McAleese: $839,282.93 B. An amount sufficient to purchase the annuity contract described above in section II.B. Respectfully submitted, CHAD A. READLER Acting Assistant Attorney General C. SALVATORE D’ALESSIO Acting Director Torts Branch, Civil Division CATHARINE E. REEVES Deputy Director Torts Branch, Civil Division 5 Petitioner authorizes the disclosure of certain documents filed by the petitioner in this case consistent with the Privacy Act and the routine uses described in the National Vaccine Injury Compensation Program System of Records, No. 09-15-0056. -4- ALEXIS B. BABCOCK Assistant Director Torts Branch, Civil Division /s/ Claudia B. Gangi CLAUDIA B. GANGI Senior Trial Attorney Torts Branch, Civil Division U. S. Department of Justice P.O. Box l46, Benjamin Franklin Station Washington, D.C. 20044-0146 Direct dial: (202) 616-4138 Dated: July 25, 2018 -5- Appendix A: Items of Compensation for Patrick D. McAleese Page 1 of 4 Lump Sum Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 1 Years 2-7 Year 8 Years 9-10 Year 11 Years 12-14 Year 15 Years 16-20 2018 2019-2024 2025 2026-2027 2028 2029-2031 2032 2033-2037 BCBS Premium 5% M 2,712.00 2,712.00 2,712.00 2,712.00 2,712.00 2,712.00 BCBS MOP 5% 3,000.00 3,000.00 3,000.00 3,000.00 3,000.00 3,000.00 Medigap F 5% M 1,776.00 1,776.00 Medicare Part D 5% M 856.92 856.92 Primary Care 5% * Neurologist 5% * Physiatry 4% * Orthopedist 5% * Psychiatry 5% * EMG 5% * MRI 5% * Lab Testing 5% * Gym Membership 4% 578.88 479.88 479.88 479.88 479.88 479.88 479.88 479.88 PT Eval 4% * PT 4% * Psycho-therapy 4% * Reacher 4% 25.15 5.03 5.03 5.03 5.03 5.03 5.03 5.03 Raised Toilet Seat 4% 80.02 16.00 16.00 16.00 16.00 16.00 16.00 16.00 Cane 4% 40.48 8.10 8.10 8.10 8.10 8.10 8.10 8.10 Hand Held Shower 4% 37.58 7.52 7.52 7.52 7.52 7.52 7.52 7.52 Shower Chair 4% 206.80 41.36 41.36 41.36 41.36 41.36 41.36 41.36 Walker 4% 99.29 19.86 19.86 19.86 19.86 19.86 19.86 19.86 Lift Chair 4% * 899.00 899.00 Scooter 4% 1,019.00 1,019.00 1,019.00 145.57 Scooter Batteries 4% 51.00 51.00 51.00 51.00 51.00 51.00 51.00 51.00 Scooter Maint 4% 87.34 87.34 87.34 87.34 87.34 87.34 87.34 87.34 Scooter Lift 4% 1,899.00 1,899.00 Orthotics 4% * Compression Stockings 4% 55.98 55.98 55.98 55.98 55.98 55.98 55.98 55.98 Lifeline 4% 359.40 359.40 359.40 359.40 359.40 359.40 359.40 359.40 Baclofen 5% * Appendix A: Items of Compensation for Patrick D. McAleese Page 2 of 4 Lump Sum Compensation Compensation Compensation Compensation Compensation Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 1 Years 2-7 Year 8 Years 9-10 Year 11 Years 12-14 Year 15 Years 16-20 2018 2019-2024 2025 2026-2027 2028 2029-2031 2032 2033-2037 Fluoxetine 5% * Ranitidine 5% * Home Health Care 4% M 6,224.40 6,224.40 6,224.40 6,224.40 6,224.40 6,224.40 10,374.00 10,374.00 Lost Future Earnings 555,698.46 Pain and Suffering 250,000.00 Past Unreimbursable Expenses 16,209.15 Annual Totals 839,282.93 13,067.87 14,086.87 13,067.87 15,865.87 13,067.87 15,157.39 14,283.96 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner for Yr 1 life care expenses ($17,375.32), lost earnings ($555,698.46), pain and suffering ($250,000.00), and past unreimbursable expenses ($16,209.15): $839,282.93. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated above in column G.R., compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in twelve monthly installments totaling the annual amount indicated. Appendix A: Items of Compensation for Patrick D. McAleese Page 3 of 4 Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 21 Years 22-29 Years 30-Life 2038 2039-2046 2047-Life BCBS Premium 5% M BCBS MOP 5% Medigap F 5% M 1,776.00 1,776.00 1,776.00 Medicare Part D 5% M 856.92 856.92 856.92 Primary Care 5% * Neurologist 5% * Physiatry 4% * Orthopedist 5% * Psychiatry 5% * EMG 5% * MRI 5% * Lab Testing 5% * Gym Membership 4% 479.88 479.88 PT Eval 4% * PT 4% * Psycho-therapy 4% * Reacher 4% 5.03 5.03 5.03 Raised Toilet Seat 4% 16.00 16.00 16.00 Cane 4% 8.10 8.10 8.10 Hand Held Shower 4% 7.52 7.52 7.52 Shower Chair 4% 41.36 41.36 41.36 Walker 4% 19.86 19.86 19.86 Lift Chair 4% * 649.00 64.90 64.90 Scooter 4% 145.57 145.57 145.57 Scooter Batteries 4% 51.00 51.00 51.00 Scooter Maint 4% 87.34 87.34 87.34 Scooter Lift 4% 1,899.00 189.90 189.90 Orthotics 4% * Compression Stockings 4% 55.98 55.98 55.98 Lifeline 4% 359.40 359.40 359.40 Baclofen 5% * Appendix A: Items of Compensation for Patrick D. McAleese Page 4 of 4 Compensation Compensation Compensation ITEMS OF COMPENSATION G.R. * M Year 21 Years 22-29 Years 30-Life 2038 2039-2046 2047-Life Fluoxetine 5% * Ranitidine 5% * Home Health Care 4% M 10,374.00 10,374.00 14,523.60 Lost Future Earnings Pain and Suffering Past Unreimbursable Expenses Annual Totals 16,831.96 14,538.76 18,208.48 Note: Compensation Year 1 consists of the 12 month period following the date of judgment. Compensation Year 2 consists of the 12 month period commencing on the first anniversary of the date of judgment. As soon as practicable after entry of judgment, respondent shall make the following payment to petitioner for Yr 1 life care expenses ($17,375.32), lost earnings ($555,698.46), pain and suffering ($250,000.00), and past unreimbursable expenses ($16,209.15): $839,282.93. Annual amounts payable through an annuity for future Compensation Years follow the anniversary of the date of judgment. Annual amounts shall increase at the rates indicated above in column G.R., compounded annually from the date of judgment. Items denoted with an asterisk (*) covered by health insurance and/or Medicare. Items denoted with an "M" payable in twelve monthly installments totaling the annual amount indicated.