How much is future medical care worth?

Jeanne M. Durrant v. Department of Veterans Affairs

01A13031

9/4/02

.

Jeanne M. Durrant,

Complainant,

v.

Anthony J. Principi,

Secretary,

Department of Veterans Affairs,

Agency.

Appeal No. 01A13031

Agency No. 95-1152

DECISION

Complainant timely initiated an appeal from a final agency decision

(FAD) concerning her claim of compensatory damages, which stemmed from

her complaint of unlawful employment discrimination in violation of

Title VII of the Civil Rights Act of 1964 (Title VII), as amended, 42

U.S.C. § 2000e et seq.  and Section 501 of the Rehabilitation Act of 1973

(Rehabilitation Act), as amended, 29 U.S.C. § 791 et seq.   The appeal

is accepted pursuant to 29 C.F.R. § 1614.405.  For the following reasons,

the Commission AFFIRMS the agency’s final decision.

The record reveals that during the relevant time, complainant was

employed as a Psychologist at the agency’s Rochester, New York facility.

Complainant sought EEO counseling and subsequently filed a formal

complaint on December 29, 1994, alleging that she was discriminated

against on the bases of sex (female) and disability (polio) when her

supervisor: (1) applied work-related and non work-related standards to her

that he did not apply to her non-disabled male colleagues; (2) subjected

her to a level of scrutiny that was “unparalleled” and “irrational”;

(3) directed her to perform tasks that he never directed her non-disabled

male colleagues to perform; and (4) forced her to perform physical tasks

that he knew she was unable to perform.

Following an investigation into the complaint, the agency issued a

final decision finding no discrimination.  Complainant appealed,

and we reversed.  See Durrant v. Department of Veterans Affairs,

EEOC Appeal No. 01971885 (September 15, 2000).  In that decision, we

determined complainant established she was subjected to discrimination

on the bases of sex and disability, and ordered appropriate relief,

including $70,000 in non-pecuniary damages.  We also ordered the agency

to investigate complainant’s claim of future pecuniary damages since

there was no evidence that complainant was on notice of her right to

submit documentation as to her future medical expenses.

The agency completed a supplemental investigation as ordered, and issued

a final decision on March 28, 2001.  In its final decision, the agency

noted that complainant claimed $4,917.00 for pecuniary damages for

chiropractic care, massage therapy, and drug prescriptions between 1995

and 2001.  After a review of the testimony of complainant’s chiropractor,

massage therapist, and primary physician, the agency determined that

complainant’s elevated blood pressure, increased shoulder pain, back

pain, and complications from using crutches were caused by the agency’s

discriminatory practices.  As such, the agency awarded complainant

$4,917.00 for medical expenses related to the issues between the time of

the original investigation in 1995, and the supplemental investigation

in 2001.

However, the agency also determined that complainant failed to provide

sufficient evidence to support her request for life time chiropractic

care, massage therapy, and drug prescriptions.  Specifically, the agency

denied the request for future medical expenses because the agency was

unable to calculate the actual costs and frequency of each treatment.

In that regard, the agency noted the record was disputed as to how many

chiropractic sessions complainant required per month.  Furthermore,

there was a dispute as to how much the massage therapy and nutritional

supplements cost.

Complainant also claimed medical expenses related to a wheelchair and

shoulder surgery that her witnesses testified may be necessary.  However,

the agency denied this request because the expenses were too speculative.

Finally, complainant claimed future expenses related to orthodic shoes,

and modifications to her home including a bathtub with jets and wheelchair

accessible bathroom. The agency denied these claims because complainant

failed to produce evidence as to the costs of these expenses.

On appeal, complainant contends that if the agency was unclear about

complainant’s future medical expenses, it should have conducted a more

thorough investigation.  Complainant presents an actuary table indicating

complainant’s life expectancy and urges us to consider this evidence in

determining complainant’s future medical expenses.  Furthermore, she

argues that the shoulder surgery and wheelchair are not speculative,

and supplied receipts and estimates for the orthodic shoes, and home

remodeling plans. The agency requests that we affirm its FAD, and argues

that complainant had a full and fair opportunity to present all evidence

of costs and treatment duration during the investigation.  The agency

also contends that complainant’s physical problems can be traced back

to other injuries and illnesses unrelated to the discrimination.

ANALYSIS AND FINDINGS

Pursuant to Section 102(a) of the Civil Rights Act of 1991, a complainant

who establishes her claim of unlawful discrimination may receive, in

addition to equitable remedies, compensatory damages for past and future

pecuniary losses (i.e., out-of-pocket expenses) and non-pecuniary losses

(i.e., pain and suffering, mental anguish).  42 U.S.C. § 1981a(b)(3).

For an employer with more than 500 employees, such as the agency,

the limit of liability for future pecuniary and non-pecuniary

damages is $300,000.  Id.  The Supreme Court has confirmed that the

Commission possesses the legal authority to require federal agencies

to pay compensatory damages.  See West v. Gibson, 527 U.S. 212 (1999).

The particulars of what relief may be awarded, and the proof necessary to

obtain that relief, are set forth in detail in Compensatory and Punitive

Damages Available Under Section 102 of the Civil Rights Act of 1991,

EEOC Notice No. 915.002 (July 14, 1992)(Compensatory Damages Notice).

Briefly stated, the complainant must submit evidence to show that the

agency’s discriminatory conduct directly or proximately caused the losses

for which damages are sought.  See Damiano v. United States Postal

Service, EEOC Request No. 05980311 (February 26, 1999).  The amount

awarded should reflect the extent to which the agency’s discriminatory

action directly or proximately caused harm to complainant and the extent

to which other factors may have played a part.  See Compensatory Damages

Notice, at 11-12.

As an initial matter, we note that the agency already approved

complainant’s medical expenses  incurred between the time of the original

investigation and the supplemental investigation in the amount of

$4,917.00.  Complainant also claims, however, that she requires massage

therapy, chiropractic treatment, and prescription medication for the

rest of her life as a result of the agency’s discriminatory actions.

After a review of the record, however, we find that complainant’s evidence

does not contain sufficient specificity for us to make a determination

as to the costs of some of her treatments.  For instance, complainant’s

massage therapist states that her therapy costs $50.00 per session,

but complainant states that the charge is $55.00.  Furthermore, her

chiropractor claims that complainant requires treatment two times a month,

and complainant states that she requires treatment two times per week.

Disputes such as these should have been resolved by complainant and her

attorney during the supplemental investigation.  It is the complainant’s

burden to provide objective evidence in support of her claim and proof

linking the damages to the alleged discrimination.  See Papas v. USPS,

EEOC Appeal No. 01930547 (March 17, 1994); Mims v. Department of the

Navy, EEOC Appeal No. 01933956 (November 24, 1993).  Furthermore,

the objective evidence must demonstrate that she has been harmed as a

result of the agency’s discriminatory action; the extent, nature, and

severity of the harm; and the duration or expected duration of the harm.

Rivera v. Department of the Navy, EEOC Appeal No. 01934157 (July 22,

1994).  Even on appeal, complainant only presents argument and an actuary

chart to determine how many years long the expected treatment should be,

rather than the costs of treatment.

As for complainant’s claim that she requires shoulder surgery,

a wheelchair, and home remodeling to accommodate her wheelchair,

we decline to award her damages for such expenses.  In that regard,

we note complainant only submitted documentary evidence detailing these

expenses on appeal, despite our remand of this matter for the express

purpose of presenting and establishing her need for future medical

expenses.  As a general rule, no new evidence will be considered on

appeal unless there is an affirmative showing that the evidence was not

reasonably available prior to or during the investigation.  See Equal

Employment Opportunity Management Directive for 29 C.F.R. Part 1614

(EEO MD- 110), 9-15 (November 9, 1999).  Furthermore, we note there

is limited evidence that complainant’s  shoulder surgery was caused

by the agency’s discriminatory actions, as opposed to other factors.

Complainant’s claim for a wheelchair and home improvement costs stem from

the need for surgery, and are speculative in nature.  As such, we decline

to award complainant future pecuniary damages related to these claims.

Complainant presented on appeal receipts related to her orthodic shoes.

However, she failed to provide any evidence as to who recommended

that she wear the shoes, and what problem they were meant to correct..

As such, we are unable to determine whether they were related to the

discrimination, or a pre-existing condition.

Finally, we note that complainant’s attorney has submitted his

fee petition in the instant appeal.  EEOC Regulation 29 C.F.R. §

1614.501(e)(2) requires that complainant’s attorney submit his fee

petition to the agency for a decision along with a right to appeal to

the Office of Federal Operations.  Complainant’s attorney is directed

to the paragraph and order below.

Therefore, after a careful review of the record, including complainant’s

contentions on appeal, the agency’s response, and arguments and evidence

not specifically addressed in this decision, we affirm the FAD.

ORDER (C0900)

The agency is ordered to take the following remedial action:

To the extent that the agency has not yet done so, the agency is ordered

to pay complainant $4,917.00 in pecuniary damages within thirty (30)

days of the date this decision becomes final.

To the extent that the agency has not yet done so, the agency shall

pay complainant’s reasonable attorney’s fees and costs in accordance

with the paragraph below.

The agency is further directed to submit a report of compliance, as

provided in the statement entitled “Implementation of the Commission’s

Decision.”  The report shall include supporting documentation verifying

that the corrective action has been implemented.

ATTORNEY’S FEES (H0900)

If complainant has been represented by an attorney (as defined by

29 C.F.R. § 1614.501(e)(1)(iii)), he/she is entitled to an award of

reasonable attorney’s fees incurred in the processing of the complaint.

29 C.F.R. § 1614.501(e).  The award of attorney’s fees shall be paid

by the agency.  The attorney shall submit a verified statement of fees

to the agency — not to the Equal Employment Opportunity Commission,

Office of Federal Operations — within thirty (30) calendar days of this

decision becoming final.  The agency shall then process the claim for

attorney’s fees in accordance with 29 C.F.R. § 1614.501.

IMPLEMENTATION OF THE COMMISSION’S DECISION (K0501)

Compliance with the Commission’s corrective action is mandatory.

The agency shall submit its compliance report within thirty (30)

calendar days of the completion of all ordered corrective action. The

report shall be submitted to the Compliance Officer, Office of Federal

Operations, Equal Employment Opportunity Commission, P.O. Box 19848,

Washington, D.C.  20036.  The agency’s report must contain supporting

documentation, and the agency must send a copy of all submissions to

the complainant.  If the agency does not comply with the Commission’s

order, the complainant may petition the Commission for enforcement

of the order.  29 C.F.R. § 1614.503(a).  The complainant also has the

right to file a civil action to enforce compliance with the Commission’s

order prior to or following an administrative petition for enforcement.

See 29 C.F.R. §§ 1614.407, 1614.408, and 29 C.F.R. § 1614.503(g).

Alternatively, the complainant has the right to file a civil action on

the underlying complaint in accordance with the paragraph below entitled

“Right to File A Civil Action.”  29 C.F.R. §§ 1614.407 and 1614.408.

A civil action for enforcement or a civil action on the underlying

complaint is subject to the deadline stated in 42 U.S.C. 2000e-16(c)

(1994 & Supp. IV 1999).  If the complainant files a civil action, the

administrative processing of the complaint, including any petition for

enforcement, will be terminated.  See 29 C.F.R. § 1614.409.

STATEMENT OF RIGHTS – ON APPEAL

RECONSIDERATION (M0701)

The Commission may, in its discretion, reconsider the decision in this

case if the complainant or the agency submits a written request containing

arguments or evidence which tend to establish that:

1. The appellate decision involved a clearly erroneous interpretation

of material fact or law; or

2. The appellate decision will have a substantial impact on the policies,

practices, or operations of the agency.

Requests to reconsider, with supporting statement or brief, must be filed

with the Office of Federal Operations (OFO) within thirty (30) calendar

days of receipt of this decision or within twenty (20) calendar days of

receipt of another party’s timely request for reconsideration. See 29

C.F.R. § 1614.405; Equal Employment Opportunity Management Directive for

29 C.F.R. Part 1614 (EEO MD-110), 9-18 (November 9, 1999).  All requests

and arguments must be submitted to the Director, Office of Federal

Operations, Equal Employment Opportunity Commission, P.O. Box 19848,

Washington, D.C. 20036.  In the absence of a legible postmark, the

request to reconsider shall be deemed timely filed if it is received by

mail within five days of the expiration of the applicable filing period.

See 29 C.F.R. § 1614.604.  The request or opposition must also include

proof of service on the other party.

Failure to file within the time period will result in dismissal of your

request for reconsideration as untimely, unless extenuating circumstances

prevented the timely filing of the request.  Any supporting documentation

must be submitted with your request for reconsideration.  The Commission

will consider requests for reconsideration filed after the deadline only

in very limited circumstances.  See 29 C.F.R. § 1614.604(c).

COMPLAINANT’S RIGHT TO FILE A CIVIL ACTION (S0900)

You have the right to file a civil action in an appropriate United States

District Court within ninety (90) calendar days from the date that you

receive this decision.    If you file a civil action, you must name as

the defendant in the complaint the person who is the official agency head

or department head, identifying that person by his or her full name and

official title.  Failure to do so may result in the dismissal of your

case in court.  “Agency” or “department” means the national organization,

and not the local office, facility or department in which you work. If you

file a request to reconsider and also file a civil action, filing a civil

action will terminate the administrative processing of your complaint.

RIGHT TO REQUEST COUNSEL (Z1199)

If you decide to file a civil action, and if you do not have or cannot

afford the services of an attorney, you may request that the Court appoint

an attorney to represent you and that the Court permit you to file the

action without payment of fees, costs, or other security.  See Title VII

of the Civil Rights Act of 1964, as amended, 42 U.S.C. § 2000e et seq.;

the Rehabilitation Act of 1973, as amended, 29 U.S.C. §§ 791, 794(c).

The grant or denial of the request is within the sole discretion of

the Court.  Filing a request for an attorney does not extend your time

in which to file a civil action.  Both the request and the civil action

must be filed within the time limits as stated in the paragraph above

(“Right to File A Civil Action”).

FOR THE COMMISSION:

______________________________

Carlton M. Hadden, Director

Office of Federal Operations

9/4/02

Date

CERTIFICATE OF MAILING

For timeliness purposes, the Commission will presume that this decision

was received within five (5) calendar days after it was mailed.  I certify

that this decision was mailed to complainant, complainant’s representative

(if applicable), and the agency on:

__________________

Date

______________________________

Equal Opportunity Assistant