Plaintiffs answering brief in opposition to certain form
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6.2 Jones Act - Unseaworthiness Maintenance And Cure The Plaintiff's [third] claim is that, as a seaman, the Plaintiff is entitled to
recover what the law calls "maintenance and cure." This claim is
completely separate from both the Jones Act and the unseaworthiness
claims of the Plaintiff, and must be decided entirely apart from your
determination of those claims. [The only common element of the three claims is the "seaman" status of
the Plaintiff, and the test for seaman status is the same for all claims.
Therefore, if the Plaintiff has proven employment as a "seaman" on the
date of the accident for the purposes of the other claims, then you must
find that the Plaintiff is a seaman for the purposes of "maintenance and
cure." On the other hand, if you find that Plaintiff was not a seaman with
regard to the other claims, then you may not find that the Plaintiff was a
seaman entitled to "maintenance and cure."] "Maintenance and cure" is the policy of providing to a seaman who is
disabled by injury or illness while in the service of the ship medical care
and treatment, and the means of maintaining one's self, during the
period of convalescence. A seaman is entitled to maintenance and cure
even if the seaman is unable to establish that an injury was a result of
any negligence on the part of the employer or an unseaworthy condition
existing aboard the vessel. Generally speaking, in order to recover
maintenance and cure, the Plaintiff need only show that an injury or
illness occurred while the Plaintiff was in the service of the vessel on
which the Plaintiff was employed as a seaman and that the injury or
illness occurred without willful misbehavior by the Plaintiff. The injury or
illness need not be work-related so long as it occurs while in the service
of the ship. Neither maintenance nor cure may be reduced because of
any negligence on the part of the seaman; and assumption of the risk is
no defense to a claim for maintenance and cure. "Maintenance" is
defined as the cost of food and lodging, and transportation to and from a
medical facility. However, a seaman is not entitled to maintenance for
any period of time while admitted as an inpatient in any hospital
because the cure provided by the employer through hospitalization
includes the food and lodging of the seaman, and, therefore, the
maintenance obligation of the employer is also discharged. The "cure"
to which a seaman may be entitled includes the cost of medical
attention, including the services of physicians and nurses as well as the
cost of hospitalization, medicines and medical apparatus. However, the
employer does not have a duty to provide cure payments for any period
of time during which a seaman is hospitalized in a United States Marine
Hospital, or in any other hospital at the employer's expense. With regard
to the period of time covered by the claim, a seaman is entitled to
receive maintenance and cure from the date of departure from the
vessel until the seaman reaches the point of "maximum possible cure"
under the circumstances, that is, the point at which no further
improvement in the seaman's medical condition is to be reasonably
expected. The obligation usually ends when qualified medical opinion is
to the effect that maximum possible cure has been effected. The owner
is not an insurer that a cure will be effected. The date when a seaman
resumes employment is one factor you may consider in deciding when
the period, if any, during which a seaman may be entitled to
maintenance and cure, ends. In a case in which the evidence warrants
a finding that the seaman was forced by economic necessity to return to
work prior to reaching maximum possible cure, that fact may be taken
into account in determining the date on which maintenance and cure
should terminate. It is important to note here that if you find that the
Plaintiff is entitled to an award of damages under either the Jones Act or
the unseaworthiness claims, and if you include either loss of wages or
medical expenses in the damage award, then maintenance and cure
cannot be awarded for the same period of time. In other words, there
can be no double recovery for the Plaintiff. However, the Plaintiff may
recover for any "willful or arbitrary" failure on the part of the employer to
have paid maintenance and cure when it was due. When the Defendant
willfully and arbitrarily fails to pay maintenance or provide cure to a
seaman up to the time that the seaman receives maximum cure, and
such failure results in an aggravation of the seaman's injury, then the
seaman may recover damages for prolongation or aggravation of the
seaman's injury, pain and suffering, additional medical expenses
incurred as a result of the failure to pay, and a reasonable attorney’s fee
and costs. Therefore, in order to award additional damages to the
Plaintiff for a willful failure of the ship owner to provide maintenance and
cure, you must find:First: That the Plaintiff was entitled to maintenance and cure; Second: that it was not provided;Third: That the Defendant willfully and arbitrarily failed to provide cure
up to the time that the seaman reached maximum cure; andFourth: That such failure resulted in injury to the Plaintiff.
An employer has a duty to investigate a seaman’s claim in good faith
and with reasonable diligence. But, an employer is not obligated to pay
maintenance and cure to a seaman just because the seaman claims an
injury, and the employer has a right to contest the claim in good faith.
Thus, an employer acts "willfully and arbitrarily" only when the employer
acts without reason, or with callous disregard for the claim of the
seaman. You may award damages for any failure of the employer to pay
maintenance and cure to the Plaintiff only if, on the basis of all the facts
and opportunities known to and available to the Defendant during the
time in question, the refusal to pay maintenance and cure was arbitrary
and capricious, or in callous disregard of the Plaintiff's claim. [Finally, it is important to remember that the Plaintiff cannot recover
attorney fees for the prosecution of either the Jones Act or the
unseaworthiness claims, but only for the prosecution of the
maintenance and cure claim, if warranted.]
6.2 Jones Act - Unseaworthiness Maintenance And Cure SPECIAL INTERROGATORIES TO THE JURY Do you find from a preponderance of the evidence?1. That the Plaintiff was a “seaman” at the time of his [illness] [injury]?Answer Yes or No2. That the Defendant willfully and arbitrarily failed to provide
maintenance and cure up to the time that the Plaintiff reached maximum
cure:Answer Yes or No3. That the Plaintiff should be awarded the following damages:
[Enumerate the recoverable elements of damages] $SO SAY WE ALL.ForepersonDATED:
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