Justices disagree about evidence issue

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Indiana Supreme Court Chief Justice Randall T. Shepard didn't agree with his colleagues' decision that a defendant couldn't introduce evidence to dispute the judgment of an injured plaintiff's medical providers in choosing certain treatment.

In his concurring-in-result opinion, the chief justice believed the holding that a responding party is barred from challenging whether bills submitted in accordance with Evidence Rule 413 actually reflect reasonable and necessary treatment will create issues when ruling whether the expenses were reasonable and necessary.

"... the breadth of today's ruling will lead future judges and juries to work injustices at the very moment when judgment is most needed to hold to account providers at the edge of reasonably necessary treatment, or beyond it," he wrote to explain why he declined to join in the "Sibbing rule" created by the other justices.

In Eric P. Sibbing v. Amanda N. Cave, No. 49S02-0906-CV-275, Eric Sibbing argued that the trial court erred in allowing Amanda Cave to testify about what she was told by her treating physician and her own beliefs on the cause of her pain; and by excluding medical-necessity evidence from Sibbing's expert witness. Sibbing rear ended Cave's car, injuring her. She sought treatment first from Dr. Muhammad Saquib at a medical clinic and later received treatment from Dr. Ronald Sheppard at a chiropractic practice.

Cave claimed portions of testimony by Sibbing's expert witness were properly excluded because they were contrary to Whitaker v. Kruse, 495 N.E.2d 223 (Ind. Ct. App. 1986). Sibbing contended if Whitaker is applicable, then a defendant wouldn't ever be able to refute a plaintiff's claim that medical bills were reasonable and necessary.

The justices held that the phrase "reasonable and necessary," as a qualification for damages recoverable by an injured party, means that the amount of medical expense claimed must be reasonable, and that the nature and extent of the treatment claimed must be necessary in the sense that it proximately resulted from the wrongful conduct of another. They also held the rule in Whitaker is a correct application of the "scope of liability" component of proximate cause.

Sibbing didn't assert that Cave failed to show, but for the collision, the challenged treatment would not have occurred. Instead, Sibbing challenged the medical judgment of Cave's doctors in choosing to administer the questioned treatment, which he can't do, the majority of justices concluded.

The justices unanimously agreed that Cave's testimony about what Saquib told her about her injuries should not have been admitted under Indiana Evidence Rule 803(4). They disagreed with and disapproved of the holding in Coffey v. Coffey, 649 N.E.2d 1074 (Ind. Ct. App. 1995), in which the Indiana Court of Appeals concluded a letter from a doctor regarding a husband's diagnosis, treatment, and inability to work fell within Rule 803(4), and allowed it to be admitted.

"While Rule 803(4) does not expressly identify which declarants' medical statements are intended to be treated as a hearsay rule exception, we hold that the Rule is intended and should apply only to statements made by persons who are seeking medical diagnosis or treatment," wrote Justice Brent Dickson.

As such, Cave's testimony should have been excluded because it didn't qualify as an exception to the hearsay rule. But the admission was cumulative, didn't affect Sibbing's substantial rights, and doesn't require reversal because of the substantial medical confirmation provided through medical records and other testimony admitted without objection.


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  1. I have an open CHINS case I failed a urine screen I have since got clean completed IOP classes now in after care passed home inspection my x sister in law has my children I still don't even have unsupervised when I have been clean for over 4 months my x sister wants to keep the lids for good n has my case working with her I just discovered n have proof that at one of my hearing dcs case worker stated in court to the judge that a screen was dirty which caused me not to have unsupervised this was at the beginning two weeks after my initial screen I thought the weed could have still been in my system was upset because they were suppose to check levels n see if it was going down since this was only a few weeks after initial instead they said dirty I recently requested all of my screens from redwood because I take prescriptions that will show up n I was having my doctor look at levels to verify that matched what I was prescripted because dcs case worker accused me of abuseing when I got my screens I found out that screen I took that dcs case worker stated in court to judge that caused me to not get granted unsupervised was actually negative what can I do about this this is a serious issue saying a parent failed a screen in court to judge when they didn't please advise

  2. I have a degree at law, recent MS in regulatory studies. Licensed in KS, admitted b4 S& 7th circuit, but not to Indiana bar due to political correctness. Blacklisted, nearly unemployable due to hostile state action. Big Idea: Headwinds can overcome, esp for those not within the contours of the bell curve, the Lego Movie happiness set forth above. That said, even without the blacklisting for holding ideas unacceptable to the Glorious State, I think the idea presented above that a law degree open many vistas other than being a galley slave to elitist lawyers is pretty much laughable. (Did the law professors of Indiana pay for this to be published?)

  3. Paul Hartman of Burbank, Oh who is helping Sister Fuller with this Con Artist Kevin Bart McCarthy scares Sister Joseph Therese, Patricia Ann Fuller very much that McCarthy will try and hurt Patricia Ann Fuller and Paul Hartman of Burbank, Oh or any member of his family. Sister is very, very scared, (YES, I AM) This McCarthy guy is a real, real CON MAN and crook. I try to totall flatter Kevin Bart McCARTHY to keep him from hurting my best friends in this world which are Carolyn Rose and Paul Hartman. I Live in total fear of this man Kevin Bart McCarthy and try to praise him as a good man to keep us ALL from his bad deeds. This man could easy have some one cause us a very bad disability. You have to PRAISAE in order TO PROTECT yourself. He lies and makes up stories about people and then tries to steal if THEY OWN THRU THE COURTS A SPECIAL DEVOTION TO PROTECT, EX> Our Lady of America DEVOTION. EVERYONE who reads this, PLEASE BE CAREFUL of Kevin Bart McCarthy of Indianapolis, IN My Phone No. IS 419-435-3838.

  4. Joe, you might want to do some reading on the fate of Hoosier whistleblowers before you get your expectations raised up.

  5. I had a hospital and dcs caseworker falsify reports that my child was born with drugs in her system. I filed a complaint with the Indiana department of health....and they found that the hospital falsified drug screens in their investigation. Then I filed a complaint with human health services in Washington DC...dcs drug Testing is unregulated and is indicating false positives...they are currently being investigated by human health services. Then I located an attorney and signed contracts one month ago to sue dcs and Anderson community hospital. Once the suit is filed I am taking out a loan against the suit and paying a law firm to file a writ of mandamus challenging the courts jurisdiction to invoke chins case against me. I also forwarded evidence to a u.s. senator who contacted hhs to push an investigation faster. Once the lawsuit is filed local news stations will be running coverage on the situation. Easy day....people will be losing their jobs soon...and judge pancol...who has attempted to cover up what has happened will also be in trouble. The drug testing is a kids for cash and federal funding situation.