A shipowner's duty to furnish an injured seaman maintenance and
cure continues from the date the seaman leaves the ship to the date
when a medical diagnosis is made that his injury was permanent
immediately after his accident, and therefore incurable. Pp.
422 U. S. 3-6.
495 F.2d 1374, reversed and remanded.
BRENNAN, J., delivered the opinion for a unanimous Court.
MR. JUSTICE BRENNAN delivered the opinion of the Court.
We granted certiorari in this case limited to the question
whether a shipowner's duty to furnish an injured seaman maintenance
and cure continues from the date
Page 421 U. S. 2
the seaman leaves the ship to the date when a medical diagnosis
is made that the seaman's injury was permanent immediately after
his accident, and therefore incurable. [
Footnote 1] 419 U.S. 894 (1974).
Petitioner was a seaman aboard respondent's Great Lakes vessel,
S.S.
Robert S. McNamara. He was discharged and left the
ship on June 29, 1968. Thereafter, he filed this suit in the
District Court for the Eastern District of Michigan, Southern
Division, based on a claim that, on April 4, 1968, while replacing
a lower engine room deck plate, he slipped and fell on the oily
floor plate, causing his head to suffer a severe blow when it
struck an electrical box. The complaint included a count, among
others, [
Footnote 2] for
maintenance and cure. The medical testimony at the trial was that
petitioner suffered from a vestibular disorder defined as damage to
the balancing mechanism of the inner ear. The testimony of
respondent's medical witness, Dr. Heil, an otolaryngologist,
supplied the only medical diagnosis as to the time when the
disorder became permanent and not susceptible of curative
treatment. Dr. Heil testified, on April 27, 1972, that he had
recently examined petitioner. He conceded that
Page 421 U. S. 3
a severe blow to the head, such as alleged by petitioner, could
have caused the disorder. He said, however, that the disorder is
not a condition that can be cured by treatment. [
Footnote 3] The jury awarded petitioner
maintenance and cure in the amount of $5,848. Respondent moved for
a judgment notwithstanding the verdict on the ground that the award
was not within the permissible scope of maintenance and cure. The
District Court denied the motion and stated:
"While it is true that maintenance and cure is not available for
a sickness declared to be permanent, it is also true that
maintenance and cure continues until such time as the incapacity is
declared to be permanent."
App. 20a. The Court of Appeals for the Sixth CirClit reversed
without a published opinion, 495 F.2d 1374 (1974). The Court of
Appeals held that, "once the seaman reaches
maximum medical
recovery,' the shipowner's obligation to provide maintenance and
cure ceases," App. 28a, and, since "[t]he record in this case does
not permit an inference other than that [petitioner's] condition
was permanent immediately after the accident," id. at 29a,
the District Court's holding impermissibly extended the shipowner's
obligation.
We dlsagree with the Court of Appeals, and therefore reverse.
The shipowner's ancient duty to provide maintenance and cure for
the seaman who becomes ill or is injured while in the service of
the ship derives from the "unique hazards [which] attend the work
of seamen," and fosters the "combined object of encouraging marine
commerce
Page 421 U. S. 4
and assuring the wellbeing of seamen."
Aguilar v. Standard
Oil Co., 318 U. S. 724,
318 U. S. 727
(1943). To further that "combined object," we have held that the
duty arises irrespective of the absence of shipowner'negligence
and, indeed, irrespective of whether the illness or injury is
suffered in the course of the seaman's employment.
Calmar S.S.
Corp. v. Taylor, 303 U. S. 525,
303 U. S. 527
(1938). And,
"[s]o broad is the shipowner's obligation, . . . negligence or
acts short of culpable misconduct on the seaman's part will not
relieve [the shipowner] of the responsibility."
Aguilar v. Standard Oil Co., supra at
318 U. S.
730-731. Thus, the breadth and inclusiveness of the
shipowner's duty assure its easy and ready administration for "[i]t
has few exceptions or conditions to stir contentions, cause delays,
and invite litigations."
Farrell v. United States,
336 U. S. 511,
336 U. S. 516
(1949).
Denial of maintenance and cure when the seaman's injury, though,
in fact, permanent immediately after the accident, is not medically
diagnosed as permanent until long after its occurrence, would
obviously disserve and frustrate the "combined object of
encouraging marine commerce and assuring the wellbeing of seamen."
A shipowner might withhold vitally necessary maintenance and cure
on the belief, however well or poorly founded, that the seaman's
injury is permanent and incurable. Or the seaman, if paid
maintenance and cure by the shipowner, might be required to
reimburse the payments if it is later determined that the injury
was permanent immediately after the accident. Thus, uncertainty
would displace the essential certainty of protection against the
ravages of illness and injury that encourages seamen to undertake
their hazardous calling. Moreover, easy and ready administration of
the shipowner's duty would seriously suffer from the introduction
of complexities and uncertainty that could "stir contentions, cause
delays, and invite litigations."
Page 421 U. S. 5
The Shipowners' Liability Convention, made effective for the
United States on October 29, 1939,
Farrell v. United States,
supra, at
336 U. S. 517,
buttresses our conclusion that the District Court correctly held
that "maintenance and cure continues until such time as the
incapacity is declared to be permanent." [
Footnote 4] That holding tracks the wording of Art. 4,
� 1, of the Convention which provides:
"The shipowner shall be liable to defray the expense of medical
care and maintenance until the sick or injured person has been
cured,
or until the sickness or incapacity has been declared of
a permanent character."
54 Stat. 1696. (Emphasis supplied.) The aim of the
Convention
"was not to change materially American standards, but to
equalize operating costs by raising the standards of member nations
to the American level.
Page 421 U. S. 6
Warren v. United States, 340 U. S.
523,
340 U. S. 527 (1951). Thus,
Art. 4, � 1, is declaratory of a longstanding tradition respecting
the scope of the shipowner's duty to furnish injured seamen
maintenance and cure, [
Footnote
5]
Farre v. United States, supra at
336 U. S.
518, and therefore the District Court's interpretation
was correct."
The judgment of the Court of Appeals is reversed, and the case
is remanded for further proceedings consistent with this
opinion.
So ordered.
[
Footnote 1]
This question is subsumed in Question I presented in the
petition for writ of certiorari:
"Is a disabled seaman who contracted by trauma a permanent
disease while in the service of a vessel entitled to maintenance
and cure payments during the interim between the period the
incident occurred and the time the disease was medically diagnosed
and proclaimed incurable?"
[
Footnote 2]
Petitioner also sought damages under counts founded on the Jones
Act, 41 Stat. 1007, 46 U.S.C. § 688, and on unseaworthiness under
general maritime law. The Court of Appeals affirmed the judgment in
favor of respondent entered on a jury verdict of no cause for
action on either count. We denied review of the judgment of the
Court of Appeals in respect of that affirmance when we denied the
petition for writ of certiorari as respects Question II presented
in the petition.
[
Footnote 3]
When asked whether petitioner might be cured by treatment, Dr.
Heil testified:
"No, not really. Treatment is primarily symptomatic for this
condition. That is, people with a vestibular disorder are apt to
have intermittent episodes of dizziness which, on occasion, are
somewhat more severe. Treatment is limited to those times when the
patient is particularly dizzy. They can obtain some symptomatic
relief with medication. Other than that, there is no specific cure
or treatment."
[
Footnote 4]
On this record, maintenance and cure could have been claimed to
continue from June 29, 1968, the date petitioner left the vessel,
to April 27, 1972, the date Dr. Heil testified that the vestibular
disorder was permanent immediately after the accident, and not
susceptible of curative treatment. The jury, however, awarded
petitioner maintenance and cure at $8 per day only for the period
from June 29, 1968, to June 29, 1970. Petitioner's appeal to the
Court of Appeals did not, however, draw into question a claim of
entitlement to maintenance and cure for the longer period. App.
25a. In that circumstance, petitioner is not entitled to the relief
respecting the longer period sought by him in this Court, Brief for
Petitioner 19.
See Le Tulle v. Scofield, 308 U.
S. 415,
308 U. S.
421-422 (1940). Moreover, in light of our holding that
the shipowner's duty continued until Dr. Heil's testimony, it is
not necessary to address the question whether the jury award might
also be sustained on the ground that the shipowner's duty, in any
event, obliged him to provide palliative medical care to arrest
further progress of the condition or to reduce pain, and we
intimate no view whatever upon the shipowner's duty in that regard.
Compare Ward v. Union Barge Line Corp., 443 F.2d 565, 572
(CA3 1971),
with the opinion of the Court of Appeals in
this case. App. 29a n. 1. Nor do we express any view whether a
seaman may forfeit his right to maintenance and cure by not
reporting a known injury or malady, or by refusing from the outset
to allow proper medical examination, or by discontinuing medical
care made available.
[
Footnote 5]
See Desmond v. United States, 217 F.2d 948, 950 (CA2
1954): "The shipowner is liable for maintenance and cure only until
the disease is cured
or recognized as incurable" (emphasis
supplied);
Vitco v. Joncich, 130 F.
Supp. 945, 949 (SD Cal.1955),
aff'd, 234 F.2d 161 (CA9
1956):
"The shipowner's obligation to furnish maintenance is
coextensive in time with his duty to furnish cure . . . , and
neither obligation is discharged
until the earliest time when
it is reasonably and in good faith determined by those charged with
the seaman's care and treatment that the maximum cure reasonably
possible has been effected."
(Emphasis supplied.)
It is therefore unnecessary to address the conflict between
commentators whether the Convention is applicable to Great Lakes
shipping.
Compare G. Gilmore & C. Black, The Law of
Admiralty 323 (2d ed.1975) ("Evidently the Convention was not to
apply to . . . Great Lakes shipping"),
with 4 E. Benedict,
Admiralty 296 (6th ed.1940) ("[T]he Convention would seem to apply
to the Great Lakes, which are not
inland waters' in the usual
sense. . . ."). The United States' reservation to the Convention
provides: "[T]he United States Government understands and construes
the words `maritime navigation' appearing in this Convention to
mean navigation on the high seas only." 54 Stat. 1704.
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