Kerry Simmons v. Cornerstone Investments, LLC ( 2019 )


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  •                          Supreme Court of Louisiana
    FOR IMMEDIATE NEWS RELEASE                                         NEWS RELEASE #021
    FROM: CLERK OF SUPREME COURT OF LOUISIANA
    The Opinions handed down on the 8th day of May, 2019, are as follows:
    BY CLARK, J.:
    2018-CC-0735      KERRY SIMMONS v. CORNERSTONE INVESTMENTS, LLC, ET AL. (Parish of
    Rapides)
    In a tort case against a third party tortfeasor, the lower courts
    did not err in prohibiting a plaintiff from introducing the full
    amount of medical expenses billed and in allowing only evidence
    of the amount actually paid by the employer through workers’
    compensation.    We concluded the amount of medical expenses
    charged above the amount actually incurred is not a collateral
    source and its exclusion from the purview of the jury was proper.
    Accordingly, we affirmed the lower courts’ ruling. AFFIRMED.
    HUGHES, J., concurs with reasons.
    GENOVESE, J., dissents and assigns reasons.
    05/08/19
    SUPREME COURT OF LOUISIANA
    No. 2018-CC-0735
    KERRY SIMMONS
    VERSUS
    CORNERSTONE INVESTMENTS, LLC, ET AL.
    ON SUPERVISORY WRITS TO THE NINTH JUDICIAL
    DISTRICT COURT, PARISH OF RAPIDES
    CLARK, Justice
    At issue is whether, in a tort case against a third party tortfeasor, the lower
    courts erred in prohibiting a plaintiff from introducing the full amount of medical
    expenses billed and allowing only evidence of the amount actually paid by the
    employer through workers’ compensation. We granted this writ application to
    determine the applicability of the collateral source rule to the instant facts. For the
    reasons that follow, we conclude the amount of medical expenses charged above the
    amount actually incurred is not a collateral source and its exclusion from the purview
    of the jury was proper.
    FACTS AND PROCEDURAL HISTORY
    Kerry Simmons, (“Plaintiff”), was employed by Cintas Corporation No. 2,
    (“Cintas”), at its warehouse in Pineville, Louisiana. Plaintiff was working in the
    course and scope of his employment when he was injured on October 12, 2011, while
    attempting to close a roll-up rear bay door that had become jammed. Plaintiff
    received workers’ compensation benefits from Cintas, including disability and
    medical expenses. The medical bills charged by Plaintiff’s healthcare providers
    totaled $24,435; this amount was reduced to $18,435 in accordance with the
    Louisiana Workers’ Compensation Act Medical Reimbursement Schedule. Thus,
    there is a “written off” amount of $6,000 at issue.
    Subsequently, Plaintiff filed suit against Cornerstone and its insurer
    (“Defendants”), as the owner of the builder. Plaintiff alleged the warehouse’s rear
    bay door was defective, and that, but for this unreasonably dangerous defect his
    accident would not have occurred. Cintas and its workers’ compensation carrier
    intervened, asserting its right to reimbursement. Plaintiff settled with Cintas,
    waiving his claims for additional workers’ compensation benefits in consideration
    of Cintas waiving its intervention claim for reimbursement. Thereafter, Defendants
    filed a motion in limine seeking to exclude evidence of the amount of medical
    expenses “written off” due to workers’ compensation payments and include, as
    evidence, only the medical expenses that were actually paid by workers’
    compensation. Plaintiff filed a competing motion in limine seeking to have the entire
    amount in medical bills admitted into evidence as a collateral source.
    The trial court granted Defendants’ motion.           Specifically, it prohibited
    evidence of the amount of medical expenses “written off” due to workers’
    compensation payments and found that the only evidence of medical expenses to go
    to the jury would be the amount paid by workers’ compensation. The trial court also
    denied Plaintiff’s motion in limine. The Court of Appeal, Third Circuit, denied the
    writ in a 2-1 decision. The dissent found that the application of the collateral source
    rule furthers the policy goal of tort deterrence and the trial court abused its discretion
    in granting Defendants’ motion in limine. Plaintiff then applied to this court. We
    granted the writ application to determine the applicability of the collateral source
    rule to medical expenses “written off” pursuant to the Workers’ Compensation
    reduced fee schedule. Simmons v. Cornerstone Investments, LLC, 18-735 (La.
    9/21/18), 
    252 So. 3d 491
    .
    DISCUSSION
    Jurisprudential Developments:
    2
    We begin our analysis with a review of the development of the collateral
    source rule. In Louisiana Dept. of Transp. & Dev. v. Kansas City Southern Railway
    Co., 02-2349, p. 6 (La. 5/20/03), 
    846 So. 2d 734
    , 739, this court held:
    Under the collateral source rule, a tortfeasor may not benefit, and an
    injured plaintiff’s tort recovery may not be reduced, because of monies
    received by the plaintiff from sources independent of the tortfeasor’s
    procuration or contribution. Under this well-established doctrine, the
    payments received from the independent source are not deducted from
    the award the aggrieved party would otherwise receive from the
    wrongdoer.
    Subsequently, in Bozeman v. State, 03-1016 (La. 7/2/04), 
    879 So. 2d 692
    , this
    court considered whether the collateral source rule applied to medical expenses
    which were “written off” under the Medicaid program. In analyzing this issue, this
    court noted that the plaintiff paid no consideration for the “written off” amount. The
    court provided:
    [W]here the plaintiff pays no enrollment fee, has no wages deducted,
    and otherwise provides no consideration for the collateral source
    benefits he receives, we hold that the plaintiff is unable to recover the
    “write-off” amount. This position is consistent with the often-cited
    statement in Gordon v. Forsyth County Hospital Authority, Inc., 
    409 F. Supp. 708
    (M.D.N.C. 1975), affirmed in part and vacated in part,
    
    544 F.2d 748
    (4th Cir. 1976), that “(i)t would be unconscionable to
    permit the taxpayers to bear the expense of providing free medical care
    to a person and then allow that person to recover damages for medical
    expenses from a tortfeasor and pocket the windfall.” (Emphasis by the
    court).
    After careful review, we conclude that Medicaid is a free medical
    service, and that no consideration is given by a patient to obtain
    Medicaid benefits. His patrimony is not diminished, and therefore, a
    plaintiff who is a Medicaid recipient is unable to recover the “write off”
    amounts. [Boldfacing in original].
    In Bellard v. Amer. Cent. Ins. Co., 07-1335, (La. 4/18/08), 
    980 So. 2d 654
    ,
    this court was tasked with deciding whether an employer’s uninsured motorist
    carrier was entitled to a credit in the amount of workers’ compensation payments
    paid to or on behalf of the plaintiff. In making the determination, we again focused
    on whether the plaintiff’s patrimony was diminished, stating:
    3
    After Bozeman, two primary considerations guide our determination
    with respect to the collateral source rule. The first consideration is
    whether application of the rule will further the major policy goal of tort
    deterrence. The second consideration is whether the victim, by having
    a collateral source available as a source of recovery, either paid for such
    benefit or suffered some diminution in his or her patrimony because of
    the availability of the benefit, such that no actual windfall or double
    recovery would result from application of the rule. An analysis of these
    two considerations in the instant case leads to the conclusion that the
    collateral source rule does not apply under the circumstances presented.
    
    Id. at 669.
    In Cutsinger v. Redfern, 08-2607 (La. 5/22/09), 
    12 So. 3d 945
    , this court
    found the collateral source rule did not apply to prevent the plaintiff’s uninsured
    motorist carrier from receiving a credit for workers’ compensation benefits paid by
    her employer, even though the plaintiff paid for the UM coverage herself. In so
    ruling, this court relied on a finding of solidary liability between the UM carrier and
    the workers’ compensation insurer and a secondary finding that the workers’
    compensation benefits were not paid for with consideration by the plaintiff and, thus,
    did not diminish her patrimony. Accordingly, it concluded the collateral source rule
    did not override the principles of solidarity.
    Most recently, the court discussed the issue in Hoffman v. 21st Century North
    American Ins. Co., 14-2279 (La. 10/2/15), 
    209 So. 3d 702
    , in which it declined to
    apply the collateral source rule to an attorney-negotiated medical discount. The court
    cited several reasons for not applying the collateral source rule:
    We decline to extend the collateral source rule to attorney-negotiated
    medical discounts obtained through the litigation process. We hold that
    such a discount is not a payment or benefit that falls within the ambit
    of the collateral source rule. First, allowing the plaintiff to recover an
    amount for which he has not paid, and for which he has no obligation
    to pay, is at cross purposes with the basic principles of tort recovery in
    our Civil Code. The wrongdoer is responsible only for the damages he
    or she has caused. La. Civ.Code art. 2315. The plaintiff has suffered no
    diminution of his patrimony to obtain the write-off, and, therefore, the
    defendant in this case cannot be held responsible for any medical bills
    or services the plaintiff did not actually incur and which the plaintiff
    need not repay. Because the evidence before the trial court was that Mr.
    Hoffman paid $950.00 for the MRIs, he is not entitled to recover any
    additional amount. Any recovery above $950.00 for the MRIs would
    4
    amount to a windfall and force the defendant to compensate the plaintiff
    for medical expenses the plaintiff has neither incurred nor is obligated
    to pay.
    Second, we reject plaintiff’s argument that consideration for the benefit
    is given for attorney-negotiated medical discounts by virtue of the
    contractual obligation of the plaintiff to pay attorney fees, albeit only
    in the event of a recovery. This argument is based on the assumption
    that the payment of an attorney’s fee is additional damage suffered by
    the tort victim. However, “[i]t is . . . well recognized in the
    jurisprudence of this state that as a general rule attorney fees are not
    allowed except when authorized by statute or contract.” Killebrew v.
    Abbott Laboratories, 
    359 So. 2d 1275
    , 1278 (La.1978). Because the
    tortfeasor is not liable for, and the tort victim has no right to recover,
    attorney fees, the payment of an attorney fee is not additional damage
    to the plaintiff’s patrimony so as to justify the “windfall” or “double
    recovery” represented by the attorney-negotiated discount.
    Arguments of the Parties:
    In arguing in support of a finding that the collateral source rule applies to
    allow introduction to the jury of the “written off” amounts, Plaintiff contends the
    medical bills were paid by a source other than Defendant, the goal of tort deterrence
    is furthered, and Plaintiff received workers’ compensation benefits in lieu of tort
    recovery, thereby, acting to diminish his patrimony. With respect to the latter
    argument, Plaintiff argues the extent of the consideration paid depends on the
    severity of the employer’s fault in light of the fact that the employee/plaintiff cannot
    sue his employer in tort.
    Defendants, on the other hand, aver the originally charged amount did not
    diminish Plaintiff’s patrimony insofar as Plaintiff is not and never will be liable for
    the difference between the charged amount and the amount actually paid. Further,
    Defendants contend tort deterrence is not the sole factor to consider. Tort recovery
    is a motivating factor behind the jurisprudentially created doctrine; i.e., making the
    victim whole. Here, Defendants assert Plaintiff did not incur the cost of $6,000 and
    received all medical treatment necessary via payment by Cintas. Thus, evidence of
    the reduced amount would accurately demonstrate the cost of restoring Plaintiff to
    5
    the same position prior to the occurrence of the tort. Anything over and above that
    amount to prove medical damages is speculative and non-existent. Defendants then
    argue that the overall scheme of the Workers’ Compensation Act is a compromise
    between the employee and the employer, with both parties gaining advantages.
    Accordingly, they make the argument that the social legislation which balances the
    limiting of an employer’s liability against the injured employee’s waiver of tort
    recovery is not deemed “consideration” for purposes of the collateral source rule.
    Analysis:
    The first place to begin is the collateral source rule itself. “[A] tortfeasor may
    not benefit, and an injured plaintiff’s tort recovery may not be reduced, because of
    monies received by the plaintiff from sources independent of the tortfeasors’
    procuration or contribution.” Louisiana Dept. of Transp. & Dev. 02-2349, p. 
    6, 846 So. 2d at 739
    (emphasis added). Put another way, “[t]he collateral source rule exists
    to prevent the tortfeasor from benefitting from the victim’s receipt of monies from
    independent sources.” Cutsinger, 08-2607 at p. 
    13, 12 So. 3d at 954
    (emphasis
    added). Thus, it is clear the collateral source rule is tethered to payments actually
    received by the plaintiff. Importantly, we note Defendants are not objecting to the
    introduction into evidence of the underlying incurred medical expenses of $18,435,
    which were paid by Cintas. This discounted amount, which is not the subject of the
    instant motion in limine, undoubtedly qualifies for application of the collateral
    source rule, as it is “monies from [an] independent source” that Plaintiff actually
    “received.”1 Thus, the jury should hear evidence of this amount when awarding
    medical expenses, and no reference of its workers’ compensation roots should be
    made in front of the jury pursuant to La. Code Evid. art. 414.2 Stated another way,
    1
    “Receipt” is being interpreted to include payments made on behalf of the plaintiff.
    2
    Louisiana Code of Evidence art. 414 provides:
    6
    the amount of the payment is admissible, as Article 414 is written simply to prevent
    the jury from hearing about workers’ compensation being the source of the payment.
    Such an approach, as found by the lower courts and advocated for by Defendants,
    perfectly preserves the collateral source rule.
    The “written off” amount, however, is a phantom charge that Plaintiff has not
    ever paid nor one he will ever be obligated to pay. In fact, such payment by Plaintiff
    is expressly forbidden by law. Louisiana Revised Statute 23:1034.2(D) states: “Fees
    in excess of the reimbursement schedule shall not be recoverable against the
    employee, employer, or workers’ compensation insurer.” (emphasis added).
    Accordingly, the healthcare provider is statutorily prohibited from recovering from
    the injured employee any expenses over the reduced rate. Any charge over that
    amount, then, is merely speculative, not reflective of actual healthcare costs, and is
    often intentionally inflated for negotiating purposes. See, e.g., Haygood v.
    DeEscabedo, 
    356 S.W.3d 390
    , 393 (Tex. 2012). Thus, it cannot be said Plaintiff’s
    patrimony was diminished in any way when he did not actually incur these fictional
    expenses. In Hoffman, we found “a discount is not a payment or benefit that falls
    within the ambit of the collateral source rule.” Hoffman, 14-2279, p. 
    7, 209 So. 3d at 706
    .
    As pointed out in an Amicus Curiae brief to this court, the U.S. Fifth Circuit
    reached the same result in a legally indistinguishable case. In Deperrodil v. Bozovic
    Marine, Inc., 
    842 F.3d 353
    (5th Cir. 2016), the court was faced with the issue of
    whether a plaintiff can recover the inflated amount charged for medical treatment
    versus the statutorily reduced amount paid by the Longshore and Harbor Workers’
    Evidence of the nature and extent of a workers' compensation claim or of payment of past or
    future workers' compensation benefits shall not be admissible to a jury, directly or indirectly, in
    any civil proceeding with respect to a claim for damages relative to the same injury for which the
    workers' compensation benefits are claimed or paid. Such evidence shall be admissible and
    presented to the judge only.
    7
    Compensation insurer. 3               The court held that the “LHWCA medical-expense
    payments are collateral to a third party tortfeasor only to the extent paid; in other
    words, under those circumstances, plaintiff may not recover for expenses billed, but
    not paid.” 
    Id. at 361
    (emphasis added).               While we acknowledge that such
    jurisprudence has no precedential effect, we cite with approval the federal court’s
    approach to interpreting the collateral source rule, which has its basis in common
    law.
    Furthermore, we reject the notion that Plaintiff “paid consideration” in the
    form of being subjected to the Workers’ Compensation scheme in the first place.
    The Workers’ Compensation Act, as set up by the legislature, represents a
    compromise between the interests of both the employer and the employee.
    Accordingly, to give any preferential weight to the fact that the employee statutorily
    waived tort recovery against his employer would be to ignore the benefit the
    employee simultaneously obtains in receiving medical care free from consideration
    of his own contributory fault and free from the burden of undergoing litigation.
    Deshotels v. Guichard Operating Co., Inc., 03-3511 (La. 12/17/04), 
    916 So. 2d 72
    .
    Moreover, Hoffman makes clear that we take a strict view of the requirements for
    diminishing a plaintiff’s patrimony. Thus, such an indirect diminution, i.e., the loss
    of the employee’s right to file a tort suit particularly when there are reciprocal
    benefits to the employee, is insufficient to satisfy the stringent definition that is being
    jurisprudentially developed.
    Last, we find if Plaintiff prevails on the merits, a recovery of the reduced
    amount of medical bills will make him whole, which is an important consideration
    of both tort recovery and the application of the collateral source rule. La. Civ. Code
    art. 2315. The plaintiff was never obligated to pay more than the discounted amount
    3
    The amount of $128,615 was “written off.”
    8
    and under our civilian code of liability, Plaintiff should not profit from a tortfeasor
    in the absence of the availability and proof of punitive damages. In Chauvin v. Exxon
    Mobil Corp., 2014-0808, p. 10 (La. 12/9/14), 
    158 So. 3d 761
    , 768, this court stated:
    The general public policy in Louisiana is against punitive damages.
    Ross v. Conoco, Inc., 02–0299, p. 14 (La. 10/15/02), 
    828 So. 2d 546
    ,
    555. Thus, punitive or other penalty damages are not allowed unless
    expressly authorized by statute. And even when a statute does authorize
    the imposition of punitive damages, it is strictly construed. 
    Id. Plaintiff places
    much emphasis on tort deterrence, essentially arguing that it,
    as a public policy factor, overrides competing concerns regarding double recovery.
    We acknowledge the important role of tort deterrence within our tort system;
    however, to stretch the argument to include the award of un-incurred medical
    expenses, in addition to those actually paid, is to effectively authorize the assessment
    of punitive damages in the absence of statutory authority. Thus, in this case, we find
    there is no true deterrent effect to allowing Plaintiff to recover expenses over and
    above what was actually paid.
    CONCLUSION
    To conclude, there is no basis to differentiate between the “written off”
    amount created by a reduced reimbursement fee under the Workers’ Compensation
    Act and those of a Medicaid program or an attorney-negotiated medical discount.
    (See 
    Bozeman, supra
    and 
    Hoffman, supra
    ). The bottom line is that the plaintiffs in
    each of these situations did not actually incur, and need not repay, the “written off”
    amounts at issue. Such amounts are illusory in that they are never statutorily
    susceptible of being paid by the plaintiffs. In the instant case, Plaintiff did not
    contribute to his employer’s workers’ compensation insurance premiums nor did he
    otherwise pay any consideration for the benefits. The healthcare providers, by law,
    cannot charge him for more than what the fee schedule allows. La. R.S.
    23:1034.2(D). This reduction is not the benefit of some bargain struck by Plaintiff;
    9
    rather, in much the same way that medical expenses covered by Medicaid are limited
    by statute, so too are the medical expenses limited purely by operation of the
    Workers’ Compensation Act. Thus, Plaintiff’s patrimony was not diminished.
    Therefore, any recovery in addition to the reduced amount of medical bills would be
    a windfall to Plaintiff and against the rationale behind the collateral source rule. The
    discounted rate accurately reflects Plaintiff’s compensatory damages, and anything
    beyond that rate would amount to punitive damages. Plaintiff’s ability to fully
    recover and to be made whole is adequately represented by the availability of the
    reduced medical bills. Accordingly, we find the collateral source rule does not apply
    and the lower courts’ rulings on the motions in limine are affirmed.
    AFFIRMED.
    10
    05/08/19
    SUPREME COURT OF LOUISIANA
    No. 2018-CC-0735
    KERRY SIMMONS
    VERSUS
    CORNERSTONE INVESTMENTS, LLC, ET AL.
    ON SUPERVISORY WRITS TO THE NINTH JUDICIAL
    DISTRICT COURT, PARISH OF RAPIDES
    Hughes, J., concurring.
    Respectfully, the majority fails to recognize the mechanics of a civil jury trial.
    Fortunately, an interlocutory ruling can be revised by the trial court at any point prior
    to final judgment.
    I agree that the plaintiff may only recover the amount authorized by law for
    his past medical expenses, not the amount billed by the medical providers. However,
    this does not make the plaintiff “whole.” This is not a workers’ compensation case.
    The plaintiff is entitled to seek damages against the tortfeasor for, not only past
    medical expenses, but also for future medical expenses, pain and suffering, mental
    anguish, and other general damages allowed by law. To do so, the plaintiff is entitled
    to present to the jury evidence of the duration of his medical treatment, including
    each doctor visit, drugs prescribed, physical therapy ordered, or any other medical
    treatment endured. This evidence may best be presented through an itemized
    statement from the medical provider, with the dollar amounts for the charges and/or
    payments redacted. Thus the plaintiff may pursue his claim “to be made whole”
    without prejudice.
    1
    The amount for past medical expenses can be stipulated to by the parties, or
    the trial court can simply order the amount to be filled in on the jury verdict form as
    part of its ruling on the motion in limine.
    2
    05/08/19
    SUPREME COURT OF LOUISIANA
    NO. 18-CC-0735
    KERRY SIMMONS
    VERSUS
    CORNERSTONE INVESTMENTS, LLC, ET AL.
    ON SUPERVISORY WRITS TO THE NINTH JUDICIAL
    DISTRICT COURT, PARISH OF RAPIDES
    GENOVESE, J., dissents and assigns the following reasons:
    This is a classic case of apples and oranges in the fruit orchard. The apple is
    the majority opinion; the orange is the trial court’s ruling. This matter comes before
    this court via a motion in limine and not a trial on the merits. The trial court ruled
    in favor of the defendants precisely as follows (emphasis added):
    Defendants’ Motion in Limine prohibiting evidence of the
    amount of medical expenses written off due to worker[s’]
    compensation payments is granted and that the only
    evidence of medical expenses to go to the jury will be
    the amount paid by worker[s’] compensation.
    The elephant in the room is La. Code Evid. art. 414, which reads as follows
    (emphasis added):
    Workers’ compensation payments
    Evidence of the nature and extent of a workers’
    compensation claim or of payment of past or future
    workers’ compensation benefits shall not be admissible
    to a jury, directly or indirectly, in any civil proceeding
    with respect to a claim for damages relative to the same
    injury for which the workers’ compensation benefits are
    claimed or paid. Such evidence shall be admissible and
    presented to the judge only.
    An elementary reading of La. Code Evid. art. 414 mandates the inadmissibility of
    evidence, in a jury trial, of medical expenses paid by a workers’ compensation
    insurer. This codal article trumps the jurisprudential pronouncements relative to the
    collateral source rule.
    The entirety of the majority opinion in this case focuses solely on the collateral
    source rule, breathlessly dismissing the relevant statute in a single sentence. It is an
    apple when picking oranges in the fruit orchard. Louisiana Code of Evidence Article
    414 is directly on point and specifically prohibits any evidence of workers’
    compensation payments (directly or indirectly) to go to the jury. This is a jury trial.
    Thus, the trial court unquestionably erred in ordering that the only evidence of
    medical expenses to go to the jury will be the amount paid by the workers’
    compensation insurer of Cintas. The majority’s interpretation of La. Code Evid. art.
    414 that only the source of the workers’ compensation payment is prohibited to be
    entered into evidence before a jury effectively neuters the broad and specific codal
    language that “evidence of the nature and extent” of a workers’ compensation claim
    or payment shall not be admissible “directly or indirectly.” This drive-by attempt
    to narrow Article 414’s applicability conveniently ignores the fact that this provision
    could hardly be more expansively worded. The definitive language of La Code Evid.
    art. 414 clearly demonstrates that the Legislature did not intend for juries to have
    even indirect evidence of any workers’ compensation benefits received by a
    claimant. Thus, any reference, direct or otherwise, to the benefits paid by a workers’
    compensation carrier violates Article 414. As a result of this opinion, anything goes
    with reference to payments made by the workers’ compensation insurer in a tort case
    before a jury, regardless of the Article 414 prohibition.
    There is no need to address the applicability of the collateral source rule vis-
    à-vis this case at this stage of the proceeding, as that issue was not ruled upon in this
    motion in limine. What was ruled upon was the trial court allowing evidence of
    workers’ compensation payments to go to the jury in blatant contravention of the
    codal mandate of La. Code Evid. art. 414.
    2
    The trial court’s ruling was an evidentiary ruling, not a ruling on the
    applicability of the collateral source rule. The effect of this ruling is critical. The
    tort victim loses, and the tortfeasor triumphs. The tort victim is now restricted to
    having the jury only consider the medical expenses paid by the workers’
    compensation insurer. This means that the tort victim will only be able to present to
    the jury the number of doctor visits, amount and extent of medication, and the
    number of treatments that amount to what the workers’ compensation insurer paid,
    and not the actual number of doctor visits, the actual amount and extent of
    medication, or the extent of treatment had. Thus, the tort victim’s medical picture is
    distorted and limited. The tort victim’s attorney will not be able to argue to the jury
    the exact number of times the tort victim went to the doctor, the accurate length of
    treatment, and the accurate amount of medication taken, because the tort victim will
    only be able to have in evidence the treatment reflected by the amount paid by the
    workers’ compensation insurer.
    This violates the paramount right of the tort victim to present the full picture
    of his medical condition and treatment to the jury. Without knowing the actual
    number and extent of visits to the doctor, the actual amount and extent of medication
    involved, and the extent of medical treatment had, the jury cannot possibly
    accurately assess the extent of the tort victim’s future medical treatment and future
    disability, if any. Certainly, the trial judge will not allow the tort victim’s attorney
    to argue to the jury medical evidence that is not in the record due to the grant of this
    motion in limine. Thus, the tort victim is stymied.
    The majority opinion, in granting defendants’ motion in limine, allows the
    consideration by the jury of only $18,435 of the tort victim’s $24,435 in total medical
    expenses. Six thousand ($6,000) dollars of the tort victim’s medical expenses were
    written off solely as a result of the tort victim’s workers’ compensation claim. A
    strict interpretation of the trial court’s ruling will preclude the tort victim’s attorney
    3
    from the benefit of presenting to the jury expenses for the $6,000 in doctor visits,
    medical expense, and treatment.       This reduction is at a minimum an indirect
    reference to the tort victim’s workers’ compensation claim and workers’
    compensation benefits received. He/she will not be able to argue what is not in the
    record. And just how is the trial judge to handle this at trial? The end result of this
    opinion penalizes the tort victim and rewards the tortfeasor in direct contravention
    of our tort law, particularly Louisiana Civil Code Article 2315.
    In lieu of side-stepping La. Code Evid. art. 414 in granting defendants’ motion
    in limine, the trial court judge can simply instruct the jury that the tort victim’s
    medical expenses have been paid and let the jury decide the issues of damages based
    upon the tort victim’s complete medical picture as opposed to a limited and/or
    restricted view. This, of course, is predicated upon the tort victim proving liability
    and his entitlement to damages to the satisfaction of the jury.
    After the jury makes its damage award, any necessary adjustments can be
    made in accordance with this court’s jurisprudence relative to the application, vel
    non, of the collateral source rule. At that point, the collateral source issue is drawn
    and can be dealt with accordingly, without impinging upon the tort victim’s right to
    present his full medical picture to the jury.
    Thus, I dissent from the majority opinion. I would reverse the lower courts,
    deny defendants’ motion in limine, and remand for further proceedings.
    4