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Wills v. Foster

Citations: 867 N.E.2d 1223; 372 Ill. App. 3d 670; 311 Ill. Dec. 237Docket: 4-06-0674

Court: Appellate Court of Illinois; April 18, 2007; Illinois; State Appellate Court

Narrative Opinion Summary

In this case, the plaintiffs appealed a trial court's decision to reduce their compensatory damages for medical expenses, awarded by a jury, from $80,163.47 to $19,005.50 after an automobile accident caused by the defendant. The appeal centered on whether the collateral-source rule applied to the plaintiff's medical expenses paid by Medicare and Medicaid. The plaintiff argued that the collateral-source rule should permit recovery of the full billed amount, as supported by the Illinois Supreme Court's decision in Arthur v. Catour, which allowed consideration of billed amounts in the context of insurance. However, the defendant maintained, and the court agreed, that the rule did not apply as the plaintiff bore no financial liability for the medical expenses covered by government programs. The court upheld the reduction, reasoning that the benefits were not obtained through a third-party exchange, thus aligning with Peterson, which precludes recovery for free services. The dissenting opinion argued for a broader application of the collateral-source rule, asserting that government program recipients should not be disadvantaged. The court ultimately affirmed the trial court's decision, limiting the plaintiff's recovery to amounts actually paid by Medicare and Medicaid.

Legal Issues Addressed

Application of the Collateral-Source Rule in Government Benefits Cases

Application: The court concluded the collateral-source rule does not apply to government-provided benefits without the plaintiff's incurred expense or obligation.

Reasoning: The conclusion is that the collateral-source rule is inapplicable because the benefits were not obtained through a third-party exchange.

Collateral-Source Rule

Application: The collateral-source rule was argued to be inapplicable because the plaintiff did not incur liability for her medical expenses and did not pay premiums for the government benefits received.

Reasoning: The defendant contended that the collateral-source rule was inapplicable since Wills did not incur liability for her medical expenses and did not pay premiums for the governmental benefits received.

Medicare and Medicaid as Collateral Sources

Application: The ruling established that Medicare and Medicaid benefits are excluded from the collateral-source rule under Illinois law, aligning with the view that these benefits do not involve incurred liability.

Reasoning: The ruling aligns Illinois with the states that exclude Medicare and Medicaid benefits from the collateral-source rule, asserting that individuals covered by these programs do not make any expenditures and thus lack liability.

Precedent from Arthur v. Catour and Peterson

Application: The court adhered to the Peterson precedent, which denies recovery for benefits not incurred as a liability, distinguishing it from Arthur v. Catour, where insurance-related billed amounts were considered.

Reasoning: Since the Arthur court did not overrule Peterson, the latter remains the applicable precedent, emphasizing that one cannot recover for free services without expense, obligation, or liability.