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            Title Alexander v. Whitman

 

            Date 1997

            By

            Subject Other\Concurring

                

 Contents

 

 

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27 of 52 DOCUMENTS


KAREN ALEXANDER; DENNIS DRAZIN, ESQ.; DRAZIN AND WARSHAW, v. CHRISTINE TODD WHITMAN; PETER VERNIERO; n1 JANICE S. MATHIS; STEPHEN R. ROTHMAN; ELTON A. CONDA; W. ROBERT HENTGES; HARRY A. FREITAG, JR.; MARIA VIZCARRONDO-DE SOTO; DONALD H. WAGNER; DONALD W. DE LEO; SUSAN HOFFMAN GREENE; CAROL OSWALD; KEVIN J. HOAGLAND; MARIE S. MUHLER; * JOHN PECORARO; FRANKLIN V. FISHER; ROSALIE MASSERI; GENEVA B. WOOD; VERNON A. NOBLE; NANCY FITZGIBBONS; ANN P. CONTI; ALBERT J. RUH; MARIA BARNABY GREENWALD, Karen Alexander, individually and on behalf of all persons similarly situated; Dennis Drazin, Esq., individually and on behalf of all attorneys similarly situated; and Drazin & Warshaw, a professional corporation, individually and on behalf of all firms similarly situated, Appellants


* Caption amended per the Clerk's order of 10/25/95

n1 Deborah T. Poritz was the Attorney General for the State of New Jersey when this suit was instituted. Since that time, Deborah T. Poritz resigned as Attorney General and was appointed Chief Justice of the Supreme Court of New Jersey. Subsequently, Peter Verniero was appointed the Attorney General. Pursuant to Fed. R. App. Proc.

43(c), Peter Verniero is automatically substituted as a party plaintiff for Deborah T. Poritz.


No. 95-5414


UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT



114 F.3d 1392; 1997 U.S. App. LEXIS 12509


May 9, 1996, Argued

May 23, 1997, Filed


SUBSEQUENT HISTORY:   **1    Certiorari Denied

November 3, 1997, Reported at: 1997 U.S. LEXIS 6491. PRIOR HISTORY: ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY. (Civil No. 94-5229).


DISPOSITION: Affirmed.


CASE SUMMARY:



PROCEDURAL POSTURE: Plaintiffs mothers and at- torneys appealed a decision of the United States District Court for the District of New Jersey, which granted Fed. R. Civ. P. 12(b)(6) dismissal of plaintiffs' action against defendants, governor and county surrogates, brought pur- suant to 42 U.S.C.S. § 1983 alleging the unconstitution- ality of state tort law.


OVERVIEW: Plaintiff, mothers and attorneys, brought action  pursuant  to  42  U.S.C.S.  §  1983  against  defen-


dants, governor and county surrogates, alleging that New Jersey's Wrongful Death Act, N.J. Stat. Ann. § 2A:31-1 et seq. and Survival Action Act, N.J. Stat. Ann. § 2A:15-

3, violated the Equal Protection and Due Process Clauses of U.S. Const. amend. XIV because they denied action for beneficiaries or tortiously killed infants unless a fetus survived past birth. The district court dismissed plaintiffs' action pursuant to Fed. R. Civ. P. 12(b)(6). The court held that plaintiffs had no cause of action on behalf of stillborn fetuses under the Equal Protection Clause because fetuses were not constitutional "persons" afforded protection. The court held that there was no due process cause of action for plaintiff mothers of stillborn infants because the state tort laws did not interfere with a protected relationship or with a fundamental right, and that the state had a "rational basis" for its legislation. The court held that the state laws did not unconstitutionally create a class of mothers, those of stillborn infants, separate from other mothers and then deny them equal protection of the laws.


OUTCOME: The court affirmed the dismissal of the ac- tion  brought  plaintiffs  mothers  and  attorneys,  because


114 F.3d 1392, *; 1997 U.S. App. LEXIS 12509, **1

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the  district  court  properly  determined  that  the  com- plaint against defendants, governor and county surrogates, failed to state a claim upon which relief could be granted.


LexisNexis(R) Headnotes


Civil Procedure > Appeals > Standards of Review > De

Novo Review

Civil  Procedure  >  Summary  Judgment  >  Summary

Judgment Standard

HN1  The court exercises plenary review over a district court's order dismissing a complaint under Fed. R. Civ. P.  12(b)(6).  The  court  must  determine  if  plaintiff  may be entitled to relief under any reasonable reading of the pleadings assuming the truth of all the factual allegations in the complaint. A court may dismiss a complaint only if it is clear that no relief could be granted under any set of facts that could be proven consistent with the allegations. Torts > Wrongful Death & Survival

HN2  See N.J. Stat. Ann. § 2A:31-1.


Torts > Wrongful Death & Survival

HN3  A wrongful death action is available when a child is killed by the tortious act of another.


Torts > Wrongful Death & Survival

HN4  See N.J. Stat. Ann. § 2A:15-3.


Constitutional Law > Civil Rights Enforcement > Civil

Rights Act of 1871 > Coverage

HN5  See 42 U.S.C.S. § 1983.


Constitutional  Law  >  Equal  Protection  >  Scope  of

Protection

HN6  See U.S. Const. amend. XIV, § 1.


Constitutional  Law  >  Equal  Protection  >  Scope  of

Protection

HN7  The word "person," as used in U.S. Const. amend. XIV does not include the unborn. "Person" has applica- tion only postnatally.


Constitutional Law > Procedural Due Process > Scope of Protection

HN8  The Due Process Clause, U.S. Const. amend. XIV, not only requires that the government follow appropriate procedures when it seeks to deprive any person of life, liberty  or  property,  it  also  prevents  certain  government actions regardless of the fairness of the procedures used to implement them.


Constitutional Law > Substantive Due Process > Scope of Protection

HN9  Those to whom U.S. Const. amend XIV applies have a right to be free:  from bodily restraint but also the right  to  contract,  to  engage  in  any  of  the  common  oc- cupations of life, to acquire useful knowledge, to marry,



establish a home and bring up children, to worship God according to the dictates of their own consciences,  and generally  to  enjoy  those  privileges  long  recognized  as essential to the orderly pursuit of happiness by free men. Constitutional  Law  >  Equal  Protection  >  Level  of Review

HN10   Where  fundamental  rights  or  interests  are  in- volved,  a  state  regulation  limiting  these  fundamental rights can be justified only by a compelling state interest and legislative enactments must be narrowly drawn to ex- press only the legitimate state interests at stake. Therefore, state limitations on a fundamental right such as the right of privacy are permissible only if they survive strict constitu- tional scrutiny. Where fundamental rights or interests are not implicated or infringed, state statutes are reviewed un- der the rational basis test. That is the test traditionally ap- plied in the area of social or economic legislation. Under rational basis review,  a statute withstands a substantive due process challenge if the state identifies a legitimate state interest that the legislature could rationally conclude was served by the statute.


Constitutional  Law  >  Equal  Protection  >  Level  of

Review

HN11   When  subjecting  a  state  statute  to  rational  ba- sis  review,  a  court  is  not  entitled  to  second  guess  the legislature on the factual assumptions or policy consider- ations underlying the statute. The only inquiry permitted is whether the legislature rationally might have believed that the predicted reaction would occur or that the desired end would be served. It is up to the person challenging the statute to convince the court that the legislative facts on which the classification of the statute is apparently based could not reasonably be conceived as true by the govern- mental decisionmaker. A statute withstands a substantive due process challenge if the state identifies a legitimate state interest that the legislature rationally could conclude was served by the statute.


Constitutional  Law  >  Equal  Protection  >  Scope  of

Protection

HN12   The  Equal  Protection  Clause  of  U.S.  Const. amend. XIV announces a fundamental principle: the State must govern impartially, and directs that all persons sim- ilarly circumstanced shall be treated alike. Constitutional  Law  >  Equal  Protection  >  Level  of Review

HN13  U.S. Const. amend. XIV permits the States a wide scope of discretion in enacting laws which affect some groups  of  citizens  differently  than  others.  Therefore,  a statutory  classification  that  neither  proceeds  along  sus- pect lines nor infringes fundamental constitutional rights must be upheld against equal protection challenge if there is  any  reasonably  conceivable  state  of  facts  that  could


114 F.3d 1392, *; 1997 U.S. App. LEXIS 12509, **1

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provide a rational basis for the classification. COUNSEL:  HAROLD  J.  CASSIDY,  ESQ.  (Argued), GREGORY  R.  MILNE,  ESQ.,  Cassidy,  Foss  &  San Filippo, 225 Broad Street, P.O. Box 896, Red Bank, NJ

07701, Attorneys for Appellants.


PETER VERNIERO, ESQ., Attorney General, JEFFREY J. MILLER, ESQ. (Argued), ANDREA M. SILKOWITZ, ESQ.,  Assistant  Attorneys  General,  Richard  J.  Hughes Justice Complex, CN-112, Trenton, NJ 08625, Attorneys for   Appellees   Christine   Todd   Whitman   and   Peter Verniero.


RONALD  KEVITZ,  ESQ.,   Morris  County  Counsel, W.  RANDALL  BUSH,  ESQ.  (Argued),  First  Assistant Counsel, Administration and Records Building, CN 900, Morristown,  NJ  07963,  Attorneys  for  Appellee  John Pecoraro.


ROBERT  E.  MARGULIES,  ESQ.,  Marguiles,  Wind, Herrington  &  Knopf,  15  Exchange  Place,  Suite  510, Jersey  City,  NJ  07302,  Attorneys  for  Amicus  Curiae, Andrea Guillian and Marilyn Gotay.


RICHARD  F.  COLLIER,  JR.,  ESQ.,  Collier,  Jacob  & Mills, 580 Howard Avenue, Corporate Park III, Somerset, NJ  08873,   Attorney  for  Amicus  Curiae,   The  World Federation of Doctors Who Respect Life.


PAUL E. NEWELL, ESQ., Newell & Adubato, 80 Court Street,   **2   Freehold, NJ 07728, Attorneys for Amicus Curiae, Association of Trial Lawyers of America -  New Jersey.


JUDGES: Before: GREENBERG, ALITO and McKEE, Circuit Judges. ALITO, Circuit Judge, concurring.


OPINIONBY: MCKEE


OPINION:   *1396   OPINION OF THE COURT




McKEE, Circuit Judge


Karen Alexander, Dennis Drazin, Esq., and the law- firm of Drazin and Warshaw, P.C., appeal from the dis- trict  court's  dismissal  of  their  complaint  under  Fed  R. Civ. P. 12(b)(6). Plaintiffs had alleged that New Jersey's Wrongful  Death  Act,   N.J.S.A.  2A:31-1  et  seq.,   and Survival Action Act, N.J.S.A. 2A:15-3, violate the Equal Protection  and  Due  Process  Clauses  of  the  Fourteenth Amendment  of  the  United  States  Constitution  because they deny a cause of action to the statutory beneficiaries unless  a  fetus  survives  past  birth.  For  the  reasons  that follow,  we  disagree  and  will  affirm  the  district  court's dismissal of the complaint.


I. FACTS


On July 15, 1992, Karen F. Alexander, who was then eight and one-half months pregnant, was admitted to the Jersey Shore Medical Center to give birth to her child. The vital signs of Ms. Alexander's baby were taken only four- teen minutes prior to delivery by cesarean section,  and the fetus **3   appeared normal and healthy. Tragically, however, the child was stillborn. n2


n2 In plaintiffs' motion for summary judgment states  that  the  child  died  "while  she  was  still  in her mother's womb and before her actual birth, and was therefore declared 'stillborn'." Joint Appendix, at 37. The hospital's records state that the child had

"interpartum demise." Id.



An  autopsy  was  performed,  and  a  death  certificate was issued showing the date of the child's birth as July

15, 1992. The birth certificate noted the child's name was Kaylyn Elissa Alexander and that she was "stillborn" due to "cardio-vascular collapse."


On July 13, 1994, Karen Alexander filed a complaint in the Superior Court of Monmouth County, New Jersey, seeking damages individually n3 and in her capacity as


114 F.3d 1392, *1397; 1997 U.S. App. LEXIS 12509, **3

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*1397   Administratrix Ad Prosequendum of the Estate of  Kaylyn  Elissa  Alexander,  Deceased,  under  the  New Jersey  Wrongful  Death  Act,  N.J.S.A.  2A:31-1,  and  as General  Administrator  of  the  Estate  of  Kaylyn  Elissa Alexander,   Deceased,   under   the   New   Jersey   **4  Survival  Action  statute,  N.J.S.A.  2A:15-3.  The  com- plaint  alleged  that  the  negligence  of  doctors,  nurses, and other health care personnel at Jersey Shore Medical Center  had  injured  Ms.  Alexander's  baby  while  it  was still  in  her  mother's  womb.  Ms.  Alexander  requested that the Surrogate of Monmouth County issue Letters of Administration Ad Prosequendum and General Letters of Administration for the Estate of Kaylyn Elissa Alexander. On October 18 and 31,  1994,  the Surrogate denied the request  for  Letters  Ad  Prosequendum  because  Kaylyn Elissa had been stillborn.


n3 In the state court action,  Karen Alexander seeks  recovery  in  her  individual  capacity  for  the emotional distress and mental suffering which re- sulted  from  the  stillbirth  allegedly  caused  by  the medical malpractice of the defendants.



On October 28, 1994, Karen Alexander and Dennis Drazin,  a  New  Jersey  lawyer,  and  Drazin  &  Warshaw, P.C.,  a  law  firm,  filed  a  class  action  complaint  under

42  U.S.C.  §  1983  in  the  United  States  District  Court for  the  District   **5    of  New  Jersey.  The  suit  named Christine Todd Whitman, individually, and as Governor of the State of New Jersey, Deborah T. Poritz, individu- ally, and as Attorney General of the State of New Jersey, n4 and the Surrogates of all twenty-one counties in New Jersey  as  defendants.  Alexander  brought  the  action  in- dividually,  on  behalf  of  all  mothers  whose  fetuses  had allegedly been injured in utero by the tortious acts of a third party and who were later stillborn, on behalf of her own stillborn child, and on behalf of all stillborn children who were similarly situated. The complaint alleged vio- lations of the Equal Protection and Due Process clauses of the Fourteenth Amendment. Essentially, the complaint alleged  the  New  Jersey  Wrongful  Death  Act  (as  inter- preted by the New Jersey Supreme Court in Giardina v. Bennett,  111 N.J. 412,  545 A.2d 139 (N.J. 1988)), and the New Jersey Survival Action Act are unconstitutional because they deny recovery on behalf of stillborn fetuses. Plaintiffs requested, inter alia, that these statutes be de- clared unconstitutional, an order directing the surrogate to issue letters of administration in the estate of Kaylyn



Elissa Alexander to Karen Alexander, and money dam- ages.   **6


n4 See n. 1, supra.



Drazin and Drazin & Warshaw, P.C., individually and on behalf of all attorneys and law firms (the "Drazin plain- tiffs"), raised the same constitutional challenge to the stat- ues, and alleged that their constitutional rights are violated because they are precluded from bringing wrongful death and survival actions on behalf of potential clients whose children were stillborn because of the tortious acts of third parties.


On   December   11,   1995,   the   Governor   and   the Attorney  General  (the  "State  defendants")  filed  a  mo- tion  to  dismiss  the  complaint  under  Fed.  R.  Civ.  P.

12(b)(6). The Surrogates (the "County defendants") there- after moved to join in the state defendants' 12(b)(6) mo- tion.  Plaintiffs  then  cross-moved  for  class  certification and for summary judgment.


Subsequently,   fifteen   of   the  Surrogates  executed Consent  Orders  of  Judgment.  n5  Following  argument, the district court granted the State defendants' motion to dismiss. Consequently, plaintiffs' motions for class certi- fication **7    and for summary judgment were denied. This appeal followed. n6


n5   By   those   Consent   Orders,   the   fifteen Surrogates agreed not to file any further submis- sions opposing the factual and legal contentions of the plaintiffs and agreed to be bound by all future interlocutory and final orders of the district court.

(112A-147A).


n6  Plaintiffs'  section  1983  complaint  sought money damages (Count V) and declaratory and in- junctive relief (Counts I, II, III and IV). However, plaintiffs are not appealing the district court's dis- missal of their complaint as it relates to their claim for money damages. See Notice of Appeal (Joint Appendix, at 148).



II. STANDARD OF REVIEW


HN1   We  exercise  plenary  review  over  a  district court's order dismissing a complaint under Fed. R. Civ. P. 12(b)(6).  Moore v. Tartler, 986 F.2d 682, 685 (3d Cir.

1993). We


114 F.3d 1392, *1398; 1997 U.S. App. LEXIS 12509, **7

Page 5



*1398   must determine if plaintiff may be entitled to re- lief under any reasonable reading of the pleadings, Holder v. City of Allentown, 987 F.2d 188, 193 (3d Cir. 1993), assuming   **8    the  truth  of  all  the  factual  allegations in the complaint.  D.R. v. Middle Bucks Area Vocational Technical Sch.,  972 F.2d 1364,  1367 (3d Cir. 1992). A court may dismiss a complaint only if it is clear that no relief could be granted under any set of facts that could be proven consistent with the allegations.  Hishon v. King

& Spalding, 467 U.S. 69, 73, 81 L. Ed. 2d 59, 104 S. Ct.

2229 (1984). n7


n7 Our standard of review on an appeal from a denial of summary judgment is plenary, Waldorf v. Shuta, 896 F.2d 723, 728 (3d Cir. 1990), and our review of class certification determinations is nor- mally limited to whether the district court abused its  discretion.   Lusardi  v.  Xerox  Corp.,  975  F.2d

964, 973 (3d Cir. 1992). However, because we find that the district court's dismissal of the complaint under Fed. R. Civ. P. 12(b)(6) was proper, we need not address the propriety of its denial of plaintiffs' motions for summary judgment and for class certi- fication.



III. DISCUSSION


A. THE STATUTORY SCHEME


It is helpful to briefly discuss **9   the two causes of action at issue in this dispute before proceeding with our analysis.


1. WRONGFUL DEATH ACTION.


The fundamental purpose of a wrongful death action is to compensate survivors for the pecuniary losses they suffer because of the tortious conduct of others.   Alfone v. Sarno, 168 N.J. Super. 315, 403 A.2d 9, 12 (N.J. Super. Ct. App. Div. 1979), modified on other grounds, 87 N.J.

99, 432 A.2d 857 (N.J. 1979). This cause of action was not recognized at common law and is purely a creature of statute. Schmoll v. Creecy, 54 N.J. 194, 254 A.2d 525, 527

(N.J. 1969). New Jersey's Wrongful Death Act provides, in relevant part, as follows:


HN2   When  the  death  of  a  person  is caused by a wrongful act, neglect or default, such as would, if death had not ensued, have entitled the person injured to maintain an ac- tion for damages resulting from the injury,



the  person  who  would  have  been  liable  in damages for the injury if death had not en- sued  shall  be  liable  in  an  action  for  dam- ages, notwithstanding the death of the person injured  and  although  the  death  was  caused under circumstances amounting in law to a crime.


N.J.S.A. 2A:31-1.


An award of damages in a wrongful death action "is not a matter of punishment **10    for an errant defen- dant or of providing for decedent's next of kin to a greater extent than decedent himself would have been able, but is  rather  a  replacement  for  that  which  decedent  would likely have provided and no more." Hudgins v. Serrano,

186 N.J. Super. 465, 453 A.2d 218, 224 (N.J. App. Div.

1982). The amount of recovery is based upon the contri- butions, reduced to monetary terms, which the decedent might reasonably have been expected to make to his or her survivors.  Alfone, 403 A.2d at 12. Damages are awarded for  pecuniary  loss  only,  and  not  for  injury  to  feelings, mental suffering, or loss of society or companionship. Id. However, economic dependency is not the sole measure of the damages. Minor children may recover the pecu- niary value of the loss of care, guidance and advice of a parent during their minority. Id. In addition, the wrongful death statute permits the award of hospital, medical and funeral expenses. N.J.S.A. 2A:31-5.


HN3  A wrongful death action is available when a child is killed by the tortious act of another.



When parents sue for the wrongful death of  a  child,  damages  should  not  be  limited to  the  well-known  elements  of  pecuniary loss such as the loss of the **11   value of the  child's  anticipated  help  with  household chores,  or  the  loss  of  anticipated  direct  fi- nancial contributions by the child after he or she becomes a wage earner. . . . In addition, the jury should be allowed, under appropri- ate circumstances, to award damages for the parents' loss of their child's companionship as  they  grow  older,  when  it  may  be  most needed and valuable,  as well as the advice and guidance that often accompanies it.


114 F.3d 1392, *1399; 1997 U.S. App. LEXIS 12509, **11

Page 6




*1399    Green v. Bittner, 85 N.J. 1, 424 A.2d 210, 211

(N.J. 1980). However, damages for these additional items are confined to their pecuniary value, not including the value of the emotional loss. Id.


Damages for the wrongful death of an infant are like- wise recoverable and, "like wrongful-death damages gen- erally, are limited to economic matters   such as  . . . the pecuniary value of the child's help with household chores, the  pecuniary  value  of  the  child's  anticipated  financial contributions, and the pecuniary value of the child's com- panionship . . . as the parents grow older." Carey v. Lovett,

132  N.J.  44,  622  A.2d  1279,  1291  (N.J.  1993)(citing Green, 424 A.2d at 211). However, "the problem in eval- uating the economic value of a newborn's life **12   is obvious. No one can know much, if anything, about the in- fant and his or her future economic worth. That difficulty, however, should not preclude any award. Some award is appropriate even though the inferences, and estimate of damages, are based on uncertainties." Carey, 622 A.2d at

1291.


The particular aspect of New Jersey's wrongful death action that gives rise to the instant controversy arises from the holding in Giardina v. Bennett, 111 N.J. 412, 545 A.2d

139 (N.J. 1988). There, the New Jersey Supreme Court held that the New Jersey Wrongful Death Act does not permit recovery for damages attributable to the wrongful death of a fetus. However, even though the parents cannot recover for the death of the fetus in such cases, they can recover damages for their own injuries that result from the tortious conduct. "Medical malpractice causing an infant stillbirth constitutes a tort against the parents,  entailing the direct infliction of injury, their emotional distress and mental suffering,  for which they are entitled to recover compensatory damages." 545 A.2d at 139.


2. SURVIVAL ACTION.


At common law, a right to bring an action in trespass was personal and died with the person.   **13   Canino v. New York News, Inc., 96 N.J. 189, 475 A.2d 528, 529

(N.J.  1984).  Accordingly,  survival  actions,  like  wrong- ful  death  actions,  did  not  exist.   Soden  v.  Trenton  and Mercer County Trust Co.,  101 N.J.L. 393,  127 A. 558,

559 (N.J. 1925). Survival action statutes modify the com-



mon law rule and provide that the personal right of action in trespass survives to the personal representative of the decedent's estate.  475 A.2d at 559.


New Jersey's Survival Action statute provides as fol- lows:


HN4  Executors and administrators may have an action for any trespass done to the person or property, real or personal, of their testator or intestate against the trespasser, and recover their damages as their testator or in- testate would have had if he was living.


In those actions based upon the wrong- ful act, neglect, or default of another, where death resulted from injuries for which the de- ceased would have had a cause of action if he had lived, the executor or administrator may recover all reasonable funeral and burial ex- penses in addition to damages accrued during the lifetime of the deceased.



N.J.S.A. 2A:15-3. A survival action "gives executors or administrators a right of action for tortious injury or dam- age **14   to the deceased or his property incurred prior to death." Alfone, 403 A.2d at 13. The major item of dam- ages in a survival action (aside from funeral and burial expenses) is recovery for the decedent's pain and suffer- ing  between  the  time  of  injury  and  the  time  of  death. However, an award for pain and suffering is appropriate only for pain and suffering that is conscious. Id. Recovery is also permitted for "hedonic damages," i.e., loss of en- joyment of life.  Eyoma v. Falco, 247 N.J. Super. 435, 589

A.2d 653, 658 (N.J. Super. Ct. App. Div. 1991).


The  court  in  Giardina  did  not  address  rights  of  re- covery on behalf of stillborn children under New Jersey's survival action. However, the district court here found that

"it is clear by the implications of the holding in Giardina and by the language of the survival action statute itself that the New Jersey Legislature did not intend to provide the parents of unborn or stillborn fetuses with a statutory cause of action for survival." Dist. Ct. Op. at 13. Neither party  to  this  appeal  disagrees  with  that  portion  of  the district


114 F.3d 1392, *1400; 1997 U.S. App. LEXIS 12509, **14

Page 7



*1400    court's holding,  and we will therefore assume that New Jersey's survival action, like the wrongful death action,  is  limited   **15    to  situations  where  the  fetus survives until after birth.


B.            KAREN  ALEXANDER'S   CLAIM   ON BEHALF   OF   HER   CHILD   AND   ALL   OTHER SIMILARLY SITUATED STILLBORN FETUSES.


Ms. Alexander asserts a claim under 42 U.S.C. § 1983 on  behalf  of  her  stillborn  child,  Kaylyn  Elissa,  and  all stillborn children and fetuses, alleging that the exclusion of stillborn children and fetuses from the coverage of New Jersey's wrongful death and survival actions violates the United States Constitution.  42 U.S.C. § 1983 provides in relevant part:


HN5  Every person who, under color of any statute, ordinance, regulation, custom, or usage, of any State . . ., subjects, or causes to be subjected, any citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights, privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in any action at law, suit in equity, or other proper proceeding for redress.



42 U.S.C. § 1983. Section 1983 "is not itself a source of substantive rights, but a method for vindicating federal rights elsewhere conferred by those parts of the United States Constitution and federal statutes that it **16   de- scribes." Baker v. McCollan, 443 U.S. 137, 144 n.3, 61 L. Ed. 2d 433, 99 S. Ct. 2689 (1979).


Ms.  Alexander's  claim  on  behalf  of  her  stillborn child is grounded in the Equal Protection Clause of the Fourteenth Amendment, which provides that: " HN6  No State shall .. . deny to any person within its jurisdiction the equal protection of the laws." U.S. CONST. amend. XIV,

§ 1. n8 In essence, Ms. Alexander argues that her stillborn child was a "person" who is denied the equal protection of the law because, under New Jersey law, wrongful death and survival actions can be maintained on behalf of chil- dren  who  are  injured  prenatally,  are  born  and  then  die as  a  result  of  the  prenatal  injury,  whereas,  under  New



Jersey law, wrongful death and survival actions cannot be maintained on behalf of stillborn children.


N8  Our  discussion  of  the  claim  brought  on behalf  of  the  stillborn  child  assumes  that  Karen Alexander has standing to assert the claim.



However, Ms. Alexander can only establish a claim on behalf of her child under the Fourteenth Amendment if her **17   child (and others similarly situated) fall(s) within  the  protections  afforded  "persons"  as  that  term is used in the Fourteenth Amendment,  and it is clear it does  not.  The  Supreme  Court  has  already  decided  that difficult  question  for  us  in  Roe  v.  Wade,  410  U.S.  113,

158, 35 L. Ed. 2d 147, 93 S. Ct. 705 (1973). There, the Court  expressly  held  that   HN7   "the  word  'person,'  as used in the Fourteenth Amendment does not include the unborn." The Court held that "person" has "application only postnatally." Id. at 157. That constitutional principle was  more  recently  re-affirmed  in  Planned  Parenthood of  Southeastern  Pennsylvania  v.  Casey,  505  U.S.  833,

846, 120 L. Ed. 2d 674, 112 S. Ct. 2791 (1992). There, Justice Stevens, writing separately from the joint opinion of Justices O'Connor, Kennedy and Souter, wrote that, as a matter of federal constitutional law, a fetus is a "devel- oping organism that is not yet a 'person'" and "does not have what is sometimes described as a 'right to life.'" Id. at 913 (Stevens, J., concurring in part and dissenting in part). This principle "remains a fundamental premise of our constitutional law governing reproductive autonomy." Id. at 914. Since the unborn are not persons within the meaning of the Fourteenth Amendment,   **18   no claim alleging an equal protection violation can be brought on behalf of the stillborn child. n9


n9 Because the unborn are not persons within the meaning of the Fourteenth Amendment, it fol- lows that the unborn are not encompassed within the meaning of the term "person" or "citizen" for purposes of 42 U.S.C. § 1983. See Reed v. Gardner,

986 F.2d 1122, 1127-28 (7th Cir. 1993).


114 F.3d 1392, *1401; 1997 U.S. App. LEXIS 12509, **18

Page 8



*1401   Of course, as noted above, our inquiry must ac- cept all well pleaded facts as true and we note that the complaint avers that the stillborn child was a human be- ing from the moment of conception. n10 However, even if






**20




tinuance of the life of the child.

that is established as a matter of fact, we must look to con- trolling law to determine what effect, if any, that fact has upon our analysis. Our inquiry is not a factual one. It is a legal one. The question is not whether a stillborn child is a human being from the moment of conception, but whether that unborn "human being" is included within the mean- ing of "person" contained in the Fourteenth Amendment. That  legal  question   **19    was  resolved  over  twenty- four years ago when the Supreme Court decided Roe. In fact,  the Court there specifically differentiated between the factual inquiry into when life begins, and the legal is- sue of the scope of the Fourteenth Amendment. The Court stated:



We need not resolve the difficult question of when life begins. When those trained in the respective disciplines of medicine, philoso- phy, and theology are unable to arrive at any consensus, the judiciary, at this point in the development of man's knowledge, is not in a position to speculate as to the answer.



410  U.S.  at  159.  Thus,  it  is  immaterial  that  the  com- plaint pleads that a stillborn child is a human being from conception.


n10 In P 40 of the complaint it is averred that:


As a matter of fact a child at every age of gestation from conception to birth is a complete, separate and irreplace- able human being and the daughter of Karen  F.  Alexander  and  all  mothers similarly situated are actual human be- ings who have relationships with their mothers carrying them. This relation- ship between these two separate, com- plete individual human beings is in ac- tual  existence  throughout  pregnancy. As a matter of fact, a child can expe- rience pain beginning at eight weeks after conception up to the time of ac- tual birth. As a matter of fact, Karen F. Alexander's baby  daughter and all children  similarly  situated  from  ages eight  weeks  after  conception  experi- ence pain and suffer during trauma or as a result of injury or the damage to bodily systems necessary for the con-

Plaintiffs' reliance upon the advances of medical tech- nology is likewise beside the point. Plaintiffs contend that Roe was based in part upon limited medical and scien- tific knowledge and that technological advances since Roe was decided allow us to study human development from the molecular stage. In fact, plaintiffs claim that the Roe Court provided for an evolving jurisprudence to keep pace with the state of medicine and science when it wrote "the judiciary, at this point in the development of man's knowl- edge, is not in a position to speculate as to the answer" to the question of when human life begins. See Appellants' Brief, at 41-42. However, no advance in technology or science can authorize us to depart from well established legal precedent, and we do not believe the Supreme Court intended to grant a license to do so in Roe.


Similarly, plaintiffs' reliance on what they believe to be an essential underpinning of the New Jersey Supreme Court's decision in Smith v. Brennan,  31 N.J. 353,  157

A.2d 497 (N.J. 1960), does not make the constitutional claim raised on behalf of the stillborn child a cognizable one. In Brennan, the New Jersey Supreme Court held that children **21   who survive a prenatal injury can bring a cause of action in tort against the person who caused the prenatal injury. n11 The court explained its holding by noting that "medical authorities have long recognized that a child is in existence from the moment of concep- tion, and not merely a part of its mother's body." n12 157

A.2d at 502.


n11  Smith  v.  Brennan  overruled  Stemmer  v. Kline,  128  N.J.L.  455,  26  A.2d  489  (N.J.  1942), which  did  not  allow  a  surviving  a  child  a  cause of action in tort for prenatal injuries. Stemmer v. Kline declined to recognize a cause of action for prenatal injury based, in large part, upon Dietrich v. Inhabitants of Northampton,  138 Mass. 14,  52

Am. Rep. 242 (Sup. Jud. Ct. 1884), which was a wrongful  death  case  where  the  child  was  appar- ently  stillborn.  Dietrich  held  that  Massachusetts' wrongful death statute was inapplicable to a fetus, based on its view that a child is part of its mother before birth and does not have a separate existence or personality.


n12 Perhaps realizing the import of its holding that a child is in existence from the moment of con- ception, the New Jersey Supreme Court qualified its language. The court wrote:


The  semantic  argument  whether an  unborn  child  is  a  "person  in  be-


114 F.3d 1392, *1401; 1997 U.S. App. LEXIS 12509, **21

Page 9



ing"  seems  to  us  to  be  beside  the point. There is no question that con- ception sets in motion biological pro- cesses which if undisturbed will pro- duce what every one will concede to be a person in being. If in the mean- while those processes can be disrupted resulting  in  harm  to  the  child  when born,  it is immaterial whether before birth the child is considered a person in being. And regardless of analogies to other areas of the law, justice requires that the principle be recognized that a child has a legal right to begin life with

















**22



a sound mind and body. If the wrongful conduct of another interferes with that right, and it can be established by com- petent proof that there is a causal con- nection between the wrongful interfer- ence and the harm suffered by the child when  born,  damages  for  such  harm should be recoverable by the child.



Smith, 157 A.2d at 503.


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Page 10



*1402   The plaintiffs attempt to leverage this language by arguing that the New Jersey Supreme Court has rec- ognized as scientific fact that an unborn child is a human being  from  the  moment  of  conception.  However,  even assuming  the  court  has  recognized  this  as  fact,  it  does not follow that that court has also recognized the unborn child to be a "person" under the Fourteenth Amendment. Moreover, even if it had, it should be clear that no such holding  could  contravene  or  reverse  the  contrary  hold- ing of the United States' Supreme Court. Quite simply, a state cannot "declare a fetus a person" and thereby add

"new  persons  to  the  constitutional  population."  Ronald Dworkin, Unenumerated Rights:  Whether and How Roe Should Be Overruled, 59 U. CHI. L. REV. 381, 400. In addition, Smith was decided on common law principles and created a common law remedy for a surviving child harmed  by  a  prenatal  injury.  No  federal  constitutional principles were implicated in that court's analysis.


The  short  answer  to  plaintiffs'  argument  is  that  the issue  is  not  whether  the  unborn  are  human  beings,  but whether the unborn are constitutional persons. n13 It is beyond  question  that  medical  and  scientific  knowledge

**23    has advanced significantly since Roe. However, even with those advances, the Supreme Court has consis- tently adhered to Roe's holding that the unborn are not persons under the Fourteenth Amendment. See Planned Parenthood  of  Southeastern  Pennsylvania,  505  U.S.  at

855-61.  Therefore,  plaintiffs'  argument  that  Roe  was based on imperfect science is to no avail. n14


n13          The           phrase     "constitutional                      person" is              Ronald    Dworkin's.              Ronald    Dworkin, Unenumerated  Rights:    Whether  and  How  Roe Should  Be  Overruled,  59  U. CHI.  L.  REV  . 381,

398.


n14 Interestingly, Justice O'Connor, writing for the Court in Planned Parenthood v. Casey, clearly acknowledged the advances in medical knowledge since Roe. She wrote:



"We have seen how time has overtaken some  of  Roe's  factual  assumptions: advances in maternal health care allow



for abortions safe to the mother later in  pregnancy  than  was  true  in  1973, and advances in neonatal care have ad- vanced viability to a point somewhat earlier. But these facts go only to the scheme of time limits on the realiza- tion of competing interests, and the di- vergences %from the factual premises of 1973 have no bearing on the validity of Roe's central holding, that viability marks the earliest point at which the State's interest in fetal life is constitu- tionally adequate to justify a legislative ban on nontherapeutic abortions.



Planned  Parenthood,  505  U.S.  at  860  (citations omitted).


**24


Accordingly,  the  district  court  properly  granted  a

12(b)(6)  dismissal  of  the  equal  protection  claim  raised on behalf of the stillborn child.


C.            KAREN  ALEXANDER'S   CLAIM   ON BEHALF OF HERSELF AND OTHER SIMILARLY SITUATED MOTHERS.


Besides asserting a claim on behalf of her stillborn child, Karen Alexander asserts a claim on her own behalf and on behalf of all mothers whose children were stillborn because of the tortious conduct of others. She claims that her interest in her relationship with her unborn child dur- ing pregnancy is a fundamental interest protected by the United States Constitution and that the challenged statutes violate both the Due Process and Equal Protection Clauses of the Fourteenth Amendment.


1. THE DUE PROCESS CLAIM.


HN8  The Due Process Clause not only requires that the  government  follow  appropriate  procedures  when  it seeks to "deprive any person of life, liberty or property," it also prevents "certain government actions regardless of the fairness of the procedures used to implement them." Daniels v. Williams, 474 U.S. 327, 331,


114 F.3d 1392, *1403; 1997 U.S. App. LEXIS 12509, **24

Page 11



*1403   88  L.  Ed.  2d  662,  106  S.  Ct.  662  (1986). Thus, the Due Process Clause has a substantive compo- nent which guarantees that "all fundamental rights com- prised   **25    within  the  term  liberty  are  protected  by the  Federal  Constitution  from  invasion  by  the  States." Planned Parenthood of Southeastern Pennsylvania, 505

U.S. at 847 (quoting Whitney v. California, 274 U.S. 357,

373, 71 L. Ed. 1095, 47 S. Ct. 641 (1927)(Brandeis, J., concurring)).


Although the "outer limits of the substantive sphere of liberty which the Fourteenth Amendment protects" have not been defined, 505 U.S. 833 at 848, 112 S. Ct. 2791,

120 L. Ed. 2d 674, certain protected liberties fall within the ambit of protection. Thus, HN9  those to whom the Amendment applies have a right to be free



from bodily restraint but also the right . . . to contract, to engage in any of the common occupations of life, to acquire useful knowl- edge, to marry, establish a home and bring up children, to worship God according to the ictates of their  own consciences, and gener- ally to enjoy those privileges long recognized

. . . as essential to the orderly pursuit of hap- piness by free men.



Board of Regents v. Roth, 408 U.S. 564, 572, 33 L. Ed. 2d

548, 92 S. Ct. 2701 (1972) (quoting Meyer v. Nebraska,

262 U.S. 390, 399, 67 L. Ed. 1042, 43 S. Ct. 625 (1923)). In addition, the Constitution "promises .. . that there is a realm of personal liberty which the government may not enter." Planned Parenthood of Southeastern   **26  Pennsylvania,  505  U.S.  at  847.  The  result  is  a  right  of

"personal privacy, or a guarantee of certain areas or zones of privacy . " Roe, 410 U.S. at 152. The rights included within that zone are deemed "fundamental" and include

"activities relating to marriage",  "procreation",  "contra- ception",  "family  relationships"  and  "child  rearing  and education."  Id.  at  152-53.  They  therefore  involve  "the most intimate and personal choices" a person can make in his or her lifetime. They include "choices central to the lib-




erty protected by the Fourteenth Amendment." Planned

Parenthood  of  Southeastern  Pennsylvania,  505  U.S.  at

851.


"The first step in any substantive due process review is to determine the standard of review." Sammon v. New Jersey Bd. of Med. Exam's, 66 F.3d 639, 643-44 (3d Cir.

1995). Ms. Alexander argues that we must give these New Jersey statutes strict scrutiny because they impact upon a woman's "relationship" with an unborn fetus, and that relationship is within this protected zone of privacy in- cluded in the substantive component of the Due Process Clause.


HN10   Where  fundamental  rights  or  interests  are involved,  a  state  regulation  limiting  these  fundamental rights   **27    can  be  justified  only  by  a  compelling state  interest  and  legislative  enactments  must  be  nar- rowly  drawn  to  express  only  the  legitimate  state  inter- ests at stake.   Roe,  410 U.S. at 154 (citations omitted). Therefore, state limitations on a fundamental right such as the right of privacy are permissible only if they survive strict constitutional scrutiny.   Planned Parenthood,  505

U.S. at 929 (Blackmun, J., dissenting)(citing Griswold v. Connecticut,  381  U.S.  479,  485,  14  L.  Ed.  2d  510,  85

S. Ct. 1678 (1965)). However, where fundamental rights or interests are not implicated or infringed, state statutes are  reviewed  under  the  rational  basis  test.  That  is  "the test traditionally applied in the area of social or economic legislation." Roe, 410 U.S. at 173 (Rehnquist, J., dissent- ing)(citing Williamson v. Lee Optical Co., 348 U.S. 483,

491, 99 L. Ed. 563, 75 S. Ct. 461 (1955)). Under ratio- nal basis review, "a statute withstands a substantive due process challenge if the state identifies a legitimate state interest that the legislature could rationally conclude was served by the statute." Sammon, 66 F.3d at 645.


Ms. Alexander argues that her relationship with her unborn  child  during  pregnancy  is  itself  a  fundamental interest,  and  that   **28    these  statutes  should  receive strict scrutiny because they impact upon that relationship. However, we need not now determine whether a mother's relationship with her unborn child during pregnancy is a fundamental


114 F.3d 1392, *1404; 1997 U.S. App. LEXIS 12509, **28

Page 12



*1404   interest because the New Jersey statutes at issue here do not affect Ms. Alexander's relationship with her unborn  child.  A  mother's  relationship  with  her  fetus  is exactly the same whether or not she can bring a wrongful death or survivor action. It is not the relationship that is affected here, it is the ability to recover for the loss of that relationship.


Neither  the  Wrongful  Death  Act  nor  the  Survival Action Act interfered with any decision Karen Alexander made  or  might  have  made  about  her  stillborn  child.  It is  impossible  for  us  to  imagine  that  any  such  decision would  be  the  least  bit  influenced  by  whether  or  not  a mother could bring a wrongful death or survival action to recover damages for the loss of a fetus. Ms. Alexander's assertion of a constitutionally impermissible interference with a fundamental interest is grounded in her argument that  stillborn  children  and  fetuses  are  being  denied  the protection of New Jersey's tort law. The purpose of those laws,  she **29    argues,  "is the deterrence of conduct which injures and kills others, and the promotion of cau- tion to protect health and life." Appellants' Brief at 4. The denial of the tort law's protection is alleged to be the re- sulting infringement upon her fundamental interest in her relationship with her stillborn child. Appellants' Brief at

32.


However, that argument misstates the reality of New Jersey's tort law system. The wrongful death and survival statutes do preclude Ms. Alexander from instituting cer- tain kinds of law suits on her own behalf, and on behalf of  her  unborn  child.  However,  she  is  not  being  denied the protection of the state's tort law. She has a tort rem- edy and that remedy is a common law cause of action to recover for emotional distress and any injury to herself when medical malpractice causes the stillbirth of a baby. The gravity of such negligence, the fore-

seeability of

parental suffering, and the genuineness of in- jury and

loss present a compelling case for recogni- tion of the direct injury to the parents.


. . . We thus conclude that the wrong com- mitted by a doctor in negligently causing the pre-birth death of an infant constitutes a tort against the parents.


**30


Giardina,  545  A.2d  at  141-42.  Thus,  contrary  to  Ms.



Alexander's assertions here, Giardina did not leave preg- nant women defenseless against negligence that results in the death of a fetus. In fact, that court began its analysis noting:  "by recognizing such a cause of action in tort  we protect the interests affected by the tortious conduct resulting  in  the  death  of  an  infant  before  birth."  Id.  at

139. Those are the same interests that are implicated by wrongful death and survival actions. Id. n15


n15  We  do  not  mean  to  suggest  that  the Fourteenth Amendment requires a state to provide a tort remedy for prenatal injuries. Indeed, that as- sertion  is endemic in Ms.  Alexander's  attempt to fashion a Due Process right from New Jersey's pur- ported failure to protect her fetus from the negli- gence of health care providers. Rather, we mention the aspects of tort law that serve to protect her own bodily integrity, and the health of the fetus, to illus- trate the weakness in her argument. See Parham v. Hughes, 441 U.S. 347, 60 L. Ed. 2d 269, 99 S. Ct.

1742 (1979), infra.


**31


Karen  Alexander  also  relies  heavily  upon  Levy  v. Louisiana, 391 U.S. 68, 20 L. Ed. 2d 436, 88 S. Ct. 1509

(1968), its companion case, Glona v. American Guar. & Liab.  Ins.  Co.,  391  U.S.  73,  20  L.  Ed.  2d  441,  88  S. Ct. 1515 (1968), and Weber v. Aetna Cas. and Sur. Co.,

406 U.S. 164, 31 L. Ed. 2d 768, 92 S. Ct. 1400 (1972). However,  those cases addressed the constitutionality of legislative enactments that discriminated against persons on the basis of having been born out of wedlock. They did not implicate substantive due process. Instead, they were equal protection challenges to statutory classifications. Levy invalidated the provisions of a state statute that excluded illegitimate children from the class of children entitled to recover for a parent's death under Louisiana's wrongful  death  statute  and  Glona  involved  the  same statute's  exclusion  of  a  mother  from  recovering  for  the wrongful death of her illegitimate son. Weber invalidated the  provisions  of  Louisiana's  workman's  compensation statute which excluded unacknowledged illegitimate chil- dren from recovering for the death of their wage-earner

father.


In deciding Levy, the Supreme Court recognized that the illegitimate children's right to recover "involves the intimate, familial


114 F.3d 1392, *1405; 1997 U.S. App. LEXIS 12509, **31

Page 13



*1405   relationship between **32   a child and his own mother," Levy, 391 U.S. at 71. That recognition informed the decisions in Glona and Weber. However, the interest at issue in each of those cases was the classification of the child's legitimacy, "and the inability of both parent and child  to  reverse  the  burdens  imposed  by  illegitimacy." Laurence  H.  Tribe,  AMERICAN  CONSTITUTIONAL LAW  §  16-24,  at  1554  (2d  ed.  1988).  The  cases  were not decided upon the basis of the family relationship as Ms. Alexander argues. In Parham v. Hughes, the Court explained the basis of Levy and its progeny.



The basic rationale of these decisions is that it is unjust and ineffective for society to express its condemnation of procreation outside the marital relationship by punishing the illegit- imate child who is in no way responsible for his situation and is unable to

change it.



441 U.S. at 352. n16


n16 Ms. Alexander criticizes the district court for relying upon Roe while not even citing Levy. See  Appellant's  Br.  at  40.  However,  it  is  easy  to understand why the district court did not cite Levy, Glona, or Weber. Those cases are simply not rele- vant to the issues raised here.


**33


In  Parham,  the  Court  upheld  a  Georgia  statute  that restricted the class of persons who were entitled to bring wrongful death actions to recover for the death of an il- legitimate child. Under that statute, only the mother, and those fathers who had legitimated the child in the man- ner  prescribed  by  statute,  could  file  suit.  The  plaintiff was the father of an illegitimate child whom he had not legitimated. The father had, however, signed the child's birth  certificate  and  had  contributed  to  the  child's  sup- port.  When  the  child  and  its  mother  were  killed  in  an auto accident, the father brought a wrongful death action in state court. The defendant moved for summary judg- ment on the grounds that the applicable statute precluded



the suit because plaintiff had not legitimated the child, but the trial court denied the motion on the grounds that the  statute  violated  both  the  Equal  Protection  and  Due Process Clauses. On appeal, the Georgia Supreme Court reversed, and the Supreme Court thereafter accepted the appeal from that decision to decide "whether the  statu- tory scheme violates the Equal Protection or Due Process Clause of the Fourteenth Amendment by denying . . . the right to sue for **34   the child's wrongful death." Id. at

349. The Court refused to apply the heightened scrutiny it had applied in Weber, and upheld the statute using the

"rational means" test, and the concomitant presumption of validity. The Court reasoned that the classification estab- lished under the statute was a rational means of limiting tort claims, as well as false claims of paternity. The Court focused primarily upon the classification, and did not base its analysis upon whether the statute deprived plaintiff of a  fundamental  right  noting --  in  passing --  "it  can  not seriously be argued that a statutory entitlement to sue for the wrongful death of another is itself a 'fundamental' or constitutional right." Id. at 358. Ms. Alexander's Equal Protection and Due Process claims must fail for the same reason. The statutes do not interfere with her relationship with her fetus as she claims, nor do they interfere with a fundamental right.


Parents do, of course, have a fundamental liberty in- terest in the care and custody of their children, Santosky v. Kramer, 455 U.S. 745, 753, 71 L. Ed. 2d 599, 102 S. Ct.

1388 (1982); see also Lehr v. Robertson, 463 U.S. 248,

258, 77 L. Ed. 2d 614, 103 S. Ct. 2985 (1983)("The rela- tionship of love and duty in a recognized **35   family unit is an interest in liberty entitled to constitutional pro- tection."). Moreover, there is an intense emotional bond consisting of the great joy and hope that naturally devel- ops between a mother and the child she is carrying in her womb. Indeed, it is the awareness of the reality and in- tensity of the mother-fetal bond which apparently led the New Jersey Supreme Court to create a parental right of recovery for the emotional distress suffered by the parents when medical malpractice causes a stillbirth.  Giardina,

545 A.2d at 140.


Karen Alexander's actual complaint is with the tort remedy that New Jersey has provided. She would prefer to be able to institute a wrongful death and survival action,


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Page 14



*1406   either in lieu of, or in addition to, the tort remedy first recognized in Giardina v. Bennett. n17 Since there are rather severe limitations on the emotional distress that one can recover for under Giardina, the concern is that the mother of a stillborn will not be able to show the degree of severity necessary to recover, in spite of the fact that negligence and causation are shown. However,  the fact that a mother may not be able to prove the degree of emo- tional distress necessary **36   to recover in a given case does not mean that mothers whose children are stillborn because of the tortious conduct of others are denied the protection of New Jersey's tort law.


n17  To  prove  a  claim  for  emotional  distress caused by the tortiously-caused death of a fetus,

"the mother must prove that she suffered emotional distress so severe that it resulted in physical man- ifestations or that it destroyed her basic emotional security." Carey v. Lovett,  132 N.J. 44,  622 A.2d

1279, 1288 (N.J. 1993). "The worry and stress . ..

attendant  upon the birth of every child will not suffice. Nor will the upset that every parent feels when something goes wrong in the delivery room." Id.



Since New Jersey has not infringed upon any relation- ship Ms. Alexander had with her stillborn infant, this sub- stantive due process claim does not merit strict scrutiny review. Accordingly, we inquire only to see if it is a ratio- nal means of achieving a legitimate state interest. HN11  When subjecting a state statute to rational basis review,

"a court **37    . . . is not entitled to second guess the legislature on the factual assumptions or policy consider- ations underlying the statute." Sammon, 66 F.3d at 645. The only inquiry permitted "is whether the legislature ra- tionally might have believed that the predicted reaction would  occur  or  that  the  desired  end  would  be  served." Id. It is up to the person challenging the statute to "con- vince  the  court  that  the  legislative  facts  on  which  the classification of the statute  is apparently based could not reasonably be conceived as true by the governmental de- cisionmaker."  Id.  at  645-46  (quoting  Vance  v.  Bradley,

440 U.S. 93, 111, 59 L. Ed. 2d 171, 99 S. Ct. 939 (1979)).



A statute "withstands a substantive due process challenge if  the  state  identifies  a  legitimate  state  interest  that  the legislature rationally could conclude was served by the statute." Id. at 645.


One cannot seriously argue that New Jersey has no interest in defining who is entitled to recover for injuries and in setting limits on tort recovery for wrongful death. The requirement that the child on whose behalf a wrongful death and survival action is instituted have been born alive is rationally related to that interest. New Jersey has cho- sen **38   to draw a bright line that eliminates the nearly impossible  problems  of  proof  inherent  in  such  actions when injury to a fetus is at issue. Absent the limitation in these statutes it would be difficult, if not impossible, to prohibit a wrongful death or survival action no matter how early the fetus was in its development. This would mean that one could recover if it could be established that a zygote would have developed had not an alleged tortfea- sor injured a developing fertilized egg seconds after the union of sperm and egg. Although a state could permit recovery for an injury to that which would later develop into a fetus, it is certainly not required to do so under the Due Process or Equal Protection Clauses. Limiting such actions in the manner that New Jersey has chosen is both reasonable and practical. Ms. Alexander argues that in- cluding stillborn children and fetuses within the coverage of wrongful death and survival actions would not harm New Jersey's legitimate interest in setting limits on tort recovery.  She  may  be  correct,  but  that  is  not  for  us  to determine. Her disagreement is with the legislative policy decision about where the line should be drawn and "those disputes **39   are not legally relevant under substantive due process jurisprudence." Id. at 647.


2. THE EQUAL PROTECTION CLAIM.


HN12     The    Equal    Protection    Clause    of    the Fourteenth Amendment "announces a fundamental prin- ciple:   the  State  must  govern  impartially,"  New  York Transit  Authority  v.  Beazer,  440  U.S.  568,  587,  59  L. Ed. 2d 587, 99 S. Ct. 1355 (1979), and "directs that 'all persons similarly circumstanced shall be treated alike.'" Plyler v. Doe, 457 U.S. 202, 216, 72 L. Ed. 2d 786, 102

S. Ct. 2382 (1982)(quoting F.S. Royster


114 F.3d 1392, *1407; 1997 U.S. App. LEXIS 12509, **39

Page 15



*1407   Guano Co. v. Virginia, 253 U.S. 412, 415, 64 L. Ed. 989, 40 S. Ct. 560 (1920)). Therefore, "general rules that apply evenhandedly to all persons within the juris- diction unquestionably comply" with the Equal Protection Clause. Beazer, 440 U.S. at 587, 99 S. Ct. 1355, 59 L. Ed.

2d 587. Only when a state "adopts a rule that has a special impact on less than all persons subject to its jurisdiction" does a question arise as to whether the equal protection clause is violated.  440 U.S. at 587-88.


However, the clause does not require that things which are different in fact be treated in law as though they are the same.  Plyler, 457 U.S. at 216. "The initial discretion to determine what is 'different' and what is 'the same' re- sides in the legislatures of the States." Id. Accordingly,

HN13   **40   "the Fourteenth Amendment permits the States a wide scope of discretion in enacting laws which affect  some  groups  of  citizens  differently  than  others." McGowan v. Maryland, 366 U.S. 420, 425, 6 L. Ed. 2d

393, 81 S. Ct. 1101 (1961). Therefore, "a statutory classi- fication that neither proceeds along suspect lines nor in- fringes fundamental constitutional rights must be upheld against equal protection challenge if there is any reason- ably conceivable state of facts that could provide a ratio- nal basis for the classification." Federal Communications Comm. v. Beach, 508 U.S. 307, 313, 124 L. Ed. 2d 211,

113 S. Ct. 2096 (1993). n18


n18 Federal Communications Comm. v. Beach involved a challenge under the Due Process Clause of  the  Fifth  Amendment  to  a  provision  of  the Cable  Communications  Policy  Act  by  operators of satellite master antenna and television facilities. Because the Fifth Amendment imposes on the fed- eral government the same standard required of state legislation by the Equal Protection Clause of the Fourteenth Amendment, Schweiker v. Wilson, 450

U.S. 221,  226 n. 6,  67 L. Ed. 2d 186,  101 S. Ct.

1074 (1981), the Due Process Clause of the Fifth Amendment has an "implied equal protection guar- antee." Beach, 508 U.S. at 312.


**41


Ms. Alexander argues that New Jersey's exclusion of the stillborn and fetuses from coverage under the wrong- ful  death  and  survival  acts  creates  two  distinct  classes. n19 The first class consists of all mothers whose injured



fetuses are born but die as a result of the prenatal injury. The  second  class --  the  Karen  Alexander  class --  con- sists of all mothers whose fetuses are tortiously injured in utero and die in the womb or are stillborn as a result. New Jersey law allows a wrongful death and survival ac- tion to mothers in the first class, but not to those in the second class. That much is not disputed;  however,  Ms. Alexander's argument fails because she also argues that there is no difference between the mothers in those two classes. She asserts that mothers in her class sustained "the same loss as other mothers to whom New Jersey gives the claim." Appellants' Brief, at 19. While that may be true insofar as it states the similarity between the respective tragedies, it is not true insofar as it attempts to foster a principle of Equal Protection jurisprudence.


n19  Actually,   Karen  Alexander  posits  four classes.  The  first  class  is  the  largest  class  and  is composed  of  all  mothers  who  are  pregnant.  The second class is contained in the first class and is composed of pregnant mothers whose children sus- tain a prenatal injury. The third class is a subclass of the second class and consists of pregnant moth- ers whose children sustain a prenatal injury result- ing in the death of a child after a live birth. The fourth class is also a subclass of the second class and is the Karen Alexander class composed of all pregnant mothers whose children sustain a prenatal injury and are stillborn. See Appellants' Brief,  at

16-17. However, we do not think that delineating four classes is necessary for the purposes of this equal protection argument. It is the third and fourth classes which are significant here.


**42


Ms. Alexander's Equal Protection claim parallels her Due Process claim in that she argues that New Jersey's classification affects fundamental rights, i.e., a mother's interest  in  her  relationship  with  her  child.  However,  as discussed earlier, Karen Alexander has not demonstrated how these statutes affect her relationship with her unborn child. Therefore, her own Equal Protection challenge is also entitled only to "rational basis" scrutiny. The rational basis  standard  is  a  "relatively  relaxed  standard  reflect- ing the Court's awareness that the drawing of lines that create distinctions is peculiarly a legislative task and an unavoidable one." Massachusetts Bd. of Retirement


114 F.3d 1392, *1408; 1997 U.S. App. LEXIS 12509, **42

Page 16




*1408   v. Murgia, 427 U.S. 307, 314, 49 L. Ed. 2d 520,

96 S. Ct. 2562 (1976). Although New Jersey could have chosen to afford all mothers whose fetuses are injured a cause of action under the challenged statues, the wisdom of not doing so is not before us. It is the legality of not doing so that we must decide,  and we do not think the distinction that the state has drawn is illegal.


Rational basis review in equal protection analysis is not a license for courts to judge the wisdom, fairness, or logic of legislative choices. Nor does it authorize **43   the ju- diciary to  sit as a superlegislature to judge the wisdom or desirability of legislative pol- icy determinations made in areas that affect neither fundamental rights nor proceed along suspect  lines.  For  these  reasons,  a  classifi- cation neither involving fundamental rights nor  proceeding  along  suspect  lines  is  ac- corded a strong presumption of validity. Such a classification cannot run afoul of the Equal Protection Clause if there is a rational rela- tionship between the disparity of treatment and some legitimate governmental purpose. Further, a legislature that creates these cate- gories need not actually articulate at any time the purpose or rationale supporting its clas- sification.  Instead,  a  classification  must  be upheld against equal protection challenge if there is any reasonably conceivable state of facts that could provide a rational basis for the classification. . . .


A  statute  is  presumed  constitutional  .  .

.  and  the  burden  is  on  the  one  attacking the  legislative  arrangement  to  negative  ev- ery  conceivable  basis  which  might  support it,  whether  or  not  the  basis  has  a  founda- tion in the record. Finally,  courts are com- pelled under rational-basis review to accept a  legislature's   **44    generalizations  even when there is an imperfect fit between means and ends. A classification does not fail ratio- nal-basis review because it is not made with mathematical  nicety  or  because  in  practice



it results in some inequality. The problems of  government  are  practical  ones  and  may justify, if they do not require, rough accom- modations -- illogical, it may be, and unsci- entific.


Heller v. Doe, 509 U.S. 312, 319-21, 125 L. Ed. 2d

257, 113 S. Ct. 2637 (1993). The "standard of rationality

. . . must find some footing in the realities of the subject addressed by the legislation." Id. at 321. Only when the classification "rests on grounds wholly irrelevant to the achievement of the State's objectives" does a statute fail rational basis review.  Id. at 323.


Apparently, there is no legislative history to assist us in determining if the challenged statutes are rationally re- lated to a legitimate state interest. However, the assumed legislative bases for the Wrongful Death Act were exten- sively discussed in Giardina v. Bennett. There, the New Jersey Supreme Court analyzed that statute and concluded that the legislature defined the wrongful death action with the intent of limiting it to the class of people considered

**45   persons by the common law. As noted earlier, the New Jersey legislature was doing nothing more than set- ting limits on tort recovery in those cases when a person is killed by the tortious conduct of another. Accordingly, we find no violation of the Equal Protection Clause.


D. THE CLAIM OF THE DRAZIN PLAINTIFFS. As noted above, Ms. Alexander's attorney and his law firm (the Drazin plaintiffs) also challenge these statutes. They allege a constitutional violation of their rights be- cause they are precluded from bringing wrongful death and survival actions on behalf of Karen Alexander and other potential clients whose children were stillborn be- cause of the wrongful acts of third parties. We are aware of no constitutional provision that creates a right in attorneys to bring lawsuits under the circumstances involved here. Moreover, the district court quite properly concluded that Ms. Alexander is the party best suited to challenge these statutes and held that the Drazin plaintiffs lack standing.

See Amato v. Wilentz, 952 F.2d 742 (3d Cir. 1991).


In Wilentz, we noted that an inquiry into standing also encompasses prudential considerations.


114 F.3d 1392, *1409; 1997 U.S. App. LEXIS 12509, **45

Page 17



*1409    Where a plaintiff asserting **46  third  party  standing  has  suffered  concrete, redressable  injury  (that  is,  the  plaintiff  has Article  III  standing),  federal  courts  are  to examine at least three additional factual el- ements before allowing the suit to proceed. First,  the  court  must  examine  the  relation- ship between the plaintiff and the third party whose rights are asserted; second, the court must consider the ability of the third party to  advance  its  own  rights --  whether  some obstacle impedes the rightholder's own suit; and third, the court must inquire into the im- pact on third party interests --  whether the plaintiff and the third party have consistent interests.


952 F.2d at 749 (citations omitted). We added that a court may consider other "factors that  may also be rele- vant to the ultimate prudential consideration." Id. at 750. The nature of the claim asserted by the Drazin plaintiffs would  fall  woefully  short  of  these  considerations  even if it comported with the more formal "case and contro- versy" components of Article III standing. Indeed, what- ever loss the Drazin plaintiffs may assert here is reduced to such insignificance (if not absurdity) by Ms. Alexander's tragic loss that we can not help but wonder **47   how the Drazin plaintiffs can seriously challenge the district court's ruling as to their lack of standing. Moreover, since we conclude that there is no constitutional violation here, the Drazin plaintiffs' marginal claim fails in any event.


IV. CONCLUSION


In concluding, we wish to stress that we do not intend minimize the immensity of Ms. Alexander's tragic loss. Any  parent  would  appreciate  that  it  is  of  monumental proportion. However, our task is to apply those principles that control and guide legal analysis and thereby deter- mine if the district court erred in dismissing the suit that was brought under section 1983. Though we understand



how a parent would conclude that the interests at stake here are fundamental, that is not the test we must apply.

"Fundamental interests" in constitutional adjudication are not equivalent to general interests of "particular human or societal  significance."  Price  v.  Cohen,  715  F.2d  87,  93

(3d Cir. 1983)(citing San Antonio Sch. Dist. v. Rodriguez,

411 U.S. 1, 33, 36 L. Ed. 2d 16, 93 S. Ct. 1278 (1973). Rather, fundamental interests are those which "have their source, explicitly or implicitly, in the Constitution." Id.

(citing Plyler, 457 U.S. at 217 n.15 **48   (1982).


For  the  reasons  set  forth  above  we  hold  that  Ms. Alexander has failed to establish that New Jersey's lim- itation on wrongful death and survival actions is uncon- stitutional, and we therefore affirm the judgment of the district court.


CONCURBY: ALITO


CONCUR:


ALITO, Circuit Judge, concurring.


I am in almost complete agreement with the court's opinion,  but  I  write  to  comment  briefly  on  two points. First, I think that the court's suggestion that there could be "human beings" who are not "constitutional persons"

(Maj. Op. 14-15) is unfortunate. I agree with the essential point that the court is making: that the Supreme Court has held that a fetus is not a "person" within the meaning of the Fourteenth Amendment. However, the reference to con- stitutional non-persons, taken out of context, is capable of misuse.


Second, I think that our substantive due process in- quiry must be informed by history. It is therefore signif- icant that at the time of the adoption of the Fourteenth Amendment and for many years thereafter,  the right to recover for injury to a stillborn child was not recognized. See Giardina v. Bennett, 111 N.J. 412, 545 A.2d 139, 143

(N.J. 1988); Smith v. Brennan, 31 N.J. 353, 157 A.2d 497,

**49   498 (N.J. 1960).


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