## Facts

- Emma McDougald, age 31, underwent a Caesarean section and tubal ligation at New York Infirmary in September 1978.
- Dr. Sara Garber performed the surgery; Drs. Armengol and Kulkarni administered anesthesia.
- During the operation, McDougald suffered oxygen deprivation, causing severe brain damage and leaving her permanently comatose.
- McDougald sued for medical malpractice; her husband asserted a derivative claim for loss of services.
- A jury found defendants liable and awarded McDougald damages including separate amounts for conscious pain and suffering and for “loss of the pleasures and pursuits of life,” plus pecuniary losses; it also awarded the husband damages for loss of services.
- The trial court reduced and restructured parts of the award, including consolidating the nonpecuniary awards into a single sum; the Appellate Division affirmed as modified.
- Defendants appealed only the scope and structure of nonpecuniary damages for pain and suffering and loss of enjoyment of life, not liability.

## Issues

1. Whether some degree of cognitive awareness is required to recover damages for loss of enjoyment of life.
2. Whether loss of enjoyment of life should be submitted to the jury as a separate category from pain and suffering.

## Decision

- The Court of Appeals held that some degree of cognitive awareness is a prerequisite to recover for loss of enjoyment of life.
- The Court held that loss of enjoyment of life should not be charged as a separate item of damages distinct from pain and suffering.
- The Court ordered a new trial limited to nonpecuniary damages because the jury charge permitted (1) recovery for loss of enjoyment of life without proof of awareness and (2) a separate award under that label.

## Legal Principles

- Compensatory damages must correlate to a loss experienced by the plaintiff; they may not function as a substitute for punishment.
- Nonpecuniary damages compensate physical and emotional consequences of injury; pecuniary damages compensate economic consequences such as medical expenses, lost earnings, and custodial care.
- Loss of enjoyment of life is recoverable only when the plaintiff has sufficient cognitive awareness to experience the deprivation.
- Loss of enjoyment of life is an element within pain and suffering, not an independent head of damages; separating the categories risks duplicative recovery and excess awards.
- Proper jury instructions should require a single, combined award for nonpecuniary harm, within which diminished enjoyment of life may be considered when awareness is shown.

## Conclusion

New York law requires cognitive awareness for damages based on loss of enjoyment of life and directs that such loss be considered only as part of a single pain-and-suffering award; erroneous instructions allowing an awareness-free, separate hedonic award require a new trial on nonpecuniary damages.


McDougald v. Garber, 73 N.Y.2d 246 (1989)