## Facts

- Michael Buckley worked as a pipefitter for Metro-North Commuter Railroad Company and was exposed to asbestos-containing insulation dust at work.
- Buckley attended an asbestos-awareness class and developed fear that he would later develop cancer.
- Periodic medical examinations showed no evidence of asbestos-related disease, and Buckley alleged no present physical symptoms.
- Buckley sued under the Federal Employers’ Liability Act (FELA), seeking (1) damages for negligent infliction of emotional distress based on fear of cancer and (2) damages for future medical monitoring (costs of periodic checkups).
- The district court dismissed the action, concluding FELA did not allow recovery for emotional injury absent a qualifying physical impact; it did not reach the medical monitoring claim.
- The Second Circuit reversed, treating contact with asbestos dust as a sufficient “physical impact” to permit emotional-distress recovery and allowing recovery of monitoring costs.

## Issues

1. Whether an asymptomatic railroad worker exposed to asbestos may recover under FELA for negligent infliction of emotional distress based on fear of developing cancer.
2. Whether an asymptomatic worker exposed to asbestos may recover future medical monitoring costs under FELA absent a present physical injury or disease.

## Decision

- The Supreme Court reversed the Second Circuit and held for Metro-North (7–2).
- A FELA plaintiff may not recover emotional-distress damages for fear of future disease based solely on asbestos exposure when no symptoms or disease have manifested.
- Exposure to asbestos dust, without present symptoms and without immediate risk of physical harm at the time of negligence, is not the kind of “physical impact” that satisfies the FELA emotional-distress threshold recognized in prior precedent.
- FELA does not authorize a freestanding award of medical monitoring costs when the plaintiff has no present physical injury.

## Legal Principles

- Under FELA, negligent infliction of emotional distress is limited by common-law constraints, including the “zone of danger” requirement.
- The “zone of danger” test permits emotional-distress recovery only when the plaintiff sustains a physical impact causing immediate harm or is placed in immediate risk of physical harm by the defendant’s negligence.
- Mere exposure to a toxic substance that creates only a later, probabilistic risk of disease—without present symptoms—does not satisfy the “zone of danger” standard for emotional-distress damages under FELA.
- FELA’s remedial purpose does not convert railroads into insurers; negligence-based limits and administrability concerns support restricting recovery to cases with present, manifest injury.
- Absent a present injury “resulting from” negligence, FELA does not provide an independent remedy for medical monitoring costs.

## Conclusion

The Court held that asymptomatic asbestos exposure does not constitute a compensable injury under FELA for either fear-of-cancer emotional-distress damages or stand-alone medical monitoring, limiting such recovery to employees who suffer a qualifying physical impact or face immediate risk of physical harm, or who later manifest disease.


Metro-North Commuter R.R. Co. v. Buckley, 521 U.S. 424 (1997)