Saturday, March 19, 2016

Findings of Personal doctor versus company-designated physician


In most seafarer cases for disability or death benefits claims, one of the arguments often raised by the companies  or the insurance correspondents    is that they are not liable to pay  benefits by pointing to the medical reports of the company-designated physician that the seafarer’s illness is not work-connected, that he is fit to work or that the compensation is limited to a lower amount based on a low disability grading.  They point out that   the POEA mandated that  the seafarer’s disability can only be assessed by the company-designated physician considering that the latter had the time and the opportunity to constantly monitor the health and physical condition of the seafarer.
 
This issue was discussed by the Supreme Court in the recent 2015  case of Philippine Transmarine Carriers, Inc. and Northern Marine Management Vs. Joselito A. Cristino (G.R. No. 188638. December 9, 2015) wherein the Court said that the medical opinion of the seafarer’s personal specialist doctor deserves greater evidentiary weight as the company offered no other convincing proof to substantiate their arguments. The company doctor and the seafarer’s personal doctor differed on their opinion on the work-relatedness of the seafarer’s illness, melanocytes or malignant  melanoma. The Court said that the seafarer’s own oncologist was actively involved in his treatment and even performed surgical procedure on him as opposed to the more basic medical management provided by the company’s designated physician which were initially limited to the giving of oral medication and wound dressing.
 
             
In various decisions, the  Supreme Court clearly pointed out that the findings and the disability grading of a company-designated physician could be set aside by the Court in its determination of disability compensation (Philippine Transmarine Carriers, Inc. vs. NLRC, 353 SCRA 47).   The Court noted that “their findings cannot be taken as gospel truth” due to the proliferation of obviously biased company doctors whose loyalty rests completely upon the company they serve and these “are palpably self-serving and biased in favor of petitioners and certainly could not be considered independent” (Wallem vs.NLRC 318 SCRA 623,  United Philippine Lines, Inc. and/or Holland America Line, Inc., vs. Francisco D. Beseril, 487 SCRA 249). The Court also considered the glaring apparent inconsistency in the company doctor's medical report between the classification of claimant's disability and the fact stated that said claimant had been unable to work for long period of time, which condition makes his disability permanent and total (Crystal Shipping, Inc. vs. Natividad, 473 SCRA 559.)
 
            In Seagull Maritime Corp. vs. Jaycee Dee et al (520 SCRA 109)  the  highest tribunal explained that “courts are called upon to be vigilant in their time-honored duty to protect labor, especially in cases of disability or ailment. When applied to Filipino seamen, the perilous nature of their work is considered in determining the proper benefits to be awarded. These benefits, at the very least, should approximate the risks they brave on board the vessel every single day.     Accordingly, if serious doubt exists on the company-designated physician's declaration of the nature of a seafarer's injury and its corresponding impediment grade, resort to prognosis of other competent medical professionals should be made. In doing so, a seaman should be given the opportunity to assert his claim after proving the nature of his injury. These evidences will in turn be used to determine the benefits rightfully accruing to him.  Nowhere in that case (German Marine Agencies, Inc. did we hold that the company-designated physician's assessment of the nature and extent of a seaman's disability is final and conclusive on the employer company and the seafarer-claimant. While it is the company-designated physician who must declare that the seaman suffered a permanent disability during employment, it does not deprive the seafarer of his right to seek a second opinion.”
 
In  HFS Philippines vs. Pilar (585 SCRA 315),  the findings of the independent physicians were given more credence than those of the company-designated physicians, the Supreme Court held that “the bottomline is this: the certification of the company-designated physician would defeat respondent's claim while the opinion of the independent physicians would uphold such claim. In such a situation, we adopt the findings favorable to respondent. The law looks tenderly on the laborer. Where the evidence may be reasonably interpreted in two divergent ways, one prejudicial and the other favorable to him, the balance must be tilted in his favor consistent with the principle of social justice.”
 
The POEA contract does not preclude the seafarer from getting a second opinion as to his condition for purposes of claiming disability benefits. The Supreme Court reiterated   in the case of  Maersk Filipinas Crewing Inc. vs. Mesina (697 SCRA 601)  that "[w]hile it is the company-designated physician who must declare that the seaman suffers a permanent disability during employment, it does not deprive the seafarer of his right to seek a second opinion," hence, the Contract "recognizes the prerogative of the seafarer to request a second opinion and, for this purpose, to consult a physician of his choice” (NYK-Fil Ship Management vs. Talavera, 571 SCRA 183; Abante vs. KJGS Fleet Management Manila, et al, 607 SCRA 734). The Court stressed that the company physician's assessment does not evince irrefutable and conclusive weight in assessing the compensability of an illness as the seafarer has the right to seek a second opinion from his preferred physician. (Maunlad Transport, Inc. vs. Manigo Jr., G.R. No. 161416, June 13, 2008, citing Crystal Shipping, Inc. vs. Natividad, Philippine Transmarine Carriers, Inc. vs.NLRC, 525 SCRA 42, Cadornigara vs. NLRC, 538 SCRA 363.)
 
            In the case of Magsaysay vs. Laurel (694 SCRA 225) the disability provisions of the POEA-SEC recognize the right of a seafarer to seek a second medical opinion and the prerogative to consult a physician of his choice. Therefore, the provision should not be construed that it is only the company-designated physician who could assess the condition and declare the disability of seafarers. The provision does not serve as a limitation but rather a guarantee of protection to overseas workers.
            This principle is in line with the Supreme Court rulings that strict rules of evidence are not applicable in claims for compensation considering the probability and not the ultimate degree of certainty is the ultimate test of proof in compensation proceedings (Barcenas vs. WCC 158 SCRA 314; NFD International Manning Agents, Inc. vs. NLRC, 269 SCRA 486; Heirs of the late R/O Reynaldo Aniban vs. NLRC, 282 SCRA 377).  


 Atty. Dennis R. Gorecho (UPLaw 1998)  is a junior partner of Sapalo Velez Bundang Bulilan (SVBB) law offices  who heads the seafarers’ division. He is a  speaker on  nationwide paralegal seminars on  seafarers rights.  He is presently the executive vice president of the Maritime Law Association of the Philippines (MARLAW),  and an active  member of the Maritime Forum Inc. , the National Seafarers Day (NSD) committee and International Pro Bono Network. The SVBB law works hand in hand with various seafarers welfare  organizations such as the Apostleship of the Seas (AOS) Philippines  and the Luneta Seafarers' Welfare Foundation (LUSWELF) and United Filipino Seafarers (UFS). . He is a legal commentator on maritime issues on print, radio and TV. A co-anchor of the radio program Bantay OCW Usapang Marino aired over Radio Inquirer every Wednesday 10:30am to 12noon. For comments, please send  email  at info@sapalovelez.com or call  09175025808

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