Smith v. United States, No. 20-11365 (11th Cir. 2021)
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Plaintiff filed suit under the Federal Tort Claims Act (FTCA), alleging that various medical professionals working for the VA breached their legal duty to exercise ordinary medical care and negligently failed to diagnose his throat cancer and immediately treat it. The district court dismissed plaintiff's complaint for lack of subject matter jurisdiction, concluding that judicial review of his claims was precluded by the Veterans' Judicial Review Act (VJRA).
The Eleventh Circuit affirmed in part and reversed in pat, concluding that the district court did lack jurisdiction over some of plaintiff's claims but that it had jurisdiction over his tort claims alleging medical negligence or malpractice. To the extent that plaintiff alleges that any delay in his receipt of needed medical care was a result of the VA's failure to timely approve and/or authorize his care or payments therefore, the district court could not review those allegations without second-guessing a decision by the VA necessary to a benefits determination—when to grant the requested benefit. As for plaintiff's allegations related to the VA's failure to follow its own policies, procedures, and protocols, if the district court lacks jurisdiction to review the VA's approval, authorization, and scheduling decisions, it must also lack jurisdiction to determine whether the VA followed its own internal procedures in making those decisions. However, plaintiff's medical negligence and malpractice claims do not require the district court to decide whether plaintiff was entitled to benefits nor do they require the court to revisit any decision made by the Secretary in the course of making benefits determinations. The court remanded for further proceedings.
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