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IN THE SUPREME COURT OF THE AUSTRALIAN CAPITAL TERRITORY MILES CJ, CRISPIN AND RYAN JJ DAMAGES - appeal against inadequacy - award of general damages - elements of value judgment - advantage of trial judge - apportionment for purpose of interest does not indicate error in total award or any part of it. DAMAGES - appeal against inadequacy - award for future expenses - refusal to award future expenses of osteopathy and massage - award of "discretionary" undifferentiated sum for expenses of other treatment - alleged inconsistency with other findings and with award for expenses claimed for past - no error shown. Malec v. J.C. Hutton Proprietary Limited [1990] HCA 20; (1990) 169 CLR 638 Parkinson v. Kuehnast (unreported, Full Court of the Federal Court, 20 December 1996) The Nominal Defendant v. Gardikiotis [1995] HCA 56; (1996) 186 CLR 49 Abalos v. Australian Postal Commission [1990] HCA 47; (1990) 171 CLR 167 Russell v. J. Hargreaves & Sons PTA Ltd (1956) 30 ALJ 533 Carson v. John Fairax & Sons Ltd [1993] HCA 31; (1993) 178 CLR 44 Planet Fisheries PTA Ltd v. La Rosa [1968] HCA 62; (1968) 119 CLR 118 Moore v. Canberra Dutch Club (Inc) (unreported, 26 September 1991, Miles CJ) Cirjak v. Beggs (unreported, 20 June 1991, Full Court of the Federal Court of Australia) Paff v. Speed [1961] HCA 14; (1961) 105 CLR 549 Griffiths v. Kerkemeyer [1977] HCA 45; (1977) 139 CLR 161 Luntz: Assessment of Damages 1990 (3rd ed) at para.6.4.1 Sharman v. Evans [1977] HCA 8; (1977) 138 CLR 563 CANBERRA, 3 November 1997 (hearing), 27 May 1998 (decision) #DATE 27:05:1998 Appearances Counsel for the appellant: L. Lasry QC with J. Pappas Solicitors for the appellant: pappas, j - attorney Counsel for the respondent: H.J. Marshall Solicitors for the respondent: Barker Gosling Order: 1. The appeal be dismissed. 2. The appellant pay the respondent's costs of the appeal. MILES CJ, CRISPIN AND RYAN JJ 1. This is an appeal by the plaintiff against a judgment of the Master awarding damages for personal injuries sustained in a motor vehicle collision. Liability was denied on the pleadings, but admitted at the hearing. The plaintiff was a passenger in a stationary vehicle struck from behind by a truck driven by the defendant. It is difficult to see why liability should have been denied at all. However, the Master made no special order as to costs. 2. The Master's award may be summarised as follows: TABLE General damages $60,000.00 Interest thereon $6,511.00 Past loss of earning capacity $185,170.49 Tax paid on worker's compensation $14,426.09 Future loss of earning capacity $266,898.75 Past out-of-pocket expenses $69,989.87 Future out-of-pocket expenses $30,000.00 Past domestic assistance $5,628.00 Future domestic assistance $5,000.00 Future cleaning costs $26,469.00 Total: $670,093.20 3. The plaintiff was born in 1943. She trained and qualified as a nurse. After that she worked as a shop assistant or otherwise in retail trades. She had her first child in 1976 and resumed working soon after. She had a second child in 1978 after which she worked in paid remuneration away from the home only part-time. In 1980 her husband was posted overseas and she accompanied him. When they came back to Canberra in 1982 she returned to full-time paid employment. There was a similar break in her paid employment and a return to it when her husband was posted overseas a second time in 1984. 4. The plaintiff's case was that she suffered a soft tissue injury to her cervical spine which aggravated and made symptomatic a pre-existing underlying degenerative condition. This has had a substantial impact on her life, greatly restricting her activities and producing ongoing pain and reducing her from an energetic and vital woman to a depressed and inactive person. 5. The plaintiff did not attend hospital immediately after injury, but did attend her general practitioner, Dr R. Dimitri, to whom she complained of immediate neck pain extending above the shoulders and along the left arm and radiating downwards towards the thoracic and lumbar regions. She stated that she felt shocked and shaky and felt increasing stiffness in the back and a splitting headache. 6. She took ten weeks off work as a result and started wearing a cervical collar. X-rays revealed the underlying disc degeneration. 7. Dr Dimitri, the general practitioner, reported in June 1989 in terms which the Master found accurate then and which remained accurate. They were as follows: "1. Whiplash injury to the cervical spine in the form of musculo-ligamentous disruption to the soft tissues. It is early days yet to anticipate the prognosis of this type of injury but this condition could be painful up to 3-5 years. "2. Aggravation of previous asymptomatic disc degeneration at level of C5/6. This is causing neckpain (sic) radiating to the left arm and forearm." 8. By August, however, Dr Dimitri was noting complaints of depressed moods due to both inactivity and pain. In September 1989 Dr Andrews, a neurologist, reported aggravation of an asymptomatic degenerative disc at C5/6. After viewing a CT scan, Dr Andrews thought that the degenerative condition in the spine was so widespread that the condition could not be relieved by surgery. Dr Keiller, an orthopaedic surgeon, and Dr Robson, another neurologist, reported views similar to those of Dr Andrews. However, Dr Thompson, described by the Master as a medico-legal consultant, thought that there was nothing wrong with her. There was an attempt to cross-examine Dr Thompson over the telephone, which attempt, according to the Master, "broke down". The Master rejected Dr Thompson's evidence and the defendant makes no complaint about that. 9. The plaintiff continued in her work in the furniture retail business until August 1990. She resigned when, as she said "the pain was so intense sometimes everything got on top of me". She resumed part-time work in sales and public relations in September 1991, assisted by pain killers. She persevered, as the Master put it, until July 1993 and has not worked since. 10. Throughout the period from the time of her injury until the hearing, the plaintiff was prescribed a range of medications taken in copious quantities. She was dependent on Valium and pain-killing medication for some time. She began taking morphine intravenously, but was not dependent upon it. 11. In 1991 Dr Arnstein, a clinical psychologist, diagnosed stress and in 1994 Dr Saboisky, a psychiatrist, diagnosed both depression and post-traumatic stress disorder. In December 1996 the plaintiff described to Dr Saboisky an overdose of medication she had taken following disputes with her daughter and with the workers compensation insurer over Dr Arnstein's fees. Dr Saboisky did not regard this as a serious suicide attempt so much as a "cry for help". 12. Except to the extent to which we will refer, the Master rejected the conclusions of Dr Sekel, called for the defendant, on the ground that, suspecting that the plaintiff was exaggerating, Dr Sekel had advised the insurer to keep the plaintiff under observation. 13. Although the Master appears to have accepted the evidence of Dr Saboisky that the plaintiff was suffering from a medically recognized and diagnosed condition of chronic pain depression or post traumatic stress disorder or both, he rejected the submission that the condition was likely to be permanent. In evidence-in-chief Dr Saboisky said of persons suffering from post traumatic stress disorder, that "over a good number of years after completion of litigation, something like 50 per cent get some sort of reasonable occupational adjustment". In cross-examination he agreed that he was aware of a study of post traumatic stress disorder in veterans which indicated that "some 35 per cent resolve over time". The Master rejected a submission that "there is a 50 per cent chance that the end of litigation will resolve the plaintiff's problems, and that if she is in the other 50 per cent, 35 per cent of such matters resolve anyway". 14. The Master, in our view, was correct in rejecting that submission, which apparently sought to prove by a mathematical formula that there was only a 15 per cent chance of the plaintiff's condition remaining permanent. 15. The Master summarised the findings on which he assessed damages under the various heads as follows: "I find that the motor vehicle accident produced soft tissue injury, but that it also aggravated and rendered symptomatic a previous underlying degenerative condition that had been asymptomatic. The sequelae of this physical injury was (sic) ongoing pain and significant limitations to the plaintiff's lifestyle, which has in turn produced a genuine psychiatric condition of some severity, in the form of depression and post traumatic stress disorder. I am satisfied that the descriptions given by the plaintiff and her husband of the radical change in her lifestyle since the accident, and her gradual withdrawal from employment and social and recreational pursuits, all of which she had previously pursued and enjoyed with vigour, are genuine." 16. On the material so far summarised, the Master concluded that the significant psychological consequences in the case "elevated" general damages beyond those which might be expected to be awarded for the physical difficulties associated with a back and neck condition alone. The Master awarded general damages of $60,000 apportioning $40,000 to the past for the purpose of awarding interest. 17. The Master went on to state that the accident-related injuries had been the cause of the plaintiff's gradual withdrawal from the workforce. In this regard we take it that he concluded, first, that the plaintiff did suffer the physical and psychological condition up to the date of the hearing on which she relied, and, secondly, that that condition was a sufficiently contributing factor to her past and continuing loss of earning capacity. It is implied in the Master's reasons, conversely, that at the time of hearing, other factors such as natural degeneration in the spine and family demands had not overwhelmed the condition attributable to the 1989 injury. The Master, accepting the calculations put to him on behalf of the plaintiff, awarded $185,170.49 for past loss of earning capacity. 18. In dealing with the loss of earning capacity for the future, the Master noted the evidence of Dr Sekel that as at 1995 x-rays showed only a "mild" level of degeneration, which "in most cases" would present no symptoms, although degenerative disease can be provoked by the ordinary activities of living. The Master concluded that the evidence of Dr Sekel "fell well short, however, of any assertion that there would have been a likely point at which the plaintiff's condition would have developed to its present point absent the accident". We take it that the reference to Dr Sekel's evidence was intended to be a finding in the terms in which the evidence was described. However, other than by reference to Dr Sekel's statement that degenerative disease can be "provoked" by ordinary everyday activities, the Master did not advert to the question whether the evidence established, as a possibility, that the plaintiff's pre-existing degenerative spinal condition might have been rendered symptomatic at some time in her life before the hearing without the injury suffered at the hands of the defendant. The Master appears to have been of the view that in order to reduce by way of discount the sum claimed by the plaintiff for lost earning capacity in the past, it was necessary to establish that it was more probable than not that "absent the 1989 injury, the plaintiff would have suffered at least some of the harm which she suffered as a consequence of her injury". That was an error of law. In the leading case of Malec v. J.C. Hutton Proprietary Limited [1990] HCA 20; (1990) 169 CLR 638, it is made clear that in the case of an event which would or would not have occurred, or might or might not yet occur, the issue is not determined on the balance of probabilities. At 643 Deane J, Gaudron J and McHugh J said: "Where proof is necessarily unattainable, it would be unfair to treat as certain a prediction which has a 51 per cent probability of occurring, but to ignore altogether a prediction which has a 49 per cent probability of occurring. Thus, the court assesses the degree of probability that an event would have occurred, or might occur, and adjusts its award of damages to reflect the degree of probability. The adjustment may increase or decrease the amount of damages otherwise to be awarded." 19. For future economic loss, the Master accepted on a prima facie basis a continuing loss of $675 per week (the average of what was claimed in the statement of claim as paid to employees in similar occupations) for the rest of the plaintiff's otherwise expected working life. The Master reduced the present value of that loss by applying a discount rate of 25 per cent to take into account what he called "the possibility of the resolution of the psychological condition and the onset of a degree of symptomatology from the pre-existing back condition". The result was the figure awarded of $266,898.75. 20. The Master also awarded the whole of the past out-of-pocket expenses claimed, amounting to $69,989.87 of which sum $15,766.19 had been disputed. The disputed sum was for therapeutic massage carried out by the Vitality Health Centre. The Master stated that, on the evidence of Dr Dimitri, the past massage expenses were appropriate. The Master remarked also that they had been paid by the workers compensation insurer. It is not clear why the Master made that remark. It may have been to exclude any suggestion that interest was payable on this component of the damages. It should be observed that payment by an insurer is not a reason for awarding an item of out-of-pocket expenses, unless that payment is to be interpreted as an admission on behalf of the defendant that the defendant is liable for it. Such an interpretation was not open in the present case. However, again, no complaint is made on behalf of the defendant in relation to this aspect. 21. It is in the award for expected out-of-pocket expenses in the future that the further challenge to the Master's award is made. With regard to future osteopath and massage treatment, a sum of $122,000 was claimed. The Master dismissed that claim saying: "While Dr Saboisky indicated that the plaintiff was obtaining some benefit from these treatments, in the sense that they were palliative and maintaining her present condition, Dr Sekel was dismissive of their benefit. A claim of this order for treatment which is not supported by a specialist in the relevant field, and which at best is described as merely palliative rather than curative, cannot in my opinion meet the test of a reasonable expense related to the accident. While I have been prepared to find the costs to date of such treatments should be recovered in the award for out of pocket expenses, I am not satisfied that the claim for future out of pocket expenses is satisfied in this respect." 22. There were further claims for out-of-pocket expenses in the future. They included pharmacy ($22,807.45), counselling and psychiatric care ($16,288.60), and visits to general practitioner ($8,823.00) totalling $47,919.05. The Master found that it was likely that the plaintiff would require ongoing psychiatric therapy for a year or so and intermittent treatment thereafter and awarded $30,000, which he described as a "discretionary sum to reflect future pharmaceuticals, psychological, psychiatric and general practitioner attendances". That award and the refusal to award any sum for future osteopathic and massage treatment expenses were challenged. 23. Appeals against an award of damages for personal injuries are decided by well established principles which do not bear repeating in every case. However, this is a case in which the principles deserve some emphasis. In this regard we were not assisted by the respondent's outline of submissions which appear to be based upon an outdated precedent. It is no longer true as a matter of general principle in an appeal from a judge sitting without a jury that the damages must be shown to be "out of all proportion" or "grossly disproportionate" to the injury and its consequences. In Parkinson v. Kuehnast (unreported, Full Court of the Federal Court, 20 December 1996) the principles and authorities were set out. Gallop J (with whom the other members of the Court agreed) said at 2: "Before an appellate court interferes with an award of damages it should be satisfied that the trial judge acted on a wrong principle of law or misapprehended the facts, or for these or for other reasons, made a wholly erroneous estimate of the damage suffered. It is not enough that there is a balance of opinion or preference. The scale must go down heavily against the figure attacked if the appellate court is to interfere either on the ground of excess or insufficiency ( Davies v. Powell Duffryn Associated Collieries Limited [1942] AC 601 per Lord Wright at 616-7, cited with approval by Dixon CJ and Kitto J in their joint judgment in Miller v. Jennings [1954] HCA 65; (1954) 92 CLR 190 at 195-6, and by Barwick CJ in Gamser v. The Nominal Defendant [1977] HCA 7; (1976-77) 136 CLR 145 at 148). As the Judicial Committee of the Privy Council observed in Paul & Anor v. Rendell (1981) 34 ALR 569 per Lord Diplock at 571, the assessment of damages in actions for personal injuries is not a science. An assessment of future economic loss involves a double exercise in the art of prophesying not only what the future holds for the injured plaintiff, but also what the future would have held for him if he had not been injured. Some aspects of an award of damages for personal injury involve what has been called a "discretionary judgment" ( Miller v. Jennings (supra) at 197 per Dixon CJ and Kitto J), or even the exercise of a discretion ( Kalnins v. Marshall (1970) 44 ALJR 152 at 152 per Barwick CJ). As Miles J observed in Oliver Davey Glass Pty Limited v. Hollands (supra), the evaluation of those sorts of components of an award of damages requires the court as best it can to place a monetary value on something which does not lend itself easily to such a process. The component which places a monetary value on pain and suffering is a notable example. An appellate court will be slow to interfere with that aspect of the trial judge's award. On the other hand, there are other aspects of an award of damages which involve simple inferences from primary facts found by the trial judge. The calculation of loss of wages for a closed period by a person in regular employment is an example." 24. That case raised a distinction between an "arithmetical" approach and an "intuitive" approach to the assessment of the present value of future loss. The judgment emphasised that there can be no general principle that one approach is preferable to the other or that they are always mutually exclusive. Each case will depend upon the nature of the evidence and the circumstances. 25. Some other principles in relation to the awarding of damages might be mentioned. The fundamental principle that damages for personal injuries are compensatory is one which the Master found it desirable to reiterate in his reasons by reference to a passage in the judgment of McHugh J in The Nominal Defendant v. Gardikiotis [1995] HCA 56; (1996) 186 CLR 49 at 54. 26. Another principle is that, once there is evidence of damage, it is the trial judge's duty to fix a sum to compensate for that damage, no matter how unsatisfactory the evidence may be in relation to quantum and no matter how difficult the task. That is one of the reasons for the reluctance of appeal courts to interfere with awards which contain a strong element of discretion or value judgment. Importantly, the advantage of the trial judge in making a value judgment based on the presentation of the plaintiff puts the appeal court in a difficult position in considering whether to interfere with findings based on such a judgment. In Abalos v. Australian Postal Commission [1990] HCA 47; (1990) 171 CLR 167, McHugh J referred in a well known passage at 179 to the advantage of the trial judge in seeing and hearing the witnesses and the need on an appeal to show that the trial judge failed to use or palpably misused that advantage. In the joint judgment of Dixon CJ and McTiernan J in Russell v. J. Hargreaves & Sons PTA Ltd (1956) 30 ALJ 533, it was said at 534: "In forming our opinion we should not forget that it is within the province of a primary judge to discount the accounts given by a plaintiff of his own sufferings and disabilities notwithstanding that he does not distrust his honesty. He is, moreover, often in a better position to form a judgment as to the effect which should be given to medical evidence. In cases where we think that we ought to substitute another amount for that assessed by the primary judge, we cannot in forming our own estimate of a proper sum proceed on our own view of the evidence without regard to that which we think the learned judge took. The result may well be, indeed in some cases it has been, that our award is somewhat lower than perhaps it would have been if we had been sitting in original jurisdiction." 27. As we understand it, the defendant does not seek to challenge the application of the principle that the Master enjoyed the advantage of seeing and hearing the plaintiff. What is submitted on the defendant's behalf is that, after giving due weight to the impression made by the plaintiff upon the Master, and accepting that due weight has to be given to the primary facts found by the Master, the award for general damages and for some of the future out-of-pocket expenses was outside the range of a sound discretionary judgment. 28. Reliance was placed by the defendant in the appeal on the decision in Parkinson v. Kuehnast to which reference has already been made on matters of principle. It was submitted that that decision (in which an award of general damages was reduced from $80,000 to $40,000) should be regarded as setting something of a benchmark for the award of general damages in cases such as the present involving soft tissue spinal damage with consequent aggravation of a pre-existing degenerative condition. That submission is rejected. Whilst part of the role of a court which hears appeals against awards of damages is to try to achieve a degree of consistency in awards at the trial level, there is considerable danger in taking a single decision and seeking to compare it with the facts of another single decision in order to demonstrate error in the award of damages in one of those decisions. Whilst it is no longer strict law that a court cannot or should not compare awards of damages for that purpose ( Carson v. John Fairax & Sons Ltd [1993] HCA 31; (1993) 178 CLR 44 c/f Planet Fisheries PTA Ltd v. La Rosa [1968] HCA 62; (1968) 119 CLR 118) that course should not be followed unless there is some particular reason for it. We see nothing to be gained in the present appeal by comparing the facts and the award in Parkinson v. Kuehnast and acting upon that comparison in order to test the correctness of the damages awarded by the Master in the present matter. 29. On the other hand, it is appropriate (even inevitable) that a court should remind itself of the level of damages that have been awarded in the recent past by members of that court, or by courts by whom its awards are subject to appellate review. In Moore v. Canberra Dutch Club (Inc) (unreported, 26 September 1991, Miles CJ, Supreme Court of the ACT) an explicit attempt was made at trial level to make the award of damages fit within the parameters seen to be set by a decision of the Full Court of the Federal Court in Cirjak v. Beggs (unreported, 20 June 1991, Full Court of the Federal Court of Australia). However, such an attempt is not necessary in every case and is not necessary in the present appeal. All that needs to be said is that the Master correctly had regard to the various factors that together were to be reflected in the award for general damages. They included the plaintiff's own description of the level and constancy of her pain and reduction of movement, the loss of self esteem, the loss of enjoyment of career, the loss of enjoyment of married and family life and the clinical, psychological or psychiatric aspects ranging from difficulty in sleeping to an incident variously described as a suicide attempt and a cry for help. In assessing the general damages to reflect these matters, and after making allowance for such factors as the pre-existing degenerative condition in the plaintiff's spine and other difficulties in her life for which the defendant could not be held responsible, such as difficulties within the family, the Master's decision to award the sum of $60,000 is not so low as to be outside the boundary of a sound discretionary judgment. 30. It was claimed that error was shown in the award for general damages by the Master's apportionment of $40,000 to the past and $20,000 to the future in that, given the plaintiff's present and future condition, the award for the future was manifestly inadequate for a woman with another 28 years of expected lifespan and concomitant pain and suffering. The argument has a superficial attraction if it is assumed that the Master made an actual and separate award of general damages for the past and future components. In fact, and in accordance with longstanding practice, the award for pain and suffering and loss of enjoyment of life was a global one to encompass past, present and future: see Paff v. Speed [1961] HCA 14; (1961) 105 CLR 549 at 558-9 per Fullagar J. We are not aware of any judicial authority or of any practice in any comparable jurisdiction which justifies separate awards for past and future general damages. 31. An award of interest for that part of the damages which has been kept out of a plaintiff's hands from the accrual of the cause of action until the date of judgment is usually appropriate unless there is some reason to refuse an award of interest. The award of interest cannot be made in respect of general damages unless some part of that award is apportioned to the past. The apportionment is not to be equated with an actual assessment of the present value of past pain and suffering and loss of enjoyment of life. Error in an award of general damages is not demonstrated by the apportionment for the purposes of interest. 32. It was further submitted that the Master's decision in relation to future out-of-pocket expenses showed inconsistency and consequent error which kept the plaintiff out of damages to which she was entitled on the Master's findings on the primary facts as to her condition. Again, the argument has a superficial attraction. The Master made positive findings relating to the plaintiff's symptoms and disabilities to the date of hearing that were, on the face of it, almost wholly favourable to the case presented on her behalf. That was a case of a person condemned to a lifetime of crippling physical restriction and excruciating pain as well as depression and social isolation, barely controlled and relieved by an intensive regime of treatment, medication, counselling and other assistance. The plaintiff was awarded damages for loss of earning capacity on the basis that she had been totally and permanently unable to work from 1993 and would continue so incapacitated for the rest of her expected life. She was also awarded the whole of the cost of her treatment, counselling and medication to the date of hearing as claimed. It was submitted that, on the findings necessary to support those awards, it was erroneous for the Master to be dismissive of her claim as to the future cost of medication, treatment and counselling so as to reduce the total claim for those expenses of nearly $48,000 to a "discretionary" sum of $30,000. Similarly, according to the submission, having found that it was reasonable for the plaintiff to recover expenses of osteopathy and massage to the date of the hearing, it was not open to the Master in an arbitrary way to terminate her claim for those expenses from the date of the hearing onwards. 33. In this respect it is instructive to look as some other aspects of the plaintiff's claim not directly in issue in the appeal. The plaintiff had claimed damages under the principle in Griffiths v. Kerkemeyer [1977] HCA 45; (1977) 139 CLR 161 for the assistance rendered to her and to be rendered to her by her husband. She claimed $25,750.20 for past assistance and $70,018.05 for the future. The claim was obviously and grossly exaggerated. It was based on so-called "third party charge out rates" published by an organization called "Home Help Service ACT Inc.". In fact the rate charged was about half the published rates. (This is a matter of some concern for personal injury actions generally, but we leave that aside.) 34. The plaintiff also claimed the costs of a gardener in the future, amounting to $11,028. That claim was refused in toto. The plaintiff further claimed the costs of a cleaner in the future, and that claim was successful in toto. It amounted to $26,469. We do not know whether the expenses of gardening and cleaning were included in the amount of nearly $70,000 awarded for past out-of-pocket expenses. 35. The point is that the plaintiff, through her legal representatives (who commenced the proceedings in the Magistrates Court), sought in the particulars filed on 29 April 1997 and relied on at the hearing, to make out a very substantial claim. She was successful in her claim for past and future loss of earning capacity and for past out-of-pocket expenses. Had she been completely successful in her claim for future expenses and for what she now seeks to establish as appropriate for general damages, she would have received a total award in the region of a million dollars. That, on the face of it, appears to us to be an excessive sum for a soft tissue injury to the cervical spine with psychological and emotional consequences, but not necessitating surgical intervention (although, it is trite to add, every case depends upon its own circumstances). It would have been surprising if the Master had not approached the plaintiff's claim with a degree of caution if not scepticism. In fact, the Master appears to have been generous in his approach, especially as it appears that he regarded as of no account, the possibility that the degenerative condition of the plaintiff's spine was such that it might have produced symptoms and disability in the years between 1989 and 1997. To have discounted the damages for that possibility would not have been erroneous. Although the defendant has not lodged a cross appeal, this factor is, in our view, relevant to a proper global view of the Master's assessment. 36. Furthermore, the Master was entitled to regard the plaintiff's claims in respect of the future more sceptically than he viewed her claims for past loss. Although there was medical evidence to support the on-going nature of the plaintiff's condition and complaints, that evidence was to be assessed in the light of the totality of the evidence. In particular, it was open to the Master to give weight to the consideration that at the end of the litigation that had taken many years and doubtless contributed to the plaintiff's on-going psychological condition, there was and is a chance that the plaintiff will come to terms with her condition more successfully than she has in the past, and that she will become less dependent upon heavy medication and other forms of treatment and assistance. For the past, the Master had presented to him a fait accompli, namely the incurring of heavy expenditure paid for by a third party and the payment of workers compensation for as long as the plaintiff had been unable to work from the time of her injury. For the future, when the expenses fall to be paid for by the plaintiff herself, it was essential to make a hard decision as to whether the expenses claimed are reasonable and as to the strength of the possibility that the plaintiff will incur them. 37. Any award for future loss is unsatisfactory in the sense described by Luntz: Assessment of Damages 1990 (3rd ed) at para.6.4.1. As the future unfolds, the particular expenses in respect of which an award has been made will either be incurred or not incurred. Assume that it is found that there is a 50 per cent chance of a plaintiff incurring a future expense and an award of 50 per cent of that expense is made, if the plaintiff incurs the expense, then he or she is under-compensated by half of the detriment incurred. Conversely, if the plaintiff does not incur the expense, then he or she is over-compensated by half to the defendant's detriment. The law provides no solution to the impossibility of predicting future events. Since it is by no means certain that the plaintiff in the present case will actually incur liability for the sums claimed, it would have been correct for the Master to discount the award for future expenses having regard to that uncertainty. It is in this sense that we take it that the Master referred to the sum of $30,000 for future medication and medical expenses as a "discretionary" award. It would have been of assistance and the Master had spelled out his reasons in this regard rather than lump the figures together and label the result as "discretionary". However, we do not see any error in the outcome. 38. In refusing to award any sum at all for future osteopathy and remedial massage, the Master stated that the claim cannot meet the test of a reasonable expense related to the accident (emphasis added) because the treatment was not supported by a specialist in the relevant field and was at best palliative rather than curative. If the Master's statement had been intended to be a statement of law, it would have been in error. However, we think that all that the Master intended to convey was that he was not convinced, as a matter of fact on an issue on which the plaintiff bore the onus, that there was a reasonable connection between the expense claimed and the condition that the treatment is intended to alleviate. The Master's reasoning that he did not find the evidence convincing because it was not backed by the opinion of any person adequately qualified to express it does not indicate error. It is true that the Master's attitude to the future contrasted strongly with his attitude to the past where he appears to have been generous to the plaintiff in allowing all the expenses of osteopathy and remedial massage. These were apparently included in the expenses paid by the workers compensation insurer and presumably assumed by the Master to be repayable by the plaintiff to the insurer. However, generosity as to the past does not mean that a robust and more realistic attitude to the future was not justified. 39. The case is not to be compared with Sharman v. Evans [1977] HCA 8; (1977) 138 CLR 563 where the necessary costs of keeping the quadriplegic and epileptic plaintiff at home rather than in hospital were in issue. The present case is one in which the issue is whether the expenses will be reasonably necessary. The reports of the osteopath and masseur were described in the plaintiff's submissions as "unchallenged" and no doubt they were in the sense that the makers were not called to give evidence. But the probative value of those reports is another matter. It would have assisted if the Master had been more explicit in his reasons, but we think that the Master is likely to have regarded the reports of the osteopath and masseur as not entirely objective in their prognosis and recommendations as to ongoing treatment. 40. Finally, there is the Master's assessment of the plaintiff herself to which we have already referred in relation to the proper approach to appeals against awards of damages for personal injuries. It is clear that the plaintiff's condition at the trial was likely to have attracted a good deal of sympathy and it is understandable that the award of damages reflected that sympathy to the extent that the plaintiff's claim for loss of earning capacity and for past expenses was accepted without qualification. At the same time, the award indicates, in the other respects to which we have referred, that the Master recognized that, as particularised, the plaintiff's claim was grossly overstated. Generosity and sympathy for the past had to be tempered with realism, at least as far as the future was concerned. Sensitivity in relation to the plaintiff's ongoing psychological condition is also understandable, and it may be that it discouraged the Master from disclosing his full reasons. 41. In our view, the total award, viewed globally, has not been shown as inadequate to compensate the plaintiff for the effect of the defendant's wrong-doing. The appeal should be dismissed with costs.
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