KW Economics prepares life care plan costing for medical malpractice cases venued in Guam: what the loss claim consists of, the records that drive it, and a present value built to Guam damages rules and venues. Plaintiff and defense.
In a medical malpractice matter the life care plan often distinguishes the incremental care the injury requires from the care the underlying condition would have required anyway, and the present value must respect that line. The economist values the incremental items only, applies category-specific medical cost growth, and discounts the stream over the life expectancy the medical evidence supports, which may already have been reduced by the condition being treated. Where the physicians disagree on life expectancy or on which items are incremental, the report presents the present value under each scenario so the fact finder can attach the number to its finding.
Reduction of a life care plan's line items to a single present value. The plan's items, frequencies, durations, and unit costs are carried forward with medical cost growth appropriate to each category, then discounted over the applicable life expectancy. Plan authorship stays with the life care planner; our role is the economic translation of the plan into a damages figure that reconciles with the plan and can be examined item by item.
Because the underlying condition often affected work capacity or life expectancy on its own, the apportionment between the injury and the pre-existing condition is usually the most contested assumption and the one that most changes the total. In cases of permanent disability the incremental care costs and the earnings loss are both large and run across a long horizon, and the life expectancy used for each stream is a second point of contention. In delayed-diagnosis cases the loss may be measured as the difference between two outcome paths, each with its own earnings and care profile.
Guam's rules of evidence follow the federal model for expert testimony: the court asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. An economic damages report answers that inquiry by naming its data sources and tying each input to the record.
Highest court: Supreme Court of Guam.
Federal venues: District Court of Guam.
Outside the civil courts, wage-loss disputes in workers' compensation matters proceed before the Guam Department of Labor, Workers' Compensation Commission.
Guam's wrongful death action, patterned on California's, is brought for the heirs' losses, and the decedent's own pre-death claims survive to the estate; claims against the government proceed under a separate claims act with its own procedures. Comparative fault reduces recovery in proportion, and the treatment of collateral-source payments and prejudgment interest follows Guam's own statutes and case law, which counsel should confirm for the specific claim.
We issue the final report and provide deposition and trial testimony, rebuttal of opposing present value opinions, and revaluation when the plan is updated.
In a medical malpractice matter the life care plan often distinguishes the incremental care the injury requires from the care the underlying condition would have required anyway, and the present value must respect that line. The economist values the incremental items only, applies category-specific medical cost growth, and discounts the stream over the life expectancy the medical evidence supports, which may already have been reduced by the condition being treated. Where the physicians disagree on life expectancy or on which items are incremental, the report presents the present value under each scenario so the fact finder can attach the number to its finding.
Guam's rules of evidence follow the federal model for expert testimony: the court asks whether the economist is qualified, whether the opinion rests on sufficient facts and reliable principles and methods, and whether those methods were reliably applied to the case. An economic damages report answers that inquiry by naming its data sources and tying each input to the record. Medical Malpractice cases venued in Guam are heard in the Superior Court of Guam (General jurisdiction trial court for local civil and criminal matters), with final appeals to the Supreme Court of Guam. Matters within federal jurisdiction proceed in the District Court of Guam.
Guam's wrongful death action, patterned on California's, is brought for the heirs' losses, and the decedent's own pre-death claims survive to the estate; claims against the government proceed under a separate claims act with its own procedures. Comparative fault reduces recovery in proportion, and the treatment of collateral-source payments and prejudgment interest follows Guam's own statutes and case law, which counsel should confirm for the specific claim. The report presents past and future amounts separately, states every rate and table with its source, and shows the result under the alternatives the other side is likely to argue, so counsel can apply the Guam rules to a documented figure.
Request a consultation on Life Care Plan Costing or call (201) 343-0700. Plaintiff and defense counsel.