Sherry Allen and Wayne Allen v. District of Columbia ( 2014 )


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    DISTRICT OF COLUMBIA COURT OF APPEALS
    No. 10-CV-1425
    SHERRY ALLEN AND WAYNE ALLEN, APPELLANTS,
    V.
    DISTRICT OF COLUMBIA, APPELLEE.
    Appeal from the Superior Court of the
    District of Columbia
    (CAM-7229-08)
    (Hon. Robert I. Richter, Trial Judge)
    (Argued May 23, 2012                                Decided September 25, 2014)
    Stephen D. Annand, with whom David E. Haynes was on the brief, for
    appellant.
    Carl J. Schifferle, Assistant Attorney General, with whom Irvin B. Nathan,
    Attorney General for the District of Columbia, Todd S. Kim, Solicitor General, and
    Donna M. Murasky, Deputy Solicitor General, were on the brief, for appellee.
    Before THOMPSON and EASTERLY, Associate Judges, and NEBEKER, Senior
    Judge.
    Opinion for the court by Senior Judge NEBEKER.
    Dissenting opinion by Associate Judge EASTERLY at page 27.
    2
    NEBEKER, Senior Judge: In this matter, appellants, Sherry Allen and Wayne
    Allen, filed a wrongful death and survival action against the District of Columbia,
    after their son Eric Allen (―Allen,‖ aka Eric Roberson, a prospective firefighter,
    participated in a required Physical Ability Test (―PAT‖), became ill, and died.
    Appellants allege ―gross negligence of the EMT [emergency medical technician] in
    charge of evaluating the firefighter candidates at the PAT.‖ The issues we address
    on appeal are (1) whether the public duty doctrine applies and bars the action or,
    instead, (2) whether the action may proceed, either because the doctrine is not
    implicated on the facts of this case, or because an exception to the doctrine applies,
    on the ground that the District owed a special duty to Allen. The trial court granted
    summary judgment in favor of the District, applying the public duty doctrine and
    holding that the District owed no special duty to Allen. We affirm.1
    1
    This appeal was stayed on September 12, 2013, to await action on an en
    banc petition in Woods v. District of Columbia, 
    63 A.3d 551
    (D.C.), reh’g denied
    en banc, No. 11-CV-1011 (Dec. 17, 2013), which presented, at invitation from
    within the court, whether the public duty doctrine should be abrogated.
    Interestingly, after the en banc petition was filed, the District of Columbia Council
    – independently of the District‘s Attorney General – filed an amicus response
    opposing en banc action to overturn that long standing doctrine. The thrust of that
    response by the legislative branch was budgetary instability combined with the
    public policy nature of the issue arguing for legislative – not judicial – judgment.
    One might expect that if the wish of our dissenting colleague were to materialize
    the two other branches would legislatively nullify our abrogation of that judge-
    made doctrine as the amicus response suggested.
    3
    I.
    The record reveals that in March of 2006, Eric Allen began the lengthy
    process of qualifying to be a firefighter with the District of Columbia Fire and
    Emergency Medical Services Department (FEMS).2 On October 14, 2007, the
    District invited Allen and approximately two dozen others to participate in its
    Physical Ability Test (PAT) in order to determine if he was physically qualified to
    be a firefighter.3 Prior to beginning the test, FEMS Captain Sylvester Robinson
    directed the candidates to have their vital signs (blood pressure, pulse rate, and
    oxygen saturation) taken by the on-scene paramedic, and all were permitted to
    participate in the PAT thereafter. Paramedic EMT Lee Mason and EMT Veronica
    Johnson (aka Veronica Baskerville), who were staffing a unit known as ―Medic
    33‖ and who had been ―assigned to the [DC Fire/EMS] training academy‖ as the
    2
    Less than two weeks after submitting his application, Allen also submitted
    a ―Letter of Intent‖ in order to take the Paramedic/Firefighter Entry-Level
    examination. In May of 2006, he successfully completed the exam.
    3
    The PAT test contains nine separate components, which an applicant is
    required to complete. These components include: (1) aerial ladder climb; (2)
    hydrant opening; (3) ladder carry; (4) ladder extension; (5) charged line advance;
    (6) stair climb with equipment; (7) ceiling pole; (8) victim rescue in a confined
    space; and (9) victim rescue dummy drag. As many as two dozen prospective
    firefighters may have participated in the PAT that day. Approximately 120
    persons participate in the PATs on an annual basis.
    4
    ―stand-by unit‖ ―for the purpose of the test[,]‖ had set up a station for vital-sign
    screening (Robinson referred to it as a ―first aid station‖) in Room 2 at the test site.
    After the candidates‘ vital signs had been taken, several FEMS monitors escorted
    the prospective firefighters through each of the components of the PAT. The
    candidates, monitors, and escorts were told that if they experienced any problems
    on the course at any point, they should ask for Captain Robinson, who was the
    classroom facilitator for the PAT, or for Battalion Fire Chief Milton Douglas, who
    would ―respond to their location.‖             The FEMS Physical Ability Test
    Administration Guide instructed monitors that they must ―watch candidates for
    signs that they are in physical distress‖ and that ―[i]f these signs are seen, it is
    important that the candidate be stopped and monitored by the on-scene
    paramedic.‖
    Upon completion of the PAT, Allen became ill and complained of ―pain in
    his entire body.‖ Allen informed Battalion Fire Chief Douglas that he did not have
    any long-term medical problems. Douglas notified Captain Robinson, to ―have the
    Medic Unit that was assigned to the training academy for the purpose of the test to
    report to the [PAT] apparatus floor to evaluate [Allen].‖ Robinson, who was at the
    finish line when Allen completed the course to escort him back to Room 2 to have
    his vital signs taken, observed that Allen ―showed signs of rapid breathing that was
    5
    not normal[.]‖ Robinson ―ran‖ to the room where paramedic Mason and EMT
    Johnson were stationed and told them that a candidate was having trouble
    breathing and that their assistance was needed.4 Robinson told them that ―they
    were going to need their oxygen,‖ ―[a]t which time they informed [him that] they
    had to go to [their ambulance, which was parked beside the test-site building] unit
    to get it.‖5 Mason and Johnson evaluated Allen, took his vital signs and performed
    an EKG.6 They placed Allen on oxygen, but did not administer IV fluids. Mason
    told Douglas that Allen required transport to a hospital. Douglas notified Robinson
    to dispatch an ALS Medic Unit for patient transport. When Robinson asked
    Mason and Johnson ―if they were going to transport[,]‖ Mason informed Douglas
    and Robinson that Allen‘s ―vital signs were normal and that a basic unit was all
    that was required.‖ Robinson therefore called for a basic life support unit, and one
    was dispatched, arriving in about six to ten minutes. EMT Thomas Williams, a
    4
    Robinson also summoned PAT candidate Justin Free, who was a
    ―paramedic crossover,‖ telling him that (in the absence of Mason and Johnson) his
    assistance was needed in checking the vital signs of the other candidates, so that
    those candidates could be released. Free and Robinson ―then went to Engine 3,
    which is a paramedic company, and got the equipment necessary to perform the
    post vital exam‖ on the other candidates.
    5
    Mason had not brought into the test site her ―ALS [Advanced Life
    Support] Jump Bag.‖
    6
    The Complaint alleges that Allen had an ―extremely elevated heart rate of
    142 beats per minute, as well as rapid respirations, a low diastolic blood pressure,
    and other indications of severe illness.‖
    6
    member of the responding basic life support unit, recalled that ―no engine company
    (first responder) was being dispatched because a paramedic [presumably, Mason]
    was already on the scene.‖ Williams asked Mason what code Allen should be, and
    Mason classified Allen as a ―Priority 3 (stable, nonemergency),‖ the lowest
    emergency priority. EMT Williams and EMT John T. Davis, transported Allen to
    the Greater Southeast Community Hospital where he was immediately placed in
    the waiting room because, at least in part, Greater Southeast Community Hospital
    saw no reason to change his classification to a higher priority.     Allen waited
    approximately one hour, his condition worsened, and he was eventually flown by
    helicopter to Washington Hospital Center, where he died of ―acute exertional
    rhabdomyolysis‖ (Rhabdo) the morning of October 15th.
    Appellants brought survival and wrongful death actions sounding in
    negligence against the District, Greater Southeast Community Hospital, and the
    doctors who attended Allen at the hospital for an alleged failure to exercise
    reasonable care in attending to Allen. The District moved to dismiss the action.
    Because both parties had submitted a variety of depositions and exhibits and stated
    to the court that ―the record [was] now complete,‖ the trial court, without
    objection, treated the motion as one for summary judgment, and found for the
    District by concluding there was no ―special relationship‖ that excepted this case
    7
    from the public duty doctrine and that the doctrine applied to bar the action. The
    other parties settled with appellants, and this appeal followed.7         After oral
    argument, we stayed the appeal pending a determination as to whether this court
    would sit en banc to review the application of the public duty doctrine in another
    case. The petition for rehearing en banc in that case was denied on February 7,
    2014, and we now proceed to resolve this appeal.
    7
    After the trial court granted summary judgment for the District, appellants
    moved the court to reconsider its decision, or, in the alternative, to certify an
    interlocutory appeal to this court since the hospital defendants remained involved
    in the lawsuit. The trial court declined to reconsider its decision but agreed to
    certify to this court, pursuant to D.C. Code § 11-721 (d) (2001), whether or not the
    plaintiffs‘ claims against the District could be dismissed under the public duty
    doctrine. Only a short time later, appellants and the other defendants settled their
    claims. Thereafter, appellants noted an appeal of the trial court‘s order with
    respect to summary judgment. The District moved to dismiss the appeal on
    account of the fact that it still had a cross-claim against the hospital defendants,
    and the Allens opposed the motion because no other parties remained in the action.
    On June 20, 2011, this court, agreeing with the Allens, concluded that the trial
    court‘s summary judgment order was now a final and appealable order, and the
    interlocutory appeal was moot.
    8
    II.
    A.     Standard of Review
    ―Summary judgment is properly granted when the pleadings, depositions,
    answers to interrogatories, and admissions on file, together with the affidavits, if
    any, show that there is no genuine issue as to any material fact and that the moving
    party is entitled to a judgment as a matter of law.‖ Turner v. District of Columbia,
    
    532 A.2d 662
    , 666 (D.C. 1987) (quoting Super. Ct. Civ. R. 56 (c)). ―On appeal
    this court must view the record in the light most favorable to the party opposing the
    motion, and must resolve any doubt as to the existence of a factual dispute against
    the moving party.‖ Taylor v. District of Columbia, 
    776 A.2d 1208
    , 1213-14 (D.C.
    2001). ―In short, what we seek is evidence from which, were it accepted as true, a
    trier of fact might find for the appellant.‖ Truitt v. Miller, 
    407 A.2d 1073
    , 1077
    (D.C. 1979).
    B.     Public Duty Doctrine
    The public duty doctrine ―operates to shield the District and its employees
    from liability arising out of their actions in the course of providing public
    9
    services.‖ Hines v. District of Columbia, 
    580 A.2d 133
    , 136 (D.C. 1990). In
    essence, appellants claim that Allen‘s circumstances made him excepted from the
    public duty doctrine through his establishment of a special relationship (or ―special
    duty‖) with the District because, at least in part, Allen‘s emergency was not a
    typical ―911 emergency.‖ As such, appellants acknowledge that this court has
    applied the public duty doctrine in cases involving the provision of emergency
    services.
    1.     Whether the Public Duty Doctrine Applies
    At the commencement of this action, the public duty doctrine was assumed
    to apply; thus, what was litigated in the trial court, and originally briefed here, was
    that the doctrine applied save for the exception.8 On appeal, it was not until
    appellants‘ Reply Brief that they argued that the ―public duty doctrine does not
    apply to the situation presented here.‖ ―Normally, we do not consider arguments
    8
    Appellants did assert in their sur-reply in opposition to the District‘s
    dispositive motion that ―the public duty doctrine is entirely inapplicable to the case
    at bar.‖ They made the same argument in their Motion for Reconsideration of the
    trial court‘s ruling, saying that ―the Public Duty Doctrine should not have been
    applied in this case at all.‖ In its order denying the Motion for Reconsideration,
    the trial court referred to the Allens‘ ―arguments concerning the application of the
    public duty doctrine generally‖ and said that ―these arguments have been rejected.‖
    10
    raised for the first time in a reply brief.‖ Williams v. United States, 
    52 A.3d 25
    , 50
    n.104 (D.C. 2012). However, we will make an exception when failing to do so
    ―would permit a clear miscarriage of justice to occur.‖ Cannon v. District of
    Columbia, 
    569 A.2d 595
    , 596 (D.C. 1990). For that reason, and because this court
    has never addressed whether the public duty doctrine is applicable with respect to
    conduct by EMS personnel who are assigned to provide on-site vital-signs
    monitoring of firefighter candidates during administration of a PAT, we requested
    additional briefing after oral argument on the issue of whether the public duty
    doctrine is implicated in the first place. Now that both parties have briefed the
    issue, we believe that it is appropriate for us to decide the issue. 9 After reviewing
    the supplemental briefs, we find that the public duty doctrine is applicable.
    ―Under the public duty doctrine, the District has no duty to provide public
    services to any particular citizen unless there is a ‗special relationship‘ between the
    emergency personnel — police officers, firefighters, and EMTs — and an
    9
    See, e.g., Chesapeake & Potomac Tel. Co. v. Public Serv. Comm’n, 
    339 A.2d 710
    , 712 n.6 (D.C. 1975) (―Although neither the Commission nor the
    Telephone Company presented this issue on appeal, this court sua sponte requested
    supplemental briefs concerning the applicability of the APA to proceedings before
    the Commission.‖); Outlaw v. United States, 
    632 A.2d 408
    , 411 n.7 (D.C. 1993)
    (―A court may consider an issue antecedent to . . . and ultimately dispositive of the
    dispute before it, even an issue the parties fail to identify and brief.‖ (quoting
    United States Nat’l Bank of Oregon v. Independent Ins. Agents of Am., 
    508 U.S. 439
    , 447 (1993) (internal quotation marks omitted))).
    11
    individual.‖   Woods v. District of Columbia, 
    63 A.3d 551
    , 559 (D.C. 2013)
    (Oberly, J., concurring in the judgment) (quoting Allison Gas Turbine Div. of Gen
    Motors Corp. v. District of Columbia, 
    642 A.2d 841
    , 843 (D.C. 1994)); 
    Hines, supra
    , 580 A.2d at 136 (―[A]bsent some ‗special relationship‘ between the
    government and the individual, the District‘s duty is to provide public services to
    the public at large[,]‖ not to any individual who emerges to seek services); 
    id. at 139-40
    (agreeing that ―responses to calls for emergency assistance are simply not
    actionable under the public duty doctrine‖); Wanzer v. District of Columbia, 
    580 A.2d 127
    , 129 & 132 (D.C. 1990) (holding, in case where claim was that the
    decedent ―would have survived his stroke if an ambulance had been sent when first
    summoned,‖ that the public duty doctrine barred a suit alleging negligent and inept
    failure to dispatch an ambulance); Johnson v. District of Columbia, 
    580 A.2d 140
    ,
    143 (D.C. 1990) (reasoning that the facts pled ―could not sustain liability insofar as
    they merely represent the failure of the firefighters to perform any particular step
    that might have alleviated [the decedent‘s] condition‖). We are satisfied that the
    public duty doctrine applies here because of the evolving role of the EMTs Mason
    and Johnson.
    The record shows that, as monitors for the PAT, Mason and Johnson set up
    their station in a classroom some distance from the PAT apparatus floor (Robinson
    12
    had to ―run‖ there after seeing Allen in distress) for taking pre- and post-test vital
    signs of PAT participants. Their role was to ensure that all the candidates were
    physically qualified to begin the test and to take their vital signs at the end
    (presumably to determine whether they were in a physical condition as to have
    ―passed‖ the test) and to ―monitor‖ any candidate observed to be in distress. They
    brought into the classroom a ―Lifepak monitor and a BP cuff and stethoscope,‖ the
    equipment needed to take vital signs. PAT monitors were instructed that if they
    saw signs of distress, they were to have the candidate ―monitored by the on-scene
    paramedic.‖10
    When Captain Robinson ran to get Mason and Johnson after Allen had
    finished the course and had trouble breathing, he was not seeking monitoring but
    emergency assistance, telling the EMTs that they would need their oxygen. They
    had not brought into the PAT site the equipment – for example, oxygen and an
    ALS jump bag – they needed to act as emergency responders, but went to retrieve
    them from their ambulance and stepped into the role of emergency first-
    10
    Appellants make no claim that Mason and Johnson, or any other FEMS
    personnel at the PAT site, failed to observe the candidates for safety, to monitor
    whether they were in distress, or to summon help.
    13
    responders.11 For that reason, no engine-company first responder was dispatched
    to the PAT site. In thereafter advising that Allen needed to be transported to the
    hospital but required only a basic life support unit, Mason and Johnson functioned
    in a manner similar to a 911 dispatcher, who must make a call as to whether an
    ambulance is needed, and which type is required (basic or advanced life support).
    Cf. 
    Wanzer, supra
    , 580 A.2d at 127 (affirming dismissal of suit on basis of the
    public duty doctrine, where facts were that the 911 caller complained of a
    headache and asked for ambulance to be sent, the 911 dispatcher declined to send
    an ambulance and advised the caller to ―take an aspirin,‖ and the caller
    subsequently died of a stroke). Reviewing paramedic Mason‘s performance after
    the fact, her superiors concluded that she failed in several ways to respond
    appropriately to Allen‘s condition.12 Notably, however, they did not find that
    11
    This was not their usual PAT role: When Mason determined that Allen
    required hospital transport, Captain Robinson asked whether Mason and Johnson
    would transport Allen, rather than assuming that they would do so in their
    ambulance that was parked nearby. Mason ―had worked as a paramedic at many
    previous PAT‘s‖ and had never had to transport anyone. For its part, see 
    note 3 supra
    , FEMS had no arrangement in place for replacement EMTs to take the
    candidates‘ post-test vital signs if (as happened here) those assigned to the task
    were called away to act as emergency responders.
    12
    They found, inter alia, that Mason
    failed to recognize the severity of the patient‘s condition;
    failed to perform a complete patient assessment; ignored
    or failed to recognize an abnormal EKG; ignored her
    (continued…)
    14
    Mason failed to bring oxygen and advanced life support equipment into the test site
    when setting up for the PAT.
    The foregoing facts are described in the documentary evidence and appear to
    be undisputed. When we consider them in the light most favorable to appellants,
    as we must, we see no basis for concluding that that any acts or omissions by
    Mason in responding to Allen‘s health crisis were part of the PAT program rather
    than a part of the District‘s provision of emergency services. Any negligence of
    Mason (and Johnson) in treating Allen occurred once their role evolved from basic
    monitors to emergency responders.        And, ―[b]oiled down to their essen[c]e,‖
    appellants‘ claims about Mason‘s and Johnson‘s negligent failure to properly
    evaluate Allen‘s condition ―amount[] to the same basic allegation‖ that we held in
    (…continued)
    duty to the patient by requesting a basic life support . . .
    unit . . . to transport the patient; failed to perform
    standard ALS [advanced life support] assessment
    procedures and interventions, such as 12-lead EKG and
    IV fluid administration, that were clearly indicated; failed
    to provide a proper report to the transporting unit; [and]
    ordered the transporting . . . unit to categorize the patient
    as a stable, non-emergency Priority 3 transport[.]
    As a result, Mason was removed from ―patient contact status‖, and ―appropriate
    disciplinary action[,]‖ including the possibility of termination, was recommended.
    Cf. 
    Morgan, supra
    , 468 A.2d at 1312 (although public duty doctrine barred suit,
    ―other effective mechanisms exist to control the behavior of errant . . . officials.‖).
    15
    Hines is barred by the public duty doctrine: allegations that ―the wrong unit was
    dispatched‖; ―the call for the correct unit (advanced life support)‖ was not made;
    and the equipment dispatched was not 
    adequate. 580 A.2d at 139
    . For these
    reasons, we conclude that the public duty doctrine is applicable. To hold otherwise
    would create a perverse incentive for the District to require its EMTs who are
    assigned to the PAT and thus are nearby to refrain from rendering emergency
    assistance to candidates lest the District forfeit, as to any deficiencies in their
    emergency responses, the shield from liability it would enjoy if it waited for
    emergency response units to be dispatched from elsewhere (just as when a call is
    made to 911 for emergency assistance).
    As we have previously recognized,―[t]he District of Columbia should be free
    to exercise its police power for the benefit of the general public without the fear
    that by making contact with citizens in the course of carrying out its
    responsibilities, the District may forfeit its immunity under the public duty
    doctrine[.]‖ District of Columbia v. Forsman, 
    580 A.2d 1314
    , 1319 (D.C. 1990).13
    In this case, unless an exception to the public duty doctrine applies, the District
    was free to use FEMS paramedics who were on duty at the PAT test to respond to
    13
    ―[O]peration of the EMS is an exercise of the District‘s police power to
    further the general health and welfare[.]‖ 
    Wanzer, supra
    , 580 A.2d at 131.
    16
    the health emergency that arose, without the risk that by doing so it would expose
    itself to liability.
    2.   Application of the Public Duty Doctrine
    In order to establish a special relationship, or ―special duty,‖ that falls under
    an exception to the public duty doctrine, ―a plaintiff must allege and prove two
    things:    (1) a direct or continuing contact between the injured party and a
    governmental agency or official, and (2) a justifiable reliance on the part of the
    injured party.‖ Klahr v. District of Columbia, 
    576 A.2d 718
    , 720 (D.C. 1990)
    (citing 
    Turner, supra
    , 532 A.2d at 667).
    The Superior Court observed that the main dispute between the parties was
    whether Allen had a special relationship with the District.                 The court
    acknowledged some direct contacts in that Allen had communicated with FEMS
    throughout the application process, and some reliance on FEMS‘s representations
    about the PAT, but nevertheless held that appellants had not established more than
    a duty of the FEMS to assist the general public, which was insufficient to show
    that the District created a special relationship with Allen. For the court, it was
    important that appellants had not claimed that the District specifically recruited
    17
    Allen or any candidate and that any individual could apply to be a firefighter and
    the District would have corresponded with them to the same extent. Thus, simply
    ―because a person ‗emerges‘ from the general public to the attention of the
    government does not establish a special relationship.‖ The presence of EMS at the
    PAT was ―no different than a city stationing an ambulance at a high school football
    game to assist the players if they become injured.‖ It was simply a gratuitous
    promise like the one in Morgan v. District of Columbia, 
    468 A.2d 1306
    (D.C.
    1983) (en banc).
    a.     Direct and Continuous Contact
    Here, appellants contend that the District established direct and continuous
    contact with appellants sufficient to establish a special relationship because it
    recruited and evaluated prospective firefighters.   Specifically, appellants urge,
    much as they did in the Superior Court, that Allen (1) had direct and continuing
    contacts with the District because he applied to FEMS in March of 2006,
    approximately eighteen months before the PAT test, (2) signed a ―Letter of Intent‖
    in April of 2006 to participate in the entry-level Firefighter Written Examination,
    (3) completed and passed the examination the following month, (4) was provided
    18
    an ―Initial Notice‖ by the District in September of 2007, and (5) was invited to
    participate in the PAT test on October 14, 2007.
    As noted above, as many as two dozen applicants were assembled for
    physical screening. All were subjected to the same scrutiny before the PAT began,
    and then Allen suffered pain and difficulty breathing. Medical aid was summoned,
    just as if he had been overcome with pain on a nearby street. It is from this that we
    are asked to declare an exception to the public duty doctrine by virtue of a special
    relationship between Allen, his nearly two dozen peers, the more than 100
    prospective firefighters that participate in the PAT every year, and the medics on-
    scene performing the screening.
    In order to establish a special relationship, appellants have the burden to
    show direct or continuing contact between Allen and FEMS. 
    Klahr, supra
    , 576
    A.2d at 720.     Appellants attempt to show that Allen established a special
    relationship for his emergency situation by his repeated contacts with the District
    more than a year (and up to a year-and-a-half) earlier. As the trial court here
    observed, ―any individual could have applied to be a firefighter and the District
    would have corresponded with that person to the same extent that it corresponded
    with Eric Allen.‖ See Nealon v. District of Columbia, 
    669 A.2d 685
    , 693 (D.C.
    19
    1995) (―A party must show that such contact was different from the type of contact
    that the District has with the general public‖ (citing Powell v. District of Columbia,
    
    602 A.2d 1123
    , 1130 (D.C. 1992)). If the District had effectively made a promise
    to protect Allen, that promise would have applied equally to the more than one
    hundred other contenders who participate in the PAT every year, and the two
    dozen PAT participants that day. This would require either having over two dozen
    special relationships that day and more than one hundred over the course of the
    year, as to each applicant being screened (which is not practical or possible), or
    holding that the response to the sudden disability by the ones initially called upon
    created that relationship.    By definition of a special relationship, that is not
    practicable or legally possible. 
    Hines, supra
    , 580 A.2d at 136 (―Our case law
    makes it clear that the mere fact that an individual has emerged from the general
    public and become an object of the special attention of public employees does not
    create a relationship which imposes a special legal duty.‖); cf. 
    Varner, supra
    , 
    891 A.2d 260
    , 276 (D.C. 2006) (police presence on campus of Gallaudet University,
    and promise to protect some 2,000 students could not create 2,000 special
    relationships without ―nullify[ing] the [public duty] doctrine itself‖).
    A government functions through people, usually its citizens. Thus, the
    primary task for its leaders (after they are chosen) is to recruit and evaluate those
    20
    potentially available to facilitate the governmental role of providing public
    services. An emergency resulting thereafter from the provision of emergency
    services is insufficient to engender a special relationship.
    More specifically, appellants‘ claim that Allen established direct or
    continuing contact with the District through his actions as a prospective employee
    must also fail. See Flemmings v. District of Columbia, 
    719 A.2d 963
    , 964 (D.C.
    1998) (rejecting, in a case involving a police officer who was shot by his girlfriend,
    who was also a police officer, the argument that employment by the District
    created a special relationship with the District). Appellants cannot, without more,
    show direct or continuous contact by relying on what Allen did several months, or
    more than a year earlier, to show that there was a special relationship. As we
    stated in 
    Wanzer, supra
    :
    Even a series of contacts over a period of time between a
    public agency and an injured or endangered person is not
    enough to establish a special relationship, absent some
    showing that the agency assumed a greater duty to that
    person than the duty owed to the public at large. If it
    were otherwise, then the city would be potentially liable
    for ‗every oversight, omission, or blunder‘ of its officials
    — a liability which potentially could so deplete the
    resources necessary to provide police protection, fire
    protection, and ambulance service as to result in the
    elimination of those services altogether.
    
    21 580 A.2d at 132
    (citation omitted); accord 
    Powell, supra
    , 602 A.2d at 1130-31
    (―[M]ere contacts are insufficient in the absence of evidence of a special
    duty . . . [We] require[] . . . proof of a type of contact different from that of the
    District with the general public, . . . [and] proof of justifiable reliance.‖). Thus,
    appellants‘ proffer of such remote contacts fails to show how EMTs responding to
    Allen‘s emergency had somehow established a special relationship with him.
    Even assuming arguendo that appellants could claim that a special
    relationship was established between himself and the District (specifically, FEMS
    recruitment personnel) while he was acting as a prospective FEMS employee, that
    special relationship would not also encompass the alleged EMT errors during
    Allen‘s medical emergency. Cf. Stoddard v. District of Columbia, 
    623 A.2d 1152
    ,
    1153-54 (D.C. 1993) (concluding that even though some parents could prove that
    they justifiably relied on presence of school crossing-guards, child without parent
    who crossed street some two football fields from crosswalk could not claim special
    relationship); Forsman, 
    supra, 580 A.2d at 131
    8 (concluding that even if
    government agent‘s assistance in one matter was sufficient to create special
    relationship in that matter, it was not sufficient to create special relationship in
    entirely different matter). Nor do appellants claim in their brief that the EMTs
    22
    responsible for transporting Allen in the basic life-support unit were the source of a
    special relationship between Allen and the District.
    Finally, appellants argue forcefully that Allen‘s emergency was not a ―911
    emergency call case.‖ As appellants state in their brief, and as the record reflects,
    despite any on-scene assessment of Allen by EMTs, FEMS personnel had to radio
    for a basic-life support unit to transport Allen to a hospital, which did not arrive
    until several minutes later, much like a regular emergency situation. Despite the
    presence of EMTs Mason and Johnson on scene at the PAT, we are not prepared to
    distinguish this case from ―emergency services cases‖ strictly because FEMS
    personnel radioed for a basic life support unit rather than dialing 911 for
    emergency services like a regular citizen. See 
    Hines, supra
    , 580 A.2d at 136
    (concluding ―actions that are a necessary part of the on-scene responsibility of
    government agents subject to the public duty doctrine add[] nothing to the general
    duty owed the public and fail[] to create a relationship which imposes a special
    legal duty.‖) (alterations in original) (internal quotation marks omitted); accord
    
    Wanzer, supra
    , 580 A.2d at 132 (―A one-time call to 911 for help does not
    establish a special relationship.‖). In an emergency context, we explicitly deny the
    jury the opportunity to judge the actions of EMTs in hindsight in the absence of
    affirmative negligence (i.e., affirmative action that worsens the condition of the
    23
    individual receiving emergency services). See 
    Johnson, supra
    , 580 A.2d at 142,
    143.
    b.     Justifiable Reliance
    Even assuming arguendo that appellants did establish direct or continuing
    contacts (and they have not done so here), appellants fail to demonstrate justifiable
    reliance. See Snowder v. District of Columbia, 
    949 A.2d 590
    , 604 n.12 (D.C.
    2008). On this point, the trial court concluded that appellants had not shown that
    Allen acted or refrained from acting in reliance on the EMTs. The court reasoned
    that appellants essentially claimed that the EMTs were inadequate and untimely in
    their response to Allen‘s emergency, and this court rejected such a claim in
    
    Johnson, supra
    , 
    580 A.2d 140
    .
    Appellants contend that the District‘s requirement that firefighters pass the
    PAT significantly raised the ―quotient of risk‖ above that assumed by the general
    public. Additionally, Allen justifiably relied on the District, appellants argue,
    because FEMS provided monitors for each candidate participating in the PAT, and
    told them to speak with FEMS personnel in charge of the PAT if they experienced
    problems while completing the components. From the combination of those facts,
    24
    appellants contend, ―it can be reasonably inferred‖ that Allen justifiably relied on
    [FEMS] and the PAT safety precautions.
    To show justifiable reliance, a ―plaintiff [or person allegedly in privity with
    the District] must specifically act, or refrain from acting, in such a way as to
    exhibit particular reliance upon the actions of the [EMTs] . . . . Liability is
    established, therefore, if the [EMTs] [have] specifically undertaken [action on
    behalf of] a particular individual and the individual has specifically relied upon the
    undertaking.‖ 
    Morgan, supra
    , 468 A.2d at 1315 (citations omitted); see 
    Taylor, supra
    , 776 A.2d at 1218 (citing 
    Morgan, supra
    ). As we have stated, despite what a
    jury could ―reasonably infer‖ with respect to justifiable reliance, such an argument
    ―cannot substitute for evidence of ‗justifiable reliance.‘‖ 
    Taylor, supra
    , 776 A.2d
    at 1220 (emphasis added).
    Here, appellants have not shown justifiable reliance in order to establish a
    special relationship.    Despite their conclusory allegations to the contrary,
    appellants have failed to show that Allen acted or failed to act in any way, because
    of the presence of EMTs, PAT monitors, or any other safety personnel at the test.
    Indeed, a conclusion that there was a special relationship between Allen and the
    District, relying overwhelmingly on the fact that EMTs were present at the PAT,
    25
    would be the impetus toward perverse incentives such as the avoidance of safety
    precautions. Cf. 
    Varner, supra
    , 891 A.2d at 272 (holding that operational manuals
    do not establish standard of care because, to hold otherwise, ―would create the
    perverse incentive . . . to write [manuals] in such a manner as to impose minimal
    duties . . . in order to limit civil liability.‖ (internal quotation marks omitted)).
    Additionally, Allen‘s decision to sign the liability waiver that FEMS required him
    to sign before he could participate in the PAT, regardless of its legal value
    otherwise, is indicative of Allen‘s assent to the District‘s claim that it could not be
    held liable for any injuries or death as a result of the PAT and undermines any
    claim that the District was on notice that Allen would rely FEMS to ensure that no
    harm befell him.14 Even assuming appellants could claim justifiable reliance based
    on the deposition testimony (e.g., BFC Douglas‘s testimony that FEMS ―assume[d]
    the obligation to be responsible for [firefighter candidates] when they‘re in the
    [PAT]‖), without direct or continuous contact (which does not exist here),
    appellants‘ claim of a special relationship fails, and the public duty doctrine
    applies. See 
    Snowder, supra
    , 949 A.2d at 604 n.12.15
    14
    As the waiver explicitly states, Allen agreed to ―assume any and all risk
    and liability for . . . death which [he] might suffer or sustain while [o]n
    any . . . property or premises owned or operated by [FEMS] or the [District].‖
    15
    Appellants also claim that the District was affirmatively negligent in
    providing emergency services care for Allen and that the District did not
    (continued…)
    26
    Finally, appellants‘ focus on Mason‘s classification of Allen as a ―priority
    3,‖ requiring Mason to ―br[ing] in‖ a basic life support unit during the emergency
    rather than a better equipped vehicle, is unpersuasive. The claim, in essence, is
    one attacking the adequacy and timeliness of emergency services, which this court
    foreclosed more than two decades ago. See 
    Hines, supra
    , 580 A.2d at 136, 139-40
    (―[C]hallenges to the adequacy and timeliness of the dispatch of emergency
    equipment . . . are simply not actionable under the public duty doctrine.‖); see also
    Allison Gas 
    Turbine, supra
    , 642 A.2d at 843-44 (citing, inter alia, 
    Hines, supra
    ,
    for the same proposition).
    (…continued)
    adequately screen candidates for (and exclude those with) ―Sickle Cell Trait.‖ As
    the trial court observed, appellants argued in its response to the District‘s motion to
    dismiss that it did not need to prove affirmative negligence, made no effort to
    prove it, and changed course in a last minute supplemental brief on appellants‘
    motion for reconsideration (of the Court‘s summary judgment for the District),
    more than a month after its initial brief in its motion for reconsideration. We
    decline to consider appellants‘ argument of affirmative negligence on appeal
    because it is contrary to the position appellants took prior to summary judgment.
    See, e.g., Duk Hea Oh v. National Capital Revitalization Corp., 
    7 A.3d 997
    , 1010
    (D.C. 2010) (―[A] defendant may not take one position at trial and a contradictory
    position on appeal.‖) (quoting Brown v. United States, 
    627 A.2d 499
    , 508 (D.C.
    1993)). We also decline to consider appellants‘ ―Sickle Cell trait‖ argument
    because it was not adequately raised below. See In re D.A.J., 
    694 A.2d 860
    , 864
    (D.C. 1997) (―Questions not properly raised and preserved during the proceedings
    under examination, and points not asserted with sufficient precision to indicate
    distinctly the party’s thesis, will normally be spurned on appeal.‖ (emphasis added)
    (internal quotation marks omitted)).
    27
    Appellants would have this court look to possible negligence in the sequence
    of events before Allen‘s death and his reliance on government actors. We cannot
    do so because such factors are relevant only if potential liability is, by the special
    relationship exception to governmental immunity, established in the instance. In
    light of the foregoing considerations, we conclude that the public duty doctrine
    protects the actions of the District and its employees in connection with the
    provision of emergency services here.
    The grant of summary judgment in favor of the District is
    Affirmed.
    EASTERLY, Associate Judge, dissenting: This is not a public duty doctrine
    case—at least not as the public duty doctrine has ever been conceived by this court.
    As its name suggests, the ostensible goal in applying this doctrine, at least at first,
    was to discern whether the District had an actionable duty of care when its agents
    were alleged to have acted negligently. But there should be no question that the
    District owed a duty of care to Eric Allen. The District, through its FEMS agents,
    screened Mr. Allen and invited him to the District of Columbia Fire and
    Emergency Medical Services (FEMS) Training Academy to take FEMS‘s Physical
    28
    Ability Test (PAT). FEMS agents knew the PAT created the risk of injury and
    illness, and for that reason among others had medical staff on hand during the test.
    And if that were not enough, the FEMS medical staff at the PAT actually
    undertook care of Mr. Allen when he fell ill, just as they were supposed to
    (although presumably they were supposed to provide competent care).
    The application of the public duty doctrine to these facts—to uphold a grant
    of summary judgment no less—demonstrates that this doctrine is analytically
    bankrupt. It applies whenever this court says it does, and we seem to be willing to
    apply it to an ever-expanding set of circumstances, including cases where, as here,
    District employees help specific individuals and then perform negligently. We
    have now completely departed from the traditional common law of negligence
    from which our public duty doctrine was purportedly derived.
    In light of this, I do not know what logic, if any, drives or contains our
    public duty doctrine.   From the majority opinion‘s focus on the identity and
    function of the FEMS staff who provided Mr. Allen medical care, it appears to
    have morphed into a form of immunity, at least for certain categories of District
    employees. Indeed, in its final paragraph, the majority opinion uses the words
    ―governmental immunity‖ to refer to the public duty doctrine. But if this is how
    29
    the court is now employing our public duty doctrine, we have a problem: This
    public duty doctrine ―immunity‖ conflicts with our sovereign immunity
    jurisprudence that currently defines when the District government may be sued for
    the harm done by its agents.
    It is time for this court to explain what we are doing and why. Of the states
    that still have some iteration of this doctrine (many have rejected it), the District
    stands alone in interpreting it the way that we do. We should take note of our
    outlier status. We should acknowledge both that there are other more coherent
    mechanisms for protecting the District from suit where holding the government
    liable may be truly counterproductive, and that, in some cases, we will actually
    better promote public safety and responsible government by holding the District
    accountable for the negligent actions of its employees in an open court of law.
    FEMS, for example, has now enjoyed the protection of the public duty doctrine for
    decades. But news reports of FEMS‘ multiple failures to provide competent
    emergency services to individuals in the District (detailed below) indicate that, by
    shielding FEMS from the scrutiny of being sued, we have allowed dysfunction to
    fester.
    30
    As illustrated by this case, this court‘s public duty doctrine has lost any
    coherence, logic, or sense of rightness that it ever may have had. I dissent from the
    majority opinion‘s extension of the public duty doctrine to the facts presented, and
    I renew the call to this court to reconsider the doctrine it created and has allowed to
    run amok.
    I.    Facts
    This case was resolved by an order granting the District summary judgment.
    In this context, this court is required to ―independently analyze the record in the
    light most favorable to [the Allens], drawing all reasonable inferences from the
    evidence in [their] favor.‖ Medhin v. Hailu, 
    26 A.3d 307
    , 310 (D.C. 2011). The
    record facts are these:
    Eric Allen, a 23-year-old high school graduate and father of a young child,
    wanted to be a firefighter; the District was hiring and wanted to identify qualified
    candidates. Mr. Allen submitted a preliminary employment application in March
    2006. In April 2006, he signed an official letter of intent where he checked the
    option, ―I accept participation in the entry level Firefighter Written Examination
    31
    being held on May 20, 2006.‖ Apparently, he passed the written examination
    because he was then given a slot to take the PAT. See 6-B DCMR § 870.5 (2009).
    The PAT was held at the FEMS training academy. It was designed to be
    rigorous, to mirror the demands of the job of a firefighter. As such, it presented a
    source of risk. Battalion Fire Chief Milton E. Douglas, the officer ―responsible for
    monitoring all outside activities‖ at the PAT, acknowledged in his deposition that
    FEMS ―appreciated and understood‖ that there was a possibility that firefighter
    candidates taking the PAT could get hurt. He confirmed that FEMS not only
    assigned ―monitors‖ to follow candidates throughout the test to keep an eye out
    ―for signs of distress,‖ but also, because of ―the risk . . . of injury,‖ they had
    ―medical staff,‖ ―EMS personnel,‖ working at the PAT. Specifically with respect
    to these EMS personnel, BFC Douglas confirmed that attending to candidates if
    there ―was an injury or some type of emergency,‖ as well as taking candidates‘
    vital signs before and after the PAT, was ―kind of the standard thing they did‖—
    ―when injuries would take place,‖ the EMS staff ―would . . . provide assistance.‖
    This was equally true on the day Eric Allen took the PAT; the EMS personnel
    staffing the PAT were there ―to respond to any injuries or other medical conditions
    that may have arisen.‖
    32
    According to BFC Douglas, these EMS personnel together with the monitors
    and ―all the folks from the fire department who were participating‖ in staffing the
    PAT ―undertook to . . . provide‖ for [the candidates taking the test] ―the safest
    environment that was reasonably achievable:
    Q:    And so you all undertook, that is, the Fire Department,
    undertook to in effect provide that monitoring safety net, if you will,
    for the people [taking the PAT]?
    A:    Yes.
    Q:    And it was not only the monitoring but also the ability of
    the EMS personnel to provide assessment and treatment for the folks
    [taking the PAT] within the area of their expertise if it was needed.‖
    A:    Yes.1
    On the day Eric Allen took the PAT, Lee Mason, a Paramedic Emergency
    Medical Technician (EMT), and Veronica Johnson, an EMT, were ―assigned as the
    stand-by unit‖ to staff the test. They came to the training academy with their unit
    containing their gear. They set up ―their first aid station‖ in a classroom.
    1
    BFC Douglas agreed that the medical services provided by FEMS
    employees in this context were distinguishable ―from . . . say a 911 call going out
    into the general public domain‖ because FEMS knows who is going to participate
    in the PAT and because FEMS ―assume[s] the obligation to be responsible for [the
    candidates] when they are in that program [the PAT].‖
    33
    Before the test began, FEMS staff gave all the test participants, Mr. Allen
    among them, ―course instructions‖2 and then sent them to the first aid station to
    have their vital signs taken. Mr. Allen was supposed to return to the first aid
    station to have his vital signs rechecked after he completed the test. But when the
    monitor assigned to him, Captain Sylvester Robinson, met Mr. Allen at the finish
    line, he ―was showing signs of rapid breathing that [were] not normal.‖ He said
    that his ―body hurt.‖ Because he was ill, Captain Robinson ―went to get Medic 33
    [Ms. Mason and Ms. Johnson] to come and assist him.‖ After Ms. Mason and Ms.
    Johnson retrieved additional gear from their unit, they attended to Eric Allen and,
    among other things, gave him oxygen and ran an electrocardiogram (EKG). A
    later FEMS report detailed an interview with Ms. Mason in which she was asked
    why she had done these things and responded, ―[j]ust being a medic, that‘s what I
    do.‖
    Unfortunately, it seems Ms. Mason did not understand how to interpret the
    EKG results. A subsequent FEMS internal report determined that she ―exhibited
    negligence‖ and ―incompetence‖—and neither she nor her partner understood how
    ill Mr. Allen was. Ms. Johnson told FEMS investigators that at some point Mr.
    2
    Among other things, FEMS staff instructed Mr. Allen and other PAT
    candidates that if ―anyone . . . was waiting for them in the car that they had to leave
    the training grounds while the test was being administered.‖
    34
    Allen ―asked to go to a hospital, so we called for a unit.‖ Two Firefighter-EMTs
    were dispatched in their ambulance to the training academy to transport Mr. Allen.
    When they arrived, Mr. Allen ―couldn‘t walk‖ or ―talk normal‖ and they had to put
    him on a stretcher to get him into the ambulance. But Ms. Mason told them that
    Mr. Allen was a ―Code 3 patient,‖ i.e., ―stable, non-emergency.‖ Mr. Allen went
    to the hospital. He died the next day. His parents‘ subsequent lawsuit alleged, in
    part, that the EMTs provided ―negligent medical care‖ that led to their son‘s death.
    II.    Analysis
    A.    This is not a public duty doctrine case—at least not as that doctrine has
    ever been conceived by this court.
    Suggesting that this was a no-brainer from the start, the majority opinion
    states that ―[a]t the commencement of this action, the public duty doctrine was
    assumed to apply.‖ This is incorrect. To the contrary, the District did not raise the
    public duty doctrine until after it had twice answered the Allens‘ complaint and the
    parties had completed discovery and were gearing up for trial.3 In other words,
    3
    After the Allens filed their initial complaint alleging, inter alia, that the
    District FEMS employees had negligently provided medical care to their son at the
    PAT, the District did not move to dismiss under the public duty doctrine. Instead,
    the District acknowledged that the Allens had stated a claim for negligence by
    filing an answer. Although that answer raised defenses, the public duty doctrine
    (continued…)
    35
    until well into the litigation of this case, everyone assumed that the public duty
    doctrine did not apply.4
    This is understandable because this case looks like no prior case from the
    past thirty-plus years in which this court has applied this doctrine. (The majority
    opinion concedes that we have never considered whether the public duty doctrine
    applies to facts like these.) And although this court‘s case law on the public duty
    doctrine does not particularly exemplify clarity or consistency of legal reasoning,
    (…continued)
    was not one of them. After the Allens filed an amended complaint (with the trial
    court‘s permission, adding another doctor as a defendant), the District again filed
    an answer and said nothing about the public duty doctrine. The District
    additionally asserted cross-claims against the hospital and the doctors who were
    alleged to have provided negligent care to Mr. Allen after he left the PAT facility.
    It was only after the parties had completed discovery, and were gearing up for trial,
    that the District successfully moved to amend its answer and raised the public duty
    doctrine for the first time. The district then moved to dismiss, arguing that it was
    shielded from suit by the public duty doctrine.
    The District‘s new argument was unrelated to the factual development of the
    case. In its motion and subsequently filed reply in support of its motion it cited no
    discovery materials related to the actions of the medical staff at the PAT test.
    Instead, the District‘s belatedly asserted, expansive argument was simply that,
    because the medical staff at the PAT test were emergency medical service workers,
    they categorically fell under the public duty doctrine.
    4
    As the majority opinion notes, we ordered supplemental briefing to further
    assist us in analyzing the application of the public duty doctrine to these facts, but,
    to be clear, whether or not the District had an actionable duty of care to Mr. Allen
    has always been the central issue in this case, as is reflected in the pleadings in the
    trial court and the initial briefs to this court.
    36
    one thing is clear: We have never come close to providing a rationale for the
    majority‘s opinion.
    The public duty doctrine had its genesis in this court around the early 1980s.
    In Chandler v. District of Columbia, 
    404 A.2d 964
    , 966 (D.C. 1979), a division of
    this court briefly considered the duty of care owed by the District government to an
    individual in the provision of services, but Warren v. District of Columbia, 
    444 A.2d 1
    (1981) (en banc) is the case that launched the development of the public
    duty doctrine in the District.     In Warren, the plaintiffs had alleged police
    negligence in responding to a 911 call: The police came to their front door but,
    seeing and hearing nothing, did nothing, thus allowing intruders already inside to
    abduct and repeatedly assault and rape the plaintiffs over 14 hours. In essence, the
    claim was a failure to rescue the plaintiffs or to prevent the harm that ensued5
    where the source of harm was totally external to the District.6
    5
    Under basic principles of negligence, there is no general duty to rescue a
    would-be tort plaintiff from harm or prevent a third party from harming that
    would-be plaintiff. See infra Part II.B.1.
    6
    Regarding injury that results from the criminal acts of third parties, it is
    generally accepted that ―a defendant is liable for negligence only if the danger of
    that act should have been reasonably anticipated and protected against.‖ District of
    Columbia v. Doe, 
    524 A.2d 30
    , 32 (D.C. 1987) (internal quotation marks omitted).
    37
    This court determined that, separate and apart from sovereign immunity,7 the
    District was protected from liability at the duty stage of a tort suit, when its agents
    were fulfilling ―public 
    duties.‖ 444 A.2d at 3
    , 9. The court explained that an
    actionable duty was not created by the obligation of the police to protect members
    of the community—the harm to the plaintiff was insufficiently foreseeable and the
    District‘s relationship to any particular individual was too general. 
    Id. The court
    specifically rejected the argument that police officers owe a greater duty of care
    because of their jobs. It explained, ―[a] person does not, by becoming a police
    officer, insulate himself from any of the basic duties which everyone owes to other
    people, but neither does he assume any greater obligation8 to others individually.‖
    7
    Which the District had not raised as a 
    defense. 444 A.2d at 9
    .
    8
    In Warren, the source of this potential ―greater obligation‖ was never
    discussed. But according to the treatises, this is the foundation of the analysis.
    The point of the public duty doctrine is to respond to the argument that a statute,
    for example pertaining to public safety officers, creates a special duty of care. This
    is the general tort rule, but the public duty doctrine is employed to prohibit the
    recognition of special, additional statutory duties, and to keep intact the basic tort
    principle that there is no general duty to rescue or protect. See Dan B. Dobbs, et
    al., 2 The Law of Torts § 345 (2d ed. 2011) (―In the classic case for invoking the
    public duty doctrine, the duty is imposed by a statute that requires the defendant to
    act affirmatively, and the defendant‘s wrongdoing is a failure to take positive
    action for the protection of the plaintiff.‖); see, e.g., Madison ex rel. Bryant v.
    Babcock Ctr., 
    638 S.E.2d 650
    , 660 (S.C. 2006) (noting that the ―public duty rule is
    applied only when an action is founded upon a statutory duty; when duty is based
    on common law, then its existence is analyzed as it would be with a private
    defendant which is not a government entity.‖) This court‘s imprecision at the
    outset in applying the public duty doctrine may account for the transformation of
    (continued…)
    38
    
    Id. at 7-8.9
    We determined that in certain cases where negligence by District
    agents was alleged, a ―special duty‖ was required to permit the claim to go
    forward. 
    Id. Judge Kelly
    agreed with the ―public/special‖ duty construct but not with its
    application in Warren. In her partial concurrence/partial dissent, she explained
    that, ―[t]he concept of special duty is actually no more than an application of the
    cardinal princip[le] of tort law that, even where no duty to act may exist originally,
    once one undertakes to act, he has a duty to do so with due 
    care.‖ 444 A.2d at 11
    .
    A few years later, in Morgan v. District of Columbia, 
    468 A.2d 1306
    , 1311
    (D.C. 1983) (en banc), we reiterated our motivation to prevent police officials from
    being ―placed in the position of insuring the personal safety of every member of
    the community.‖ 
    Id. At the
    same time, we reaffirmed that, ―[a]lthough the police
    have no obligation to act at the behest of any one individual, once they begin to act
    on behalf of a particular citizen in such a way as to raise significantly the quotient
    (…continued)
    the doctrine from an inquiry into duties owed to an immunity-like shield for the
    District (based on the identity and function of its agents).
    9
    The en banc court ―adopted . . . portions‖ of the trial court‘s opinion as its
    
    own, 444 A.2d at 3
    , including this explanation of the trial court‘s reasoning.
    39
    of risk over and above the risks assumed by every other member of the community,
    additional responsibilities arise.‖ 
    Id. at 1312.
    By the time we turned our attention to the District‘s provision of emergency
    ambulance services this reasoning had acquired a name and the status of
    ―doctrine.‖ Klahr v. District of Columbia, 
    576 A.2d 718
    , 718 (D.C. 1990). We
    decided a trio of cases, Wanzer v. District of Columbia, 
    580 A.2d 127
    (D.C. 1990),
    Hines v. District of Columbia, 
    580 A.2d 133
    (D.C. 1990), and Johnson v. District
    of Columbia, 
    580 A.2d 140
    (D.C. 1990),10 in which a citizen previously unknown
    to the District called 911, but the necessary help did not come in time. We
    determined that because ―the institution of a publicly operated emergency
    ambulance service is . . . incident to the police power of state: i.e., to protect the
    health, safety, and general welfare of its citizens,‖ the District‘s ambulance
    services generally should be subject to the public duty doctrine. 
    Wanzer, 580 A.2d at 130-31
    (internal quotation marks and brackets omitted); see also 
    Johnson, 580 A.2d at 141
    . We then rejected the arguments that the District had a duty of care
    that arose either from (1) FEMS ―protocols and procedures‖ requiring them to
    provide emergency ambulance services in a certain manner, 
    Johnson, 580 A.2d at 10
            These cases were decided on the same day and were ―intended to be
    complementary and designed to be read together.‖ 
    Wanzer, 580 A.2d at 130
    n.2.
    40
    141; see also 
    Wanzer, 580 A.2d at 133
    ; 
    Hines, 580 A.2d at 138
    , or (2) an
    individual‘s specific request for services.
    On the latter point, we stated, as the majority opinion quotes, that ―the mere
    fact that an individual has emerged from the general public‖ by calling 911 and
    thus ―become an object of the special attention of public employees does not create
    a relationship which imposes a special legal duty.‖ 
    Hines, 580 A.2d at 136
    ; see
    also 
    Wanzer, 580 A.2d at 132
    (―A one-time call to 911 for help does not establish a
    special relationship. . . . It is not enough to allege ineptitude . . . by a municipal
    agency in failing to respond adequately to a call for help.‖). Invoking concerns
    about foreseeability and unlimited liability, we further explained that ―[v]irtually
    every citizen of the District could find himself or herself in need of assistance from
    [FEMS] at one time or another.‖ 
    Hines, 580 A.2d at 138
    . Instead, we said that
    ―[t]o give rise to a special relationship, the agency‘s response to the private party
    must in some demonstrable way exceed the response generally made to other
    members of the public.‖ Wanzer, 580 A2d at 132; see also 
    Hines, 580 A.2d at 139
    (determining that there was no actionable duty of care because there was no
    ―undertaking to a specific individual or a special class of persons‖). Nevertheless,
    we recognized that the duty analysis is necessarily different when it concerns not
    whether and how the District was obligated to come to the rescue of a particular
    41
    individual, but instead the obligation the District owes to an individual to whom it
    has already undertaken to provide assistance. See 
    Johnson, 580 A.2d at 142-44
    .11
    In our recent decision in Woods, we held for the first time that even when
    emergency services showed up and began to provide the necessary assistance, the
    District could not be held liable if the EMTs were negligent in their provision of
    medical care. 
    63 A.3d 551
    . Once again, we acknowledged that the operative
    question in cases where the District has raised the public duty doctrine as a defense
    is whether there is an actionable duty of care. Contrary to the longstanding tort
    doctrine that one who undertakes to rescue or provide protection must do so with
    ordinary care, however, we determined that there was still no duty of care even
    under these circumstances.       Instead, we explained that, because ―District
    emergency personnel [were] providing the kind of on-the-scene emergency
    assistance that the District normally provides to the general public,‖ liability was
    foreclosed under the public duty 
    doctrine.12 63 A.3d at 556
    ; but see Hines, 580
    11
    Along with a failure to timely respond to a call for an ambulance,
    Johnson included a claim that the EMTs had negligently treated the decedent once
    they 
    arrived. 580 A.2d at 142
    . The court in Johnson remanded this claim to the
    trial court for further consideration. 
    Id. at 144.
          12
    In her concurrence in Woods, Judge Oberly called for en banc review ―to
    reexamine the scope of the public duty doctrine or perhaps even to abolish it,‖
    expressing the view that the outcome in that case ―suggests that we have let the
    
    (continued…) 42 A.2d at 139
    (citing Johnson and Weeda v. District of Columbia, 
    521 A.2d 1156
    (D.C. 1987)) (―D.C. could be held liable for negligent acts of [FEMS] personnel in
    administering emergency medical care‖).
    Now the majority opinion applies the public duty doctrine to the Allens‘
    lawsuit. It does so while expressing confidence not only that our current public
    duty doctrine precedent clearly shields the District from being sued, but also that
    the factual predicate for our legal analysis is beyond dispute such that this case was
    properly resolved on summary judgment. On both points, the majority opinion is
    mistaken.
    This case bears no resemblance to Wanzer, Hines, Johnson or even Woods.
    Mr. Allen was not a citizen on the street, part of the faceless general public, who
    reached out to the District unexpectedly and sought the assistance of emergency
    services from a harm external to the District. He was one of select group of other
    (…continued)
    doctrine sweep far more broadly than is necessary to strike the proper balance
    between protecting the District from sweeping liability, on the one hand, and
    allowing the District's citizens the chance to prove that their government has failed
    them miserably, on the other.‖ 
    Woods, 63 A.3d at 558
    . Ms. Woods filed a petition
    for en banc review and we stayed the Allens‘ appeal pending its consideration. See
    Opinion at 7. En banc review was ultimately denied.
    43
    firefighter candidates FEMS invited to its Training Facility (a location not open to
    the general public) to take its PAT. FEMS designed the PAT to serve its needs—
    i.e., to be rigorous, even dangerous, in order to simulate the real-life challenges of
    the job. In recognition of the risks it created, FEMS had monitors and medical
    staff on hand to ensure the safety of the candidates taking the PAT. The medical
    staff in particular were responsible for attending to anyone who got injured during
    the test. Ms. Mason and Ms. Johnson did their job at the PAT; they attended to
    and took care of Mr. Allen at the PAT when he fell ill (they just did so
    incompetently, according to the Allens). The District never disputed these facts in
    the trial court; it simply took the position that these facts had no bearing on a
    public duty doctrine analysis.      But if all of these facts do not ―in some
    demonstrable way‖ establish that the District had a particular duty to Mr. Allen,
    not merely a diffuse duty ―to other members of the public,‖ 
    Wanzer, 580 A.2d at 132
    , I do not know what does.
    Moreover, we cannot forget that this case comes to us from the trial court on
    an order granting summary judgment to the District. In this context, all the Allens
    had to do was to demonstrate that there was a least a triable issue of fact about the
    duty of care the medical staff at the PAT owed to Eric Allen. It was the District‘s
    burden to put forward uncontroverted evidence that Ms. Mason and Ms. Johnson
    44
    were fulfilling a ―public duty‖ and thus that the public duty doctrine applied. The
    District never did. As noted above, its argument was that it was categorically
    shielded from liability because Ms. Mason and Ms. Johnson are emergency service
    workers. See supra note 3.
    Because the District never grappled with the record facts, it never made the
    argument now advanced by the majority opinion in an effort to shoehorn this case
    into the Wanzer-Hines-Johnson line of cases. The majority opinion argues that the
    ―record shows‖ the role of the medical staff at the PAT ―evolved‖ from ―monitors‖
    to emergency service providers, and this transformation conferred on the medical
    staff the protection of the public duty doctrine.13
    The majority‘s strained reading of the record cannot be reconciled with this
    court‘s acknowledged obligation not to ignore facts in the record and to view the
    facts therein in the light most favorable to the Allens. The majority‘s professed
    13
    Inconsistent with its acknowledgement that Ms. Mason and Ms. Johnson
    provided Mr. Allen care, the majority opinion also argues that their actions are
    shielded by the public duty doctrine because they were ―functioning in a manner
    similar to a 911 dispatcher who must make a call as to whether an ambulance is
    needed, and which type is required.‖         But 911 dispatchers work in a
    communications center, have no physical contact with the people to whom they
    speak, and thus have no occasion to provide first aid, administer oxygen, or run
    EKGs.
    45
    inability to see any ―basis for concluding that any acts or omissions by [paramedic]
    Mason in responding to Allen‘s health crisis were part of the PAT program rather
    than part of the District‘s provision of emergency services,‖ simply disregards the
    deposition testimony of Battalion Fire Chief Douglas, who said that the EMTs
    working the first aid station were part of the PAT ―safety net,‖ and that it was their
    responsibility to treat test-takers in the event of injury or illness.
    Meanwhile, the majority opinion can cite to no direct evidence that the
    medical staff were only supposed to act as ―monitors,‖ not caregivers.14 Ms.
    Mason, for example, never said that she was being asked to deviate from her PAT
    duties when she gave Mr. Allen oxygen and ran an EKG. She said she performed
    those tasks because ―that‘s what I do.‖ Instead, the majority opinion‘s analysis is
    entirely based on weak inferences improperly drawn against the Allens.
    14
    The majority‘s understanding of the medical staff‘s role appears to be
    grounded in some confusion about the staffing of the PAT. There were separate
    FEMS personnel who were designated ―monitors‖; their role was to observe the
    candidates as they progressed through each station of the PAT. The medical staff
    at the first aid station served a different function. It was their job to take the
    candidates‘ vital signs before and after the PAT and to attend to any candidates
    who required medical assistance during the PAT.
    46
    The majority notes that Ms. Mason and Ms. Johnson had to walk from their
    first aid station to Mr. Allen, and that they had to get additional gear in from the
    unit they drove to the training academy. From this the majority infers that taking
    care of Mr. Allen was not part of the medical staff‘s anticipated duties. That Ms.
    Mason and Ms. Johnson had to go to Mr. Allen to attend to him is immaterial in
    light of the undisputed evidence that (1) they were an integral part of the PAT
    safety net and (2) it was their job to take care of PAT candidates who got injured or
    fell ill. The more salient fact is that when Mr. Allen fell ill, Captain Robinson, the
    monitor for Mr. Allen, sought them out. That Ms. Mason and Ms. Johnson had to
    retrieve additional gear from their unit might be some indication that they believed
    that it was less likely that they would need it. But it is hardly conclusive proof that
    giving medical care to Mr. Allen, using all the gear they had in their unit (which
    was parked at the Training Academy15) was outside of the scope of their normal
    PAT duties. Lastly, the majority also points to a statement by Ms. Mason that she
    had never had to transport a candidate from the PAT to the hospital, as evidence
    that providing care was ―not the[] usual PAT role,‖ of medical staff. But this
    15
    Presumably Ms. Mason and Ms. Johnson had not driven one of the
    District‘s limited number of emergency services vehicles to the test site in lieu of
    using a private vehicle or taking public transportation.
    47
    testimony simply aligns with other record evidence that it was Ms. Mason and Ms.
    Johnson‘s job to be on site for the duration of the PAT.
    In sum, a careful examination of the evidence developed in the trial court
    and uncontroverted by the District reveals that this case bears no relationship to the
    sorts of cases in which we have affirmed the application of the public duty
    doctrine—cases involving the dispatch of police, fire, or emergency services
    relating to a previously unknown member of the general public requiring assistance
    because of unforeseeable harm from a cause external to the District. Rather, the
    record strongly indicates, if not conclusively establishes, that FEMS had an
    acknowledged ―special,‖ or individual, duty to care for Eric Allen while he was at
    its training academy, taking its test. On this record, it was error for the trial court
    to rule that the District was protected by the public duty doctrine and to grant the
    District summary judgment.
    48
    B.     This court should grant rehearing en banc because the majority’s
    public duty doctrine analysis demonstrates that the doctrine is
    incoherent.
    The majority‘s opinion demonstrates the incoherence of this court‘s public
    duty doctrine. Although we initially said that this doctrine was a function of the
    common law of negligence, the object of which was to discern whether the District
    as defendant had an actionable duty, our subsequent unbounded application
    indicates that we are not engaged in a duty-based inquiry. As it has developed, this
    court‘s public duty doctrine has seemingly no regard for the concept of
    foreseeability of harm, a foundation of the common law understanding of ―duty.‖
    We find a lack of ―duty‖ even when a government actor is engaged in face-to-face
    contact with a citizen of the District, and when that actor breaches what would be a
    duty of ordinary care in the course of that contact. If our public duty doctrine
    analysis has any organizing principle, it seems to turn on the identity and function
    of the agents of the District who are alleged to have acted negligently. But an
    identity-based liability shield is not a tort law concept. It is immunity.
    We need to explain what we are doing and why. If discerning an actionable
    duty is not our aim—if instead our aim is to grant immunity—we need to say so.
    We also need to explain how such immunity squares with the sovereign immunity
    the District already enjoys and that this court has abrogated under certain
    49
    circumstances, and why we would want to revive immunity for circumstances
    under which we had already abrogated it. For this reason alone this court should
    rehear this case en banc.
    1. It seems our public duty doctrine is animated not so much by
    principles of negligence and a duty of care but rather by a desire
    to confer immunity on certain District employees.
    We have said that the public duty doctrine examines whether ―an actionable
    duty exists‖ when the District is sued for negligence. See Powell v. District of
    Columbia, 
    602 A.2d 1123
    , 1127 (D.C. 1992). And we have expressed at least a
    superficial concern with foreseeability of harm based on the plaintiff‘s relationship
    with the defendant (here the District). See, e.g., 
    Woods, 63 A.3d at 559
    (quoting
    Warren and Powell) (noting that whether a plaintiff has a special relationship with
    the District that gives rise to an actionable duty of care turns on whether there was
    ―direct contact or some other form of privity between‖ a plaintiff and the District,
    such that he ―becomes a reasonably foreseeable plaintiff.‖). In so doing, we have
    seemingly grounded our public duty doctrine in basic principles of negligence and
    50
    the idea that to hold an individual liable for an injury, one must first establish that
    individual had a duty of care.16
    But an examination of our cases shows that this duty language does little
    work when the public duty doctrine is actually applied; our focus has been
    increasingly on the identity and function of the District employee who allegedly
    acted negligently.    This focus was evident in Wanzer and Johnson,17 more
    pronounced in Woods,18 and is now dispositive in this case, where the majority
    determines that the role of Ms. Mason and Ms. Johnson ―evolved‖ from mere
    monitor to emergency service provider, and that anyone acting in the latter role is
    16
    Generally, in negligence actions, courts determine whether there was a
    duty of care by ―rely[ing] on the concept of ‗foreseeability‘‖ and looking to the
    ―relationship between the plaintiff and the defendant.‖ Hedgepeth v. Whitman
    Walker Clinic, 
    22 A.3d 789
    , 793-94 (D.C. 2011) (en banc). ―If the injury that
    befell the plaintiff was ‗reasonably foreseeable‘ to the defendant, then courts will
    usually conclude that the defendant owed the plaintiff a duty to avoid causing that
    injury; if the injury was not ‗reasonably foreseeable,‘ then there was no duty.‖ 
    Id. at 793.
    The foreseeability of harm itself ―is determined, in large part, by the nature
    of the relationship between the parties.‖ 
    Id. at 794.
    ―[T]here is only a minimal
    duty—if any—owed to a party who is at arms‘ length. Once the defendant enters
    into a relationship with the plaintiff, however, a corresponding duty of care arises.‖
    Id.
    17
    
    Wanzer, 580 A.2d at 130-31
    (analogizing emergency medical services to
    police and fire services); 
    Johnson, 580 A.2d at 141
    .
    
    18 63 A.3d at 556
    (concluding that liability was foreclosed because District
    employees were ―providing the kind of on-the-scene emergency assistance that the
    District normally provides to the general public‖).
    51
    shielded by the public duty doctrine. Even if there were undisputed facts to
    support this evolution, but 
    see supra
    , it is unclear why job function is dispositive if
    we are supposed to be thinking of this in terms of whether there was an actionable
    duty.
    Rather, if duty of care and foreseeability of harm were the driving
    considerations, the majority opinion would have been unable to ignore the fact that
    the District created and was wholly in control of the hazardous environment in
    which the alleged harm to Mr. Allen occurred. FEMS structured and staffed the
    PAT. The District thus had ―special knowledge of possible harm.‖ 
    Warren, 444 A.2d at 3
    . Under a true duty analysis, the District should have had an actionable
    duty to ensure that it provided adequate first aid services to candidates taking the
    PAT. See District of Columbia v. Doe, 
    524 A.2d 30
    , 32 (D.C. 1987) (noting that
    the District ―has an obligation to exercise reasonable and ordinary care for the
    protection of pupils to whom it provides an education.‖)
    Even setting aside the fact that this was FEMS‘s test and its turf, it is a
    canonical aspect of tort law that, although there is no general duty to rescue,
    52
    protect, or intervene in a situation to prevent or remedy harm,19 once an individual
    intervenes and assists in an emergency situation, that individual has a duty to act
    with reasonable care.20 As we explained in Warren, the simple fact that one is a
    government employee, in that case a police officer, responsible for public safety,
    does not create a special duty of care; but an actionable duty could arise out of a
    more particularized connection to an individual, for example, borne of a ―course of
    conduct [or] special knowledge of possible 
    harm.‖ 444 A.2d at 3
    . Our focus on
    job function in this case and our recent decision in Woods, however, turn all this on
    its head. It seems we are saying that a job description alone can destroy an
    19
    See Restatement (Second) of Torts § 314.
    20
    See Restatement (Second) of Torts § 314 cmt. a; Dobbs, supra note 8, §
    346 (explaining that a duty exists where ―the public entity is guilty of negligent
    action rather than inaction‖). See also 
    Powell, 602 A.2d at 1133
    (Schwelb, J.,
    concurring) (explaining that the public duty doctrine is ―basically consistent with
    the common law doctrine that there is no affirmative duty to rescue absent some
    special relationship. In fact, the public duty cases are in some measure the
    analytical cousins of the private rescue cases.‖); 
    Morgan, 468 A.2d at 1312
    (―Although the police have no obligation to act at the behest of any one individual,
    once they begin to act on behalf of a particular citizen in such a way as to raise
    significantly the quotient of risk over and above the risks assumed by every other
    member of the community, additional responsibilities arise.‖) 
    Warren, 444 A.2d at 11
    (Kelly, J. concurring) (―One who begins to perform a service to another,
    whether gratuitously or not must perform with reasonable care.‖).
    53
    actionable duty, regardless of the actions taken by the District employee and the
    foreseeability of possible harm.21 This is immunity in everything but name.
    Relatedly, the majority opinion demonstrates that the definition of the
    ―special relationship exception‖ has taken on a hypertechnical aspect that does not
    meaningfully advance the goal of identifying foreseeable plaintiffs, and thus
    suggests we are not fundamentally concerned with a duty of care. If the special
    relationship test was really being used to separate those with whom the District had
    engaged ―directly‖ and who might foreseeably suffer from its negligence from
    anonymous members of the public who might one day seek assistance, we would
    not need to parse each and every interaction that an injured party had with
    specifically identified District agents, in order to determine that a special or
    individual duty was owed.
    21
    Citing Johnson, the majority acknowledges the possibility that if the
    District personnel engaged in ―affirmative action that worsens the condition of the
    individual receiving emergency services‖ it might find an actionable duty. But the
    observation by this court in Johnson that a special relationship could be based on a
    showing that the EMS workers who responded to the 911 caller‘s request for help
    had affirmatively worsened her 
    condition, 580 A.2d at 142
    , is itself out of sync
    with normal duty of care principles, under which an individual who undertakes a
    rescue assumes a duty to act with due care. Moreover, Johnson was premised on
    Weeda, 
    521 A.2d 1156
    (D.C. 1987), a negligence case in which the public duty
    doctrine was never raised and in which the court was examining issues of
    causation, not duty of care.
    54
    Even applying the test that this court has developed,22 it is unclear why the
    majority is apparently of the view that the Allens‘ claim fails if we disregard Mr.
    Allen‘s contacts with FEMS throughout the application process to become a
    firefighter and focus only on Mr. Allen‘s contacts with FEMS at the training
    academy on the day of the PAT. But see 
    Woods, 63 A.3d at 553
    (the special
    relationship test examines the ―direct contact or continuing contact between the
    victim and the governmental agency‖). With foreseeability as the focus, it is
    unquestionably relevant that once Mr. Allen arrived at the test site and before the
    test began, FEMS staff met with him and the other PAT candidates, gave them
    ―course instructions,‖ and sent him to be examined by medical staff. It is also
    relevant that FEMS assigned him a monitor for the duration of the test and had first
    aid staff standing by, to assist him if he got injured or fell ill and to examine him
    22
    It is only one of many troubling aspects of our public duty doctrine case
    law that we have not even defined ―special relationship‖ with consistency. Even
    though the division opinion in Platt v. District of Columbia, 
    467 A.2d 149
    , 151
    (1983) was issued one day before the en banc decision in Morgan, the two
    opinions contain differing formulations. The test from Platt requires (1) ―direct or
    continuing contact between the victim and the governmental agency or official,‖
    and (2) ―a justifiable reliance on the part of the 
    victim,‖ 467 A.2d at 151
    , while the
    test from Morgan requires (1) ―a specific undertaking to protect a particular
    individual,‖ and (2) justifiable 
    reliance.‖ 468 A.2d at 1314-15
    . Perhaps the
    formulations of the first element in both tests mean the same thing, their different
    language notwithstanding, see 
    Klahr, 576 A.2d at 720
    , but if so, we have never
    made that clear. See 
    Woods, 63 A.3d at 553
    (―This court has used somewhat
    varying formulations to describe the circumstances in which such a special
    relationship will arise.‖).
    55
    again when the test was over. Without even considering the fact that the medical
    staff actually provided Mr. Allen with medical care, these are ample contacts—
    both direct and continuing—on which to base an actionable duty of care.
    The majority opinion also states without explanation that it would not have
    been ―practical or possible‖ for the District to establish contacts with Mr. Allen as
    one of the ―nearly two dozen‖ or ―over two dozen‖ test takers that day. But
    nothing about the fact that Mr. Allen was one of the select few the District
    screened and scheduled to take its PAT on that day made it less foreseeable that he
    might get hurt or fall ill during the PAT or converts the District‘s duty to care for
    all of the test takers into a public duty.     At least in earlier cases, we have
    recognized that a duty of care can flow to a ―class‖ of persons. See Turner, 
    532 A.2d 662
    (explaining that a statutorily mandated special duty is owed to every
    adjudicated neglected child in the District); cf. 
    Hines, 580 A.2d at 138
    (holding
    that liability foreclosed because ―there exists no ‗class‘ in the sense that would
    justify invoking the special relationship exception to the public duty doctrine.‖).
    Our apparent movement away from that precedent again signals that we are
    unconcerned with identifying actionable duties in negligence cases.
    56
    Turning to the second prong of the ―special relationship‖ test, justifiable
    reliance, the majority opinion faults the Allens for failing to show that their son
    ―acted or refrained from acting in reliance on the EMTs,‖ evoking the concept of
    ―detrimental reliance‖ from the distinct realm of contract law and promissory
    estoppel. See also 
    Woods, 63 A.3d at 557
    (using the term ―detrimental reliance‖).
    It is hard to understand why this type of reliance is required to establish
    foreseeability and a duty of actionable care.     See 
    Morgan, 468 A.2d at 1315
    (explaining that the purpose of what we called the element of ―particular reliance‖
    was ―to place law enforcement officials on notice as to the foreseeable
    consequences of failure to exercise reasonable care, not unlike the knowledge that
    a citizen employed in law enforcement efforts must be protected from harm.‖).
    And it is even harder to understand how the trial court could have concluded that
    there was no genuine dispute of material fact as to Mr. Allen‘s reliance, even under
    this standard.
    It seems amply reasonable to infer from the record facts that when Ms.
    Mason and Ms. Johnson provided medical assistance to Mr. Allen, he relied on
    them to care for him and to do so professionally. He could not walk; he could not
    speak ―normal[ly].‖ He was in grave need of medical assistance and unable to
    seek out alternative means of care. And since FEMS had sent all non-test-taking
    57
    civilians away, he had no one else to help him except FEMS staff. To quote Judge
    Oberly in Woods, ―Heaven help us,‖ if such an individual, ―after being examined,
    has no right to rely on the attending EMTs to accurately diagnose his or her
    medical condition or rely on their recommendation as to whether or not further
    medical assistance is 
    needed.‖23 63 A.3d at 560
    .
    Putting all of this together, there is much in our public duty case law and in
    the majority‘s decision that both is inconsistent with a duty-based analysis and
    suggests that we are determining that liability does not apply to certain categories
    of District employees, i.e., they are immune from suit. If we are applying the
    public duty doctrine as a form of immunity, we should say so. We should also be
    ready to justify why we think we can recreate sovereign immunity in this manner
    and why we think it is a good idea to do so.
    23
    The majority notes that Mr. Allen signed a liability waiver, an
    unsurprising fact since he wanted to be able to take the test and move forward with
    his job application. This waiver might defeat liability at a later point in the case if
    the District could show it was binding, but it fails to conclusively demonstrate that
    Mr. Allen did not justifiably rely on the medical staff at the PAT to care for him
    when he fell ill.
    58
    2. If the public duty doctrine is actually a form of court-created
    immunity, we have not explained how it aligns with our sovereign
    immunity jurisprudence.
    Although the District government enjoys the protection of sovereign
    immunity, we have long recognized, following the federal government24 and most
    states, that this immunity is not and should not be absolute—that there are certain
    instances where it is appropriate to hold the government to account in a court of
    law. Before this court came into being, the United States District Court for the
    District of Columbia Circuit determined that the sovereign immunity did not
    protect the District when its employees were performing ―proprietary,‖ as opposed
    to ―governmental,‖ acts. See Calomeris v. District of Columbia, 
    226 F.2d 266
    (D.C. Cir. 1955). In other words, when the District was acting as a government, it
    could not be held liable, but when it was acting as employer, business owner, or in
    other non-policy-making capacities, sovereign immunity was not a bar to liability.
    This distinction, once popular in many state and federal courts, was much
    criticized—when a government was ―acting as a government‖ was not easily or
    24
    Congress partially abrogated the sovereign immunity of the federal
    government with the passage of the Federal Tort Claims Act (FTCA) in 1948. It
    did not include the District of Columbia in this waiver, however. See 28 U.S.C. §
    2671 (2012); see also 
    Spencer, 425 F.2d at 481
    ; 
    Wade, 310 A.2d at 861
    (acknowledging that the District is ―influenced by the provisions of the [FTCA],‖
    but not technically subject to it).
    59
    consistently discerned. See Spencer v. General Hosp. of District of Columbia, 
    425 F.2d 479
    , 484 (D.C. Cir. 1969).        The federal appellate court discarded the
    governmental-proprietary distinction in Spencer, and in its stead endorsed the
    distinction drawn in the Federal Tort Claims Act between ―discretionary‖ acts, i.e.,
    policy decisions, and ―ministerial‖ acts that involve execution without discretion.25
    
    Id. After Congress
    created this court, we reaffirmed that the District‘s sovereign
    immunity survives for ―discretionary‖ acts but not ―ministerial‖ acts of the
    government; in the latter instance we said that ―the District must respond‖ to suit.
    See Wade v. District of Columbia, 
    310 A.2d 857
    , 860 (D.C. 1973) (en banc).
    We have stated that the public duty doctrine operates separate and apart
    from a sovereign immunity analysis. Whether the District government is shielded
    from suit by sovereign immunity is the first consideration; if it is not, the second
    consideration is whether there is an actionable duty. See Chandler, 
    404 A.2d 964
    ,
    966 (D.C. 1979) (―[T]he questions of immunity and duty owed require separate
    analysis . . . . Immunity revolves around the necessity or desirability of freeing
    25
    The FTCA waives the federal government‘s sovereign immunity for
    negligent ―act[s] or omission[s] . . . under circumstances where the United States, if
    a private person, would be liable to the claimant in accordance with the law of the
    place where the act or omission occurred,‖ 28 U.S.C. § 1346 (b)(1) (2012)
    (emphasis added); see also 
    id. § 2674,
    provided that the act complained of is not ―a
    discretionary function or duty,‖ 
    id. § 2680
    (a).
    60
    policy decisions from jury speculation; a duty of care, on the other hand, concerns
    foreseeability.‖); see also 
    Powell, 602 A.2d at 1126
    (acknowledging that the public
    duty doctrine ―limit[s] the District‘s liability in negligence cases where sovereign
    immunity is not a bar to suit.‖).26
    But if the public duty doctrine is, in effect, another form of immunity, at
    least two problems arise. First, if the alleged conduct was a ministerial act for
    which the District can be sued under a sovereign immunity analysis, it is then a
    contradiction to say that, based on the same conduct, the District in fact enjoys
    immunity under the public duty doctrine and cannot be sued.27 This is not to say
    26
    We have not always been clear about holding this line either, and at times
    we have invoked the public duty doctrine alongside or even instead of sovereign
    immunity for discretionary acts. See, e.g., Nealon v. District of Columbia, 
    669 A.2d 685
    , 693 (D.C. 1995) (explaining that discretionary decisions about water
    pressure in fire hydrants are protected by both the public duty doctrine and
    sovereign immunity); Allison Gas Turbine Div. of Gen. Motors Corp. v. District of
    Columbia, 
    642 A.2d 841
    , 845 (D.C. 1994) (applying the public duty doctrine to
    District officers carrying out a river rescue ―that necessarily required the exercise
    of discretion‖); 
    Morgan, 468 A.2d at 1311
    (explaining the public duty doctrine is
    necessary to ―protect[] the exercise of law enforcement discretion‖).
    27
    For this reason, a number of states have discarded the public duty
    doctrine or declined to adopt it. See, e.g., Adams v. State, 
    555 P.2d 235
    , 241-42
    (Alaska 1976); Leake v. Cain, 
    720 P.2d 152
    , 160 (Colo. 1986) (en banc); Doucette
    v. Town of Bristol, 
    635 A.2d 1387
    (N.H. 1993); Schear v. Bd. of Cnty. Comm’rs of
    Bernalillo Cnty., 
    687 P.2d 728
    (N.M. 1984); Coffey v. City of Milwaukee, 
    247 N.W.2d 132
    (Wis. 1976). As Alaska Supreme Court explained in Adams:
    (continued…)
    61
    that this court lacks the power to create an additional ―public duty‖ immunity.
    Unlike the federal government28 and most states where sovereign immunity is
    statutorily abrogated, our sovereign immunity jurisprudence as well as our public
    duty doctrine is defined by common law. Since it is judge-made, we can change it.
    See 
    Spencer, 425 F.2d at 479
    (explaining that this is why the courts had the power
    to discard the governmental-proprietary test of sovereign immunity). It is beyond
    the scope of this dissent to review why absolute immunity for government actors
    has been universally rejected and why the general consensus coalesced around the
    discretionary/ministerial divide for actionable claims.29 But at the very least, it is
    (…continued)
    An application of the public duty doctrine here would result in finding
    no duty owed the plaintiffs or their decedents by the state, because,
    although they were foreseeable victims and a private defendant would
    have owed such a duty, no ‗special relationship‘ between the parties
    existed. Why should the establishment of duty become more difficult
    when the state is the defendant? Where there is no immunity, the state
    is to be treated like a private 
    litigant. 555 P.2d at 241-42
    .
    28
    The federal government does not have a public duty doctrine, and has in
    fact disavowed such an approach to assessing its liability under the Federal Tort
    Claims Act (FTCA). See United States v. Olson, 
    546 U.S. 43
    , 45-46 (2005)
    (explaining that, although a cause of action for negligence may arise out of state
    law, FTCA precludes assessment of the federal government‘s liability according to
    state-level standards applicable to state or municipal government entities); see also
    Lumsden v. United States, 
    555 F. Supp. 2d 580
    , 595 (E.D.N.C. 2008) (―The ‗public
    duty‘ doctrine has no application to an FTCA action‖).
    29
    I note, however, that the majority opinion revives a hoary
    counterargument in favor of broad governmental immunity—namely, that if we
    (continued…)
    62
    irresponsible for us to redraw immunity lines without considering why our law
    developed in the direction it did.
    This leads to the second problem: the manner in which we seem to be
    redrawing immunity lines. As noted above, we seem to be elevating function over
    action.    When an emergency services worker is acting in her capacity as an
    emergency services worker, no matter what she actually does, the District is not
    liable for her actions. If an emergency services worker enjoys this immunity, why
    not an emergency room doctor, or for that matter a school nurse, or a teacher?
    This sounds a lot like immunity for ―governmental‖ functions—i.e., the
    construction of sovereign immunity that was rejected in 
    Spencer, 425 F.2d at 483
    and again in 
    Wade, 310 A.2d at 860
    .30 We said in Spencer that ―a plaintiff is not
    (…continued)
    hold the government accountable for its negligent provision of services, we will
    create a ―perverse incentive‖ for the government to decline to provide those
    services. But the reality is that the District continues to offer a number of services
    in areas to which we do not extend the public duty doctrine: for example, public
    schools, see 
    Doe, 524 A.2d at 32
    (D.C. 1987) (affirming a judgment against the
    District for failure to provide adequate security at an elementary school), public
    swimming pools, see District of Columbia v. Zukerberg, 
    880 A.2d 276
    , 282 (D.C.
    2005) (upholding a jury verdict holding the District liable for negligent provision
    of lifeguard services) and public health clinics, see District of Columbia v. Perez,
    
    694 A.2d 882
    , 886 (D.C. 1997) (affirming a jury verdict against the District for
    committing medical negligence).
    30
    This was part of the Wisconsin Supreme Court‘s reasoning when it
    declined to adopt the public duty doctrine over three decades ago. Coffey, 247
    (continued…)
    63
    automatically out of court whenever it appears that the injury grew out of the
    operation by the District of a school, or a hospital, or in the course of any other
    activity carried on by the District because it is a 
    government.‖ 425 F.2d at 487
    .
    But if the public duty doctrine is functioning to re-immunize the District for
    ministerial actions for which sovereign immunity is abrogated, we appear to have
    overruled prior precedent sub silentio.
    C.     This court should grant rehearing en banc because there are
    compelling reasons to discard the public duty doctrine.
    The previous section explains the need for this court to rehear this case en
    banc if only to attempt to make some sense of the public duty doctrine. I am
    skeptical that we would succeed, however, and I question how hard we should try.
    The fact is that the states that have a public duty doctrine employ it in a manner
    that bears little relationship to ours; the name is the same and little else. Moreover,
    many states around the country have discarded the public duty doctrine they had or
    have declined to adopt some sort of public duty doctrine in the first place. Using
    (…continued)
    N.W.2d at 139 (―The ‗public duty‘-‗special duty‘ distinction espoused in the cases
    cited by the [government] set up just the type of artificial distinction between
    ‗proprietary‘ and ‗governmental‘ functions which this court sought to dispose
    of.‖).
    64
    these states as a point of reference, we should consider whether we need a public
    duty doctrine that protects the District from suit over and above the protection it
    already enjoys from other sources and whether this extra protection is in District
    residents‘ best interests. To address these questions and ultimately the question of
    whether we should discard the public duty doctrine, I call upon the court to rehear
    this case en banc.
    There are other states that have something called a public duty doctrine, but
    it is distinct from the District‘s doctrine of the same name. Elsewhere there is an
    appreciation of the tort law origins of the doctrine, specifically that it arose out of a
    desire to reject assertions of ―special duties‖ for government agents derived from
    statutes. See supra note 8. In a number of states, the ―public duty doctrine‖ only
    precludes claims that the police failed to protect a citizen from harm caused by a
    third party.31 Even the states that have a broader conception of the public duty
    31
    See, e.g., Stevenson v. City of Doraville, 
    726 S.E.2d 726
    , 728 (Ga. 2012)
    (―The public duty doctrine applies only to the provision of police protection
    services, such as requests for emergency help.‖ (internal quotation marks
    omitted)); Benton v. City of Oakland City, 
    721 N.E.2d 224
    , 230 (Ind. 1999)
    (considering the public duty doctrine to be a form of immunity that relieves
    government actors of the obligation to ―prevent crime‖); Beaudrie v. Henderson,
    
    631 N.W.2d 308
    , 313 (Mich. 2001) (declining to expand the public duty doctrine
    beyond those cases ―alleging a failure to provide police protection from the
    criminal acts of a third party.‖); Wood v. Guilford Cnty., 
    558 S.E.2d 490
    , 495 (N.C.
    2002) (explaining that the public duty doctrine applies only to ―the provision of
    (continued…)
    65
    doctrine recognize that, once a government actor ―affirmatively act[s] to protect or
    assist the specific individual,‖ the public duty doctrine does not apply.32
    Furthermore, there has been a movement by states away from any sort of
    public duty doctrine. Some that formerly employed the doctrine have abandoned
    it.33 Others have considered, but declined to adopt, ―the confusing and inconsistent
    public duty doctrine.‖34 These states‘ reasons for rejecting the public duty doctrine
    are varied but include: a concern that it conflicts with waivers of sovereign
    (…continued)
    police protection‖); Commonwealth v. Burns, 
    639 S.E.2d 276
    , 278 (Va. 2007)
    (―This Court has only applied the public duty doctrine in cases when a public
    official owed a duty to control the behavior of a third party, and the third party
    committed acts of assaultive criminal behavior upon another.‖).
    32
    Muthukumarana v. Montgomery Cnty., 
    805 A.2d 372
    , 401 (Md. 2002);
    see Chambers-Castanes v. King Cnty., 
    669 P.2d 451
    , 458 (Wash. 1983) (en banc)
    (acknowledging this court‘s decision in Warren and opining that a special duty
    should have been recognized in that case).
    33
    See, e.g., Ryan v. State, 
    656 P.2d 597
    (Ariz. 1982) (en banc); Leake, 
    720 P.2d 152
    ; Commercial Carrier Corp. v. Indian River Cnty., 
    371 So. 2d 1010
    (Fla.
    1979); Jean W. v. Commonwealth, 
    610 N.E.2d 305
    (Mass. 1993); Doucette, 
    635 A.2d 1387
    ; Schear, 
    687 P.2d 728
    ; Wallace v. Ohio Dep’t of Commerce, 
    773 N.E.2d 1018
    (Ohio 2002); Brennen v. City of Eugene, 
    591 P.2d 719
    (Ore. 1979)
    (en banc); Natrona Cnty. v. Blake, 
    81 P.3d 948
    (Wyo. 2003).
    34
    Hudson v. Town of E. Montpelier, 
    638 A.2d 561
    , 568 (Vt. 1993); see
    also, e.g., Adams, 
    555 P.2d 235
    ; Cormier v. T.H.E. Ins. Co., 
    745 So. 2d 1
    (La.
    1999); Maple v. City of Omaha, 
    384 N.W.2d 254
    (Neb. 1986); Ficek v. Morken,
    
    685 N.W.2d 98
    (N.D. 2004); Coffey, 
    247 N.W.2d 132
    .
    66
    immunity,35 the determination that the application of traditional negligence
    principles will sufficiently regulate liability,36 and ―perhaps the most persuasive
    reason, . . . it creates needless confusion in the law and results in uneven and
    inequitable results in practice.‖37
    35
    See supra note 27.
    36
    See, e.g., 
    Leake, 720 P.2d at 160
    (―The fear of excessive governmental
    liability is largely baseless in view of the fact that a plaintiff seeking damages for
    tortious conduct against a public entity must establish the existence of a duty using
    conventional tort principles, such as foreseeability, in the same manner as if the
    defendant were a private entity.‖); 
    Doucette, 635 A.2d at 1391
    (―We expect that
    proof of negligence will continue to be a sufficient test of claims against cities and
    towns to separate worthy suits from those without merit.‖); 
    Schear, 687 P.2d at 733-34
    (noting that abolition of the doctrine will not result in the government‘s
    ―[s]trict liability for failure to adequately perform a duty,‖ rather ―[l]iability will
    not attach until all of the elements of negligence have been proved, including duty,
    breach of duty, and proximate cause.‖); 
    Wallace, 773 N.E.2d at 1031
    (―[C]onventional negligence principles already provide some measure of
    protection against the possibility of the state‘s becoming the de facto guarantor of
    every injury somehow attributable to the actions of a state tortfeasor.‖).
    37
    
    Leake, 720 P.2d at 159
    ; see also, e.g., 
    Ryan, 656 P.2d at 599
    (―We shall
    no longer engage in the speculative exercise of determining whether the tort-feasor
    has a general duty to the injured party, which spells no recovery, or if he had a
    specific individual duty which means recovery.‖); Jean 
    W., 610 N.E. at 307
    (―We
    have concluded that our prior efforts to distinguish viable claims from those
    subject to dismissal by use of the public duty-special relationship dichotomy have
    not succeeded in producing a rule of predictable application.‖); 
    Doucette, 635 A.2d at 1390
    (―Courts . . . have found that the public duty rule and its exceptions cause
    legal confusion, tortured analyses, and inequitable results in practice.‖).
    67
    This court should be reassured by the fact that these jurisdictions have not
    descended into anarchy or bankruptcy as the defenders of the public duty doctrine
    warned,38 and we should be guided by these states‘ reasoning. There is no need to
    say any more about ―confusion in the law.‖ And we too have other mechanisms to
    prevent the government from facing unlimited liability. The District is protected
    not only by sovereign immunity, but also by the traditional elements of a
    negligence claim—i.e., that in addition to establishing an actionable duty a plaintiff
    must also prove breach and causation—as Judge Kelly reminded her colleagues in
    Warren.39 Had we relied on these protective mechanisms in a number of our
    public duty doctrine cases, we might have reached the same result, i.e., no liability
    for the District, but in a more coherent and just way.
    On the other hand, this court should consider the benefits of allowing the
    District to be subject to liability. With a public duty doctrine that functions as
    38
    See 
    Ryan, 656 P.2d at 598
    (―We are also told that not only will the public
    treasury suffer but government will come to a standstill because its agents will be
    afraid to act. We can't but recall the dire predictions attendant to the publication of
    [the court‘s decision to abrogate sovereign immunity]. Arizona survived!‖).
    
    39 444 A.2d at 12
    (responding to concerns about opening the ―floodgates of
    litigation,‖ she observed that ―[t]he argument is . . . made as if there were no such
    legal principles as fault, proximate cause or foreseeability, all of which operate to
    keep liability within reasonable bounds‖).
    68
    immunity, one can easily see how difficult problems might not be given priority.
    Relieved of any concern about responding to discovery, having an agency‘s
    dysfunction aired in a court of law, or the possibility of having to pay out a
    substantial damages award or to operate under court-supervision, the District‘s
    incentive to address poor delivery of services or mismanagement is much reduced.
    Cf. 
    Schear, 687 P.2d at 733-34
    (―any [public funds] associated with programs
    aimed at reducing law enforcement officers‘ negligence, or awarded to victims of
    negligent performance of duty, will be far outweighed by the advantage to society
    of more responsive agencies.‖).
    This court has for decades shielded FEMS and other District agencies from
    the healthy scrutiny that comes with the possibility of being sued. And to what
    end? FEMS has been repeatedly in the news, and the press has not been favorable.
    In the aggregate, these news reports indicate serious dysfunction. I detail these
    reports not because I accept every fact reported as true, but because, where there is
    this much smoke, it seems incumbent upon us to consider whether something
    might be burning and whether we are feeding the flames.
    Eight years ago, the District‘s emergency medical services made national
    news when a New York Times journalist, David Rosenbaum, died after receiving
    69
    sub-standard emergency medical care from FEMS EMTs.40 According to news
    reports, ―[a] string of mistakes and inadequate training led to a collective and
    erroneous conclusion that Mr. Rosenbaum was drunk when in fact he had been
    beaten with a metal pipe and robbed.‖41       A District of Columbia Office of
    Inspector General (OIG) report found that District employees did not arrive on the
    scene expeditiously after the emergency dispatch, did not perform a proper
    assessment of Mr. Rosenbaum, and did not transport Mr. Rosenbaum to the closest
    hospital, among other failures.42 Then-Inspector General Charles J. Willoughby
    called the FEMS response to Mr. Rosenbaum ―an unacceptable chain of failure in
    the provision of emergency medical and other services‖ that suggests an ―alarming
    level[] of complacency and indifference.‖43 
    Id. 40 See,
    e.g., Robert Davis, D.C. Emergency Chief Apologizes in Reporter’s
    Death,            USA           TODAY,          June          19,          2006,
    http://usatoday30.usatoday.com/news/nation/2006-06-19-dc-rosenbaum_x.htm;
    David Stout, Inquiry Into Reporter’s Death Finds Multiple Failures in Care, N.Y.
    TIMES,                      June                   17,                     2006,
    http://www.nytimes.com/2006/06/17/washington/17district.html.
    41
    Stout, supra note 40.
    42
    See GOVERNMENT OF THE DISTRICT OF COLUMBIA, OFFICE OF THE
    INSPECTOR GENERAL, SUMMARY OF SPECIAL REPORT: EMERGENCY RESPONSE TO
    THE     ASSAULT ON DAVID E. ROSENBAUM (2006), available at
    http://www.washingtonpost.com/wp-srv/metro/pdf/Rosenbaum.pdf.
    43
    Then-FEMS Chief Adrian Thompson called this incident an ―aberration.‖
    John Pekkanen, What Happens When You Call 911 in Washington, DC,
    WASHINGTONIAN,               Feb.                 1,                  2009,
    (continued…)
    70
    This was the District‘s opportunity to demonstrate that, the public duty
    doctrine notwithstanding, ―[p]ublic officials at all levels remain accountable to the
    public. . . through internal disciplinary proceedings,‖ and other political or
    administrative means, a justification that the majority opinion, echoing prior
    decisions of this court, has proffered for our public duty doctrine. 
    Warren, 444 A.2d at 8
    ; see also Opinion at 12 n.11 (quoting 
    Morgan, 468 A.2d at 1312
    , for the
    proposition that ―other effective mechanisms exist to control the behavior of errant
    . . . officials.‖). There was an official response. Members of Mr. Rosenbaum‘s
    family joined several experts and stakeholders to form a Task Force, which
    produced a report in 2007 offering recommendations for improving the District‘s
    emergency medical services.44 The D.C. Council passed some legislation.45 And
    then more people died.
    (…continued)
    http://www.washingtonian.com/articles/people/what-happens-when-you-call-911-
    in-washington-dc/index.php. ―But for many with inside knowledge of DC‘s
    emergency medical service, the only aberration in Rosenbaum‘s needless death
    was that the District‘s inadequate emergency care had come to light.‖ 
    Id. 44 TASK
    FORCE ON EMERGENCY MEDICAL SERVICES, REPORT AND
    RECOMMENDATIONS,             Sept.          27,       2007,         available       at
    http://fems.dc.gov/sites/default/files/dc/sites/fems/publication/attachments/final_re
    port_with_appendices_9_26.pdf.
    45
    See Emergency Medical Services Improvement Act of 2008, D.C. Law
    No. 17-313, 55 D.C. Reg. 2258 (2008) (codified as amended at D.C. Code § 5-401
    et. seq. (2012)). The legislation renamed the Fire Department FEMS and created
    the mayorally-appointed post of Medical Director who is second to the Fire Chief
    (continued…)
    71
    In April 2008, Jeremy Miller, a 35-year-old District resident, died after
    FEMS responders reportedly went to the wrong address after a 911 dispatch and
    took 34 minutes to reach him.46 In December 2008, Edward Givens, a 39-year-old
    District resident and father of two, died of a heart attack two hours after he was
    reportedly told by EMTs to take Pepto Bismol when he reported chest pain and
    trouble breathing.47 In December 2009, Phyllis Woods died of a stroke after she
    was reportedly told by EMTs that she was just experiencing withdrawal symptoms
    as a result of her decision to quit smoking.48 On December 31, 2012, when over
    100 FEMS personnel had called in sick,49 Durand Ford, Sr. died after allegedly
    waiting thirty to forty minutes before an ambulance finally arrived from Prince
    (…continued)
    and bears the responsibility to ―[p]rovide medical oversight for all aspects of pre-
    hospital medical services provided by the Department,‖ and to ―[s]upervise the
    administration of pre-hospital medical care. 
    Id. 46 Pekkanen,
    supra note 43.
    47
    Pekkanen, supra note 43; see also Elissa Silverman, D.C. Paramedic
    Might Not Have Followed Procedures in Response to Edward Givens, WASH.
    POST,       Mar.        25,     2009,     http://www.washingtonpost.com/wp-
    dyn/content/article/2009/03/24/
    AR2009032402871.html.
    48
    
    Woods, 63 A.3d at 552
    .
    49
    Martin Austermuhle, More Than 100 D.C. Firefighters Called in Sick on
    New       Year's     Eve,      DCIST      (Jan. 3,     2013,     4:00      PM),
    http://dcist.com/2013/01/firefightersnye.php.
    72
    George‘s County, Maryland.50 Although (thankfully) not a fatality, in March 2013,
    ―[a] D.C. police officer seriously injured in a hit-and-run . . . had to wait at least 15
    minutes for an ambulance from another jurisdiction because there were none
    available in the District.‖51 A report later found that ―three D.C. fire department
    ambulances were improperly out of service‖ at the time.52
    50
    Clarence Williams, D.C. Sued Over Death of Man Who Waited 30
    Minutes      for   Ambulance,       WASH.     POST,      July    3,    2013,
    http://www.washingtonpost.com/local/dc-sued-over-death-of-man-who-waited-30-
    minutes-for-ambulance/2013/07/03/33356512-e425-11e2-80eb-
    3145e2994a55_story.html.
    51
    Peter Hermann, Debate Over D.C. Fire Staffing Renewed After Officer‘s
    Long      Wait     for   Ambulance,     WASH.     POST,     Mar.     6,   2013,
    http://www.washingtonpost.com/local/debate-over-dc-fire-staffing-renewed-after-
    officers-long-wait-for-ambulance/2013/03/06/ba878656-8685-11e2-98a3-
    b3db6b9ac586_story.html.
    52
    Peter Hermann, Three D.C. Ambulances Improperly Out of Service When
    Injured    Officer Needed       Help, WASH. POST,          Mar. 19,       2013,
    http://www.washingtonpost.com/local/three-dc-ambulances-improperly-out-of-
    service-when-injured-officer-needed-help/2013/03/19/2c99e79a-90d9-11e2-9abd-
    e4c5c9dc5e90_story.html. Issues with the FEMS fleet are a separate subject of
    scandal. There have been reports of ambulances being repaired with street signs,
    see Andrea Noble, D.C. Fire Chief in Charge of Fleet Maintenance Demoted,
    WASH.               TIMES,               Sept.            4,              2013,
    http://www.washingtontimes.com/news/2013/sep/4/dc-fire-chief-in-charge-of-
    fleet-maintenance-demot/; ambulances catching on fire, see Peter Hermann, Two
    D.C. Ambulances Catch Fire While on Call, WASH. POST, Aug. 13, 2013,
    http://www.washingtonpost.com/local/two-dc-ambulances-catch-fire-while-on-
    call/2013/08/13/40e5f68c-0427-11e3-88d6-d5795fab4637_story.html; and on one
    occasion, an ambulance assigned to the President‘s motorcade running out of gas
    because of an undetected broken gas gauge, see David Jackson, Obama
    Motorcade Ambulance Runs Out of Gas, USA TODAY, Aug. 13, 2013,
    (continued…)
    73
    The most prominent report of FEMS incompetence at the time of this
    writing relates to Medric ―Cecil‖ Mills, a 77-year-old District resident who died in
    January 2014, after he collapsed from a heart attack just across the street from a
    fire station filled with FEMS emergency workers who reportedly stood by and did
    nothing to assist him.53 According to news reports, bystanders and Mr. Mills‘s
    daughter pled for help; members of the public ―yelled‖ out to firefighters and
    banged on the door of the fire station. When Mr. Mills‘s daughter saw one of the
    five firefighters at the station standing in a doorway, she called out: ―‗Can you just
    come and help my dad?‘ she screamed. ‗What are you going to do, let my dad die
    in the street?‘‖54 Still, according to news reports, they did nothing. A bystander
    called 911, but the emergency dispatcher had mistakenly sent a unit to 1309 Rhode
    Island Avenue Northwest instead of the corresponding address in Northeast—a
    location nearly three miles away.55      Mr. Mills received the attention of the
    (…continued)
    http://www.usatoday.com/story/theoval/2013/08/13/obama-white-house-
    motorcade-ambulance-out-of-gas/2647831/.
    53
    Peter Hermann, Man, 77, Dies After Collapsing Near D.C. Fire Station
    and Not Getting Immediate Aid, WASH. POST, Jan. 29, 2014,
    http://www.washingtonpost.com/local/crime/man-77-dies-after-collapsing-near-dc-
    fire-station-and-not-getting-immediate-aid/2014/01/29/13b44662-88fe-11e3-a5bd-
    844629433ba3_story.html.
    54
    
    Id. 74 District‘s
    emergency services only when a police officer managed to flag down a
    passing ambulance.56
    Again, there has been an official response to this sad incident. Paul A.
    Quander, Jr., Deputy Mayor for Public Safety and Justice, wrote a report.57 But it
    was reported that, as of June 2014, FEMS had not even implemented all of the
    recommendations from the 2007 post-Rosenbaum task force report.58 Meanwhile,
    disciplinary proceedings—the exact sort of remedy so praised by the majority
    opinion—were closed to the public as well as Mr. Mills‘s family. In July 2014, it
    was reported that none of the firefighters involved would be fired, one would be
    given a reprimand, and another would be given a sixty-hour suspension, but the
    (…continued)
    55
    Peter Hermann, Report on Death of Man Outside D.C. Fire Station: Five
    Firefighters Should Be Disciplined, WASH. POST, Feb. 21, 2014,
    http://www.washingtonpost.com/local/crime/report-on-death-of-man-outside-fire-
    station-says-five-firefighters-should-be-disciplined/2014/02/21/f35f111a-9a2a-
    11e3-b88d-f36c07223d88_story.html.
    56
    
    Id. 57 PAUL
    A. QUANDER, JR., REPORT (2014), available at
    http://dmpsj.dc.gov/sites/default/files/dc/sites/fems/publication/attachments/Final%
    20Rhode%20Island%20Report.pdf.
    58
    Peter Hermann, D.C. Fire Chief Ellerbe to Step Down in July, Ending
    Tenure Marred by Service Complaints, WASH. POST, June 4, 2013,
    http://www.washingtonpost.com/local/crime/2014/06/0483c2dc02-eb55-11e3-
    93d2-edd4be1f5d9e_story.html.
    75
    text of the disciplinary rulings is not publicly available.59 The lieutenant in charge
    the day of the Mills incident was granted retirement before facing disciplinary
    charges.60
    This court could dismiss as coincidence the fact that we shield FEMS from
    being held liable for its negligence under our public duty doctrine and the string of
    FEMS‘s reported failures to provide adequate emergency services to District
    residents.   But I would urge this court to consider whether there is a causal
    connection and whether our public duty doctrine might be bad for the health of the
    District government and its citizens. If nothing else, this should prompt us to
    reconsider our public duty doctrine.
    *            *            *
    59
    Peter Hermann, Two D.C. Firefighters in Mills Case Disciplined; None
    Fired,     One      Exonerated,     WASH.      POST,     Aug.      22,    2014,
    http://www.washingtonpost.com/local/crime/two-firefighters-in-mills-case-
    disciplined-none-fired-one-exonerated/2014/08/21/abd20a90-2941-11e4-958c-
    268a320a60ce_story.html.
    60
    Peter Hermann, D.C. Fire Lieutenant Accused of Neglect of Duty Retires
    Before Panel Decides Her Fate, WASH. POST, Apr. 10, 2014,
    http://www.washingtonpost.com/local/crime/dc-fire-lieutenant-accused-of-neglect-
    of-duty-retires-before-panel-decides-her-fate/2014/04/10/665d4702-c0de-11e3-
    b574-f8748871856a_story.html.
    76
    The parents of Eric Allen just want their day in court to try to hold the
    District accountable for the tragedy that befell their son. We are wrong not to give
    it to them. But beyond the Allens, we are wrong in any case to continue applying
    and expanding our incoherent and ultimately unjust public duty doctrine. I am not
    the first judge on this court to call for its reconsideration and rejection. But I hope
    I will be the last. The public duty doctrine we launched over thirty years ago has
    become an analytic mess that may, in fact, foster the delivery of substandard
    emergency services. It is time for its creators to put it to rest.