Castro v. Melchor. ( 2018 )


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  • *** FOR PUBLICATION IN WEST’S HAWAI#I REPORTS AND PACIFIC REPORTER ***
    Electronically Filed
    Supreme Court
    SCWC-12-0000753
    13-MAR-2018
    08:22 AM
    IN THE SUPREME COURT OF THE STATE OF HAWAI#I
    ---o0o---
    LEAH CASTRO, individually and as PERSONAL REPRESENTATIVE
    of the ESTATE OF BRIANDALYNNE CASTRO, deceased minor,
    Respondent/Plaintiff-Appellee,
    vs.
    LEROY MELCHOR, in his official capacity; WANNA BHALANG,
    in her official capacity; TOMI BRADLEY, in her official
    capacity; STATE OF HAWAI#I; and HAWAI#I DEPARTMENT OF
    PUBLIC SAFETY, Petitioners/Defendants-Appellants,
    and
    AMY YASUNAGA, in her official capacity; ROBERTA MARKS,
    in her official capacity; KENNETH ZIENKIEWICZ, M.D., in
    his official capacity; and KEITH WAKABAYASHI, in his
    official capacity, Respondents/Defendants-Appellees.
    SCWC-12-0000753
    CERTIORARI TO THE INTERMEDIATE COURT OF APPEALS
    (CAAP-12-0000753; CIV. NO. 08-1-0901)
    MARCH 13, 2018
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    RECKTENWALD, C.J AND WILSON, J., WITH
    NAKAYAMA, J., CONCURRING SEPARATELY, AND
    McKENNA, J., WRITING SEPARATELY, WITH WHOM POLLACK, J., JOINS
    OPINION OF RECKTENWALD, C.J.
    I.   Introduction
    This case arises from a complaint filed by Respondent
    Leah Castro (Castro), who had a stillbirth while she was
    incarcerated.   Castro brought suit against Leroy Melchor, Wanna
    Bhalang, Tomi Bradley (all in their official capacities), the
    State of Hawai#i, and the Hawai#i Department of Public Safety
    (HDPS) (together, “Petitioners”) for negligence, intentional
    infliction of emotional distress, and negligent infliction of
    emotional distress.     Castro asserted that Petitioners’ failure to
    provide her with timely and adequate medical care led to the
    stillbirth of her child, Briandalynne.
    After a bench trial, the Circuit Court of the First
    Circuit ruled in Castro’s favor, awarding her $250,000 for
    negligent infliction of emotional distress and $100,000 for loss
    of filial consortium, and awarding $250,000 to Briandalynne’s
    estate “for the loss of life itself and for all of the damages
    that [Briandalynne] would have been entitled to had she been
    alive, such as loss of enjoyment of life.”         The Intermediate
    Court of Appeals (ICA) affirmed the circuit court’s decision.
    Castro v. Melchor, 137 Hawai#i 179, 
    366 P.3d 1058
    (App. 2016).
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    Petitioners’ application presents a question of first
    impression to this court:        whether the estate of a viable fetus
    can recover for loss of enjoyment of life, also known as
    “hedonic,” damages.       We conclude that Briandalynne’s estate could
    recover such damages against Petitioners, and that the record
    supports the amount of the damages awarded.            Accordingly, we
    affirm the ICA’s judgment on appeal.
    II. Background
    A.    Factual Allegations and Circuit Court Proceedings
    Castro filed a Complaint in her own capacity, and as
    personal representative of the Estate of Briandalyne, in circuit
    court on May 6, 2008, alleging assault and battery, negligence,
    and intentional and negligent infliction of emotional distress
    against the State of Hawai#i, the HDPS, and two correctional
    officers at O#ahu Community Correctional Center (OCCC) in their
    official capacities.
    The Complaint alleged that on June 30, 2007, while
    Castro was an inmate at OCCC, she was forced to the ground, or
    “taken down,” by correctional officers Debra Pimental and Ted
    Choy Foo.     Castro was approximately seven months pregnant at the
    time.    After the incident, Castro was transferred to the Women’s
    Community Correctional Center (WCCC).          Castro developed problems
    with vaginal bleeding, which she reported to staff at both OCCC
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    and WCCC, but “was not provided with timely or adequate medical
    care.”
    Castro alleged that the actions of the correctional
    officers and the subsequent failure of medical personnel to
    provide her with treatment caused the stillbirth of her eight-
    month-old fetus, Briandalynne.       Briandalynne was delivered
    stillborn on August 10, 2007, at the Kapi#olani Medical Center.
    Available medical records indicated that Briandalynne’s death was
    caused by “significant fetal stress” and “hypoxia.”           Castro
    contended that the actions of correctional officers Pimental and
    Choy Foo constituted assault and battery upon her and her unborn
    fetus.
    Castro also contended that Pimental, Choy Foo, the
    State, and HDPS were negligent because they “knew or should have
    known” that Castro was pregnant, and that they “breached their
    duty of reasonable care by failing to protect [Castro] and her
    unborn child from harm.”      Castro additionally asserted that the
    State and HDPS were liable for “negligent hiring, training,
    supervision, and retention” of the correctional officers who
    assaulted her.    Furthermore, she asserted that Officers Pimental,
    Choy Foo, and other “responsible medical personnel” intentionally
    inflicted emotional distress on her, and that the State and HDPS
    negligently inflicted emotional distress on her as well.
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    Castro filed a First Amended Complaint on July 30,
    2009, withdrawing her claims against the correctional officers.
    In addition to the State and HDPS, Castro added as defendants
    Leroy Melchor, Wanna Bhalang, Tomi Bradley, Amy Yasunaga, Roberta
    Marks, and Keith Wakabayashi, all of whom were nurses in the
    medical unit at OCCC, as well as Kenneth Zienkiewicz, a physician
    at the medical unit at OCCC.        The individuals named in the First
    Amended Complaint were each sued in their official capacities.
    Castro raised claims of negligence against each of the
    defendants, and claims of intentional and negligent infliction of
    emotional distress against all defendants except the State and
    HDPS.
    The defendants filed a motion for summary judgment,
    arguing, inter alia, that there is no legal authority allowing
    Castro to make a claim on behalf of the estate of a stillborn
    fetus.    The defendants pointed to Hawai#i Revised Statutes (HRS)
    § 663-3 (Supp. 2009),1 “[d]eath by wrongful act[,]” to argue that
    1
    HRS § 663-3 (Supp. 1997) (“Death by wrongful act”) provides in
    pertinent part:
    (a) When the death of a person is caused by the
    wrongful act, neglect, or default of any person, the
    deceased’s legal representative, or any of the persons
    enumerated in subsection (b), may maintain an action
    against the person causing the death or against the
    person responsible for the death. The action shall be
    maintained on behalf of the persons enumerated in
    subsection (b), except that the legal representative
    may recover on behalf of the estate the reasonable
    (continued...)
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    “there must be injury to a person in order for a tort claim to
    lie.”     Defendants argued that Briandalynne was not a person, as
    contemplated by the statute; therefore, Castro could not make a
    claim on her behalf.
    On May 13, 2011, the circuit court issued its order
    granting in part and denying in part the motion for summary
    judgment.2     The court granted the motion “as to all claims
    against Defendants Yasunaga, Marks, Zienkiewicz[,] and
    Wakabayashi,” as well as “to all claims brought by Plaintiff Leah
    Castro as Personal Representative of the Estate of Briandalynne
    Castro.”     The court denied the motion with respect to all other
    claims.
    However, on October 14, 2011, the court issued an
    amended summary judgment order sua sponte, reversing its previous
    grant of summary judgment “with respect to all claims of
    Plaintiff Leah Castro as Personal Representative of the Estate of
    Briandalynne Castro.”       The court explained that its sua sponte
    decision was based upon its belief that its prior analysis was in
    error.3
    1
    (...continued)
    expenses of the deceased's last illness and burial.
    2
    The Honorable Rom A. Trader presided.
    3
    On October 24, 2011, this case was reassigned to Judge Karen T.
    Nakasone, as Judge Trader had been assigned to the criminal division.
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    A bench trial began on February 27, 2012.           After the
    evidentiary portion of the trial was completed, Castro filed a
    memorandum regarding damages with the court.          Castro explained
    that HRS § 663-3, the wrongful death statute, “governs recovery
    by the decedent’s survivors[,]” and that HRS § 663-7,4 the
    survival statute, “governs recovery for wrongful death by the
    estate of a decedent.”     Castro asserted that because “[t]he
    amount of recovery for the loss of life for the Estate of
    Briandalynne Castro is ‘determined from the standpoint of the
    deceased,’” according to Rohlfing v. Moses Akiona, Ltd., 
    45 Haw. 373
    , 381-83, 
    369 P.2d 96
    , 101 (1961), “the value of the life and
    the loss of enjoyment of life of Briandalynne Castro are of the
    nature and kind as of any other child born in our community[,]”
    regardless of Castro’s status as an incarcerated inmate.            Castro
    stated that the Estate of Briandalynne Castro’s damages claims
    include all the damages that Briandalynne would have been
    entitled to had she been alive, such as loss of enjoyment of life
    and pain and suffering, before death occurred.          With respect to
    4
    HRS § 663-7 (1993) (“Survival of cause of action”) provides:
    A cause of action arising out of a wrongful act,
    neglect, or default, except a cause of action for
    defamation or malicious prosecution, shall not be
    extinguished by reason of the death of the injured
    person. The cause of action shall survive in favor of
    the legal representative of the person and any damages
    recovered shall form part of the estate of the
    deceased.
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    Castro’s claim for negligent infliction of emotional distress,
    Castro asserted that there was “ample evidence that a normally
    constituted reasonable person would be unable to adequately cope
    with the mental stress engendered by Defendants’ egregious
    conduct” and the resulting stillbirth.         Castro further added that
    the fact that she may not have been able to raise or provide for
    her daughter while in prison “is irrelevant with respect to
    [Castro’s] mental and emotional pain” caused by the stillbirth.
    Castro requested that the court award her $400,000 for her
    survivor claims, $250,000 for her emotional distress claims,
    $600,000 for the Estate of Briandalynne Castro’s wrongful death
    claim, and $800 in special damages for the estate’s cremation
    expenses.
    Petitioners also submitted a post-trial memorandum
    regarding damages.    Petitioners first argued that damages should
    not be awarded because Castro “has not and cannot prove a causal
    connection between any alleged negligence of the State Defendants
    and the stillbirth.”     Petitioners further contended that any
    award of damages to Castro “must be minimal” because her “conduct
    at all times prior to the stillbirth was not the conduct of a
    mother who wanted her baby.”      They additionally contended that
    Castro’s incarceration meant that “[t]here is absolutely no
    evidence that [Castro] would have been able to raise her child or
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    have even been able to keep her child.”          Petitioners concluded by
    arguing that “an award of $5,000 or less would be an adequate
    amount to compensate [Castro] for a stillbirth which is not a
    significant loss to her and for which she has not suffered any
    emotional distress.”
    The court entered its Findings of Fact and Conclusions
    of Law and Order on May 14, 2012, determining that the
    Petitioners’ negligence was the legal cause of Briandalynne’s
    death.   The court made the following Findings of Fact (FOFs)5
    relevant to this appeal:
    18. On July 2,2007, Plaintiff was seen by OCCC nurse
    practitioner, Amy Yasunaga, for her first pre-natal
    visit. Ms. Yasunaga was the primary medical provider
    responsible for treatment and care of pregnant inmates
    at OCCC.
    19. Ms. Yasunaga ordered pre-natal vitamins, took
    Plaintiff’s vital signs, measured the fundus, listened
    to the fetus’s heart tones, and ordered an OBGYN
    consultation and an ultrasound for Plaintiff at
    Kapiolani Medical Center ("KMC" or "Kapiolani"). Ms.
    Yasunaga noted no abnormalities or concerns with
    Plaintiff’s pregnancy. Ms. Yasunaga noted Plaintiff’s
    last menstrual period was January 31,2007.
    20. On that same day, July 2,2007, OCCC physician,
    Kenneth Zienkiewicz, M.D., reviewed and approved Ms.
    Yasunaga’s orders for Plaintiff’s KMC OBGYN
    consultation and ultrasound.
    . . . .
    22. Both the KMC OBGYN consultation and ultrasound
    were never done, during the relevant month-long
    5
    Petitioners challenged certain FOFs in their appeal to the ICA.
    Castro v. Melchor, 137 Hawai#i at 
    185, 366 P.3d at 1064
    . The FOFs reproduced
    here either were not challenged, or were upheld by the ICA. Petitioners did
    not further contest the circuit court’s FOFs in their application for
    certiorari.
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    period, from the time Ms. Yasunaga issued the orders
    on July 2,2007, until Plaintiff’s transfer out of OCCC
    on August 2, 2007.
    23. Within several days of Plaintiff’s July 2, 2007
    pre-natal visit with Ms. Yasunaga, Plaintiff began
    experiencing vaginal bleeding. Plaintiff made four to
    five reports of her vaginal bleeding to various [Adult
    Corrections Officers (ACOs)], including ACO Hattie
    Reis, ACO Wanda Nunes, and ACO Reyetta Ofilas.
    24. All three ACOs informed the OCCC medical unit of
    Plaintiff’s vaginal bleeding and requested medical
    attention, but no medical care was provided. The
    medical unit’s response, relayed through the Nurse
    Defendants was, that if Plaintiff’s bleeding was not
    heavy enough to saturate a sanitary pad, and/or not
    accompanied by cramping, Plaintiff did not need to be
    sent to the medical unit.
    . . . .
    27. Up until Plaintiff’s transfer out of OCCC on
    August 2, 2007, Plaintiff did not receive any medical
    care for her four to five complaints of vaginal
    bleeding, and was never sent to the OCCC Medical Unit.
    28. During Plaintiff’s entire stay at OCCC, Plaintiff
    was on segregation status, from July 2 to August 2,
    2007. The pertinent DPS and OCCC Policies and
    Procedures for medical care for segregated inmates
    . . . were not followed, and no medical staffer ever
    checked on, or communicated with Plaintiff, about her
    bleeding complaints. Nor was Plaintiff ever brought
    to the OCCC Medical Unit for evaluation of her
    complaints.
    . . . .
    30. Plaintiff was transferred to WCCC on August 2,
    2007. According to WCCC nurse Jennifer Simeona, who
    conducted Plaintiff’s intake on that date, Plaintiff’s
    Interfacility Transfer Form from OCCC, did not contain
    any information to let Nurse Simeona know, that the
    KMC OBGYN evaluation and ultrasound ordered on July 2,
    2007, were still outstanding and never done. Any
    outstanding medical orders should have been included
    on the form.
    . . . .
    34. The WCCC midwife could not detect any fetal heart
    tones from Plaintiffs fetus. Plaintiff “broke down”
    crying but tried to not lose hope. The midwife
    ordered that Plaintiff be immediately transported to
    KMC.
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    35. Plaintiff was taken to KMC via emergency
    transport, on that same date, August 10, 2007, where
    an ultrasound confirmed that the fetus was dead.
    Labor was induced, and Plaintiff’s fetus, Briandalynne
    Castro . . . was delivered stillborn on August 11,
    2007.
    36. On August 14,2007, an autopsy of [Briandalynne]
    was performed in the usual course by Jeffrey Killeen,
    M.D. (“Dr. Killeen”), KMC Director of Pathology.
    37. Dr. Killeen’s autopsy findings and conclusions
    indicated, inter alia, that the pregnancy was “term or
    near-term”, [the stillbirth] appeared to be related to
    “intrauterine events occurring at the time of vaginal
    bleeding”, and that, more likely than not, death was
    related to a placental abruption. A placental
    abruption, is a separation of the placenta from the
    uterus, causing a disconnect between the maternal
    blood supply and placental nutrition from the maternal
    circulation.
    38. Dr. Killeen’s autopsy findings also confirmed
    that [Briandalynne] had no congenital or developmental
    abnormalities.
    39. On or around October 22, 2008, Dr. Killeen
    conducted further evaluation and testing to determine
    the approximate date of [Briandalynne]’s death and
    supplemented his autopsy report with an Addendum
    containing his findings.
    40. As a result of this further examination of the
    fetus, placenta, and multiple organs, Dr. Killeen
    opined that “the time interval between fetal death and
    delivery is estimated to be greater than 96 hours,
    more likely 7 days or more, and less than 14 days.[”]
    Dr. Killeen’s findings, placed the date of death,
    within a reasonable degree of medical probability, as
    between July 29, 2007 and August 4, 2007. Dr. Killeen
    also indicated that the age of the fetus, was 35 to 37
    weeks of gestation
    . . . .
    56. The evidence established that [Briandalynne had]
    no congenital or development abnormalities. Despite
    the incarcerated status of her mother,[Briandalynne’s]
    life and her loss of enjoyment of life, are of the
    nature and kind of any other infant.
    57. An award of damages against Defendant State, in
    the amount of $250,000.00 to the Estate of
    Briandalynne Castro, is fair and appropriate, for the
    State’s share of the Estate’s total damages.
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    The court also made the following relevant Conclusions
    of Law (COLs):
    74. Under Hawaii’s wrongful death statute, a parent
    of a stillborn viable fetus, such as Plaintiff herein,
    is entitled to sue for the wrongful death of the
    fetus. Wade v. U.S., 
    745 F. Supp. 1573
    , 1579 (D. Haw.
    1990).
    . . . .
    81. Based on all the facts and circumstances, an
    award of damages against Defendant State, in the
    amount of $350,000.00 to Plaintiff individually
    ($250,000.00 for NIED and $100,000.00 for loss of
    filial consortium), is fair and appropriate, for the
    State’s share of Plaintiff’s total damages.
    82. The Estate’s claim, under HRS § 663-7, is the
    cause of action and recovery that [Briandalynne] would
    have been entitled to at death for the injuries caused
    by Defendant State's negligence. Ozaki v. Assn of
    Apt. Owners, 87 Hawai#i 273, 288, 
    954 P.2d 652
    , 667
    (App. 1998), aff’d in part and reversed in part on
    other grounds, 87 Hawai#i 265,954 P.2d 644 (1998).
    The Estate’s damages include damages for the loss of
    enjoyment of life, or for the value of life itself,
    measured separately from the economic productive value
    that the deceased would have had. Montalvo v. Lapez,
    77 Hawai#i 282, 284 n.2, 
    884 P.2d 345
    , 347 n.2 (1994).
    83. The Estate’s damages include the value for the
    loss of life itself and for all of the damages that
    [Briandalynne] would have been entitled to had she
    been alive, such as loss of enjoyment of life. The
    evidence established that the [Briandalynne had] no
    congenital or development abnormalities. Despite the
    incarcerated status of her mother, [Briandalynne]’s
    life and her loss of enjoyment of life, are of the
    nature and kind of any other infant. An award of
    damages against Defendant State, in the amount of
    $250,000.00 to the Estate of Briandalynne Castro, is
    fair and appropriate, for the State’s share of the
    Estate’s total damages.
    The court thus entered final judgment in Castro’s favor
    and awarded her $350,000 individually and $250,000 as the
    representative of Briandalynne’s estate.
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    B.     Petitioners’ Appeal to the ICA
    Petitioners appealed to the ICA, arguing, inter alia,
    that the circuit court’s award of damages to the estate of the
    fetus was error and that the damages awarded to both Castro and
    Briandalynne’s estate were speculative and improper.
    On January 29, 2016, the ICA issued its Published
    Opinion affirming the circuit court’s judgment.             Castro v.
    Melchor, 137 Hawai#i at 
    182, 366 P.3d at 1061
    .
    The ICA first considered the HRS § 663-3 wrongful death
    action.     With respect to whether a wrongful death claim may be
    brought on behalf of a stillborn, viable fetus, the ICA noted
    that Hawaii’s appellate courts have not previously addressed the
    issue, and that the legislative history of HRS § 663-3 does not
    reveal whether or not the Legislature intended the statute to
    apply to unborn, viable fetuses.            
    Id. at 186,
    366 P.3d at 1065.
    According to the ICA, “only six states--California, Florida,
    Iowa, Maine, New Jersey, and New York--prohibit wrongful death
    claims from being brought on behalf of unborn children[,]” while
    “forty-one states and the District of Columbia permit wrongful
    death actions to be brought on behalf of unborn, viable fetuses.”
    
    Id. The ICA
    explained that “thirty-five jurisdictions first
    recognized such a claim by judicial decision, while fourteen
    states now expressly allow such a claim by statute.”               
    Id. at 187,
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    *** 366 P.3d at 1066
    .       The ICA stated that it found “compelling
    reasons to join this overwhelming majority.” 
    Id. The ICA
    rejected Petitioners’ argument that it would be
    inconsistent to include fetuses within the definition of “person”
    in HRS § 663-3 when the Hawai#i Supreme Court has held that a
    fetus is not a person in the Hawai#i Penal Code.             
    Id. The ICA
    rejected this argument, noting that “Hawai#i is one of only nine
    states that still apply the ‘born alive’ rule and have not
    amended their criminal homicide statutes to include unborn
    children as victims[,]” and that seven of those nine states--
    Connecticut, Delaware, New Hampshire, New Mexico, Oregon,
    Vermont, and Washington--“allow a cause of action for the
    wrongful death of an unborn, viable fetus.”             
    Id. at 188-89,
    366
    P.3d at 1067-68.       The ICA thus held that “the existence of the
    ‘born alive’ rule in a state’s penal code clearly does not
    foreclose the existence of a cause of action for the wrongful
    death of a viable fetus.”         
    Id. at 189,
    366 P.3d at 1068.        The ICA
    reasoned that this was logical based “on the well-established
    principle that, while civil causes of action are remedial in
    nature and therefore are generally construed liberally, criminal
    statutes are construed strictly and in favor of the accused.”
    
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    The ICA was persuaded by policy considerations that the
    majority jurisdictions relied on–-“the remedial nature and
    purposes of the wrongful death remedy, and the injustice in
    allowing a tortfeasor to escape liability by inflicting greater
    harm.”   
    Id. at 190,
    366 P.3d at 1069.       The ICA held:
    Pursuant to Hawai#i precedent, remedial statutes are
    to be liberally interpreted. Kalima v. State, 111
    Hawai#i 84, 100, 
    137 P.3d 990
    , 1006 (2006).
    “Generally, remedial statutes are those which provide
    a remedy, or improve or facilitate remedies already
    existing for the enforcement of rights and the redress
    of injuries.” 
    Id. (citations and
    internal quotation
    marks omitted). Inasmuch as “[t]he purpose of damages
    in wrongful death and survival statutes is
    compensation for loss, not punishment,” and HRS §
    663–3 creates a statutory right for non-dependent
    relatives to sue for wrongful death, a right which did
    not exist under common law, we conclude that this
    statute is remedial in nature. Greene v. Texeira, 
    54 Haw. 231
    , 
    505 P.2d 1169
    , 1170 (1973).
    
    Id. at 189-90,
    366 P.3d at 1068-69.
    The ICA further noted that, “in Hawai#i, a child who is
    subsequently born alive may recover damages for negligently
    inflicted prenatal injuries.”       
    Id. at 190,
    366 P.3d at 1069
    (citing Omori v. Jowa Haw. Co., Ltd., 91 Hawai#i 157, 161–62, 
    981 P.2d 714
    , 718–19 (App.1999), aff’d as modified, 91 Hawai‘i 146,
    
    981 P.2d 703
    (1999)).     Thus, it held that allowing a cause of
    action in a case where a viable fetus is injured but the child is
    born, while foreclosing a cause of action where the unborn child
    dies before birth, “would lead to the absurd and illogical result
    that greater harm results in a better chance of immunity.”             
    Id. at 190-91,
    366 P.3d at 1069-70.
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    The ICA turned to HRS § 663-7 survival actions in its
    discussion of damages.     
    Id. at 198,
    366 P.3d at 1077.         It noted
    in a footnote that not all states have distinct wrongful death
    statutes and survival statutes, and acknowledged that the varying
    forms of statutes and remedies and the evolving jurisprudence
    made generalizations about the application of survival-of-claim
    statues to claims on behalf of viable, unborn fetuses much more
    complicated.   
    Id. at 198
    n.17, 366 P.3d at 1077 
    n.17.           However,
    it stated that seventeen states and the District of Columbia
    recognized at least some sort of personal injury claims that
    survive the death of the viable, unborn fetus.          
    Id. It then
    affirmed the trial court’s award of loss of life damages to
    Briandalynne’s estate.     While the ICA did not make an explicit
    ruling, by affirming the damages award, the ICA implicitly held
    that the estate of a viable, unborn fetus may bring a survival
    action pursuant to HRS § 663-7.
    The ICA rejected Petitioners’ argument that Castro was
    foreclosed from being awarded damages under HRS § 663-7, the
    survival statute, and was limited to damages under HRS § 663-3,
    the wrongful death statute.      
    Id. at 199,
    366 P.3d at 1078.         The
    ICA explained that although “Castro did not reference HRS § 663-7
    in her complaint, a plaintiff’s failure to cite the statutory
    basis for her claim does not automatically render the complaint
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    defective or insufficient.”      
    Id. Quoting our
    decision in In re
    Genesys Data Technologies, Inc., 95 Hawai#i 33, 41, 
    18 P.3d 895
    ,
    903 (2001), the ICA stated that our “rules of notice pleading
    require that a complaint set forth a short and plain statement of
    the claim that provides defendant with fair notice of what the
    plaintiff’s claim is and the grounds upon which the claim rests”
    and that “[p]leadings must be construed liberally.”           
    Id. (internal citations
    omitted).       According to the ICA, “a liberal
    reading of Castro’s complaint would put the State on notice” that
    Castro was bringing “a claim on behalf of Briandalynne’s estate,”
    that “the claim arose out of the State’s negligence resulting in
    Briandalynne’s death,” and that “she would be pursuing general
    damages in an amount to be proven at trial, which could include
    damages for the loss of enjoyment of life.”          
    Id. at 200,
    366 P.3d
    at 1079.   Thus, the ICA held that Castro’s complaint “was not
    insufficient” because it “reasonably informed the State of what
    Castro’s claims were, their basis, and what the State would have
    to defend against.”     
    Id. The ICA
    further held that there was sufficient evidence
    to support an award of damages to Briandalynne’s estate.            
    Id. The ICA
    pointed to the testimony of a doctor who examined Castro,
    who stated that “he could not find any ‘gross congenital
    anomalies’” nor “abnormalities of any kind” during his
    17
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    examination of Briandalynne as sufficient evidence to support the
    court’s finding that the fetus had no congenital or development
    abnormalities.      
    Id. at 201,
    366 P.3d at 1080.        Finally, the ICA
    rejected Petitioners’ argument challenging the award of $100,000
    to Castro for loss of filial consortium and the award of $250,000
    for emotional distress.       
    Id. at 201-02,
    366 P.3d at 1080-81.
    The ICA entered its Judgment on Appeal pursuant to its
    Opinion on February 29, 2016.
    III. Standards of Review
    A.    Findings of Fact (FOF)/Conclusions of Law (COL) - Civil
    “In this jurisdiction, a trial court’s FOFs are subject
    to the clearly erroneous standard of review.            An FOF is clearly
    erroneous when, despite evidence to support the finding, the
    appellate court is left with the definite and firm conviction
    that a mistake has been committed.”          Chun v. Bd. of Trs. of the
    Emp. Ret. Sys. of State of Hawai#i, 106 Hawai#i 416, 430, 
    106 P.3d 339
    , 353 (2005) (internal quotation marks, citations, and
    ellipses omitted) (quoting Allstate Ins. Co. v. Ponce, 105
    Hawai#i 445, 453, 
    99 P.3d 96
    , 104 (2004)).
    A COL is not binding upon an appellate court and
    is freely reviewable for its correctness. [The
    appellate court] ordinarily reviews COLs under the
    right/wrong standard. Thus, a COL that is supported
    by the trial court's FOFs and that reflects an
    application of the correct rule of law will not be
    overturned. However, a COL that presents mixed
    questions of fact and law is reviewed under the
    clearly erroneous standard because the court's
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    conclusions are dependent upon the facts and
    circumstances of each individual case.
    Chun, 106 Hawai#i at 
    430, 106 P.3d at 353
    (internal quotation
    marks, citations, and brackets in original omitted) (quoting
    Ponce, 105 Hawai#i at 
    453, 99 P.3d at 104
    ).
    B.    Damages
    “We shall not disturb the findings of the trial court
    on the issue of damages . . . unless we find that the measure of
    damages was clearly erroneous[.]”          Viveiros v. State, 
    54 Haw. 611
    , 614, 
    513 P.2d 487
    , 489 (1973).
    C.    Statutory Interpretation
    Questions of statutory interpretation are questions of
    law to be reviewed de novo under the right/wrong
    standard.
    Our statutory construction is guided by the following
    well established principles:
    Our foremost obligation is to ascertain and give
    effect to the intention of the legislature, which is
    to be obtained primarily from the language contained
    in the statute itself. And we must read statutory
    language in the context of the entire statute and
    construe it in a manner consistent with its purpose.
    When there is doubt, doubleness of meaning, or
    indistinctiveness or uncertainty of an expression used
    in a statute, an ambiguity exists.
    In construing an ambiguous statute, the meaning of the
    ambiguous words may be sought by examining the
    context, with which the ambiguous words, phrases, and
    sentences may be compared, in order to ascertain their
    true meaning. Moreover, the courts may resort to
    extrinsic aids in determining legislative intent. One
    avenue is the use of legislative history as an
    interpretive tool.
    The [appellate] court may also consider the reason and
    spirit of the law, and the cause which induced the
    legislature to enact it to discover its true meaning.
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    Lingle v. Hawai#i Gov’t Emp. Ass’n, AFSCME, Local 152, AFL-CIO,
    107 Hawai#i 178, 183, 
    111 P.3d 587
    , 592 (2005) (internal
    quotation marks, brackets and ellipses omitted) (quoting Guth v.
    Freeland, 96 Hawai#i 147, 149-50, 
    28 P.3d 982
    , 984-85 (2001)).
    IV.   Discussion
    Petitioners present two questions in their application
    for certiorari:
    A.    Whether the award of loss of enjoyment of life
    damages for a stillborn fetus was error.
    B.    Whether the award of $250,000 damages to the
    estate of Briandalynne Castro was error when
    there was no evidence presented to justify that
    monetary amount.
    This case thus presents the narrow question of whether
    the estate of a stillborn fetus may recover loss of enjoyment of
    life damages under Hawaii’s survival statute, HRS § 663-7.6
    “Hedonic” damages are damages “for the loss of
    enjoyment of life, or for the value of life itself, as measured
    separately from the economic productive value that an injured or
    6
    Under Hawaii’s survival statute, HRS § 663-7, the legal
    representative of a decedent’s estate may recover damages on behalf of the
    decedent’s estate. Under Hawaii’s wrongful death statute, HRS § 663-3,
    specified relatives of a decedent can bring a wrongful death action against
    the person responsible for causing the decedent’s death.
    We do not address the circuit court’s award of damages for loss of
    filial consortium pursuant to HRS § 663-3, the wrongful death statute, because
    Petitioners did not challenge this holding of the ICA in their application for
    writ of certiorari. See Hawai#i Rules of Appellate Procedure Rule 40.1(d)(1)
    (“Questions not presented according to this paragraph will be disregarded.”).
    However, we discuss the legislative history of both statutes
    below, because the survival statute, HRS § 663-7, was implemented as part of a
    bill that revised and expanded the wrongful death statute, HRS § 663-3.
    20
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    deceased person would have had.”         Montalvo v. Lapez, 77 Hawai#i
    282, 284 n.2, 
    884 P.2d 345
    , 347 n.2 (1994) (quoting Black’s Law
    Dictionary 391 (6th ed. 1990)).       “Many tortious acts--
    particularly involving negligence . . . inflict on the victim
    what is loosely termed a ‘loss of the enjoyment of life,’ or a
    loss of life’s pleasures, or the incapacity to lead a normal
    life, the inability to enjoy one’s family, or games, sports,
    hobbies, avocational skills, and the like.”          2 Stuart M. Speiser
    et al., The American Law of Torts § 8:20 (2014).
    Petitioners contend that the circuit court erred in (1)
    allowing a viable fetus to recover hedonic damages, and (2)
    awarding $250,000 in damages when there was no evidence regarding
    the loss of enjoyment of life for Briandalynne, had she lived. In
    response, Castro argues that the damages award was appropriate
    because “[t]here is no reason why the amount of general damages
    for the loss of a life and the loss of a person’s enjoyment of
    life in the case of a stillborn child cannot be determined” using
    the same factors that courts consider when an infant “is a victim
    of wrongful death.”     Castro argues that appellate courts will not
    disturb the findings of the trial court on damages unless they
    are clearly erroneous, and that Petitioners’ have not adduced any
    evidence or authority to support such a contention.
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    We conclude that the relevant statutes, applicable case
    law, and policy considerations, support Castro’s contention that
    the estate of an unborn, viable fetus is able to recover hedonic
    damages.    We also find that there was sufficient evidence to
    support the circuit court’s damages award.            Accordingly, we
    conclude that the ICA did not err in affirming the circuit
    court’s award of damages for loss of enjoyment of life.
    A.    The circuit court did not err in allowing a viable fetus to
    recover hedonic damages.
    Hedonic damages are “indisputably” recoverable in
    Hawai#i, as “HRS § 663-8.5(a) (Supp. 1992)7 provides that
    noneconomic damages which are recoverable in tort actions include
    damages for pain and suffering, mental anguish, disfigurement,
    loss of enjoyment of life, loss of consortium, and all other
    nonpecuniary losses or claims.”          Montalvo, 77 Hawai#i at 
    301, 884 P.2d at 364
    (brackets and internal quotation marks omitted)
    (emphasis in original).       Children may recover hedonic damages for
    injuries sustained in the womb.          See Omori,91 Hawai#i at 
    162, 981 P.2d at 719
    .
    7
    HRS 663-8.5(a) (Supp. 1992) (“Noneconomic damges; defined”)
    provides:
    (a) Noneconomic damages   which are recoverable in tort
    actions include damages   for pain and suffering, mental
    anguish, disfigurement,   loss of enjoyment of life,
    loss of consortium, and   all other nonpecuniary losses
    or claims.
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    There is no question, and Petitioners do not dispute,
    that a decedent’s estate can recover damages for loss of
    enjoyment of life under the survival statute, HRS § 663-7, which
    provides:
    A cause of action arising out of a wrongful act,
    neglect, or default, except a cause of action for
    defamation or malicious prosecution, shall not be
    extinguished by reason of the death of the injured
    person. The cause of action shall survive in favor of
    the legal representative of the person and any damages
    recovered shall form part of the estate of the
    deceased.
    HRS § 663-7; see also Ozaki, 87 Hawai#i at 
    288, 954 P.2d at 667
    (holding that under HRS § 663-7, the estate of murdered tenant
    could assert loss of enjoyment of life claim that she had at time
    of her death).
    Rather, Petitioners argue that it is inappropriate to
    award hedonic damages to the estate of a viable fetus.               In
    support, Petitioners quote a leading treatise on personal injury,
    suggesting that hedonic damages are inappropriate in situations
    in which the decedent was killed instantly:           “[i]n a survival
    action, a decedent’s estate generally may be allowed to recover
    hedonic damages for the time between injury and death.”
    Petitioners also argue that there must be evidence of how a
    decedent enjoyed life, and a fetus cannot suffer hedonic damages,
    since the fetus has not had time to develop the ability to have
    loss of enjoyment of life damages.
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    Petitioners’ arguments fail for four reasons.          First,
    the legislative history supports a finding that the legislature
    did not intend to exclude a viable fetus from an HRS § 663-7
    survival action, but rather intended that recovery be as broad as
    possible.    This is consistent with the well-established principle
    that remedial statutes should be liberally construed.            Kalima v.
    State, 111 Hawai#i 84, 100, 
    137 P.3d 990
    , 1006 (2006).           Second,
    Hawai#i case law is unique because it does not require the
    decedent to have actually experienced the loss of enjoyment of
    life to recover hedonic damages.         Third, disallowing hedonic
    damages in this situation would not adequately compensate the
    injured party.    Fourth, children may recover hedonic damages for
    injuries sustained in the womb; accordingly, disallowing hedonic
    damages to viable, unborn fetuses under HRS § 663-7 would provide
    perverse incentives to the tortfeasor.
    In interpreting a statute, we start with our foremost
    obligation: to ascertain and give effect to the intention of the
    legislature.    See Morgan v. Planning Dep’t, Cty. of Kauai, 104
    Hawai#i 173, 179, 
    86 P.3d 982
    , 988 (2004).         Because it is not
    clear from the plain language of the statute whether HRS § 663-7
    would apply to a viable, unborn fetus, we must look at the
    statute’s legislative history.       See 
    id. In reviewing
    the
    legislative history of HRS § 663-7, the survival statute, there
    24
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    is nothing to suggest that the legislature intended to exclude a
    viable fetus from an HRS § 663-7 survival action.           Rather, the
    legislature expressly provided that recovery under the survival
    statute be “broad” and endorsed this court’s broad judicial
    interpretation of the wrongful death statute, HRS § 663-3             which
    was revised as part of the same bill in which HRS § 663-7, the
    survival statute, was implemented.
    House Bill 588 of 1955 revised the 1923 wrongful death
    statute, HRS § 663-3, and implemented for the first time the
    survival statute, HRS § 663-7.       In relevant part, the House
    Judiciary Committee stated as follows:
    1. The purpose of this bill is to broaden the right of
    action and the extent of recovery in wrongful death
    suits.
    . . . .
    3. This bill, as amended, broadens the wrongful death
    statute by permitting a deceased person’s spouse,
    children, father, mother, or dependents to recover for
    the wrongful death of the deceased. . . .
    The right of action under the present wrongful death
    action is based on the archaic principal of
    dependency. The provisions of this bill are
    consistent with the theory of the majority of the
    statutes in the United States. This bill permits
    recovery for not only pecuniary losses but also for
    loss of love and affection, including (1) loss of
    society, companionship, comfort, consortium or
    protection, (2) loss of marital care, attention,
    advice or counsel, (3) loss of filial care or
    attention or, (4) loss of parental care, training,
    guidance or education.
    4. The provisions of this bill follow, in substance,
    the doctrine of the case of Gabriel [v]. Margah, 
    37 Haw. 571
    , which extended the interpretation of the
    existing statutory right of action.
    5. This bill also provides for a survival statute.   In
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    the majority of the states in the United States, broad
    survival statutes have been passed to permit the
    survival of right of action arising out of a tort
    despite the death of the wrongdoer or of the injured
    person.
    Under the common law, death terminated the right of
    action arising out of a tort. This archaic doctrine
    has caused untold hardship and injustice.
    The present Territorial statutes are not broad enough
    to cover all of the hardship situation which might
    arise and your Committee feels that this bill will
    help fill a void in the tort laws of the Territory.
    H. Stand. Comm. Rep. No. 581, in 1955 House Journal, at 772-73
    (emphasis added).
    The spirit and intent of the law was that both the
    wrongful death statute, HRS § 663-3, and the survival statute,
    HRS § 663-7, be broad remedial statutes.         The legislature
    expressly provided that it was adopting a survival statute
    because the majority of the states had passed “broad” survival
    statutes, and that the tort laws of the Territory were “not broad
    enough.”   
    Id. at 773.
    Regarding the amendments to HRS §663-3, the wrongful
    death statute, the legislature explained that it was adopting and
    codifying the Hawai#i Supreme Court’s broad remedial
    interpretation of the wrongful death statute in Gabriel, 
    37 Haw. 571
    .
    The Gabriel court explained that Hawai#i adopted a
    common law cause of action in 1860 by which a husband or wife
    could recover for the wrongful death of his or her spouse, and
    26
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    that in 1905, the Hawai#i Supreme Court held that a father could
    recover for the death of his minor child .         
    Id. at 575-77
    (citing
    Kake v. C.S. Horton, 
    2 Haw. 209
    (1860); Ferreira v. Honolulu R.
    T. & L. Co., 
    16 Haw. 615
    (1905)).         The Gabriel court explained
    that in Hall v. Kennedy, 
    27 Haw. 626
    (1923), the court held that
    a father could not recover for the death of an adult son upon
    whom the father was dependent for support.         
    Id. at 579.
        In
    response to Hall, the legislature enacted the wrongful death act
    of 1923, which provided that any person dependent on the deceased
    person could maintain an action for damages against the person
    causing the death.    
    Id. In Gabriel,
    parents sought to recover for the death of
    their minor child, and the defendants argued that the 1923
    statute had superseded the common law right of recovery for
    wrongful death, and that only those dependent on the deceased
    could recover under the statute.         
    Id. at 572.
      The Gabriel court
    held that the statute had not superseded the common law
    right--and thus that the parents could recover for the death of
    their minor child.    
    Id. at 582.
    Thus, the 1955 revision of HRS § 663-3--the wrongful
    death statute--adopted and codified the Hawai#i Supreme Court’s
    broad remedial interpretation of the statute.          The legislature
    clarified that anyone in specified relationships with the
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    deceased, regardless of dependency, could recover under the
    statute, and that anyone dependent on the deceased, regardless of
    relationship, could recover under the statute.          HRS § 663-3.
    Because the legislature endorsed and adopted the
    Hawai#i Supreme Court’s broad interpretation of HRS § 663-3, and
    because the survival action, HRS § 663-7, was implemented as part
    of the same act as the legislative revision to HRS § 663-3, it
    follows that the intent of the legislature was to provide for
    broad recovery under both statutes, and to endorse broad judicial
    interpretation of both statutes.         Accordingly, interpreting HRS §
    663-7 to provide recovery for viable, unborn fetuses is
    consistent with the legislature’s intent to provide broad
    recovery under the wrongful death and survival statutes.
    Construing HRS § 663-7 to provide recovery for viable,
    unborn fetuses is also consistent with our guiding principle that
    remedial statutes should be liberally construed.           See Kalima, 111
    Hawai#i at 
    100, 137 P.3d at 1006
    .        HRS § 663-7 is a remedial
    statute.   See 
    Greene, 54 Haw. at 236
    , 505 P.2d at 1173 (“Our
    interpretation of HRS § 663-7 recognizes that the aim of the
    statutes in this area of the law is compensation for loss[.]”)
    “This court has stated that remedial statutes should be liberally
    construed to suppress the perceived evil and advance the enacted
    remedy and has disfavored narrow interpretations that impede
    28
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    rather than advance the remedies provided by such statutes.”
    Kalima, 111 Hawai#i at 
    100, 137 P.3d at 1006
    (internal citations
    omitted).8
    Second, we reject Petitioners’ arguments that a
    decedent must experience consciousness of her loss of enjoyment
    of life and that there must be evidence of how a decedent enjoyed
    8
    Justice McKenna argues that our common law provides that whether
    wrongful death liability exists is an issue to be decided by the legislature.
    Opinion of McKenna, J. at 38 (citing Lealaimatafao v. Woodward-Clyde
    Consultants, 
    75 Haw. 544
    , 551, 
    867 P.2d 220
    , 224 (1994)). However,
    Lealaimatafao makes clear that this court’s obligation is to ascertain and
    give effect to the intention of the 
    legislature. 75 Haw. at 551
    , 867 P.2d at
    224. Because the intent of the legislature is to permit broad recovery under
    the survival statute, we disagree with Justice McKenna that the ICA erred by
    attempting to “create” liability under common law. Opinion of McKenna, J. at
    38. Justice McKenna also cites for support to the Restatement (Second of
    Torts) § 869 (1979), which provides:
    (1) One who tortiously causes harm to an unborn child
    is subject to liability to the child for the harm if
    the child is born alive.
    (2) If the child is not born alive, there is no
    liability unless the applicable wrongful death statute
    so provides.
    Opinion of McKenna, J. at 37 (citing Restatement (Second) of Torts, § 869).
    However, the comments to § 869 further provide:
    If the child is not born alive, there may still be the
    possibility of an action for its wrongful death,
    brought by the proper person under the wrongful death
    statute of the particular jurisdiction. Whether this
    action can be maintained will depend upon the language
    of the applicable statute and its construction by the
    court in determining whether the statute is intended
    to create the cause of action. The language of the
    statutes varies and no general rule can be stated for
    their construction.
    Restatement (Second) of Torts, § 869, cmt. f.
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    life, as we are persuaded by the ICA’s decision in Polm v. Dep’t
    of Human Servs., 134 Hawai#i 305, 
    339 P.3d 1106
    , 
    2014 WL 7390879
    at *21 (App. 2014).     There, the ICA affirmed the circuit court’s
    order finding the Department of Human Services liable for damages
    to a one-year-old child’s estate.        
    Id. The defendant
    had argued
    that “since [the Decedent] lost consciousness almost immediately
    and there was no evidence of how he had enjoyed life or how he
    would have enjoyed life, only minimal damages could be awarded
    for loss of enjoyment of life.”       
    Id. (internal quotation
    marks
    omitted).    The ICA rejected these arguments and awarded damages
    under HRS § 663–7.    
    Id. Other jurisdictions
    have also held that
    consciousness is not required to recover loss of enjoyment of
    life damages.    See Holston v. Sisters of Third Order of St.
    Francis, 
    165 Ill. 2d 150
    , 
    650 N.E.2d 985
    (1995)(holding that
    damages may be awarded for the loss of enjoyment of life to a
    disabled person even if she was unaware of her loss); Flannery v.
    United States, 
    171 W. Va. 27
    , 33, 
    297 S.E.2d 433
    , 439 (1982)
    (holding comatose patient could recover loss of enjoyment of life
    damages “even though he may not be able to sense his loss of
    enjoyment of life”).
    Third, disallowing hedonic damages in this situation
    would not adequately compensate Briandalynne’s estate.            Under HRS
    § 663-8.5(a), Briandalynne’s estate could recover damages for
    30
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    “pain and suffering, mental anguish, disfigurement, loss of
    enjoyment of life, loss of consortium, and all other nonpecuniary
    losses or claims.”       However, it is unclear to what extent
    Briandalynne could have recovered for pain and suffering, since
    our case law requires consciousness.           See Brown v. Clark Equip.
    Co., 
    62 Haw. 530
    , 537, 
    618 P.2d 267
    , 272 (1980) (“Rohlfing . . .
    established the rule that recovery for pain and suffering
    depended on the existence of conscious pain and suffering.”)
    (emphasis added).       Accordingly, hedonic damages may be the only
    way to appropriately compensate Briandalynne’s estate for her
    injury.
    Fourth and finally, to not allow hedonic damages in
    this case would create perverse incentives for the tortfeasor.
    In Omori, the ICA held that children may recover hedonic damages
    for injuries sustained in the womb.           91 Hawai#i at 
    162, 981 P.2d at 719
    .     Policy considerations counsel against barring recovery
    of hedonic damages for the death of a viable, unborn fetus under
    the survival statute, but allowing a child who is tortuously
    injured while in the womb to bring a negligence claim for damages
    after birth.      See Ozaki, 87 Hawai#i at 
    289, 954 P.2d at 668
    .               In
    Ozaki, the ICA held that the estate of an adult decedent could
    recover damages for loss of enjoyment of life under HRS § 663-7.
    
    Id. In so
    holding, the ICA relied on the concurring opinion in
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    Jones v. Shaffer:
    A person tortiously injured, and permanently disabled
    in consequence, may recover for the diminished joy of
    living. . . . If this view does not hold in wrongful
    death cases, our law gives off unfortunate incentives.
    We invite the tortfeasor who runs over a pedestrian to
    back up and do it again and be sure his victim is
    dead.
    
    573 So. 2d 740
    , 746 (Miss. 1990) (concurring opinion).
    Thus, based on the survival statute’s legislative
    history, Hawai#i precedent, and policy considerations, we hold
    that Briandalynne’s estate was properly allowed to recover
    damages for loss of enjoyment of life.
    This holding would not subject to civil liability a
    woman carrying a fetus whose negligence caused the viable fetus
    to die in utero or who exercised her rights under the law to
    terminate a pregnancy through abortion.
    Regarding negligence, the question of whether recovery
    is possible under HRS § 663-7 and whether a legal duty of care
    exists are two separate inquiries.        HRS § 663-7 does not define
    against whom a decedent’s estate may sue, and its legislative
    history does not manifest intent on the part of the legislature
    to impose a legal duty of care on particular defendants.
    Accordingly, the existence of a legal duty of care for recovery
    under HRS § 663-7 is a question of law for the courts to decide.
    Ah Mook Sang v. Clark, 130 Hawai#i 282, 290, 
    308 P.3d 911
    , 919
    (2013).
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    In considering whether to impose a duty of reasonable
    care on a defendant, we recognize that duty is not
    sacrosanct in itself, but only an expression of the
    sum total of those considerations of policy which lead
    the law to say that the particular plaintiff is
    entitled to protection. Legal duties are not
    discoverable facts of nature, but merely conclusory
    expressions that, in cases of a particular type,
    liability should be imposed for damage done. In
    determining whether or not a duty is owed, we must
    weigh the considerations of policy which favor the
    appellants’ recovery against those which favor
    limiting the appellees’ liability.
    
    Id. at 291,
    308 P.3d at 920.
    Based on significant policy considerations, we agree
    with the jurisdictions that have held as a matter of law that a
    pregnant woman does not owe a legal duty of care to the fetus she
    carries.   See Remy v. MacDonald, 
    440 Mass. 675
    , 682-83, 
    801 N.E.2d 260
    , 266-67 (2004) (holding that a mother did not owe a
    legal duty of care to her unborn fetus, noting “inherent and
    important differences between a fetus, in utero, and a child
    already born” and that “[r]ecognizing a pregnant woman’s legal
    duty of care . . . to her unborn child would present an almost
    unlimited number of circumstances that would likely give rise to
    litigation”); Stallman v. Youngquist, 
    125 Ill. 2d 267
    , 279-80,
    
    531 N.E.2d 355
    , 361 (1988)(holding no legal duty, and noting
    “[j]udicial scrutiny into the day-to-day lives of pregnant women
    would involve an unprecedented intrusion into the privacy and
    autonomy of the citizens of this State”); Chenault v. Huie, 
    989 S.W.2d 474
    , 476-77 (Tex. App. 1999) (finding no legal duty and
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    stressing “[t]he extent of interference with a woman’s legal
    rights that could occur as a result of imposing a legal duty to
    the fetus”).
    Similarly, a holding that Briandalynne’s estate can
    recover loss of enjoyment of life damages under HRS § 663-7 would
    not affect or interfere with a woman’s right under the law to
    terminate a pregnancy through abortion.           Other jurisdictions
    which have interpreted wrongful death or survival statutes to
    provide recovery for the death of a viable, unborn fetus have
    made clear that the holding would not affect abortion rights.
    See, e.g., Strzelczyk v. Jett, 
    264 Mont. 153
    , 158, 
    870 P.2d 730
    ,
    733 (1994) (Gray, J., concurring) (making clear, in its holding
    that a wrongful death statute covered an unborn fetus that, “this
    is not an abortion case or a case related in any way to a woman's
    constitutional right to privacy and to an abortion . . . The
    termination of a pregnancy by abortion is an intentional,
    consensual act by a woman and her physician which the law
    specifically allows” while a wrongful death action is based on
    negligence).
    B.    The circuit court’s award of $250,000 in damages to
    Briandalynne’s estate was not in error.
    In their second question presented, Petitioners argue
    that the circuit court erred in awarding $250,000 in damages to
    Briandalynne’s estate “when there was no evidence presented to
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    justify that monetary amount.”       For support, Petitioners cite to
    Exotics Hawaii-Kona, Inc. v. E.I. Du Pont De Nemours & Co., in
    which we held that “[i]t is well-settled that all tort claims
    require that damages be proven with reasonable certainty.”             116
    Hawai#i 277, 292, 
    172 P.3d 1021
    , 1036 (2007).
    Generally, we do not disturb the findings of the trial
    court on the issue of damages absent a clearly erroneous measure
    of damages.   See 
    Viveiros, 54 Haw. at 614
    , 513 P.2d at 489;
    Johnson v. Sartain, 
    46 Haw. 112
    , 114, 
    375 P.2d 229
    , 230-31 (1962)
    (“[D]amages . . . will not be disturbed on appellate review
    unless palpably not supported by the evidence, or so excessive
    and outrageous when considered with the circumstances of the
    case.”).   With respect to Briandalynne’s damages, the circuit
    court made the following FOF, which Petitioners do not challenge
    in their application for certiorari:
    56. The evidence established that [Briandalynne had]
    no congenital or development abnormalities. Despite
    the incarcerated status of her mother,
    [Briandalynne’s] life and her loss of enjoyment of
    life, are of the nature and kind of any other infant.
    The circuit court also made the following COLs:
    72. Had Plaintiff’s medical care been consistent with
    the applicable standard of care, such as a
    consultation with an OBGYN and an ultrasound
    evaluation by as late as July 29, 2007, Plaintiff’s
    bleeding condition would have been detected and
    treated; or if the bleeding condition could not have
    been corrected, delivery would have been initiated and
    [Briandalynne] would have been born alive.
    73. Defendant State’s negligence was the legal cause
    of the death of [Briandalynne], and Plaintiff's
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    injuries and damages. Had medical care for [Castro
    and Briandalynne] been provided consistent with the
    applicable standard of care after July 2, 2007 and
    before July 29, 2007, delivery of a live baby would
    have been accomplished.
    . . . .
    83. The Estate’s damages include the value for the
    loss of life itself and for all of the damages that
    [Briandalynne] would have been entitled to had she
    been alive, such as loss of enjoyment of life. The
    evidence established that [Briandalynne had] no
    congenital or development abnormalities. Despite the
    incarcerated status of her mother, [Briandalynne’s]
    life and her loss of enjoyment of life, are of the
    nature and kind of any other infant. An award of
    damages against Defendant State, in the amount of
    $250,000.00 to the Estate of Briandalynne Castro, is
    fair and appropriate, for the State’s share of the
    Estate's total damages.
    Based on this record, the circuit court’s damages award
    was not clearly erroneous.      The $250,000 was appropriately based
    on the evidence at trial that showed, for example, that
    Briandalynne would have been born a healthy child, and that her
    loss of enjoyment of life would be similar to that of any other
    infant.    This award is also comparable to other damage awards for
    similar conduct.    See Polm, 
    2014 WL 7390879
    at *21 (affirming
    circuit court’s order awarding $250,000 in damages to one-year-
    old child’s estate).
    Contrary to Petitioners’ argument, Respondents were not
    required to present specific evidence of Briandalynne’s life
    expectancy or make calculations regarding her loss of enjoyment
    of life.   This is not a case in which damages were capable of
    ascertainment by calculation.       As we noted in Montalvo:
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    The measurement of the joy of life is intangible. A
    jury may draw upon its own life experiences in
    attempting to put a monetary figure on the pleasure of
    living. It is a uniquely human endeavor . . .
    requiring the trier of fact to draw upon the virtually
    unlimited factors unique to us as human beings.
    Testimony of an economist would not aid the jury in
    making such measurements because an economist is no
    more expert at valuing the pleasure of life than the
    average juror. [T]he loss of enjoyment of life
    resulting from a permanent injury is . . . not subject
    to an economic calculation.
    77 Hawai#i at 
    303, 884 P.2d at 366
    (emphases added; citations and
    internal quotations omitted).
    Thus, given its findings, we conclude that the circuit
    court was within its discretion to set $250,000 as the
    appropriate compensation for Briandalynne’s injury.
    V.   Conclusion
    For the foregoing reasons, we hold that Briandalynne’s
    estate could maintain a survival action against Petitioners for
    hedonic damages, and that the circuit court did not err in
    awarding the estate $250,000 in damages for loss of enjoyment of
    life.   Accordingly, we affirm the ICA’s judgment on appeal.
    Marie Manuele Gavigan                    /s/ Mark E. Recktentwald
    for petitioners
    /s/ Michael D. Wilson
    Sue V. Hansen for
    respondent Leah Castro
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