In the Matter of Baby Jane Doe, 487 N.E.2d 209 (N.Y. 1984): Parental Right to Choose Medical Treatment

In the Matter of Baby Jane Doe, 487 N.E.2d 209 (N.Y. 1984)

Parents have the primary responsibility for choosing medical care for their children, and state intervention requires adherence to statutory procedures designed to protect children from injury or mistreatment.

Summary

This case concerns the medical treatment of Baby Jane Doe, born with spina bifida and other serious conditions. Her parents, after consulting with medical and religious professionals, opted for conservative treatment. A Vermont resident, with no connection to the family, initiated a legal challenge to this decision. The New York Court of Appeals held that the lower court abused its discretion by allowing the proceeding to move forward based on the application of a stranger, without proper investigation, thus improperly interfering with the parents’ right to make medical decisions for their child. The court emphasized the importance of following the procedures outlined in the Family Court Act when seeking state intervention in parental decisions regarding a child’s welfare.

Facts

Baby Jane Doe was born with spina bifida and other severe medical complications on October 11, 1983.
After consulting with medical specialists, nurses, religious counselors, and a social worker, the parents decided to pursue a conservative course of medical treatment rather than aggressive surgery.
A resident of Vermont, with no known connection to Baby Jane Doe or her family, initiated legal proceedings challenging the parents’ decision.
This individual bypassed the procedures outlined in the Family Court Act and directly applied to a Justice of the Supreme Court.

Procedural History

The case originated in the Supreme Court of New York, initiated by a person unrelated to the child.
The Supreme Court appointed a guardian ad litem for the baby, who then sought judicial authorization for surgery, overriding the parents’ judgment.
The Attorney General, representing the hospital, moved to dismiss the proceeding.
The Appellate Division ultimately dismissed the petition, but the Court of Appeals affirmed the dismissal on different grounds.

Issue(s)

Whether the Supreme Court abused its discretion by initiating a child protective proceeding at the request of an unrelated third party, without following the procedures outlined in Article 10 of the Family Court Act.

Holding

Yes, because the Legislature has assigned primary responsibility for initiating child protective proceedings to child protective agencies and requires court authorization for proceedings prompted by other individuals to prevent unwarranted interference in family relationships.

Court’s Reasoning

The court emphasized that Article 10 of the Family Court Act is designed to protect children and safeguard their well-being while providing due process when the state intervenes against parental wishes. Section 1032 assigns primary responsibility for initiating child neglect proceedings to child protective agencies. Other individuals may only file a petition if directed by the court, per Section 1034. This requirement for court approval is intended to prevent casual initiation of judicial proceedings affecting family relationships. The court found that the Supreme Court erred by initiating the proceeding at the behest of someone with no connection to the child or her family, and without seeking investigative assistance from the Department of Social Services. Allowing such actions would permit any person to challenge parental decisions, forcing parents into costly litigation. The court stated, “To accept the position of the guardian would have far-reaching implications…[it] would be to recognize the right of any person, without recourse to the strictures of the Family Court Act, to institute judicial proceedings which would catapult him into the very heart of a family circle…” The court did not attempt to define all circumstances where a court may protect a child’s interests but found no justification for the proceedings in this case.