GR L 56191; (May, 1986) (Digest)
G.R. No. L-56191 May 27, 1986
JESUS DE JESUS, petitioner, vs. EMPLOYEES’ COMPENSATION COMMISSION, GOVERNMENT SERVICE INSURANCE SYSTEM (Philippine National Railways), respondents.
FACTS
Ester P. de Jesus was employed by the Philippine National Railways (PNR) from 1945 until her retirement in 1979, working as a telephone operator and later at the hospital switchboard. Her duties involved working 16-hour night shifts every other day. From November 1978 to April 1979, she was hospitalized multiple times and was diagnosed with chronic pyelonephritis, diabetes mellitus, anemia, and nodular pulmonary metastases (lung cancer). She retired and subsequently died from these ailments on June 20, 1979.
Her surviving spouse, Jesus de Jesus, filed a claim for death benefits under Presidential Decree No. 626 (the New Labor Code). The Government Service Insurance System (GSIS) denied the claim, a decision affirmed by the Employees’ Compensation Commission (ECC). The agencies ruled that the deceased’s ailments were not occupational diseases listed under the law and that the claimant failed to prove that her working conditions increased the risk of contracting these diseases.
ISSUE
Whether the death of Ester P. de Jesus is compensable under the provisions of Presidential Decree No. 626, as amended.
RULING
No, the death is not compensable. The governing law is the New Labor Code, which took effect on January 1, 1975. Under its provisions, for a sickness and resulting death to be compensable, the disease must either be listed as an occupational disease under the implementing rules, or the claimant must prove that the risk of contracting the disease was increased by the employee’s working conditions.
The Court, affirming the ECC’s decision, held that the ailments in question—diabetes mellitus, anemia, chronic pyelonephritis, and lung cancer—are not listed as occupational diseases for a telephone operator. Furthermore, the petitioner failed to present competent evidence to establish a causal link or to demonstrate that the deceased’s specific working conditions, including her long night shifts, increased the risk of contracting these illnesses. The Court cited medical authorities provided by the ECC indicating the ailments are primarily attributable to hereditary, constitutional, or idiopathic factors unrelated to employment. The legal logic rests on the shift under P.D. 626 from a system based on presumptions of compensability to a regime requiring strict proof of work-connection, either through the list of occupational diseases or by evidence of increased risk. Compassion cannot override the statutory limits of the state insurance fund, which is designed to ensure stability for all legitimate claimants.
