1965 U.S. Tax Ct. LEXIS 105">*105
The doctor of petitioners' young son prescribed, for his poor adjustment to a public school and the home environment, attendance at any boarding school where a system of discipline would be maintained at all times. The purpose was to bring about the son's better adjustment through different environment and discipline, and was not to obtain medical treatment or care. Petitioners selected such school. It was not equipped to furnish and did not provide any medical services or care to any of the students or petitioners' son. Attendance at the school was generally beneficial and helped him to overcome his maladjustments to school, parents, and others. Petitioners paid $ 1,824 to the school, annual charge, for tuition, uniforms, incidentals, room, and board.
44 T.C. 39">*39 The Commissioner determined a deficiency in income tax for the taxable year 1961 in the amount of $ 650.91.
Petitioners' son attended a boarding school, a military academy, to which petitioners paid $ 1,824 during 1961 for his tuition, room and board, and other school expenses. The school did not provide any special medical care or treatment for petitioners' son. The only issue is whether the $ 1,824 is deductible as a medical expense under
FINDINGS OF FACT
The stipulated facts are found as stipulated and are incorporated herein by reference.
Petitioners filed a joint return for 1961 with the district director of internal revenue at Chicago. Petitioners reside in Evanston, Ill., where they maintained their residence during 1961.
Andrew Atkinson, hereinafter referred to as Andrew, is petitioners' only child. He was 13 years old in 1961. The date of his birth is May 2, 1948.
Andrew attended Williams Military Academy in Wheaton, Ill., hereinafter referred to as Williams, during 3 school years, as follows: September 13, 1959, through June 5, 1960; September 11, 1960, through June 4, 1961; and September 10, 1961, until the time of his graduation on June 3, 1962.
44 T.C. 39">*40 During 1961, petitioners paid $ 1,824 to Williams for the school year beginning on September 10, 1961, and ending on June 3, 1962.
Williams makes the same charge to each student for a school year of 36 weeks, $ 1,800, consisting of $ 1,500 for tuition, board, and lodging (which is not broken down into specific charges); $ 200 for1965 U.S. Tax Ct. LEXIS 105">*108 school uniforms; and $ 100 for a general "expense account." The record does not show why petitioners paid an additional $ 24. The head of the school testified that the charge of $ 100 includes a physical examination and minor medical care at the school, books, school supplies, laundry, and drycleaning, but the total sum is not broken down into any specific amounts.
Williams Military Academy is an accredited school for boys, of the ages of 7 to 14 years, in the elementary and junior high grades. It is chartered by the State of Illinois and is a member of the Illinois Elementary School Association and the Independent School Association of Greater Chicago. It is a preparatory school for high school, and is a boarding school. It is located in Wheaton, Ill., which is 25 miles west of Chicago and not more than 50 miles from Evanston. Col. Paul E. Williams is the superintendent. Williams Military Academy is primarily an educational institution which includes in its curriculum "the regular course of study offered in any public school plus additional studies," physical education, and military training. The students are called cadets. Through a system of awards and commissions, the 1965 U.S. Tax Ct. LEXIS 105">*109 cadets are encouraged "to earn officerships" in the school's system of commissions, which are "Acting Officer," "P.F.C.," "Corporal," "Sergeant," "Second Lieutenant," "First Lieutenant," "Captain," and "Major." The military training, which includes military drill, teaches the cadets discipline, punctuality, routine, orderliness, neatness, and manners, how to give orders and take orders, and how to get along with people. The system of discipline involves giving a cadet merits for good performance, and demerits for failure to comply with rules and regulations. For too many demerits, the individual is denied certain privileges, such as visits to his home or visits with his parents at the school. In general, the cadets are supervised at all times; each day the assignments for the day must be completed. The extra courses given in the eighth grade include certain high school courses, such as algebra, Latin, grammar, and biology, as well as military training. Williams is located on a campus consisting of various buildings and grounds; there are living quarters, study halls, library, recreation rooms, gymnasium, and a swimming pool.
Williams does not have a doctor on its staff, but it1965 U.S. Tax Ct. LEXIS 105">*110 engages one on the basis of being subject to call. He gives the students their physical examinations, and minor medical care, if needed. A practical nurse is 44 T.C. 39">*41 in attendance at the school to take care of minor complaints, such as a cut finger. Major medical care is the responsibility of the parents. If a student is ill, the school doctor is called in; if the nature of the illness is other than minor, the doctor who serves the school will advise the school authority to notify the parents. The cost of major medical care must be paid by the student's parents.
Williams does not have any special medical program, and it does not represent to prospective patrons that it is an institution to which individuals may be sent for any general or particular medical care. Williams is not equipped to handle any unusual mental or emotional problem of a student; it does not have any special classes or regimen for emotionally disturbed children, outside of the general counseling that may be given to any boy attending the school.
The general program of Williams involves spending 7 hours each day in the classroom, 5 days a week, and the incentives are emphasized of earning merits, obtaining1965 U.S. Tax Ct. LEXIS 105">*111 the "commission" of an "officer," making the "crack squad" drill team, and earning various honors. Williams regards its systems of discipline and various activities as beneficial to a growing boy because he has something to do at all times and is busy, he learns self-reliance and self-discipline, he can earn a place of importance in the school, and he receives good mental and physical training.
After graduating from Williams in June 1962, Andrew attended a public school in Evanston, the Township High School, which he still attends; and he lived at home with his parents.
Andrew developed an epileptic condition when he was 5 years old, in 1953, which he still has. Occasionally, he has had the
Except for the epileptic attacks, Andrew was apparently in good physical condition; i.e., he could take physical exercise; he did not 44 T.C. 39">*42 have any physical handicap; he walked normally; he did not have any abnormal discoordination or lack of muscular control.
The following is indicative of the extent of the occurrence of Andrew's epileptic spells during the years 1959-64: He had 4 spells between January 15 and September 15, 1959; from September 15, 1959, to June 1960 there were none; between June and August 6, 1960, it was reported to his doctor that he had 3 or 4 spells, but the doctor had some doubt because nobody witnessed any; from September 1960 to September 1961, 1965 U.S. Tax Ct. LEXIS 105">*113 there was 1 mild spell; from September 1961 to June 1962, there were 3 spells, but Andrew was taking his medication very irregularly; from June 1962 until June 1963, there were none, but after school closed in June 1963, he reported that he had about 12 spells. Thereafter, in January 1964, he had a severe attack which persisted for several minutes. He was taken to a hospital emergency room in a state of unconsciousness and rested there until the attack was over, rest being the only "treatment" that is given.
In the treatment of epilepsy continuous and regular medication is necessary. If no medication is taken or if it is taken irregularly, the attacks recur.
In Evanston, Andrew's doctor at first was Lawrence Breslow. Early in 1959, petitioners took Andrew to another physician in Evanston, Meyer Brown, who has looked after Andrew since then and is still his doctor. The first visit to Brown was on January 15, 1959. Brown prescribed additional medication. Andrew went to Brown's office for a checkup periodically, every 2 or 4 or 6 weeks. Brown has never witnessed one of Andrew's epileptic attacks and knows of them only by reports received from Andrew and his parents. Brown is1965 U.S. Tax Ct. LEXIS 105">*114 a neurologist who treats patients with epilepsy, and he also is a psychiatrist.
Petitioners moved to Evanston in 1956 or 1957. At all times material, including 1959, they have lived in an apartment. After moving to Evanston, petitioners enrolled Andrew in the Lincoln School, a public school in Evanston, in the fourth grade. Although Andrew did not get on well at the Lincoln School, he was promoted to each successive grade in school. In 1958 and 1959, Andrew's behavior gave his parents a good deal of concern. For example: Andrew got into fights at school with younger children, boys and girls; he did not get on well with other children; he did not have any friends; he had difficulty learning to read; he neglected his studies; he lied to his parents about his fights with other children (which he denied), and about attending to his studies and receiving acceptable grades (neither of which was true). He joined the Boy Scouts, and in July 1959, he went on an overnight camping trip with them, during which he ripped a tent with his scout knife, for which he was expelled from the group.
44 T.C. 39">*43 Petitioners discussed Andrew's behavior with the principal and his chief teacher at the Lincoln1965 U.S. Tax Ct. LEXIS 105">*115 School. The problem was that Andrew did not do his schoolwork, he would not pay attention in his classes to the teachers or to the other students, he would sit in class looking out of the window, and he was generally uncooperative in school; but he was not "rebellious" in classes or at school. Petitioners believed that Andrew had become a real problem in his general attitudes and behavior. He was insolent towards adults. At the Lincoln School, the principal and Andrew's chief teacher "suggested" that petitioners might take Andrew to a psychological, or psychiatric, clinic as a means of helping to overcome the above attitudes.
In 1959, Andrew was 11 years old. He was in the fourth and fifth grades at the Lincoln School.
Petitioners discussed the above problem with Andrew's doctor, Meyer Brown. Brown's analysis, as a psychiatrist, of Andrew's behavioristic problem was that Andrew was having difficulties in making adjustments at school with his teachers and other children, and at home with his parents and that, in psychiatric terms, Andrew's behavior represented "aggressive behavior" and "hostility" towards authority; that he lied to make himself seem more important; that he was1965 U.S. Tax Ct. LEXIS 105">*116 deceitful in order to avoid responsibility for his acts; and that he was hostile toward and resentful of any authority.
Andrew was not having enough epileptic spells, or ones which were serious enough, to interfere with or disrupt his schoolwork. The spells at that time did not occur at school.
Andrew's home environment, according to Brown's belief, contributed to his general behavioristic problem. Andrew's father was away from home a good deal in 1958 and 1959 because of the traveling required by his occupation. His mother is a very nervous, excitable person, who worries. Also, she worked from time to time. There was a great deal of emotional tension and strife in the petitioners' home. It was Brown's opinion that in 1959 Andrew was not doing well in his home environment, and in the public school, and that he had an "emotional" problem.
Brown recommended to petitioners that they should send Andrew away from home to a boarding school, a military academy, where discipline would be maintained 24 hours a day. He believed that in such environment, away from home, a good deal of Andrew's behavioristic and emotional problems would be controlled and overcome; that he would do better1965 U.S. Tax Ct. LEXIS 105">*117 if he was in an environment where he would live within a disciplinary system which was imposed upon him by strangers and his fellow students, and that a military or boarding school would provide such environment. However, Brown did not recommend any particular school, and he did not recommend that Andrew should 44 T.C. 39">*44 attend a boarding school for any particular length of time. Subsequently, when petitioners discussed the Williams Military Academy with him, Brown did not visit that school or look into its arrangements. From petitioners' report about Williams, Brown believed it would be a suitable boarding school for Andrew. Brown's advice that Andrew should attend a military school was not for the purpose of obtaining medical attention for him at such school.
Williams does not have any special courses for emotionally disturbed children.
The Williams Military Academy emphasizes discipline. The director of Williams believes that discipline gives a boy a feeling of importance. The school is run on the basis of rules.
Andrew took the same courses at Williams as the other students in his school grades and years, and he participated in the general physical activities.
Andrew continued1965 U.S. Tax Ct. LEXIS 105">*118 to see his doctor, Meyer Brown, periodically, while he attended Williams.
At the time Andrew entered Williams, he was having fewer epileptic attacks. The decrease in the attacks apparently was the result of Brown's having prescribed entirely different and more medication.
At Williams, Andrew started in the sixth grade and completed the eighth grade, which is as far as the courses of study go.
It was the opinion of the director of Williams that when Andrew entered the academy he was a "nonconformist"; rules and regulations seemed to irritate him a little bit and he did not like to adhere to and follow them. But after being at Williams for a short time, Andrew's attitude changed and he followed and adhered to the school's rules and regulations. He became a very good student; he became very stable; he progressed; he was anxious to succeed; he became a commissioned "officer"; and he was musical director of the boys chorus at the graduation exercise.
Petitioners noticed a great improvement in Andrew's behavior and attitudes after he entered Williams. For example: At Williams, Andrew learned how to conduct himself with other people and how to get along with people; his manners improved1965 U.S. Tax Ct. LEXIS 105">*119 "enormously"; he was respectful towards adults. Also, he made good friends at Williams. Andrew's father was satisfied that the Williams Military Academy did a very good job in improving Andrew's behavior, conduct, and attitudes. Andrew's doctor, Meyer Brown, observed that Andrew was happy and well adjusted at Williams; he applied himself to his work and did better in his schoolwork, and received better grades; he enjoyed a better relationship with his parents; he got along better with his fellow students; and he took great pride in his uniform.
Andrew continued having epileptic spells after graduating from Williams, and still has them.
44 T.C. 39">*45 In their joint return for 1961, petitioners listed among their claimed medical expenses total payments to Breslow of $ 27, and to Meyer Brown of $ 50. The record does not show or explain what other expenses were incurred and paid in 1961 for medical services to Andrew, such as fees of doctors and similar expenses.
Petitioners took a deduction in their return for medical and dental expenses in the amount of $ 2,329.71, in their itemized deductions, which was based upon total, itemized, medical expenses of $ 2,803.10, which sum included $ 1965 U.S. Tax Ct. LEXIS 105">*120 1,824 paid to Williams Military Academy. Respondent disallowed the deduction of $ 1,824 and made an additional mathematical adjustment in the allowable medical expense deduction required by the resulting increase in adjusted gross income and the percentage limitations of
Out of $ 1,824 paid to Williams, $ 25 was for a physical examination, and $ 1,799 was for Andrew's tuition, board and lodging, uniforms, and general school expenses. The sum of $ 1,799 was primarily and directly an expense for the ordinary and basic education of Andrew; it was not the cost of attending a special school for a mentally or physically handicapped individual; it was the cost of ordinary education which was not incidental to any special services of Williams furnished to Andrew. There was no special medical attention, care, or treatment given to Andrew during 1961 at Williams. At Williams, Andrew received the usual, ordinary, and normal attention and training which was given to all of the students1965 U.S. Tax Ct. LEXIS 105">*121 in his class and grade.
The sum of $ 1,799 which was paid in 1961 to the Williams Military Academy was a personal, nondeductible expense of petitioners, and it was not an expenditure for medical care of Andrew within the scope of
OPINION
The question is whether $ 1,824 paid to the Williams School is a deductible expense for medical care within the scope and meaning of
1965 U.S. Tax Ct. LEXIS 105">*122 44 T.C. 39">*46 Petitioners contend that Andrew's attendance at Williams was "therapeutical," with respect to his maladjustments and the control of his epileptic spells, and was "prescribed" by his physician, and therefore the expense thereof constituted expense of medical care under
Respondent relies upon the provisions of his regulations promulgated under
1965 U.S. Tax Ct. LEXIS 105">*124 This Court has considered in earlier cases the intent of the Congress which underlies the provision for the allowance of deduction of medical care expense as shown by the legislative history and the committee reports relating to
Congress made it clear originally that the benefit of the deduction it was creating for "medical expenses" by enacting section 23 (x) in the 1939 Code was not to encompass items which are primarily personal1965 U.S. Tax Ct. LEXIS 105">*125 living expenses for which deductions were expressly prohibited by section 24(a), 1939 Code. Thus in S. Rept. No. 1631, 77th Cong., 2d Sess., p. 96, the Senate Committee on Finance limited its definition of "medical care" by the following:
It is not intended, however, that a deduction should be allowed for any expense that is not incurred
See
the language used in the statutory definition and the report of the Senate Finance Committee is sufficiently specific to exclude [from the category of deductible medical care expenses], except as to diagnosis, amounts expended for the preservation of general health or for the alleviation of physical or mental discomfort which is unrelated to some particular disease or defect.
Secondly, it is clear that a deduction may be claimed only for such expense as is
Examination of the parts of the committee reports accompanying the enactment of the 1954 Code which deal with
The amount paid to Williams School was for the cost of education, meals and lodging, school uniforms (clothing), and incidental expenses for such items as laundry, cleaning, and school supplies. Such expenses on their face are personal, living, and family expenses.
The now extensive consideration of the general problem and the Supreme Court's decision in
We turn now to consideration of
44 T.C. 39">*50 With respect to deductions, the following rule is stated in subdivision (ii):
Deductions1965 U.S. Tax Ct. LEXIS 105">*130 for expenditures for medical care allowable under
With respect to the general definition of medical care, the regulation sets forth in subdivision (i) the principle that --
Expenses paid for "medical care" shall include those paid for the purpose of affecting any structure or function of the body, for accident or health insurance, or for transportation primarily for and essential to medical care.
In subdivision (ii) examples are given of items that are "medical care" expenses, namely, expenses of legal operations and treatments affecting any portion of the body; therapy or X-ray treatments; hospital and nursing services; medical, laboratory, surgical, dental, and other diagnostic and healing services; X-rays, medicines, and drugs; artificial teeth or limbs; and ambulance hire; and (in subdivision (v) (
Subdivision (iv) provides that under
Subdivision (v) deals with amounts paid to an "institution" other than amounts paid to a hospital for inpatient hospital care (including the cost of meals and lodging in a hospital), and the following general principle is stated:
The extent to which expenses for care in an institution other than a hospital shall constitute medical care is
Subdivisions (
It is clear in subdivisions (a) and (b) of subdivision (v) that the
(
Williams Military Academy is a boys preparatory school and elementary military academy. Its curriculum consists of the regular courses of study offered in any public school plus additional studies; physical education which includes football, baseball, basketball, swimming, and other sports in which all of the students must participate; and military training. The school's teams compete with private and public elementary schools during the various seasons. The courses of study qualify the students for entering any high school after graduating from Williams. The basic courses are in arithmetic, spelling, English grammar, planned reading assignments, history, and social science. Williams is an educational institution; it provides a general education (which is common and ordinary in the sense that the curriculum is standard and conventional) of a quality which is above the average and is not inferior. Colonel Williams, the head of the school, testified about the school and the substance of the essential part of his testimony is as follows: "Williams Military Academy is a boarding1965 U.S. Tax Ct. LEXIS 105">*135 school for young boys seeking a good education." It has a positive program which requires 44 T.C. 39">*52 each boy to get his work done on the day of assignment; there is supervision in the study halls; the school is an accredited school under the requirements of the State of Illinois providing the required credits for entry after graduation in private or public high schools and other military schools; the school is operated under a system of regulations and discipline which gives all of the students something to be responsible for, which automatically regulates their day-to-day living and schedules. All students pay the same amount for attendance and within each class and grade receive the same instruction and program. Williams is not and does not hold itself out to be an institution which individuals attend principally to receive medical care; it does not have any medical program, general or special, as part of the curriculum; it is not equipped to deal with or alleviate unusual mental or emotional problems of the individual, and it does not have any special classes or courses for children who are either retarded, emotionally disturbed, or troubled with psychological or psychiatric problems. 1965 U.S. Tax Ct. LEXIS 105">*136 It does not have a doctor on its staff (although it has a doctor subject to call), and it only has a "practical nurse" on the staff and in attendance. All medical service and therapy, except minor attention, is the responsibility of the parents who must bear the cost. Williams testified, also, that petitioners' son, Andrew, took the same courses as the other cadets in his grade, and participated in the extracurricula activities.
Williams testified, further, that quite a few of the boys at his school come from home environments where they are maladjusted, as in situations where the parents are divorced or relatives living in the home contribute to making the environment unsatisfactory, but the only provision in the school for such maladjusted children is the system of rules, regulations, and discipline which applies to every individual attending the school, and "the emotional problems are mostly taken care of because they have something to do at all times."
Williams testified about petitioners' son, as follows: When Andrew went to Williams, he was a nonconformist, in that rules and regulations seemed to irritate him a little bit and he did not like to adhere to them; but it was 1965 U.S. Tax Ct. LEXIS 105">*137 not very long before he complied with all of the rules and regulations, he became a very good student, he became very stable, he "climbed the ladder," he was the musical director of the boys chorus at the graduation exercise, he did not cause any trouble, and he became a commissioned officer. Also, he did not have any major seizures of epileptic spells at the school.
The record indicates that although Andrew had infrequent epileptic spells his general health was good during 1961; there is not evidence to the contrary. He apparently passed the physical examination, and the tests given to ascertain the presence of contagious diseases evidently 44 T.C. 39">*53 were negative. He was given medication and treated by his own physician, Dr. Brown, at his office for his epileptic spells throughout the years he attended Williams, the charges for which were paid by his parents. Dr. Brown's medical care and charges were in no way connected or associated with the Williams School; i.e., the school did not call on him or refer Andrew to him. Dr. Brown had prescribed different and more medication for the epileptic condition than Andrew's previous doctor, beginning in January 1959, and he testified that1965 U.S. Tax Ct. LEXIS 105">*138 by September 1959, when Andrew first entered Williams, the medication had been effective in reducing the spells and he was having fewer of them. The medical expenses for Dr. Brown's services during 1961 are not involved in the deduction claimed here.
Upon the evidence in this case, it must be concluded that the Williams Military Academy is neither an "institution" nor a "special school" within the provisions of subdivision (v) of subparagraph (e) (1) of
Although the atmosphere, rules and regulations, discipline, and general routine of Williams, the association with other children, and the fact that it is a boarding school, were beneficial to Andrew, it cannot be concluded that those things constituted the furnishing of "medical care" by the school within the meaning of
Dr. Brown's testimony must be considered in connection with the whole record. It was not the epileptic condition that caused Dr. Brown's prescribing some private school. Rather, his reason was that a change of environment would help Andrew to overcome his poor adjustments in a public school and at home. If Andrew's parents could have exercised regularly the required discipline and the home environment had been satisfactory, it appears that Dr. Brown would not have recommended some private school. He does not do so in many cases of epileptic children. He testified that medication is the chief treatment for that condition, which must be taken regularly, and that while Andrew was at Williams, he did not take the prescribed medication regularly during the period September 1961 to June 1962, during which time he had three epileptic spells.
Andrew was having difficulties at the local public school and his behavior at home was uncooperative, but he was not an incorrigible child and Dr. Brown did not find him to be retarded or mentally ill. It 1965 U.S. Tax Ct. LEXIS 105">*141 is common knowledge that at various ages, some children are problem children, and that proper home environment and parental discipline furnish effective correctives. Andrew responded well, in a short time, to the regulations and discipline at Williams. However, the fact that his mental and emotional attitudes improved greatly at Williams and attendance there was generally beneficial does not serve to qualify the cost of sending Andrew to that school as medical care expense within the scope of
Petitioners' broad contention that the tuition cost is medical care expenses simply because Dr. Brown "prescribed" incurring that expense must be rejected. It is not supported by1965 U.S. Tax Ct. LEXIS 105">*142 the provisions or legislative history of
The petitioners have not shown error in respondent's disallowance of the claimed deduction to the extent of $ 1,799.
Petitioners are entitled to a deduction in some amount for the cost of the physical examination and minor medical care at Williams, 44 T.C. 39">*55 both of which come within
1.
(a) Allowance of Deduction. -- There shall be allowed as a deduction the following amounts of the expenses paid during the taxable year, not compensated for by insurance or otherwise, for medical care of the taxpayer, his spouse, or a dependent (as defined in
* * * *
(e) Definitions. -- For purposes of this section -- (1) The term "medical care" means amounts paid -- (A) for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body (including amounts paid for accident or health insurance). * * *↩
2.
"(e)
"(ii) Amounts paid for operations or treatments affecting any portion of the body, including obstetrical expenses and expenses of therapy or X-ray treatments, are deemed to be for the purpose of affecting any structure or function of the body and are therefore paid for medical care. Amounts expended for illegal operations or treatments are not deductible. Deductions for expenditures for medical care allowable under
* * * *
"(v) The cost of in-patient hospital care (including the cost of meals and lodging therein) is an expenditure for medical care. The extent to which expenses for care in an institution other than a hospital shall constitute medical care is primarily a question of fact which depends upon the condition of the individual and the nature of the services he receives (rather than the nature of the institution). A private establishment which is regularly engaged in providing the types of care or services outlined in this subdivision shall be considered an institution for purposes of the rules provided herein. In general, the following rules will be applied:
"(
"(