CASE 5-1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND
RESEARCH v. UNITED STATES
Supreme Court of the United States, 2011
562 U.S. ____, 131 S.CT. 704, 178 L.ED.2D 588
http://scholar.google.com/scholar_case?q=131+S.+Ct.
+704&hl=en&as_sdt=2,34&case=3055490070969307951&scilh=0
Roberts, C. J.
Most doctors who graduate from medical school in the United States pursue additional education
in a specialty to become board certified to practice in that field. Petitioners Mayo Foundation for
Medical Education and Research, Mayo Clinic, and the Regents of the University of Minnesota
(collectively Mayo) offer medical residency programs that provide such instruction. Mayo’s
residency programs, which usually last three to five years, train doctors primarily through
hands-on experience. Residents often spend between 50 and 80 hours a week caring for patients,
typically examining and diagnosing them, prescribing medication, recommending plans of care,
and performing certain procedures. Residents are generally supervised in this work by more
senior residents and by faculty members known as attending physicians. In 2005, Mayo paid its
residents annual “stipends” ranging between $41,000 and $56,000 and provided them with health
insurance, malpractice insurance, and paid vacation time.
Through the Social Security Act and related legislation, Congress has created a
comprehensive national insurance system that provides benefits for retired workers, disabled
workers, unemployed workers, and their families. [Citation.] Congress funds Social Security by
taxing both employers and employees under FICA on the wages employees earn. [Citations.]
Congress has defined “wages” broadly, to encompass “all remuneration for employment.” §
3121(a). The term “employment” has a similarly broad reach, extending to “any service, of
whatever nature, performed . . . by an employee for the person employing him.” § 3121(b).
* * *
On December 21, 2004, the Department adopted an amended rule prescribing that an
employee’s service is “incident” to his studies only when “[t]he educational aspect of the