In Warick v. Diwell, the Plaintiff was seriously injured in a head on collision in which other occupants of the vehicle were killed. The Plaintiff commenced legal proceedings, seeking compensation for numerous types of damages, all of which were settled with the exception of the cost of future care.
The Plaintiff suffered a variety of injuries, however the specific ones that the Court noted would have the greatest impact with respect to her care were the spinal cord injury which paralyzed her from the waist done; the numerous surgeries on her intestines and bladder ; and a hand and wrist fracture.
A variety of future cost of care items were in dispute, with the most significant one being the cost of home care of the Plaintiff, with the Court awarding over $3 Million as a present value of the ongoing cost. Other notable items included awards for medications, travel, housekeeping, and mobility aids.
In total, the Court would award slightly over $4.5 Million in future care costs to the Plaintiff, commenting :
 Claims made for future care must be both medically justified and reasonable. An award “should reflect what the evidence establishes is reasonably necessary to preserve the plaintiff’s health”: Milina v. Bartsch (1985), 49 B.C.L.R. (2d) 33 (S.C.) at paras. 199 and 201; aff’d (1987), 49 B.C.L.R (2d) 99 (C.A.).
 This requirement of medical justification, as opposed to medical necessity “requires only some evidence that the expense claimed is directly related to the disability arising out of the accident, and is incurred with a view toward ameliorating its impact”: Harrington v. Sangha, 2011 BCSC 1035, at para. 151.
 Damages for the cost of future care are assessed, not mathematically calculated: Uhrovic v. Masjhuri, 2008 BCCA 462 at paras. 28-31. There is an inherent degree of uncertainty and discretion in making such awards. Because awards are made “once and for all” at the time of trial, judges must “peer into the future” and fix the damages “as best they can”. This includes allowing contingencies for the possibility that the future may differ from what the evidence at trial indicates: Krangle (Guardian ad litem of) v. Brisco, 2002 SCC 9, at para. 21.