n6 Recovery on a reliance basis for breach of the physician's
promise tends to equate with the usual recovery for malpractice, since the latter also
looks in general to restoration of the condition before the injury. But this is not
paradoxical, especially when it is noted that the origins of contract lie in tort. See
Farnsworth, The Past of Promise: An Historical Introduction to Contract, 69 Col. L. Rev.
576, 594-596; Breitel, J. in Stella Flour & Feed Corp. v. National City Bank, 285 App.
Div. (N. Y.) 182, 189 (dissenting opinion). A few cases have considered possible recovery
for breach by a physician of a promise to sterilize a patient, resulting in birth of a
child to the patient and spouse. If such an action is held maintainable, the reliance and
expectancy measures would, we think, tend to equate, because the promised condition was
preservation of the family status quo.
It would, however, be a mistake to think in terms of strict
"formulas." For example, a jurisdiction which would apply a reliance measure to
the present facts might impose a more severe damage sanction for the wilful use by the
physician of a method of operation that he undertook not to employ.