Our MUNI Railway team negotiated a settlement having a present cash value of $1,950,000 on behalf of an 81-year-old San Francisco woman struck by a MUNI bus while crossing the street. The impact of the collision knocked her to the ground, where she sustained a left parietal skull fracture, a subarachnoid hemorrhage, and a subdural hematoma. The City focused on plaintiff’s pre-accident diagnosis of Alzheimer’s disease and claimed that in light of her ailment a substantial amount of her medical and nursing care would have been required in the absence of the collision. The settlement was structured in a manner to allow the plaintiff to maintain her public benefits, and comply with Medicare’s statutory set-aside requirements.