“A negligent failure to provide adequate medical care, even one constituting medical malpractice, does not give rise to a constitutional violation.”
How later courts described this case
- “A negligent failure to provide adequate medical care, even one constituting medical malpractice, does not give rise to a constitutional violation.”
- instructing the district court to grant defendants’ motion to dismiss based on qualified immunity “with prejudice”
- “[O]ur role is not to act as [plaintiff’s] advocate.”
- merely asserting that the constitutional “right to adequate medical care and to be free from deliberate indifference ha[d] been clearly established for decades,” was insufficient to show law was clearly established
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLORADO
Chief Judge Philip A. Brimmer
Civil Case No. 20-cv-00544-PAB-NYW
GEORGE LOWRY WEEKS,
Plaintiff,
v.
LIEUTENANT COMMANDER BARKMAN,
COMMANDER DYER, and
DR. OBA
Defendants.
_____________________________________________________________________
ORDER
_____________________________________________________________________
This matter is before the Court on the Recommendation of United States
Magistrate Judge Nina Y. Wang, filed on March 22, 2021 [Docket No. 71]. The
magistrate judge recommends granting defendants’ motions to dismiss [Docket Nos.
49, 51] plaintiff’s amended complaint.1 Docket No. 71 at 19-20. Plaintiff filed an
objection to the recommendation [Docket No. 73] and defendants filed a response to
the objection [Docket No. 74].2
I. BACKGROUND
The background facts are set forth in the magistrate judge’s recommendation,
Docket No. 71, and the Court adopts them for the purposes of ruling on plaintiff’s
1 The magistrate judge read Docket Nos. 13, 20, and 21 together as the
operative pleading in this case. Docket No. 71 at 2 n.2.
2 On May 3, 2021, plaintiff filed a motion seeking a ninety day extension of time
to file a reply to defendants’ response, Docket No. 75, which the Court granted. Docket
No. 78. Plaintiff’s reply was due August 2, 2021, id., but plaintiff has not filed a reply.
Accordingly, the objection is fully briefed.
objection. Plaintiff brings a single claim for deliberate indifference in violation of the
Eighth Amendment against defendants Barkman, Dyer, and Dr. Oba. See Docket No.
13 at 4-5. Specifically, plaintiff alleges that he has a compression fracture in his back
and that, since his arrival at FCI Englewood in Englewood, Colorado, defendants have
failed to properly treat his back condition and resulting pain. See id.
On October 26, 2020, defendants filed a motion to dismiss for failure to state a
claim upon which relief can be granted and arguing that they are entitled to qualified
immunity. Docket No. 49. On October 28, 2020, defendants Barkman and Dyer filed
an additional motion to dismiss arguing that the Court lacked subject matter jurisdiction
over them because they are immune from suit under 42 U.S.C. § 233(a). Docket No.
51 at 1. The magistrate judge recommends granting Barkman and Dyer’s motion to
dismiss for lack of subject matter jurisdiction and dismissing plaintiff’s claim against
them without prejudice. Docket No. 71 at 10. The magistrate judge additionally
recommends finding that plaintiff fails to state a claim against Dr. Oba, id. at 16, and
that Dr. Oba is entitled to qualified immunity. Id. at 18. Plaintiff makes two objections:
(1) defendants’ actions were not within the scope of their employment because they did
not comport with the standard of care, and therefore defendants are not entitled to
immunity; and (2) plaintiff’s injury was obvious, but defendants failed to treat it. Docket
No. 73 at 3-5.
II. LEGAL STANDARD
To survive a motion to dismiss under Rule 12(b)(6), a complaint must allege
enough factual matter that, taken as true, makes the plaintiff’s “claim to relief . . .
plausible on its face.” Bryson v. Gonzales, 534 F.3d 1282, 1286 (10th Cir. 2008) (citing
2
Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). “[W]here the well-pleaded facts
do not permit the court to infer more than the mere possibility of misconduct, the
complaint has alleged – but it has not shown – that the pleader is entitled to relief.”
Ashcroft v. Iqbal, 556 U.S. 662, 679 (2009) (internal quotation marks and alteration
marks omitted). Thus, even though modern rules of pleading are somewhat forgiving,
“a complaint still must contain either direct or inferential allegations respecting all the
material elements necessary to sustain a recovery under some viable legal theory.”
Bryson, 534 F.3d at 1286 (alteration marks omitted).
A motion under Rule 12(b)(1) is a request for the court to dismiss a claim for lack
of subject matter jurisdiction. Fed. R. Civ. P. 12(b)(1). A plaintiff generally bears the
burden of establishing that the court has jurisdiction. Basso v. Utah Power & Light Co.,
495 F.2d 906, 909 (10th Cir. 1974). When the court lacks subject matter jurisdiction
over a claim for relief, dismissal is proper under Rule 12(b)(1). See Jackson v. City &
Cnty. of Denver, No. 11-cv-02293-PAB-KLM, 2012 WL 4355556, at *1 (D. Colo. Sept.
24, 2012).
The Court will “determine de novo any part of the magistrate judge’s
[recommended] disposition that has been properly objected to.” Fed. R. Civ. P.
72(b)(3). An objection is proper if it is specific enough to enable the Court “to focus
attention on those issues – factual and legal – that are at the heart of the parties’
dispute.” United States v. 2121 East 30th Street, 73 F.3d 1057, 1059 (10th Cir. 1996).
Plaintiff filed a timely and specific objection to certain portions of the recommendation,
Docket No. 73; the Court will therefore conduct de novo review of those portions. In
3
light of plaintiff’s pro se status, the Court reviews his filings liberally. See Haines v.
Kerner, 404 U.S. 519, 520 (1972); Hall v. Bellmon, 935 F.2d 1106, 1110 n.3 (10th Cir.
1991).
III. ANALYSIS
A. Defendants Barkman and Dyer
The magistrate judge found that 42 U.S.C. § 233(a) grants Barkman and Dyer
immunity from suit regarding the performance of medical duties within the scope of their
employment. Docket No. 71 at 10. Plaintiff objects to this finding, arguing that because
Barkman and Dyer failed to follow the standard of care, they were not acting within the
scope of their employment.3 Docket No. 73 at 3-5. Barkman and Dyer are
commissioned officers with the Public Health Service (“PHS”). Docket No. 71 at 8; see
also Docket Nos. 51-1, 51-2. Plaintiff brings one claim against them pursuant to
Bivens v. Six Unknown Named Agents of Fed. Bureau of Narcotics, 403 U.S. 388
(1971), for violating his Eighth Amendment rights. Docket No. 13 at 3.
In Hui v. Castaneda, 559 U.S. 799, 806 (2010), the Supreme Court stated that
[42 U.S.C. §] 233(a) grants absolute immunity to PHS officers and
employees for actions arising out of the performance of medical or related
functions within the scope of their employment by barring all actions
against them for such conduct. By its terms, § 233(a) limits recovery for
such conduct to suits against the United States.
The Court held that “the immunity provided by § 233(a) precludes Bivens actions
against individual PHS officers or employees for harms arising out of conduct described
in that section.” Id. at 812. Plaintiff’s Bivens claim is thus barred so long as Barkman
3 Plaintiff does not object to the magistrate judge’s consideration of materials
outside the pleadings in resolving a factual Rule 12(b)(1) challenge to jurisdiction, and
the Court finds no clear error in this decision.
4
and Dyer were acting within the scope of their employment. See id.
Plaintiff argues that Barkman and Dyer’s actions were not within the scope of
their employment because they did not follow the standard of care. Docket No. 73 at 3-
5. Plaintiff cites no caselaw to support this proposition, see id., and the Court rejects it
as contrary § 233(a). See Camerano v. United States, 196 F. Supp. 3d 172, 180 (D.
Mass. 2016) (finding court did not have jurisdiction over Bivens claim brought against
PHS employees when plaintiff alleged that defendants violated the standard of care).
Because Barkman and Dyer’s alleged action and inaction were related to plaintiff’s
medical care, the Court finds that they were acting within the scope of their
employment. See Hui, 559 U.S. at 811 (“[P]roof of scope is in most § 233(a) cases
established by a declaration affirming that the defendant was a PHS official during the
relevant time period.”); Pitts v. Fed. Bureau of Prisons, No. 20-cv-01422-RM-KLM, 2021
WL 849812, at *3 (D. Colo. Feb. 16, 2021) (finding that allegations arising from
performance of medical function were within the within the scope of employment of
PHS employee); Trap v. United States, 2016 WL 6609212, at *2 (C.D. Cal. Mar. 7,
2016) (finding allegations related to medical care PHS defendant did or did not provide
was within scope of employment). Accordingly, the Court will overrule plaintiff’s
objection and deny the claim against Dyer and Barkman without prejudice.
B. Defendant Oba
Plaintiff brings one claim against Dr. Oba for deliberate indifference to plaintiff’s
serious medical needs. Docket No. 13 at 4. The Eighth Amendment’s ban on cruel
and unusual punishment is violated if a defendant’s “deliberate indifference to serious
5
medical needs of prisoners constitutes the unnecessary and wanton infliction of pain.”
Self v. Crum, 439 F.3d 1227, 1230 (10th Cir. 2006) (quoting Estelle v. Gamble, 429
U.S. 97, 104 (1976)). A claim for deliberate indifference has both an objective and a
subjective component. To satisfy the objective component, a prisoner must
demonstrate that his medical need is “objectively, sufficiently serious.” Farmer v.
Brennan, 511 U.S. 825, 834 (1994) (internal quotation marks omitted). To satisfy the
subjective component, a prisoner must demonstrate that the defendant acted with a
“sufficiently culpable state of mind.” Id. (quotation marks and citation omitted).
The magistrate judge recommends finding that Dr. Oba is entitled to qualified
immunity on this claim. Docket No. 71 at 18. Qualified immunity balances two
important interests – the need to hold public officials accountable when they exercise
power irresponsibly and the need to shield officials from harassment, distraction, and
liability when they perform their duties reasonably.” Pearson v. Callahan, 555 U.S. 223,
231 (2009). A court should resolve questions of qualified immunity at the earliest
possible stage of litigation. Anderson v. Creighton, 483 U.S. 635, 646 n.6 (1987).
However, a plaintiff facing a qualified immunity challenge does not have a heightened
pleading standard. Currier v. Doran, 242 F.3d 905, 916-17 (10th Cir. 2001).
Under the doctrine of qualified immunity, “government officials performing
discretionary functions generally are shielded from liability for civil damages insofar as
their conduct does not violate clearly established statutory or constitutional rights of
which a reasonable person would have known.” Harlow v. Fitzgerald, 457 U.S. 800,
818 (1982). Thus, to survive a motion to dismiss under Rule 12(b)(6) “where a qualified
immunity defense is implicated, the plaintiff ‘must allege facts sufficient to show
6
(assuming they are true) that the defendants plausibly violated their constitutional
rights.’” Hale v. Duvall, 268 F. Supp. 3d 1161, 1164 (D. Colo. 2017) (quoting Robbins
v. Oklahoma ex rel. Dep’t of Human Servs., 519 F.3d 1242, 1249 (10th Cir. 2008)).
When a defendant raises the defense of qualified immunity, a “plaintiff carries a
two-part burden to show: (1) that the defendant’s actions violated a federal
constitutional or statutory right, and, if so, (2) that the right was clearly established at
the time of the defendant’s unlawful conduct.” T.D. v. Patton, 868 F.3d 1209, 1220
(10th Cir. 2017) (internal quotation marks omitted). Courts are “permitted to exercise
their sound discretion in deciding which of the two prongs of the qualified immunity
analysis should be addressed first in light of the circumstances in the particular case.”
Pearson, 555 U.S. at 236.
The magistrate judge recommends finding that plaintiff failed both prongs of
qualified immunity. Docket No. 71 at 17-18. The magistrate judge found that plaintiff
failed to plead the subjective prong of deliberate indifference because plaintiff merely
pled disagreement with the course of Dr. Oba’s treatment. Id. at 14, 16. Thus, plaintiff
failed to state a cognizable constitutional claim against Dr. Oba. Id. at 16. Because the
magistrate judge found that plaintiff failed to state a claim against Dr. Oba, the
magistrate judge found that the first factor in qualified immunity – that defendant’s
action violated a constitutional right – was not satisfied. Id. at 17. However, the
magistrate judge went on to consider whether, if plaintiff had met this factor, the right
was clearly established. Id. The magistrate judge found that it was not. Id. at 17-18.
Plaintiff’s objection is focused on the magistrate judge’s first recommendation –
that plaintiff did not plead sufficient facts, taken as true, to find that Dr. Oba violated his
7
constitutional rights. See Docket No. 73 at 3-5. Plaintiff did not object to the portion of
the recommendation finding that Dr. Oba did not violate plaintiff’s clearly established
rights. See id. The Court is cognizant that plaintiff is an unrepresented prisoner, and
has construed his filings liberally. See Haines, 404 U.S. at 520. However, the Court
cannot make arguments for plaintiff that he did not raise. See Gallagher v. Shelton,
587 F.3d 1063, 1067 (10th Cir. 2009) (“[O]ur role is not to act as [plaintiff’s] advocate.”);
Garret v. Selby Connor Maddux & Janer, 425 F.3d 836, 840 (10th Cir. 2005) (“[T]he
court cannot take on the responsibility of serving as the litigant’s attorney in
constructing arguments and searching the record.”). Plaintiff did not object to this
portion of the recommendation, and the Court finds “no clear error in the face of the
record.” Fed. R. Civ. P. 72(b), Advisory Committee Notes. Accordingly, the Court will
accept the magistrate judge’s recommendation that Dr. Oba is entitled to qualified
immunity because he did not violate clearly established law.4 See Medina v. Cram, 252
F.3d 1124, 1128 (10th Cir. 2001) (stating that if a plaintiff fails to satisfy either prong of
the qualified-immunity analysis, the court must grant the defendant qualified immunity).
Even if the Court were to conduct de novo review of this portion of the
recommendation, the Court would agree with the magistrate judge that Dr. Oba did not
violate clearly established law. “Ordinarily, for the law to be clearly established, there
4 Because the conclusion that Dr. Oba did not violate clearly established law is
sufficient to entitle Dr. Oba to qualified immunity in this suit, the Court need not decide
whether plaintiff alleged a constitutional violation. See Est. of Vallina v. Petrescu, 757
F. App’x 648, 651 n.1 (10th Cir. 2018) (unpublished) (“Because [defendant] asserted a
qualified immunity defense in her motion to dismiss, plaintiffs bore the burden to
demonstrate that both: (1) their factual allegations established a constitutional violation
and (2) that the right was clearly established at the time of the alleged misconduct.”).
Accordingly, the Court will overrule as moot the portion of plaintiff’s objection arguing
that he sufficiently alleged a constitutional violation.
8
must be a Supreme Court or Tenth Circuit decision on point, or the clearly established
weight of authority from other courts must have found the law to be as the plaintiff
maintains.” Clark v. Wilson, 625 F.3d 686, 690 (10th Cir. 2010) (internal quotation
marks omitted). The law that must be clearly established should be particularized to the
facts of the case. See White v. Pauly, 137 S. Ct. 548, 552 (2017) (“Today, it is again
necessary to reiterate the longstanding principle that clearly established law should not
be defined at a high level of generality. As this Court explained decades ago, the
clearly established law must be particularized to the facts of the case.” (internal
quotations and citations omitted)). It is not the general right to be free from deliberate
indifference that must be clearly established, but the right to stronger pain medication
and additional treatment in a situation such as plaintiff’s. Plaintiff has not demonstrated
that this right was clearly established. See Cox v. Glanz, 800 F.3d 1231, 1245, 1247
(10th Cir. 2015) (merely asserting that the constitutional “right to adequate medical care
and to be free from deliberate indifference ha[d] been clearly established for decades,”
was insufficient to show law was clearly established); cf. Perkins v. Kan. Dep’t of Corr.,
165 F.3d 803, 811 (10th Cir. 1999) (“A negligent failure to provide adequate medical
care, even one constituting medical malpractice, does not give rise to a constitutional
violation.”).5 Accordingly, the Court will accept the portion of the recommendation
5 Plaintiff’s complaint also seeks injunctive relief, which the magistrate judge
recommends denying. See Docket No. 71 at 19. Plaintiff did not object to this portion
of the recommendation, and the Court finds “no clear error in the face of the record.”
Fed. R. Civ. P. 72(b), Advisory Committee Notes. Based on this review, the Court has
concluded that this portion of the recommendation is a correct application of the facts
and the law.
9
finding that Dr. Oba is entitled to qualified immunity and dismiss the claim against him.6
IV. CONCLUSION
For the foregoing reasons, it is
ORDERED that the Recommendation of United States Magistrate Judge Nina Y.
Wang [Docket No. 71] is ACCEPTED. It is further
ORDERED that plaintiff’s Motion Objecting to the Recommendation of the United
States Magistrate Judge and I Wish to Appeal to the District Court [Docket No. 73] is
OVERRULED. It is further
ORDERED that Defendants’ Motion to Dismiss Claims Against Defendants
Barkman and Dyer [Docket No. 51] is GRANTED. It is further
ORDERED that Defendants’ Motion to Dismiss [Docket No. 49] is GRANTED IN
PART as to defendant Dr. Oba, and DENIED AS MOOT as to defendants Barkman and
Dyer in light of the dismissal of the claim against them for lack of subject matter
jurisdiction. It is further
ORDERED that the claim against defendants Barkman and Dyer is dismissed
without prejudice. It is further
ORDERED that the claim against Dr. Oba is dismissed with prejudice. It is
further
6 The magistrate judge did not recommend whether the dismissal of the claim
against Dr. Oba should be with or without prejudice. See Docket No. 71 at 18 n.9. The
Court will dismiss the claim against Dr. Oba with prejudice because he is entitled to
qualified immunity. See Clark, 625 F.3d at 692 (instructing the district court to grant
defendants’ motion to dismiss based on qualified immunity “with prejudice”); McCrary v.
Jones, 2015 WL 873641, at *6 (W.D. Okla. Feb. 27, 2015) (dismissing claim with
prejudice where defendant was entitled to qualified immunity).
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ORDERED that this case is closed.
DATED September 13, 2021.
BY THE COURT:
____________________________
PHILIP A. BRIMMER
Chief United States District Judge
11