the decision to appoint counsel depends on the difficulty of the case and plaintiff’s competency to represent him or herself
How later courts described this case
- the decision to appoint counsel depends on the difficulty of the case and plaintiff’s competency to represent him or herself
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
CHRISTOPHER EINECKER, )
)
Plaintiff, )
)
vs. ) Case No. 21-cv-1041-DWD
)
WEXFORD HEALTH SOURCE, INC., )
DR. DENNIS LARSON, )
NURSE WILLIAMS, )
DEBBIE ISSACS, )
)
Defendants. )
MEMORANDUM AND ORDER
DUGAN, District Judge:
Plaintiff Christopher Einecker, an inmate of the Illinois Department of Corrections
(IDOC), brings this civil rights action pursuant to 42 U.S.C. § 1983 for alleged deprivations
of his constitutional rights at Big Muddy River Correctional Center (Big Muddy). (Doc.
1). Plaintiff claims that the defendants were deliberately indifferent to his serious medical
needs for treatment of an issue with his right ear, and that delayed treatment caused him
permanent hearing loss. He requests declaratory, injunctive, and compensatory relief.
Plaintiff’s Complaint (Doc. 1) is now before the Court for preliminary review
pursuant to 28 U.S.C. § 1915A. Under Section 1915A, the Court is required to screen
prisoner complaints to filter out non-meritorious claims. See 28 U.S.C. § 1915A(a)-(b).
Any portion of a complaint that is legally frivolous, malicious, fails to state a claim upon
which relief may be granted, or asks for money damages from a defendant who by law
is immune from such relief must be dismissed. 28 U.S.C. § 1915A(b). At this juncture,
the factual allegations of the pro se complaint are to be liberally construed. Rodriguez v.
Plymouth Ambulance Serv., 577 F.3d 816, 821 (7th Cir. 2009). However, conclusory
statements and labels are insufficient. Enough facts must be provided to state a claim for
relief that is plausible on its face. Alexander v. United States, 721 F.3d 418, 422 (7th Cir.
2013). The pleading standard does not require detailed factual allegations, but it does
require “more than an unadorned, the-defendant-unlawfully-harmed-me accusation.”
See Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009); Bell Atlantic Corp. v. Twombly, 550 U.S. 544,
555. A pleading that offers “labels and conclusions” or “a formulaic recitation of the
elements of a cause of action will not do.” Twombly, 550 U.S. at 555.
The Complaint
Plaintiff alleges that from July 3, 2019, through approximately October 20, 2019, he
suffered extreme pain in his right ear, which he frequently sought treatment for via
established medical channels. (Doc. 1 at 2-6). Finally in October of 2019 he received
antibiotics that reduced the pain, but subsequent visits to outside specialists established
that he had permanent hearing loss, for which he was eventually given a hearing aid.
Based on the allegations in the Complaint, the court designates the following
Counts:
Count 1: Eighth Amendment deliberate indifference claim for the
treatment of Plaintiff’s ear condition against Dr. Larson,
Nurse Williams, and Debbie Issacs (health care
administrator); and,
Count 2: Eighth Amendment deliberate indifference against
Wexford Health Source, Inc.
The parties and the Court will use these designations in all future pleadings and orders,
unless otherwise directed by a judicial officer of this Court. Any claim that is mentioned
in the Complaint but not addressed in this Order is considered dismissed without
prejudice as inadequately pled under Twombly. See Twombly, 550 U.S. at 570 (an action
fails to state a claim upon which relief can be granted if it does not plead “enough facts
to state a claim that is plausible on its face”).
Discussion
Claim 1 is adequate to survive initial review against all three defendants for their
role in providing Plaintiff with healthcare services.
By contrast, Claim 2 is insufficient and will be dismissed. Although Plaintiff
named Wexford Health Source, Inc., as a defendant in this action, he does not provide
any factual allegations detailing Wexford’s alleged role in a constitutional violation. Bare
legal assertions without factual elaboration are not sufficient to state a claim. See e.g.,
Twombly, 550 U.S. at 555.
Wexford, a private corporation, cannot be held liable under § 1983 unless the
constitutional violation was caused by an unconstitutional policy or custom of the
corporation itself. Shields v. Illinois Dept. of Corrections, 746 F.3d 782, 789 (7th Cir. 2014);
see also Monell v. Department of Social Services of City of New York, 436 U.S. 658 (1978). Thus,
under Monell, for Plaintiff to recover from Wexford, he must show that the alleged
constitutional violation was caused by: (1) an express policy that caused a constitutional
deprivation when enforced; (2) a widespread practice that was so permanent and well-
settled that it constituted a custom or practice; or (3) a person with final policymaking
authority. Dean v. Wexford Health Sources, Inc., 18 F.4th 214, 235 (7th Cir. 2021). In other
words, a plaintiff must show that “systematic and gross deficiencies in …[IDOC’s]
medical care system,” caused his injury, and also that “a policymaker or official knew
about these deficiencies and failed to correct them.” Daniel v. Cook Cty., 833 F.3d 728, 735
(7th Cir. 2016). Alternatively, a plaintiff must show that “the unlawful practice was so
pervasive that acquiescence on the part of policymakers was apparent and amounted to
a policy decision.” Dixon v. Cty. Of Cook, 819 F.3d 343, 348 (7th Cir. 2016).
Here, Plaintiff has no factual allegations concerning a violative policy or custom.
In the complete absence of specific allegations, Plaintiff has failed to state a valid claim.
Thus, Claim 2 does not survive §1915A review, and it will be dismissed without
prejudice.
Motion for Counsel
In his Motion for Counsel (Doc. 3) Plaintiff indicates that he has sent letters to
several attorneys, and he attached responses declining representation. Plaintiff claims
that he has a limited knowledge of the law, and his highest level of education completed
is the 11th grade. Despite Plaintiff’s legitimate concerns, he has done an excellent job
preparing his pleading at this early stage of litigation, so the Court finds that it is not yet
necessary to appoint an attorney. See Pruitt v. Mote, 503 F.3d 647, 655 (7th Cir. 2007) (the
decision to appoint counsel depends on the difficulty of the case and plaintiff’s
competency to represent him or herself). Here, the claims have not yet proven too
difficult for Plaintiff to represent himself. Therefore, Plaintiff’s Motion for Counsel (Doc.
3) will be DENIED without prejudice. Plaintiff may renew his motion later in the
litigation if it is necessary.
Disposition
IT IS HEREBY ORDERED THAT Claim 1 of the Complaint (Doc. 1) survives
initial screening as described above. Claim 2 against Wexford Health Source, Inc., will
be DISMISSED without prejudice. The Clerk of Court is directed to TERMINATE
Defendant Wexford Health Source, Inc. from this lawsuit because there are no remaining
claims against this defendant. Plaintiff’s Motions for Status (Doc. 10, 11) will be DENIED
as MOOT. Although Plaintiff had sufficient funds to pay his filing fee in this case, the
Court recognizes that his financial status is similar to that of an indigent inmate, and so
the Court will provide service of process on his behalf.
The Clerk of Court is DIRECTED to prepare for Defendants Dr. Larson, Nurse
Williams, and Debbie Issacs: (1) Form 5 (Notice of a Lawsuit and Request to Waive
Service of a Summons), and (2) Form 6 (Waiver of Service of Summons). The Clerk is
DIRECTED to mail these forms, a copy of the Complaint (Doc. 1), and this Memorandum
and Order to Defendants’ place of employment as identified by Plaintiff. If Defendant
fails to sign and return the Waiver of Service of Summons (Form 6) to the Clerk within 30
days from the date the forms were sent, the Clerk shall take appropriate steps to effect
formal service on Defendant, and the Court will require Defendant to pay the full costs
of formal service, to the extent authorized by the Federal Rules of Civil Procedure.
If a Defendant cannot be found at the work address provided by Plaintiff, the
employer shall furnish the Clerk with the Defendant’s current work address, or, if not
known, the Defendant’s last-known address. This information shall be used only for
sending the forms as directed above or for formally effecting service. Any documentation
of the address shall be retained only by the Clerk. Address information shall not be
maintained in the court file or disclosed by the Clerk.
Defendants are ORDERED to timely file an appropriate responsive pleading to
the Complaint and shall not waive filing a reply pursuant to 42 U.S.C. § 1997e(g).
Pursuant to Administrative Order No. 244, Defendants need only respond to the issues
stated in this Merits Review Order.
If judgment is rendered against Plaintiff, and the judgment includes the payment
of costs under Section 1915, Plaintiff will be required to pay the full amount of the costs,
regardless of whether his application to proceed in forma pauperis was granted. See 28
U.S.C. § 1915(f)(2)(A).
Plaintiff is ADVISED that he is under a continuing obligation to inform the Clerk
of Court and each opposing party of any address changes; the Court will not
independently investigate his whereabouts. This shall be done in writing and not later
than 7 days after a transfer or other change of address occurs. Failure to comply with this
order will cause a delay in the transmission of court documents and may result in
dismissal of this action for failure to prosecute. FED. R. CIV. P. 41(b).
Based on the allegations in the Complaint, the Clerk of Court is DIRECTED to
enter the standard qualified protective order pursuant to the Health Insurance Portability
and Accountability Act.
IT IS SO ORDERED.
Dated: February 10, 2022 “
DAVID W. DUGAN
United States District Judge
Notice to Plaintiff
The Court will take the necessary steps to notify the appropriate defendants of your
lawsuit and serve them with a copy of your complaint. After service has been achieved,
the defendants will enter their appearance and file an Answer to the complaint. It will
likely take at least 60 days from the date of this Order to receive the defendants’ Answers,
but it is entirely possible that it will take 90 days or more. When all of the defendants
have filed Answers, the Court will enter a Scheduling Order containing important
information on deadlines, discovery, and procedures. Plaintiff is advised to wait until
counsel has appeared for the defendants before filing any motions, to give the defendants
notice and an opportunity to respond to those motions. Motions filed before defendants’
counsel has filed an appearance will generally be denied as premature. Plaintiff need not
submit any evidence to the Court at his time, unless otherwise directed by the Court.
The Court wishes to remind the Plaintiff that litigation is often viewed a series of hurdles
that the Plaintiff must clear to get to another hurdle. Initial screening is such a hurdle, but
it is a very low one for the Plaintiff to clear. As noted above, surviving initial screening
only requires the bare statement of a claim that, if proven, could entitle Plaintiff to some
relief. At trial, he will need to prove by a preponderance of evidence that the facts alleged
actually occurred and that those facts satisfy the legal requirements for recovery. Trial is
the highest and most difficult of hurdles for any Plaintiff to clear.