Opinion

Houston v. McKinney

Court
District Court, E.D. Missouri
Filed
Dec 17, 2019
Cited by
0 cases
Authority
More cited than 24.0%

stating that “a state is not a person for purposes of a claim for money damages under § 1983”

How later courts described this case

  • stating that “a state is not a person for purposes of a claim for money damages under § 1983”
  • stating that a “State is not a person under § 1983”
  • “Courts are not bound to accept as true a legal conclusion couched as a factual allegation, and factual allegations must be enough to raise a right to relief above the speculative level”
  • stating that federal courts are not required to “assume facts that are not alleged, just because an additional factual allegation would have formed a stronger complaint”

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF MISSOURI

EASTERN DIVISION

DAMON JOSIAH HOUSTON, )

)

Plaintiff, )

)

v. ) No. 4:19-cv-01901-SRC

)

WILLIAM D. MCKINNEY, et al., )

)

Defendants. )

MEMORANDUM AND ORDER

This matter is before the Court on the motion of plaintiff Damon Josiah Houston for leave

to commence this civil action without prepayment of the required filing fee. (Docket No. 3).

Having reviewed the motion and the financial information submitted in support, the Court has

determined that plaintiff lacks sufficient funds to pay the entire filing fee, and will assess an initial

partial filing fee of $60.31. See 28 U.S.C. § 1915(b)(1). Additionally, for the reasons discussed

below, the Court will dismiss plaintiff’s complaint without prejudice.

28 U.S.C. § 1915(b)(1)

Pursuant to 28 U.S.C. § 1915(b)(1), a prisoner bringing a civil action in forma pauperis is

required to pay the full amount of the filing fee. If the prisoner has insufficient funds in his or her

prison account to pay the entire fee, the Court must assess and, when funds exist, collect an initial

partial filing fee of 20 percent of the greater of (1) the average monthly deposits in the prisoner’s

account, or (2) the average monthly balance in the prisoner’s account for the prior six-month

period. After payment of the initial partial filing fee, the prisoner is required to make monthly

payments of 20 percent of the preceding month’s income credited to the prisoner’s account. 28

U.S.C. § 1915(b)(2). The agency having custody of the prisoner will forward these monthly

payments to the Clerk of the Court each time the amount in the prisoner’s account exceeds $10.00,

until the filing fee is fully paid. Id.

In support of his motion for leave to proceed in forma pauperis, plaintiff has submitted a

copy of his certified inmate account statement. (Docket No. 4). The certified inmate account

statement shows an average monthly deposit of $301.57. The Court will therefore assess an initial

partial filing fee of $60.31, which is 20 percent of plaintiff’s average monthly deposit.

Legal Standard on Initial Review

Under 28 U.S.C. § 1915(e)(2), the Court is required to dismiss a complaint filed in forma

pauperis if it is frivolous, malicious, or fails to state a claim upon which relief can be granted. To

state a claim under 42 U.S.C. § 1983, a plaintiff must demonstrate a plausible claim for relief,

which is more than a “mere possibility of misconduct.” Ashcroft v. Iqbal, 556 U.S. 662, 679 (2009).

“A claim has facial plausibility when the plaintiff pleads factual content that allows the court to

draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. at 678.

Determining whether a complaint states a plausible claim for relief is a context-specific task that

requires the reviewing court to draw upon judicial experience and common sense. Id. at 679. The

court must “accept as true the facts alleged, but not legal conclusions or threadbare recitals of the

elements of a cause of action, supported by mere conclusory statements.” Barton v. Taber, 820

F.3d 958, 964 (8th Cir. 2016). See also Brown v. Green Tree Servicing LLC, 820 F.3d 371, 372-73

(8th Cir. 2016) (stating that court must accept factual allegations in complaint as true, but is not

required to “accept as true any legal conclusion couched as a factual allegation”).

When reviewing a pro se complaint under § 1915(e)(2), the Court must give it the benefit

of a liberal construction. Haines v. Kerner, 404 U.S. 519, 520 (1972). A “liberal construction”

means that if the essence of an allegation is discernible, the district court should construe the

plaintiff’s complaint in a way that permits his or her claim to be considered within the proper legal

framework. Solomon v. Petray, 795 F.3d 777, 787 (8th Cir. 2015). However, even pro se complaints

are required to allege facts which, if true, state a claim for relief as a matter of law. Martin v.

Aubuchon, 623 F.2d 1282, 1286 (8th Cir. 1980). See also Stone v. Harry, 364 F.3d 912, 914-15 (8th

Cir. 2004) (stating that federal courts are not required to “assume facts that are not alleged, just

because an additional factual allegation would have formed a stronger complaint”). In addition,

affording a pro se complaint the benefit of a liberal construction does not mean that procedural

rules in ordinary civil litigation must be interpreted so as to excuse mistakes by those who proceed

without counsel. See McNeil v. United States, 508 U.S. 106, 113 (1993).

The Complaint

Plaintiff is a pro se litigant currently incarcerated at the Potosi Correctional Center (PCC)

in Mineral Point, Missouri. (Docket No. 1 at 2). He brings this action pursuant to 42 U.S.C. § 1983.

Five defendants are listed in the complaint: Dr. William McKinney; Warden Travis Crews;

Corizon Health Care; Dr. Carl Doerhoff; and Grievance Officer R. Savage. (Docket No. 1 at 2-4).

Defendants are sued in both their individual and official capacities.

Plaintiff states that on or about March 12, 2018, while at PCC, a growth known as Giant

Cell Granuloma began forming on his forehead. (Docket No. 1 at 5). The growth caused him severe

migraines. On March 26, 2018, he was seen by Dr. McKinney. (Docket No. 1 at 7). Plaintiff

advised Dr. McKinney of the severe headaches he was experiencing, as well as a swelling behind

both eyelids. According to plaintiff, Dr. McKinney told him that it was “nothing but a cyst,” and

that he would “drain it” if it got any bigger. At that time, Dr. McKinney did not order a biopsy or

send plaintiff to get a CT scan.

On April 17, 2018, plaintiff saw an eye doctor for the swelling in both his eyelids and the

pea-sized growths on his eyelids. The eye doctor told plaintiff that the swelling and growths were

“most likely secondary damage from the abnormal growth on the left side of [his] forehead.”

On April 23, 2018, plaintiff’s headaches were so severe he could not work. He was also

suffering blurry vision. He self-declared to receive medical attention. Plaintiff was sent to

Washington County Memorial Hospital where he received a CT scan.

Two days later, plaintiff saw Dr. McKinney, who measured the growth and noticed that it

had gotten larger. Plaintiff asserts that Dr. McKinney did not “drain it like he stated he would if it

got bigger.” Instead, plaintiff was sent back to his housing unit.

Plaintiff self-declared to medical on both April 28, 2018 and May 6, 2018, complaining

about the growth on his forehead and the pain he was experiencing. On May 7, 2018, he was again

seen by Dr. McKinney. Plaintiff states that Dr. McKinney “ignored [his] complaint about the

pain.” (Docket No. 1 at 8). However, plaintiff acknowledges that Dr. McKinney told plaintiff that

he was “scheduled to see a surgeon.”

On May 10, 2018, he was seen by Dr. Doerhoff through TeleMed. During the examination,

Dr. Doerhoff told plaintiff that he could not see the knot on plaintiff’s head. Dr. Doerhoff also told

plaintiff that the droopiness in his face and his swollen eyelids were not secondary effects of the

knot on his forehead.

On May 23, 2018, plaintiff went to Jefferson City and saw Dr. Doerhoff in his office to

have a biopsy done. Plaintiff also went to the hospital to have an MRI.

On May 29, 2018, plaintiff went to University of Missouri Health Care to be assessed for

surgery and to receive his biopsy results. The biopsy results were not cancerous. (Docket No. 1 at

9). Plaintiff had surgery to remove the growth on June 7, 2018. (Docket No. 1 at 5). The surgery

took place at University of Missouri Health Care. (Docket No. 1 at 9). Following surgery, he was

returned to PCC the same day, though plaintiff notes he does not know why he was not able to

stay overnight.

On March 1, 2019, plaintiff went to SLU Care Medical Group for an assessment of his

eyelids. He was told that he would need to have surgery to help with the droopiness by tightening

the muscles.

As a result of having the Giant Cell Granuloma removed, plaintiff has a long, visible scar

on his forehead. (Docket No. 1 at 11). He also had a piece of his skull removed and replaced by “a

foreign substance.” He states that he suffered nerve damage to the left side of his forehead, and

muscle damage in both his eyelids.

Plaintiff alleges that Dr. McKinney “failed to adequately inquire into the facts necessary

to make a professional judgment and treatment…in a reasonable time frame that would have

prevented the damage” to plaintiff. (Docket No. 1 at 5). Likewise, he claims that Dr. Doerhoff

delayed treatment by failing “to adequately inquire into the facts to make the necessary judgment

for [his] treatment.” (Docket No. 1 at 6). He also states that Corizon “failed to intervene” when his

treatment was delayed by Dr. McKinney and Dr. Doerhoff. (Docket No. 1 at 5).

Plaintiff asserts that Warden Travis Crews “failed to intervene and review [his] IRR and

Grievance in the proper time frame to prevent [his] Due Process [rights] from being violated.”

Similarly, he alleges that Grievance Officer Savage failed to inform Warden Crews that his Due

Process rights were being violated when the response to his IRR, grievance, and grievance appeal

went over the response time provided in the Offender Grievance Procedure. (Docket No. 1 at 5-

6).

Plaintiff is seeking $800,000 in compensation for the damage to his skull; for the damage

to the nerves on the left side of his forehead; for the chronic migraines he now suffers; and due to

the fact that he has to have another surgery to repair secondary damage. (Docket No. 1 at 12).

Discussion

Plaintiff is a pro se litigant who brings this civil action pursuant to 42 U.S.C. § 1983. He

alleges that his constitutional rights were violated in relation to treatment he received for a growth

on his forehead. Having thoroughly reviewed and liberally construed plaintiff’s complaint, and for

the reasons discussed below, this action must be dismissed for failure to state a claim.

A. Corizon Claim

Plaintiff’s claim against Corizon Health Care must be dismissed. A corporation acting

under color of state law, such as Corizon, cannot be liable on a respondeat superior theory. Smith

v. Insley’s Inc., 499 F.3d 875, 880 (8th Cir. 2007). Rather, to support such a claim, the plaintiff

“must show that there was a policy, custom, or official action that inflicted an actionable injury.”

Johnson v. Hamilton, 452 F.3d 967, 973 (8th Cir. 2006). See also Sanders v. Sears, Roebuck & Co.,

984 F.2d 972, 975 (8th Cir. 1993) (stating that a corporation acting under color of state law will

only be held liable where “there is a policy, custom or action by those who represent official policy

that inflicts injury actionable under § 1983”).

Here, plaintiff alleges that Corizon “failed to intervene when [he] was seen by [Dr.

Doerhoff] through TeleMed and when the recommendation from [Dr. McKinney] was entered.

Because of this “delayed” action, plaintiff asserts that he suffered preventable damage to his skull

and eyelid muscles.

There are no facts in the complaint to support the contention that plaintiff was injured due

to a policy, custom, or official action on the part of Corizon. Instead, plaintiff merely presents a

legal conclusion, to wit: that Corizon “failed to intervene.” The Court is not required to accept

such a conclusion as true. Torti v. Hoag, 868 F.3d 666, 671 (8th Cir. 2017) (“Courts are not bound

to accept as true a legal conclusion couched as a factual allegation, and factual allegations must be

enough to raise a right to relief above the speculative level”). Therefore, plaintiff’s claim against

Corizon Health Care must be dismissed.

B. Official Capacity Claim Against Dr. McKinney

Plaintiff’s claim against Dr. McKinney in his official capacity must be dismissed. In an

official capacity claim against an individual, the claim is actually “against the governmental entity

itself.” See White v. Jackson, 865 F.3d 1064, 1075 (8th Cir. 2017). Thus, a “suit against a public

employee in his or her official capacity is merely a suit against the public employer.” Johnson v.

Outboard Marine Corp., 172 F.3d 531, 535 (8th Cir. 1999). See also Brewington v. Keener, 902

F.3d 796, 800 (8th Cir. 2018) (explaining that official capacity suit against sheriff and his deputy

“must be treated as a suit against the County”); Kelly v. City of Omaha, Neb., 813 F.3d 1070, 1075

(8th Cir. 2016) (stating that a “plaintiff who sues public employees in their official, rather than

individual, capacities sues only the public employer”); and Elder-Keep v. Aksamit, 460 F.3d 979,

986 (8th Cir. 2006) (stating that a “suit against a public official in his official capacity is actually a

suit against the entity for which the official is an agent”). In order to prevail on an official capacity

claim, the plaintiff must establish the governmental entity’s liability for the alleged conduct. Kelly,

813 F.3d at 1075.

Plaintiff is alleged to be employed by Corizon Health Care. Thus, an official capacity claim

against Dr. McKinney is actually a claim against Corizon itself. As discussed above, plaintiff has

failed to state a claim against Corizon because he has not presented any facts showing an actionable

injury caused by a Corizon policy, custom, or official action. Therefore, plaintiff’s official capacity

claim against Dr. McKinney must be dismissed.

C. Official Capacity Claim Against Dr. Doerhoff

Plaintiff’s official capacity claim against Dr. Doerhoff must be dismissed. Dr. Doerhoff is

alleged to be employed by CRP-Surgicare. As previously stated, an official capacity claim against

an individual is actually a claim against that individual’s employer. See White, 865 F.3d at 1075.

However, plaintiff has presented no factual allegations against CRP-Surgicare whatsoever, much

less any factual allegations showing that he was injured by a CRP-Surgicare policy, custom, or

official action. See Johnson, 452 F.3d at 973. Therefore, plaintiff has failed to state an official

capacity claim against Dr. Doerhoff.

D. Official Capacity Claims Against Warden Crews and Grievance Officer Savage

Plaintiff’s official capacity claims against Warden Crews and Grievance Officer Savage

must be dismissed. Warden Crews and Grievance Officer Savage are both alleged to be employed

by the Missouri Department of Corrections. Thus, the official capacity claims against them are

actually against the State of Missouri, their employer. See White, 865 F.3d at 1075.

“Section 1983 provides for an action against a ‘person’ for a violation, under color of law,

of another’s civil rights.” McLean v. Gordon, 548 F.3d 613, 618 (8th Cir. 2008). See also Deretich

v. Office of Admin. Hearings, 798 F.2d 1147, 1154 (8th Cir. 1986) (stating that “[§] 1983 provides

a cause of action against persons only”). However, “neither a State nor its officials acting in their

official capacity are ‘persons’ under § 1983.” Will v. Michigan Dep’t of State Police, 491 U.S. 58,

71 (1989). See also Calzone v. Hawley, 866 F.3d 866, 872 (8th Cir. 2017) (stating that a “State is

not a person under § 1983”); and Kruger v. Nebraska, 820 F.3d 295, 301 (8th Cir. 2016) (stating

that “a state is not a person for purposes of a claim for money damages under § 1983”). Because

the State of Missouri is not a § 1983 person, plaintiff’s official capacity claims against state

employees Crews and Savage must be dismissed.

E. Individual Capacity Claims Against Dr. McKinney and Dr. Doerhoff

Plaintiff’s individual capacity claims against Dr. McKinney and Doerhoff for deliberate

indifference to his medical needs must be dismissed. Under the Eighth Amendment, the

government has an obligation to provide medical care to those whom it is punishing by

incarceration. Estelle v. Gamble, 429 U.S. 97, 103 (1976). To demonstrate constitutionally

inadequate medical care, the inmate must show that a prison official’s conduct amounted to

deliberate indifference. Dulany v. Carnahan, 132 F.3d 1234, 1237-38 (8th Cir. 1997).

In order to establish deliberate indifference, a plaintiff must prove that he suffered from an

objectively serious medical need, and that prison officials actually knew of and disregarded that

need. Roberts v. Kopel, 917 F.3d 1039, 1042 (8th Cir. 2019). See also Phillips v. Jasper Cty. Jail,

437 F.3d 791, 795 (8th Cir. 2006). “A serious medical need is one that has been diagnosed by a

physician as requiring treatment, or one that is so obvious that even a layperson would easily

recognize the necessity for a doctor’s attention.” Coleman v. Rahija, 114 F.3d 778, 784 (8th Cir.

1997). Deliberate indifference can include the intentional denial or delay of access to medical care,

or the intentional interference with treatment or prescribed medication. Vaughn v. Lacey, 49 F.3d

1344, 1346 (8th Cir. 1995).

To prevail under this standard, an inmate must demonstrate that a prison health care

provider’s actions were “so inappropriate as to evidence intentional maltreatment or a refusal to

provide essential care.” Jackson v. Buckman, 756 F.3d 1060, 1066 (8th Cir. 2014). As such,

“deliberate indifference requires a highly culpable state of mind approaching actual intent.” Kulkay

v. Roy, 847 F.3d 637, 643 (8th Cir. 2017). Thus, a showing of deliberate indifference requires more

than a mere disagreement with treatment decisions and is greater than gross negligence. Gibson v.

Weber, 433 F.3d 642, 646 (8th Cir. 2006).

Here, plaintiff alleges that Dr. McKinney and Dr. Doerhoff both “failed to adequately

inquire into the facts necessary to make a professional judgment” in order for him to receive

treatment in a “reasonable time frame.” Specifically, plaintiff states that Dr. McKinney

misdiagnosed his Giant Cell Granuloma as a cyst. He further states that Dr. Doerhoff did not

review his medical records before assessing him through TeleMed, and later stated that the growth

on his head was “cancer,” without awaiting the biopsy results.

Plaintiff’s allegations that Dr. McKinney and Dr. Doerhoff failed to properly diagnose him

do not state a deliberate indifference claim. Rather, plaintiff appears to be asserting a claim of

medical malpractice. Medical malpractice, however, is not actionable under the Eighth

Amendment. Popoalii v. Corr. Med. Servs., 512 F.3d 488, 499 (8th Cir. 2008). See also Kulkay,

847 F.3d at 643 (stating that mere negligence or inadvertence does not rise to the level of deliberate

indifference); Gibson, 433 F.3d at 646 (stating that deliberate indifference is greater than gross

negligence); and McRaven v. Sanders, 577 F.3d 974, 982 (8th Cir. 2009) (“Negligent misdiagnosis

does not create a cognizable claim under § 1983”).

Plaintiff has also failed to demonstrate that his treatment was intentionally delayed due to

the actions of Dr. McKinney and Dr. Doerhoff. As noted above, deliberate indifference can include

the intentional denial or delay of access to medical care. See Vaughn, 49 F.3d at 1346. However,

a prison health care provider’s actions must be “so inappropriate as to evidence intentional

maltreatment or a refusal to provide essential care.” Jackson, 756 F.3d at 1066.

Plaintiff’s facts indicate that a little less than three months elapsed between the time a

growth began forming on his forehead until he had the growth removed. Plaintiff does not

demonstrate that this was an unreasonable amount of time. During this period, plaintiff

acknowledges being seen by both doctors and nurses. He also acknowledges receiving a CT scan,

a biopsy, and an MRI. He also had surgery to remove the growth. While he claims that Dr.

McKinney and Dr. Doerhoff were wrong in their professional judgments, he does not establish

that their actions evidenced “intentional maltreatment or a refusal to provide essential care.”

Indeed, plaintiff notes that upon seeing Dr. McKinney on May 7, 2018, Dr. McKinney advised

plaintiff he was scheduled to see a surgeon. Moreover, plaintiff notes that Dr. Doerhoff remotely

assessed plaintiff on May 10, 2018, and saw plaintiff in his office on May 23, 2018, where he

performed a biopsy. These facts do not show that Dr. McKinney or Dr. Doerhoff had the “highly

culpable state of mind approaching actual intent” required to prove deliberate indifference.

Therefore, plaintiff’s individual capacity claims against Dr. McKinney and Dr. Doerhoff must be

dismissed.

F. Individual Capacity Claim Against Warden Crews

Plaintiff’s individual capacity claim against Warden Crews must be dismissed. Vicarious

liability is inapplicable to § 1983 suits. Marsh v. Phelps Cty., 902 F.3d 745, 754 (8th Cir. 2018).

As such, “[g]overnment officials are personally liable only for their own misconduct.” S.M. v.

Krigbaum, 808 F.3d 335, 340 (8th Cir. 2015). Thus, “a supervising officer can be liable for an

inferior officer’s constitutional violation only if he directly participated in the constitutional

violation, or if his failure to train or supervise the offending actor caused the deprivation.” Parrish

v. Ball, 594 F.3d 993, 1001 (8th Cir. 2010). “[A] general responsibility for supervising the

operations of a prison is insufficient to establish the personal involvement required to support

liability.” Camberos v. Branstad, 73 F.3d 174, 176 (8th Cir. 1995).

Here, plaintiff alleges that Warden Crews “failed to intervene and review [his] IRR and

Grievance in the proper time frame to prevent [his] Due Process from being violated.” In particular,

plaintiff accuses Warden Crews of failing to respond in the timeframe provided by the Offender

Grievance Procedure.

An inmate has a liberty interest in the nature of his confinement, but not an interest in the

procedures by which the state believes it can best determine how he should be confined. Kennedy

v. Blankenship, 100 F.3d 640, 643 (1996). As such, “there is no constitutional liberty interest in

having state officers follow state law or prison officials follow prison regulations.” Phillips v.

Norris, 320 F.3d 844, 847 (8th Cir. 2003). A prison grievance procedure is a procedural right only

and does not confer upon an inmate a substantive right. Buckley v. Barlow, 997 F.2d 494, 495 (8th

Cir. 1993). See also Lomholt v. Holder, 287 F.3d 683, 684 (8th Cir. 2002) (agreeing with district

court that “defendants’ denial of [plaintiff’s] grievances did not state a substantive constitutional

claim”); and Fallon v. Coulson, 5 F.3d 531, 1993 WL 349355, at *1 (8th Cir. 1993) (unpublished

opinion) (stating that the failure of defendants “to acknowledge receipt of and respond to plaintiffs’

grievances pursuant to prison procedure did not violate any of plaintiffs’ constitutional rights”).

Plaintiff does not have a liberty interest in Warden Crews timely responding to his IRR or

grievance. It therefore follows that Warden Crews did not violate plaintiff’s constitutional rights

by allegedly failing to provide a timely response. Moreover, as explained above, plaintiff has not

established that his constitutional rights were violated with regard to the medical treatment he

received at PCC. Thus, Warden Crews cannot be liable for failing to intervene. For these reasons,

plaintiff has failed to state an individual capacity claim against Warden Crews.

G. Individual Capacity Claim Against Grievance Officer Savage

Plaintiff’s claim against Grievance Officer Savage in his individual capacity must be

dismissed. Plaintiff alleges that Grievance Officer Savage failed to inform the warden and D.O.N.

Smith that his right to due process was violated when the response to his IRR, grievance, and

grievance appeal went over the timeframe in the Offender Grievance Procedure. He also states that

Grievance Officer Savage should not have made him do a second grievance appeal. As previously

noted, a prison grievance procedure is a procedural right only and does not confer upon an inmate

a substantive right. Buckley, 997 F.2d at 495. Grievance Officer Savage’s purported failure to

follow the prison grievance procedure does not have constitutional implications. Therefore,

plaintiff's individual capacity claim against Grievance Officer Savage must be dismissed.

H. Motion to Appoint Counsel

Plaintiff has filed a motion to appoint counsel. (Docket No. 2). The motion will be denied

as this action is being dismissed for failure to state a claim. See 28 U.S.C. § 1915(e)(2)(B).

Accordingly,

IT IS HEREBY ORDERED that plaintiffs motion for leave to proceed in forma pauperis

(Docket No. 3) is GRANTED.

IT IS FURTHER ORDERED that plaintiff must pay an initial filing fee of $60.31 within

twenty-one (21) days of the date of this Order. Plaintiff is instructed to make his remittance payable

to “Clerk, United States District Court,’ and to include upon it: (1) his name; (2) his prison

registration number; (3) the case number; and (4) the statement that the remittance is for an original

proceeding.

IT IS FURTHER ORDERED that plaintiffs motion for appointment of counsel (Docket

No. 2) is DENIED AS MOOT.

IT IS FURTHER ORDERED that this action is DISMISSED without prejudice for

failure to state a claim. See 28 U.S.C. § 1915(e)(2)(B). A separate order of dismissal will be entered

herewith.

IT IS FURTHER ORDERED that an appeal from this dismissal would not be taken in

good faith.

Dated this 17th day of December, 2019. inet es / c a

STEPHENR.CLARK sss

UNITED STATES DISTRICT JUDGE

13

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.