"While legal conclusions can provide the framework of a complaint, they must be supported by factual allegations."
How later courts described this case
- "While legal conclusions can provide the framework of a complaint, they must be supported by factual allegations."
Written by the judges who cited it.
The opinion
NORTHERN □□ TEXAS
IN THE UNITED STATES DISTRICT [COUR
NORTHERN DISTRICT OF TEXA JAN 21 2020
FORT WORTH DIVISION
CLERK, U.S. DISTRICT COURT
MARIO GONZALEZ, § BY gr
§
Plaintiff, §
§
VS. § NO. 4:19-CV-694-A
§
SERGIO MERCADO, ET AL.,
§
Defendants. §
MEMORANDUM OPINION AND ORDER
Came on for consideration the motion of defendant Sergio
Mercado (“Mercado”) to dismiss. Plaintiff, Mario Gonzalez, has
failed to respond to the motion, which is ripe for ruling. The
court, having considered the motion, the record, and applicable
authorities, finds that the motion should be granted.
I.
Plaintiff's Claims
On September 3, 2019, plaintiff filed his complaint in this
action. Doc.’ 1. By order signed September 5, 2019, the court
ordered plaintiff to file an amended complaint, in particular, to
set out the facts to show that Mercado was deliberately
indifferent to plaintiff’s medical needs. Doc. 7 at 3. On
September 27, 2019, plaintiff filed a document titled “Amended
'The “Doc. _” reference is to the number of the item on the docket in this action
Complaint,” Doc. 8, which the court interpreted as a supplemental
complaint. Doc. 9 at 1, n.1.
Plaintiff complains that he was transferred to FMC Fort
Worth for treatment of his renal kidney failure, but that
Mercado, a doctor, failed to treat him for a period of or around
six months, causing his disease to progress from stage 3 to stage
5 with the consequence that plaintiff will be on dialysis the
remainder of his life. He asserts a tort claim against United
States and a Bivens’? claim against Mercado.?
TT,
Grounds of the Motion
Mercado seeks dismissal of plaintiff‘’s claims against him
for failure of plaintiff to plead facts sufficient to show
deliberate indifference to plaintiff's serious medical needs,
And, Mercado says he is entitled to qualified immunity. He also
argues that plaintiff has failed to state a claim under the Fifth
or Fourteenth Amendments.
*Bivens v. Six Unknown Named Agents of Fed. Bureau of Narcotics, 403 U.S. 388 (1971).
*The court does not interpret plaintiff's complaint to assert claims against Mercado in his official
capacity. But, as Mercado notes, Doc. 19 at 1, n.1, official capacity claims are deemed to be claims
against the United States itself. Kentucky v. Graham, 473 U.S. 159, 166 (1985). Plaintiff is asserting a
tort claim against United States, based at least in part on the alleged conduct of Mercado.
III.
Applicable Legal Principles
A. Pleading Standards
Rule 8(a) (2) of the Federal Rules of Civil Procedure
provides, in a general way, the applicable standard of pleading.
Ib requires that a complaint contain "a short and plain statement
of the claim showing that the pleader is entitled to relief,"
Fed. R. Civ. P. 8(a){2), “in order to give the defendant fair
notice of what the claim is and the grounds upon which it rests,”
Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007) (internal
quotation marks and ellipsis omitted). Although a complaint need
not contain detailed factual allegations, the "showing"
contemplated by Rule 8 requires the plaintiff to do more than
simply allege legal conclusions or recite the elements of a cause
of action. Twombly, 550 U.S. at 555 &n.3. Thus, while a court
must accept all of the factual allegations in the complaint as
true, it need not credit bare legal conclusions that are
unsupported by any factual underpinnings. See Ashcroft v. Iqbal,
556 U.S. 662, 679 (2009) ("While legal conclusions can provide
the framework of a complaint, they must be supported by factual
allegations.").
Moreover, to survive a motion to dismiss for failure to
state a claim, the facts pleaded must allow the court to infer
,
that the plaintiff's right to relief is plausible. Iqbal, 556
U.S. at 678. To allege a plausible right to relief, the facts
pieaded must suggest liability; allegations that are merely
consistent with unlawful conduct are insufficient. Id. In other
words, where the facts pleaded do no more than permit the court
to infer the possibility of misconduct, the complaint has not
shown that the pleader is entitled to relief. Id. at 679.
"Determining whether a complaint states a plausible claim for
relief . . . [is] a context-specific task that requires the
reviewing court to draw on its judicial experience and common
sense." Id.
As the Fifth Circuit has explained: “Where the complaint is
devoid of facts that would put the defendant on notice as to what
conduct supports the claims, the complaint fails to satisfy the
requirement of notice pleading.” Anderson v. U.S. Dep’t of
Housing & Urban Dev., 554 F.3d 525, 528 (5th Cir. 2008}. In sum,
‘a complaint must do more than name laws that may have been
violated by the defendant; it must also allege facts regarding
what conduct violated those laws. In other words, a complaint
must put the defendant on notice as to what conduct is being
called for defense in a court of law." Id. at 528-29, Further,
the complaint must specify the acts of the defendants
individually, not collectively, to meet the pleading standards of
Rule 8(a}. See Griggs v. State Farm Lloyds, 181 F.3d 694, 699
(Sth Cir. 1999); see also Searcy v. Knight (In re Am. Int’
Refinery), 402 B.R, 728, 738 (Bankr. W.D. La. 2008).
In considering a motion to dismiss for failure to state a
claim, the court may consider documénts attached to the motion if
they are referred to in the plaintiff’s complaint and are central
to the plaintiff's claims. Scanlan v. Tex. A&M Univ., 343 F.3d
533, 536 (5th Cir. 2003). The court may also refer to matters of
public record. Davis v. Bayless, 70 F.3d 367, 372 n.3 (5th Cir.
1995}; Cinel v. Connick, 15 F.3d 1338, 1343 n.6 (Sth Cir. 1994).
This includes taking notice of pending judicial proceedings.
Patterson v, Mobil Oil Corp., 335 F.3d 476, 481 n.1 (5th Cir.
2003). And, it includes taking notice of governmental websites.
Kitty Hawk Aircargo, Inc. v. Chao, 418 F.3d 453, 457 (Sth Cir.
2005); Coleman v. Dretke, 409 F.3d 665, 667 {5th Cir. 2005).
B. Qualified Immunity
Qualified immunity insulates a government official from
civil damages liability when the official's actions do 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). For a right to be "clearly
established," the right's contours must be "sufficiently clear
that a reasonable official would understand that what he is doing
violates that right." Anderson v. Creighton, 483 U.S. 635, 640
(1987). Individual liability thus turns on the objective legal
reasonableness of the defendant's actions assessed in light of
clearly established law at the time. Hunter v. Bryant, 502 U.S.
224, 228 (1991); Anderson, 483 U.S. at 639-40, in Harlow, the
court explained that a key question is “whether that law was
clearly established at the time an action occurred” because “[i]lf
the law at that time was not clearly established, an official
could not reasonably be expected to anticipate subsequent legal
developments, nor could he fairly be said to 'know' that the law
forbade conduct not previously identified as unlawful.” 457 U.S.
at 818. In assessing whether the law was clearly established at
the time, the court is to consider all relevant legal authority,
whether cited by the parties or not. Elder v. Holloway, 510-U.S.
510, 512 (1994). Ef public officials of reasonable competence
could differ on the lawfulness of defendant's actions, the
defendant is entitled to qualified immunity. Malley v. Briggs,
475 U.S. 335, 341 (1986); Fraire v. City of Arlington, 957 F.2d
1268, 1273 (5th Cir. 1992). "[Aln allegation of malice is not
sufficient to defeat immunity if the defendant acted in an
objectively reasonable manner." Malley, 475 U.S. at 341.
In analyzing whether an individual defendant is entitled to
qualified immunity, the court considers whether plaintiff has
alleged any violation of a clearly established right, and, if so,
whether the individual defendant's conduct was objectively
reasonable. Siegert v. Gilley, 500 U.S. 226, 231 (1991); Duckett
v, City of Cedar Park, 950 F.2d 272, 276-80 (Sth Cir. 1992}. In
so doing, the court should not assume that plaintiff has stated a
claim, i.e., asserted a violation of a constitutional right.
Stegert, 500 U.S. at 232, Rather, the court must be certain
that, if the facts alleged by plaintiff are true, a violation has
clearly occurred. Connelly v. Comptroller, 876 F.2d 1209, 1212
(5th Cir. 1989). A mistake in judgment does not cause an officer
to lose his qualified immunity defense. In Hunter, the Supreme
Court explained:
The qualified immunity standard "gives ample room for
Mistaken judgments" by protecting "all but the plainly
incompetent or those who knowingly violate the law."
Malley, [475 U.S.] at 343. . .,. . This accommodation for
reasonable error exists because "officiais should not err
always on the side of caution" because they fear being sued.
502 U.S. at 229.
When a defendant relies on qualified immunity, the burden is
on the plaintiff to negate the defense. Kovacic v. Villarreal,
628 F.3d 209, 211 (Sth Cir. 2010); Foster v. City of Lake
Jackson, 28 F.3d 425, 428 (5th Cir. 1994). Although Supreme Court
precedent does not require a case directly on point, existing
precedent must place the statutory or constitutional question
beyond debate. White v. Pauly, 137 S. Ct. 548, 551 (2017). That
is, the clearly established law upon which plaintiff relies
should not be defined at a high level of generality, but must be
particularized to the facts of the case. Id. at 552. Thus, the
failure to identify a case where an officer acting under similar
circumstances was held to have violated a plaintiff's rights will
most likely defeat the plaintiff’s ability to overcome a
qualified immunity defense. Id.; Surratt v McClarin, 851 F.3d
389, 392 (Sth Cir. 2047).
IV.
Analysis
To state a claim against Mercado, plaintiff must allege acts
or omissions on Mercado’s part sufficiently harmful to evidence
deliberate indifference to serious medical needs. Estelle v.
Gamble, 429 U.S. 97, 106 (1976). That is, he must allege Ehat
Mercado both knew of and disregarded an excessive risk to
plaintiff's health and safety. Farmer v. Brennan, 511 U.S. 825,
837 (1994), The analysis requires an inquiry into Mercado’s state
of mind. Id. at 838. “Deliberate indifference encompasses only
unnecessary and wanton infliction of pain repugnant to the
conscience of mankind.” McCormick v. Stalder, 105 F.3d 1059, 1061
{5th Cir. 1997} (citing Estelle, 429 U.S. at 105-06). The standard
to prevail at trial is extremely high, requiring evidence of
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egregious intentional conduct. Gobert v. Caldwell, 463 F.3d 339,
346, 351 (Sth Cir. 2006). Mercado must have “refused Co treat
[plaintiffi, ignored his complaints, intentionally treated him
incorrectly, or engaged in any similar conduct that would clearly
evince a wanton disregard for any serious medical needs.” Id. at
346. See Estelle, 429 U.S. at 104 n.10 {citing cases o£
deliberate indifference by prison doctors). To proceed with his
claims, he must do more than just allege negligence. See Siegert,
500 U.S. at 231.
Here, plaintiff has not pleaded any facts to state a claim
against Mercado. He attached to his original complaint a letter
regarding his tort claim in which he stated that after his
initial assessment by Mercado, he attended sick call twice and
did not receive treatment.* Doc. 1 Page ID 7. The documents
attached to plaintiff's supplemental complaint show that as of
March 19, 2018, plaintiff was at a facility in Beaumont awaiting
transfer to a medical facility. Doc. 8 at PageID° 48. Plaintiff
had been diagnosed with chronic kidney disease stage 3. Id.
PageID 49. On April 16, 2018, plaintiff was seen by Charles
Hilert, D.O., at FMC Fort Worth. Id. PageID 53. He was scheduled
“The medical records plaintiff has provided do not support this allegation.
*The “PageID__” reference is to the page number assigned by the court’s electronic filing system
and is used because plaintiff did not number the pages he attached.
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for an in-house nephrology evaluation and ultrasound. Id. PageID
55. On July 24, 2018, plaintiff was seen for muscle cramping and
relayed that he had stopped taking his hypertension medication.
Id. PageID 58. The provider, a nurse practitioner, noted that
piaintiff’s labs were stable and that he had been seen by the
nephrologist for chronic kidney disease. Id. The provider
discussed with plaintiff the need to take his hypertension
medication as directed to keep his kidney function from getting
worse. Id. PageID 59. Mercado saw and cosigned the notes the same
day. Id. On October 1, 2018, plaintiff's routine labs reflected
an abnormal result. Id. PageID 69. Within two hours, Mercado sent
plaintiff te a local hospital for evaluation. Id. PageID 61-62.
At that point, “Mercado began to properly treat [plaintiff's]
medical illness.” Doc, 1 at PageID 5.
The medical records provided by plaintiff himself belie the
contention that he was not seen or treated for a period of six
months after arriving at FMC Fort Worth. Nothing in the documents
gives any support to the contention that Mercado was deliberately
indifferent to a serious medical need of plaintiff. Rather, the
records show, at the very least, that plaintiff had labs drawn in
April, July, and October, and that he was immediately sent to a
local hospital when his October labs revealed an abnormal result.
10
To the extent plaintiff refers to violations by Mercado of
the Fifth and Fourteenth Amendments, he has not stated a claim.
See Ziglar v. Abbasi, 137 S. Ct. 1843, 1857 (2017) (the court will
not lightly expand the Bivens remedy). And, plaintiff cannot
pursue a claim under the Fourteenth Amendment as Mercado is not a
state actor. McGuire v. Turnbo, 137 F.3d 321, 323 (5th Cir.
1998}.
. Vv.
Order
The court ORDERS that Mercado’s motion to dismiss be, and is
hereby, granted and that plaintiff's claims against Mercado be,
and are hereby, dismissed.
The court determines that there is no just reason for delay
in, and hereby directs, entry of final judgment as to the
dismissal of plaintiff's claims against Mercado.
SIGNED January 21, 2020.
j / My /
Z, o ge
JOH RYDE
Unifed States Distifict Judge
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