Petition — Moffitt v. Loe
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78-1260
Mic RODAK, JR, CLERK
Iu the Supreme Court of the United States
OCTOBER TERM, 1978
GLEN MOFFITT, UNITED STATES. MARSHAL, ET AL.,
PETITIONERS
Vv.
RICHARD C. LOE
PETITION FOR A WRIT OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
WADE H. McCrEE, JR.
Solicitor General
Department of Justice
Washington, D.C. 205380
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Iu the Supreme Count of the United States
OCTOBER TERM, 1978
No.
GLEN MOFFITT, UNITED STATES MARSHAL, ET AL.,
PETITIONERS
Vv.
RICHARD C. LOE
PETITION FOR A WRIT OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
The Solicitor General, on behalf of Glen Moffitt,
United States Marshal, and the other federal defen-
dants,* petitions for a writ of certiorari to review the
judgment of the United States Court of Appeals for
the Fourth Circuit in this case.
OPINIONS BELOW
The opinion of the court of appeals (App. A, infra,
la-19a) is reported at 582 F.2d 1291. The orders of
1 The other federal defendants include William D. Fox and
an unknown, unnamed United States Marshal.
(1)
re
2
the district court dismissing respondent’s complaints
(Apps. D-G, infra, 23a-30a) are not reported.
JURISDICTION
The judgment of the court of appeals (App. B,
infra, 20a) was entered on August 16, 1978. A time-
ly petition for rehearing was denied on November
15, 1978 (App. C, infra, 21a-22a). The jurisdiction
of this Court is invoked under 28 U.S.C. 1254(1).
QUESTION PRESENTED
Whether, in circumstances in which the Federal
Tort Claims Act provides an adequate federal rem-
edy, an alternative remedy should be found to be
implied under the Fifth Amendment.
CONSTITUTIONAL AND STATUTORY
PROVISIONS INVOLVED
1..The Fifth Amendment to the United States Con-
stitution provides in relevant part:
No person shall * * * be deprived of life, lib-
erty, or property, without due process of-law
2. 28 U.S.C. 1346(b) provides in relevant part:
[T] he district courts * * * shall have exclusive
jurisdiction of civil actions on claims against the
United States, for money damages, * * * for in-
jury or loss of property, or personal injury or
death caused by the negligent or wrongful act or
omission of any employee of the Government
8
while acting within the scope of his office or em-
ployment, under circumstances where the United
States, if a private person, would be liable to the
claimant in accordance with the law of the place
where the act or omission occurred.
. 28 U.S.C. 2674 provides: -
The United States shall be liable, respecting
the provisions of this title relating to tort claims,
in the same manner and to the same extent as a
private individual under like circumstances, but
shall not be liable for interest prior to judgment
or for punitive damages.
If, however, in any case wherein death was
caused, the law of the place where the act or
omission complained of occurred provides, or has
been construed to provide, for damages only pu-
nitive in nature, the United States shall be liable
for actual or compensatory damages, measured
by the pecuniary injuries resulting from such
death to the persons respectively, for whose bene-
fit the action was brought, in lieu thereof.
. 28 U.S.C. 2680(h) provides:
The provisions of this chapter and section 1346
(b) of this title shall not apply to—
oa * * * *
Any claim arising out of asault, battery, false
imprisonment, false arrest, malicious prosecu-
tion, abuse of process, libel, slander, misrepre-
sentation, deceit, or interference with contract
rights: Provided, That, with regard to acts or
omissions of investigative or law enforcement of-
ficers of the United States Government, the pro-
visions of this chapter and section 1346(b) of
4
this title shall apply to any claim arising, on or
after the date of the enactment of this proviso,
out of asault, battery, false imprisonment, false
arrest, abuse of process, or malicious prosecution.
For the purpose of this subsection, ‘investigative
or law enforcement officer” means any officer of
the United States who is empowered by law to
execute searches, to seize evidence, or to make ar-
rests for violations of Federal law.
STATEMENT
1. Respondent alleges that at approximately 10:00
a.m. on April 18, 1977, he injured his right arm while
playing basketball in the gym of the local jail in
Alexandria, Virginia.* Respondent was incarcerated
in the Alexandria jail while he awaited trial on fed-
eral bank robbery charges.’ After injuring his arm,
respondent was taken to the prison infirmary, given
some pain pills, and returned to his cell to await a
physician’s visit.
During the remainder of the day respondent re-
peatedly complained of pain and asked to be taken
to a hospital. The local authorities told respondent
that only the United States marshals could take him
* Respondent filed three separate complaints stemming from
the incidents described below. These actions, only two of
which involve federal defendants, were consolidated on appeal
(App. A, infra, 8a n.1). For the present procedural posture
a oe —- Pays accept as true the allegations of these com-
plaints, which are summarized by the court of a ‘
A, infra, 3a-6a). cei
* Respondent subsequently was convicted of bank robbery
and sentenced to 16 years’ imprisonment.
5
to a hospital and that they had been notified of his
condition. At approximately 9:00 p.m. the jail physi-
cian, Dr. Novak, finally examined respondent’s arm
and concluded that x-rays at the local hospital would
be necesary. At 8:30 a.m. the next day the marshals
took respondent to the hospital. After x-rays demon-
strated a fracture in respondent’s arm, Dr. Novak
placed the arm in a full cast. The federal marshals
then returned respondent to the Alexandria jail.
Some two and one-half weeks later, respondent
began to have considerable pain in the arm. After
several days of this pain, the federal marshals again
took respondent to see Dr. Novak at the hospital. The
doctor examined respondent’s arm, took new x-rays
(which showed that the fracture had not healed), and
replaced the full cast with a half cast that was to be
kept on respondent’s arm for two weeks.
Because respondent expressed an intent to raise an
insanity defense to his bank robbery charges, he was
transferred to the federal medical center at Spring-
field, Missouri, for psychiatric observation in May
1977. Two federal marshals drove respondent there
in a van. The trip required two days of 12 to 13
hours’ driving, during which respondent was hand-
cuffed to his waist despite his protests of pain. Fol-
lowing his arrival at the Springfield medical center,
respondent removed the half cast in accordance with
Dr. Novak’s instructions. Respondent did not seek
medical attention at that time. Dr. Novak examined
respondent’s arm again in June 1977 after his re-
turn from Missouri and found that the arm was not
6
causing serious pain and required no further treat-
ment. Respondent’s complaint alleges, however, that
his arm never properly healed, and that it still is
painful and does not have normal motion.
2. Respondent contended that the actions of var-
ious local jailers, Dr. Novak, and the three federal
defendants * had violated his Fifth and Eighth Amend-
ment rights against cruel and unusual punishment.
Respondent charged that defendants had “deliber-
ately remained indifferent to [respondent’s] medical
needs” at the time of his injury, during the trip to
Missouri, and after his return to Alexandria (App.
A, infra, 6a). Respondent sought equitable relief
and both compensatory and punitive damages.
The district court dismissed the complaint for fail-
ure to state a claim on which relief can be granted,
finding that respondent’s allegations did not charge
a violation of the Eighth Amendment as construed
in Estelle v. Gamble, 429 U.S. 97 (1976) (App. D,
mfra, 24a-25a).* In accordance with the district
court’s order respondent filed an amended complaint,
this time naming only Dr. Novak as a defendant. The
district court dismissed this complaint as well (App.
E, infra, 26a-27a). Finally, without requiring a re-
sponse from defendants, the district court dismissed
on the ground of res judicata two subsequent com-
plaints seeking relief under the Federal Tort Claims
* See note 1, supra.
* The district court apparently equated respondent’s rights
under the Fifth Amendment as a pre-trial detainee with those
- accorded prisoners under the Eighth Amendment.
7
Act and 42 U.S.C. 1983 (Apps. F & G, infra, 28a-
30a).°
The actions were consolidated on appeal. A divided
panel of the court of appeals first concluded that
a damages action for violation of his Fifth Amend-
ment rights was available to respondent under the ra-
tionale of this Court’s decision in Bivens v. Six Un-
known Named Agents, 403 U.S. 388 (1971). Re
jecting the Fifth Circuit’s contrary decision in Davis
v. Passman, 571 F.2d 793 (5th Cir. 1978), cert.
granted, No. 78-5072 (Oct. 30, 1978), the court stated
that it is appropriate to find an implied constitu-
tional right of action for damages because “Congress
has provided no other remedy for the alleged denial of
this fifth amendment right” (App. A, infra, 9a &
n.2). The court then reversed the district court in
part, holding that respondent’s allegations concern-
ing his lack of medical attention immediately follow-
ing his injury sufficiently stated a claim under the
Fifth Amendment.’ The court of appeals affirmed
‘The original and amended complaints were designated
Civ. Act. No. 77-554-AM. The Federal Tort Claims Act suit
was numbered Civ. Act. No. 77-580-AM, and the last com-
plaint was designated Civ. Act. No. 77-621-AM.
The court applied the “deliberate indifference” standard
established in Estelle v. Gamble, supra, 429 U.S. at 104, to
respondent’s Fifth Amendment claim.
Judge Hall dissented on both the sufficiency of the allega-
tions in light of Estelle v. Gamble, supra, and as to the pro-
priety of extending Bivens to claims arising under the Fifth
Amendment. With regard to the latter point, Judge Hall sub-
stantially relied on Davis v. Passman, supra.
a
4
2
8
the dismissal of respondent’s complaints concerning
the ride to Missouri and his medical care after his
return to Alexandria (App. A, infra, 14a-16a & n.3).°
REASONS FOR GRANTING THE PETITION
The question presented in this case is substantially
the same as the principal question raised in thé peti-
tion in Carlson v. Green, which is being filed concur-
rently with the instant petitiun.° Both cases involve
the application of this Court’s decision in Bivens v.
Six Unknown Named Agents, 403 U.S. 388 (1971).”
8 Although the three cases were consolidated on appeal, the
court of appeals appears to have entered judgment on the
first complaint only (App. B, infra, 20a). To the extent the
judgment applies to all of the consolidated cases, we take it
to vacate all of the district court’s orders (see also App. A,
infra, 3a n.1). Respondent’s purported FTCA action, see note
6, supra, was dismissed erroneously on the ground of res judi-
cata. On remand, however, we would contend that dismissal
was appropriate because (a) the United States, and not the
individual federal employees, is the only proper party to a
suit under the FTCA, and (b) respondent failed to file an
administrative claim concerning his alleged medical maltreat-
ment. See 28 U.S.C. 2674, 2675.
*° A copy of our petition in Carlson v. Green has been sent
to counsel for respondent.
Carlson V. Green involves a Bivens-type claim primarily
arising under the Eighth Amendment, because the injured
party in that case was a convicted federal prisoner at the
time of his death. In the instant case respondent, who was
a pretrial detainee at the time of the incidents complained of,
alleges a Bivens-type claim arising under the Due Process
Clause of the Fifth Amendment. We believe that the legal
_analysis applicable to both cases is essentially the same.
9
For the reasons stated in the petition in Carlson v.
Green, the Court may wish to defer consideration of
the petition pending its decision in Davis v. Passman,
cert. granted, No. 78-5072 (Oct. 30, 1978).
CONCLUSION
The Court should defer disposition of the petition
pending its decision in Carlson v. Green.
Respectfully submitted.
WADE H. McCREE, JR.
Solicitor General
FEBRUARY 1979
la
APPENDIX A
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
No. 77-2039
RICHARD C. LOE, APPELLANT,
Vv.
Louis L. ARMISTEAD, Sheriff, City of Alexandria;
Mr. Fox, Captain, Alexandria City Jail; Lt.
CHERRY, Alexandria City Jail; Mr. ISABELLE, Of-
ficer, Alexandria City Jail; Mr. HoLLow, Officer,
Alexandria City Jail; Lt. CHariTy, Alexandria
City Jail; Mr. DREw, former Officer of Alexandria
City Jail; UNKNYWN NuRSES, Alexandria City
Jail; DR. NOVAK, Alexandria City Jail; Mr. Mor-
FITT, U. S. Marshal; Mr. Morrow, Employee of
Alexandria City Jail; WILLIAM D. Fox, U. S.
Marshal, APPELLEES.
No. 77-2134
RICHARD C. LOE, APPELLANT,
. v.
Mr. MOFFITT, United States Marshal, WILLIAM D.
Fox, United States Marshal, UNKNOWN UNITED
STATES MARSHALS, APPELLEES.
No. 77-2135
RICHARD C. LOE, APPELLANT,
v.
SHERIFF ARMISTEAD, Sheriff of the City of Alexan-
dria; Mr. Fox, Captain at the Alexandria City
Jail; Miss oR Mrs. DopSON, Nurse at the Alex-
andria City Jail; UNKNOWN NURSE at the Alex-
andria City Jail; Mr. CHEerry, Lieutenant at the
Alexandria City Jail; Mr. ISABELLE, Deputy at the
Alexandria City Jail; Mr. HoLLow, Deputy at the
Alexandria City Jail; Mr. CHarity, Lieutenant at
the Alexandria City Jail; and Mr. Drew, Former
Deputy at the Alexandria City Jail; APPELLEES.
Appeals from the United States District Court for the
Eastern District of Virginia, at Alexandria. Albert
V. Bryan, Jr., District Judge.
Argued May 3, 1978 Decided August 16, 1978
Before WINTER, BUTZNER and HALL, Circuit Judges.
WINTER, Circuit Judge:
The district court, without requiring an answer,
summarily dismissed Richard Loe’s pro se suit against
federal officers, state officers and state employees. The
suit alleged that, while Loe was in pretrial custody,
the defendants deliberately denied him adequate medi-
cal treatment for a broken arm and that, while trans-
porting him to Springfield, Missouri, his medical
needs arising from the broken arm were ignored by
federal marshals. The district court’s dismissal was
under Rule 12(b) (6), F. R. Civ. P., for failure to
state a claim upon which relief could be granted.’
The questions before us are whether Loe alleged a
cause of action against the state defendants, whether
he has a cause of action against the federal defend-
ants and, if so, whether he sufficiently alleged it.
We affirm in part, reverse in part and remand for
further proceedings.
a
We state the facts alleged in Loe’s pro se complaint
which we must accept as true for the purpose of de-
*Loe’s appeal from the order dismissing his original com-
plaint is No. 77-2089. After dismissal of the initial complaint,
Loe filed two amended complaints that essentially repeated
the allegations of thu first. Each was dismissed on grounds
of res judicata, and Loe appealed each (Nos. 77-1234 and 77-
2135). In oral argument, his appointed counsel conceded
that the amended complaints alleged no new matter, nor did
they raise any new issues, and that a decision with respect
to the initial complaint (No. 77-2039) would be dispositive
of all of the litigation. Accordingly, we confine our inquiry
to the original complaint.
4a
ciding this appeal since the complaint was dismissed
for failure to state a claim:
At a time when he was a federal prisoner awaiting
retrial on federal charges of bank robbery, Loe was
detained in the Ale..andria, Virginia local jail under
a leasing agreement. On April 18, 1977, at approxi-
mately 10:00 a.m., he injured his right arm when he
slipped and fell on the basketball court at the jail.
Loe was immediately taken to the infirmary. A nurse,
whose identity is unknown, examined his arm and
gave him pills for the pain. She said that she would
notify the jail doctor but cautioned Loe that if hos-
pital care were necessary, the United States marshals
would have to be summoned because only they were
authorized to transport federal prisoners, Loe was
returned to his cell.
By noon the condition of his arm had worsened and
it was obvious that the arm was broken since it was
swollen around the upper forearm and elbow and it
was locked in an extraordinary position. Throughout
the day, until approximately 6:00 p.m., Loe repeated-
ly requested that he be taken to the hospital. He was
repeatedly told that only the marshals could take him
to a hospital and that they had been notified of his
injury. Finally, at approximately 9:00 p.m. the jail
physician, Dr. Novak, examined the arm. Novak
concluded that x-rays would be necessary to determine
whether the arm was broken, and Novak told Loe
that the marshals would take him to the hospital in a
day or so. At 8:30 a.m. the next day, April 19,
‘ United States marshals took Loe to a hospital. X-rays
5a
showed a fracture of the right arm, so Dr. Novak,
who was present in the hospital, placed it in a full
cast. Loe was then returned to the Alexandria jail.
About two and one-half weeks later, Loe began to
experience considerable pain in the arm. After sev-
eral days of this pain, the marshals returned Loe to
the hospital. Dr. Novak examined him and took more
x-rays. These showed that the fracture had not
healed. Dr. Novak replaced the full cast with a half-
cast and said that this should remain on for two
weeks.
On May 13, 1977, Loe was transferred to the
Springfield, Missouri Medical Center for psychiatric
observation because he had expressed an intention to
defend the federal bank robbery charges against him
on grounds of mental incompetency. The trip, which
was made by van, required two days of 12 to 13
hours’ driving. He was accompanied by two United
States marshals. They insisted that he remain hand-
cuffed to his waist throughout the trip, notwithstand-
ing his protests that this restraint increased the pain
in his injured arm, which was still in a half-cast. Loe
was told that he would receive medical attention when
he reached his destination.
Loe alleged that while at Springfield he removed
the half-cast as per the instructions of Dr. Novak.
He does not ‘allege, however, that prior to then the
medical condition of his arm required special treat-
ment or that he sought medical care upon his arrival
in Springfield. He does claim that his arm has never
6a
properly healed, that it is painful and that normal
motion has not returned. However, Dr. Novak, who
examined him since he was returned to Alexandria, is
of a contrary view since the arm is not causing serious
pain.
Based upon these factual allegations, Loe charged
that the defendants, two known and one unknown
United States marshals, and various officials, guards,
nurses and the physician at the city jail, had violated
the eighth amendment in failing to provide prompt
and adequate medical care for the injury to his arm,
both prior to his leaving the Alexandria City Jail and
upon his return. A claim based on the eighth amend-
ment was also made against the marshals who ac-
companied him to Springfield for their alleged dis-
regard of his medical needs during the trip. Loe con-
cluded with the general allegation that the defendants
had “deliberately remained indifferent to the plain-
tiff’s medical needs.” His complaint sought damages,
both compensatory and punitive, and equitable re-
lief. In particular, it requested a declaration that
existing procedures for transporting federal prison-
ers in state facilities to hospitals were unconstitution-
al and an order directing the adoption of procedures
better suited to ensure adequate care.
II.
The claims against the officials and employees of
the Alexandria City Jail, including Dr. Novak, may,
of course, be brought under 42 U.S.C. § 1983. But
Ta
their conduct in most part is inextricably linked with
the alleged conduct of the federal marshals. Before
we consider whether the facts alleged state a cause of
action against the defendants, or any of them, we
must first decide whether an action may be main-
tained against the United States marshals named in
the complaint.
At the outset, we note that Loe was not a prisoner
detained under a judgment of conviction; rather, he ©
was a pretrial detainee. Under such circumstances,
the protections that apply to him are found in the
due process clause of the fifth amendment, since he
was a federal prisoner, rather than in the eighth
amendment’s prohibition against cruel and unusual
punishment. Duran v. Elrod, 542 F.2d 998, 999-1000
(7 Cir. 1976); Detainees of Brooklyn House of Det.
for Men v. Malcolm, 520 F.2d 392, 397-98 (2 Cir.
1975); Rhem v. Malcolm, 507 F.2d 333, 337-88 (2
Cir. 1974); Fitzke v. Shappell, 468 F.2d 1072 (6
Cir. 1972). Indeed, in Duran it was held that state
pretrial detainees were entitled to greater protection
under the due process clause of the fourteenth amend-
ment than that afforded them under the eighth amend-
ment; since “they are convicted of no crime for which
they may presently be punished, the state must justify
any conditions of their confinement solely on the basis
of ensuring their presence at trial.” 542 F.2d at 1000.
In the instant case, we need not decide the exact
seape of the protection that due process provides be-
cause we agree with Duran that due process is at
least as co-extensive as the guarantees of the eighth
8a
amendment; and we think that, under the eighth
amendment, Loe has alleged sufficient facts to render
his complaint immune to summary dismissal under
Rule 12(b) (6).
We return therefore to the issue of Loe’s rights,
if any, against the federal marshals. In Bivens v. Six
Unknown Named Agents of the Federal Bureau of
Narcotics, 403 U.S. 388 (1971), the Supreme Court
held that the victim of an unconstitutional search by
federal officers could recover damages from the of-
ficers in an action based directly on the fourth amend-
ment. We think that, on the authority of Bivens,
damages may be recovered from federal agents on a
fifth amendment violation.
Although Bivens does not speak directly to the
availability of damage remedies derived from other
constitutional rights, there would seem to be no prin-
cipled basis for limiting Bivens to the fourth amend-
ment. Bivens teaches that, at least where there are
no special factors counselling hesitation, federal courts
may grant traditional damage remedies, as well as
equitable relief, to persons whose constitutional rights
have been violated. 403 U.S. at 395-97. Bivens indi-
cated that such special factors might be present where
a remedy might implicate questions of federal fiscal
policy or where there was an “explicit congressional
declaration that persons injured by a federal officer’s
violation of the Fourth Amendment may not recover
money damages from the agents, but must instead be
remitted to another remedy, equally effective in the
view of Congress.” 403 U.S. at 397. Another factor
9a
might be whether the injury caused by the consti-
tutional deprivation is one for which monetary com-
pensation would normally be appropriate. 403 U.S.
at 408-09 (Harlan, J., concurring).
We conclude that no special factors counsel hesita-
tion in this case. Congress has provided no other
remedy for the alleged denial of this fifth amend-
ment right. The alleged denial does not raise a ques-
tion of federal fiscal policy, and “[h]istorically, dam-
ages have been regarded as the ordinary remedy for
an invasion of personal interests in liberty.” Bivens,
403 U.S. at 395. We therefore hold that a damage
action may be maintained against the marshals di-
rectly under the fifth amendment.
This result accords with the preponderance of
authority; other courts have readily extended Bivens
to create damage remedies against federal officials
for violations of constitutional violations other than
the fourth amendment.’? E.g. Dellums v. Powell, 566
2A notable exception is the Fifth Circuit’s recent decision
in Davis v. Passman, 571 F.2d 793 (5 Cir. 1978). In that
case, a woman who had been a member of a congressman’s
staff alleged she had been dismissed by him solely because of
her sex. Claiming that his actions violated the equal pro-
tection component of the fifth amendment’s due process clause,
she brought suit directly on that amendment. The court
ruled that Bivens did not authorize an action based directly
on the fifth amendment.
It can plausibly be argued that the relationship between
a congressman and his staff is a matter peculiarly within
the concerns of the legislative branch and that special factors
therefore counsel against implication of a Bivens-type rem-
edy. Indicative of this special relationship is 2 U.S.C. § 92,
10a
F.2d 167 (D.C. Cir. 1977) (first amendment) ; Paton
v. LaPrade, 524 F.2d 862, 869-70 (38 Cir. 1975)
(first amendment); Wounded Knee Legal Defense/
Offense Comm. v. FBI, 507 F.2d 1281, 1284 (8 Cir.
1974) (sixth amendment) ; Patmore v. Carlson, 392
F.S. 737, 739-40 (E.D. Ill. 1975) (eighth amend-
ment). More significantly, in States Marine Lines,
Inc. v. Shultz, 498 F.2d 1146 (4 Cir. 1974), we have
which makes members of a congressman’s personal staff
removable at any time with or without cause. Furthermore,
the amendments to Title VII that extended its coverage to
federal employees did not protect persons in non-competitive
federal positions such as congressional staff members. All
of these factors might justify a refusal to create a Bivens
remedy. Nevertheless, although the Passman court acknowl-
edged the force of this analysis, it placed its primary reli-
ance on a different argument. That argument was that ex-
tension of Bivens to fifth amendment due process claims would
so deluge the federal courts with new actions as to paralyze
them. 571 F.2d at 799-801. The court refused to institute
such a drastic measure without congressional guidance.
Justice Harlan’s concurring opinion in Bivens speaks co-
gently to this point.
Judicial resources, I am well aware, are increasingly
scarce these days. Nonetheless, when we automatically
close the courthouse door solely on this basis, we im-
plicitly express a value judgment on the comparative im-
portance of classes of legally protected interests. And
current limitations upon the effective functioning of the
courts arising from budgetary inadequacies should not be
permitted to stand in the way of the recognition of other-
wise sound constitutional principles.
408 U.S. at 411 (Harlan, J., concurring). In any event, we
think that Passman, if not distinguishable, is inconsistent
with our decision in States Marine Lines, Inc. v. Shultz, 498
. F.2d 1146, 1156-57 (4 Cir. 1974), infra in text, and we de-
cline to follow it.
lla
already held that customs officials who are alleged to
have deprived the owner of a cargo of its property
without due process of law, under the cloak of fed-
eral statutory authority vested in them, may be sued
in a Bivens-type action. Thus, finding that both fed-
eral and state officers may be liable in damages for
their violations of the fifth amendment, we turn to
the specific allegations in this case.
ITI.
It is elementary that a complaint should not be
dismissed under Rule 12(b)(6) for failure to state
a claim “unless it appears beyond doubt that the
plaintiff can prove no set of facts in support of his
claim which would entitle him to relief.” Conley v.
Gibson, 355 U.S. 41, 45-46 (1957). The standard of
proof for dismissal under Rule 12(b) (6) is demand-
ing because the Federal Rules of Civil Procedure are
premised on the notion that disputes should be de-
cided on their facts, as developed through discovery
and at trial, rather than on the skill or ineptitude
with which the pleadings are drawn. See Bolding v.
Holshouser, 575 F.2d 461 (4 Cir. 1978); C. Wright,
Federal Courts § 68 (3d ed. 1976). And liberal con-
struction of pleadings is particularly appropriate
where, as here, there is a pro se complaint raising
civil rights issues. See Haines v. Kerner, 404 U.S.
519, 521 (1972); Gordon v. Leeke, 574 F.2d 1147,
1151 (4 Cir. 1978); Canty v. City of Richmond
Police Dept., 383 F.S. 1896, 1899-1400 (E.D. Va.
12a
1974), aff'd, 526 F.2d 587 (4 Cir. 1975), cert. denied,
423 U.S. 1062 (1976).
Of course, whether a complaint states a cognizable
claim depends ultimately on the applicable law. Anal-
ysis of the legal issues in this case is simplified by
the Supreme Court’s recent decision in Estelle v.
Gamble, 429 U.S. 97 (1976), with regard to the right
to medical treatment under the eighth amendment.
Speaking to a state prisoner’s claim that inadequate
medical treatment had caused him to suffer cruel and
unusual punishment, the Gamble Court stated:
[A]n inadvertent failure to provide adequate
medical care cannot be said to constitute “an
unnecessary and wanton infliction of pain” or to
be “repugnant to the conscience of mankind.”
Thus, a complaint that a physician has been
negligent in diagnosing or treating a medical
condition does not state a valid claim of medical
mistreatment under the Eighth Amendment.
Medical malpractice does not become a constitu-
tional violation merely because the victim is a
prisoner. In order to state a cognizable claim, a
prisoner must allege acts or omissions suffi-
ciently harmful to evidence deliberate indiffer-
ence to serious medical needs. It is only such
indifference that can offend “evolving standards
of decency” in violation of the Eighth Amend-
ment.
429 U.S. 105-06 (emphasis added). After articulat-
ing this standard of deliberate indifference, the Court
proceeded to examine the sufficiency of the allega-
. tions in Gamble’s complaint. It concluded that, even
13a.
under the liberal pleading standards of Haines, the
complaint could not be maintained against the de-
fendant doctors because Gamble’s exhaustive descrip-
tion in the complaint of his treatment established
that he had received extensive medical care and that
the doctors were not indifferent to his needs. 429
U.S. at 107-08 and n.16. The Court expressed no
opinion on whether a cause of action had been stated
against the other defendants.
IV.
We think that, measured by the deliberate indif-
ference standard of Gamble, Loe’s allegations regard-
ing the treatment of his broken arm state a claim.
A broken arm can be an excruciating injury, and few
people would freely choose to delay twenty-two hours
or even eleven hours in seeking a doctor’s care. In-
deed, an indigent could reasonably expect faster
treatment at a hospital emergency room. The un-
usual length of the delay provides a reasonable basis
for the inference that there was deliberate indiffer-
ence to Loe’s serious medical needs either on the part
of some or all of the state defendants, or, if the
marshals were notified as Loe alleged, in their fail-
ure to take Loe to a hospital where prompter medical
attention was available.
We cannot confidently proceed beyond this conjec-
ture, however, because the complaint, unlike the one
in Gamble, provides only a sketchy description of the
treatment and offers no explanation for the eleven
hour delay in examination by Dr. Novak, why he de-
l4a
layed the taking of an x-ray overnight, and why the
marshals did nothing until the morning after the
accident. On this record, which consists solely of
Loe’s pro se complaint, we do not know when the
doctor was notified. We do not know whether the
doctor, once notified, delayed seeing Loe or, if so, the
reasons for the delay. We do not know when the
marshals were notified or what they were told. We
do not know why the marshals did not take Loe to
the hospital until the next day. We express no view
on the merits of Loe’s case, and we have no knowl-
edge of the proof that Loe may adduce; but Loe’s
allegations, viewed in the light most favorable to him,
assert deliberate indifference on the part of the de-
fendants. Dismissal under Rule 12(b)(6) of his
complaint with regard to initial treatment of his
broken arm was not proper.*
* We conclude otherwise with regard to Loe’s allegations
of the subsequent treatment of his broken arm. His assertion
that he suffered pain two and one-half weeks after the injury
and that the fracture had not healed do not establish delib-
erate indifference or lack of due process. Similarly, his al-
legation that he has not achieved a satisfactory recovery sug-
gests nothing more than possible medical malpractice. It
does not assert a constitutional tort.
Lest the district court believe that we acquiesce in our dis-
senting brother’s interpretation of what we decide and be in
doubt as to the scope of the proceedings on remand, we dis-
avow that what we hold is that “when a prisoner has a
broken arm he can maintain a § 1983 action against any
responsible state or federal official who has failed to assure —
that he is examined by a physician within at least 11 hours
of his injury and has his arm x-rayed within 22 hours of his
injury.” A more correct statement of our holding is that the
15a
V.
We reach a different conclusion, however, on the
dismissal of the claim arising from the trip to Spring-
field. The allegations regarding that trip could not
conceivably support a finding of deliberate indiffer-
ence to a serious medical need, nor do we perceive
any other lack of due process. Two considerations
persuade us to this conclusion. First, there is no in-
dication that Loe’s arm was seriously injured at the
time of the trip. True, the arm was still in a cast,
but Loe alleges no medical restrictions on its use that
required special treatment during the trip. Absent a
medical necessity for special treatment, it is not un-
reasonable that one accused of bank robbery, espe-
cially one who had formerly pled guilty to the offense,
should be subjected to restraints on his physical
movement while he was being transported cross-
country in a motor vehicle. Second, Loe’s failure to
allege that he sought and was denied immediate
medical attention upon his arrival in Springfield
belies his contention that the marshals ignored urgent
medical needs. In short, the district court could
complaint of a prisoner under § 1983 against responsible state —
and federal officials is not subject to summary dismissal when
he alleges that, with deliberate indifference, the defendants
failed to have his painful and obviously broken arm examined
until 11 hours after his injury and failed to have it x-rayed
until 22 hours after his injury. As a consequence, plaintiff
will have the opportunity to present his evidence of de
liberate indifference and defendants will be required to plead
and present evidence explaining the delays in providing medi-
cal attention.
16a
properly conclude that Loe could prove no facts that
would enable him to prevail on this claim and sum-
mary dismissal under Rule 12(b) (6) was proper.
To summarize, we reverse the judgment of dismis-
sal with respect to Loe’s alleged cause of action with
regard to the initial treatment of his broken arm and
remand this part of the case for further proceedings.
We affirm the dismissal of Loe’s complaint with
regard to all other matters alleged.
AFFIRMED IN PART;
REVERSED IN PART
AND REMANDED.
HALL, Circuit Judge, dissenting:
I must, respectfully, dissent for two reasons:
First, the majority today holds that when a pris-
oner has a broken arm he can maintain a § 1983
action against any responsible state or federal official
who has failed to assure that he is examined by a
physician within at least eleven hours of his injury
and has his arm x-rayed within twenty-two hours of
his injury. This holding rests upon facts admitted in
the plaintiff’s various complaints that he was injured
by a known cause, was suffering from a known
trauma to a non-vital body part, was immediately
taken to an infirmary provided at the jail facility,
was seen there by a nurse who gave him a pain pill,
was several hours later seen by that same nurse, was
able to complain to a second nurse, was examined
17a
eleven hours after the injury by a physician who did
not prescribe a more potent pain reliever than that
provided to plaintiff earlier, was taken to a hospital
at eight-thirty the next morning by federal marshals
for x-rays, had his arm put in a full shoulder-to-
wrist cast at the hospital by the same physician who
saw him at the jail at nine o’clock the night before,
and had his arm placed in a patient-removable half-
cast two weeks thereafter, which the prisoner chose
to remove himself several weeks later—an incredible
set of facts upon which to find the district court was
clearly erroneous in finding no claim to have been
stated for “deliberate indifference to serious medical
needs.” Estelle v. Gamble, 429 U.S. 97 (1976).
The plaintiff admits that upon breaking his arm his
immediate medical need was pain and that it was
treated by medical personnel immediately, and he
further admits in his complaint that his injury was
not serious and was attended to by a physician work-
ing in the evening and early morning hours with
the reasonable and, apparently conscientious, coop-
eration of all local and federal officials involved. I
can find no possible basis for a finding of alleged
deliberate indifference to a serious medical need and,
therefore, I must dissent from the majority’s finding
that the district court was clearly erroneous in dis-
missing the plaintiff’s complaint.
Second, the majority would apparently create a
general federal remedy in this circuit under the
Fifth Amendment for any alleged violation of a due
18a
process right on the bare allegation that federal
marshals may or may not have been called to take
plaintiff to the hospital before plaintiff was seen by
a physician. The majority disregards the well-
reasoned opinion of the Fifth Circuit in Davis v.
Passman, 571 F.2d 798 (5th Cir. 1978), wherein
the court, sitting en banc, refused to indiscriminately
recognize such a cause of action against federal
officials without consideration of the nature of the
viclation, the federal right to be protected and the
need for a special federal remedy for violation of
such right. The basis of that opinion was that
extension of the federal remedy in Bivens v. Six
Unknown Named Agents of the Federal Bureau of
Narcotics, 408 U.S. 888 (1971), would so deluge
federal courts with new actions so as to paralyze
them. The majority’s rush to establish such a cause
of action against federal officials on the speculative
facts of this case clearly ignores the reasoning in
Davis v. Passman and serves to encourage the liti-
gious prisoner who can find federal officials to sue
for alleged violations of any conceivable due process
rights of the Fifth Amendment.’ I think it is in-
cumbent upon the federal judiciary to prevent claims,
particularly unmeritorious ones, from over-burdening
our judicial resources to the exclusion of speedy deci-
sion of all claims, most particularly meritorious ones.
It should be noted that government counsel for the fed-
eral defendants informed the court in oral argument that the
three cases here appealed constituted the tenth, eleventh and
_ twelfth actions filed in the district court below and that the
defendant has taken seven appeals to this court.
19a
Therefore, because I think the majority analysis
of the facts alleged in plaintiff’s complaints is wrong
and the implied indiscriminate creation of a general
federal remedy for any violation of a Fifth Amend-
ment right is unnecessary in this case and improvi-
dent in any case, I must strongly dissent.
20a
APPENDIX B
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
No. 77-2039
RICHARD C. LOE, APPELLANT,
V8
Louis L. ARMISTEAD, Sheriff, City of Alexandria; MR.
Fox, Captain, Alexandria City Jail; LT. CHERRY,
Alexandria City Jail; Mr. ISABELLE, Officer, Alex-
andria City Jail; Mr. HoLLow, Officer, Alexandria
City Jail; LT. CHarITy, Alexandria City Jail; Mr.
DREW, former Officer of Alexandria City Jail; Un-
known Nurses, Alexandria City Jail; Dr. Novok,
Alexandria City Jail; Mr. MorriTt, U.S. Marshal;
Mr. Morrow, Employee of Alexandria City Jail;
WILLIAM D. Fox, U.S. Marshal, APPELLEES.
Appeal from the United States District Court
for the District of Virginia
JUDGMENT
THIS CAUSE came on to be heard on the record
from the United States District Court for the Eastern
District of Virginia, and was argued by counsel.
ON CONSIDERATION WHEREOF,, It is now here
ordered and adjudged by this Court that the judgment
of the said District Court appealed from, in this
cause, be, and the same is hereby, affirmed in part, re-
versed in part and the case remanded to the United
States District Court for the Eastern District of Vir-
ginia, at Alexandria, for further proceedings con-
sistent with the opinion of this Court filed herewith.
[Filed, Aug. 16, 1978, William K. Slate, II Clerk]
/s/ William K. Slate, II
Clerk
21a
APPENDIX C
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
No. 77-2089
[Filed, Nov. 15, 1978, William K. Slate, II, Clerk]
RICHARD C. LOE, APPELLANT,
Versus
Louis L. ARMISTEAD, ETC., ET AL, APPELLEES.
No. 77-2134
RICHARD C. LOE, APPELLANT,
Versus
Mr. MOFFITT, ETC., ET AL, APPELLEES.
No. 77-2135
RICHARD C. LOE, APPELLANT,
versus
SHERIFF ARMISTEAD, ETC., ET AL., APPELLEES.
ORDER
The appellees’ petition for rehearing and sugges-
tion for rehearing en banc has been submitted to the
22a
court. A request for a poll on the suggestion for
rehearing en banc was made, but the poll failed for
lack of majority support.
IT IS ORDERED that the petition for rehearing
is denied.
Entered at the direction of Judge Winter with the
concurrence of Judge Butzner. Judge Hall dissents.
/s/ William K. Slate, II
For the Court,
Clerk
23a
APPENDIX D
IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF VIRGINIA
ALEXANDRIA DIVISION
Civil Action No. 77-554-AM
[Filed, July 18, 1977, J.W., Clerk,
U.S. District Court, Alexandria, Virginia]
RICHARD C. LOE, PETITIONER,
Vv.
Louis L. ARMISTEAD, SHERIFF, CITY OF ALEXANDRIA,
ET AL., RESPONDENTS.
ORDER
Let the complaint tendered by Richard C. Loe be
filed in forma pauperis.
Petitioner has tendered an action for damages un-
der 42 U.S.C. § 1988 alleging a denial of his con-
stitutional right to medical treatment by the de-
fendants in their failure to provide petitioner-with
prompt and adequate medical treatment for a broken
arm. He also seeks declaratory relief under 28 U.S.C.
§§ 2201 and 2202.
Accepting the petitioner’s allegations as true, they
make out the following facts:
In the morning of April 18, 1977, petitioner slipped
and fell while imprisoned in Alexandria. Petitioner
complained of pain in his right arm to jail officials
24a
and informed them that he thought the arm was
broken. At 9:00 p.m. the same day, petitioner was
examined by the jail physician, Dr. Novak. At 8:30
a.m., on April 19, 1977, petitioner was transported
to Jefferson Memorial Hospital in Alexandria, where
Dr. Novak took x-rays. The x-rays were positive and
Dr. Novak placed petitioner’s arm in a cast from
shoulder to wrist.
Two and one half weeks later, petitioner com-
plained of pain in his broken arm and was returned
to Jefferson Memorial Hospital where Dr. Novak
again took x-rays and examined the arm. This time
Dr. Novak placed the arm in a half cast.
Finally, on June 24, 1977, the cast having been
removed by petitioner, Dr. Novak again examined the
arm and pronounced it healed.
The Supreme Court has recently established stand-
ards by which to measure medical treatment against
the dictates of the Eighth Amendment. Estelle v.
Gamble, 45 U.S.L.W. 4023 (November 30, 1976).
Under that decision, only “deliberate indifference to
serious medical needs of prisoners” violates the Eighth
Amendment. By his own pleading, petitioner states
that he was treated by a doctor three times in two
months, had two sets of x-rays taken and had two
casts placed on his arm. This treatment falls far
short of deliberate indifference. At most petitioner
presents a negligence claim against Dr. Novak for
the improper treatment of his arm. Negligence is not
ordinarily sufficient to state a cause of action, even if
25a
the negligent conduct results in personal injury. See
McCray v. Maryland, 456 F.2d 1, 5-6 (4th Cir. 1972).
It is ORDERED that the petition be dismissed pur-
suant to F. R. Civ. P. 12(b) (6) for failure to state
a claim cognizable under 42 U.S.C. § 1983. The peti-
tioner is advised that should he desire to amend his
complaint to include facts sufficient to make out a
cognizable claim, he must do so within fifteen (15)
days, at which time this order becomes final. Should
petitioner desire to appeal, written notice of appeal
must be received by the Clerk of this Court within
thirty (30) days from the date of this Order.
The Clerk is directed to send a copy of this Order
to the petitioner and to the defendant.
/s/ G. V.B. J. “i
United States District Judge
Alexandria, Virginia
July 13th, 1977 ©
26a
APPENDIX E
IN THE
UNITED STATES DISTRICT COURT FOR
THE EASTERN DISTRICT OF VIRGINIA
ALEXANDRIA DIVISION
Civil Action No. 77-554-AM
RICHARD C. LOE, PLAINTIFF,
v.
LouIs ARMISTEAD, Sheriff, City of
Alexandria, ET AL., DEFENDANTS.
ORDER
Pursuant to this Court’s order of July 13, 1977,
Richard C. Loe has filed an amended complaint in the
above action. In the amended complaint he names Dr.
Novak as the only defendant. He alleges no new facts
which, construed liberally, would rise to the level of
deliberate indifference to his medical needs. Estelle
v. Gamble, 45 U.S.L.W. 4023 (November 30, 1976).
At best he states a claim for negligence, which does
not state a cause of action. McCray v. Maryland, 456
F.2d 1, 5-6 (4th Cir. 1972). The amended complaint
must be dismissed for failure to state a claim. It is
so ordered.
27a
Should plaintiff desire to appeal written notice of
appeal must be received by the Clerk of this Court
within thirty (30) days of the date of this Order.
/3/ G. V. B. J.
United States District Judge
Alexandria, Virginia
July 27th, 1977
28a
APPENDIX F
IN THE
UNITED STATES DISTRICT COURT FOR
THE EASTERN DISTRICT OF VIRGINIA
ALEXANDRIA DIVISION
Civil Action No. 77-580-A-7
RICHARD C. LOE, PLAINTIFF,
Vv.
Mr. MOFFITT, ET AL., DEFENDANTS.
ORDER
Let. the complaints tendered by Richard C. Loe be
filed in forma pauperis.
Richard Loe has filed two complaints under the
Federal Tort Claims Act which seek damages for
alleged inadequate medical treatment for a broken
arm. The complaint alleges the same facts and claims
raised in Civil Action No. 77-554-AM which was dis-
missed by order of this Court on July 13, 1977. Mr.
Loe has simply substituted bases of jurisdiction
(from 42 U.S.C. § 1983 to 28 U.S.C. § 1846(b) and
2671 et seq.) and switched the names of defendants.
The claim arises out of the facts and transaction com-
plained of in Civil Action No. 77-554-AM and is
barred by the principles of res judicata. The com-
plaints will be dismissed. And it is so ordered.
/s/ G. V. B. J.
United States District Judge
Alexandria, Virginia
July 27th, 1977
29a
APPENDIX G
IN THE
UNITED STATES DISTRICT COURT FOR
THE EASTERN DISTRICT OF VIRGINIA
ALEXANDRIA DIVISION
Civil Action No. 77-621-AM
RICHARD C. LOE, PETITIONER
Vv.
SHERIFF ARMISTEAD, Sheriff of the
City of Alexandria, ET AL., RESPONDENT
ORDER
Let the complaint tendered by Richard Loe be filed
in forma pauperis.
Richard Loe has tendered a complaint seeking dam-
ages under 42 U. S. C. sec. 1983 and declaratory
relief. Jurisdiction is based upon 28 U. S .C. sec.
1343 and 28 U. S. C. sec. 2201, 2202. The injury for
which he seeks redress is the alleged lack of medical
treatment given his after his arm was broken. The
claims Loe raises were raised before in Civil Action
No. 77-554-AM, which was dismissed by order of this
court on July 13, 1977. They are thus barred from
relitigation by the principals of res judicata. The
complaint will be dismissed.
30a
Should the plaintiff wish to appeal, written notice
must be received by the Clerk within thirty (30)
days of this order.
/s/ G. V. B. J.
United States District Judge
Alexandria, Virginia
August 12, 1977
W ou. S. GOVERNMENT PRINTING OFFICE; 1979 286566 320 '
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