Justia Civil Rights Opinion Summaries

While being held in Saginaw County Jail on a misdemeanor charge relating to failure to pay court fines, Rouster succumbed to sepsis and died as a result of a perforated duodenal ulcer. Before his death, he had complained of stomach pain, engaged in bizarre behaviors indicative of mental-health problems, and displayed signs of agitation. His estate, brought suit under 42 U.S.C. 1983 against the medical staff members who interacted with Rouster during the final 36 hours of his life, alleging that they were deliberately indifferent to his medical needs. Experts agreed that prompt medical attention could have saved his life and that Rouster received substandard care. The district court entered summary judgment for the defendants. The Sixth Circuit affirmed, reasoning that it could not conclude that the medical staff became aware of Rouster’s serious medical need and deliberately refused to provide appropriate treatment.View "Rouster v. Saginaw Cnty." on Justia Law

Michelle McCall received prenatal medical care at a United States Air Force clinic as an Air Force dependent. McCall died after delivering her son as a result of severe blood loss. Petitioners filed an action against the United States under the Federal Tort Claims Act (FTCA). The federal district court found the United States liable under the FTCA. The court concluded that Petitioners’ economic damages amounted to $980,462 and Petitioners’ noneconomic damages totaled $2 million. However, the district court limited Petitioners’ recovery of wrongful death noneconomic damages to $1 million after applying Fla. Stat. 766.118, Florida’s statutory cap on wrongful death noneconomic damages based on medical malpractice claims. The district court subsequently denied Petitioners’ motion challenging the constitutionality of the wrongful death statutory cap. The Eleventh Circuit Court of Appeals affirmed the application of the statutory cap on noneconomic damages and held that the statute was not unconstitutional. The Florida Supreme Court accepted certification to answer questions of Florida law and answered by holding the statutory cap on wrongful death noneconomic damages provided in Fla. Stat. 766.118 violates the Equal Protection Clause of the Florida Constitution. View "Estate of McCall v. United States" on Justia Law

In 2008, Shields, an Illinois prisoner was lifting weights and ruptured the pectoralis tendon in his left shoulder. Although he received some medical attention, he did not receive the prompt surgery needed for effective treatment. Due to oversights and delays by those responsible for his medical care, too much time passed for surgery to do any good. He has serious and permanent impairment that could have been avoided. After his release from prison, Shields filed suit under 42 U.S.C. 1983, alleging that several defendants were deliberately indifferent to his serious medical needs and violated his rights under the Eighth Amendment to the Constitution. The district court granted summary judgment in favor of the defendants. The Seventh Circuit affirmed, reasoning that Shields was the victim not of any one person’s deliberate indifference, but of a system of medical care that diffused responsibility for his care to the point that no single individual was responsible for seeing that he timely received the care he needed. As a result, no one person can be held liable for any constitutional violation. Shields’ efforts to rely on state medical malpractice law against certain private defendants also failed. View "Shields v. IL Dep't of Corrs." on Justia Law

In 2013, the Governor of Wisconsin signed into law a statute that prohibits a doctor, under threat of heavy penalties, from performing an abortion unless he has admitting privileges at a hospital no more than 30 miles from the clinic in which the abortion is performed. Wis. Stat. 253.095(2). Planned Parenthood and others challenged the law under 42 U.S.C. 1983. The district court entered a preliminary injunction against enforcement of the law. The Seventh Circuit affirmed. The court noted that the seven doctors affected by the law had applied for, but after five months, had not been granted, admitting privileges; that all Wisconsin abortion clinics already have transfer agreements with local hospitals to facilitate transfer of clinic patients to the hospital emergency room. A hospital emergency room is obliged to admit and to treat a patient requiring emergency care even if the patient is uninsured, 42 U.S.C. 1395dd(b)(1). Had enforcement of the law, with its one-weekend deadline for compliance, not been stayed, two of the state’s four abortion clinics would have had to shut down and a third clinic would have lost the services of half its doctors. View "Planned Parenthood of WI v. Van Hollen" on Justia Law

Inmate Santiago, complaining of severe pain and a rash, was seen by Dr.Mosher on January 31. Mosher prescribed Tylenol for pain and antibiotics to treat what she thought might be Methicillin-resistant Staphylococcus aureus (MRSA). The next day Dr. Ringle diagnosed erythema nodosum (EN), an uncomfortable but non-dangerous skin inflammation that typically disappears in about six weeks but may recur. EN has no known cure. Ringle prescribed an anti-inflammatory and an antibiotic. Four days later, Santiago was transferred to OSU Medical Center, where he was diagnosed with EN and arthralgias, a severe joint-pain condition, and prescribed an anti-ulcer agent and a different anti-inflammatory. Santiago was seen on February 20 by an OSU dermatologist, who recommended a topical steroid, compression hose, and SSKI, which may help treat EN but is not standard treatment. Each day, February 22- 25, Santiago asked prison nursing staff about the treatments. Staff denied knowledge until, on the 25th, nurses found Santiago’s unsigned chart on Ringle’s desk. Ringle had been on vacation. Mosher signed the order on February 27. Santiago received the topical steroid on February 29 and compression stockings on March 10. Santiago waited longer for the SSKI, which is a non-formulary drug. The district court rejected Santiago’s suit (42 U.S.C. 1983) based on the delays. The Sixth Circuit affirmed. Santiago did not prove that the delay caused a serious medical need or deliberate indifference.View "Santiago v. Ringle" on Justia Law

This case involved a medical-malpractice claim filed well after the statute of repose set forth in Ohio Rev. Code 2305.113(C). Timothy and Tracy Ruther sued a doctor and medical facility, claiming that the doctor had failed to properly assess, evaluate and respond to abnormal laboratory results including very high liver enzymes. The court of appeals held that section 2305.113(C), as applied to the facts of this case, violated the right-to-remedy clause of the Ohio Constitution, relying in part upon Hardy v. VerMeulen. The Supreme Court overruled Hardy and reversed the court of appeals, holding (1) Plaintiffs, whose cause of action for medical malpractice did not accrue until after the statute of repose had expired, were not deprived of a vested right; (2) Plaintiffs failed to present clear and convincing evidence that the statute was unconstitutional as applied to their claim; and (3) therefore, the medical malpractice statute of repose found in section 2305.113(C) does not extinguish a vested right and thus does not violate the Ohio Constitution. View "Ruther v. Kaiser" on Justia Law

Hughes died after hanging himself from his bed in the Butler County Prison, where he was incarcerated on charges of robbery, contributing to the delinquency of a minor, and abuse of the drugs cocaine and Concerta. Hughes showed no outward signs that he was suicidal, but he did have a history of depression and asked to see Tepe, the prison psychiatrist, about anti-depression medication. Hughes and Dr. Tepe never met. Hughes had told an intake worker that he had attempted suicide and had been hospitalized for suicidal ideation. There was a suicide alert in the computer system and Hughes told a paramedic that he had not been taking his prescribed medication. Hughes’s mother filed suit under 42 U.S.C. 1983, alleging deliberate indifference to her son’s serious medical need. Tepe sought summary judgment, arguing that he was The district court held that Tepe could not assert a qualified-immunity defense. The Sixth Circuit affirmed. Precedent and public policy do not support immunity for a privately paid physician working for the public.

Plaintiff began experiencing severe headaches and swelling in his left eye in 2007 while incarcerated. Shortly after his release, plaintiff was diagnosed with Ewing’s Sarcoma, a serious form of bone cancer. According to plaintiff, surgery would have been sufficient to treat the disease had prison staff detected it earlier. However, due to the late diagnosis, chemotherapy and radiation are now necessary. In his suit under 42 U.S.C. 1983, the district court held that plaintiff pled sufficient facts upon which one could draw the inference that defendants violated the Eighth Amendment and committed medical malpractice. The doctor and nurse filed an interlocutory appeal, arguing that their involvement with plaintiff was minimal and cannot form the basis for a finding of deliberate indifference or gross negligence. The Sixth Circuit reversed, finding the defendants entitled to qualified immunity. Neither negligent medical care, nor delay in providing medical care, can rise to the level of a constitutional violation absent specific allegations of sufficiently harmful acts or omissions reflecting deliberate indifference.

Plaintiff, a minor, sustained serious injuries at birth due to the negligence of medical professionals who attended her delivery. As a result of plaintiff's injuries, DHHS, through the state Medicaid program, paid more than $1.9 million in medical and health care expenses on her behalf. Plaintiff instituted a medical malpractice action in state court and eventually settled the action for a lump some of approximately $2.8 million. The settlement agreement did not allocate separate amounts for past medical expenses and other damages. DHHS subsequently asserted a statutory lien on the settlement proceedings pursuant to N.C. Gen. Stat 108A-57 and 59 (third-party liability statues), which asserted that North Carolina had a subrogation right and could assert a lien upon the lesser of its actual medical expenditures or one-third of the medicaid recipient's total recovery. Plaintiff brought the instant action seeking declaratory and injunctive relief pursuant to 42 U.S.C. 1983, seeking to forestall payment under federal Medicaid law known as the "anti-lien provision," 42 U.S.C. 1396p. The court was persuaded that the unrebuttable presumption inherent in the one-third cap on the state's recovery imposed by the North Carolina third-party liability statutes was in fatal conflict with federal law. Accordingly, the court vacated the judgment in favor of the Secretary and remanded for further proceedings.

An inmate sued, claiming that the prison medical director was deliberately indifferent to his need for eye surgery. He was diagnosed in 2001, with pterygia, a thin film covering the eye, which significantly obstructs his vision and apparently causes itching and irritation. The prison denied requests for surgery. The inmate alleged that there was an unofficial policy of denying off-site care to death row inmates. Medical recommendations were mixed; several doctors recommended the surgery. Following a remand of dismissal of his suit, the inmate got surgery in 2008, and filed a second suit, based on the delay The district court entered summary judgment, in favor of the doctor. The Seventh Circuit vacated, finding that the evidence remains insufficient to eliminate fact disputes. The medical recommendations are enough to create genuine fact disputes that the pterygia had become objectively serious and that the doctor intentionally or with deliberate indifference ignored the condition.