954 F.3d 1055
8th Cir.2020Background
- Mark Morris was detained April 2013–May 2014 and complained of testicular pain and swelling; an outside urologist (Dr. Hewett) treated him and ultimately recommended removal of an inflamed epididymal tube on August 7, 2013.
- Watson (jail nurse) attempted to schedule the recommended surgery; she says she made ~15 calls to Dr. Hewett’s office, but the office delayed scheduling and later expressed concern about county payment.
- The sheriff’s office provided a payment-guarantee letter (facsimiled by Watson) but Dr. Hewett thereafter canceled an October appointment and refused to continue treating Morris.
- Watson then scheduled Morris with another urologist (Dr. Zimmerman), who performed the surgery October 31, 2013; Morris later required a second testicular surgery, but the treating physician opined the scheduling delay did not cause the second surgery.
- Morris sued under 42 U.S.C. § 1983 alleging deliberate indifference (Fourteenth Amendment due process as a pretrial detainee) against Watson and Sheriff Cradduck (individually and officially), and alleged a county policy/custom of disregarding medical grievances; the district court granted summary judgment for defendants and the Eighth Circuit affirmed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Watson’s delay in scheduling surgery amounted to deliberate indifference to a serious medical need | Watson delayed surgery for nonmedical, budgetary reasons, causing prolonged pain | Watson repeatedly tried to schedule surgery, arranged payment guarantee, provided meds, and the delay was caused by the physician’s office | No deliberate indifference; conduct at most negligent |
| Whether Cradduck is individually liable as Watson’s supervisor | Cradduck shielded himself from detainee complaints and failed to supervise Watson | Supervisor liability requires the supervisor’s own unconstitutional action; Watson did not violate rights here | No supervisory liability because no underlying constitutional violation by Watson |
| Whether the county is liable under Monell (official-capacity claim) | County had a custom/policy of disregarding medical grievances from problematic detainees | Municipal liability requires an underlying constitutional violation and a municipal policy/custom causing it | Official-capacity claims fail for lack of constitutional violation |
| Whether factual disputes (e.g., missing call/payment records) preclude summary judgment | Absence of records creates genuine disputes about Watson’s efforts | No evidence requirement to document scheduling calls or payment letters in medical chart; plaintiff produced no contrary evidence | No genuine dispute of material fact; summary judgment proper |
Key Cases Cited
- Estelle v. Gamble, 429 U.S. 97 (deliberate indifference to serious medical need states constitutional claim)
- Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (summary judgment standard)
- Barton v. Taber, 908 F.3d 1119 (pretrial detainee claim requires objective serious medical need and subjective deliberate indifference)
- Hartsfield v. Colburn, 371 F.3d 454 (delay of prescribed care for nonmedical reasons can be deliberate indifference)
- Ashcroft v. Iqbal, 556 U.S. 662 (supervisory liability requires the supervisor’s own unconstitutional conduct)
- City of Los Angeles v. Heller, 475 U.S. 796 (official-capacity suit is treated as a municipal claim)
- McCoy v. City of Monticello, 411 F.3d 920 (municipal liability requires a constitutional violation and causal municipal policy)
