This appeal presents the narrow question of whether a federal prisoner incarcerated in a privately operated prison may pursue a Bivens action against employees of the private prison for allegedly violating his Eighth Amendment right to medical treatment. The district court held that he cannot. We affirm.
I. Background
Luis Francisco Alba, a federal prisoner, filed a pro se civil rights complaint while incarcerated at the McRae Correctional Facility in McRae, Georgia. McRae is a private facility owned and operated by Corrections Corporation of America (“CCA”). CCA operates the prison under a contract with the Federal Bureau of Prisons (“BOP”).
According to his complaint, Aba underwent surgery for a benign goiter in his throat while at McRae. Aba alleges that the surgery damaged his vocal cords, and, that despite repeated requests, he was not given appropriate post-operative treatment. Aba sued individual CCA employees, 1 but not CCA. He specifically alleges that the Defendants, acting pursuant to CCA policy, refused to schedule thyro-plasty surgery, a corrective procedure which a throat specialist suggested that Aba undergo. He alleges that the Defendants refused to authorize the surgery because CCA considered the surgery “elective” in order to contain medical costs. He alleges that, by refusing to schedule the thyroplasty, the Defendants acted with deliberate indifference to his medical needs in violation of the Eighth Amendment. In his complaint, Aba seeks money damages and an order directing the Defendants to perform the thyroplasty.
Because Aba was proceeding in forma pauperis, his complaint was screened pursuant to 28 U.S.C. § 1915A.
2
The screening magistrate judge issued a report and recommendation that Aba’s complaint be dismissed under 28 U.S.C. § 1915(e)(2)(B)(ii) for failure to state a claim upon which relief can be granted.
3
Athough Aba sought relief under 42 U.S.C. § 1988, the magistrate judge interpreted his complaint as asserting a claim under
Bivens v. Six Unknown Named Agents of Federal Bureau of Narcotics,
The district court concurred with the magistrate judge’s recommendation and overruled Alba’s objections to it. Like the magistrate judge, the court held that Alba sought relief under Bivens and that he failed to state a claim for relief under Bivens because he had adequate state court remedies. Thus, the court dismissed Alba’s complaint and action. 4 Alba appeals with the aid of appointed counsel. Alba is no longer incarcerated, and, according to the Defendants, has likely been deported to Colombia, South America. 5
II. Issue on Appeal and Standard of Review
The only issue on appeal is whether the district court erred in dismissing Alba’s complaint for failure to state a claim upon which relief can be granted. We review dismissal under § 1915(e)(2)(B)(ii) de novo and view the allegations in the complaint as true.
Hughes v. Lott,
III. Discussion
In
Bivens,
The Court, while observing that the Fourth Amendment did not “in so many words provide for its enforcement by an award of money damages,”
id.
at 396,
The Supreme Court has extended
Bivens
only twice. The first extension occurred in
Davis v. Passman,
The Court again extended
Bivens
in
Carlson v. Green,
Apart from these two cases, the Court has refused to extend
Bivens.
The Court recently declined to do so in a case very similar to the one before us. In
Correctional Services Corp. v. Malesko,
Alba argues that extension of Bivens is justified here. First, he argues that the Defendants acted under color of federal law, and therefore, were government actors for purposes of Bivens liability. Second, he argues that no meaningful alternative remedies exist, nor does the existence of theoretical alternative remedies foreclose a Bivens action.
The Defendants argue that a Bivens action is unavailable here because there are adequate state court remedies to which Alba has access. They also argue that their actions are not attributable to the federal government because they are employed by a private company. Finally, *1254 they argue that they will be unfairly disadvantaged if Bivens were applied to them because they do not enjoy qualified immunity as their federal counterparts do.
Even assuming, without deciding, that Alba’s first argument is correct—that CCA is a government actor for purposes of
Bivens
liability—we agree with the district court that alternative remedies exist by which Alba can recover from the Defendants. In
Malesko,
the Court observed that it has extended
Bivens
only “to provide an otherwise nonexistent cause of action against
individual officers
alleged to have acted unconstitutionally, or to provide a cause of action for a plaintiff who lacked
any alternative remedy
for harms caused by an individual officer’s unconstitutional conduct.”
Alba argues that he does not have an alternative remedy because (1) any alternative remedy must be a federal remedy, and (2) Georgia requires that a professional malpractice complaint include the affidavit of a competent expert setting forth at least one negligent act and the factual basis for each claim, a requirement with which Alba argues an indigent prisoner cannot, as a practical matter, comply.
We can quickly dispose of Alba’s first argument. In
Malesko,
the Court said that it has rejected the argument that “a
Bivens
remedy should be implied simply for want of any other means for challenging a constitutional deprivation in
federal court.”
Also unavailing is Alba’s second argument—that recovery under state law is only theoretical because of Georgia’s affidavit requirement. It is true that in Georgia a plaintiff must include with a professional malpractice complaint “an affidavit of an expert competent to testify, which affidavit shall set forth specifically at least one negligent act or omission claimed to exist and the factual basis for each such claim.” Ga.Code Ann. § 9-ll-9.1(a). The flaw in Alba’s argument, however, is its presupposition that Alba’s complaint states a claim for professional malpractice. Georgia defines “action for medical malpractice” as “any claim for damages resulting from the death of or injury to any person arising out of ... [hjealth, medical, dental, or surgical service, diagnosis, prescription, treatment, or care rendered by a person authorized by law to perform such service or by any person acting under the supervision and control of the lawfully authorized person _” Id. § 9-3-70. Alba’s complaint, even if liberally construed, does not state a medical malpractice claim as Georgia defines that cause of action. Instead of challenging the medical care or treatment he received, Alba challenges the medical policy established by CCA, a policy he argues is designed to increase CCA’s profitability by reducing medical costs. Alba does not allege that any of the Defendants, even the doctors, exercised any professional judgment in denying his request for thyroplasty surgery.
Nor does the Defendants’ reason for denying Alba’s request for surgery implicate professional decision-making. The Defendants cited CCA policy designating thyroplasty surgery as elective as their justification for refusing to schedule it.
See
R.l-1, May 31, 2005 Gluch Letter (“The surgery, in which you are request
*1255
ing, is considered elective surgery per the BOP Program Statement 6031.05.”); R.1-1, May 18, 2005 Pugh Letter (“In accordance with BOP Program Statement 6031.05, levels of care not provided are designated as care that is medically acceptable but not medically necessary and is for the convenience of the inmate.”). In other words, a person wholly lacking medical training and unfamiliar with Alba’s medical history could have denied his request for thyroplasty surgery on the same basis that the Defendants did — by consulting BOP Program Statement 6031.05 to conclude that the surgery is considered elective and therefore not covered. Denying Alba’s request for surgery on this basis did not implicate the exercise of professional judgment critical to a professional malpractice action.
See Upson County Hosp., Inc. v. Head,
But, even if a Georgia court construed Alba’s complaint as stating an action for medical malpractice, the affidavit requirement does not render the state tort remedy inadequate for the purpose of
Bivens
liability. Alba stands in the same shoes as anyone else in Georgia filing a professional malpractice claim and is subject to no stricter rules than the rest of Georgia’s residents. Even a free citizen, especially one with limited funds, will have difficulty in obtaining an affidavit from an “expert competent to testify ... set[ting] forth specifically at least one negligent act or omission claimed to exist and the factual basis for each such claim.” Furthermore, a prisoner faces inherent challenges in filing any type of lawsuit, especially one that involves complicated claims. That state procedural rules complicate the filing of a lawsuit does not mean that a plaintiff lacks
“any alternative remedy
for harms caused by an individual officer’s unconstitutional conduct.”
Malesko,
IV. Conclusion
Because Alba’s complaint fails to state a claim upon which relief can be granted, the district court did not err in dismissing his complaint and action.
AFFIRMED.
Notes
. The Defendants are: Susan Montford, McRae Health Services Administrator; Dr. Joan Roy, Clinical Director at McRae; Michael V. Pugh, McRae Warden; John Nmi Gluch, Division Managing Director for CCA; Dr. Fnu Littman, member of McRae Health Services Committee; and Clara Yawn, member of McRae Health Services Committee.
. Section 1915A provides: "(a) Screening. The court shall review, before docketing, if feasible or, in any event, as soon as practicable after docketing, a complaint in a civil action in which a prisoner seeks redress from a governmental entity or officer or employee of a governmental entity, (b) Grounds for dismissal. On review, the court shall identify cognizable claims or dismiss the complaint, or any portion of the complaint, if the complaint (1) is frivolous, malicious, or fails to state a claim upon which relief may be granted; or (2) seeks monetary relief from a defendant who is immune from such relief.”
. Section 1915(e)(2) provides: ‘‘Notwithstanding any filing fee, or any portion thereof, that may have been paid, the court shall dismiss the case at any time if the court determines that (A) the allegation of poverty is untrue; or (B) the action or appeal (i) is frivolous or malicious;(ii) fails to state a claim on which relief may be granted; or (iii) seeks monetary relief against a defendant who is immune from such relief.”
. The court dismissed Alba's action before the Defendants were served. Consequently, the Defendants never entered an appearance and we have only a minimal record on appeal.
. As noted above, in addition to monetary damages, Alba sought an order directing the Defendants to perform a thyroplasty. On appeal, Alba only argues that he is entitled to damages. Therefore, we need not address any issues relating to his request for equitable relief.
. In his complaint, Alba alleges that CCA policy treats thyroplasty surgery as elective. But, the Defendants’ correspondence indicates that it may be the BOP policy that designates the surgery as elective.
See supra
at 12. The record is unclear. In any event, Alba is challenging some entity's corporate policy, which he argues is motivated by profit (rather than professional decision-making by the Defendants). Thus his complaint illustrates another hurdle to extending
Bivens
— he does not challenge the conduct of
individual officers,
but rather, the
policy
established by either CCA or BOP. However, the Supreme Court has made it abundantly clear that
Bivens
will not support an action challenging the conduct or policy of a non-individual defendant.
See Malesko,
. In fact, as the Defendants point out, Georgia tort law provides remedies arguably superior to recovery under
Bivens.
For example, under Georgia law, Alba can pursue a claim against CCA under a respondeat superior theory of liability, which he could not pursue under
Bivens. See Malesko,
