DECISION AND ORDER
On November 16, 2006, an Immigration Judge (“IJ”) ordered Plaintiff Dulce Cesar removed to Haiti. At the same time, the IJ granted plaintiff withholding of removal to Haiti on the ground that his “life or freedom would be threatened in that country.” See 8 U.S.C. § 1231(b)(3)(A). Defendants Deborah Achim, a federal immigration official at the Chicago Office of Immigration and Customs Enforcement (“ICE”), and Gary Preston, the Detentions Division Commander at the Kenosha County Sheriffs Department, did not release plaintiff from custody until four months later, on March 16, 2007.
In the present action, plaintiff claims that defendants violated his due process rights by detaining him following the grant of withholding of removal and by failing to provide him with adequate medical care.
1
Plaintiff also alleges that Achim violated his due process rights by unconstitutionally conditioning his right to appeal the removal order on a surrender of his liberty. Plaintiff seeks damages against Achim pursuant to
Bivens v. Six Unknown Named Agents of Federal Bureau of Narcotics,
To survive a motion to dismiss under Fed.R.Civ.P. 12(b)(6),
3
the complaint must “give the defendant fair notice of what the ... claim is and the grounds upon which it rests.”
EEOC v. Concentra Health Servs., Inc.,
*900 I. CLAIMS RELATED TO DETENTION
The statutory provisions governing post-order detention are found in 8 U.S.C. § 1231. Specifically, § 1231(a)(2) provides that during the 90-day period following a final removal order (the “removal period”), the Attorney General 4 shall detain the individual subject to the final removal order. The provision further specifies that “[u]n-der no circumstance during the removal period shall the Attorney General release an alien who has been found ... deporta-ble under section 1227(a)(2) ... of this title.” Further, under § 1231(a)(6), the Attorney General, in his discretion, may continue to detain an alien found deporta-ble under § 1227(a)(2) after the removal period expires. These provisions all are applicable in this case, as plaintiff was ordered removed upon a finding of deport-ability under § 1227(a)(2)(A)(iii) based on an aggravated felony conviction.
Thus, § 1231(a)(2)
requires
the Attorney General to detain an individual who, like plaintiff, was found deportable under § 1227(a)(2) for at least ninety days following the final removal order. Additionally, § 1231(a)(6) allows discretionary detention of such an individual beyond the removal period. While the statute itself does not limit the duration of such discretionary detention, the Supreme Court in
Zadvydas v. Davis
noted that it would violate due process to detain an alien ordered removed where removal was not reasonably foreseeable.
Defendant Achim first argues that no
Bivens
remedy is available for the claims relating to plaintiffs custody because the Immigration and Nationality Act (“INA”) is a comprehensive statutory scheme, the existence of which is a “special factor[ ] counseling hesitation” in inferring a
Bivens
remedy.
See Schweiker v. Chilicky,
This argument is unpersuasive. The provisions defendant cites contain nothing of a remedial nature, much less an “intricate and carefully crafted” remedial scheme. They are merely regulatory, defining the Attorney General’s powers and duties regarding the detention and removal of aliens, and do not mention or provide any means of redress for constitutional violations.
See, e.g., Khorrami v. Rolince,
Defendant Achim also argues, in the alternative, that even if I find a
Bivens
remedy to be appropriate in this action, the claims against her should be dismissed based on qualified immunity.
5
Qualified immunity shields defendants “from liability for civil damages if their actions did not violate ‘clearly established statutory or constitutional rights of which a reasonable person would have known.’ ”
Hope v. Pelzer,
With respect to the claim that plaintiffs detention unconstitutionally burdened his right to appeal the removal order, the claim fads to state a constitutional violation. The “unconstitutional conditions” doctrine prohibits the government from unreasonably conditioning the receipt of a benefit on the required sacrifice of a constitutional right.
Dolan v. City of Tigard,
Plaintiff suggests that the detention scheme is unconstitutional because, if he appealed the removal order, he would be detained for the duration of the appeals process and for a minimum of ninety days after, since the removal period would not be triggered until the appeals process concluded and he would not be considered for release until the end of the removal period. If he waived his appeal rights, on the other hand, the removal period would be immediately triggered and he would be considered for release in only ninety days. He argues that the scheme is an unconstitutional burden on his right to appeal because he has to subject himself to prolonged detention to exercise his appeals rights. However, the Supreme Court has already held, after balancing the competing interests at stake, that detention during removal proceedings, including during the appeal of a removal order, is reasonable and does not violate a detainee’s Fifth Amendment rights.
See Demore v. Kim,
To the extent plaintiff argues that he was unconstitutionally detained after the removal period expired, the constitutional analysis is less clear cut. The
Zadvydas
Court’s interpretation of 8 U.S.C. § 1231(a)(6) governs this issue. Several courts, including one circuit court, have interpreted
Zadvydas
as allowing the government to detain an alien pursuant to § 1231(a)(6) for an unhampered six months after an administratively final removal order issues.
See, e.g., Okpoju v. Ridge,
The
Zadvydas
Court held that detention of an alien was constitutionally permissible only for a period reasonably necessary to bring about that alien’s removal from the United States.
Zadvydas,
The fundamental principle in
Zadvydas,
then, is that where removal is not reasonably foreseeable, detention is unconstitutional.
Id.
at 699-700,
First, in deference to Executive Branch expertise in matters of foreign policy and administrative necessity, the Court held that six months is a reasonable estimate of the maximum time necessary to effectuate most removals, and therefore a six-month period of detention following a final removal order of an alien subject to detention under § 1231(a)(6) is presumptively lawful.
Id.
at 700-01,
Thus, if after six months the alien has not been removed, he is entitled to release if he “provides good reason to believe” that removal is not reasonably foreseeable and the government produces no evidence rebutting that argument. Id. In other words, the government bears the burden of proof if the alien can offer any legitimate argument as to why there is no significant likelihood of removal. Within the six-month window, detention is presumptively lawful.
Nothing about this scheme supports the conclusion drawn by many courts that the presumptive legality of detention within the first six months is irrebuttable. The
Zadvydas
Court did not say that the presumption is irrebuttable, and there is nothing inherent in the operation of the presumption itself that requires it to be ir-rebuttable. Rather, the scheme operates merely to shift and alter the burden of proving whether or not detention pursuant to § 1231(a)(6) is permissible. Within the six-month window, the
detainee
must
prove
the unreasonableness of detention, and courts must accord great deference to Executive Branch determinations based on foreign policy expertise and administrative necessity. After the expiration of six months, the detainee need only offer a valid reason why removal is unforeseeable, which the
government
must then
disprove.
And as time passes, the burden on the government increases accordingly.
Zad-vydas,
Moreover, the Court’s justification for the first presumption — that detention for up to six months after the beginning of the removal period is lawful — rests explicitly upon the narrow ground that the Executive Branch, because of its knowledge and expertise, is in a better position than the courts in the early stages of the removal process to determine what is or is not reasonably foreseeable removal and what administrative steps are necessary to effect removal.
7
Id.
at 700,
This notion is not unknown to immigration matters. For example, the rule announced in
Demore
— that detention pursuant to § 1226(c) during removal proceedings is lawful-is not conclusive.
See Demore,
Similarly, in
County of Riverside v. McLaughlin,
The Zadvydas presumption is analogous to the Riverside presumption. It gives deference to the government when the case involves matters of foreign policy and administrative necessity in the early stages of the removal process, but it does not give the government unfettered discretion to detain. And where the facts of the case do not implicate Executive Branch expertise, the justification for the presumption disappears altogether. The burden might be on the detainee within the first six months to overcome the presumptive legality of his detention, but where an alien can carry that burden, even while giving appropriate deference to any Executive Branch expertise, his detention would be unlawful.
Detention where removal is not reasonably foreseeable is unconstitutional.
Zadvydas,
Thus, I conclude that while detention pursuant to § 1231(a)(6) for up to six months is presumptively lawful, an alien may still state a claim for and demonstrate a constitutional violation within the six-month window. In the present case, I do not have enough facts on the record before me to determine whether defendants’ conduct violated plaintiffs constitutional rights at this stage of the litigation. 8 However, if plaintiff could show, for example, that the government was not taking steps to effectuate his removal, then there would be no exercise of knowledge or expertise unique to the Executive Branch to justify any deference, removal likely would not be reasonably foreseeable, and detention would therefore be unconstitutional. Thus, the facts alleged in plaintiffs complaint plausibly establish a constitutional violation.
Because a constitutional violation exists “on a favorable view of the parties’ submissions, I must next ask whether the [constitutional] right was clearly established,” an inquiry that “must be undertaken in light of the specific context of the case, not as a broad general proposition.”
Saucier,
The words “clearly established ... constitutional rights” may not be used to read the defense of immunity out of federal tort law by the facile expedient of stating constitutional rights in the most general possible terms.... The right must be sufficiently particularized to put potential defendants on notice that their conduct probably is unlawful.
Rice v. Burks,
Plaintiff has failed to meet this burden. Defendants were acting at all times pursuant to statutory authorizations that have been upheld as constitutional by the Supreme Court. Moreover, a number of courts, including other district courts within the Seventh Circuit.as well as other circuit courts, have interpreted Zadvydas as creating an irrebuttable presumption that detention within the six-month window is constitutional. 9 In light of these *906 cases, in addition to the relevant statutes and Supreme Court decisions, plaintiff has not met the burden of showing that the constitutional violations, if indeed there were any, were of a clearly established right, and defendants are immune from liability for damages.
Additionally, plaintiffs claim for declaratory relief is moot and must therefore be dismissed. The Supreme Court has set forth the standard for determining whether a request for declaratory relief is moot, noting that “the question in each case is whether the facts alleged, under all the circumstances, show that there is a substantial controversy, between parties having adverse legal interests, of sufficient immediacy and reality to warrant the issuance of a declaratory judgment.”
Preiser v. Newkirk,
“An actual controversy must be extant at all stages of review, not merely at the time the complaint is filed.”
Preiser,
In this case, plaintiff has been released, but he argues that his release does not render the controversy moot. He focuses on the possibility that he will be rede-tained in the future, citing to provisions in his release agreement which notify him that he is subject to future detention when necessary to remove him, and argues that this renders his situation “capable of repetition, yet evading review.”
See DeFunis v. Odegaard,
II. MEDICAL CARE CLAIMS
Plaintiff claims that defendants violated his Fifth Amendment right to ade
*907
quate medical care. The same standard used under the Eighth Amendment applies in a due process analysis of whether plaintiff stated a denial of medical care claim.
See Dahlan v. Dep’t of Homeland Sec.,
Thus, to establish a medical care claim, a detainee must show that (1) his medical need was objectively serious, and (2) the officials involved acted with deliberate indifference to his health or safety.
Farmer v. Brennan,
Plaintiff alleges that while he was in custody defendants failed to provide him with adequate medical care. Specifically, plaintiff suffers from a number of conditions, including fibromyalgia, hypertension, depression, diabetes, arthritis, hypercholesterinemia, back pain, acid reflux, Graves’ disease, and a serious thyroid condition that had previously required a thyroidectomy. Prior to his detention, plaintiff had been prescribed and was taking a number of medications. Upon his detention at the Kenosha County Detention Center (“KCDC”), he was initially given only Tylenol. Despite frequent oral and written requests to KCDC staff for care related to a number of conditions and symptoms, KCDC did not provide adequate care. The staff confiscated his eyeglasses for two to three months. They did not regularly test his blood sugar, as necessary for his diabetes. They did not provide him his thyroid medication until three months after he was taken into custody. They only provided Tylenol to treat his fibromyalgia, hypertension, diabetes, arthritis, hypercholesterinemia, and back pain. They did not provide adequate medication to treat plaintiffs depression. They did not conduct follow up testing to confirm whether or not lesions on plaintiffs lungs revealed by a CAT scan were cancerous. They did not fill plaintiffs post-surgical prescription for pain medication, and deprived plaintiff of the prescribed post-surgical walking boot even though he still experienced pain when walking. Plaintiff alleges that defendants were aware of all these circumstances but *908 did not attempt to remedy the situation in any manner.
Defendant Achim argues that plaintiffs complaint fails to allege facts indicating that she was personally involved in the alleged denial of medical care. Achim argues that plaintiffs complaint speaks in “sweeping generalizations” that fail to allege any personal involvement on her part. I disagree. The complaint alleges that “defendants” were aware of the denial of adequate medical care; indeed, defendant Achim admits that the matter was brought to her attention. The complaint further alleges that despite her knowledge, she failed to remedy the situation. This is enough to state a claim against Achim for denial of medical care. Moreover, I do not believe qualified immunity is appropriate at this time, as Achim’s alleged conduct, viewed in the light most favorable to plaintiff, could amount to a violation of a clearly established constitutional right.
See Estelle,
Defendant Achim also argues that she received a report about the problems related to plaintiffs medical conditions and subsequently ordered someone to investigate the problem; therefore, she was not deliberately indifferent to plaintiffs health. However, this argument raises new factual allegations that go to the merits of plaintiffs case and is more appropriately addressed on summary judgment.
III. CONCLUSION
Therefore,
IT IS ORDERED that defendant’s motion to dismiss is GRANTED IN PART AND DENIED IN PART in accordance with this order.
IT IS FURTHER ORDERED that plaintiffs motion to clarify the prayer for relief is DENIED as moot.
IT IS FURTHER ORDERED that defendant Preston’s motion for leave to file an amended answer is DENIED as moot.
Notes
. Although medical care claims for convicted prisoners implicate the Eighth Amendment, because plaintiff is an immigration detainee, his medical care claims against federal defendant Achim arise under the Due Process clause of the Fifth Amendment.
See Dahlan v. Dep't of Homeland Sec.,
. Also before me is plaintiff’s motion to clarify the prayer for relief and defendant Preston’s motion for leave to file an amended answer to the complaint. These motions were rendered moot by the subsequent filing of an amended complaint, and I will deny them as such.
.Achim filed a motion to dismiss or, in the alternative for summary judgment. However, pursuant to the parties’ agreement, I will treat it as a motion to dismiss under Rule 12(b)(6).
. The statute says “Attorney General,” but since 2003, the immigration functions involved in this case have been transferred to the Department of Homeland Security. See 6 U.S.C. § 251. Thus, any reference to "Attorney General” actually refers to the responsible officials within the Department of Homeland Security, including the officials at ICE.
. Defendant Preston has asserted a qualified immunity defense, and this discussion is applicable to him as well.
. The
Demote
holding relied on statistics showing that removal proceedings, including appeal, are typically brief in duration. Thus, where the duration of detention pursuant to § 1226(c) is unreasonably long because of protracted removal proceedings, including appellate proceedings, the rationale underlying
Demote
falls away and the holding arguably is inapplicable.
See Ly v. Hansen,
. For example, negotiations implicating foreign policy matters committed to the Executive Branch, such as negotiations with a country to receive an alien or negotiations of repatriation agreements, could take time to arrange or complete, and could impact whether or not removal is reasonably foresee
*904
able.
Zadvydas,
. Plaintiff's argument — that because he was granted withholding of removal to the only country named in the removal order, there was no reasonable likelihood of his removal— ignores the possibility of removal to a different country. A grant of withholding of removal is country specific and does not render detention pursuant to § 1231(a)(6) per se unconstitutional.
See INS v. Cardoza-Fonseca,
. For example, in one case, the court dismissed an immigration detainee’s habeas petition as unripe, because it was filed when petitioner had been detained post-order for less than six months.
See Francois,
