Roger G. CHARLES, Plaintiff, v. OFFICE OF THE ARMED FORCES MEDICAL EXAMINER, et al., Defendants.
Civil Action No. 09-199 (RWR)
United States District Court, District of Columbia.
March 27, 2013.
Similarly, here, even if Dr. Turner were found to have breached the national standard of care in the timeliness of her communication of the June 1, 2007 abnormal blood test results to Mr. Bederson, the plaintiff‘s claim that the delay of about two weeks in communicating those results proximately caused his heart attack and hypotension is simply not supported by the evidence. Rather, had the abnormal blood test results been communicated sooner to Mr. Bederson, via letter or telephone call, and assuming that he would have taken immediate action to address the condition, the action that all of the experts agree would have been recommended to diagnose the origin of the anemia was an EGD, the very diagnostic procedure he underwent on June 14, 2007. As noted, it is this very procedure that the plaintiff claims caused his sudden blood loss and led to his hypotension and heart attack.
The plaintiff‘s aggressive pursuit of the government defendant and the private physician, both of whom provided medical care to Mr. Bederson for years before his heart attack in June, 2007, is a testament to his search for answers as to the cause of his father‘s dire condition in the last years of his life. The simplest of answers seems to be that Mr. Bederson sustained for a long period of time serious heart disease and diminished heart function, and this ultimately led to another heart attack. The proof is simply not there that a delay of about two weeks in advising him about the chronic anemia he had developed was the cause of that heart attack.
IV. CONCLUSION
Upon consideration of the foregoing findings of fact and conclusions of law, the Court concludes that the plaintiff has failed to establish, by a preponderance of the evidence, any breach of a duty by the government defendant in communicating the results of Robert Bederson‘s blood test taken on June 1, 2007, by sending a letter with those results to him on June 18, 2007. Furthermore, the plaintiff has also failed to prove, by a preponderance of the evidence, that any delay in forwarding the blood test results to Mr. Bederson was the proximate cause of his heart attack on June 17, 2007. Accordingly, the Court finds that the plaintiff has failed to prove that the government defendant is liable for his claim of medical malpractice, and the Court therefore finds in favor of the United States.
A separate Order consistent with these findings of fact and conclusions of law accompanies this Opinion.
Michelle Renee Bennett, Tamra Tyree Moore, U.S. Department of Justice, Washington, DC, for Defendants.
MEMORANDUM OPINION AND ORDER
RICHARD W. ROBERTS, District Judge.
Plaintiff Roger Charles, a retired Marine Corps captain and journalist, brings this action against the Office of the Armed Forces Medical Examiner (“OAFME“), the Armed Forces Institute of Pathology (“AFIP“), and the Department of Defense (“DOD“) alleging a violation of the Freedom of Information Act (“FOIA“),
BACKGROUND
Rogers is a veteran, a journalist, and the editor of Defense Watch, an online journal published by the Soldiers for the Truth Foundation. Pl.‘s Third Cross Mot. for Summ. J. (“Pl.‘s Mot.“), Pl.‘s Stmt. of Undisputed Material Facts in Supp. of Pl.‘s Third Cross-Mot. for Summ. J. (“Pl.‘s Stmt.“) ¶ 1. Charles is investigating the effectiveness of the body armor that the United States military issues to its troops. Charles v. Office of the Armed Forces Med. Exam‘r, 730 F.Supp.2d 205, 208 (D.D.C.2010). “Having learned of reports and data suggesting that the body armor may not provide sufficient protection for American troops in combat, the plaintiff began gathering empirical information in an attempt to verify these reports.” Id. To further his investigation, Charles submitted a FOIA request in October 2008 to the DOD‘s AFIP, which was directed to the OAFME.1 Defs.’ Third Mot. for Summ. J. (“Defs.’ Mot.“), Defs.’ Stmt. of Material Facts Not in Dispute (“Defs.’ Stmt.“) ¶ 1; Compl., Ex. E (Letter from Catherine M. With, Major, U.S. Army & Legal Counsel, AFIP, to Roger G. Charles (Sept. 10, 2008) at 1). Charles requested records that “analyze fatal wounds from bullets that were inflicted on military service members wearing body armor in Iraq and Afghanistan between January 1, 2006 and December 31, 2007, and analyze the relationship between personal body armor and lethal torso injuries sustained by such service members.” Defs.’ Stmt. ¶ 2. “As of January 30, 2009, the AFIP had neither produced any documents nor provided any estimate of when it might respond.” Charles, 730 F.Supp.2d at 209; see also Defs.’ Mot., Captain Craig T. Mallak Decl. (“Mallak Decl.“) ¶ 17. Charles filed his complaint for injunctive relief in February 2009.
AFIP does not maintain a searchable central records system. Thus, Captain Mallak convened a meeting of his colleagues to determine whether the Armed Forces Medical Examiner System (“AFMES“) and AFIP possessed any records responsive to Charles‘s request. Mallak Decl. ¶ 20. The defendants identified 103 autopsy files and 18 body armor description sheets. Pl.‘s Stmt. ¶ 6; Defs.’ Stmt. ¶¶ 3, 6. The autopsy files included “information such as preliminary and final autopsy reports, autopsy photographs, body diagrams, CT scans, medical records and death certificates.” Charles, 730 F.Supp.2d at 209. The responsive body armor description sheets “contained written descriptions of wounds and wound patterns and notations of possible links be-
In October 2009, the defendants moved for summary judgment arguing that their search for responsive records was adequate and that all of the records responsive to Charles‘s request were properly withheld. Id. ¶ 8. Charles filed a cross-motion for summary judgment and an opposition in which he narrowed the scope of his FOIA request to seek only:
(a) [Armed Forces Medical Examiner Tracking System] body armor descriptions sheets, related to body armor worn by a soldier killed in Iraq or Afghanistan between January 1, 2006 and December 31, 2007, which indicate that the body armor was not intact upon receipt for inventory, and
(b) autopsy reports and associated documents2:
(1) indicating that a soldier killed in Iraq or Afghanistan between January 1, 2006 and December 31, 2007 suffered a fatal gunshot wound in an area likely covered by the front or rear ceramic insert plates of that soldier‘s body armor, and/or
(2) commenting, discussing or indicating that the body armor worn by a soldier killed in Iraq or Afghanistan between January 1, 2006 and December 31, 2007 did not prevent a fatal wound, or was penetrated by a bullet.
Pl.‘s Stmt. ¶ 19; Charles, 730 F.Supp.2d at 210. Charles also limited his request to copies of the responsive records with certain information redacted, such as all personal identifying information.3 The defendants re-reviewed their records and determined that none of the records responsive to Charles‘s initial request were responsive to Charles‘s narrowed request. Charles, 730 F.Supp.2d at 211. In response, Charles “protested the defendants’ apparent reversal on the question of whether they possess any responsive documents.” Id.
On August 13, 2010, Judge Urbina issued a Memorandum Opinion and Order denying the defendants’ motion for summary judgment and granting in part Charles‘s cross-motion for summary judgment. Id. at 217-18. As an initial matter,
In October 2010, the defendants again moved for summary judgment. In their motion, the defendants admitted to possessing records responsive to Charles‘s narrowed request. They stated that they had identified 82 autopsy reports and associated documents and 7 body armor description sheets. Pl.‘s Stmt. ¶¶ 25-26. However, the defendants stated that they were withholding the records under FOIA Exemptions 2, 5, and 6. Defs.’ Stmt. ¶ 17. Charles again filed a cross-motion for summary judgment. In March 2011, the Supreme Court decided Milner v. Department of Navy, — U.S. —, 131 S.Ct. 1259, 179 L.Ed.2d 268 (2011). Milner abrogated Crooker v. Bureau of Alcohol, Tobacco & Firearms, 670 F.2d 1051, 1056 (D.C.Cir.1981), which had held that “Exemption 2 should also cover any ‘predominantly internal’ materials, whose disclosure would ‘significantly ris[k] circumvention of agency regulations or statutes[.]‘” Milner, 131 S.Ct. at 1263 (first alteration in original) (footnote omitted) (quoting Crooker, 670 F.2d at 1056-57, 1074). In light of the intervening change in controlling law, Judge Urbina denied both motions for summary judgment without prejudice. See Minute Orders entered on Sept. 1, 2011.
The defendants now move a third time for summary judgment. The defendants no longer rely on Exemption 2 to withhold responsive records. However, the defendants “continue to withhold the preliminary and final autopsy reports, CT scans, body diagrams, and in-theater medical records that are responsive to Plaintiff‘s narrowed request” under Exemptions 5 and 6. Defs.’ Stmt. ¶ 19.4 The defendants further assert that the records are properly held in their entirety and that any responsive, non-exempt information in the records is not reasonably segregable. Defs.’ Mot., Mem. in Supp. of Defs.’ Third Mot. for Summ. J. (“Defs.’ Mem.“) at 2. Charles cross-moves for summary judgment arguing that the defendants cannot properly withhold the responsive body armor description sheets and autopsy files and associated documents5 under Exemptions 5 and 6. Pl.‘s Mot., Mem. in Supp. of Pl.‘s Opp‘n to Defs.’ Third Mot. for Summ. J. & Pl.‘s Third Cross-Mot. for Summ. J. (“Pl.‘s Mem.“) at 2-3.
DISCUSSION
Summary judgment is appropriate when “the movant shows that there is
Under the FOIA, agencies must comply with requests to make their records available to the public unless the requested information is exempted by clear statutory language.
The agency bears the burden to demonstrate that the documents requested are exempt from disclosure, see Assassination Archives & Research Ctr. v. CIA, 334 F.3d 55, 57 (D.C.Cir.2003), since the party requesting disclosure cannot know the precise contents of the documents withheld, Vaughn, 484 F.2d at 823-24. “To provide an effective opportunity for the requesting party to challenge the applicability of an exemption and for the court to assess the exemption‘s validity, the agency must explain the specific reason for nondisclosure.” Island Film, S.A. v. Dep‘t of the Treasury, 869 F.Supp.2d 123, 132 (D.D.C. 2012). “To enable the Court to determine whether documents properly were withheld, the agency must provide a detailed description of the information withheld through the submission of a so-called ‘Vaughn Index,’ sufficiently detailed affidavits or declarations, or both.” Hussain v. U.S. Dep‘t of Homeland Sec., 674 F.Supp.2d 260, 267 (D.D.C.2009). Whatev-
If the agency affidavits and Vaughn index “‘contain reasonable specificity of detail rather than mere conclusory statements,‘” then a plaintiff must point either to contradictory evidence in the record or provide independent evidence of agency bad faith to demonstrate that the agency improperly invoked an exemption. Williams v. FBI, 69 F.3d 1155, 1159 (D.C.Cir.1995) (quoting Gallant v. NLRB, 26 F.3d 168, 171 (D.C.Cir.1994)). Island Film, 869 F.Supp.2d at 132.
I. PRELIMINARY AUTOPSY REPORTS
The defendants argue that “the preliminary autopsy reports ... that are responsive to Plaintiff‘s narrowed request” are properly withheld because they are protected by the deliberative process privilege. Defs.’ Mem. at 18. The defendants assert that the records “contain preliminary medical findings used by AFMES professionals in creating final autopsy reports and, as such, do not constitute the government‘s final analysis and determinations as to cause of death.” Id. Charles counters that the redacted records are not protected by the deliberative process privilege because Charles is seeking factual information, which is not protected by the privilege. Pl.‘s Mem. at 18-19. He further contends that at least the factual aspects of the reports are reasonably segregable and should be disclosed. Id. at 19.
A. Exemption 5
Exemption 5 of the FOIA excludes from mandatory disclosure “inter-agency or intra-agency memorandums or letters which would not be available by law to a party other than an agency in litigation with the agency[.]”
An agency invoking the exemption has the burden to show that the responsive record is “predecisional” and “deliberative.” Id. A document is predecisional if “it was generated before the adoption of an agency policy[.]” Coastal States Gas Corp. v. Dep‘t of Energy, 617 F.2d 854, 866 (D.C.Cir.1980). It is deliberative if “it reflects the give-and-take of the consultative process.” Id.
The exemption thus covers recommendations, draft documents, proposals, suggestions, and other subjective documents which reflect the personal opinions of the writer rather than the policy of the agency. Documents which are protected by the privilege are those which would inaccurately reflect or prematurely disclose the views of the agen-
The defendants argue that the preliminary autopsy reports are draft documents that “represent merely preliminary steps toward arriving at the agency‘s final determination as to cause of death.” Defs.’ Mem. at 20-21. “Preliminary autopsy reports are drafted before toxicology results and/or all information or material from in theater are received, and thus, they reflect only a tentative view of the meaning of evidence discovered during an autopsy.” Defs.’ Mot., Third Decl. of Craig T. Mallak (“3d Mallak Decl.“) ¶ 12. They are also “created before the final cause and manner of death are determined by AFMES.” Mallak Decl. ¶ 37. As such, “[t]he information in a preliminary autopsy report can be, and often is, altered in the final autopsy report[,]” and may reflect a different cause of death determination than the final autopsy report reflects. See 3d Mallak Decl. ¶ 12. Thus, Captain Mallak concluded that disclosing the preliminary reports may “inhibit AFMES personnel from freely expressing [their] initial opinions about the cause and manner of death.” Id. ¶ 12.
The defendants’ evidence shows that the preliminary autopsy reports are drafts of the final autopsy reports. Charles has cited no contradictory evidence in the record, or provided any evidence of bad faith, to undermine the agency‘s assessment that disclosure of the preliminary reports would inhibit candor in future reports and would disclose the agency‘s decisionmaking process. Because this assessment is entitled to deference and the agency has provided evidence to show that preliminary reports are protected under the deliberative process privilege, the agency properly invoked Exemption 5 to protect the preliminary autopsy reports.
B. Segregability
An agency must disclose “[a]ny reasonably segregable portion” of an otherwise exempt record.
Here, the defendants assert that the preliminary autopsy reports are properly withheld in their entirety. Defs.’ Mem. at 22. Charles argues that the factual material in the preliminary autopsy reports is reasonably segregable from the
II. FINAL AUTOPSY REPORTS AND IN-THEATER MEDICAL RECORDS
The defendants contend that they “properly withheld, pursuant to Exemption 6, the responsive preliminary and final autopsy reports, ... and in-theater medical records, in their entirety.” Defs.’ Mem. at 10. Charles argues that Exemption 6 is inapposite because he does not seek any personally identifying information. Pl.‘s Mem. at 10.
Exemption 6 of the FOIA provides that an agency may withhold “personnel and medical files and similar files the disclosure of which would constitute a clearly unwarranted invasion of personal privacy[.]”
Exemption 6 applies only “when the documents disclose information attributable to an individual.” Arieff v. U.S. Dep‘t of Navy, 712 F.2d 1462, 1468 (D.C.Cir.1983). “All information which ‘applies to a particular individual’ is covered by Exemption 6, regardless of the type of file in which it is contained.” Wash. Post, 690 F.2d at 260 (quoting U.S. Dep‘t of State v. Wash. Post Co., 456 U.S. 595, 602 (1982)).
“Exemption 6 ‘tilt[s] the balance (of disclosure interests against privacy interests) in favor of disclosure,’ and creates a ‘heavy burden’ for an agency invoking Exemption 6.” Lardner v. Dep‘t of Justice, 638 F.Supp.2d 14, 23-24 (D.D.C.2009) (alteration in original) (quoting Morley v. CIA, 508 F.3d 1108, 1128 (D.C.Cir.2007)). To determine whether disclosure would cause a clearly unwarranted invasion of personal privacy, courts consider whether disclosure would invade privacy, and if so, the seriousness of that invasion and the public interest in disclosing the information. Then they balance the individual privacy interests against the public interests. Wash. Post, 690 F.2d at 260. “Exemption 6 is designed to protect personal information in public records, even if it is not embarrassing or of an intimate nature[.]” Nat‘l Ass‘n of Retired Fed. Employees v. Horner, 879 F.2d 873, 875 (D.C.Cir.1989). To properly withhold records under the exemption, the agency must establish that disclosure of the responsive records “would compromise a substantial, as opposed to de minimis, privacy interest.” Id. at 874. On the other side of the balance, the requestor bears the burden of articulating a significant public interest, Schwaner v. Dep‘t of the Army, 696 F.Supp.2d 77, 82 (D.D.C.2010), and of showing that disclosure would advance that interest, Harrison v. Exec. Office for U.S. Attorneys, 377 F.Supp.2d 141, 147 (D.D.C.2005). The only relevant public interest under the FOIA is the extent to which disclosure “advances the citizens’ right to be informed about what their government up to[.]” Nat‘l Ass‘n of Home Builders v. Norton, 309 F.3d 26, 34 (D.C.Cir.2002) (internal quotation marks omitted). As such, there is no public interest in disclosure that reveals “little or nothing about an agency‘s own conduct.” U.S. Dep‘t of Justice v. Reporters Comm. for Freedom of Press, 489 U.S. 749, 773 (1989).
The defendants assert that the deceased service members’ family members have significant privacy concerns in not being confronted with the “vivid details of the last moments of a military service member‘s life[,]” Defs.’ Mem. at 12 (citing Decl. of George W. Casey (“Casey Decl.“) ¶¶ 15, 26-27, 31; 3d Mallak Decl. ¶ 14; Mallak Decl. ¶¶ 33, 47). The defendants further assert that redacting personal information from the records before disclosing them will not spare the family members anguish because the DOD has a policy to notify the family members before information related to a service member‘s death is publicly released even in a redacted form, Casey Decl. ¶ 14, and that notification will cause the family members anguish and grief, id. ¶¶ 29-30. Charles retorts that after personal information is redacted from the records, it will be impossible to determine the particular individual to whom the record pertains. Pl.‘s Mem. at 11-12. He also argues that the defendants cannot insulate themselves from complying with the FOIA by arguing that their own notification regulations will
In Favish, the Supreme Court held that a decedent‘s family members have privacy interests in death-scene photographs and those interests are properly considered under FOIA Exemption 7(C).7 The decedent‘s family asserted that they had personal privacy interests in being “shielded by the exemption to secure their own refuge from a sensation-seeking culture for their own peace of mind and tranquility, not for the sake of the deceased.” 541 U.S. at 166. In a sworn declaration, the decedent‘s sister described the horror and devastation caused when another photograph of the decedent was leaked to the press. She stated that the photograph gave her nightmares and that releasing more photographs would cause her family to become “the focus of conceivably unsavory and distasteful media coverage.” Id. at 167 (internal quotation marks omitted). The Court ex-
The defendants insist that a similar privacy interest exists in this case. Courts have recognized that under Exemption 6, “close relatives of a deceased person retain a certain amount of privacy interests after the decedent has passed away.” Mobley v. CIA, 924 F.Supp.2d 24, 70, Civil Action Nos. 11-2072, 11-2073(BAH), 2013 WL 452932, at *40 (D.D.C. Feb. 7, 2013). However, “the Supreme Court‘s holding in [Favish] was limited to ‘surviving family members’ right to personal privacy with respect to their close relative‘s death-scene images.‘” Id. (quoting Favish, 541 U.S. at 170). Also, in Favish, the Court was considering whether the photographs were exempt from disclosure under Exemption 7(C), not Exemption 6.8
Notes
The defendants have not demonstrated that Favish should be applied in this different context. For instance, the defendants have not shown that family members would be able to discern which redacted records relate to their deceased family member, unlike how such identification was possible with the photographs at issue in Favish.9 The defendants still allege that releasing the autopsy reports will “disrupt any peace of mind [surviving family members] have been able to achieve by forcing them to relive their loved one‘s death in graphic detail, and likely subject them to unwanted intrusions or harassment from the media.” Mallak Decl. ¶¶ 39, 47. However, without demonstrating that family members will encounter the disclosed information, and be able to discern that a redacted report relates to their family member, the defendants present no more than a mere possibility of an invasion of personal privacy and that is
“If no significant privacy interest is implicated ... FOIA demands disclosure.” Horner, 879 F.2d at 874.11 Thus, because the defendants have not shown that disclosing the redacted final autopsy reports and in-theater medical records will cause a clearly unwarranted invasion of personal privacy, Exemption 6 does not justify withholding the records.12
CONCLUSION AND ORDER
Although the defendants properly invoked Exemption 5, they have not provided sufficient evidence that they properly withheld the preliminary autopsy reports in their entirety. Nor have the defendants properly invoked Exemption 6. Accordingly, it is hereby
ORDERED that the defendants’ third motion [41] for summary judgment be, and hereby is, DENIED without prejudice as to the preliminary autopsy reports withheld under Exemption 5, and DENIED as to the material withheld under Exemption 6. It is further
ORDERED that the plaintiff‘s motion [44] for summary judgment be, and hereby is, GRANTED in part and DENIED in part. The plaintiff‘s motion is denied as to the preliminary autopsy reports withheld under Exemption 5 and granted as to the material withheld under Exemption 6. It is further
ORDERED that the defendants release by April 29, 2013 the 7 responsive body armor description sheets and the 82 responsive final autopsy reports and associated in-theater medical records, all in redacted form. It is further
ORDERED that the defendants file by April 29, 2013 a supplemental memorandum, with supporting affidavits, declarations, or a Vaughn index, that demonstrates that the responsive preliminary autopsy reports were properly withheld in their entirety and that the defendants are not withholding nonexempt, reasonably segregable portions of the reports.
RICHARD W. ROBERTS
UNITED STATES DISTRICT JUDGE
