*2
products.
their
The debate continues outside
EASTERBROOK,
Before
DIANE P.
the walls.
inside
WOOD,
EVANS,
Judges.
Circuit
country
officials all
Prison
over the
struggled
growing
accommodate
evi-
EVANS,
TERENCE T.
Judge.
Circuit
may subject
dence
is
that ETS
harmful
regard
The role of the federal courts in
liability.
always
easy.
them
It
hasn’t
been
instance,
in
prisons
conditions of confinement
state
reports
For
news
indicate that on
uneasy
prisons
one.
in
in
Conditions
March
Texas
state of
instituted
Arkansas, Alabama,
Mississippi
anti-smoking policy
prisons,
led fed-
includ-
its
Sarver,
(E.D.Ark.1970);
(S. 1279)
F.Supp.
require
Holt v.
relief
exhaustion
remedies
(8th Cir.1971).
aff'd,
ing death row. Several
reports
danger.
appeal,
other news
Then
stantial risk
followed suit.
by very
ap-
August
represented
indicated
ban
able
jail
counsel,
because
county
pointed
questions
lifted
whether sum-
one
*3
reportedly
many
inmates
in this cir-
problems:
mary judgment
appropriate
caused
was
orange
apple peel-
dried
Mr.
contends that there
cumstance.
jail by plac-
sneaking cigarettes into
ings and
in the
genuine
are
of material fact
issues
Bibles, raising the
ing
record,
them hollowed-out
granting
that
the order
requiring
price
pack
cigarettes
prison
of a
of
on the
summary judgment be set aside.
easy
to
This is not
black market
$70.
Summary judgment
appropriate
is
issue,
that
the
though the recommendation
to
genuine disputed
are no
when there
provide smoking and
possible prisons
extent
party
entitled
moving
material fact and the
is
nonsmoking
a reasonable
areas seems to be
Roger
of law.
v.
judgment
to
as a matter
one.3
Inc.,
Freight Systems,
of life’s necessities.” Eighth prohibits The Amendment determining In judg whether punishments incompatible which are with ment we appropriate, clearly must first “evolving decency mark standards claiming. understand what Mr. He Oliver is progress maturing society.” Trop of a v. injunctive Therefore, seek does not relief. Dulles, 590, 86, 2 366 U.S. 78 L.Ed.2d S.Ct. Helling McKinney, this is not a case like (1958). 630 Prison officials must ensure that 25, 2475, 125 22 L.Ed.2d food, adequate clothing, inmates receive shel (1993), in which Court determined that ter, protection, and medical care. That ade Eighth claim Amendment can be stated to quate care falls under the medical ambit “unsafe, prevent an life-threatening condi has been clear the amendment since Estelle tion,” yet may tragic not have caused a Gamble, 285, 97, 429 U.S. S.Ct. event. The that an inmate Court found (1976). L.Ed.2d What has also been “states cause action under the regard clear since Estelle is that with petitioners alleging care, every medical denial violates the have, indifference, exposed with deliberate prohibits Constitution. Estelle “deliberate him to levels of ETS tobacco [environmental indifference to serious medical needs.” Med pose risk of an unreasonable smoke] instance, malpractice, ical for not a viola 35,At damage serious to his future health.” stated, tion of the amendment. As the Court at 2481. also S.Ct. See Goffman (7th 1995). Gross, 59 F.3d Cir. provide inadvertent failure to ade- [A]n Mr. claim he quate medical care cannot be said to con- Oliver does not that, instance, unnecessary “an stitute and wanton inflic- harmed future — required never outside other ailments. He asthma attack a severe could suffer a few fact, hospitalization, he even missed not make that claim In he could future. longer at with the medical staff appointments is no Pontiac. had He this case. Uniformly, his custo- the medi- longer regarding are no his asthma. officials present The change only a has there been cal evaluate asthma records dians. given medication and an prison policy as June mild He was in the Illinois case. dispute that the medi- a claim. He does not undermine such inhaler. which could an- proper has were a Department of Corrections cation and the inhaler Illinois in response under which inmates policy nounced a his condition. to state would be allowed situations most asserts, the additional He or nonsmok- preference their step housing him with a nonsmoker ing cellmate. always taken and that this Pontiac was not it would question is not whether also medical need.” his “serious exacerbated enlightened to been better or Pontiac, Mr. Oliver arriving after Soon always a cellmate Mr. Oliver ensure that celled with a nonsmoker. On asked to be noted As the Court who did not smoke. February a memoran- he received *5 decency” in- McKinney, are “standards of informing him that Mr. dum from Melvin “evolving” smoking. As on the issue deed in the was allowed above, people feel we and more noted permit,” gallery a which not have “low did right have a to avoid sec- that nonsmokers something to to do with smok- we take Department of The Illinois ond-hand smoke. 8, 1993, February Mr. ing. Oliver wrote On come to apparently has itself Corrections Melvin, stating part: Superintendent to “enlightenment,” All of this that conclusion. request specifically with My dealt however, from some not without resistance “Non-Smoking Mate authorized a Cell it population. So remains portion of the there are various inmates since just “cur- as to what the somewhat unsettled smoke, a do North House that not decency” ques- It is this is.
rent standard
exactly
Gallery
”! This is
Low
Permit
allowed Mr.
Supreme Court
tion which the
my request
you
what
to
stated.
McKinney
attempt
prove:
he must “es-
contrary to
February
it is
current stan-
the medi-
response,
In
tablish
anyone
decency
exposed
to be
a
so
at Pontiac sent memo
dards
cal records director
against
Murray,
stating
his will-”
Melvin
that “Owen
to Mr.
D.O.,
issued a medical
Medical Director has
only
be celled
with a
order that Oliver is to
global
does not raise
Mr. Oliver's case
day,
non-smoking
That same
cellmate.”
McKinney.
The issue
addressed
Murray sent Mr. Oliver memorandum stat-
actual medi-
simply
here is
whether Oliver’s
had
for a
ing
“permit”
been issued
cal
at Pontiac was so serious
condition while
non-smoking cellmate.
provide
implicate
as
the Constitution
damages. Even
basis for
award
the district
his affidavit submitted
issue,
is,
requires
as it
limited
this
court,
Murray
the lan-
'Dr.
indicated
must
of difficult lines. A court
drawing
memo was
guage in the medical director’s
line is
the constitutional
determine when
than he
have used. He did
stronger
would
crossed,
case,
cases, pres-
this
like most
anyone
Mr.
with
not
to house
Oliver
“order”
unique
own
situation.
ents its
opinion
In his
Mr. Oliver’s
a nonsmoker.
required
Mr.
asthma was mild and was
what we know is that
Specifically,
only
signs of he
celled
with nonsmokers. Other
showed
Oliver was asthmatic and
articles,
indi-
general
few
news
said smoke
A few fellow inmates
distress.
smoke,
many
as
cate that
as well
other
that he showed
Mr.
wheeze and
made
condi-
things,
aggravate
an asthmatic
it.
signs of discomfort. That’s
On
other
tion,
in the record that
hand,
there is no evidence
Mr.
medical records
Oliver’s
relationship
between
there is
causal
show that he received considerable
concerns,
Oliver suffered.
and the distress Mr.
well as for
smoke
asthma
attention for
said,
smoke,
we
this ease
about what the
exposed
As
when he was
and he re-
requires. Recently,
peatedly
alleged
Constitution
another
suffering
that his
was the
Romero,
case,
Anderson v.
72 F.3d
result of the deliberate indifference of the
(7th Cir.1995),
we noted that “the
officials his medical needs.
pun-
cruel
Amendment forbids
and unusual
By
ready
the time the case was
for sum-
ishments;
require
it does not
the most intel- mary judgment, Oliver had added a number
humane,
ligent, progressive,
or efficacious of additional
materials
the record. These
prison administration.” Mr.
com-
Oliver’s
February
included memorandum dated
plaint seeks to involve us in the sort of
Director,
from the Medical Records
“micromanagement”
of a state
that we
Gruber,
Super-
Ronald C.
to North Cellhouse
record,
deplored in Anderson. On this
Oli-
intendent
reporting
Francis
ver has not demonstrated that he was sub-
D.O.,
Murray,
Medical Director Owen
jected
punishment.
to cruel and unusual
He
“issued a medical order” for Oliver “that he
cannot show that while he was at Pontiac he
is to be celled
with a
cell-
sufficiently
had a medical need
serious to
response
mate.” In
request
to a
for admis-
implicate
support
the Constitution or to
sions, Melvin confirmed that he received the
damages.
claim for
Therefore we affirm the memorandum. Melvin also admitted that he
granting summary
order of the district court
asthmatic,
knew that Oliver was
but denied
judgment to the defendants.
knowing that Oliver had “a serious medical
require[d]
condition that
him
Affirmed.
to be celled
only.”
with non-smokers
The record also
WOOD,
Judge,
DIANE P.
Circuit
correspondence
included
between Oliver and
dissenting.
Melvin
smoking,
about
in which Melvin ad-
*6
vised Oliver to “work it out” with his cell-
question
The
before the Court in this case
mate. Oliver offered several affidavits from
simple:
pro
petitioner
did
se
Harold Oliver
inmates,
they
who attested that
bring
forward sufficient facts
this medical
having difficulty
observed
breathing
Oliver
§
treatment
1983 case
defeat the
and that
had seen various
offi-
summary judgment
officials’
motion?
laughing
cials
about his situation.
majority
that
not.
concludes
he did
Because
I believe this conclusion is based both on a
The prison officials themselves .attached
misapprehension
governing legal
stan-
Murray
Dr.
affidavit of
to their motion
recognize
and a failure to
critical
dards
summary judgment.
Murray
Dr.
con-
record,
disputes
factual
in this
I dissent.
that
firmed
Oliver’s records “note that he
diagnosed
was
as a mild asthmatic on June
complaint,
typed
Oliver’s
which was
on the
“[wjhile
by stating
1992.” He continued
typically
§
form
used for
1983 cases
problem,
asthma can be a serious medical
Illinois, alleged
Central District
only
Mr. Oliver’s condition was
mild and
“deliberately,
the named
officials
in-
threatening.
never life
His condition re-
tentionally, knowingly, capriciously
mali-
quired
hospitalization.”
no outside
The med-
ciously ‘forced’ him to be celled with
themselves,
ical records
which were attached
against
complaint
‘smokers
his will’.” The
affidavit,
Murray’s
to Dr.
showed that Oliver
clearly stated that the defendants took these
prescription requiring
had a
him to take
though
plaintiff complained
actions “even
tablets,
Theophylline,
milligram
twice a
objected
celled with smokers
day, Metaprel,
puffs
two
from an inhaler
plaintiff
because the
suffers from ‘Asthma’.”
per day.
four times
given
Oliver asserted
he had been
specified
medical order that
to have a
Oliver attached several items to his re-
non-smoking
only.
alleged
sponse
cellmate
He
to the
motion.
First,
cigarette
greater
smoke “has
even
detri-
he furnished a memorandum he had
lungs
organs
Murray
ment to the
and vital
“a
received from
that stated
‘Medically
permit
who
‘Asthmatic’
has been
Ordered’
has been issued for a
to cell
with non-smokers.” He de-
cellmate.” In
he attached an article
20, physical symptoms
scribed
he suffered
from the June
issue of Business
records themselves
condition. The medical
“Trying Knock the Wind out
entitled
Week
the court
objective evidence before
article notes in were
at 184. The
of Asthma.” Id.
condition, and
suggested
of his
about the seriousness
passing that
studies
“several
per-
pollu-
competent medical
greater
air
indicated that
asthma and
links between
daily
tion,
cigarette
required a twice
exposure to
believed Oliver
poverty, and
sonnel
added).
Theophylline,
In the
and two
(emphasis
mg of
Id.
dose of 300
smoke.”
inhaler,
Metaprel
asthma sufferers
which contains
noting
puffs
from a
course
away
enough
get
metaprotenerol,
from the causes of
sympathomimetic agent
not do
attacks,
typical
“cat
According
causes
the American
day.
their
lists
four times
He also at-
Diagno-
smoke.” Id.
Society,
hair or tobacco
Thoracic
Standards for
article from U.S. News & World
tached an
Ob-
Patients with Chronic
sis and Care of
(1986),
entitled “The smoke
Report, June
Pulmonary Disease
these
structive
door,”
dangers
which addresses
together
next
indicate a rela-
prescriptions taken
generally.
Id.
smoke
cases
tively
second-hand
case of asthma. Mild
serious
(a
beta-adrenergic agonists
class
respond to
belongs,
metaprotenerol
id.
drugs to which
notes, upon
novo
majority
our de
As the
231). However,
Society
states:
summary judg
granting
of a decision
review
orally
usually given
as sus-
Theophylline is
ment,
light
facts in the
we must view the
chronic
formulations
tained-release
party opposing the
most favorable
therapy. Although the bene-
maintenance
motion,
prevail,
here Oliver.
order
prove in
theophylline are difficult to
fits of
satisfy
court
had to
the district
patients
COPD
obstructive
[chronic
with
(and
he did
allegations stated a claim
thus
disorder],
use is favored
pulmonary
its
law),
and that there
not lose as matter
appropriately
clinicians when
used
most
genuine
of fact on each element
produce
agents
sympathomimetic
Eighth Amendment
claim. For an
of his
fail
adequate bronchodilation.
§
this
claim under
medical conditions
(1)
added).
showing
that he had a serious
prescription
means
(emphasis
Id.
(2)
need,
prison officials
that the
objective
Theophylline is thus
evidence
indif
responded
enough
to that need with deliberate
Metaprel inhaler alone was
Brennan,
or,
ference,
in the words of Farmer
for Oliver’s asthma.
*7
-
-,
1970,
-,
U.S.
S.Ct.
also contained indications
The record
(1994),
1977,
a suffi
L.Ed.2d 811
with
lay person that
readily comprehensible to a
ciently culpable
of mind.
state
significant.
was
suggested Oliver’s condition
“[m]y asth-
deposition, he stated that
allegations
In his
disputes that Oliver’s
No one
wheeze,
Gamble,
causes me to be
ma causes me to
it
satisfy
enough to
Estelle
were
(1976),
nauseat-
and causes me to be
short of breath
50 L.Ed.2d
S.Ct.
claimed to suffer from
ed at times.” He also
Eighth Amendment
Farmer
the other
and
during
attacks a week
his
the
one to two asthma
and in the lower court
cases. Both here
Although
prison
the
offi-
stay
prison.
at
there were
the
instead whether
issue has been
consistently to
argued that his failure
light,
in this
cials
disputed
of fact. Viewed
indicates that his case
dispute of
take his medication
is a material
it
clear that there
claimed,
simply
he
this
severe than
severity
asthma was less
about the
of Oliver’s
fact
the facts bear more
one
shows that
in turn raises a material dis-
problem, which
interpretation.
the
officials
pute of fact about whether
deliberately indifferent
to his serious
panel
claim that a
I would be the last to
Estelle,
429 U.S.
medical needs. See
medicine,
in
judges, untrained
appellate
at 292.
asthma
how severe Oliver’s
should decide
However,
our task. The
that is not
Murrey’s affidavit and the was.
begin
I
with Dr.
summary
the
Murrey
question for us is whether
supporting medical records.
court,
fashion,
before the district
states,
record
conclusory
in
that Oliver
Oliver,
asthma,
light
most favorable
that is not
viewed
only
but
a “mild” case
genuine
that there were no
clearly indicated
have about Oliver’s
only information we
the
required
reiterating
clearly
material fact that
a trial.
It is worth
issues of
Oliver
alleged
stage,
preliminary
have
the
officials’
this
did not
actions
forcing him
a cell with
refuting
the
the
to share
smokers
burden of
doctor’s
one;
prove
exacerbated
condition. To
as a
his medical
characterization of his case
“mild”
point,
poses
this
he tried to show that ETS
only
he
that the
needed
show
matter was
greater and
view,
more immediate health risk
disputed.
my
particularly taking
an asthmatic
general population.
than for the
proceeding pro
into
he
account that
was
se
Working within the limited resources
court and
have
avail-
before the district
did not
him,
libraries,
ways:
able to
he did this
two
to extensive medical or other
anecdo-
access
tally, by supplying
physi-
affidavits about the
that burden.
satisfied
placed
cal distress he endured when he was
reject
There is a second reason to
the
smokers,
directly,
through
with
and
undisputed
conclusion that
facts made
Business
Week article he furnished
clear
was
that Oliver’s case
“mild.”
court.
mild,
Murrey
says that it
“not
affidavit
was
Again bearing
question
in mind that
Eighth
life
But
threatening.”
genuine
was whether the facts
that a
showed
concerns arise before medical needs become
present,
issue
not whether Oliver’s evi-
threatening.
literally
Nothing in Estelle
life
conclusively proved
point,
dence
a medical
I
any
subsequent
or in
of the
deci
Gamble
find his showing
sufficient to defeat
Supreme
sions
Court or this Court
judgment.
Common sense tells us
asth-
adopts
stringent
standard. To the
such
breathing problem,
ma is a
that people
contrary,
Supreme
Court’s decision
air passages
lungs
may
whose
are weak
903, 112
Helling McKinney, 502 U.S.
S.Ct.
pollu-
well suffer more from environmental
(1993), finding
munol. called, position might be
supporting this naturally prison might possible that the
it is testify par- no experts to that ETS has
find asthmatics,
ticularly detrimental effect on mild, serious, or their condition is
whether general effect of ETS on
severe. Both asthmatics, partic- and its effect on Oliver Petitioner, DOBRICAN, Vasile ular, questions cannot be are factual summary judgment. dismissed AND IMMIGRATION respect allegations of de- to Oliver’s With SERVICE, NATURALIZATION condition, indifference to a known liberate Respondent. argue seriously prison officials do not showing. adequate failed to make an that he No. 95-1540. interpretation They dispute his of the Medi- memorandum, Appeals, States cal Director’s dis- United Court Murrey pute in au- Seventh Circuit. the “true intent” of Dr. thorizing cellmate. These Argued Sept. prison’s disputes about the actual evaluation highly material to Oli- his condition Decided Feb. case, but the court resolved ver’s district However, paper there
them on record. certainly dispute repeatedly no that Oliver asthma, that he the officials about his
told cellmates, requested nonsmoking
repeatedly fact that
that he called their attention to the it more for him to
smoke made difficult
breathe, a period and that for of time respond.
did not conclusion, important it is to remember it case is not whether would
that this about prisons smoking, if good
be a idea banned zones, no-smoking nor
adopted generalized harms
is it about what ETS former, respect to With
cause.
up the courts to those kinds of decide prison policy respect
internal matters. With latter, a far and easier this is narrower Helling, and the Court’s result
case
today is in tension with therefore substantial is about effect of ETS on
it. This case admittedly wheth- prisoner, asthmatic place
er an institution’s conscious refusal relatively in a envi- smoke-free to a refusal to
ronment amounts deliberate condition, thereby
treat a serious medical
raising concern. Be- enough presented I believe
cause
