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7th Cir. Clarifies "Deliberate Indifference" for Medical Cases
To state an eighth amendment violation, prisoners must do more than claim mere negligence by prison medical staff. Willie Sellers was a federal prisoner held at the infamous penitentiary at Marion. He is also a diabetic. He filed suit claiming that prison officials violated his eighth amendment rights by showing deliberate indifference to his serious medical needs when they placed him in a small cell, denied him an extra mattress, and wrongly administered his insulin. He also claimed that he was taken off of a special diabetic diet in retaliation for his complaints and the diet he was then given was too high in saturated fats and too low in calories to be healthy for him because diabetics are prone to coronary artery disease, and Sellers had already had a heart attack and by-pass surgery. The district court dismissed his claims and Sellers appealed.
The court of appeals, in a ruling by judge Posner, affirmed in part, vacated in part and remanded the case for trial. The court affirmed dismissal of the claims pertaining to the small cell, mattress and insulin, holding they had no merit in light of both previous court rulings and the "realities of prison administration."
When the defendants filed their motion for summary judgment one of the affidavits was unsigned and unsworn. Sellers filed a motion requesting the court to strike the unsigned affidavit. The appeals court held that the lower court should have struck the affidavit but rejected Sellers's claim that he did not have to file his counter affidavits until the district court ruled on his motion to strike. The appeals court held that affidavits are not pleadings and Sellers should have requested an extension of time in which to reply.
The court held that Sellers's claim was valid in that his suit was dismissed because "...he did not receive the notice, as required by Lewis v. Faulkner, 689 F.2d 100 (7th Cir. 1982), in all cases involving unrepresented prisoner plaintiffs that failure to file counter-affidavits might result in the dismissal of the suit -- that he could not rest on his complaint once the defendants moved for summary judgment and supported the motion with affidavits or other evidence. But we do not reverse for failure to adhere to Lewis v. Faulkner unless there is reason to believe that the plaintiff was prejudiced by the failure, that is, that he could have established that there was a genuine issue of material fact, precluding the grant of summary judgment, if he had had a reasonable opportunity to submit affidavits."
The court held that Sellers's complaint regarding his diet had merit because diabetics are prone to dangerous weight losses. But that was a claim to be resolved at trial. In remanding the case, the court set forth the standard to be adhered to if Sellers is to prevail, noting that merely establishing that he had been denied appropriate medical treatment and diet would not prove that his eighth amendment rights had been violated because negligence is not actionable under the eighth amendment.
"Ordinary medical malpractice, therefore-malpractice that consists of negligent treatment-is not cruel and unusual punishment.... Neglect of a prisoner's health becomes a violation of the Eighth Amendment only if the prison official named as defendant is deliberately indifferent to the prisoner's health-that is, only if he 'knows of and disregards an excessive risk to inmate's health or safety.'"
"It is vital to keep negligence and deliberate indifference apart. It may be, as quite a large number of cases state, such as French v. Owens, 777 F.2d 1250, 1254 (7th Cir. 1985); Wellman v. Faulkner, 715 F.2d 269 at 272 (7th Cir. 1983); Kelley v. McGinnis, 899 F.2d 612, 616-17 (7th Cir. 1990), and Harris v. Thigpen, 941 F.2d 1495, 1505 (11th Cir. 1991), that repeated acts of negligence are some evidence of deliberate indifference-although an alternative explanation is that the prison may lack the resources to adhere to a reasonable standard of care, and it is an open question whether that can be deliberate indifference. See Wilson v. Seiter, 501 US 294, 301-02, 111 S.Ct. 2321, 2325-26 (1991). And if it can, the prison officials, being unable to adhere to the reasonable standard of care, may have an immunity defense."
The court held that it would be error to conclude that a series of negligent acts can be equated to an act of deliberate indifference. "The only significance of multiple acts of negligence is that they may be evidence of the magnitude of the risk created by the defendants' conduct and the knowledge of the risk by the defendants.... If the cases we have cited meant to go further, they trip over the clear statement in Farmer that prison officials must know they are subjecting the plaintiff to an excessive risk before they can be found to be violating the Eighth Amendment. The more negligent acts they commit in a circumscribed interval, the likelier it is that they know they are creating some risk, and if the negligence is sufficiently widespread relative to the prison population the cumulative risk to an individual prisoner may be excessive. But, to repeat, the presence of multiple acts of negligence is merely evidentiary, it is not an alternate theory of liability. The occasional case that says it is, such as Williams v. O'Leary, 805 F. Supp. 634, 638 (ND ILL 1992), is simply wrong - wrong under Farmer, and wrong under the decisions of this court that anticipated Farmer, such as Duckworth v. Franzen, 780 F.2d 645 (7th Cir. 1985) and McGill v. Duckworth, 944 F.2d 344, 349 (7th Cir. 1991)."
The court noted that while Sellers can't "bootstrap his way to a judgment by stringing together a bunch of separate acts of negligence, if he can prove that the defendants have deliberately withheld medical treatment and dietary accommodation that he needs-and that they know he needs-to avoid a diabetic crisis or another heart attack, he is entitled to judgment." See: Sellers v. Henman, 41 F.3d 1100 (7th Cir. 1994).
The court of appeals, in a ruling by judge Posner, affirmed in part, vacated in part and remanded the case for trial. The court affirmed dismissal of the claims pertaining to the small cell, mattress and insulin, holding they had no merit in light of both previous court rulings and the "realities of prison administration."
When the defendants filed their motion for summary judgment one of the affidavits was unsigned and unsworn. Sellers filed a motion requesting the court to strike the unsigned affidavit. The appeals court held that the lower court should have struck the affidavit but rejected Sellers's claim that he did not have to file his counter affidavits until the district court ruled on his motion to strike. The appeals court held that affidavits are not pleadings and Sellers should have requested an extension of time in which to reply.
The court held that Sellers's claim was valid in that his suit was dismissed because "...he did not receive the notice, as required by Lewis v. Faulkner, 689 F.2d 100 (7th Cir. 1982), in all cases involving unrepresented prisoner plaintiffs that failure to file counter-affidavits might result in the dismissal of the suit -- that he could not rest on his complaint once the defendants moved for summary judgment and supported the motion with affidavits or other evidence. But we do not reverse for failure to adhere to Lewis v. Faulkner unless there is reason to believe that the plaintiff was prejudiced by the failure, that is, that he could have established that there was a genuine issue of material fact, precluding the grant of summary judgment, if he had had a reasonable opportunity to submit affidavits."
The court held that Sellers's complaint regarding his diet had merit because diabetics are prone to dangerous weight losses. But that was a claim to be resolved at trial. In remanding the case, the court set forth the standard to be adhered to if Sellers is to prevail, noting that merely establishing that he had been denied appropriate medical treatment and diet would not prove that his eighth amendment rights had been violated because negligence is not actionable under the eighth amendment.
"Ordinary medical malpractice, therefore-malpractice that consists of negligent treatment-is not cruel and unusual punishment.... Neglect of a prisoner's health becomes a violation of the Eighth Amendment only if the prison official named as defendant is deliberately indifferent to the prisoner's health-that is, only if he 'knows of and disregards an excessive risk to inmate's health or safety.'"
"It is vital to keep negligence and deliberate indifference apart. It may be, as quite a large number of cases state, such as French v. Owens, 777 F.2d 1250, 1254 (7th Cir. 1985); Wellman v. Faulkner, 715 F.2d 269 at 272 (7th Cir. 1983); Kelley v. McGinnis, 899 F.2d 612, 616-17 (7th Cir. 1990), and Harris v. Thigpen, 941 F.2d 1495, 1505 (11th Cir. 1991), that repeated acts of negligence are some evidence of deliberate indifference-although an alternative explanation is that the prison may lack the resources to adhere to a reasonable standard of care, and it is an open question whether that can be deliberate indifference. See Wilson v. Seiter, 501 US 294, 301-02, 111 S.Ct. 2321, 2325-26 (1991). And if it can, the prison officials, being unable to adhere to the reasonable standard of care, may have an immunity defense."
The court held that it would be error to conclude that a series of negligent acts can be equated to an act of deliberate indifference. "The only significance of multiple acts of negligence is that they may be evidence of the magnitude of the risk created by the defendants' conduct and the knowledge of the risk by the defendants.... If the cases we have cited meant to go further, they trip over the clear statement in Farmer that prison officials must know they are subjecting the plaintiff to an excessive risk before they can be found to be violating the Eighth Amendment. The more negligent acts they commit in a circumscribed interval, the likelier it is that they know they are creating some risk, and if the negligence is sufficiently widespread relative to the prison population the cumulative risk to an individual prisoner may be excessive. But, to repeat, the presence of multiple acts of negligence is merely evidentiary, it is not an alternate theory of liability. The occasional case that says it is, such as Williams v. O'Leary, 805 F. Supp. 634, 638 (ND ILL 1992), is simply wrong - wrong under Farmer, and wrong under the decisions of this court that anticipated Farmer, such as Duckworth v. Franzen, 780 F.2d 645 (7th Cir. 1985) and McGill v. Duckworth, 944 F.2d 344, 349 (7th Cir. 1991)."
The court noted that while Sellers can't "bootstrap his way to a judgment by stringing together a bunch of separate acts of negligence, if he can prove that the defendants have deliberately withheld medical treatment and dietary accommodation that he needs-and that they know he needs-to avoid a diabetic crisis or another heart attack, he is entitled to judgment." See: Sellers v. Henman, 41 F.3d 1100 (7th Cir. 1994).
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Related legal case
Sellers v. Henman
| Year | 1994 |
|---|---|
| Cite | 41 F.3d 1100 (7th Cir. 1994) |
| Level | Court of Appeals |
Sellers v. Henman, 41 F.3d 1100 (7th Cir. 11/18/1994)
[1] U.S. Court of Appeals, Seventh Circuit
[2] No. 93-1485
[4] decided: November 18, 1994.
[5] W. FOSTER SELLERS, PLAINTIFF-APPELLANT,
v.
GARY L. HENMAN, L. KNOWLES, D. FEATHERSTON, ET AL., DEFENDANTS-APPELLEES.
[6] Appeal from the United States District Court for the Southern District of Illinois, East St. Louis Division. No. 87 C 3004. J. Phil Gilbert, Chief Judge.
[7] WILLIE FOSTER SELLER, Plaintiff - Appellant, SUBMITTED, WYNNE FARM UNIT, Huntsville, TX, USA.
[8] For GARY L. HENMAN, Defendant - Appellee: Gerard B. Schneller, OFFICE OF THE UNITED STATES ATTORNEY, Criminal Division, Fairview Heights, IL, USA. For L. KNOWLES, D. FEATHERSTON, M.D., W. SCOTT, HARVEY BROOKS, DON B. VALLES, L. E. MADIGAN, JENNY S. NELSON, Defendants - Appellees: Richard H. Lloyd, AUSA, OFFICE OF THE UNITED STATES ATTORNEY, Criminal Division, Fairview Heights, IL, USA.
[9] Before Posner, Chief Judge, and Cummings and Manion, Circuit Judges.
[10] Author: Posner
[11] POSNER, Chief Judge. Sellers, an inmate in a Texas state prison, brought this suit seven years ago against officials of the federal prison at Marion, Illinois, where he was then imprisoned, claiming they had violated his constitutional rights. Bivens v. Six Unknown, Named Agents, 403 U.S. 388, 29 L. Ed. 2d 619, 91 S. Ct. 1999 (1971). The district court granted summary judgment for the defendants and dismissed the suit. Sellers's appeal claims that he was not given a reasonable opportunity to submit affidavits in response to those the defendants had filed in support of their motion for summary judgment. Sellers makes two arguments, one of which has merit. The unmeritorious argument is that he did not have to file his counteraffidavits until the district court ruled on his motion to strike the defendants' affidavits on the ground that they did not comply with Fed. R. Civ. P. 56. No rule entitles a litigant to proceed in that way. Manetas v. International Petroleum Carriers, Inc., 541 F.2d 408, 413 (3d Cir. 1976). Rule 12(a)(4)(A) allows a party that files a motion to strike a pleading to delay filing his responsive pleading until ten days after the motion is denied, but an affidavit is not a pleading, or a counteraffidavit a responsive pleading, so the rule is not applicable. Sellers could have asked the district court for an extension of time within which to file his counteraffidavits, but he could not arrogate the decision on timing to himself on the basis of his personal views of optimal procedure. Which is not to say that his motion to strike had no merit. One of the defendants' key affidavits was unsigned and hence unsworn, and therefore did not comply with Rule 56(e); cf. DeBruyne v. Equitable Life Assurance Society, 920 F.2d 457, 471 (7th Cir. 1990), so we do not understand the district court's refusal to strike it.
[12] Sellers's second argument is better; it is that he did not receive the notice, required by Lewis v. Faulkner, 689 F.2d 100 (7th Cir. 1982), in all cases involving unrepresented prisoner plaintiffs, that failure to file counteraffidavits might result in the dismissal of the suit--that he could not rest on his complaint once the defendants moved for summary judgment and supported the motion with affidavits or other evidence. But we do not reverse for failure to adhere to Lewis v. Faulkner unless there is reason to believe that the plaintiff was prejudiced by the failure, that is, that he could have established that there was a genuine issue of material fact, precluding the grant of summary judgment, if he had had a reasonable opportunity to submit affidavits. Timms v. Frank, 953 F.2d 281, 286 (7th Cir. 1992). So let us turn to that question.
[13] Sellers claims that the conditions of his confinement at Marion constituted the infliction on him of cruel and unusual punishment, in violation of the Eighth Amendment. Several of the specific complaints--that his cell was too small for him to exercise in, that an hour a day of exercise outside the cell was too little, that he should have been given an extra mattress, and that the prison doctors used poor medical judgment in taking him off a drug for reducing his cholesterol and in the way they administered his insulin (he is an insulin-dependent diabetic)--plainly have no merit in light of the realities of prison administration and previous decisions. E.g., Whitley v. Albers, 475 U.S. 312, 321-22, 89 L. Ed. 2d 251, 106 S. Ct. 1078 (1986); Estelle v. Gamble, 429 U.S. 97, 106, 50 L. Ed. 2d 251, 97 S. Ct. 285 (1976); Caldwell v. Miller, 790 F.2d 589, 601 (7th Cir. 1986). So we shall not discuss them. More substantial are his complaints that he was taken off his special diabetics' diet in retaliation for his complaints and that the diet he was put on has too few calories and too much saturated fat to be healthful for him. Diabetics are prone to coronary artery disease, and Sellers has already had a heart attack and a bypass operation; hence his concern with the fat in his diet. Diabetics are also prone to dangerous weight losses, so they need a diet with "sufficient calories." 3A Attorneys' Textbook of Medicine P 74.71(2a), p. 74-36 (Roscoe N. Gray and Louise J. Gordy eds., 3d ed. 1994). Sellers claims he needs 2400 calories a day, which seems a little high, see id., P 74.21(2a), at p. 74-37 (Tab. I), but that is hardly a matter that can be resolved on this record. The defendants' affidavit attesting the adequacy of Sellers's diet is the unsigned affidavit; it has no evidentiary significance, and anyway Sellers is entitled to an opportunity to present counteraffidavits.
[14] Of course merely to establish that he has been denied appropriate medical treatment and diet would not prove that Sellers had been subjected to cruel and unusual punishment. Negligence is not actionable under the Eighth Amendment. Duckworth v. Franzen, 780 F.2d 645, 652-53 (7th Cir. 1985). Ordinary medical malpractice, therefore-- malpractice that consists of negligent treatment--is not cruel and unusual punishment. Estelle v. Gamble, supra, 429 U.S. at 106. Neglect of a prisoner's health becomes a violation of the Eighth Amendment only if the prison official named as defendant is deliberately indifferent to the prisoner's health--that is, only if he "knows of and disregards an excessive risk to inmate health or safety." Farmer v. Brennan, 128 L. Ed. 2d 811, 114 S. Ct. 1970, 1979 (1994).
[15] It is vital to keep negligence and deliberate indifference apart. It may be, as quite a large number of cases state, such as French v. Owens, 777 F.2d 1250, 1254 (7th Cir. 1985); Wellman v. Faulkner, 715 F.2d 269, 272 (7th Cir. 1983); Kelley v. McGinnis, 899 F.2d 612, 616-17 (7th Cir. 1990), and Harris v. Thigpen, 941 F.2d 1495, 1505 (11th Cir. 1991), that repeated acts of negligence are some evidence of deliberate indifference--although an alternative explanation is that the prison may lack the resources to adhere to a reasonable standard of care, and it is an open question whether that can be deliberate indifference. See Wilson v. Seiter, 501 U.S. 294, 301-02, 115 L. Ed. 2d 271, 111 S. Ct. 2321 (1991). And if it can, the prison officials, being unable to adhere to the reasonable standard of care, may have an immunity defense. Birrell v. Brown, 867 F.2d 956, 958 (6th Cir. 1989); cf. K.H. v. Morgan, 914 F.2d 846, 853-54 (7th Cir. 1990).
[16] It would be a great mistake, though, to infer from cases like French and Wellman that a series of purely negligent acts can be equated to an act of deliberate indifference. If act A committed by the X prison shows negligence but not deliberate indifference, and B the same, and likewise C, the prison is not guilty of deliberate indifference. The only significance of multiple acts of negligence is that they may be evidence of the magnitude of the risk created by the defendants' conduct and the knowledge of the risk by the defendants. Farmer v. Brennan, supra, 114 S. Ct. at 1981-82. If the cases we have cited meant to go further, they trip over the clear statement in Farmer that prison officials must know they are subjecting the plaintiff to an excessive risk before they can be found to be violating the Eighth Amendment. The more negligent acts they commit in a circumscribed interval, the likelier it is that they know they are creating some risk, and if the negligence is sufficiently widespread relative to the prison population the cumulative risk to an individual prisoner may be excessive. But, to repeat, the presence of multiple acts of negligence is merely evidentiary; it is not an alternative theory of liability. The occasional case that says it is, such as Williams v. O'Leary, 805 F. Supp. 634, 638 (N.D. Ill. 1992), is simply wrong--wrong under Farmer, and wrong under the decisions of this court that anticipated Farmer, such as Duckworth v. Franzen, supra, and McGill v. Duckworth, 944 F.2d 344, 349 (7th Cir. 1991).
[17] Yet while Sellers is not permitted to bootstrap his way to a judgment by stringing together a bunch of separate acts of mere negligence, if he can prove that the defendants have deliberately withheld medical treatment and dietary accommodation that he needs--and that they know he needs--to avoid a diabetic crisis or another heart attack, he is entitled to a judgment.
[18] He makes one more, unrelated claim, a claim almost literally unsavory. To bolster his complaint about the inadequacy of his diet, he put some "meat gravy soup" into a plastic bag and tendered it to a guard for shipment to the district court. En route the bag broke, and the soup was lost. He argues that the prison officials "intentionally mashed" the bag, destroying evidence that he needed, thus impeding the constitutionally guaranteed access to the courts that was recognized in Bounds v. Smith, 430 U.S. 817, 52 L. Ed. 2d 72, 97 S. Ct. 1491 (1977). The district court had previously informed Sellers, however, that it would not accept meat as evidence. Whether this ruling was right or wrong, it moots his complaint about the destruction of the evidence. What was destroyed would never have made it into evidence. We suppose an argument could be made that Sellers was entitled to have the gravy lodged in the court, since he might challenge the district court's ruling on appeal-- perhaps ask this court to examine the evidence. But this Discussion is becoming ridiculous. The soup wouldn't have kept that long. This claim was properly dismissed, but the Eighth Amendment claim was dismissed prematurely.
[19] AFFIRMED IN PART, VACATED IN PART, AND REMANDED.
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[1] U.S. Court of Appeals, Seventh Circuit
[2] No. 93-1485
[4] decided: November 18, 1994.
[5] W. FOSTER SELLERS, PLAINTIFF-APPELLANT,
v.
GARY L. HENMAN, L. KNOWLES, D. FEATHERSTON, ET AL., DEFENDANTS-APPELLEES.
[6] Appeal from the United States District Court for the Southern District of Illinois, East St. Louis Division. No. 87 C 3004. J. Phil Gilbert, Chief Judge.
[7] WILLIE FOSTER SELLER, Plaintiff - Appellant, SUBMITTED, WYNNE FARM UNIT, Huntsville, TX, USA.
[8] For GARY L. HENMAN, Defendant - Appellee: Gerard B. Schneller, OFFICE OF THE UNITED STATES ATTORNEY, Criminal Division, Fairview Heights, IL, USA. For L. KNOWLES, D. FEATHERSTON, M.D., W. SCOTT, HARVEY BROOKS, DON B. VALLES, L. E. MADIGAN, JENNY S. NELSON, Defendants - Appellees: Richard H. Lloyd, AUSA, OFFICE OF THE UNITED STATES ATTORNEY, Criminal Division, Fairview Heights, IL, USA.
[9] Before Posner, Chief Judge, and Cummings and Manion, Circuit Judges.
[10] Author: Posner
[11] POSNER, Chief Judge. Sellers, an inmate in a Texas state prison, brought this suit seven years ago against officials of the federal prison at Marion, Illinois, where he was then imprisoned, claiming they had violated his constitutional rights. Bivens v. Six Unknown, Named Agents, 403 U.S. 388, 29 L. Ed. 2d 619, 91 S. Ct. 1999 (1971). The district court granted summary judgment for the defendants and dismissed the suit. Sellers's appeal claims that he was not given a reasonable opportunity to submit affidavits in response to those the defendants had filed in support of their motion for summary judgment. Sellers makes two arguments, one of which has merit. The unmeritorious argument is that he did not have to file his counteraffidavits until the district court ruled on his motion to strike the defendants' affidavits on the ground that they did not comply with Fed. R. Civ. P. 56. No rule entitles a litigant to proceed in that way. Manetas v. International Petroleum Carriers, Inc., 541 F.2d 408, 413 (3d Cir. 1976). Rule 12(a)(4)(A) allows a party that files a motion to strike a pleading to delay filing his responsive pleading until ten days after the motion is denied, but an affidavit is not a pleading, or a counteraffidavit a responsive pleading, so the rule is not applicable. Sellers could have asked the district court for an extension of time within which to file his counteraffidavits, but he could not arrogate the decision on timing to himself on the basis of his personal views of optimal procedure. Which is not to say that his motion to strike had no merit. One of the defendants' key affidavits was unsigned and hence unsworn, and therefore did not comply with Rule 56(e); cf. DeBruyne v. Equitable Life Assurance Society, 920 F.2d 457, 471 (7th Cir. 1990), so we do not understand the district court's refusal to strike it.
[12] Sellers's second argument is better; it is that he did not receive the notice, required by Lewis v. Faulkner, 689 F.2d 100 (7th Cir. 1982), in all cases involving unrepresented prisoner plaintiffs, that failure to file counteraffidavits might result in the dismissal of the suit--that he could not rest on his complaint once the defendants moved for summary judgment and supported the motion with affidavits or other evidence. But we do not reverse for failure to adhere to Lewis v. Faulkner unless there is reason to believe that the plaintiff was prejudiced by the failure, that is, that he could have established that there was a genuine issue of material fact, precluding the grant of summary judgment, if he had had a reasonable opportunity to submit affidavits. Timms v. Frank, 953 F.2d 281, 286 (7th Cir. 1992). So let us turn to that question.
[13] Sellers claims that the conditions of his confinement at Marion constituted the infliction on him of cruel and unusual punishment, in violation of the Eighth Amendment. Several of the specific complaints--that his cell was too small for him to exercise in, that an hour a day of exercise outside the cell was too little, that he should have been given an extra mattress, and that the prison doctors used poor medical judgment in taking him off a drug for reducing his cholesterol and in the way they administered his insulin (he is an insulin-dependent diabetic)--plainly have no merit in light of the realities of prison administration and previous decisions. E.g., Whitley v. Albers, 475 U.S. 312, 321-22, 89 L. Ed. 2d 251, 106 S. Ct. 1078 (1986); Estelle v. Gamble, 429 U.S. 97, 106, 50 L. Ed. 2d 251, 97 S. Ct. 285 (1976); Caldwell v. Miller, 790 F.2d 589, 601 (7th Cir. 1986). So we shall not discuss them. More substantial are his complaints that he was taken off his special diabetics' diet in retaliation for his complaints and that the diet he was put on has too few calories and too much saturated fat to be healthful for him. Diabetics are prone to coronary artery disease, and Sellers has already had a heart attack and a bypass operation; hence his concern with the fat in his diet. Diabetics are also prone to dangerous weight losses, so they need a diet with "sufficient calories." 3A Attorneys' Textbook of Medicine P 74.71(2a), p. 74-36 (Roscoe N. Gray and Louise J. Gordy eds., 3d ed. 1994). Sellers claims he needs 2400 calories a day, which seems a little high, see id., P 74.21(2a), at p. 74-37 (Tab. I), but that is hardly a matter that can be resolved on this record. The defendants' affidavit attesting the adequacy of Sellers's diet is the unsigned affidavit; it has no evidentiary significance, and anyway Sellers is entitled to an opportunity to present counteraffidavits.
[14] Of course merely to establish that he has been denied appropriate medical treatment and diet would not prove that Sellers had been subjected to cruel and unusual punishment. Negligence is not actionable under the Eighth Amendment. Duckworth v. Franzen, 780 F.2d 645, 652-53 (7th Cir. 1985). Ordinary medical malpractice, therefore-- malpractice that consists of negligent treatment--is not cruel and unusual punishment. Estelle v. Gamble, supra, 429 U.S. at 106. Neglect of a prisoner's health becomes a violation of the Eighth Amendment only if the prison official named as defendant is deliberately indifferent to the prisoner's health--that is, only if he "knows of and disregards an excessive risk to inmate health or safety." Farmer v. Brennan, 128 L. Ed. 2d 811, 114 S. Ct. 1970, 1979 (1994).
[15] It is vital to keep negligence and deliberate indifference apart. It may be, as quite a large number of cases state, such as French v. Owens, 777 F.2d 1250, 1254 (7th Cir. 1985); Wellman v. Faulkner, 715 F.2d 269, 272 (7th Cir. 1983); Kelley v. McGinnis, 899 F.2d 612, 616-17 (7th Cir. 1990), and Harris v. Thigpen, 941 F.2d 1495, 1505 (11th Cir. 1991), that repeated acts of negligence are some evidence of deliberate indifference--although an alternative explanation is that the prison may lack the resources to adhere to a reasonable standard of care, and it is an open question whether that can be deliberate indifference. See Wilson v. Seiter, 501 U.S. 294, 301-02, 115 L. Ed. 2d 271, 111 S. Ct. 2321 (1991). And if it can, the prison officials, being unable to adhere to the reasonable standard of care, may have an immunity defense. Birrell v. Brown, 867 F.2d 956, 958 (6th Cir. 1989); cf. K.H. v. Morgan, 914 F.2d 846, 853-54 (7th Cir. 1990).
[16] It would be a great mistake, though, to infer from cases like French and Wellman that a series of purely negligent acts can be equated to an act of deliberate indifference. If act A committed by the X prison shows negligence but not deliberate indifference, and B the same, and likewise C, the prison is not guilty of deliberate indifference. The only significance of multiple acts of negligence is that they may be evidence of the magnitude of the risk created by the defendants' conduct and the knowledge of the risk by the defendants. Farmer v. Brennan, supra, 114 S. Ct. at 1981-82. If the cases we have cited meant to go further, they trip over the clear statement in Farmer that prison officials must know they are subjecting the plaintiff to an excessive risk before they can be found to be violating the Eighth Amendment. The more negligent acts they commit in a circumscribed interval, the likelier it is that they know they are creating some risk, and if the negligence is sufficiently widespread relative to the prison population the cumulative risk to an individual prisoner may be excessive. But, to repeat, the presence of multiple acts of negligence is merely evidentiary; it is not an alternative theory of liability. The occasional case that says it is, such as Williams v. O'Leary, 805 F. Supp. 634, 638 (N.D. Ill. 1992), is simply wrong--wrong under Farmer, and wrong under the decisions of this court that anticipated Farmer, such as Duckworth v. Franzen, supra, and McGill v. Duckworth, 944 F.2d 344, 349 (7th Cir. 1991).
[17] Yet while Sellers is not permitted to bootstrap his way to a judgment by stringing together a bunch of separate acts of mere negligence, if he can prove that the defendants have deliberately withheld medical treatment and dietary accommodation that he needs--and that they know he needs--to avoid a diabetic crisis or another heart attack, he is entitled to a judgment.
[18] He makes one more, unrelated claim, a claim almost literally unsavory. To bolster his complaint about the inadequacy of his diet, he put some "meat gravy soup" into a plastic bag and tendered it to a guard for shipment to the district court. En route the bag broke, and the soup was lost. He argues that the prison officials "intentionally mashed" the bag, destroying evidence that he needed, thus impeding the constitutionally guaranteed access to the courts that was recognized in Bounds v. Smith, 430 U.S. 817, 52 L. Ed. 2d 72, 97 S. Ct. 1491 (1977). The district court had previously informed Sellers, however, that it would not accept meat as evidence. Whether this ruling was right or wrong, it moots his complaint about the destruction of the evidence. What was destroyed would never have made it into evidence. We suppose an argument could be made that Sellers was entitled to have the gravy lodged in the court, since he might challenge the district court's ruling on appeal-- perhaps ask this court to examine the evidence. But this Discussion is becoming ridiculous. The soup wouldn't have kept that long. This claim was properly dismissed, but the Eighth Amendment claim was dismissed prematurely.
[19] AFFIRMED IN PART, VACATED IN PART, AND REMANDED.
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