Bradshaw v. Nafziger , 484 F. App'x 217 ( 2012 )


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  •                                                                        FILED
    United States Court of Appeals
    Tenth Circuit
    June 7, 2012
    UNITED STATES COURT OF APPEALS
    Elisabeth A. Shumaker
    Clerk of Court
    FOR THE TENTH CIRCUIT
    JOSEPH BRADSHAW,
    Plaintiff-Appellant,
    and
    TIMOTHY TUTTAMORE,
    Plaintiff,
    v.                                                  No. 11-1109
    (D.C. No. 1:07-CV-02422-MSK-BNB)
    LAPPIN, BOP Director; WILEY,                         (D. Colo.)
    ADX Warden; COLLINS; SUDLOW;
    KNOX; MADISON; FOSTER;
    FINLAN, Unit Team Members, DR.
    LEYBA; D.R. [sic] NAFZIGER; P.A.
    OSAGIE; DR. AMIRKHAN;
    UNKNOWN MEDICAL STAFF;
    UNKNOWN DENTIST; UNKNOWN
    UTILIZATION COMMITTEE
    MEMBERS; UNKNOWN
    PROJECTED UNIT TEAM
    MEMBERS,
    Defendants-Appellees.
    ORDER AND JUDGMENT *
    *
    After examining the briefs and appellate record, this panel has determined
    unanimously that oral argument would not materially assist the determination of
    this appeal. See Fed. R. App. P. 34(a)(2); 10th Cir. R. 34.1(G). The case is
    therefore ordered submitted without oral argument. This order and judgment is
    not binding precedent, except under the doctrines of law of the case, res judicata,
    and collateral estoppel. It may be cited, however, for its persuasive value
    (continued...)
    Before O’BRIEN and McKAY, Circuit Judges, and BRORBY, Senior Circuit
    Judge.
    Plaintiff-appellant Joseph Bradshaw is a federal prisoner appearing pro se
    and in forma pauperis under 
    28 U.S.C. § 1915
    . He appeals from the district
    court’s orders dismissing one of the defendants, granting summary judgment to
    the remaining defendants, and denying various motions in this civil rights case
    brought pursuant to Bivens v. Six Unknown Named Agents of the Federal Bureau
    of Narcotics, 
    403 U.S. 388
     (1971). He also has three pending motions in this
    court. We have jurisdiction under 
    28 U.S.C. § 1291
    , deny the pending motions,
    and affirm.
    I. Background
    The district court reviewed the facts in detail, so we need not recite them in
    detail here. In 2000, Mr. Bradshaw was convicted by a jury in federal court in
    Massachusetts on six charges, including conspiracy, armed robbery of a postal
    employee, and attempted murder, and he was sentenced to life in prison.
    United States v. Bradshaw, 
    281 F.3d 278
    , 281-82 (1st Cir. 2002). He was also
    *
    (...continued)
    consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
    -2-
    ordered to pay $94,276.00 in restitution to the United States Postal Service and
    $300 in special assessments.
    Since September 2005, Mr. Bradshaw has been confined by the Bureau of
    Prisons (“BOP”) at the United States Penitentiary-Administrative Maximum in
    Florence, Colorado (“ADX”), which is one part of the Federal Correctional
    Complex (“FCC”) at Florence. ADX implements the BOP’s Inmate Financial
    Responsibility Program (IFRP), which is designed to encourage inmates to pay
    their financial obligations, including restitution. See 
    28 C.F.R. §§ 545.10
    ,
    545.11. Mr. Bradshaw has sometimes voluntarily participated in the IFRP and at
    other times has been on “refuse” status. When he participated in the IFRP, $25
    per quarter was deducted from his trust account. His obligation for $300 in
    special assessments has been paid in full.
    Mr. Bradshaw would like to be transferred to a less-restrictive facility. We
    have recently noted that the conditions of confinement at ADX are “undeniably
    harsh.” Rezaq v. Nalley, ___ F.3d ___, Nos. 11-1069, 11-1072, 
    2012 WL 1372151
    , at *11 (10th Cir. Apr. 20, 2012). “Prisoners housed in the general
    population unit at ADX spend twenty-three hours a day confined to their cells.”
    
    Id. at *1
    . But inmates housed at ADX may improve their conditions of
    confinement by seeking admission to the Step-Down Program, “a stratified system
    of less-restrictive housing to provide inmates with incentives to adhere to the
    standards of conduct associated with a maximum security custody program.”
    -3-
    R., Vol. 1, at 1078. Mr. Bradshaw would like to be admitted to ADX’s
    Step-Down Program, but he no longer wishes to participate in the IFRP because
    he believes that his sentence does not yet require him to pay his restitution
    obligation. An inmate’s refusal to participate in the IFRP is “one of numerous
    factors” relevant to the BOP’s decision as to whether an inmate is suitable for
    admission to the ADX Step-Down Program, although it is “not the only factor” or
    “a determinative factor.” 
    Id. at 1065
    ; see also 
    id. at 1068
    .
    Mr. Bradshaw also has two chronic health problems: (1) hepatitis C, which
    was diagnosed in the 1980’s; and (2) supra ventricular tachycardia (“SVT”). As
    with the IFRP, Mr. Bradshaw became dissatisfied with his medical care at ADX.
    Mr. Bradshaw filed this civil rights action under Bivens, naming several
    BOP employees as defendants. A few months later, he filed an amended
    complaint, adding claims and defendants. His amended complaint also added two
    other ADX inmates, Timothy Tuttamore and Jamie McMahon, as plaintiffs. 1
    The district court concluded sua sponte that the amended complaint should
    be dismissed and directed plaintiffs to file separate lawsuits asserting their
    individual medical claims. Mr. Bradshaw appealed to this court, and he also filed
    a separate action asserting his medical claims, as directed by the district court.
    1
    Neither Mr. Tuttamore nor Mr. McMahon is a party to this appeal at this
    point. Mr. McMahon was dismissed from a prior appeal for failure to prosecute.
    Mr. Tuttamore was dismissed from this appeal for failing to file a brief.
    -4-
    See Bradshaw v. Lappin, No. 08-cv-02542-PAB-KLM, 
    2010 WL 908925
    (D. Colo. Mar. 11, 2010). We reversed the district court’s decision and remanded
    the case for further consideration. Bradshaw v. Lappin, 320 F. App’x 846, 849
    (10th Cir. 2009) (No. 08-1160). The district court consolidated Mr. Bradshaw’s
    second action with this case.
    On remand, the magistrate judge granted Mr. Bradshaw’s motion for leave
    to file an amended complaint. Later, however, the district court adopted the
    magistrate judge’s further recommendation to deny Mr. Bradshaw’s motion for
    leave to file a proposed supplemental amended complaint.
    Mr. Bradshaw’s claims can be divided into two main categories. First, he
    asserted that defendants Lappin, Wiley, Leyba, Nafziger, Osagie, and Amirkhan
    were deliberately indifferent to his serious medical needs related to either his
    heart condition and/or his chronic hepatitis, in violation of the Eighth
    Amendment. See, e.g., Estelle v. Gamble, 
    429 U.S. 97
    , 104-05 (1976). Second,
    he asserted that defendants Lappin, Collins, Sudlow, Knox, Madison, Foster, and
    Finlan violated his civil rights under the Fifth and Eighth Amendments by
    requiring him to make restitution payments pursuant to the IFRP. Mr. Bradshaw
    challenged both the actual deduction of funds from his account when he
    voluntarily participated in the IFRP, as well as the expected withdrawal of the
    privilege of participating in the Step-Down Program if he refused to voluntarily
    make payments toward his restitution obligation.
    -5-
    The district court ultimately disposed of Mr. Bradshaw’s claims in two
    lengthy orders filed on September 7, 2010, and March 10, 2011. The court
    dismissed defendant Lappin, the Director of the Federal Bureau of Prisons,
    because Mr. Bradshaw failed to establish that Director Lappin had minimum
    contacts with Colorado, and the court therefore lacked personal jurisdiction over
    him. The court dismissed Warden Wiley because Mr. Bradshaw failed to allege
    his personal participation in any alleged constitutional deprivation.
    The district court granted summary judgment to defendants Collins,
    Sudlow, Knox, Madison, Foster, and Finlan on Mr. Bradshaw’s IFRP claims. The
    court reasoned that Mr. Bradshaw voluntarily agreed to participate in the IFRP for
    awhile, so the deduction of funds did not violate his rights. The court further
    determined that for the time during which Mr. Bradshaw was on “refuse” status,
    he failed to show that the law was clearly established that withholding privileges
    for his non-participation violated his constitutional rights, and so defendants were
    entitled to qualified immunity. The court denied Mr. Bradshaw’s motion for
    reconsideration of that decision.
    The district court granted summary judgment to Dr. Nafziger on
    Mr. Bradshaw’s claims for deliberate indifference related to both his heart
    condition and his hepatitis. The court also granted summary judgment to
    Physician’s Assistant (“P.A.”) Osagie and Dr. Amirkhan on Mr. Bradshaw’s
    claims for deliberate indifference related to his hepatitis. The court dismissed
    -6-
    without prejudice Dr. Leyba, who was also named in Mr. Bradshaw’s heart
    condition claim, based on Mr. Bradshaw’s failure to provide a current address to
    the United States marshals in order for them to effect service.
    The district court denied Mr. Bradshaw’s motion for leave to file
    documents relating to Dr. Allred, indicating that Dr. Allred was not a party to this
    suit because he was not named in either the amended complaint or the proposed
    supplemental amended complaint (which was not filed). The court also adopted
    the magistrate judge’s recommendation to deny Mr. Bradshaw’s motion for leave
    to file the supplemental amended complaint on the basis that it reasserted claims
    that had been dismissed, which the district court construed to mean that it would
    be futile to amend. Mr. Bradshaw appeals.
    II. Issues on Appeal
    Mr. Bradshaw argues, generally, that the district court impermissibly
    viewed the evidence in the light most favorable to defendants and resolved
    material disputes of fact in their favor. He argues, specifically, that the court
    erred: (1) in granting summary judgment to Dr. Nafziger on his claim for
    deliberate indifference to serious medical need based on his alleged symptoms of
    a heart attack or heart disease; (2) in granting summary judgment to Dr. Nafziger,
    P.A. Osagie, and Dr. Amirkhan on his claim for deliberate indifference to serious
    -7-
    medical need based on his chronic hepatitis 2; (3) in granting summary judgment
    to defendants Collins, Sudlow, Knox, Madison, Foster, and Finlan on his IFRP
    claims for deprivation of funds to pay his restitution obligation without due
    process; (4) in granting summary judgment to defendants Collins, Sudlow, Knox,
    Madison, Foster, and Finlan on his IFRP claims alleging that he was punished
    without due process for refusing to pay his restitution obligation; (5) in denying
    his motion for leave to file a supplemental amended complaint; (6) in denying his
    motion for leave to file a supplemental amended complaint at least with regard to
    Dr. Allred, who was added as a party defendant; and (7) in dismissing Dr. Leyba
    from the suit without prejudice for failure to effect timely service of process,
    when the district court denied Mr. Bradshaw’s requests for help to find out
    Dr. Leyba’s current address.
    III. Standards of Review
    “This court reviews de novo a district court’s entry of summary judgment,
    viewing the facts in the light most favorable to the nonmoving party.” Rezaq,
    
    2012 WL 1372151
    , at *7. “Summary judgment is appropriate ‘if the movant
    shows that there is no genuine dispute as to any material fact and the movant is
    entitled to judgment as a matter of law.’” Carter v. Pathfinder Energy Servs.,
    2
    Mr. Bradshaw initially named Director Lappin and Warden Wiley in his
    deliberate indifference claims, but he did not mention them in his briefs on
    appeal.
    -8-
    Inc., 
    662 F.3d 1134
    , 1141 (10th Cir. 2011) (quoting Fed. R. Civ. P. 56(a)). “A
    genuine dispute as to a material fact exists when the evidence, construed in the
    light most favorable to the non-moving party, is such that a reasonable jury could
    return a verdict for the non-moving party.” 
    Id.
     (internal quotation marks
    omitted). “Additionally, [t]he identification of the liberty interests that are
    protected by the Due Process Clause is a question of federal constitutional law
    that we review de novo.” Rezaq, 
    2012 WL 1372151
    , at *7 (alteration in original)
    (internal quotation marks omitted).
    For the claims on which summary judgment was granted based on qualified
    immunity, however, “the summary judgment standards are subject to a somewhat
    different analysis from other summary judgment rulings.” Toevs v. Reid,
    ___ F.3d ___, No. 10-1535, 
    2012 WL 1085802
    , at *3 (10th Cir. Apr. 2, 2012)
    (internal quotation marks omitted). “The doctrine of qualified immunity shields
    government officials performing discretionary functions from liability for
    damages “insofar as their conduct does not violate clearly established statutory or
    constitutional rights of which a reasonable person would have known.” 
    Id.
    (internal quotation marks omitted). “Thus, to avoid judgment for the defendant
    based on qualified immunity, the plaintiff must show that the defendant’s actions
    violated a specific statutory or constitutional right, and that the constitutional or
    statutory rights the defendant allegedly violated were clearly established at the
    time of the conduct at issue.” 
    Id.
     (internal quotation marks omitted). “We have
    -9-
    discretion to address the two qualified-immunity prongs in whatever order is
    appropriate under the circumstances.” 
    Id.
    IV. Discussion
    a. Mr. Bradshaw’s Deliberate Indifference Claims
    Mr. Bradshaw alleged that Dr. Nafziger was deliberately indifferent to his
    serious medical needs related to his heart condition. Mr. Bradshaw also alleged
    that Dr. Nafziger, P.A. Osagie, and Dr. Amirkhan were deliberately indifferent to
    his serious medical needs related to his chronic hepatitis.
    “A prison official’s deliberate indifference to an inmate’s serious medical
    needs is a violation of the Eighth Amendment’s prohibition against cruel and
    unusual punishment.” Mata v. Saiz, 
    427 F.3d 745
    , 751 (10th Cir. 2005) (citing
    Estelle, 
    429 U.S. at 104
    ). “The test for constitutional liability of prison officials
    involves both an objective and a subjective component.” 
    Id.
     (internal quotation
    marks omitted).
    “The prisoner must first produce objective evidence that the deprivation at
    issue was in fact ‘sufficiently serious.’” 
    Id.
     (quoting Farmer v. Brennan,
    
    511 U.S. 825
    , 834 (1994)). “Moreover, a delay in medical care only constitutes
    an Eighth Amendment violation where the plaintiff can show the delay resulted in
    substantial harm.” 
    Id.
     (internal quotation marks omitted). He may show
    -10-
    substantial harm by providing competent evidence that the delay “caused either
    unnecessary pain or a worsening of [the] condition.” Id. at 755.
    The prisoner must also “present evidence of the prison official’s culpable
    state of mind.” Id. at 751. “The subjective component is satisfied if the official
    ‘knows of and disregards an excessive risk to inmate health or safety; the official
    must both be aware of facts from which the inference could be drawn that a
    substantial risk of serious harm exists, and [he or she] must also draw the
    inference.’” Id. (quoting Farmer, 
    511 U.S. at 837
    ). “A prison medical
    professional who serves solely . . . as a gatekeeper for other medical personnel
    capable of treating the condition may be held liable under the deliberate
    indifference standard if [he or she] delays or refuses to fulfill that gatekeeper
    role.” 
    Id.
     (first alteration in original) (internal quotation marks omitted).
    In its March 10, 2011 order, the district court analyzed at length
    Mr. Bradshaw’s claim that defendants were deliberately indifferent to his chronic
    hepatitis and heart condition, concluding that defendants were entitled to
    summary judgment on these claims. We have carefully considered
    Mr. Bradshaw’s arguments on appeal, and we affirm the district court’s decision
    on his deliberate indifference claims in all respects, with the following additional
    explanation.
    First, we reject Mr. Bradshaw’s contention on appeal that the district court
    held that he made his required showing on both prongs of the deliberate
    -11-
    indifference test on his heart condition claim. See Aplt. Opening Br. at 7. The
    district court stated that he failed to show that he suffered substantial harm as a
    result of Dr. Nafziger’s failure to order a cardiac consult. As a result, he failed to
    satisfy the objective prong of the test. It is irrelevant that the district court
    referred to substantial harm as a “third element of a deliberate indifference
    claim,” R., Vol. 1, at 1834-35, instead of considering it, as we have, as part of the
    objective prong, see Mata, 
    427 F.3d at 751
    ; Oxendine v. Kaplan, 
    241 F.3d 1272
    ,
    1276-77 (10th Cir. 2001). The point is that the district court correctly held that
    Mr. Bradshaw was obligated to offer proof that he suffered substantial harm from
    the lack of a cardiac consult to withstand Dr. Nafziger’s motion for summary
    judgment, and he failed to do so. He did not establish that he experienced
    unnecessary pain, that his heart condition worsened, or that he suffered a heart
    attack due to Dr. Nafziger’s failure to order a cardiologist’s evaluation.
    See Mata, 
    427 F.3d at 751-55
    .
    We also reject Mr. Bradshaw’s argument that the district court should have
    appointed an expert under Fed. R. Evid. 706(a) to interpret the BOP’s Clinical
    Practice Guidelines for the Prevention and Treatment of Viral Hepatitis and
    Cirrhosis, presumably at government expense. See Aplt. Opening Br. at 31-32. It
    is held generally that there is no provision in the law for litigation expenses such
    as expert witness fees to be paid for an indigent litigant in a civil suit for
    damages. See Malik v. Lavalley, 
    994 F.2d 90
    , 90 (2d Cir. 1993) (per curiam)
    -12-
    (collecting cases); see also Fed. R. Evid. 706(c)(2) (providing that parties will
    pay proportional share of expert’s fees in civil suit, as directed by the court).
    But see U.S. Marshals Serv. v. Means, 
    741 F.2d 1053
    , 1056-58 (8th Cir. 1984)
    (holding that 
    28 U.S.C. § 1915
     “does not authorize government payment of
    witness fees and expenses for indigent litigants,” but the court has discretion “to
    order one party of both to advance fees and expenses for experts that it appoints”
    under the Federal Rules of Evidence now appearing as Rules 614(a) and 706(c)).
    b. Mr. Bradshaw’s IFRP Claims
    In its September 7, 2010, order granting partial summary judgment to
    defendants, the district court analyzed Mr. Bradshaw’s claims asserting that
    defendants Collins, Sudlow, Knox, Madison, Foster, and Finlan were liable to him
    for damages under Bivens based on his claims related to the IFRP. In its
    March 10, 2011, order granting defendants’ second motion for summary
    judgment, the court evaluated Mr. Bradshaw’s motion for reconsideration of its
    decision on these claims. The alleged violations arose both from Mr. Bradshaw’s
    voluntary participation in the IFRP, which resulted in the deduction of $25 per
    quarter from his trust account to pay his restitution obligation, and, alternatively,
    from his placement in “refuse” status during the time periods when he declined to
    voluntarily participate in the IFRP, which allegedly resulted in the withdrawal of
    the privilege of participating in ADX’s Step-Down Program. We have carefully
    -13-
    considered Mr. Bradshaw’s arguments on appeal, and we affirm the district
    court’s grant of summary judgment to defendants on his IFRP claims in all
    respects, with the following additional explanation.
    “The Due Process Clause of the Fifth Amendment provides that ‘[n]o
    person shall . . . be deprived of life, liberty, or property, without due process of
    law.’” United States v. Robinson, 
    583 F.3d 1265
    , 1270 (10th Cir. 2009)
    (alteration in original) (quoting U.S. Const. amend. V). Mr. Bradshaw argues that
    a liberty interest arose from the threat of his indefinite confinement at ADX
    because he has refused to participate in the IFRP. See Aplt. Opening
    Br. at 49-55. He asserts that the conditions at ADX are comparable to the
    conditions presented in Wilkinson v. Austin, 
    545 U.S. 209
     (2005), where the
    Supreme Court held that inmates had a liberty interest in avoiding confinement at
    Ohio’s supermax facility, 
    id. at 224
    . Aplt. Opening Br. at 50, 52-55.
    The district court concluded that Mr. Bradshaw failed to demonstrate that
    clearly established law created a constitutionally protected liberty interest under
    the Fifth Amendment, and, as a result, defendants were entitled to qualified
    immunity on his IFRP claims. When the court evaluated Mr. Bradshaw’s motion
    for reconsideration, its conclusion was the same. Mr. Bradshaw’s argument on
    appeal does not challenge the actual basis of the district court’s decision. In
    addition, we recently examined the conditions of confinement at ADX in light of
    the Court’s opinion in Wilkinson. See Rezaq, 
    2012 WL 1372151
    , at *7-*13. We
    -14-
    concluded that “[t]he conditions at ADX, like those at the Ohio supermax prison
    in Wilkinson, do not, in and of themselves, give rise to a liberty interest because
    they are substantially similar to conditions experienced in any solitary
    confinement setting.” 
    Id. at *12
    .
    c. Denial of Leave to File Supplemental Amended Complaint
    Mr. Bradshaw filed a motion for leave to file a supplemental amended
    complaint. Defendants argued that leave should be denied because his claims
    were subject to dismissal, and amendment was therefore futile. The motion was
    first addressed by the magistrate judge, who recommended that Mr. Bradshaw be
    denied leave to amend because “[t]he proposed amended complaint reasserts the
    claims that have been dismissed [in the district court’s September 7, 2010, order
    granting partial summary judgment to defendants].” R., Vol. 1, at 1725.
    Mr. Bradshaw filed objections to the magistrate judge’s recommendation,
    arguing that the district court had erred in its earlier order by dismissing
    Dr. Leyba as a party defendant and by dismissing his IFRP claims. The district
    court construed the magistrate judge’s recommendation to be based on futility of
    amendment, reviewed the recommendation de novo, and adopted it with
    additional explanation supporting the denial as to certain claims.
    Mr. Bradshaw argues that the district court erred. We disagree. Under the
    circumstances of this case, we review de novo the district court’s decision
    -15-
    denying Mr. Bradshaw’s motion for leave to file his proposed supplemental
    amended complaint. “Although we generally review for abuse of discretion a
    district court’s denial of leave to amend a complaint, when this denial is based on
    a determination that amendment would be futile, our review for abuse of
    discretion includes de novo review of the legal basis for the finding of futility.”
    Cohen v. Longshore, 
    621 F.3d 1311
    , 1314 (10th Cir. 2010) (internal quotation
    marks omitted). “We thus consider de novo whether it is patently obvious that
    the plaintiff could not prevail on the facts alleged, and allowing him an
    opportunity to amend his complaint would be futile.” 
    Id. at 1314-15
     (internal
    quotation marks omitted). We conclude that Mr. Bradshaw’s proposed
    supplemental amended complaint could not have survived dismissal.
    “A court properly may deny a motion for leave to amend as futile when the
    proposed amended complaint would be subject to dismissal for any reason,
    including that the amendment would not survive a motion for summary
    judgment.” Bauchman ex rel. Bauchman v. W. High Sch., 
    132 F.3d 542
    , 562
    (10th Cir. 1997). As explained above, it would have been futile to allow
    amendment for Mr. Bradshaw to reassert his IFRP claims. And as explained
    below, Mr. Bradshaw did not preserve for appeal his argument that Dr. Allred was
    made a party defendant in his supplemental amended complaint, and the district
    court properly dismissed Dr. Leyba from the suit. Accordingly, the district court
    -16-
    did not err by denying Mr. Bradshaw leave to file his proposed supplemental
    amended complaint.
    d. Dr. Allred as Party Defendant
    Dr. Allred succeeded Dr. Nafziger as the clinical director at the FCC in
    December 2008, after this suit was filed. Mr. Bradshaw did not name Dr. Allred
    as a defendant in his first three complaints. He asserted a cause of action against
    Dr. Allred for the first time in his proposed supplemental amended complaint,
    which he was not permitted to file. R., Vol. 1, at 1233-35. He did not name
    Dr. Allred in the caption of that complaint or in his list of parties, however. 
    Id. at 1194-97
    . Nonetheless, he believes that he adequately named Dr. Allred as a
    party defendant in the amended complaint and proposed supplemental amended
    complaint because he added “any and all successor’s” [sic] at the end of the
    caption of each of them. See Aplt. Opening Br. at 41; R., Vol. 1, at 793, 1194.
    Mr. Bradshaw’s argument is without merit for two reasons. First, there can
    be no successor liability for a deliberate indifference claim. “[V]icarious liability
    is inapplicable to Bivens . . . .” Dodds v. Richardson, 
    614 F.3d 1185
    , 1198
    (10th Cir. 2010) (discussing supervisory liability for alleged constitutional
    violations) (internal quotation marks omitted), cert. denied, 
    131 S. Ct. 2150
    (2011). Rather, the plaintiff is required to plead and prove that each defendant
    “by virtue of his own conduct and state of mind” violated the Constitution. 
    Id.
    -17-
    Second, Mr. Bradshaw did not preserve for appeal the argument that he added
    Dr. Allred as a party by asserting a new cause of action against him in the
    proposed supplemental amended complaint.
    “[W]e have adopted a firm waiver rule when a party fails to object to the
    findings and recommendations of the magistrate.” Moore v. United States,
    
    950 F.2d 656
    , 659 (10th Cir. 1991). “[O]nly an objection that is sufficiently
    specific to focus the district court’s attention on the factual and legal issues that
    are truly in dispute will advance the policies behind the Magistrate’s Act that led
    us to adopt a waiver rule in the first instance.” United States v. 2121 E. 30th St.,
    
    73 F.3d 1057
    , 1060 (10th Cir. 1996). Although Mr. Bradshaw filed objections to
    the magistrate judge’s recommendation to deny his motion for leave to file his
    proposed supplemental amended complaint, he did not alert the district court that
    he was asserting a new cause of action against a new defendant. As a result, the
    issue as to whether Dr. Allred was added as a party defendant by being named in
    a cause of action within the proposed supplemental amended complaint is waived
    on appeal. See 
    id.
    e. Dismissal of Dr. Leyba for Failure to Effect Timely Service
    Finally, Mr. Bradshaw argues that the district court erred in dismissing
    Dr. Leyba as a party defendant on the basis that Mr. Bradshaw failed to effect
    timely service of process, even though nearly three years had passed since he
    -18-
    filed suit. We review for abuse of discretion the district court’s decision to
    dismiss Dr. Leyba due to Mr. Bradshaw’s failure to effect service.
    See Constien v. United States, 
    628 F.3d 1207
    , 1213 (10th Cir. 2010), cert. denied,
    
    131 S. Ct. 2884
     (2011). Under the particular circumstances of this case, we
    affirm.
    Mr. Bradshaw named Dr. Leyba as a defendant in his original complaint.
    He asserted that Dr. Leyba failed to fulfill his gatekeeper role with respect to
    Mr. Bradshaw’s heart condition by improperly withdrawing a request for a
    cardiac consult in 2006 due to alleged security concerns. Mr. Bradshaw
    reasserted his claim against Dr. Leyba in his amended complaint. Because
    Mr. Bradshaw was proceeding in forma pauperis, the district court was required to
    order that service be made by a United States marshal.
    See Fed. R. Civ. P. 4(c)(3).
    Because the district court dismissed the amended complaint sua sponte as
    frivolous, however, Dr. Leyba was never served. We reversed that dismissal after
    Dr. Leyba had left his employment at the FCC. The marshal attempted to serve
    Dr. Leyba with the amended complaint after our remand, but was unsuccessful.
    Mr. Bradshaw sought the district court’s assistance in compelling defendants to
    locate Dr. Leyba’s new address, but the district court declined to do more than
    direct defendants to provide Dr. Leyba’s last known address. The marshal
    attempted service at that last known address, but the house was vacant.
    -19-
    We need not decide whether the district court’s actions were proper
    because it is clear that Mr. Bradshaw’s claim against Dr. Leyba would have failed
    on the merits. The court correctly concluded that Mr. Bradshaw failed to produce
    evidence showing that he suffered substantial harm as a result of the denial of a
    cardiac consultation in his claim against Dr. Nafziger. Mr. Bradshaw thus failed
    to satisfy the objective prong of his required showing for deliberate indifference
    related to his heart condition. See Mata, 
    427 F.3d at 751
    ; Oxendine, 
    241 F.3d at 1276-77
    . We “may rule that a party loses on the merits without first
    establishing jurisdiction [when] the merits have already been decided in the
    [district] court’s resolution of a claim over which it did have jurisdiction. In that
    circumstance, resolution of the merits is ‘foreordained . . . .’” Starkey ex rel. A.B.
    v. Boulder Cnty. Soc. Servs., 
    569 F.3d 1244
    , 1260 (10th Cir. 2009) (quoting
    Steel Co. v. Citizens for a Better Env’t, 
    523 U.S. 83
    , 98 (1998)).
    Because Mr. Bradshaw’s deliberate indifference claim against Dr. Leyba
    would necessarily fail based on the district court’s analysis of his claim against
    Dr. Nafziger, we affirm the district court’s dismissal of Dr. Leyba, as well as the
    court’s denial of Mr. Bradshaw’s motion for leave to file his proposed
    supplemental amended complaint.
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    All outstanding motions are denied. The judgment of the district court is
    AFFIRMED.
    Entered for the Court
    Wade Brorby
    Senior Circuit Judge
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