Deane v. Pocono Med Ctr ( 1997 )


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  •                                                                                                                            Opinions of the United
    1997 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    8-25-1997
    Deane v. Pocono Med Ctr
    Precedential or Non-Precedential:
    Docket
    96-7174
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    Recommended Citation
    "Deane v. Pocono Med Ctr" (1997). 1997 Decisions. Paper 204.
    http://digitalcommons.law.villanova.edu/thirdcircuit_1997/204
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    Filed August 25, 1997
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    No. 96-7174
    STACY L. DEANE,
    Appellant
    v.
    POCONO MEDICAL CENTER,
    Appellee
    Appeal from the United States District Court
    for the Middle District of Pennsylvania
    (D.C. Civ. Action No. 94-1139)
    Argued
    January 31, 1997
    Before: BECKER and ROTH, Circuit Judges,
    and BARRY, District Judge*
    (Filed August 25, 1997)
    _________________________________________________________________
    * Honorable Maryanne Trump Barry of the United States District Court
    for the District of New Jersey, sitting by designation.
    GALFAND BERGER, LURIE,
    BRIGHAM, JACOBS, SWAN,
    JUREWICZ & JENSEN, LTD.
    BY: DEBRA A. JENSEN, ESQUIRE
    [Argued]
    DANIEL BENCIVENGA,
    ESQUIRE
    Suite 2300, 1818 Market Street
    Philadelphia, PA. 19103-3623
    Attorneys for Appellant
    Stacy L. Deane
    POST & SCHELL, P.C.
    BY: SIDNEY R. STEINBERG,
    ESQUIRE [Argued]
    1800 JFK Boulevard, 19th Floor
    Philadelphia, PA 19103
    Attorneys for appellee Pocono
    Medical Center
    OPINION OF THE COURT
    BARRY, District Judge
    In recognition of the fact that discrimination against the
    physically and mentally disabled was a "serious and
    pervasive social problem," Congress, in 1990, enacted the
    Americans with Disabilities Act ("ADA" or "Act") in order to
    level the playing field for disabled individuals in the
    workplace. Toward this end, Congress extended the
    provisions of the ADA not only to those who are actually
    disabled, but also to individuals wrongly regarded as being
    disabled. Unfortunately, however, the extent to which
    individuals who are merely "regarded as" disabled are
    entitled to be treated as though they are actually disabled
    was left far from clear. We decide today an important issue
    of first impression in this circuit -- where, as here, an
    individual is "regarded as" being disabled but is not, in fact,
    disabled, the ADA does not entitle that individual to
    accommodation in the workplace.
    2
    I.
    Appellant Stacy L. Deane, a former employee of appellee
    Pocono Medical Center ("PMC"), filed a complaint which
    alleged that PMC terminated her employment in violation of
    the ADA, 42 U.S.C. SS 12101 et seq.; the Rehabilitation Act
    of 1973, 29 U.S.C. SS 701 et seq.; and the Pennsylvania
    Human Relations Act ("PHRA"), 43 Pa. Cons. Stat. Ann.
    SS 951 et seq.1 The district court granted summary
    judgment in favor of PMC, and Deane has appealed. For the
    reasons that follow, we affirm.
    II.
    In April 1990, PMC hired Deane as a registered nurse to
    work primarily on the medical/surgical floor of the medical
    center. On June 22, 1991, while all the nurses on the
    medical/surgical floor, with the exception of Deane and one
    other nurse, were at lunch, Deane responded to an
    emergency situation in a patient's room. Upon entering the
    room, Deane discovered an elderly male patient who had
    somehow removed all but one of his restraints and was
    hanging off his bed between the side rails. Because the
    patient was in danger of falling farther and pulling the
    intravenous line out of his neck, Deane lifted him back into
    his bed. As she was about to replace the last restraint, the
    patient grabbed her right wrist, twisting it counterclockwise
    and causing the injury which culminated in this case. That
    injury -- a sprained right wrist and cartilage tear in the
    wrist -- caused her to miss approximately a year of work.
    In June 1992, Deane and Barbara Manges, a nurse
    assigned to Deane's workers' compensation case,
    telephoned PMC and advised Charlene McCool, PMC's
    _________________________________________________________________
    1. Although we will address only Deane's ADA claim, the only claim
    raised on appeal, our analysis applies equally to Deane's Rehabilitation
    Act and PHRA claims. See Kelly v. Drexel University, 
    94 F.3d 102
    , 105
    (3d Cir. 1996) (holding that the district court properly treated the
    plaintiff's PHRA claims as coextensive with his ADA claim); McDonald v.
    Dep't of Public Welfare, 
    62 F.3d 92
    , 94 (3d Cir. 1995) (holding that,
    whether an action is brought under the ADA or the Rehabilitation Act,
    the substantive standards are the same). Neither party disputes this on
    appeal.
    3
    Benefits Coordinator, of Deane's intent to return to work
    with certain restrictions. According to Deane, she informed
    McCool that she was unable to lift more than 15-20 pounds
    or perform repetitive manual tasks, such as typing, but
    that her physician, Dr. Osterman, had released her to
    return to "light duty" work.2 Deane further explained to
    McCool that, if she could not be accommodated in a light
    duty position on the medical/surgical floor, she was willing
    to move to another area of the hospital, as long as she
    could remain in nursing.3
    After speaking with Deane and Manges, McCool advised
    Barbara Hann, PMC's Vice President of Human Resources,
    _________________________________________________________________
    2. In a letter dated June 8, 1992, the contents of which were
    communicated by Deane and Manges to McCool during their telephone
    conversation, Dr. Osterman opined as follows:
    I do not think [Deane] can return to unrestricted nursing i.e. I
    would
    place a lifting limit of 20 pounds and a limit on unrestricted
    repetitive motion of her wrist. She does believe that she can
    return
    to some nursing and I would agree with this. She has suggested
    pediatric nursing, neonatal nursing and possibly even the cancer
    unit at the hospital which apparently does not involve lifting the
    patients. All would be acceptable.
    Another of Deane's physicians, Dr. Sipowicz, evaluated Deane
    approximately one week after Dr. Osterman's examination. His notes
    from June 16, 1992 reveal the following conclusions:
    It is my professional opinion that Ms. Deane is permanently
    disabled from heavy activity and that she not have a position
    requiring lifting greater than 20 pounds, or that on a rare- or
    occasional basis, or any repetitive lifting using her right upper
    extremity. Ms. Deane is seeking employment in a neo-natal and/or
    oncology unit. This is quite all right with us. She is a registered
    nurse. She certainly is employable. If those positions become
    available, I feel that she should, indeed, take them. But regular
    floor
    nursing is, in my professional opinion, out of the question now and
    in the future. I feel that she is permanently disabled.
    3. This telephone call was PMC's only interaction with Deane during
    which it could have assessed the severity of or possible accommodation
    for her injuries. PMC never requested additional information from Deane
    or her physicians. According to Deane, however, she subsequently
    attempted to contact PMC on several occasions and, at least once, was
    treated rudely by McCool and told not to call again.
    4
    of Deane's request to return to work, her attendant work
    restrictions, and her stated need for accommodation.
    Shortly after considering the information conveyed by
    McCool and after comparing it to the job description of a
    medical/surgical nurse at PMC, Hann determined that
    Deane was unable to return to her previous position. Hann
    then asked Carol Clarke, PMC's Vice President of Nursing,
    and Susan Stine, PMC's Director of Nursing
    Resources/Patient Care Services, to review Deane's request
    to return to PMC and explore possible accommodations for
    her. Both Clarke and Stine concluded that Deane could not
    be accommodated in her previous job as a nurse on the
    medical/surgical floor or in any other available position at
    the hospital. Finally, Hann asked Marie Werkheiser, PMC's
    Nurse Recruiter, whether there were any current or
    prospective job openings for registered nurses at PMC.
    According to Werkheiser, there were no such openings at
    that time.
    As a result of the collective determination that Deane
    could not be accommodated in her previous job or in any
    other available position in the hospital, PMC sent Deane an
    "exit interview" form on August 7, 1992. On August 10,
    1992, Hann notified Deane by telephone that she could not
    return to work because of her "handicap," and this
    litigation ensued.4
    Deane argued before the district court that she was both
    actually disabled as a result of her injury and that she was
    perceived to be so by PMC. On summary judgment, the
    court rejected both theories and held that Deane was
    neither disabled nor regarded by her employer as being
    disabled and that, even if she were, she failed to meet the
    statutory definition of a qualified individual with a
    disability. Deane has not appealed the district court's
    determination that she was not actually disabled. Indeed,
    she now concedes that "[i]n light of the decisional trends in
    this Circuit and others," she is not now and never was
    _________________________________________________________________
    4. In March 1993, Deane accepted a registered nurse position at a non-
    acute care facility, where she remained until May 1993. Deane has been
    employed by a different non-acute care facility since July 1993. These
    positions do not require heavy lifting, bathing patients, or the like.
    5
    disabled and, consequently, that, but for PMC's erroneous
    perception of her actual impairment, she would have no
    claim under the ADA.
    What is left for us, then, are Deane's contentions that
    she was disabled under the terms of the ADA by virtue of
    the fact that PMC regarded her limitations as being far
    worse than they actually were, that PMC failed to
    accommodate her lifting restriction, and that she was
    eventually terminated on account of PMC's perception that
    she was disabled. In support of her perception claim, Deane
    relies on a so-called "laundry list" of PMC's allegedly
    erroneous perceptions. According to Deane, PMC believed
    that she was unable to lift more than ten pounds, push or
    pull anything, assist patients in emergency situations,
    move or assist patients in the activities of daily living,
    perform any patient care job at PMC or any other hospital,
    perform CPR, use the rest of her body to assist patients,
    work with psychiatric patients, or use medical equipment.5
    Deane refutes each of these perceptions -- or, in her view,
    misperceptions -- and contends that her injury was, in
    fact, minor in nature.6 Deane further contends that PMC
    should be held responsible for these misperceptions
    because they were the result of PMC's "snap judgment"
    arrived at without analyzing, investigating or assessing, in
    good faith, the nature of her injury.
    Finally, notwithstanding Deane's contention that her
    impairment was minor, Deane has maintained throughout
    the course of this litigation, and continues to maintain on
    appeal, that she requires and is entitled to accommodation
    for her lifting restriction.7 In this regard, Deane contends
    _________________________________________________________________
    5. With the exception of certain alleged misperceptions that are not even
    arguably borne out by the record, such as Deane's inability to open file
    drawers or operate housekeeping equipment, we accept, as we must,
    Deane's description of PMC's misperceptions.
    6. Given that Deane vigorously maintained before the district court that
    she was actually disabled and has only now shifted her sole focus to her
    perception claim, Deane's position in this regard is somewhat
    disingenuous.
    7. Aside from a few scattered references in her briefs on appeal and at
    oral argument suggesting that she could have performed the lifting
    6
    that she could be accommodated either in her previous
    position as a nurse on the medical/surgical floor or
    through reassignment to another position that would not
    require heavy lifting. As to the former, Deane has, from the
    outset, suggested the following accommodations: (1) the use
    of an assistant to help her move or lift patients; (2) the
    implementation of a functional nursing approach, in which
    nurses would perform only certain types of nursing tasks;
    and (3) the use of a Hoyer lift to move or lift patients. With
    respect to the latter, Deane maintains that she could have
    been transferred to another unit within the medical center
    such as the pediatrics, oncology, or nursery units, which
    would not have required heavy lifting.
    III.
    We have appellate jurisdiction over the district court's
    grant of summary judgment pursuant to 28 U.S.C. S 1291.
    Because our standard of review is plenary, Kelly v. Drexel
    University, 
    94 F.3d 102
    , 104 (3d Cir. 1996), we apply the
    _________________________________________________________________
    required of a nurse on the medical/surgical floor with no
    accommodation, Deane's main argument on appeal is that
    accommodation was wrongly withheld. Indeed, the bulk of her
    submissions to this court focuses on the argument that had PMC
    engaged in interactive communications with her, it would have realized
    that her impairments could have been easily accommodated. Deane
    never informed PMC that she could have performed the required lifting
    without accommodation and the record is entirely bereft of any evidence
    that she could have performed without accommodation at the time of her
    termination. More importantly, Deane argued to the district court that
    she could have been accommodated through job restructuring or
    reassignment and never once contended in her brief in opposition to
    PMC's motion for summary judgment that no accommodation was
    necessary. Accordingly, Deane will not be allowed to transform the
    nature of this case, yet again, by relying on arguments raised for the
    first time on appeal.
    Deane's alternative argument in this regard is that she can perform
    the essential functions of her previous job without accommodation
    because, according to Deane, lifting is not an essential function of
    nursing. As discussed below, this position is not only factually
    untenable, but is legally irrelevant.
    7
    same test the district court should have applied in the first
    instance. Olson v. General Electric Astrospace, 
    101 F.3d 947
    , 951 (3d Cir. 1996); Helen L. v. DiDario, 
    46 F.3d 325
    ,
    329 (3d Cir. 1995). We must determine, therefore, whether
    the record, when viewed in the light most favorable to
    Deane, shows that there is no genuine issue of material fact
    and that PMC was entitled to summary judgment as a
    matter of law. See, e.g., Olson , 
    101 F.3d at 951
    ; Celotex
    Corp. v. Catrett, 
    477 U.S. 317
    , 322-23 (1986); Anderson v.
    Liberty Lobby, Inc., 
    477 U.S. 242
    , 249-50 (1986).
    IV.
    Congress enacted the ADA in 1990 in an effort to remove
    societal barriers that historically have prevented disabled
    individuals "from enjoying the same employment
    opportunities that are available to persons without
    disabilities."8 29 C.F.R. App. S 1630, Background. Despite
    Congress's stated purpose of providing "clear, strong,
    consistent, enforceable standards," 42 U.S.C. S 12101(b)(2),
    however, the statutory language does not well serve that
    end. See Note, The Americans With Disabilities Act: Great
    Progress, Greater Potential, 
    109 Harv. L. Rev. 1602
    , 1615
    (1996) ("One of the Act's major problems is its vagueness.
    Many of the statute's terms are ambiguous, leaving
    employers and disabled individuals uncertain about their
    rights and responsibilities and requiring costly litigation to
    _________________________________________________________________
    8. The ADA, itself, provides the following statement of purposes:
    (1) to provide a clear and comprehensive national mandate for the
    elimination of discrimination against individuals with
    disabilities;
    (2) to provide clear, strong, consistent, enforceable standards
    addressing discrimination against individuals with disabilities;
    (3) to ensure that the Federal Government plays a central role in
    enforcing the standards established in this chapter on behalf of
    individuals with disabilities; and
    (4) to invoke the sweep of congressional authority, including the
    power to enforce the fourteenth amendment and to regulate
    commerce, in order to address the major areas of discrimination
    faced day-to-day by people with disabilities.
    42 U.S.C. S 12101(b).
    8
    resolve the uncertainties."). As a result, courts have been
    left to determine, with little legislative history to assist
    them, the meaning and application of vague terms and
    concepts through a fact-sensitive, case-by-case inquiry. We
    do not mean to suggest, however, that Congress is
    necessarily to be faulted for its lack of specificity, as the
    capabilities of disabled persons and the manifestations of
    their disabilities are often as diverse and unique as are the
    individuals themselves. Nevertheless, the use of vague and
    general standards rather than strict guidelines --
    particularly with respect to what constitutes a disability, a
    qualified individual, and reasonable accommodation -- has
    permitted inconsistent if not absurd judgments and favored
    those with easily accommodated disabilities or minor
    impairments, rather than those with serious disabilities
    who seek nothing more than the equal employment
    opportunities to which they are entitled. 
    Id.
    The core antidiscrimination section of the ADA provides
    that:
    No covered entity shall discriminate against a qualified
    individual with a disability because of the disability of
    such individual in regard to job application procedures,
    the hiring, advancement, or discharge of employees,
    employee compensation, job training, and other terms,
    conditions, and privileges of employment.
    42 U.S.C. S 12112 (emphasis supplied). Thus, in order to
    make out a prima facie case under the ADA, a plaintiff
    must be able to establish that he or she (1) has a
    "disability," (2) is a "qualified individual," and (3) has
    suffered an adverse employment action because of a
    disability. See, e.g., Turco v. Hoechst Celanese Corp., 
    101 F.3d 1090
    , 1092 (5th Cir. 1996) (citing Rizzo v. Children's
    World Learning Centers, Inc., 
    84 F.3d 758
    , 763 (5th Cir.
    1996)); Benson v. Northwest Airlines, Inc., 
    62 F.3d 1108
    ,
    1112 (8th Cir. 1995) (citing Wooten v. Farmland Foods, 
    58 F.3d 382
    , 385 (8th Cir. 1995)). The August 10, 1992 call
    from Ms. Hann terminating Deane because of her
    "handicap" is uncontroverted direct evidence that Deane
    suffered an adverse employment action because of her
    employer's perception of her disability. Deane has,
    therefore, established the third element of her prima facie
    9
    case and that element will not be discussed in further detail.9
    See Martinson v. Kinney Shoe Corp., 
    104 F.3d 683
    , 686 (4th
    Cir. 1997) ("When an employer concededly discharges an
    employee because of a disability, the employee need prove
    nothing more to meet the third prong of the prima facie
    test").
    A.
    Mirroring the elements of the prima facie case, the first
    step in deciding any ADA claim is to determine whether the
    plaintiff is disabled under the terms of the Act. The ADA
    defines a "disability" as:
    (A) a physical or mental impairment that substantially
    limits one or more of the major life activities of such
    individual;
    (B) a record of such an impairment; or
    (C) being regarded as having such an impairment.
    42 U.S.C. S 12102(2); 29 C.F.R. 1630.2(g). 10
    Because, on appeal, Deane concedes that she is not
    actually disabled, but that she was only "regarded as" being
    disabled, we direct our focus to the third tier of the
    statutory definition. Read in conjunction with thefirst tier
    of the definition, defining an actual disability, the third tier
    requires us to determine whether PMC regarded Deane as
    having an impairment and whether the impairment, as
    perceived by PMC, would have substantially limited one or
    _________________________________________________________________
    9. Likewise, because of this direct evidence, there is no need to analyze
    Deane's claims under the McDonnell Douglas burden shifting framework.
    See Torre v. Casio, Inc., 
    42 F.3d 825
    , 829 n.3 (3d Cir. 1994) (citing
    McDonnell Douglas Corp. v. Green, 
    411 U.S. 792
     (1973)).
    10. Because the ADA does not define many of the pertinent terms,
    phrases, or concepts, we are guided by the Regulations issued by the
    Equal Employment Opportunity Commission ("EEOC") to implement Title
    I of the Act. See 42 U.S.C. S 12116 (requiring the EEOC to implement
    said Regulations); 29 C.F.R. S 1630.2. Regulations such as these are
    entitled to substantial deference. See Chevron, U.S.A., Inc. v. Natural
    Resources Defense Council, Inc., 
    467 U.S. 837
    , 844 (1984); Blum v.
    Bacon, 
    457 U.S. 132
    , 141 (1982); Helen L., 
    46 F.3d at 331-32
    .
    10
    more of Deane's major life activities. Deane's actual
    impairment, therefore, is of no consequence to our analysis.
    Parenthetically, it initially may seem odd that Congress
    chose to extend the protections of the Americans with
    Disabilities Act to individuals who have no actual disability.
    The primary motivation for the inclusion of perceptions or,
    more appropriately, misperceptions, of disabilities in the
    statutory definition, however, was that "society's
    accumulated myths and fears about disability and diseases
    are as handicapping as are the physical limitations that
    flow from actual impairment."11 See 29 C.F.R. App.
    _________________________________________________________________
    11. The limited legislative history makes clear that Congress's primary
    concern in enacting the "regarded as" prong of the ADA was for
    individuals with no limitations but who, because of some non-limiting
    impairment, are prevented from obtaining employment as a result of
    society's myths, fears and prejudices. As the final House Report
    provides,
    The rationale for this third test [the "regarded as" prong] as
    used
    in the Rehabilitation Act of 1973, was articulated by the Supreme
    Court in School Board of Nassau County v. Arline. The Court noted
    that although an individual may have an impairment that does not
    in fact substantially limit a major life activity, the reactions of
    others
    may prove just as disabling. `Such an impairment might not diminish
    a person's physical or mental capabilities, but could nevertheless
    substantially limit that person's ability to work as a result of
    the
    negative reactions of others to the impairment.'
    The Court concluded that, by including this test, `Congress
    acknowledged that society's accumulated myths and fears about
    disability and diseases are as handicapping as are the physical
    limitations that flow from actual impairment.'
    H.R. Rep. No. 485 (III), 101st Cong., 2d Sess. 1990, 1990 U.S.C.C.A.N.
    445 (emphasis added).
    The only two examples given in the House Report of individuals
    regarded as disabled are individuals with cosmetic impairments, such as
    burn scars, and individuals who "are rejected from jobs because a back
    x-ray reveals some anomaly, even though the person has no symptoms
    of a back impairment." 
    Id.
     (emphasis added). Neither of these examples
    involves individuals with limitations. Accordingly, there is no indication
    in the legislative history that Congress gave any thought whatsoever to
    individuals who, like Deane, are not actually disabled but who are
    impaired to the extent that they would require accommodation.
    11
    S 1630.2(l) (citing School Bd. of Nassau County v. Arline,
    
    480 U.S. 273
    , 284 (1987)). Thus, as one of our sister
    circuits has appropriately recognized, a perception claim
    [a]lthough at first glance peculiar, actually makes a
    better fit with the elaborate preamble of the Act, in
    which people who have physical or mental impairments
    are compared to victims of racial and other invidious
    discrimination. Many such impairments are not in fact
    disabling but are believed to be so, and the people
    having them may be denied employment or otherwise
    shunned as a consequence. Such people, objectively
    capable of performing as well as the unimpaired, are
    analogous to capable workers discriminated against
    because of their skin color or some other vocationally
    irrelevant characteristic.
    Vande Zande v. Wisconsin Dep't. of Administration, 
    44 F.3d 538
    , 541 (7th Cir. 1995) (emphasis supplied).
    The EEOC Regulations provide that an individual is
    "regarded as" being disabled if he or she
    (1) [h]as a physical or mental impairment that does
    not substantially limit major life activities but is
    treated by a covered entity as constituting such
    limitation;
    (2) [h]as a physical or mental impairment that
    substantially limits major life activities only as a result
    of the attitude of others toward such impairment; or
    (3) [h]as none of the impairments defined in
    paragraph (h)(1) or (2) of this section but is treated by
    a covered entity as having a substantially limiting
    impairment.12
    _________________________________________________________________
    12. 29 C.F.R. 1630.2(h) defines "physical or mental impairment" as:
    (1) [a]ny physiological disorder, or condition, cosmetic
    disfigurement, or anatomical loss affecting one or more of the
    following body systems: neurological, musculoskeletal, special
    sense
    organs, respiratory (including speech organs), cardiovascular,
    reproductive, digestive, genito-urinary, hemic and lymphatic, skin,
    and endocrine; or
    (2) [a]ny mental or psychological disorder, such as mental
    retardation, organic brain syndrome, emotional or mental illness,
    and specific learning disabilities.
    12
    29 C.F.R. S 1630.2(l). See also S. Rep. No. 116, 101st
    Cong., 2d Sess. 23 (1989) ("Senate Report"); H.R. Rep. No.
    485 pt. 2, 101st Cong., 2d Sess. 53 (1990) ("House Labor
    Report"), reprinted in 4 U.S. Code Cong. & Admin. News
    335; H.R. Rep. No. 485 pt. 3, 101st Cong., 2d Sess. 29
    (1990) ("House Judiciary Report"), reprinted in 4 U.S. Code
    Cong. & Admin. News 452. Significantly, common to each
    definition is the requirement that the individual not in fact
    have an impairment that, absent the misperceptions of
    others, would substantially limit a major life activity.
    Each of the three definitions of being "regarded as"
    disabled, as set forth in the Regulations, applies, as
    written, to a discrete factual setting. The first applies to an
    individual with an impairment that others might consider
    to be a disability but does not technically fall within the
    statutory definition of an actual disability. For example, if
    an employee has high blood pressure, which is controlled
    and is not substantially limiting, and if an employer
    reassigns that employee to a less strenuous job because of
    unsubstantiated fears that the employee will suffer a heart
    attack if he or she continues to perform strenuous work,
    the employee would have been perceived as disabled. 29
    C.F.R. app. S 1630.2(l). The second definition applies to an
    individual who has an impairment that might not ordinarily
    be considered a disability, but is, nonetheless, substantially
    limiting because of the attitudes of others toward it. For
    example, if an employee has a prominent facial scar that is
    not otherwise substantially limiting, and if an employer
    discriminates against that employee because of customers'
    negative reactions to the scar, the employee would have
    been perceived as disabled. 
    Id.
     Finally, the third definition
    targets a person who has no impairment at all but is
    treated by his or her employer as if he or she is disabled.
    For example, if an employer discharges an employee in
    response to a rumor that the employee was infected with
    Human Immunodeficiency Virus ("HIV"), even though the
    rumor was completely unfounded, the employee would have
    been perceived as being disabled and, therefore, would be
    disabled for purposes of the ADA. 
    Id.
    Deane contends that she satisfies the first definition
    because PMC erroneously perceived the nature and extent
    13
    of her impairment. In order to maintain a "regarded as"
    claim under the ADA, however, a plaintiff must
    demonstrate more than the fact that an employer
    misperceived the severity of the impairment. Rather, a
    plaintiff must demonstrate that the impairment, as
    erroneously perceived by his or her employer, would
    "substantially limit" one or more of his or her "major life
    activities."13 See generally Olson, 
    101 F.3d at 953-55
    ;
    _________________________________________________________________
    13. Major life activities include, but are not limited to, "functions such
    as
    caring for oneself, performing manual tasks, walking, seeing, hearing,
    speaking, breathing, learning, and working," see 29 C.F.R. S 1630.2(I), as
    well as "sitting, standing, lifting, [and] reaching." 29 C.F.R. app.
    S 1630.2(I); Senate Report at 22; House Labor Report at 52; House
    Judiciary Report at 28-29.
    An individual is defined as "substantially limited" in a major life
    activity other than working if he or she is
    (I) [u]nable to perform a major life activity that the average
    person
    in the general population can perform; or
    (ii) [s]ignificantly restricted as to the condition, manner or
    duration
    under which an individual can perform a particular major life
    activity as compared to the condition, manner or duration under
    which the average person in the general population can perform the
    same major life activity.
    29 C.F.R. S 1630.2(j)(1). In determining whether a person is substantially
    limited in a major life activity, courts should consider
    (I) [t]he nature and severity of the impairment;
    (ii) [t]he duration or expected duration of the impairment; and
    (iii) [t]he permanent or long term impact, or the expected
    permanent
    or long term impact of or resulting from the impairment.
    29 C.F.R. S 1630.2(j)(2).
    Where, as here, the major life activity at issue is working, the term
    "substantially limited" is defined as "significantly restricted in the
    ability
    to perform either a class of jobs or a broad range of jobs in various
    classes as compared to the average person having comparable training,
    skills and abilities." Olson, 
    101 F.3d at
    952 (citing 29 C.F.R.
    S 1630.2(j)(3)(I)). Thus, the mere "inability to perform a single,
    particular
    job does not constitute a substantial limitation in the major life
    activity
    of working." 
    Id.
     In making these determinations, courts may consider
    14
    MacDonald v. Delta Airlines, Inc., 
    94 F.3d 1437
    , 1445 (10th
    Cir. 1996); Bridges v. City of Bossier, 
    94 F.3d 329
    , 333-34
    (5th Cir. 1996).
    After rejecting Deane's claim that she was actually
    disabled, a conclusion that Deane does not challenge here,
    the district court rejected her perceived disability claim on
    three grounds. First, the court found, as a matter of
    undisputed fact, that PMC regarded Deane's impairment as
    limiting her ability to work as a nurse on the
    surgical/medical floor but not her ability to work as a
    nurse in general. Next, the court determined that Deane
    could not have been precluded from working in general in
    her field because, following her termination from PMC, she
    held two positions as a registered nurse. Finally, the court
    concluded, as a matter of law, that PMC's perception of
    Deane's impairment was not motivated by "myth, fear or
    stereotype" and, therefore, was not actionable under the
    ADA. While, as noted earlier, we affirm the district court's
    conclusion that summary judgment should be granted on
    Deane's "regarded as" claim, we do so not on the grounds
    the district court found persuasive, as each of those
    grounds was error.
    Taking the three grounds in reverse order, although the
    legislative history to the ADA indicates that Congress was
    concerned about eliminating society's myths, fears,
    _________________________________________________________________
    (A) [t]he geographical area to which the individual has reasonable
    access;
    (B) [t]he job from which the individual has been disqualified
    because
    of an impairment, and the number and types of jobs utilizing
    similar
    training, knowledge, skills or abilities, within that geographical
    area,
    from which the individual is also disqualified because of the
    impairment (class of jobs); and/or
    (C) [t]he job from which the individual has been disqualified
    because
    of an impairment, and the number and types of other jobs not
    utilizing similar training, knowledge, skills or abilities, within
    that
    geographical area, from which the individual is also disqualified
    because of the impairment (broad range of jobs in various classes).
    29 C.F.R. S 1630.2(j)(3)(ii).
    15
    stereotypes and prejudices with respect to the disabled, the
    EEOC's Regulations and interpretive appendix make clear
    that even an innocent misperception based on nothing
    more than a simple mistake of fact as to the severity, or
    even the very existence, of an individual's impairment can
    be sufficient to satisfy the statutory definition of a perceived
    disability. 29 C.F.R. app. S 1630.2(l). Thus, whether or not
    PMC was motivated by myth, fear or prejudice is not
    determinative of Deane's "regarded as" claim.
    The second ground -- that Deane's subsequent
    employment in the field of nursing demonstrated that she
    was not substantially limited in the major life activity of
    nursing -- confuses her actual impairment with PMC's
    misperception thereof, confusion caused in no small part by
    Deane having raised, in the alternative, these wholly
    inconsistent claims before the district court. In any event,
    Deane's subsequent work history could, at most, reflect her
    lack of an actual disability. It sheds no light, however, on
    whether, at the time of her termination, PMC regarded her
    impairment as substantially limiting her ability to work.
    Finally, in determining whether PMC regarded Deane as
    substantially limited in the major life activity of working,
    the district court overlooked evidence which could have
    precluded summary judgment. Specifically, the court failed
    to consider the affidavit of Deane's vocational expert, Daniel
    Rappucci, who attempted to tie PMC's perception of Deane's
    injury to potential limitations in the workplace, both with
    respect to the "class of jobs" and "broad range of jobs" from
    which Deane would have been excluded.14 We need not,
    _________________________________________________________________
    14. Some courts have held that summary judgment is appropriate when
    a plaintiff fails to produce vocational evidence with reference to the
    factors delineated in 29 C.F.R. S 1630.2(j)(3)(ii), factors tailored
    specifically to the major life activity of working and, instead, relies
    solely
    on the factors set forth in 29 C.F.R. S 1630.2(j)(2). See, e.g., Bolton v.
    Scrivner, 
    36 F.2d 939
    , 944 (10th Cir. 1994), cert. denied, 
    115 S. Ct. 110
    (1995); Dotson v. Electro-Wire Products, Inc. , 
    890 F. Supp. 982
    , 988-89
    (D. Kan. 1995); Marschland v. Norfolk and Western Ry. Co., 
    876 F. Supp. 1528
    , 1539 (N.D. Ind. 1995), aff'd on other grounds, 
    81 F.3d 714
     (7th
    Cir. 1996). Such a bright-line rule appears to be inconsistent with the
    wording of the Regulations, which provides that the factors enumerated
    in 29 C.F.R. S 1630.2(j)(2) "should" be considered and that those listed
    in 29 C.F.R. S 1630.2(j)(3)(ii) "may" be considered. In any event, Deane
    presented vocational evidence tying PMC's perception of Deane's
    impairment to the factors set forth in 29 C.F.R.S 1630.2(j)(3)(ii).
    16
    however, remand for a determination of whether, in light of
    this vocational evidence, summary judgment should be
    granted on Deane's "regarded as" claim because, as is
    discussed below, she cannot, as a matter of law, prevail on
    that claim.
    B.
    The second element of a prima facie case under the ADA
    requires a plaintiff to demonstrate that he or she is a
    "qualified individual." The ADA defines the term "qualified
    individual with a disability" as an individual "who, with or
    without reasonable accommodation, can perform the
    essential functions of the employment position that such
    individual holds or desires." 42 U.S.C. S 12111 (8). The
    interpretive appendix to the EEOC Regulations divides this
    inquiry into two prongs. First, a court must determine
    whether the individual satisfies the requisite skill,
    experience, education and other job-related requirements of
    the employment position that such individual holds or
    desires. 29 C.F.R. app. S 1630.2(m). Second, the court must
    determine whether the individual, with or without
    reasonable accommodation, can perform the essential
    functions of the position held or sought.15 
    Id.
     See also
    Bombard v. Fort Wayne Newspapers, Inc., 
    92 F.3d 560
    , 563
    (7th Cir. 1996); Benson, 
    62 F.3d at 1112
    .
    Determining whether an individual can, with or without
    reasonable accommodation, perform the essential functions
    of the position held or sought, is no easy task and
    conceptually should be separated into two distinct steps.
    First, a court should ask whether the disabled individual
    can perform all the requisite job functions without
    accommodation. If so, the individual obviously is qualified
    and, because he or she can perform all job functions
    without assistance, is not entitled to accommodation from
    his or her employer. If, however, the individual cannot
    perform all the requisite job functions without
    accommodation, the court must determine whether there
    _________________________________________________________________
    15. Because PMC does not dispute Deane's general qualifications as a
    registered nurse, there is no need to dwell on the first step of the
    "qualified individual" analysis.
    17
    exists any reasonable accommodation to which the
    individual would be entitled that would enable him or her
    to perform the essential functions of the position.16
    _________________________________________________________________
    16. "In general, an accommodation is any change in the work
    environment or in the way things are customarily done that enables an
    individual with a disability to enjoy equal employment opportunities." 29
    C.F.R. app. S 1630.2(o). The text of the ADA provides that "reasonable
    accommodation" may include--
    (A) making existing facilities used by employees readily accessible
    to and usable by individuals with disabilities; and
    (B) job restructuring, part-time or modified work schedules,
    reassignment to a vacant position, acquisition or modifications of
    equipment or devices, appropriate adjustment or modifications of
    examinations, training materials or policies, the provision of
    qualified readers or interpreters, and other similar accommodations
    for individuals with disabilities.
    42 U.S.C. S 12111(9) (emphasis added).
    The EEOC Regulations further define "reasonable accommodation" to
    include
    (I) modifications or adjustments to a job application process that
    enable a qualified applicant with a disability to be considered for
    the
    position such applicant desires; or
    (ii) modifications or adjustments to the work environment, or to
    the
    manner or circumstances under which the position held or desired
    is customarily performed, that enable a qualified individual with a
    disability to perform the essential functions of that position; or
    (iii) modifications or adjustments that enable a covered entity's
    employee with a disability to enjoy equal benefits and privileges
    of
    employment as are enjoyed by its other similarly situated employees
    without disabilities.
    29 C.F.R. S 1630.2(o)(1).
    An individual's right to reasonable accommodation may be subject,
    however, to certain limitations. For example, an employer is not required
    to provide accommodation if it would impose an "undue hardship" on the
    employer as defined in 29 C.F.R. S 1630.2(p)(1) and (2). An employer also
    is not required to provide accommodation if the individual poses a "direct
    threat" to the health or safety of himself/herself or others unless such
    accommodation would either eliminate such risk or reduce it to an
    acceptable level. 29 C.F.R. S 1630.2(r).
    18
    Several of our sister circuits have adopted a similar two
    pronged inquiry modeled on the Supreme Court's
    interpretation of the Rehabilitation Act in Arline, 
    480 U.S. at
    287 n.17. The Fifth Circuit, for example, has held that
    [f]irst, we must determine whether the individual could
    perform the essential functions of the job[without
    accommodation], i.e., functions that bear more than a
    marginal relationship to the job at issue. Second, if
    (but only if) we conclude that the individual is not able
    to perform the essential functions of the job, we must
    determine whether any reasonable accommodation by
    the employer would enable him to perform those
    functions.
    Chandler v. City of Dallas, 
    2 F.3d 1385
    , 1393-94 (5th Cir.
    1993) (emphasis added) (interpreting the Rehabilitation
    Act), cert. denied, 
    511 U.S. 1011
     (1994). See also Lowe v.
    Angelo's Italian Foods, Inc., 
    87 F.3d 1170
    , 1174 (10th Cir.
    1996) (interpreting the ADA); White v. York International
    Corp., 
    45 F.3d 357
    , 361-62 (10th Cir. 1995) (interpreting
    the ADA); Gilbert v. Frank, 
    949 F.2d 637
    , 640-42 (2d Cir.
    1991) (interpreting the Rehabilitation Act).
    While our re-formulation of the inquiry will invariably
    lead to the same results that would be reached under
    Chandler, our phraseology makes explicit what that of the
    Fifth Circuit, if correctly applied, leaves implicit. That is,
    our phraseology embodies the common sense notion that
    any employee, disabled or otherwise, must be able to
    perform all the requisite functions of a given job unless the
    individual is entitled to accommodation by operation of the
    ADA or a similar remedial statute. The problem with the
    Fifth Circuit test is that it is easily misapplied and, as a
    result, could lead to the mistaken impression that a
    disabled individual -- or one perceived to be disabled --
    who could perform the essential functions of a job without
    accommodation as to those functions, but who could not
    perform one or more marginal or nonessential tasks, should
    be considered qualified without accommodation. That
    conclusion, however, would overlook the fact that job
    restructuring, i.e., excusing the performance of
    nonessential functions or reassigning them to other
    employees, is itself a statutorily defined form of
    19
    accommodation. 42 U.S.C. S 12111(9)(B).17 So
    accommodated, then, and only then, would the individual
    be able to perform the essential functions of the position.
    Thus, the formulation we posit today better allows courts
    and parties alike to remain focused on the fact that an
    employee who is excused from performing marginal tasks is
    being accommodated and, in turn, on whether such
    accommodation is statutorily required.18
    Applying our two-pronged inquiry to the facts of the case
    before us, it is clear that Deane could not perform all the
    requisite functions of her position. To arrive at this
    conclusion, we, of course, shift our focus from PMC's
    misperceptions back to Deane's actual capabilities and
    limitations. To proceed otherwise would allow an employer's
    misperceptions not only to render an individual disabled,
    but to defeat his or her claim by rendering him or her
    unqualified as well.
    The record before us reveals that both PMC and Deane
    acknowledged that lifting patients was a function or
    condition, be it essential or otherwise, of employment as a
    _________________________________________________________________
    17. The dissent charges us with improperly importing the consideration
    of nonessential functions into the qualified individual analysis for
    "regarded as" plaintiffs. It is Congress, however, that defined
    "accommodation" to include the restructuring or reassigning of
    nonessential functions. 42 U.S.C. S 12111(9)(B). Thus, when determining
    whether an individual can, with or without accommodation, perform the
    essential functions, see 42 U.S.C. S 12111(8), courts necessarily must
    look to whether the individual may be excused from the nonessential
    functions that he or she cannot perform. Indeed, the lynchpin of the
    ADA is that a disabled individual's qualifications are to be assessed only
    after he or she is accommodated through job restructuring or otherwise.
    Where that accommodation is not available, we do not read the ADA as
    permitting the individual or the court to focus exclusively on the
    essential functions of the relevant position.
    18. It is clear that when Congress included job restructuring within the
    definition of reasonable accommodation, it envisioned only the
    restructuring or reallocating of the marginal functions of a given
    position. As the appendix to the regulations indicates, an employer is
    never required to reallocate essential functions, as essential functions
    are, by definition, those that the employee must be able to perform. 29
    C.F.R. app. S 1630.2(o).
    20
    registered nurse on the medical/surgical floor. That being
    undisputed, both of Deane's treating physicians were of the
    opinion that, in June of 1992, Deane was "permanently
    disabled from heavy activity," that she could "return to
    work but cannot do unrestricted lifting," and that her
    limitations "should be considered permanent." 19 (See June
    8, 1992 and June 16, 1992 letters of Drs. A. Lee Osterman
    and Carl Sipowicz, respectively.) In addition, Deane testified
    at her deposition that, while lifting patients was necessary
    for complete patient care, her restrictions would have made
    doing so dangerous and would have presented "an awful
    risk" to both her and her patients.20 Thus, when she felt
    ready to return to work, she informed PMC that she had a
    lifting restriction and hoped to be put on light duty
    assignments or be reassigned to another area of the
    hospital. Most importantly, she never argued before the
    district court on summary judgment that she could perform
    the requisite heavy lifting. Rather, she contended that her
    _________________________________________________________________
    19. The fact that these diagnoses might have changed in the years
    following Deane's injury is irrelevant to the issue of Deane's limitations
    and capabilities at the time of the adverse employment action.
    20. At Deane's deposition, the following exchange took place:
    Q. Was it ever necessary for a total care patient to put them in a
    wheelchair?
    A. When I was working there?
    Q. Yes.
    A. Yes. Not for their bath, but --
    Q. Could you have done that with a lifting restriction?
    A. With a lifting restriction, no. I'd like to rephrase that. I
    suppose
    anything is possible, if you think about it, we are taking an awful
    risk. I may or may not have been able to get that patient out of
    the
    bed and into the wheelchair. I don't think it's a worthwhile risk
    to
    take when you take a chance that somebody could fall.
    Q. So that would have been dangerous for the patient?
    A. I would think so, yes.
    Q. Probably dangerous for you as well, correct?
    A. Possibly.
    21
    lifting restriction easily could have been accommodated
    through either reassignment or job restructuring. Thus, it
    is clear that Deane could not perform all functions of the
    position without some form of accommodation.
    Accordingly, we next must determine whether Deane is
    entitled to accommodation and, if so, whether reasonable
    accommodations exist that would enable her to perform the
    essential functions of the position. Deane is at most
    statutorily disabled in that, while her impairment does not
    rise to the level of being a disability, PMC might well have
    perceived her to be disabled. In other words, but for her
    employer's misperception, she would not be afforded the
    protections of the ADA at all. Viewed as such, we do not
    believe that Congress intended that an individual who is
    only perceived to be disabled would be entitled to
    accommodation.
    We begin our analysis of Congressional intent on this
    issue with the text of the statute, itself. The core anti-
    discrimination provision of the ADA provides that"[n]o
    covered entity shall discriminate against a qualified
    individual with a disability because of the disability of such
    individual...." 42 U.S.C. S 12112(a) (emphasis added). Thus,
    while far-reaching, the ADA is not boundless and only
    prohibits discrimination engaged in "because of [the
    individual's] disability." 
    Id.
     In turn, the Act defines the term
    "discriminate" as including an employer's failure to "make[ ]
    reasonable accommodations to the known physical or
    mental limitations of an otherwise qualified individual with
    a disability...." 42 U.S.C. S 12112(b)(5)(A). On its face,
    however, this definition leaves open the question of which
    limitations the employer must accommodate. Specifically, it
    does not indicate whether an employer must accommodate
    any limitation that adversely affects a disabled employee's
    performance or only those limitations caused by his or her
    disability. Reading the two subsections together, we are
    convinced that the ADA requires an employer to
    accommodate only those limitations caused by the
    individual's disability.
    This reading is borne out repeatedly in the appendix to
    the Regulations regarding reasonable accommodation.
    There it is stated, in explicit terms, that "[a]n individual
    22
    with a disability is `otherwise qualified'... if he or she is
    qualified for a job, except that, because of the disability, he
    or she needs a reasonable accommodation..."; that
    "[e]mployers are obligated to make reasonable
    accommodation only to the physical or mental limitations
    resulting from the disability of a qualified individual..."; and
    that "[w]hen a qualified individual with a disability has
    requested a reasonable accommodation... the employer...
    should... ascertain the precise job-related limitations
    imposed by the individual's disability and how those
    limitations could be overcome with a reasonable
    accommodation. 29 C.F.R. app. S 1630.9 (emphasis added).
    Likewise, requiring accommodation only for that which
    actually renders an employee disabled is virtually mandated
    by Congress's intent "to remove barriers which prevent
    qualified individuals with disabilities from enjoying the
    same employment opportunities that are available to
    persons without disabilities." 29 C.F.R. app., Background
    (emphasis added). With the passage of the ADA, Congress
    intended not to erect impenetrable spheres of protection
    around the disabled, but hoped merely "to level the playing
    field" for them. Siefken v. Village of Arlington Heights, 
    65 F.3d 664
    , 666 (7th Cir. 1995). Thus, where an individual is
    actually disabled, Congress recognized that reasonable
    accommodations would often be necessary to, in a sense,
    compensate for the individual's disability and allow him or
    her to compete with the non-disabled. See Vande Zande, 
    44 F.3d at 541
     (recognizing that Congress was "unwilling to
    confine the concept of disability discrimination to cases in
    which the disability is irrelevant to the performance of the
    disabled person's job"). Once accommodated for his or her
    disability, an individual should be on an equal playing field
    with others and thereafter would be on his or her own to
    deal with any non-disabling impairments just as would any
    similarly impaired person without a disability.
    In the context of an individual who is not actually
    disabled but is merely "regarded as" such, i.e., one who is
    only statutorily disabled, that which renders him or her
    disabled is not the individual's impairment, if impairment
    there be, but the employer's unfounded stereotypes, fear or
    simple misperception that the impairment is serious
    23
    enough to be disabling. To compensate for a statutory
    disability, then, the employer need only be dispossessed of
    its misperception as it is that which renders the employee
    disabled. Thereafter, the individual would be neither
    actually nor statutorily disabled and, like any non-disabled
    individual, would not be able to invoke the accommodation
    provisions of the ADA for any non-disabling impairments --
    including the impairment that initially might have given
    rise to the employer's perception of a disability.
    Accommodation, therefore, would play no role in leveling
    the playing field.21 Indeed, to hold otherwise would give an
    individual "regarded as" being disabled an undeserved
    windfall were he or she to have a right to be accommodated
    solely by virtue of the employer's misperception where
    others with the same impairment would have no such right.22
    _________________________________________________________________
    21. The evil the "regarded as" provision was intended to combat was the
    effect of "archaic attitudes," erroneous perceptions, and myths. Arline,
    
    480 U.S. at 279, 285
    ; Wooten, 
    58 F.3d at 385-86
    . As more than one
    court has recognized, an ADA perception claim is akin to a racial
    discrimination claim in which an individual is denied employment
    because the employer erroneously perceived that the color of the
    individual's skin somehow made him or her inferior. See, e.g., Vande
    Zande, 
    44 F.3d at 541
    . Title VII proscribes such invidious discrimination
    and protects individuals who suffer adverse consequences as a result
    thereof. Such protection, however, does not include any form of
    "accommodation" because it is presumed that the individuals can
    perform their jobs without accommodation. Because the type of
    discrimination faced by those who are perceived to be disabled so closely
    resembles discrimination on the basis of race, with the only significant
    difference being the object of the misperception, we see no reason not to
    treat them in like fashion.
    22. It is not by coincidence that this analysis dovetails neatly with the
    EEOC's suggestion that, once a request for accommodation is made, the
    employer and employee should engage in a flexible, interactive exchange
    whereby the employer can become familiar with the precise contours of
    the employee's limitations and can devise appropriate and effective
    accommodations. 29 C.F.R. app. 1630.9. After an employee requests
    accommodation, a meaningful interactive exchange could well rectify any
    misperceptions regarding the employee's impairments. Ideally, once the
    true facts are discovered, the employer could either provide reasonable
    accommodation if it believes the employee to be actually disabled or
    refuse to do so based on its belief that the employee is not, in fact,
    disabled. Of course, if the employer takes the latter course, it will do
    so
    24
    We are aware of only one decision of a Court of Appeals
    that has held that accommodation is appropriate in the
    context of a perceived disability claim, and no decision that
    has held that it is not -- until this one. In Katz v. City
    Metal Co., Inc., 
    87 F.3d 26
     (1st Cir. 1996), the plaintiff, a
    recent heart-attack victim, sought accommodation from his
    employer in the form of a part-time work schedule in
    connection with his "actual" and "perceived" disability
    claims. After the district court granted summary judgment
    in favor of the employer, the First Circuit reversed on the
    basis that there was enough evidence to reach the jury on
    the perception claim. 
    Id. at 32
    . In doing so, the court held
    that, irrespective of whether the plaintiff was actually
    disabled, he would be entitled to reasonable
    accommodation if the employer perceived him to be
    disabled, reasoning that
    Congress, when it provided for perception to be the
    basis of disability status, probably had principally in
    mind the more usual case in which a plaintiff has a
    long-term medical condition of some kind, and the
    employer exaggerates its significance by failing to make
    a reasonable accommodation. But both the language
    and the policy of the statute seem to us to offer
    protection as well to one who is not substantially
    disabled or even disabled at all but is wrongly
    _________________________________________________________________
    at the risk of an ADA lawsuit being filed against it alleging that the
    employee is actually disabled. The employee would not, by definition,
    however, be able to allege the facts necessary to make out a perception
    claim because the employer's position would be that the employee is not
    disabled.
    We agree with Deane that PMC's efforts in this regard were dismal and
    fell far below what has been suggested by the EEOC and required by us.
    See Mengine v. Runyon, 
    114 F.3d 415
    , 420-21 (3d Cir. 1997). Had PMC
    engaged in a meaningful interactive process, moreover, it assuredly
    would have realized the minor nature of Deane's limitations. And, of
    course, while Deane would not have been entitled to any form of
    accommodation or protection under the ADA given the minor nature of
    her limitations, PMC may well have decided to retain her in one of a
    number of positions available during the relevant period of time,
    rendering this litigation unnecessary. PMC deserves no medals.
    25
    perceived to be so. And, of course, it may well be that
    Katz was both actually disabled and perceived to be so.
    Id. at 33.
    We disagree with both the First Circuit's reasoning and
    its conclusion. Initially, the court's position that an
    individual can be "both actually disabled and perceived to
    be so" is contrary to the unambiguous definition of a
    perceived disability in which an element of each of the three
    categories of perceived disabilities is that the individual not
    have an actual disability. 29 C.F.R. S 1630.2(l). Thus,
    because the finding of an actual disability would prevent
    one from satisfying an essential element of a perception
    claim, and vice versa, it necessarily follows that an
    individual simply cannot maintain a perception claim if he
    or she is actually disabled. Accordingly, actual and
    perceived disability claims cannot be presented as
    simultaneous grounds for relief.23
    Moreover, the First Circuit mischaracterized the
    underlying intent of Congress in describing the "usual case"
    of a perceived disability as "a long-term medical condition
    of some kind, and the employer exaggerates its significance
    by failing to make a reasonable accommodation." To the
    contrary, it is clear that a person "who is not substantially
    disabled or even disabled at all but is wrongly perceived to
    be so" represents the paradigmatic perception plaintiff
    envisioned by Congress. See 29 C.F.R. app. S 1630.2(l);
    Senate Report at 23-24; House Labor Report at 53; House
    Judiciary Report at 29-31. Further, an employer's failure to
    make a reasonable accommodation, itself, cannot, as the
    court suggested, render the employee disabled, as the issue
    of reasonable accommodation becomes relevant to
    determining whether he or she is qualified only after the
    individual is found to be disabled.
    Had the Katz court steered clear of these faulty premises,
    it is by no means certain that it would have assumed, as it
    did, that an individual who is only perceived to be disabled
    _________________________________________________________________
    23. They can, however, be effectively pled in the alternative where,
    unlike
    the case at bar, the plaintiff does not seek accommodation. See Olson,
    
    101 F.3d at 952-55
    .
    26
    is entitled to accommodation from his or her employer. As
    a result, we do not find the opinion persuasive.
    Accordingly, we hold that where an individual claims only
    to have been "regarded as" being disabled, that individual
    is not entitled to accommodation under the ADA. Thus, if
    an individual is perceived to be but is not actually disabled,
    he or she cannot be considered a "qualified individual with
    a disability" unless he or she can, without accommodation,
    perform all the essential as well as the marginal functions
    of the position held or sought.24
    Of course, unlike the plaintiff in this case, the vast
    majority of ADA plaintiffs claim to have an actual disability.
    They must show simply that, once accommodated, they can
    perform the essential functions of the position. Individuals
    who are not actually disabled but are merely perceived to
    be so are not entitled to accommodation. Only they must
    demonstrate their ability to perform all the functions of the
    position held or sought.
    As a final matter, we must address a few points raised by
    the dissent that, in our view, are misplaced. The dissent
    repeatedly argues that a nondisabled individual with a
    limiting impairment is precisely the individual that the
    "regarded as" claim was designed to protect and that this
    class of individuals will be precluded from bringing suit
    under the ADA. That interpretation of the ADA is entirely
    unsupportable, and the dissent recognizes that it leads to
    a result even it concedes that some would call "untoward."
    Dissent at 41.
    As we discussed at footnote 11, supra, none of the
    examples provided by Congress indicates a concern for
    nondisabled individuals who are impaired so as to require
    accommodation. Nevertheless, the dissent claims to find
    _________________________________________________________________
    24. Given the state of the law at the time the district court issued its
    opinion, it is understandable that the court framed its analysis in terms
    of whether lifting was an essential function of Deane's position. As this
    opinion should make clear, however, the issue of whether a particular
    task is essential or marginal is irrelevant in a perception case. Once it
    is determined that an individual who is only perceived to be disabled
    cannot perform all the functions of the position held or sought, he or she
    is per se unqualified.
    27
    support for its interpretation in two examples provided by
    the Supreme Court in Arline, 
    480 U.S. at
    283 n.9. The first
    is a child with cerebral palsy who was academically
    competitive and was not physically threatening. That child,
    however, had been excluded from public school not because
    he needed accommodation, but because "his physical
    appearance `produced a nauseating effect on his
    classmates.' " 
    Id.
     (quoting 117 Cong. Rec. 45974 (1971)).
    The second of the Supreme Court's examples cited by the
    dissent is of a woman crippled with arthritis who could
    nevertheless do the job she sought. Like the prior example,
    however, that woman was denied a job not because of her
    limitations or need for accommodation, but because the
    "college trustees [thought] `normal students shouldn't see
    her.' " 
    Id.
     Ironically, the dissent is correct that these two
    individuals would be archetypal "regarded as" plaintiffs.
    And, under today's holding, both could establish a prima
    facie case under the ADA with ease. Significantly, however,
    and consistent with today's holding, neither of those
    individuals, nor any of those mentioned in the legislative
    history or the regulations, required accommodation to
    perform their jobs. Indeed, the dissent's concern for
    nondisabled individuals who require accommodation, as we
    believe it wrongly assumed the child and the woman did,
    appears to be no one's but the author's.
    Finally, we are among those who the dissent recognizes
    will find that its interpretation impermissibly leads to a
    result that is "untoward"; indeed, we suggest that its
    interpretation impermissibly leads to a result that is
    absurd. The dissent concedes that a "regarded as" plaintiff
    can be terminated for not performing nonessential
    functions, but only after establishing at trial that he or she
    can perform the essential functions of the job and
    prevailing in his or her ADA suit. In other words, the
    dissent wishes to recognize a statutory right to
    reinstatement for "regarded as" plaintiffs for whom it, in the
    end, concedes that there is no lasting remedy. If Congress
    did not create a meaningful remedy in a remedial statute
    such as the ADA, however, we simply cannot believe that
    Congress intended to create the right. That said, we are
    wholly unpersuaded by the dissent's position that such
    plaintiffs should retain the ability to "bring" ADA lawsuits,
    28
    see Dissent at 41, when the only tangible benefit that can
    possibly be derived therefrom rests on an assumption that,
    after years of expensive litigation, an employer who once
    fired an individual for not being able to perform
    nonessential tasks would have a change of heart and not
    fire that individual again after being told by the court, or its
    counsel, that it is free to do so.
    For the same reason, we believe that the dissent's
    invocation of the "mischief" rule is misplaced. Sir Edward
    Coke's "mischief" rule provides, in pertinent part, as
    follows: "The Office of Judges is always to make such
    construction as to suppress the Mischief and advance the
    Remedy." Heydon's Case, 3 Co. 7a, 7b, Magdalon College
    Case, 11 Co. 66b, 73b (quoted in United States v. Second
    Nat'l Bank of N. Miami, 
    502 F.2d 535
    , 541 (5th Cir. 1974)
    (Emphasis supplied). Given its own recognition that its
    position fails to guarantee any lasting remedy, the dissent's
    reliance on the "mischief" rule is, at best, strained. More
    importantly, the dissent misconceives the mischief that the
    "regarded as" prong was intended to prevent in the first
    instance. While the elimination of prejudice and
    misconceptions might have motivated Congress to enact the
    ADA, the mischief addressed was the exclusion of qualified
    individuals from the workplace, mischief the dissent, in our
    view, does not adequately address.
    V.
    Once the analysis discussed above is properly
    understood, applying it to the case at hand is a simple
    task. Indeed, Deane's own arguments are enough to defeat
    her claim. On appeal, Deane concedes that she is not
    disabled, but contends that she was perceived to be so by
    PMC. Further, prior to her termination, she requested that
    PMC accommodate her lifting restriction, a request that she
    continues to press here, and the record is utterly devoid of
    any evidence that, absent the requested accommodations,
    she could have performed the lifting required of nurses on
    the medical/surgical floor at the time she suffered the
    adverse employment action. Thus, while not entitled to
    accommodation because she was merely "regarded as"
    being disabled, she effectively concedes that she cannot
    29
    perform the functions of her prior position without it. As a
    result, she is not a qualified25 individual with a disability
    and cannot, therefore, maintain a claim under the ADA.
    Accordingly, the order of the district court granting PMC's
    motion for summary judgment will be affirmed.
    _________________________________________________________________
    25. That is, because Deane concedes that she cannot perform all the
    requisite job functions without accommodation and is not entitled to the
    accommodation that she concedes is necessary to enable her to perform
    the essential functions of the position, she cannot satisfy the qualified
    prong under the test delineated above.
    30
    BECKER, Circuit Judge, dissenting.
    Judge Barry has written a thoughtful and scholarly
    opinion, but I cannot join it because it has construed the
    prima facie case under the Americans With Disabilities Act
    ("ADA") in a way that forecloses a class of so-called
    "regarded as" plaintiffs from bringing a lawsuit, and thereby
    undermines Congressional intent. More specifically, I take
    issue with the majority's holding that a "regarded as"
    plaintiff, in order to be considered qualified under the ADA,
    must show that she is able to perform all of the functions
    of the relevant position without accommodation. It is my
    view that a plaintiff need only show that she is able to
    perform the essential functions of the relevant position
    without accommodation.
    I base my opinion on the statutory definition of a
    "qualified individual" under the ADA. That definition, in
    clear language, requires an analysis of the essential
    functions only. This reading of the statutory language is
    bolstered by materials published by the agencies charged
    with enforcing the ADA which state, in no uncertain terms,
    that non-essential functions have no place in determining
    whether an individual is qualified. Moreover, consistent
    with Congressional intent, this approach ensures that a
    "regarded as" plaintiff, who has a non-disabling physical
    impairment that prevents her from performing all of the
    functions of the relevant position and that leads an
    employer mistakenly to regard her as disabled, may bring
    an ADA lawsuit if the employer institutes an adverse
    employment decision based on that incorrect assessment of
    her impairment. I would remand this case to the district
    court in order for it to determine whether, as a factual
    matter, the Pocono Medical Center regarded Stacy Deane as
    disabled and whether lifting is an essential function of the
    jobs she sought.
    I.
    As the majority correctly points out, the prima facie case
    of an ADA claim includes three elements. First, a plaintiff
    must show that she is disabled. Second, she must show
    that she is qualified for the job she seeks. Finally, she must
    31
    show that she suffered some adverse employment action as
    a result of her disability. My concern arises from the
    majority's discussion of the second element of the prima
    facie case -- whether the plaintiff is a qualified individual
    with a disability.
    A.
    The ADA defines a qualified individual with a disability as
    "an individual with a disability who, with or without
    reasonable accommodation, can perform the essential
    functions of the employment position that such individual
    holds or desires." 42 U.S.C. S 12111(8).1 I agree with the
    majority that a determination whether an individual is so
    qualified is a two-step process. First, a court must examine
    whether the plaintiff can perform the job without
    accommodation. If so, then the plaintiff is qualified. If not,
    then, as a second step in the process, a court must
    examine whether the plaintiff can perform the job with a
    reasonable accommodation. If so, the plaintiff is qualified.
    If not, the plaintiff has failed to set out a necessary element
    of the prima facie case.
    I part company with the majority, however, when it
    requires that, under the first step in this process, a
    "regarded as" plaintiff must show that she can perform all
    of the functions of the job, essential and non-essential,
    without accommodation. My dissent is concerned only with
    this first step in the analysis of the second element of the
    prima facie case. I will assume arguendo that the majority
    is correct that a "regarded as" plaintiff is not statutorily
    entitled to an accommodation. I note, however, my
    uncertainty about this holding. The issue was not briefed
    by the parties, and I am simply unsure whether there are
    wider, unforeseen ramifications that would render this
    holding unwise. At all events, because of the manner in
    which I would decide Deane's appeal, I do not reach the
    contours of that second step.
    _________________________________________________________________
    1. Of course, the individual must also satisfy "the requisite skill,
    experience, education and other job-related requirements of the
    employment position." 29 C.F.R. S 1630.2(m). There is no dispute here
    that Deane satisfies these requirements.
    32
    The majority reaches its conclusion by reasoning that an
    individual who is unable to perform a non-essential
    function of the job without some accommodation is
    rendered unable to perform the essential functions of the
    job without some accommodation because she has been
    accommodated as to a non-essential function. In so
    reasoning, the majority imports an examination of an
    individual's capabilities as to non-essential functions into
    an analysis that, by its statutory terms, is focused solely on
    essential functions. The majority does so without
    discussion as to how those statutory terms admit of any
    ambiguity or how a plain reading of those terms would lead
    to irrational results.
    The majority supports its position with a strained reading
    of the statute. The majority argues that because the statute
    includes job restructuring as an accommodation, then an
    individual who requires job restructuring must not be able
    to perform the essential functions of the job without
    accommodation because the job restructuring is itself an
    accommodation, even though the job restructuring has only
    accommodated the individual as to the non-essential
    functions. Given the language of the statute, its purpose,
    and executive interpretations thereof, this analysis is wholly
    unpersuasive.
    B.
    The question as to the proper analysis of the first phase
    in the second element of the prima facie case is, at bottom,
    one of statutory interpretation. The "first step in
    interpreting a statute is to determine whether the language
    at issue has a plain and unambiguous meaning with regard
    to the particular dispute in the case." Robinson v. Shell Oil
    Co., ___ U.S. ___, 
    117 S. Ct. 843
    , 846 (1997). At least as I
    read it, S 12111(8), which defines "qualified individual," is
    plain and unambiguous. The first sentence of that section,
    quoted in pertinent part in part I.A., makes it clear that the
    phrase "with or without reasonable accommodation" refers
    directly to "essential functions." In fact, there is nothing in
    the sentence, other than "essential functions," to which
    "with or without reasonable accommodation" seems to refer;
    the only terms in the sentence for which an accommodation
    33
    would make any sense are "essential functions." In other
    words, there is simply no mention of non-essential
    functions in the statutory definition of "qualified
    individuals" and thus no indication at all that the ADA is
    concerned about whether an individual is capable of
    performing such functions. Therefore, if an individual can
    perform the essential functions of the job without
    accommodation as to those functions, regardless whether
    the individual can perform other functions of the job (with
    or without accommodation), then that individual is qualified
    under the ADA.
    Unlike the majority, then, I believe that an individual
    need not show that she can perform all of the functions of
    the job without accommodation to satisfy the first step in
    the second element of the prima facie case. Rather, she
    needs to show only that she can perform the essential
    functions of the job without accommodation as to those
    functions.
    C.
    My reading is consistent with the object and policy of the
    statute. See, e.g., Crandon v. United States, 
    494 U.S. 152
    ,
    158 (1990) ("In determining the meaning of the statute, we
    look not only to the particular statutory language, but to
    the design of the statute as a whole and to its object and
    policy."); In re Arizona Appetito's Stores, Inc., 
    893 F.2d 216
    ,
    219 (9th Cir. 1990) ("[I]f the statutory language gives rise to
    several different interpretations, we must adopt the
    interpretation which `can most fairly be said to be
    imbedded in the statute, in the sense of being most
    harmonious with its scheme and with the general purposes
    that Congress manifested.' " (quoting N.L.R.B. v. Lion Oil
    Co., 
    352 U.S. 282
    , 297 (1957))).
    Discussing a similar claim in the context of the
    Rehabilitation Act, the Supreme Court wrote that Congress
    intended the "regarded as" claim to combat society's
    "accumulated myths and fears about disability and
    disease." School Bd. of Nassau County v. Arline, 
    480 U.S. 273
    , 284 (1987). In order to combat these myths and fears,
    we must be aware of the contexts in which they arise. Only
    34
    then can we be sure that we are promoting the
    congressional goals of eliminating the "prejudiced attitudes
    or the ignorance of others." 
    Id.
     The majority, examining the
    legislative history of and the regulations to the ADA,
    describes a number of factual circumstances in which an
    individual might be subject to these myths and fears.2 They
    include individuals with cosmetic impairments (e.g., facial
    scars) and high blood pressure, and individuals who have
    either been misdiagnosed by a physician (e.g., a misread
    X-ray) or are the subjects of rumors about their
    health (e.g., that the individual is infected with Human
    Immunodeficiency Virus ("HIV")). In each of these
    circumstances, employers may regard these individuals as
    disabled because of misperceptions about their non-limiting
    physical impairments or their actual, as opposed to
    misdiagnosed or rumored, health.
    Missing from this catalogue of cases are those in which
    a visible physical impairment limits the individual in some
    respects but is not actually disabling. But the Supreme
    Court in Arline cited such cases in its discussion of the
    Rehabilitation Act, noting that Congress intended the
    "regarded as" claim in that act to cover, for example, a
    cerebral palsied child who was academically competitive
    and posed no physical threat to others, and a woman
    crippled with arthritis who could nevertheless do the job
    she sought. See 
    id.
     at 283 n.9.3 Although I have no way of
    _________________________________________________________________
    2. As the majority points out, see Maj. Op. at n.11, the legislative
    history
    of the ADA "regarded as" claim cites to, and largely endorses, the
    Supreme Court's discussion in Arline of the purpose of protecting a
    "regarded as" plaintiff.
    3. Although left unstated by the Supreme Court, I assume that in these
    examples the individuals suffered from some physical limitations that
    required accommodation from the school, in the case of the child, or
    from her employer, in the case of the woman, as to non-essential
    functions of the school or the job. The majority argues that in neither of
    these examples is an accommodation necessary. That argument, like my
    own statement that each of these individuals indeed needed an
    accommodation, is itself an assumption. Nothing in Arline or the
    congressional statements to which it cites discloses whether these
    individuals required some accommodation.
    35
    empirically measuring the size of this class of cases, I
    suspect that the majority of instances in which an
    individual suffers from the prejudiced attitudes or
    ignorance of others occurs when the targeted individual
    exhibits some visible and limiting, though non-disabling,
    impairment, which affects the individual's capability to
    perform non-essential functions but not essential functions.4
    In such cases, the effects of myth and fear are evident.
    Those encountering the individual are confronted
    immediately with the impairment and are naturally forced
    to assess its extent. If the impairment were somehow
    limiting, it would be unsurprising, though unfortunate, if
    prejudice or ignorance would lead those encountering the
    individual to misperceive the impairment as disabling. At
    least as I understand the ADA, this is exactly the scenario
    the "regarded as" claim was designed to prevent.
    With this purpose in mind, it becomes clear that the
    proper reading of S 12111(8) is that the phrase "with or
    without reasonable accommodation" refers only to
    "essential functions." This reading ensures that the class of
    potential "regarded as" plaintiffs who exhibit some limiting
    but non-disabling physical impairment -- the very plaintiffs
    who would directly suffer from myth and fear -- can bring
    an ADA claim.
    If, as the majority would otherwise have it, "without
    reasonable accommodation" does not refer only to"essential
    functions," then such potential plaintiffs would be
    foreclosed from bringing an ADA claim because many of
    _________________________________________________________________
    That said, I believe that my assumption is more firmly grounded in
    reality. A child with cerebral palsy would likely be excused from gym, for
    example. A woman crippled with arthritis who worked as a clerk would
    likely be excused from lifting heavy file boxes, for another example. At
    all
    events, I seriously doubt that the cerebral palsied child or the woman
    crippled with arthritis would, as the majority claims, be able to show
    that he or she could perform each and every function of the school or
    the job "with ease." And, if he or she failed to make such a showing, the
    "regarded as" claim would, under the majority's formulation, also fail.
    4. Concomitantly, I suspect that the kinds of case described by the
    majority are the minority.
    36
    them, limited by their physical impairment, cannot perform
    all of the functions -- both essential and non-essential --
    of the relevant employment position, and because they are
    not entitled to any accommodation. If I am correct that
    many of the "regarded as" plaintiffs will exhibit some
    limiting physical impairment, then the majority has
    significantly restricted the protection provided by the
    "regarded as" claim.
    D.
    My reading of S 12111(8) also comports with the
    interpretation given that provision by the Department of
    Justice ("DOJ") and the Equal Employment Opportunity
    Commission ("EEOC"), which are both charged with
    enforcing the ADA.5
    The EEOC publishes a technical assistance manual for
    employers, other covered entities, and disabled persons to
    learn about their respective responsibilities and rights
    under the ADA. In describing the process to determine
    whether an individual is qualified under the Act, the
    manual states:
    (2) Determine if the individual can perform the
    essential functions of the job, with or without
    reasonable accommodation.
    This second step, a key aspect of nondiscrimination
    under the ADA, has two parts:
    _________________________________________________________________
    5. The regulations adopted to implement the ADA are of no additional
    help in interpreting S 12111(8). The language in the regulations
    essentially parrots that of the statute. See 29 C.F.R. S 1630.2(m)
    (defining a qualified individual, inter alia, as one "who, with or without
    reasonable accommodation, can perform the essential functions of such
    position").
    Although I cite to materials that have not been adopted pursuant to
    the Administrative Procedures Act, including public notice and comment,
    these materials are generally accorded some deference, though not the
    substantial deference that Chevron U.S.A., Inc. v. Natural Resources
    Defense Council, Inc., 
    467 U.S. 837
     (1984), requires of formally adopted
    regulations, interpretations, and the like. Cf. Koray v. Sizer, 
    21 F.3d 558
    ,
    562 (3d Cir. 1994) (according some deference to the internal agency
    guidelines of the Bureau of Prisons that interpret statutory language).
    37
    * Identifying "essential functions of the job"; and
    * Considering whether the person with a disability
    can perform these functions, unaided or with a
    "reasonable accommodation."
    The ADA requires an employer to focus on the essential
    functions of a job to determine whether a person with
    a disability is qualified. This is an important
    nondiscrimination requirement. Many people with
    disabilities who can perform essential job functions are
    denied employment because they cannot do things that
    are only marginal to the job.
    Equal Employment Opportunity Commission, A Technical
    Assistance Manual on the Employment Provisions (Title I) of
    the Americans with Disabilities Act, II-12 (1992) (emphasis
    in original). I can think of no plainer statement for my
    position than the last paragraph I quote. The EEOC makes
    a clear distinction between essential and non-essential
    functions, and then states that it is only the essential
    functions about which the ADA is concerned. Nothing in
    this provision requires an examination whether an
    individual is or is not capable of performing a non-essential
    function.
    Similarly, a pamphlet published jointly by the EEOC and
    the DOJ states that "[r]equiring the ability to perform
    `essential' functions assures that an individual with a
    disability will not be considered unqualified simply because
    of inability to perform marginal or incidental job functions."
    U.S. Equal Employment Opportunity Commission & U.S.
    Department of Justice, Civil Rights Division, The Americans
    with Disabilities Act, Questions and Answers 2 (1992).
    Finally, a handbook, also published jointly by the EEOC
    and the DOJ states that "[t]he purpose of this second step
    [in determining whether an individual is qualified] is to
    ensure that individuals with disabilities who can perform
    the essential functions of the position held or desired are
    not denied employment opportunities because they are not
    able to perform marginal functions of the position." U.S.
    Equal Employment Opportunity Commission & U.S
    Department of Justice, Americans with Disabilities
    Handbook I-37 (1992).
    38
    Each of these documents explains S 12111(8) and the
    regulations thereto. All of this material has one common
    theme; the emphasis in the qualified individual analysis is
    on the essential functions of the job only, separate and
    apart from the non-essential functions. This material
    therefore bolsters my view that an individual is qualified
    under the ADA if she can perform the essential functions of
    the job without accommodation as to those functions.
    E.
    The difference between my approach and that of the
    majority can be highlighted by an example. Imagine a
    plaintiff who has Tourette's syndrome.6 Assume that this
    plaintiff is not disabled under the ADA, but she does show
    visible signs of the syndrome, which, in her case, includes
    the occasional blurting out of obscenities. Our plaintiff is a
    janitor in a large office building. Assume that she can,
    without any accommodation thereto, perform all of the
    essential functions of her job. Assume, however, that a
    non-essential function of her job is the use, at all times, of
    polite, courteous language when interacting with other
    workers in the office building. Because the nature of her job
    is such that it need not be completed during the day, her
    supervisor, at the plaintiff 's request, has restructured her
    job so that the plaintiff works the night shift. That way, the
    plaintiff will not come into frequent contact with other
    workers in the office building. A new supervisor,
    unfortunately, replaces the earlier supervisor. He learns of
    our janitor's syndrome, regards the syndrome as a
    disability, and fires the janitor because he believes she
    cannot perform the job adequately.
    Under the majority's formulation of the prima facie case,
    the janitor cannot bring an ADA claim. Although she
    satisfies the first element (she is regarded as disabled) and
    _________________________________________________________________
    6. Gilles de la Tourette's syndrome is a "syndrome of facial and vocal
    tics
    with onset in childhood, progressing to generalized jerking movements in
    any part of the body . . . with coprolalia." Dorland's Illustrated Medical
    Dictionary 1635 (27th ed. 1988). Coprolalia is the "compulsive,
    stereotyped use of obscene, `filthy' language, particularly of words
    relating to feces." Id. at 380.
    39
    the third element (she was fired because of her disability) of
    the prima facie case, she cannot meet the test for the
    second element. That is so because she cannot perform all
    of the non-essential functions of the job without
    accommodation, thereby failing the first step in the
    analysis, and she is not statutorily entitled to an
    accommodation, thereby failing the second step in the
    analysis. She would be, therefore, unqualified.
    As I would fashion the second element of the prima facie
    case for an ADA claim, a plaintiff need only show that she
    is capable of performing the essential functions of the
    relevant employment position without accommodation as to
    those functions. Under my suggested formulation of the
    test, then, our janitor would be qualified for the job because
    she would be able to perform all of the essential functions
    of the job without accommodation thereto. Concededly, our
    janitor, to perform all the functions of her job, must be
    accommodated.7
    I submit that our hypothetical janitor is exactly the type
    of plaintiff Congress had in mind when it created the
    "regarded as" claim. If we were to foreclose her ability to
    bring an ADA claim, as the majority would have it, we
    would be undermining congressional intent.
    F.
    In the present case, then, I believe a remand is in order.
    There is no dispute that Deane cannot engage in heavy
    lifting, a function of the nursing positions she sought at the
    Pocono Medical Center. I believe there is, however, a
    genuine issue of fact as to whether heavy lifting is an
    essential function of those positions. Such a determination
    is material to Deane's claim, at least as I read the ADA; if
    heavy lifting is not an essential function, and if Deane can
    perform the remainder of the essential functions of the
    nursing positions she sought, then she has satisfied the
    second element of the prima facie case.
    _________________________________________________________________
    7. However, I make no claim that such accommodation is statutorily
    required. As I note supra part I.A., I reserve comment as to whether a
    "regarded as" plaintiff is entitled to accommodation.
    40
    I believe further that Deane has also presented enough
    evidence to raise a genuine issue of material fact as to
    whether the Pocono Medical Center regarded her as
    disabled, the first element of her prima facie case.8
    II.
    I recognize that my reading of the ADA might lead to a
    superficially bizarre result, which, upon examination,
    disappears but is, at all events, both logical and completely
    consistent with congressional intent. To illustrate this
    result, let us recall our hypothetical janitor. Under my
    reading of the ADA, our janitor would be permitted to bring
    a claim against her employer on the grounds that her
    employer fired her because she was regarded as disabled
    despite the fact that she could perform the essential
    functions of the job without accommodation. Assume that
    she wins her case, receives damages, and is returned to
    this job. At this point, our janitor can no longer bring a
    claim under the ADA, because she would be unable to meet
    the first prong of the prima facie case. As we have seen, she
    is not actually disabled, at least as that term is narrowly
    defined by the ADA, and has no history of a disabling
    impairment. Nor is she regarded as disabled, a statement I
    make with confidence because, having lost the case against
    it, her employer will presumably have been disabused of its
    notion that our janitor is disabled. Her employer can
    therefore immediately turn around and fire her for her
    inability to perform all of the functions of the job.
    To some, then, my interpretation impermissibly leads to
    an untoward result. See, e.g., United States v. Schneider, 
    14 F.3d 876
    , 880 (3d Cir. 1994) ("It is the obligation of the
    court to construe a statute to avoid absurd results, if
    alternative interpretations are available and consistent with
    the legislative purpose."). In the end, the employer gets
    exactly what it initially wanted (to rid itself of our janitor),
    but had to fight (and lose) a lawsuit to do it, while our
    _________________________________________________________________
    8. There is no dispute that Deane suffered an adverse employment
    action, the third element of the prima facie case.
    41
    janitor suffers the very fate she was suing to avoid (losing
    her job), but does so only after winning her case. 9
    This result, however, conforms with the venerable
    "mischief " rule, that canon of construction that "directs a
    court to look to the `mischief and defect' that the statute
    was intended to cure." Elliott Coal Mining Co. v. Director,
    Office of Workers' Compensation Programs, 
    17 F.3d 616
    ,
    631 (3d Cir. 1994) (quoting Heydon's Case, 76 Eng. Rep.
    637 (Ex. 1584)).10 Congress intended the "regarded as"
    claim at issue here to cure the "mischief" of prejudice
    against and ignorance about disability and disease, which
    prejudice and ignorance might lead employers to make
    employment decisions based on misperceptions.11 That is
    exactly what our janitor did by bringing her lawsuit; she
    exposed the myths and fears surrounding Tourette's
    syndrome. The mischief having been cured, there is no
    more work for the "regarded as" claim, or the ADA for that
    matter, to do. No longer mistaken about Tourette's
    syndrome, our janitor's employer now treats our janitor the
    same as any other janitor in its employ. The goals of the
    "regarded as" claim have thus been accomplished. As far as
    _________________________________________________________________
    9. The result does not mean that the janitor has ultimately been denied
    some meaningful, lasting remedy, as the majority claims. As I have
    already noted, she is potentially entitled to damages for the firing.
    10. The majority's suggestion that I misuse the mischief rule is
    incorrect.
    The mischief rule is an interpretive technique employed to ensure that a
    statute "will be construed to apply only so far as is needed to remedy the
    perceived mischief." 2B Norman J. Singer, Sutherland on Statutes and
    Statutory Construction, S 54.04 (5th ed. 1992). That is precisely what I
    am endeavoring to do: remedy the prejudice and ignorance that distorts
    employment decisions.
    11. The majority's claim that I have misconceived the "mischief " that the
    "regarded as" claim was meant to prevent is unfounded. The elimination
    of prejudice and ignorance is integral to ensuring that otherwise
    qualified individuals are not excluded from the workplace. As I explained
    in part I.C., the majority's formulation of the prima facie case will
    foreclose the ADA claims of many "regarded as" plaintiffs who may have
    been harmed by such prejudice and ignorance. If they are unable to
    bring ADA claims, such plaintiffs will be unable to eliminate that
    prejudice and ignorance, thereby ensuring that otherwise qualified
    individuals may suffer adverse employment decisions because they are
    the subjects of misinformation.
    42
    the ADA is concerned, if our janitor's employer makes
    irrational or unfair employment decisions based on factors
    other than a disability, so be it.
    But that is far from the end of the analysis. For, I
    suspect that which is untoward is not the putative result of
    my hypothetical but the hypothetical itself in that, under
    the circumstances described, I seriously doubt that the
    janitor would be fired. More likely, the employer would
    probably not fire her but just have her work at night, either
    because the employer is now enlightened or would prefer to
    avoid a possible second lawsuit. In such event the purposes
    of the ADA, unattainable under the majority's approach,
    would be vindicated.
    III.
    The ADA presents subtle issues of statutory
    interpretation, far more subtle and difficult I might add,
    than those prescribed under the other anti-discrimination
    statutes (Title VII, ADEA etc.). Compounding the difficulty
    in this case was the unusual nature of Deane's claim. It is
    unsurprising, then, that this case has generated
    disagreement over the meaning of the ADA. With due
    respect for the majority, I believe that my interpretation of
    the relevant statutory language is the correct one. I
    therefore respectfully dissent.
    A True Copy:
    Teste:
    Clerk of the United States Court of Appeals
    for the Third Circuit
    43
    

Document Info

Docket Number: 96-7174

Filed Date: 8/25/1997

Precedential Status: Precedential

Modified Date: 10/13/2015

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