James Jackson v. Jim Wilkins , 517 F. App'x 311 ( 2013 )


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  •                    NOT RECOMMENDED FOR FULL-TEXT PUBLICATION
    File Name: 13a0237n.06
    No. 12-1534
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    JAMES DARNELL JACKSON, as Personal                          )                           FILED
    Representative of the Estate of Doyle M. Jackson,           )                       Mar 06, 2013
    Deceased estate of Doyle M. Jackson,                        )                DEBORAH S. HUNT, Clerk
    )
    Plaintiff-Appellant,                                )
    )
    v.                                                          )   ON APPEAL FROM THE UNITED
    )   STATES DISTRICT COURT FOR
    JIM WILKINS, Benton Harbor Police Officer;                  )   THE WESTERN DISTRICT OF
    DUSTIN BLASKIE, Benton Harbor Police Officer;               )   MICHIGAN
    AL MINGO, Benton Harbor Police Chief; L. PAUL               )
    BAILEY, Berrien County Sheriff; PERRY BUNDY,                )
    Berrien County Employee; PRESTON ALSUP,                     )
    Berrien County Corporal, in their Official and              )
    Individual Capacities; CITY OF BENTON                       )
    HARBOR, A Municipal Corporation; COUNTY OF                  )
    BERRIEN, A Political Subdivision; BRIAN                     )
    WILKEY, identified on initiating document as Brian          )
    Wilky; MARK HAUEISEN, identified on initiating              )
    document as Mark Houhuiser; JASON UHRICK,                   )
    identified on initiating document as Jason Urick;           )
    RON UHRICK, identified on initiating document as            )
    Ron Urick,                                                  )
    )
    Defendants-Appellees.                               )
    Before: BATCHELDER, Chief Judge; MERRITT and KETHLEDGE, Circuit Judges.
    KETHLEDGE, Circuit Judge. Doyle Jackson collided violently with a dumpster while
    running from two police officers. Although he was hurt too badly to stand up on his own, the
    officers left Jackson in the back seat of a patrol car for 40 minutes before taking him to jail. Jackson
    died of internal bleeding a few hours later.
    No. 12-1534
    Jackson v. Wilkins, et al.
    Jackson’s Estate brought suit under § 1983, alleging that the officers used excessive force
    during the arrest and that various defendants were deliberately indifferent to Jackson’s medical
    needs. The defendants moved for summary judgment on qualified-immunity grounds, which the
    district court granted. We affirm in part, reverse in part, and remand.
    I.
    Ordinarily, we view the facts in the light most favorable to the nonmoving party. Green v.
    Throckmorton, 
    681 F.3d 853
    , 859 (6th Cir. 2012). But here, we have several videos that, taken
    together, capture most of the events in question. We therefore view the facts in the light most
    favorable to Jackson’s Estate, unless these videos contradict the Estate’s allegations. See 
    id. At 4:00
    a.m. on May 29, 2007, Jackson assaulted his girlfriend, Imogene Wade, and locked
    her out of her house. Wade ran to a neighbor’s house and called the police. Officer Dustin Blaskie
    responded first, followed closely by Officer Jim Wilkins. As the officers arrived, they saw Jackson
    pulling a car out of Wade’s driveway. Blaskie heard Wade yell that Jackson was stealing her car,
    so he told Wilkins to stop Jackson from escaping. Wilkins pulled his car forward to block Jackson’s
    path, but Jackson drove around him and sped off.
    A brief car chase followed. After less than a minute, Jackson’s vehicle crashed into a curb
    (totaling Wade’s car in the process), and stopped in a field. Both Jackson and Wilkins then exited
    their vehicles. Wilkins drew his gun, pointed it at Jackson, and ordered him to get on the ground.
    Jackson ignored him. Instead, Jackson put his hands in the air and walked directly toward Wilkins.
    When Jackson was less than a step away, Wilkins stiff-armed him. Jackson stumbled backward,
    then turned and fled down the street.
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    Jackson v. Wilkins, et al.
    With Blaskie and Wilkins on his heels, Jackson veered into an alley. Moments later, Blaskie
    pulled out his taser and shot Jackson in the back. According to the Estate’s experts, the electric
    shock threw Jackson forward and slammed him into the metal arm of a nearby dumpster. None of
    the videos depict the arm itself, and none of the witnesses describe it. But the arm was thin enough,
    and protruded far enough, for Blaskie to say that Jackson did a “backflip” around it.
    Jackson tried to get up and continue running after the collision, but the officers quickly
    caught him. For the next minute or two, Blaskie and Wilkins struggled to subdue Jackson. During
    that time, they punched, kicked, and tased him repeatedly. At first these actions had little effect on
    Jackson, but eventually he stopped resisting. The officers then handcuffed Jackson, left him lying
    on his stomach, and waited for backup.
    Officer Preston Alsup, the shift commander, soon pulled up in his patrol car. As his in-car
    video shows, the three officers ordered Jackson to stand up. Jackson replied that he could not do so
    on his own. The officers ignored this reply and told him again to stand up. Jackson insisted that he
    could not. When the officers continued to ignore his request, Jackson pleaded with them:
    Please, help me. Please, Lord. Please, help me, Jesus. I cannot stand. I cannot
    stand. Oh, Lord, help me. Jesus, help me. Help me, please. Help me. Help. Help
    me. Oh, Lord. Oh.
    At that point, Blaskie and Wilkins picked Jackson up and laid him across the back seat of Alsup’s
    car. As they did so, both officers noticed a bruise forming on Jackson’s chest (he had lost his shirt
    during the chase), which they concluded had come from his collision with the dumpster.
    Alsup, Blaskie, and Wilkins drove separately back to the scene of Jackson’s car accident,
    where they joined an unidentified fourth officer. For the next 15 minutes or so, Jackson remained
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    in Alsup’s car as the four officers searched the area. They did not monitor Jackson. Then, at 4:40
    a.m., Blaskie returned to his car and went back on patrol.
    After Blaskie left, Alsup and Wilkins spent another 20 minutes at the accident scene with
    Jackson. It is unclear what the officers did during this time, though at some point they carried
    Jackson from Alsup’s car to Wilkins’s. They also discussed whether to take Jackson to the hospital.
    Although Alsup was responsible for making that decision, Wilkins did not tell him about Jackson’s
    collision with the dumpster arm. Alsup ultimately decided that Jackson did not need to go to the
    hospital, so he told Wilkins to take Jackson to jail. All told, Jackson remained at the accident scene
    for approximately 40 minutes.
    Wilkins and Jackson arrived at Berrien County Jail at 5:06 a.m. Four officers were present
    when they arrived: Ronald Urick, Jason Urick, Brian Wilkey, and Perry Bundy (the “Berrien County
    officers”). Wilkins told one of these officers that Jackson “had been tased and that he had some
    injuries.” He did not tell anyone, however, that Jackson had collided with the dumpster arm. The
    Berrien County officers ordered Jackson out of the car, but Jackson again replied that he could not
    get up on his own. So the officers pulled Jackson out of the car, and carried him to a cell. As they
    did, Wilkins noticed that Jackson had defecated on himself. Wilkins then left.
    For the next hour, officers monitored Jackson in his cell. Jackson spent most of that time
    rolling around on the floor, though he did manage to pull himself onto the toilet three times. Jackson
    continued to defecate on himself, and also vomited. At 6:13 a.m., Berrien County Nurse Mark
    Haueisen entered Jackson’s cell to perform a medical assessment. Haueisen quickly realized that
    Jackson was becoming less responsive, so he called an ambulance. Jackson died at the hospital
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    Jackson v. Wilkins, et al.
    shortly thereafter. An autopsy revealed that the cause of death was internal bleeding from a lacerated
    liver, which Jackson had suffered during his collision with the dumpster.
    Jackson’s Estate then sued everyone involved under § 1983. The Estate alleged two
    constitutional violations: first, that Blaskie and Wilkins used excessive force when they arrested
    Jackson; and second, that Alsup, Blaskie, Wilkins, the Berrien County officers, and Haueisen were
    deliberately indifferent to Jackson’s medical needs after the application of that force. The Estate also
    sought to establish municipal liability against the City of Benton Harbor, Police Chief Al Mingo,
    Berrien County, and Sheriff L. Paul Bailey. The district court granted summary judgment on
    qualified-immunity grounds to all the defendants. This appeal followed.
    II.
    We review de novo the district court’s grant of qualified immunity. King v. Taylor, 
    694 F.3d 650
    , 661 (6th Cir. 2012). Jackson’s Estate has the burden of proving that the defendants should not
    receive qualified immunity. See Austin v. Redford Twp. Police Dep’t, 
    690 F.3d 490
    , 496 (6th Cir.
    2012). To do so, the Estate must show that the defendants violated Jackson’s constitutional rights,
    and that those rights were clearly established. See 
    id. A. The
    Estate argues that Blaskie and Wilkins used excessive force when they arrested Jackson.
    The Fourth Amendment permits an officer to use a reasonable amount of force when making an
    arrest. See Hayden v. Green, 
    640 F.3d 150
    , 153 (6th Cir. 2011). To determine whether an officer’s
    use of force was reasonable, we consider three factors: “the severity of the crime at issue, whether
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    Jackson v. Wilkins, et al.
    the suspect poses an immediate threat to the safety of the officers or others, and whether he is
    actively resisting arrest or attempting to evade arrest by flight.” 
    Id. (quotation marks
    omitted).
    All three factors support the force that the officers used here. First, Jackson had apparently
    (and in fact) committed several serious crimes, including domestic assault, auto theft, and resisting
    arrest. Second, he fled from the officers twice: once in Wade’s car and once on foot. Third, the
    officers had plenty of reason to think that Jackson “pose[d] an immediate threat to the safety of the
    officers or others[.]” 
    Id. The officers
    knew that Wade had reported Jackson for domestic violence.
    They knew that Jackson had led them on a high-speed car chase, albeit a brief one. And they knew
    that, after totaling Wade’s car, Jackson had ignored Wilkins’s commands to get on the ground and
    walked directly at Wilkins instead. The officers’ decision to use force was therefore reasonable.
    The Estate disputes this conclusion in two ways. First, it contends that Blaskie violated
    “TASER rules and procedures” when he allegedly tased Jackson while Jackson was running. The
    Estate has not cited any cases, however, that say that tasing a running suspect is an excessive use of
    force. So it has not shown that Blaskie violated clearly established law. Cf. Hagans v. Franklin
    Cnty. Sheriff’s Office, 
    695 F.3d 505
    , 509 (6th Cir. 2012) (holding that, in May 2007, the use of a
    taser was not a violation of clearly established law).
    Second, the Estate contends that the officers used too much force after Jackson’s collision
    with the dumpster arm, when they allegedly tased him 11 times, as well as punched and kicked him
    repeatedly. The Estate concedes, however, that Jackson was the “strongest” and the “most physical”
    person the officers had ever fought. So the officers had to use a significant amount of force to
    subdue him. Moreover, we give a “measure of deference to the officer’s on-the-spot judgment about
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    Jackson v. Wilkins, et al.
    the level of force necessary in light of the circumstances of the particular case.” 
    Green, 640 F.3d at 153
    (quotation marks omitted). And the officers used less force here than we have found reasonable
    elsewhere. For example, in Williams v. Sandel, 433 F. App’x 353, 362 (6th Cir. 2011), we held that
    it was reasonable for officers to tase a suspect 37 times, in addition to using their batons and pepper
    spray, because the suspect “remained unsecured and unwilling to comply with the officers’ attempts
    to secure him[.]” 
    Id. Blaskie and
    Wilkins acted similarly—they stopped applying force the moment
    Jackson stopped resisting them.
    In sum, Jackson’s Estate cannot prove to a jury that Blaskie and Wilkins used excessive force
    during the arrest, or that they violated clearly established law. They are therefore entitled to qualified
    immunity.
    B.
    The Estate also argues that Alsup, Blaskie, Wilkins, the Berrien County officers, and
    Haueisen were deliberately indifferent to Jackson’s medical needs after the arrest. Under the
    Fourteenth Amendment, pretrial detainees have a right to medical treatment that is analogous to the
    right of prisoners under the Eighth Amendment. Bruederle v. Louisville Metro Gov’t, 
    687 F.3d 771
    ,
    776 (6th Cir. 2012). To prove a deprivation of that right, the Estate must show that the defendants
    acted with “deliberate indifference to serious medical needs.” Harris v. City of Circleville, 
    583 F.3d 356
    , 367 (6th Cir. 2009) (quotation marks omitted).
    Undoubtedly, Jackson had a serious medical need: an internal liver laceration that caused
    his death. The issue, therefore, is whether the defendants acted with “deliberate indifference” to that
    need. To show that the officers acted with deliberate indifference, the Estate must “allege facts
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    Jackson v. Wilkins, et al.
    which, if true, would show that the [officers] subjectively perceived facts from which to infer
    substantial risk to [Jackson], that [the officers] did in fact draw the inference, and that [the officers]
    then disregarded that risk.” 
    Id. at 368
    (quotation marks omitted). As for a defendant’s subjective
    knowledge, “a factfinder may conclude that a [defendant] knew of a substantial risk from the very
    fact that the risk was obvious.” 
    Id. (quotation marks
    omitted). We analyze separately the allegations
    against each defendant. See Reilly v. Vadlamudi, 
    680 F.3d 617
    , 624 (6th Cir. 2012).
    1.
    We start by applying the three elements of the deliberate-indifference test to Officer Wilkins.
    First, a jury could conclude that he “subjectively perceived facts from which to infer substantial risk
    to [Jackson.]” The Estate says that Wilkins perceived two events that could have injured Jackson:
    the collision with the dumpster arm and the fight with the officers that followed. Wilkins then
    perceived several facts that suggested an injury had actually occurred: Wilkins heard Jackson say
    repeatedly that he could not stand up; and he heard Jackson’s moans for help. Even though it was
    dark, and even though Jackson was African-American, Wilkins could see that Jackson had a rapidly
    forming chest bruise from his collision with the dumpster arm. Wilkins also saw Jackson’s rapid
    physical deterioration—in only a few minutes, Jackson went from someone who could run from the
    police and resist repeated punches, kicks, and electric shocks, to someone who could not walk, sit,
    or stand up on his own.
    Wilkins disputes that he actually saw Jackson’s collision with the dumpster arm. But the
    in-car video shows that Wilkins was close behind Blaskie as the officers entered the alley, and
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    Jackson v. Wilkins, et al.
    Blaskie admits to seeing the collision. Thus, a reasonable jury could infer that Wilkins saw the
    collision as well. See 
    Green, 681 F.3d at 859
    .
    Second, a jury could also conclude that Wilkins in fact drew the inference that Jackson was
    at a substantial risk of serious harm. Wilkins admitted in his deposition that he knew Jackson was
    injured: indeed, he and Alsup discussed whether Jackson needed to go to the hospital. The only
    question, therefore, is whether Wilkins knew that there was a substantial risk that Jackson was
    seriously hurt. And here, a reasonable jury could conclude that he did. Wilkins allegedly saw
    Jackson’s collision with the dumpster arm, which was violent—so violent, in fact, that it caused
    Jackson to do a back flip around it. More importantly, Jackson’s repeated statements that he could
    not stand up and his pleas of “Jesus, help me. Help me, please” made clear that he was in serious
    pain. Likewise, his unusually rapid physical deterioration suggested injury. Blaskie and Wilkins
    described Jackson as the “strongest” and “most physical” person they had ever fought; yet, in the
    span of a few minutes, he became nearly helpless.
    In response, Wilkins argues that Jackson’s superficial injuries—the bruise and a few
    scrapes—were not serious enough to signal a substantial risk of serious harm. Although true, this
    argument ignores more serious facts—the violent collision with the dumpster, the rapid change in
    Jackson’s condition, his pleas for help—that suggested an internal injury. Wilkins also argues that
    Jackson simply appeared intoxicated, rather than seriously injured. That explanation rings hollow:
    Although Jackson was intoxicated, Officer Wilkins knew firsthand that he had been able to run and
    fight with the officers only moments before. Had Jackson been so drunk that he could not stand up,
    he would not have been able to do any of these things. Finally, Wilkins alleges that the officers
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    Jackson v. Wilkins, et al.
    offered to take Jackson to the hospital, and that Jackson refused. But the Estate denies that
    allegation, and—despite Wilkins’s unequivocal statement that the in-car video records such an
    offer—the video in fact does not. The video did record Officer Alsup asking Jackson whether he
    felt alright, to which Jackson allegedly responded, “Yeah, I feel okay.” Jackson’s voice is
    unintelligible in that recording, however, and there is no evidence that Wilkins even heard this brief
    exchange. Thus, “a jury would be entitled to discount [Wilkins’s] explanation.” Estate of Carter
    v. City of Detroit, 
    408 F.3d 305
    , 313 (6th Cir. 2005).
    Third, a jury could conclude that Wilkins disregarded the risk of harm to Jackson. After
    returning to the accident scene, Wilkins allegedly allowed Jackson to lie in the back of Alsup’s car
    for 40 minutes without trying to help him. Moreover, there is no evidence in the record explaining
    the delay. There were three other officers on the scene, so Wilkins did not need to help with the
    search of Wade’s car. And even if he had, both the jail and the hospital were only a few minutes
    away. Thus, Wilkins could have taken Jackson to either location, and returned to the scene in
    minutes.
    Wilkins also appeared to violate Benton Harbor policy during the long delay. See 
    Harris, 583 F.3d at 369
    (holding that the failure to follow “stated jail policy” supported a finding of
    deliberate indifference). Benton Harbor Police Department General Order 3 provides: “Officers
    using force on a subject shall make immediate medical treatment available to that subject when . . .
    the subject complains of injury or continued pain . . . [or] any officer observes or suspects injury to
    the subject[.]” (Emphasis in original.) Here, it was clear that Jackson was in pain, and that Wilkins
    saw him get injured. But Wilkins did not “make immediate medical treatment available” to Jackson.
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    Jackson v. Wilkins, et al.
    General Order 3 also provides that “[a]ny subject upon whom force is used should be monitored
    closely[.]” None of the officers monitored Jackson while they searched the accident scene. Finally,
    General Order 3 provides that “[p]ersons exhibiting signs of unusual distress should be immediately
    transported to a medical facility for treatment.” Jackson exhibited signs of unusual distress, such
    as the inability to stand without help. Wilkins did not, however, transport him immediately to a
    medical facility.
    Wilkins also failed to tell Alsup about Jackson’s collision with the dumpster arm. Wilkins
    knew that Alsup, as the shift commander, had the final authority to decide whether Jackson should
    go to the hospital. Despite that knowledge, Wilkins did not tell Alsup what he had seen. This failure
    to pass on important information about Jackson’s injury also supports a finding of deliberate
    indifference. See Estate of 
    Carter, 408 F.3d at 313
    .
    Wilkins then repeated this mistake at the Berrien County Jail. When he arrived, Wilkins told
    the officers only that Jackson “had been tased and that he had some injuries.” Even after seeing that
    Jackson had defecated on himself, he said nothing about Jackson’s collision with the dumpster arm.
    That mistake proved costly: Nurse Haueisen later stated that, had Wilkins passed this information
    on, Haueisen would have sent Jackson directly to the emergency room.
    In light of these alleged facts, a reasonable jury could conclude that Wilkins “subjectively
    perceived facts from which to infer substantial risk to [Jackson], that [he] did in fact draw the
    inference, and that [he] then disregarded that risk.” See 
    Harris, 583 F.3d at 368
    . The Estate has
    therefore made out a potential violation of Jackson’s constitutional rights. The Estate can also show
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    Jackson v. Wilkins, et al.
    that Jackson’s right to adequate medical care was clearly established at the time of the injury. See
    Estate of 
    Carter, 408 F.3d at 313
    . Wilkins is not entitled to qualified immunity.
    2.
    We next turn to Officer Blaskie. He was similarly situated to Wilkins in many ways: he saw
    Jackson’s collision with the dumpster arm, he heard Jackson’s moans of pain, he saw Jackson’s
    physical deterioration, and he did nothing to help him. But Blaskie differs from Wilkins in two
    respects. First, Blaskie spent much less time with Jackson than Wilkins did. After returning to the
    accident scene, Blaskie helped search the area for 15 minutes or so. He then returned to his patrol,
    leaving Jackson in Alsup’s and Wilkins’s hands. Second, Blaskie did not participate in the
    conversation with Alsup about whether to take Jackson to the hospital, or in the conversation with
    the officers at Berrien County Jail. Blaskie did not, therefore, have the same obligation to pass on
    his knowledge about Jackson’s collision. Under these circumstances, a reasonable jury could not
    find that Blaskie showed deliberate indifference to Jackson’s serious medical needs, largely because
    he had much less opportunity to. Thus, Blaskie was entitled to qualified immunity.
    3.
    Officer Alsup presents an easier case. He was not present when Jackson collided with the
    dumpster arm, and neither Blaskie nor Wilkins told him about that collision. Also, Alsup did not
    see Jackson before the collision, so he did not know that Jackson’s behavior had changed so
    drastically. To Alsup, Jackson simply “looked and acted no differently than any other arrestee who
    fled, resisted arrest and fought with police.” Jackson’s Estate has not shown, therefore, that a jury
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    could find Alsup actually drew the inference that Jackson was at a substantial risk of serious harm.
    The district court properly granted him qualified immunity.
    4.
    The four Berrien County officers—Ronald Urick, Jason Urick, Brian Wilkey, and Perry
    Bundy—also present an easy case. When Wilkins came into the jail, he did not tell the officers that
    Jackson had collided violently with a dumpster arm. Given that Jackson’s injury was an internal one,
    these officers had little reason to believe that Jackson might be seriously injured. In response,
    Jackson’s Estate points to several facts: that Jackson was unable to walk on his own, that he had
    trouble communicating, that he had defecated on himself, and that he vomited in his cell. As Officer
    Bundy explained, however, these behaviors simply made Jackson “appear[] to be extremely
    intoxicated.” Thus, the Estate cannot prove that the Berrien County officers knew a substantial risk
    of serious harm existed. These officers were entitled to qualified immunity.
    5.
    The same analysis applies to Nurse Haueisen, with one exception. Based on a report that
    Haueisen wrote, the Estate alleges that Haueisen realized that Jackson needed to go to the hospital
    at 5:40 a.m. The Estate also alleges that Haueisen did not call an ambulance until 6:22 a.m., based
    on the jail’s video of Jackson’s cell. This half-hour delay, the Estate argues, proves that Haueisen
    was deliberately indifferent to Jackson’s medical needs.
    This argument seriously distorts the record. The Estate concedes that Haueisen only realized
    that Jackson needed to go to the hospital after he entered Jackson’s cell to perform a medical
    assessment. The jail’s video shows that Haueisen entered Jackson’s cell to perform that assessment
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    at 6:13 a.m., and that same video shows that Haueisen called an ambulance approximately ten
    minutes later. In response, the Estate points to Haueisen’s report, which says that he entered
    Jackson’s cell at 5:40 a.m. But that same report likewise says that he called an ambulance ten
    minutes later. What the Estate seeks to do, therefore, is use the (probably mistaken) time entry on
    the report for the time of the assessment, and then use the (much later) video time to determine when
    Haueisen called the ambulance. The Estate cannot do so: The video makes clear that Haueisen
    called an ambulance ten minutes afer the assessment. And the video shows that Haueisen wrote
    down the wrong time on the report. Thus, we must view the facts “in the light depicted by the
    videotape.” 
    Green, 681 F.3d at 859
    (quotation marks omitted). This dispute, therefore, does not
    present a genuine issue of material fact, and the district court correctly granted qualified immunity
    to Haueisen.
    C.
    Finally, Jackson’s Estate asserts municipal-liability claims against the City of Benton Harbor
    and Berrien County. (The Estate also asserts claims against Police Chief Al Mingo and Sheriff L.
    Paul Bailey in their official capacities. We do not need to discuss these claims separately, however,
    because “individuals sued in their official capacities stand in the shoes of the entity they represent.”
    Alkire v. Irving, 
    330 F.3d 802
    , 810 (6th Cir. 2003).) To establish municipal liability, the Estate must
    prove that “[Jackson’s] constitutional rights were violated and that a policy or custom of the
    municipality was the moving force behind the deprivation of the plaintiff’s rights.” Miller v. Sanilac
    Cnty., 
    606 F.3d 240
    , 254–55 (6th Cir. 2010) (quotation marks omitted).
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    1.
    We first turn to the claim against Benton Harbor. The Estate argues that Benton Harbor is
    liable for Officer Wilkins’s alleged constitutional violation because the City has a policy of
    inadequately training its officers. To prevail on this claim, the Estate must prove that Benton
    Harbor’s failure to train “amounts to deliberate indifference to the rights of persons with whom the
    police come into contact.” 
    Id. at 255
    (quotation marks and emphasis omitted). And to prove
    deliberate indifference, the Estate must point to “prior instances of unconstitutional conduct
    demonstrating that the [City] has ignored a history of abuse[.]” 
    Id. The Estate
    contends that the City was deliberately indifferent to the rights of its citizens when
    it failed to train its officers on Benton Harbor Police Department General Order 9. That order states
    in relevant part that, whenever an officer uses a taser on a suspect, the officer should take that
    suspect “to a medical facility for clearance prior to transport to the nearest detention facility or other
    institution.” Had the City trained its officers on General Order 9, the Estate says, Officer Wilkins
    would have taken Jackson to the hospital, and Jackson would have lived. The problem with this
    argument is that the City had not formally adopted that order at the time of Jackson’s death. And
    a municipality cannot “fail to train” its officers on a policy that did not exist. The Estate’s real
    complaint, therefore, is that the City had not adopted General Order 9. But “the fact that alternative
    procedures might have better addressed [Jackson’s] particular needs does not show that the [City]
    was deliberately indifferent[.]” Graham ex rel. Estate of Graham v. Cnty. of Washtenaw, 
    358 F.3d 377
    , 384 (6th Cir. 2004) (alterations and quotation marks omitted).
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    The Estate also contends that Officer Wilkins’s failure to take Jackson to the hospital proves
    that the City did not train him properly. But the Estate must point to more than “an isolated,
    one-time event” to prove that the City had a policy of inadequate training. See Fox v. Van Oosterum,
    
    176 F.3d 342
    , 348 (6th Cir. 1999). Instead, it must provide evidence, rather than mere allegation,
    of “prior instances of unconstitutional conduct.” 
    Miller, 606 F.3d at 255
    . And the Estate has not
    done so.
    As an alternative basis for liability, the Estate argues that Benton Harbor had a policy of
    failing to discipline its officers for their constitutional violations. Like the failure-to-train claim,
    however, the Estate must show that Benton Harbor’s failure to discipline amounts to “deliberate
    indifference.” See Berry v. City of Detroit, 
    25 F.3d 1342
    , 1354 (6th Cir. 1994). In its attempt to
    make that showing, the Estate cites only one alleged failure to discipline: the case before us. One
    example of the City’s failure to discipline, however, does not prove that the City had a policy of
    failing to discipline. See 
    id. at 1355.
    So the district court correctly rejected this argument.
    2.
    As for the claim against Berrien County, the Estate cannot show that any of the County’s
    agents violated Jackson’s constitutional rights. Thus, the County itself cannot be held liable under
    § 1983. See Williams v. City of Grosse Pointe Park, 
    496 F.3d 482
    , 488 (6th Cir. 2007).
    *      *      *
    The district court’s judgment is affirmed, except that its grant of summary judgment to
    Officer Wilkins is reversed. The case is remanded for further proceedings consistent with this
    opinion.
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    ALICE M. BATCHELDER, Chief Circuit Judge, concurring in part and dissenting in
    part. I would affirm the district court’s orders in their entirety. Therefore, I concur in the majority
    opinion but for Section II.B.1, in which the majority finds that Officer Jim Wilkins was deliberately
    indifferent to arrestee Jackson’s serious medical need. Because I agree with the district court that,
    on this record, a reasonable jury could not find that Officer Wilkins actually perceived a substantial
    risk to Jackson, and because I find no evidence that Officer Wilkins displayed the requisite mental
    state, I must respectfully dissent from that portion of the opinion. I write separately to explain.
    I.
    A constitutional claim for deliberate indifference contains both an objective and a subjective
    component. Harris v. City of Circleville, 
    583 F.3d 356
    , 368 (6th Cir. 2009) (citations omitted). The
    objective component requires the plaintiff to show the existence of a “sufficiently serious” medical
    need, 
    id. (quotation marks
    omitted); that is, an actual “need for medical treatment [that] . . . was not
    addressed within a reasonable time,” 
    id. at n.6
    (quotation marks and citation omitted). Jackson’s
    internal liver laceration was a life-threatening injury that needed timely medical treatment.
    Accepting that the plaintiff (the estate of the deceased arrestee) has satisfied the objective
    component of the deliberate-indifference test leads us to the other half, the subjective component:
    To satisfy the subjective component, the plaintiff must allege facts which, if true,
    would show
    [1] that the official being sued subjectively perceived facts from which to infer
    substantial risk to the prisoner,
    [2] that he did in fact draw the inference, and
    [3] that he then disregarded that risk.
    -17-
    No. 12-1534
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    Emphasizing the subjective nature of this inquiry, . . . an official’s failure to alleviate
    a significant risk that he should have perceived but did not, while no cause for
    commendation, cannot . . . be condemned as the infliction of punishment.
    Comstock v. McCrary, 
    273 F.3d 693
    , 703 (6th Cir. 2001), relying on Farmer v. Brennan, 
    511 U.S. 825
    , 837-38 (1994) (quotation marks omitted, paragraph breaks added, and emphasis altered).
    The district court and the majority both identified and relied on this same three-part test and
    both acknowledged the same general facts concerning Jackson’s condition, but they drew opposite
    conclusions when applying this test to these facts. In the district court’s view, these facts would not
    demonstrate that Jackson was at a substantial risk of a serious medical need, and moreover, no
    officer (including Officer Wilkins) had actually drawn any such inference from these facts:
    Upon careful review of the record, th[is] [district] [c]ourt finds that Plaintiff
    has not met [it]s burden of presenting evidence that any of the Benton Harbor
    Defendants were aware that [Jackson] had a serious medical condition when he was
    in the custody of the Benton Harbor officers [which includes Officer Wilkins].
    Plaintiff relies on observations by Officers Wilkins and Blaskie that Jackson
    required assistance in getting into the police vehicle after being subdued, and that he
    had suffered injuries. Plaintiff also relies on the fact that [Jackson] defecated in the
    police vehicle en route to the jail. However, this evidence does not support a finding
    that the Benton Harbor officers were aware of facts from which the inference could
    be drawn that a substantial risk of serious medical harm existed, and that one or more
    of the officers actually drew that inference.
    The visible injuries sustained by Jackson — scrapes and a bruise — were not
    plainly indicative of life-threatening condition. Jackson’s difficulty in standing up
    and getting into the police vehicle would not seem extraordinary given the alley
    tussle and the fact that Jackson was handcuffed behind his back. Finally, the
    officers’ decision to transport Jackson to jail rather than to a hospital was made prior
    to his defecation in the police vehicle.
    The Benton Harbor police officers made a decision to transport an
    uncooperative arrestee directly to jail, knowing that the jail would have a nurse and
    -18-
    No. 12-1534
    Jackson v. Wilkins, et al.
    medical clinic. Jackson himself stated that he did [not] need to go to a hospital.[1]
    While the officers knew that Jackson had suffered superficial injuries from their use
    of non-lethal force, there is no evidence that the officers knew or could have known
    that Jackson had suffered a life-threatening injury. The seriousness of Jackson’s
    condition was arguably more apparent by the time the officers arrived at the Berrien
    County jail, but the Benton Harbor officers were told by nurse Haueisen that ‘if he
    needs to go to the hospital, we’ll take care of it.’
    On these facts, it cannot be said that [any] reasonably competent officer
    would conclude that the Benton Harbor officers’ decision to transport Jackson
    directly to jail would be a violation of his constitutional rights. Accordingly, the
    Benton Harbor Defendants are entitled to qualified immunity and summary judgment
    on all claims pertaining to their alleged failure to provide medical care.
    R. 162 at p. 10-11 (Dist. Ct. Op., Mar. 28, 2012) (editorial marks and citations omitted).
    But in the majority’s view, the facts demonstrate that Jackson was at a substantial risk of a
    serious medical need and also that Officer Wilkins (alone) not only recognized that risk but then
    consciously disregarded that risk as a means of inflicting punishment on Jackson. See Miller v.
    Calhoun County, 
    408 F.3d 803
    , 813 (6th Cir. 2005) (explaining that the officer’s “state of mind must
    evince deliberateness tantamount to intent to punish”). The majority reverses the grant of qualified
    immunity to Officer Wilkins, while affirming the grant of immunity to all other defendants.
    I cannot join the majority in this conclusion. When I apply the controlling law to the
    generally agreed-upon facts, I do not find these facts as compelling as the majority does; I do not find
    it reasonable to presume from these facts that Officer Wilkins actually recognized a substantial risk
    1
    Based on the context of this passage, the district court’s omission of the word “not” was presumably a
    typographical error, and the court meant to write that “Jackson himself stated that he did not need to go to a hospital.”
    All three officers asserted that Jackson stated that he did not need to go to the hospital. R. 121-2 p. 14, 16, 19, 34; 121-4
    p. 21, 20:15-18, 27:22-28:9; 122-3 p. 22, 80:16-81:8, 82:19-83:2, 88:4-25. On the other hand, there is no evidence that
    Jackson stated that he did need to go to the hospital, nor did the plaintiff contend that Jackson stated as much.
    -19-
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    Jackson v. Wilkins, et al.
    of a life-threatening injury; and I do not find that Officer Wilkins acted with the requisite mental
    state of “deliberateness tantamount to intent to punish,” see 
    Miller, 408 F.3d at 813
    .
    II.
    There is no dispute about the controlling law. We apply the aforementioned three-part test
    to determine the subjective component of a constitutional violation for deliberate indifference. See
    
    Farmer, 511 U.S. at 837
    ; 
    Harris, 583 F.3d at 368
    ; 
    Comstock, 273 F.3d at 703
    .
    A.
    First, the plaintiff must allege facts which, if true, would have been sufficient to alert the
    defendant to the substantial risk to the arrestee. 
    Comstock, 273 F.3d at 703
    . This is not a rigorous
    standard and, in fact, the Supreme Court phrased this as “facts from which the inference could be
    drawn that a substantial risk of severe harm exist[ed].” 
    Farmer, 511 U.S. at 837
    (emphasis added).
    More importantly, the plaintiff must show that the defendant actually recognized or perceived those
    facts. 
    Comstock, 273 F.3d at 703
    . The majority identifies and relies on six specific facts: (1)
    Jackson claimed he could not stand up; (2) Jackson moaned for help from Jesus; (3) Jackson had a
    chest bruise; (4) Jackson displayed rapid physical deterioration; (5) Jackson had a violent collision
    with a dumpster; and (6) Jackson was not so drunk that he could not run or fight.
    There is no dispute as to whether Officer Wilkins recognized or perceived these facts — he
    did. The only question at this point is whether these facts indicate a substantial risk to Jackson due
    to a serious medical problem. The district court held that these facts did not indicate a substantial
    risk whereas the majority holds that they did. Although I am inclined to agree with the district court,
    I am willing to concede any factual dispute and agree that, viewed generously (and out of context),
    -20-
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    Jackson v. Wilkins, et al.
    these facts “could” indicate a substantial risk of a serious medical need. Therefore, I will accept for
    the present that the plaintiff has satisfied this first part: Officer Wilkins actually perceived facts from
    which he could have inferred a substantial risk to Jackson. See 
    Comstock, 273 F.3d at 703
    .
    B.
    For the second part of the three-part test, the plaintiff must allege facts which, if true, would
    show that the defendant did in fact draw the inference of a substantial risk of life-threatening injury
    to the arrestee. 
    Comstock, 273 F.3d at 703
    . The majority reiterates the same six (6) facts as proof
    that Officer Wilkins actually, subjectively drew the inference that Jackson was at serious risk of a
    life threatening injury. There are two aspects to this that compel my disagreement.
    First, this part of the test is supposed to be about the defendant — did the defendant actually
    draw the inference? See 
    Comstock, 273 F.3d at 703
    . The most direct way to satisfy this part would
    be for the plaintiff to allege facts about the defendant’s statements, actions, inactions, etc.
    Specifically, in order to show that Officer Wilkins actually drew an inference, there would be some
    fact alleged about Officer Wilkins. Here, all we have are six facts about Jackson, and those just the
    same six merely reiterated from the first part of the test. The plaintiff has pointed to no facts about
    Officer Wilkins to show that he actually drew the inference and the majority cites none either.
    But there is a second aspect to this that warrants some considerable discussion, inasmuch as
    a plaintiff may satisfy this part by showing that the risk was “so obvious and substantial that the
    official[] must have known about it.” 
    Farmer, 511 U.S. at 852
    (Blackmun, J., concurring); accord
    
    Harris, 583 F.3d at 368
    (relating that “a fact-finder may conclude that [an] official knew of a
    substantial risk from the very fact that the risk was obvious” (quotation marks and citations
    -21-
    No. 12-1534
    Jackson v. Wilkins, et al.
    omitted)). In such a situation, facts about the arrestee or the surrounding circumstances (i.e., the
    same facts that satisfy the first part) could be or would be sufficient to satisfy the second part.
    Although unarticulated, it might be that this is the majority’s view of the present facts — that these
    six facts render the risk so obvious that Officer Wilkins must have known. If so, I cannot agree.
    Before considering the individual facts, it bears mention that Jackson’s lacerated liver was
    wholly unknown and unsuspected by anyone until after the autopsy. Immediately upon crashing into
    the dumpster, thereby lacerating his liver, Jackson jumped back up and took off running again. The
    officers chased him and, in an effort to subdue him, tased him, wrestled him down, kneed him in the
    back and legs, hit him, and tased him even more (12 times in all). Eventually, they wore him out,
    cuffed his hands behind his back, and laid him on his stomach. R. 121-2, p. 12-16; 135-2, p. 17-22.
    Nothing suggests that either Jackson or the officers knew that Jackson had lacerated his liver. The
    officers did know that Jackson was drunk, which was later confirmed when the autopsy revealed that
    his blood alcohol was 0.17 at the time of his death, some four hours after this fight with and flight
    from the police. R. 121-2, p. 4 (time of death 8:45 a.m.); p. 37 (0.17 blood alcohol content).
    Neither the jail deputies2 nor the jail nurse, Mark Haueisen, suspected a lacerated liver or
    internal injuries. R. 136-2 (Haueisen depo.). The paramedics who responded to the call spent 34
    minutes treating Jackson in the ambulance (6:42 a.m. to approximately 7:16 a.m., the first 31 sitting
    in the port at the jail, see R. 121-2 p.47), but did not suspect a lacerated liver; rather they
    administered “CPR for cardiac arrest,” see R. 135-3, p. 4. And the Lakeland Hospital emergency
    2
    At least one of the inmates interviewed by the Michigan State Police investigator stated that a jail deputy had
    told him that he thought Jackson had overdosed on drugs. R. 121-2 p. 44. None mentioned any internal injury.
    -22-
    No. 12-1534
    Jackson v. Wilkins, et al.
    staff spent 1.5 hours (approximately 7:15 a.m. to 8:45 a.m.) treating Jackson in the emergency room,
    but the lacerated liver was not discovered until the autopsy. That same morning, while Jackson was
    still in the hospital but “not expected to survive,” the Michigan State Police initiated an investigation
    and at that point, prior to the autopsy, an investigator noted that “the pathologist performing the
    autopsy should contact the University of Miami [] in reference to evidence collection from deaths
    as a result of excited delirium.” R. 121-2, p. 7 (emphasis added). Later, a second Michigan State
    Police investigator noted in his report that he had spoken with Jackson’s girlfriend, Imogene Wade,
    at approximately 12:50 p.m. that day and had told her that Jackson had apparently died from “heart
    failure” or a “heart attack.” R. 121-2, p. 37. He noted that a preliminary assessment by medical
    examiner Dr. Robert Clark had also suggested a heart attack. R. 121-2, p. 37. The lacerated liver
    was neither suspected nor discovered until the full autopsy the next day. R. 121-2, p. 39.
    The majority cites six facts from which Officer Wilkins must have drawn the inference that
    Jackson was at a substantial risk of serious harm. See 
    Farmer, 511 U.S. at 837
    . These facts are:
    (1) Jackson claimed he could not stand up; (2) Jackson moaned for help from Jesus; (3) Jackson had
    a chest bruise; (4) Jackson displayed rapid physical deterioration; (5) Jackson had a violent collision
    with a dumpster; (6) Jackson was not so drunk that he could not run or fight. Let us consider
    whether any of these six facts render the underlying risk “so obvious and substantial that [Officer
    Wilkins] must have known about it.” See 
    Farmer, 511 U.S. at 852
    (Blackmun, J., concurring).
    1. Jackson’s claims that he could not stand up.
    After subduing Jackson, Officers Wilkins and Blaskie cuffed his hands behind his back and
    placed him on his stomach while all three paused to catch their breath as they recovered from the
    -23-
    No. 12-1534
    Jackson v. Wilkins, et al.
    chase and the fight. R. 122-3 p. 17, 61:11-13 (“the officers . . . were taking a break because they
    were out of breath”); R. 121-2 p. 16 (Jackson “was breathing very hard as were both officers”).
    Officers Wilkins and Blaskie then attempted to direct Jackson into the back of Officer Alsup’s patrol
    car. In a recording from Officer Alsup’s patrol-car video, Jackson can be heard gasping and slurring
    his words, and then he said several times that he could not stand up on his own, while the officers
    coaxed and threatened him to get in the car. R. 122-4 (Alsup In Car Video, 6:42 to 8:01 min. mark).
    This conversation lasted a little over one minute while the officers put Jackson into the car.
    The officers’ comments on the recording, their testimony, and the findings of the Michigan
    State Police investigation indicate — and there is no evidence to the contrary — that neither the
    officers at the scene nor anyone else believed Jackson’s claims that he could not stand up. See R.
    121-2 p. 14 (Wilkins statement to the Michigan State Police investigator); p. 16 (Blaskie statement);
    p. 19 (Alsup’s statement that Jackson “looked no different than anyone who has fought with or ran
    from the police.”); R. 121-4 p. 30, 29:1-20 (Wilkins depo.); R. 121-3, p. 19-20, 69:21-72:21 (Blaskie
    depo.); R. 122-3 p. 21-24 (Alsup depo.); R. 136-2 p. 17, 56:21- 57:20 (Haueisen depo., expressing
    a belief that Jackson’s refusal to stand might have been a form of “passive resistence”). The
    majority, however, holds that Officer Wilkins did believe that Jackson could not stand up and that
    from that belief he drew the inference that Jackson was at risk of a life-threatening injury.
    Even assuming that Officer Wilkins did believe that Jackson could not stand up, it is at most
    possible that Officer Wilkins attributed the cause to a life-threatening injury — it is just as likely that
    Officer Wilkins attributed the cause to Jackson’s exhaustion, intoxication, hands being cuffed behind
    -24-
    No. 12-1534
    Jackson v. Wilkins, et al.
    his back, or passive resistence.3 Jackson had just crashed a car, engaged in a lengthy fight with and
    flight from the police, been manhandled and tased multiple times, and had his hands cuffed behind
    his back. During the 80 seconds that he claimed he could not stand up, he was visibly drunk and
    gasping for breath. As the district court put it: “Jackson’s difficulty in standing up and getting into
    the police vehicle would not seem extraordinary given the alley tussle and the fact that Jackson was
    handcuffed behind his back.” More to the point, I cannot agree that this fact implicates an
    underlying risk so obvious and substantial that Officer Wilkins must have known about it.
    2. Jackson moaned for help from Jesus.
    After claiming that he could not stand up, and being placed in Alsup’s car, Jackson pled to
    God and moaned for the next few minutes. R. 122-4 (Alsup In Car Video, 8:01 to 13:36 min. mark).
    Jackson:           Please, help me. Please, Lord. Please, help me, Jesus. I cannot
    stand. I cannot stand. Oh, Lord, help me. Jesus, help me. Help me,
    please. Help me. Help. Help me. Oh, Lord. Oh.
    R. 122-4 (Alsup In Car Video, 8:01 to 8:27 min. mark). Whereas Officer Wilkins characterized this
    as Jackson “just saying, ‘Oh Jesus, help me out of this’” trouble I’m in with the police, R. 121-2 p.
    14, the majority holds that Jackson’s pleas and moans “made clear that [Jackson] was in serious
    pain.” While it is certainly possible — even likely given his actual injury — that Jackson was in
    pain, I cannot agree that this pleading and moaning necessarily demonstrates that pain or, more to
    the point, necessarily renders the underlying risk unmistakably obvious and substantial.
    3
    The plaintiff submitted four expert opinions, none of which asserts that an inability to stand up is a symptom
    of a life-threatening internal injury, such as an internal liver laceration. See R. 134-5 (Dragovic Report); 135-1 (Behrens-
    Hanna Report); 135-2 (Peters Report); 135-3 (Mehlman Report). And, as it turns out, no one involved in this case ever
    drew that inference; not the other officers, the jail deputies, the jail nurse, the EMTs, or the emergency room staff.
    -25-
    No. 12-1534
    Jackson v. Wilkins, et al.
    Recall that Jackson had just finished a lengthy flight from and fight with two police officers,
    been manhandled and tased multiple times, and was drunk, captured, and in serious trouble. More
    importantly, Jackson never said: “I am injured,” “I am in pain,” “my chest/stomach/liver is injured,”
    “my chest/stomach hurts,” “I ran into a dumpster,” “I need a doctor,” “I am dying,” or anything like
    that. Although he moaned and prayed, Jackson never complained expressly about any injury or pain.
    In fact, the next time Jackson is heard to speak on the recording, he says just the opposite:
    Officer Alsup:          You feel alright?
    Jackson:                Yeah, I feel okay.
    R. 122-4, 2:55. This is consistent with the statements by and testimony of all three officers (Wilkins,
    Blaskie, and Alsup), to the effect that Jackson had no desire to go to the hospital. R. 121-2 p. 14,
    16, 19, 34; 121-4 p. 21, 20:15-18, 27:22-28:9; 122-3 p. 22, 80:16-81:8, 82:19-83:2, 88:4-25.
    The standard requires (and the majority holds) that Officer Wilkins must have subjectively
    recognized from these statements and moans that Jackson was in such pain as to put him at risk of
    a serious, life-threatening injury. But given the circumstances and the incredibly vague nature of
    Jackson’s statements, it would not have been unreasonable for Officer Wilkins to think (even
    mistakenly) that Jackson was just lamenting the trouble he was in. A reasonable person under these
    circumstances would not necessarily conclude from these few minutes of praying and moaning that
    Jackson was in such pain that he was at risk of a life-threatening internal injury. Morever, I do not
    find it reasonable to conclude that Officer Wilkins necessarily drew such an inference.
    -26-
    No. 12-1534
    Jackson v. Wilkins, et al.
    3. Jackson had a large bruise on his chest.
    Officer Wilkins testified that, while still at the scene, he noticed the bruise on Jackson’s
    chest, which he assumed had come from Jackson’s running into the dumpster or his fight with the
    officers. R. 121-4 p. 23, 22:3-7; p. 27, 26:5-22. But Officer Wilkins further testified that he thought
    that the bruise, as with Jackson’s other injuries, was merely “superficial.” R. 121-4 p. 30, 29:7-14.
    The district court said the same: “The visible injuries sustained by Jackson — scrapes and a bruise
    — were not plainly indicative of life-threatening condition.” R. 162 at p. 11 (Dist. Ct. Op.). Even
    the majority appears to discount this fact, accepting as “true” Officer Wilkins’s argument “that
    Jackson’s superficial injuries — the bruise and a few scrapes — were not serious enough to signal
    a substantial risk of harm.” If it is true, as both the majority and the district court have written, that
    the bruise was not so serious as to signal a substantial risk of a life-threatening condition, then it is
    only reasonable to conclude that it did not in fact alert Officer Wilkins to such a risk.
    4. Jackson displayed rapid physical deterioration.
    As discussed in the foregoing sections, after the officers subdued and handcuffed Jackson,
    he stopped fighting and tried to catch his breath. R. 121-2 p. 16 (“[Jackson] went to his knees [and]
    was breathing very hard . . . [so] [Officer Blaskie] let [Jackson] rest for a little bit”). But as the
    officers attempted to direct Jackson into the patrol car, Jackson was claiming that he could not stand
    up on his own or help himself into the car. This lasted at least until he was in the car.
    In their reports to the Michigan State Police investigator, none of the officers on the scene
    (Wikins, Blaskie, or Alsup) noted Jackson’s condition as remarkable. In fact, Officer Alsup said that
    Jackson “looked no different than anyone who has fought or ran from police.” R. 121-2 p. 19. At
    -27-
    No. 12-1534
    Jackson v. Wilkins, et al.
    his deposition, Officer Alsup testified that it was his decision to send Jackson to jail instead of the
    hospital, R. 122-3 p.23, 82:7-20, which he based in part on his view of Jackson’s condition:
    [Jackson] didn’t appear to be any different than any other person who’s ever ran . . .
    [t]hat’s ever ran from the police and been caught. Intoxicated. Been tased. He’s not
    the first person that’s ever defecated on their self or urinated on them self during or
    after a tasing. I’ve been tased myself and had no medical treatment. . . . Just like
    everybody else, he - - my observation of him was just like any other suspect that’s
    been taken to jail with no visible injuries.
    R. 122-3 p. 24, 88:12-23. As noted previously, the record reveals that none of the officers believed
    Jackson’s claims that he could not stand up and, a short time later, Officer Alsup asked Jackson,
    “You feel alright?”, to which Jackson responded, “Yeah, I feel okay.” R. 122-4, 2:55.
    The majority says: “Wilkins also saw Jackson’s rapid physical deterioration — in only a few
    minutes, Jackson went from someone who could run from the police and resist repeated punches,
    kicks, and electric shocks, to someone who could not walk, sit, or stand up on his own.” This
    statement assumes two things which may in fact not be true: (1) that Jackson actually could not
    walk, sit, or stand up on his own; and (2) that Officer Wilkins believed this to be true. This also
    appears to ignore the likelihood that anyone subjected to numerous punches, kicks, and taser shocks
    would exhibit rapid physical deterioration. That was the purpose of those punches, kicks, and shocks
    — to incapacitate Jackson. It also bears mention that it was during this few minutes of rapid
    transformation that the officers cuffed Jackson’s hands behind his back, disabling him further.
    Even assuming that Officer Wilkins did believe that Jackson could not actually walk, sit, or
    stand up, and accepting that one reason for this could have been Jackson’s internal injury, this is but
    one possible reason. Jackson had just fled from police and resisted arrest, crashed a car, engaged in
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    No. 12-1534
    Jackson v. Wilkins, et al.
    a lengthy fight with two police officers, been manhandled and tased multiple times, and had his
    hands cuffed behind his back. Jackson was clearly intoxicated and gasping for breath. It would not
    be unreasonable for Officer Wilkins to have attributed Jackson’s inability to stand up to his
    exhaustion, intoxication, hands being cuffed behind his back, or passive resistence. As the district
    court put it: “Jackson’s difficulty in standing up and getting into the police vehicle would not seem
    extraordinary given the alley tussle and the fact that Jackson was handcuffed behind his back.”
    5. Jackson had a violent collision with a dumpster.
    The majority points to Officer Wilkins’s knowledge of Jackson’s violent collision with the
    dumpster arm as proof that Officer Wilkins knew that Jackson was at substantial risk of a life-
    threatening injury. There is no dispute that Officer Wilkins knew of this violent collision4 — in fact,
    while still at the scene, Officers Wilkins and Blaskie determined that the deep bruise on Jackson’s
    4
    The majority attacks Officer W ilkins’s testimony that he did not actually see Jackson collide with the dumpster,
    writing that “W ilkins disputes that he actually saw Jackson’s collision with the dumpster arm,” but “W ilkins was close
    behind Blaskie” and “Blaskie admits to seeing the collision.” M aj. 
    Op., supra
    . But Officer Blaskie did not admit to
    seeing the collision. R. 121-2 p. 15. In three separate places in his deposition, Blaskie testified that he did not actually
    see Jackson run into the dumpster, R. 121-3 p. 15, 53:23-24 (“I didn’t know what exactly happened to cause [the
    backflip].”); p. 16, 55:15-19 (“unknown object”); p. 21, 74:17-20 (“Q. Did you ever see him come into contact with the
    dumpster? A. I saw him come into contact with something - - at the time that it happened, I didn’t know what it was but
    once I went back to the area where it happened, I realized what it was.”). Officer Blaskie testified that he and Officer
    W ilkins figured it out, p. 21, 76:6-8 (“After going back and looking at the area and from what I had seen during the
    incident, I concluded that he ran, as he turned the corner he ran into the, into the dumpster.”); p. 22, 78:16-21 (“At some
    point while we were at the scene we noticed bruising . . . [and] we made the conclusion that that was the part of the
    dumpster that he hit.”). Officer W ilkins testified consistently. R. 121-4 p. 27-28, 26:19-27:12 (“Q. Did you see him go
    into the dumpster? A. I saw him cut around the corner and then come back out, and then as I - - because [Jackson and
    Officer Blaskie] were a little bit further ahead of where I was at. . . . Q. . . . You said . . . you saw [Jackson] go
    backwards. . . . A. Right. And then as I come up to the corner, I saw there was a dumpster immediately there so - - . Q.
    You just put two and two together? A. Right.”). Officer W ilkins told the Michigan State Police investigator that Jackson
    ran into the dumpster, and though he did not see it himself (he was behind Officer Blaskie), he acknowledged that he was
    aware that Jackson had run into the dumpster. R. 121-2 p. 13. Officer Alsup stated that it was “very dark” in the alley
    at the location of the dumpster, R. 122-3 p. 19, 67:17-68:7, and Officer Blaskie said it was “pitch black,” R. 121-2 p.
    16. To summarize: Officer Wilkins acknowledged that he knew, while at the scene, that Jackson had a violent collision
    with the dumpster, one which left a severe bruise. The majority inaccurately portrays Officer W ilkins as untruthful as
    support for its assertion that a jury would disbelieve him. This appears to me to be unnecessary and improper.
    -29-
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    chest was most likely the result of this collision. R. 121-4 p. 27-28, 26:19-27:12. But knowing of
    the collision — no matter how violent — is far from knowing that the collision caused a life-
    threatening injury. If the collision had incapacitated Jackson, then a case could be made that Officer
    Wilkins should have known that Jackson was severely injured, but the collision did not incapacitate
    Jackson. Rather, there was no basis for Officer Wilkins to suspect that the collision had caused a
    serious injury and no evidence to show that Officer Wilkins actually thought so. Far from being an
    obvious indication of a substantial injury, Jackson made it appear “obvious” that it was not.
    After running into the dumpster and flipping over backwards, Jackson jumped up
    immediately, took off running, and then continued a relentless fight with two officers. Officers
    Blaskie and Wilkins chased him, tased him, wrestled him down, kneed him in the back and legs, hit
    and kicked him, and tased him even more, 12 times in all. Officer Wilkins told the Michigan State
    Police investigator that Jackson was “abnormally strong even with both of them fighting with him.”
    R. 121-2 p. 14. Officer Blaskie reported that Jackson was “stronger than anyone he has ever fought
    with before,” and the blows and kicks they gave Jackson “had no effect.” R. 121-4 p. 16; see also
    R. 121-3 p. 16-19, 56:25-68:16 (Blaskie depo.). They were describing Jackson’s prowess after his
    collision with the dumpster arm. At deposition, both officers testified to the following:
    Question:               All right. When, until the time you got handcuffs on Mr.
    Jackson, did he ever stop struggling?
    Officer Blaskie:        No.
    R. 121-3 p. 22-23, 81:25-82:2 (Blaskie depo.).
    Question:               Did Mr. Jackson ever stop fighting and resisting until he was
    in cuffs?
    -30-
    No. 12-1534
    Jackson v. Wilkins, et al.
    Officer Wilkins:        No.
    R. 121-4 p. 29, 28:17-19 (Wilkins depo.).
    To repeat, this running, fighting, and resisting happened after Jackson’s collision with the
    arm of the dumpster. Given these circumstances, there was no basis for Officer Wilkins — or
    anyone — to suspect that this collision had caused a serious, life-threatening injury to Jackson.
    6. Jackson was not so drunk that he could not run or fight.
    The majority rejects Officer Wilkins’s explanation that he thought Jackson’s submission and
    physical deterioration were due to his severe intoxication rather than a serious injury, on the basis
    that Jackson’s intoxication was consistent throughout. In this sense, this is just a reiteration of the
    rapid-physical-transformation claim above, which has already been discussed fully.
    In another sense, however, it bears mention that Jackson was severely intoxicated. Jackson’s
    blood alcohol content (BAC) at his autopsy was 0.17, which is presumably reflective of his BAC at
    the time of his death, and suggests that his BAC was even higher at the time of his arrest some four
    hours earlier. This is consistent with Imogene Wade’s (Jackson’s girlfriend’s) statement to the
    Michigan State Police investigator that Jackson had been “drinking throughout the day” and had
    “consumed quite a bit,” R. 121-2 p. 37, and the audio recording from Officer Alsup’s dash–cam at
    the time of the arrest, in which Jackson was badly slurring his words. R. 122-4. Unlike the majority,
    I would not find it unreasonable that the physical condition of a man with a 0.17-or-greater BAC
    would deteriorate rapidly after running from the police, fighting with two police officers, and being
    tased 12 times. I cannot conclude that Jackson’s ability to run and fight despite his intoxication is
    proof of an intervening serious injury when there were so many other intervening factors.
    -31-
    No. 12-1534
    Jackson v. Wilkins, et al.
    To summarize this part of the test, the plaintiff has not pointed to any facts to demonstrate
    that Officer Wilkins subjectively drew the inference that Jackson was at a substantial risk of a serious
    medical need. Nor do the present facts demonstrate a risk so obvious and substantial that a
    reasonable juror could conclude that Officer Wilkins must have drawn the inference. I agree with
    the district court that the plaintiff failed to allege sufficient facts to satisfy this part of the test.
    C.
    Finally, the plaintiff must allege facts which, if true, would show that the defendant
    consciously disregarded the known risk and did so with a “deliberateness tantamount to intent to
    punish.” See 
    Miller, 408 F.3d at 813
    ; 
    Comstock, 273 F.3d at 703
    (“Emphasizing the subjective
    nature of this inquiry, . . . an official’s failure to alleviate a significant risk that he should have
    perceived but did not, while no cause for commendation, cannot . . . be condemned as the infliction
    of punishment.”).5 I believe that the plaintiff has fallen far short of such a showing in this case.
    The majority identifies five (5) actions, or rather inactions, by Officer Wilkins that
    demonstrate, in its view, Officer Wilkins’s infliction of punishment on Jackson:
    5
    As the Supreme Court articulated in Farmer, a case about the risk underlying a prison official’s decision to
    house an effeminate, trans-gender male in the general population of a men’s prison:
    In . . . situations[] where the decisions of [the] officials are typically made in haste, under pressure,
    and frequently without the luxury of a second chance, an Eighth Amendment claimant must show more
    than ‘indifference,’ deliberate or otherwise. The claimant must show that officials [acted] maliciously
    and sadistically for the very purpose of causing harm, or, as the Court also put it, that officials [acted]
    with a knowing willingness that harm occur.
    
    Farmer, 511 U.S. at 835-36
    (quotation marks, editorial marks, and citations omitted).
    -32-
    No. 12-1534
    Jackson v. Wilkins, et al.
    1.        “[Officer] Wilkins allegedly allowed Jackson to lie in the back of [Officer]
    Alsup’s car for 40 minutes without trying to help him.”6
    2.        “[Officer] Wilkins did not ‘make immediate medical treatment available’ to
    Jackson.”7
    3.        “None of the officers[, including Officer Wilkins,] monitored Jackson while
    they searched the accident scene.”8
    4.        “[Officer] Wilkins also failed to tell [Officer] Alsup about Jackson’s collision
    with the dumpster arm.”9
    5.        “[Officer] Wilkins then repeated this mistake [i.e., failed to tell about the
    collision with the dumpster arm] at the Berrien County Jail.”10
    If we accept these five accusations as true and assume that Officer Wilkins did fail to fulfill
    all (or any) of these five duties, then the plaintiff has stated a colorable claim for negligence. Of
    course, as has been oft repeated here and elsewhere, deliberate indifference requires more than mere
    6
    It is interesting that the plaintiff did not investigate or raise this particular claim in the district court. Plaintiff’s
    counsel deposed Officers W ilkins, Blaskie, and Alsup (as well as the chief of police, several jail deputies, and the jail
    nurse), but never questioned any of them as to why Jackson was left in the back of Officer Alsup’s patrol car for 40
    minutes. In fact, not only did plaintiff’s counsel never ask why they waited 40 minutes, the general topic of Jackson’s
    waiting (even the 25-30 minutes that Officer W ilkins estimated) at the scene was never raised. Rather, plaintiff’s counsel
    questioned why Officer W ilkins transported Jackson to the jail rather than to the hospital. Officer W ilkins answered that
    question four times during his deposition, explaining that he took Jackson to jail at the instruction of Officer Alsup, his
    shift supervisor and the officer in command. R. 121-4 p.21, 20:7-12; p.22, 21:20-22:2; p.25, 24:10-14. Officer Alsup
    also testified that it was his on-scene decision to send Jackson to jail rather than to the hospital. R. 122-3 p. 23, 82:7-20.
    7
    See note 
    6, supra
    . Officers W ilkins and Alsup both testified that it was Officer Alsup’s decision to send
    Jackson to jail rather than the hospital. R. 121-4 p.21, 20:7-12; p.22, 21:20-22:2; p.25, 24:10-14; R. 122-3 p. 23, 82:7-20.
    8
    This is simply contrary to the evidence in the record. All three officers (W ilkins, Blaskie, and Alsup) told the
    Michigan State Police investigator that they did, in fact, monitor Jackson. Officer W ilkins told the investigator, “yes,
    [Jackson] was checked on several times and each time he was sitting in a different position.” R. 121-2 p. 14-15. Officer
    Blaskie told the investigator the same. R. 121-2 p. 16. Officer Alsup told the investigator that he “looked in on” Jackson
    and at one point helped Jackson reposition himself. R. 121-2 p. 19. Only Officer W ilkins touched on this topic at his
    deposition, in which he said that he and Alsup were outside the car talking with Jackson. R. 121-4, 23:9-15.
    9
    Note that Jackson himself also failed to tell Officer Alsup about his collision with the dumpster arm, even
    though Jackson was conversant and actually conversing with Officer Alsup.
    10
    Note that Jackson also failed to tell anyone at the Berrien County Jail about his collision with the dumpster
    arm, even though Jackson was conversant upon arrival and placement in the cell.
    -33-
    No. 12-1534
    Jackson v. Wilkins, et al.
    negligence. See 
    Comstock, 273 F.3d at 707
    (“an inadvertent failure to provide adequate medical care
    . . . would entitle [the officer] to qualified immunity”); Smith v. County of Lenawee, No. 11-1523,
    
    2012 WL 5861811
    , *5 (6th Cir. Nov. 20, 2012) (“deliberate indifference is not mere negligence”);
    Watkins v. City of Battle Creek, 
    273 F.3d 682
    , 686 (6th Cir. 2001) (same); 
    Miller, 408 F.3d at 813
    .
    Unless the plaintiff can point to some more egregious conduct by Officer Wilkins or evidence
    of Officer Wilkins’s actual motive with regard to his actions, I cannot conclude that Officer Wilkins
    acted with the requisite mental state necessary to show that he was deliberately indifferent. Qualified
    immunity protects Officer Wilkins against such mere negligence claims. See, e.g, Williams v.
    Sandel, 433 F. App’x 353, 363 (6th Cir. 2011). It should do so here.
    III.
    In summary, I would affirm the district court’s orders granting qualified immunity to all of
    the defendants in this case, including Officer Wilkins. Because I cannot agree with the majority’s
    findings or analysis concerning Officer Wilkins, I respectfully dissent from Section II.B.1 of the
    majority’s decision. I otherwise concur in the majority’s judgment.
    -34-