Earnest D. Shields v. Illinois Department of Correct , 746 F.3d 782 ( 2014 )


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  •                                In the
    United States Court of Appeals
    For the Seventh Circuit
    Nos. 12-2746 and 13-1143
    EARNEST SHIELDS,
    Plaintiff-Appellant,
    v.
    ILLINOIS DEPARTMENT OF
    CORRECTIONS, et al.,
    Defendants-Appellees.
    Appeals from the United States District Court for the
    Northern District of Illinois, Eastern Division.
    No. 10-cv-3746 — Ronald A. Guzman, Judge.
    SUBMITTED SEPTEMBER 24, 2013 — DECIDED MARCH 12, 2014
    Before POSNER, TINDER, and HAMILTON, Circuit Judges.
    HAMILTON, Circuit Judge. Earnest Shields was an Illinois
    prisoner in 2008 when he was lifting weights and ruptured the
    pectoralis tendon in his left shoulder. Although he received
    some medical attention for the injury, he did not receive the
    prompt surgery needed for effective treatment. Instead,
    through a series of oversights and delays by various people
    responsible for his medical care, too much time passed for
    surgery to do any good. Shields now suffers from a serious and
    2                                    Nos. 12-2746 and 13-1143
    permanent impairment that could have been avoided. So we
    must assume, in any event, as we review the grant of summary
    judgment against Shields on his claims arising from the official
    response to his injury.
    After his release from prison, Shields filed suit against
    numerous defendants under 
    42 U.S.C. § 1983
    . He alleges that
    all defendants were deliberately indifferent to his serious
    medical needs and thus violated his rights under the Eighth
    Amendment to the Constitution. On appeal, Shields is
    pursuing claims against two groups of defendants.
    The first group consists of Wexford Health Sources, Inc., a
    private company that provides medical care to Illinois
    prisoners under contract with the Illinois Department of
    Corrections, and four doctors who worked for Wexford and
    were directly involved in treating or failing to treat Shields.
    The second group consists of two doctors employed by the
    Southern Illinois University School of Medicine who examined
    Shields and recommended physical therapy rather than
    surgery. Shields contends these SIU defendants violated the
    Eighth Amendment and committed medical malpractice under
    state law.
    The district court granted summary judgment for
    defendants on all of Shields’ constitutional claims and then
    declined to exercise supplemental jurisdiction over the medical
    malpractice claims against the SIU doctors. After judgment
    was entered, Shields filed a motion for relief under Federal
    Rule of Civil Procedure 60 asking to amend his complaint to
    include state-law medical malpractice claims against Wexford
    and the doctors it employed. The district court denied the
    Nos. 12-2746 and 13-1143                                                    3
    motion. Shields appeals both the grant of summary judgment
    on his constitutional claims and the denial of his post-
    judgment motion to amend.1
    This case illustrates the often arbitrary gaps in the legal
    remedies under § 1983 for violations of federal constitutional
    rights. Viewing the evidence through the lens of summary
    judgment, we can and must assume that Shields is the victim
    of serious institutional neglect of, and perhaps deliberate
    indifference to, his serious medical needs. The problem he
    faces is that the remedial system that has been built upon
    § 1983 by case law focuses primarily on individual
    responsibility. Under controlling law, as a practical matter,
    Shields must come forward with evidence that one or more
    specific human beings acted with deliberate indifference
    toward his medical needs.
    Shields has not been able to do so. The Illinois Department
    of Corrections and its medical services contractor, Wexford,
    diffused responsibility for Shields’ medical care so widely that
    Shields has been unable to identify a particular person who
    was responsible for seeing that he was treated in a timely and
    appropriate way. Several of the individual defendants
    employed by Wexford were aware of portions of Shields’
    1
    Shields also sued the Illinois Department of Corrections and two wardens
    of prisons where he was housed. The state agency itself is not subject to a
    suit for damages under § 1983, see Will v. Michigan Dep’t of State Police, 
    491 U.S. 58
     (1989), and the wardens did not have direct responsibility for
    Shields’ medical care. The district court dismissed the claims against these
    non-medical defendants, and Shields does not challenge those dismissals
    on appeal.
    4                                     Nos. 12-2746 and 13-1143
    course of treatment, but no one person was responsible for
    ensuring that Shields received the medical attention he needed.
    No one doctor knew enough that a jury could find that he both
    appreciated and consciously disregarded Shields’ need for
    prompt surgery.
    The problem Shields faces also raises a serious question
    about how we should evaluate the responsibility of a private
    corporation like Wexford for violations of constitutional rights.
    The question is whether a private corporation should be able
    to take advantage of the holding of Monell v. Department of
    Social Services, 
    436 U.S. 658
     (1978), which requires a plaintiff
    suing a local government under § 1983 to show that the
    violation of his constitutional rights was caused by a
    government policy, practice, or custom. Our prior cases hold,
    but without persuasive explanations, that the Monell standard
    extends from local governments to private corporations. As we
    explain below, however, that conclusion is not self-evident. We
    may need to reconsider it if and when we are asked to do so.
    As state and local governments expand the privatization of
    government functions, the importance of the question is
    growing.
    Given the state of the controlling law, though, we must
    ultimately affirm the summary judgment for all defendants on
    the constitutional claims. Shields is also barred from appealing
    the denial of his post-judgment motion to amend his complaint
    because his appeal from that denial was untimely.
    Nos. 12-2746 and 13-1143                                       5
    I. Facts for Purposes of Summary Judgment
    We review de novo the grant of summary judgment,
    construing all facts in the light most favorable to the non-
    moving party. Greeno v. Daley, 
    414 F.3d 645
    , 652 (7th Cir. 2005).
    Summary judgment is appropriate when there is no dispute of
    material fact and the moving party is entitled to judgment as
    a matter of law. 
    Id.
     Because we are reviewing a grant of
    summary judgment, we must give Shields as the non-moving
    party the benefit of conflicts in the evidence and any
    reasonable inferences from the evidence. Anderson v. Liberty
    Lobby, Inc., 
    477 U.S. 242
    , 250–51 (1986); Williams v. City of
    Chicago, 
    733 F.3d 749
    , 755 (7th Cir. 2013). Our account of the
    facts therefore is not necessarily accurate in an objective sense
    but reflects the evidence through the lens of summary
    judgment.
    In 2008, plaintiff Earnest Shields was a prisoner at Hill
    Correctional Center in Galesburg, Illinois. He was transferred
    to the Stateville Correctional Center in Romeoville, Illinois, in
    January 2009. Inmates at both Hill and Stateville receive their
    medical care from Wexford, a company that contracted with
    the Illinois Department of Corrections to provide medical care
    to inmates. Defendants Arthur Funk, Robert Migliorino,
    Richard Shute, and Ronald Schaefer are all physicians who
    were employed by Wexford and had some involvement in
    treating Shields. Dr. Funk was the regional medical director in
    charge of overseeing medical care at Hill. Dr. Migliorino was
    the medical director for Hill until October 7, 2008. After Dr.
    Migliorino left Hill, the medical director position rotated
    among several doctors, including Dr. Schaefer. Dr. Shute was
    6                                   Nos. 12-2746 and 13-1143
    employed by Wexford as a traveling physician serving several
    prisons.
    Southern Illinois University School of Medicine (“SIU”) is
    part of a state university with main campuses in Carbondale
    and Springfield. SIU employed defendant Dr. David Olysav.
    Dr. John Froelich also worked at SIU as a resident.
    On June 16, 2008, Shields injured his shoulder while lifting
    weights at Hill. Dr. Migliorino examined Shields that same
    day, diagnosed a possible dislocated shoulder, and had him
    sent to a hospital emergency room where an MRI was taken.
    The MRI seemed to show a partial tear of the supraspinatus
    tendon in Shields’ left shoulder. Dr. Migliorino recommended
    that Shields be seen by an orthopaedic surgeon. As required by
    Wexford procedure, Dr. Migliorino conducted a “collegial
    review” with Dr. Funk to obtain approval for his
    recommendation. Collegial reviews frequently took place over
    the telephone, and Dr. Funk did not review patients’ charts as
    part of the collegial review.
    Dr. Funk approved Dr. Migliorino’s referral
    recommendation, and Shields was seen by Dr. Schierer, an
    orthopaedic surgeon who is not a defendant. Dr. Schierer
    diagnosed a different problem, a ruptured left pectoralis
    tendon. He recommended that Shields see a shoulder specialist
    for surgery. Dr. Migliorino then secured Dr. Funk’s approval
    through collegial review to have Shields see Dr. Clark, a
    shoulder specialist who is also not a defendant. Dr. Clark
    confirmed Dr. Schierer’s diagnosis but said he did not feel
    comfortable performing the surgery himself. Dr. Clark
    recommended that Shields see Dr. Gibbons, another shoulder
    Nos. 12-2746 and 13-1143                                         7
    specialist who is not a defendant, for the surgery. Dr.
    Migliorino seconded Dr. Clark’s recommendation and
    obtained Dr. Funk’s approval via collegial review. Shields was
    scheduled to visit Dr. Gibbons, but before the visit took place,
    Dr. Gibbons notified Hill that he, too, would not feel
    comfortable performing the necessary surgery. Dr. Clark
    recommended finding another shoulder specialist to perform
    it. By this time, almost two months had passed since Shields’
    injury.
    At this point, a critical error occurred. The regional director
    responsible for Hill (Dr. Funk) and Hill’s medical director (Dr.
    Migliorino) did not select specific doctors for referrals. When
    a referral was authorized, staff in Hill’s Medical Records
    department selected the specific doctor for the referral from a
    list of local specialists that they maintained. When Dr.
    Migliorino and Dr. Funk referred Shields to a shoulder
    specialist for the third time, Hill’s list did not contain any more
    shoulder specialists. Hill staff therefore contacted Wexford
    staff to find an out-of-area shoulder specialist to examine
    Shields. Wexford staff consulted their list of out-of-area
    shoulder specialists, drew the name of SIU’s Dr. Olysav from
    the list, and provided it to Hill. Dr. Olysav is a board-certified
    orthopaedic surgeon, but he is not a shoulder specialist. For the
    present we must assume he was included on Wexford’s list by
    mistake. No one detected the error, and Shields was sent to SIU
    for evaluation by Dr. Olysav and Dr. Froelich.
    After Dr. Froelich conducted a physical examination and
    took Shields’ medical history, Dr. Olysav examined Shields.
    Dr. Olysav’s treatment recommendation differed dramatically.
    All the specialists who had examined Shields up to that point
    8                                    Nos. 12-2746 and 13-1143
    had recommended surgery to repair the torn tendon. Dr.
    Olysav, however, recommended only physical therapy. He did
    not recommend that a follow-up visit take place, nor did he
    indicate whether or under what conditions any further
    treatment might be needed. Dr. Funk and Dr. Migliorino
    approved Dr. Olysav’s recommendation. They also did not
    double-check Dr. Olysav’s credentials before approving his
    recommendation, missing an opportunity to discover that
    Olysav was not in fact a shoulder specialist.
    On August 27, 2008, the day after being prescribed physical
    therapy, Shields filed a formal grievance because he was not
    receiving the surgery that several doctors had told him he
    needed. The Hill employee who reviewed Shields’ grievance
    spoke with a health care unit administrator, learned that the
    last “specialist” to examine Shields had prescribed physical
    therapy rather than surgery, and denied the grievance on that
    basis. She, too, did not double-check Dr. Olysav’s credentials.
    A designee of Hill’s warden approved the denial based solely
    on the grievance and the response. He did not examine any
    other documents or conduct any independent investigation
    into the counselor’s conclusions.
    Shields did not begin physical therapy at Hill until October
    2008. He was not able to complete the therapy. The physical
    therapist wrote on Shields’ chart that he was in too much pain
    to continue. The therapist suggested evaluation by an
    orthopaedist if such an evaluation had not already taken place.
    Despite the therapist’s notes, no follow-up examination was
    conducted and no further treatment was scheduled. (Dr.
    Migliorino left Hill while Shields’ therapy was in progress.) In
    fact, there is no indication that anyone checked whether
    Nos. 12-2746 and 13-1143                                       9
    Shields’ therapy had resolved his injury, or even read the
    therapist’s note indicating that the physical therapy had not
    been successful.
    A couple of months later, Dr. Schaefer, a Wexford traveling
    physician filling in for the departed Dr. Migliorino, was asked
    to lift the medical hold that had been placed on Shields. (A
    medical hold prevents a prisoner from being moved to a
    different prison during medical treatment, to ensure continuity
    of care.) Dr. Schaefer reviewed Shields’ chart, asked Wexford
    staff if further treatment was planned, was told no, and
    accordingly lifted the medical hold on December 17, 2008. He
    made this decision without examining Shields.
    Shields was transferred to Stateville in January 2009. After
    visiting the Stateville health care unit several times in April
    and May complaining of shoulder pain, Shields was referred
    to a shoulder specialist at the University of Illinois—Chicago.
    That doctor confirmed in July 2009 that his left pectoralis
    tendon had been ruptured. Unfortunately for Shields, though,
    too much time had passed for surgery to be effective. The
    result is that Shields’ left shoulder is permanently atrophied.
    His chest has sunk in around the left pectoralis tear, and he
    will never regain anything resembling full function in his left
    arm. We must assume that these permanent injuries would
    have been prevented by timely surgery. Surgery is the
    standard treatment for a pectoralis tear and typically results in
    a favorable outcome—but only if it is done promptly.
    10                                     Nos. 12-2746 and 13-1143
    II. Analysis
    A. Eighth Amendment
    Shields alleges that Wexford and Drs. Funk, Migliorino,
    Shute, and Schaefer (“the Wexford defendants”), and SIU and
    Drs. Olysav and Froelich (“the SIU defendants”) were
    deliberately indifferent to his serious medical needs in
    violation of the Eighth Amendment and actionable under
    § 1983. We address each group of defendants in turn.
    1. The Wexford Defendants
    Shields argues that Wexford and the doctors it employed
    were deliberately indifferent to his medical needs, in violation
    of the Eighth Amendment’s prohibition on cruel and unusual
    punishment. He also argues that Drs. Funk, Migliorino, Shute,
    and Schaefer, in their individual capacities and as Wexford
    employees, were deliberately indifferent to those needs.
    a. Wexford Health Sources, Inc.
    We consider first the claim against the Wexford corporation
    itself. The question posed here is how § 1983 should be applied
    to a private corporation that has contracted to provide essential
    government services—in this case, health care for prisoners.
    The answer under controlling precedents of this court is clear.
    Such a private corporation cannot be held liable under § 1983
    unless the constitutional violation was caused by an
    unconstitutional policy or custom of the corporation itself.
    Respondeat superior liability does not apply to private
    corporations under § 1983. E.g., Iskander v. Village of Forest Park,
    
    690 F.2d 126
    , 128 (7th Cir. 1982). Because Shields has no
    Nos. 12-2746 and 13-1143                                         11
    evidence of an unconstitutional policy or custom of Wexford
    itself, these precedents doom his claim against the corporation.
    For reasons we explain below, however, Iskander and our
    cases following it on this point deserve fresh consideration,
    though it would take a decision by this court sitting en banc or
    pursuant to Circuit Rule 40(e), or a decision by the Supreme
    Court to overrule those decisions. We start with the
    background of § 1983 and the Supreme Court cases relevant to
    the issue, then turn to circuit court decisions, and finally
    discuss reasons to question those circuit decisions and adopt
    a different approach for private corporations.
    The law now codified as 
    42 U.S.C. § 1983
     was enacted as
    part of the Civil Rights Act of 1871, also known as the Ku Klux
    Klan Act, to provide a private right of action against persons
    acting under color of state law who violated constitutional
    rights. See 
    17 Stat. 13
    , § 1. The statute provides in relevant part:
    “Every person who, under color of any statute, ordinance,
    regulation, custom, or usage, of any State or Territory or the
    District of Columbia, subjects, or causes to be subjected, any
    citizen of the United States or other person within the
    jurisdiction thereof to the deprivation of any rights, privileges,
    or immunities secured by the Constitution and laws, shall be
    liable to the party injured in an action at law, suit in equity, or
    other proper proceeding for redress … .” The 42nd Congress
    enacted the law as part of a series of steps to protect freed
    slaves and their supporters from abuses of local and state
    government power in the Reconstruction era.
    The statute was not used often until the Supreme Court
    held in Monroe v. Pape, 
    365 U.S. 167
    , 183 (1961), that § 1983
    12                                    Nos. 12-2746 and 13-1143
    could provide a federal remedy for constitutional violations
    even if the defendant’s action also violated state law and even
    if a state remedy was available. After Monroe, § 1983 became
    the most important vehicle for enforcing federal constitutional
    rights against state and local governments and their agents.
    Monroe also held, however, that a local government was not a
    “person” that could be sued under § 1983. 
    365 U.S. at
    187–92.
    Most defendants under § 1983 are public employees, but
    private companies and their employees can also act under
    color of state law and thus can be sued under § 1983. E.g.,
    Wyatt v. Cole, 
    504 U.S. 158
    , 161–62 (1992); Lugar v. Edmondson
    Oil Co., Inc., 
    457 U.S. 922
    , 937 (1982). In a case involving a
    private company, the Supreme Court took for granted that the
    corporate defendant would be liable under § 1983 for a
    constitutional tort committed by its employee. In Adickes v. S.H.
    Kress & Co., 
    398 U.S. 144
     (1970), a woman sued both a police
    officer and a private corporation under § 1983 for race
    discrimination. The plaintiff was a white teacher who had
    entered a restaurant in Mississippi with several African
    American students. She had been refused service and was then
    arrested when she left the restaurant.
    The Supreme Court reversed summary judgment for the
    restaurant and explained that the plaintiff could recover from
    the restaurant if she could prove “that a Kress employee, in the
    course of employment, and a Hattiesburg policeman somehow
    reached an understanding to deny Miss Adickes service in the
    Kress store, or to cause her subsequent arrest because she was
    a white person in the company of Negroes.” 
    398 U.S. at 152
    . In
    other words, the Court indicated that a private corporation
    could be held liable under § 1983 on a theory of respondeat
    Nos. 12-2746 and 13-1143                                        13
    superior liability. Interestingly, Adickes was decided at a time
    when a municipal government could not be held liable at all
    under § 1983.
    For present purposes, the next pivotal decision was Monell
    v. Department of Social Services, 
    436 U.S. 658
     (1978). Monell first
    overruled Monroe in part and held that a local government
    could be sued as a person under § 1983. Id. at 690. The Court
    then considered the issue of respondeat superior liability under
    § 1983, and held that “respondeat superior is not a basis for
    rendering municipalities liable under § 1983 for the
    constitutional torts of their employees.” Id. at 663 n.7. The
    Court held instead that a local government could be held liable
    under § 1983 only if the government’s own policy or custom
    had caused the violation. Id. at 694.
    In a number of decisions since Monell, our court has applied
    the Monell standard to private corporations. We said it first in
    Iskander: “Moreover, just as a municipal corporation is not
    vicariously liable upon a theory of respondeat superior for the
    constitutional torts of its employees, [Monell, 
    436 U.S. at 694
    ],
    a private corporation is not vicariously liable under § 1983 for
    its employees’ deprivations of others’ civil rights.” 
    690 F.2d at 128
    ; see also Gayton v. McCoy, 
    593 F.3d 610
    , 622 (7th Cir. 2010);
    Rodriguez v. Plymouth Ambulance Service, 
    577 F.3d 816
    , 822 (7th
    Cir. 2009); Woodward v. Correctional Medical Services of Illinois,
    Inc., 
    368 F.3d 917
    , 927 (7th Cir. 2004). All other circuits that
    14                                             Nos. 12-2746 and 13-1143
    have addressed the issue have reached the same conclusion,
    extending the Monell standard to private corporations.2
    Such a unified phalanx of decisions from our own and
    other circuits is entitled to considerable respect. Upon closer
    examination, however, there are substantial grounds to
    question the extension of the Monell holding for municipalities
    to private corporations.
    A close look at the reasoning of Monell provides no
    persuasive reason to extend its holding to private corporations.
    Monell gave two reasons for barring respondeat superior liability
    for municipalities under § 1983. First, the Court focused on the
    language of § 1983, which imposes liability on a person who
    “shall subject, or cause to be subjected,” any person to a
    deprivation of Constitutional rights:
    The italicized language [of causation] plainly
    imposes liability on a government that, under
    color of some official policy, “causes” an
    employee to violate another’s constitutional
    rights. At the same time, that language cannot be
    easily read to impose liability vicariously on
    2
    See Iskander, 
    690 F.2d at 128
    ; Rojas v. Alexander’s Dept. Store, Inc., 
    924 F.2d 406
    , 408–09 (2d Cir. 1990); Powell v. Shopco Laurel Co., 
    678 F.2d 504
    , 506 (4th
    Cir. 1982); Street v. Corrections Corp. of America, 
    102 F.3d 810
    , 818 (6th Cir.
    1996); Lux v. Hansen, 
    886 F.2d 1064
    , 1067 (8th Cir. 1989); Tsao v. Desert Palace,
    Inc., 
    698 F.3d 1128
    , 1139 (9th Cir. 2012); DeVargas v. Mason & Hanger-Silas
    Mason Co., 
    844 F.2d 714
    , 723 (10th Cir. 1988); Harvey v. Harvey, 
    949 F.2d 1127
    ,
    1129–30 (11th Cir. 1992). See also Lyons v. National Car Rental Systems, Inc.,
    
    30 F.3d 240
    , 246 (1st Cir. 1994); Defreitas v. Montgomery County Corr. Facility,
    
    525 Fed. Appx. 170
    , 176 (3d Cir. 2013).
    Nos. 12-2746 and 13-1143                                        15
    governing bodies solely on the basis of the
    existence of an employer-employee relationship
    with a tortfeasor. Indeed, the fact that Congress
    did specifically provide that A’s tort became B’s
    liability if B “caused” A to subject another to a
    tort suggests that Congress did not intend § 1983
    liability to attach where such causation was
    absent.
    
    436 U.S. at 692
    .
    Second, the Court concluded that the legislative history of
    the Civil Rights Act of 1871 showed that Congress did not
    intend to impose respondeat superior liability on municipalities.
    
    Id. at 693
    . The Court focused on a rejected proposal known as
    the Sherman Amendment. Directed at Ku Klux Klan activity in
    the Reconstruction-era South, the amendment would have held
    a municipality liable for the torts of private citizens not under
    the municipality’s control, and thus would have imposed in
    essence a generalized duty to keep the peace. See 
    436 U.S. at
    692–94 & n.57. The amendment was rejected largely due to
    concerns about its constitutionality. See 
    id.
     at 678–79. The
    Monell Court seems to have concluded that if the 1871
    Congress rejected the Sherman Amendment on constitutional
    grounds, then it similarly would have thought that respondeat
    superior liability for municipalities was unconstitutional, so
    respondeat superior liability for municipalities must be implicitly
    barred under § 1983. See id. at 693. While the Court’s
    discussion is opaque, it was clearly focused on municipalities
    and did not consider private corporations, such as in Adickes v.
    Kress.
    16                                    Nos. 12-2746 and 13-1143
    The rejection of respondeat superior liability for
    municipalities in Monell has been the subject of extensive
    analysis and criticism. See Board of County Com’rs v. Brown, 
    520 U.S. 397
    , 430–37 (1997) (Breyer, J., dissenting) (calling for
    reconsideration of Monell rejection of respondeat superior
    liability); City of Oklahoma City v. Tuttle, 
    471 U.S. 808
    , 834–44
    (1985) (Stevens, J., dissenting) (same); see also, e.g., Jack M.
    Beermann, Municipal Responsibility for Constitutional Torts,
    
    48 DePaul L. Rev. 627
     (1999); Peter H. Schuck, Municipal
    Liability Under Section 1983: Some Lessons from Tort Law and
    Organization Theory, 
    77 Geo. L.J. 1753
     (1989); Larry Kramer
    and Alan O. Sykes, Municipal Liability Under Section 1983: A
    Legal and Economic Analysis, 1987 S. Ct. Rev. 249 (1987);
    Susanah M. Mead, 
    42 U.S.C. § 1983
     Municipal Liability: The
    Monell Sketch Becomes a Distorted Picture, 
    65 N.C. L. Rev. 517
    (1987); Karen M. Blum, From Monroe to Monell: Defining the
    Scope of Municipal Liability in Federal Courts, 51 Temple L.Q.
    409 (1978). (A reader of these critiques will find citations to
    many more.) These commentators have pointed out many
    critical problems with Monell’s conclusion that respondeat
    superior claims against municipalities are not permitted under
    § 1983.
    Perhaps the most important criticism to emerge from this
    literature is that Monell failed to grapple with the fact that
    respondeat superior liability for employers was a settled feature
    of American law that was familiar to Congress in 1871, when
    § 1983 was enacted. Congress therefore enacted § 1983 against
    the backdrop of respondeat superior liability, and presumably
    assumed that courts would apply it in claims against
    corporations under § 1983. Cf. Smith v. Wade, 
    461 U.S. 30
    , 38–45
    Nos. 12-2746 and 13-1143                                       17
    (1983) (considering common law in 1871 to decide standard for
    punitive damages under § 1983); Carey v. Piphus, 
    435 U.S. 247
    ,
    257–59 (1978) (considering common law in 1871 to decide that
    actual injury is needed to recover compensatory damages
    under § 1983); see generally Jack M. Beermann, A Critical
    Approach to Section 1983 With Special Attention to Sources of
    Law, 42 Stanford L. Rev. 51, 66–73 (1989).
    The Court’s reliance on the Sherman Amendment is also
    problematic. The rejection of the proposal to hold
    municipalities liable for actions of private citizens it could not
    control says little about whether a municipality should be held
    liable for constitutional torts committed by its own employees
    acting within the scope of their employment. (More about this
    below, when we discuss reasons not to extend the Monell
    holding to private corporations.) Finally, the Court gave only
    cursory and tentative treatment to the strongest foundation for
    respondeat superior liability: an employer should be held
    responsible for the torts of employees whose actions it can
    control and from whose actions it profits. See 
    436 U.S. at
    694 &
    n.58.
    Given these flaws on the surface of its reasoning, Monell is
    probably best understood as simply having crafted a
    compromise rule that protected the budgets of local
    governments from automatic liability for their employees’
    wrongs, driven by a concern about public budgets and the
    potential extent of taxpayer liability.
    Of course, the critiques of Monell’s rejection of respondeat
    superior liability for municipalities have not yet persuaded the
    Supreme Court to reconsider that rule. Given our position in
    18                                      Nos. 12-2746 and 13-1143
    the judicial hierarchy, then, we are bound to follow Monell as
    far as municipal liability is concerned. We need not extend that
    holding, however, to the quite different context of private
    corporate defendants.
    As noted, respondeat superior liability, which makes
    employers liable for their employees’ actions within the scope
    of their employment, is an old and well-settled feature of
    American law. See, e.g., Restatement (3d) of Agency §2.04
    (2006); Kerl v. Dennis Rasmussen, Inc., 
    682 N.W.2d 328
    , 334 (Wis.
    2004) (Sykes, J.) (respondeat superior “has been well-settled in
    the law of agency for perhaps as long as 250 years.”); Sword v.
    NKC Hospitals, Inc., 
    714 N.E.2d 142
    , 147–48 (Ind. 1999); Adames
    v. Sheahan, 
    909 N.E.2d 742
    , 754–55 (Ill. 2009). It is often justified
    through a deterrence theory. E.g., Kerl, 682 N.W.2d at 336.
    Employers are less likely than employees to be judgment-proof
    and thus are more likely to be deterred by potential liability. Id.
    Plus, while potential liability for a single tort may not be
    enough to cause an employee to take more care, the specter of
    massive aggregate liability might spur the employer to take
    precautions. Employers are in the better position to take cost-
    effective measures to avoid causing injury and can absorb the
    costs of those precautions more easily than their individual
    employees. Id. All of this suggests that making employers
    liable for their employees’ torts may result in less tortious
    behavior overall. We should not insulate employers from
    respondeat superior liability under § 1983 without powerful
    reasons to do so.
    The text of § 1983 does not foreclose respondeat superior
    liability for corporations. “Cause” has many legal meanings,
    but it generally refers to proximate causation, which is
    Nos. 12-2746 and 13-1143                                       19
    something broader than immediate, direct causation. See
    National Union Fire Ins. Co. v. Mead Johnson & Co., LLC, 
    735 F.3d 539
    , 547 (7th Cir. 2013); United States v. Laraneta, 
    700 F.3d 983
    ,
    990 (7th Cir. 2012). The requirement of causation certainly does
    not generally preclude respondeat superior liability for a given
    tort. See Dobbs’ Law of Torts § 425 (2d ed); Kerl, 682 N.W.2d at
    334; Sword, 714 N.E.2d at 147–48; Adames, 
    909 N.E.2d at
    754–55.
    The causation requirement affects whether an individual
    employee can be found liable for a wrong in the first place, not
    whether his or her wrong can be imputed to the employer
    under respondeat superior. Courts routinely applying respondeat
    superior liability to corporations do not ask whether the
    corporation “caused” the wrong by its employee. They ask
    instead only whether the employee was acting within the scope
    of employment.
    The Monell Court’s interpretation of the legislative history
    of the Civil Rights Act of 1871 similarly does not indicate that
    Congress rejected the idea of respondeat superior liability for
    corporations. The rejected Sherman Amendment, which the
    Monell Court relied on to reject respondeat superior liability for
    municipalities, would have made a “county, city, or parish”
    vicariously liable for acts of violence committed by private
    citizens. Monell, 
    436 U.S. at 667
    . The amendment was designed
    to make municipalities vicariously liable for violence and
    property damage inflicted by the Ku Klux Klan, regardless of
    whether the municipality knew of the Klan’s planned activity
    in advance or had the power to stop it. 
    Id.
     at 667–68. That
    proposition simply is not analogous to imposing liability on
    private corporations for the tortious behavior of their own
    employees acting within the scope of employment. Nothing in
    20                                    Nos. 12-2746 and 13-1143
    the Monell treatment of the legislative history bars respondeat
    superior liability for corporations.
    Other Supreme Court decisions also do not require the
    extension of Monell to this new context. Monell itself said
    nothing about whether its new “policy or custom” standard
    would apply to private companies sued under § 1983. Nor did
    Monell even mention Adickes’ almost reflexive application of
    respondeat superior liability to a private company under § 1983.
    Adickes remains good law, see Lugar, 
    457 U.S. at
    930–31
    (quoting Adickes’ discussion of private liability under § 1983 at
    length and with approval), so current Supreme Court
    precedent seems to support rather than reject respondeat
    superior liability for private corporations under § 1983. Further,
    since Monell, the Supreme Court has never held that a private
    corporation may take advantage of the Monell standard that
    applies to local governments. That suggests that we should
    treat a private corporation like any other “person” who causes
    a constitutional violation and that respondeat superior liability
    should apply.
    Moreover, in the related context of qualified immunity
    under § 1983, the Court has distinguished between employees
    of municipalities and employees of private corporations. In
    both Richardson v. McKnight, 
    521 U.S. 399
    , 412 (1997), and Wyatt
    v. Cole, 
    504 U.S. 158
    , 167–68 (1992), the Supreme Court based
    its conclusion on grounds of both history and policy, focusing
    on differences between private actors and governments.
    Despite a long history of private corporations performing state
    functions, there is no tradition of providing immunity to their
    employees. Richardson, 
    521 U.S. at 405
    . Further, unlike
    municipalities, private corporations are subject to market
    Nos. 12-2746 and 13-1143                                                      21
    pressures, which provide a set of incentives entirely different
    from those imposed by the democratic process. 
    Id.
     at 409–11.
    The conditions under which private corporations compete and
    provide government services are thus materially different from
    those affecting municipalities. 
    Id.
     Due to these differences,
    private prison employees are barred from asserting qualified
    immunity from suit under § 1983. Id. at 412.
    The Court’s reasoning in Richardson and Wyatt suggests that
    we should not foreclose respondeat superior liability against
    private corporations under § 1983. Private prison employees
    and prison medical providers have frequent opportunities,
    through their positions, to violate inmates’ constitutional
    rights.3 It is also generally cheaper to provide sub-standard
    care than it is to provide adequate care. Private prisons and
    prison medical providers are subject to market pressures. Their
    employees have financial incentives to save money at the
    expense of inmates’ well-being and constitutional rights. The
    unavailability of qualified immunity for these employees is a
    deterrent against such conduct, but respondeat superior liability
    for the employer itself is likely to be more effective at deterring
    such actions. Insulating private corporations from respondeat
    superior liability significantly reduces their incentives to control
    their employees’ tortious behavior and to ensure respect for
    3
    Although Richardson involved a private prison, some circuits (including
    our own) have applied Richardson to private medical providers, holding that
    they are similarly barred from asserting immunity under § 1983. See, e.g.,
    Currie v. Chhabra, 
    728 F.3d 626
    , 631–32 (7th Cir. 2013) (affirming denial of
    qualified immunity for private health care providers for jail); McCullum v.
    Tepe, 
    693 F.3d 696
     (6th Cir. 2012); Jensen v. Lane County, 
    222 F.3d 570
     (9th Cir.
    2000); Hinson v. Edmond, 
    192 F.3d 1342
     (11th Cir. 1999).
    22                                     Nos. 12-2746 and 13-1143
    prisoners’ rights. The results of the current legal approach are
    increased profits for the corporation and substandard services
    both for prisoners and the public.
    So the Supreme Court has not directly said whether Monell
    applies to private corporations, and there are powerful reasons
    to say no. Yet we and all other circuits that have considered the
    question have said yes. Why? It’s not easy to say. Our opinion
    in Iskander and virtually all of the circuit opinions after Monell
    simply cite one or more prior cases that all seem to trace back
    to the terse Fourth Circuit opinion in Powell v. Shopco Laurel Co.,
    
    678 F.2d 504
     (4th Cir. 1982). The relevant portion of that
    opinion said in full:
    In Monell v. New York City Department of Social
    Services, 
    436 U.S. 658
     (1978), the Supreme Court
    held that a municipal corporation cannot be
    saddled with section 1983 liability via
    respondeat superior alone. We see this holding
    as equally applicable to the liability of private
    corporations. Two aspects of Monell exact this
    conclusion. The Court found section 1983
    evincing a Congressional intention to exclude the
    imposition of vicarious answerability. For a third
    party to be liable the statute demands of the
    plaintiff proof that the former “caused” the
    deprivation of his Federal rights. 
    436 U.S. at
    691–92. Continuing, the Court observed that the
    policy considerations underpinning the doctrine
    of respondeat superior insufficient to warrant
    integration of that doctrine into the statute. 
    Id. at 694
    . No element of the Court’s ratio decidendi
    Nos. 12-2746 and 13-1143                                      23
    lends support for distinguishing the case of a
    private corporation.
    
    678 F.2d at 506
    .
    There are good reasons to question the Powell conclusion.
    It overlooked the fact that Monell was focused on the Sherman
    Amendment, which would have imposed liability for mere
    failure to prevent harm caused by private citizens, not
    employees controlled by an employer. It also overlooked the
    fact that respondeat superior liability was already a well
    established part of the common law in 1871, so Congress could
    reasonably have expected the courts to apply the doctrine
    under § 1983. Perhaps most important, the Powell opinion
    simply overlooked the Monell Court’s special solicitude for
    municipalities and their budgets. These omissions counsel
    against adopting the Powell court’s conclusion.
    For all of these reasons, a new approach may be needed for
    whether corporations should be insulated from respondeat
    superior liability under § 1983. Since prisons and prison medical
    services are increasingly being contracted out to private
    parties, reducing private employers’ incentives to prevent their
    employees from violating inmates’ constitutional rights raises
    serious concerns. Nothing in the Supreme Court’s
    jurisprudence or the relevant circuit court decisions provides
    a sufficiently compelling reason to disregard the important
    policy considerations underpinning the doctrine of respondeat
    superior. And in a world of increasingly privatized state
    24                                           Nos. 12-2746 and 13-1143
    services, the doctrine could help to protect people from
    tortious deprivations of their constitutional rights.4
    If the Monell policy/custom standard did not apply here, we
    would reverse the district court’s grant of summary judgment
    for Wexford. Shields has offered evidence showing that the
    corporation was responsible for his health care. As an entity,
    the company knew of his injury, its severity, the need for
    surgery, and the complete failure of physical therapy. (Recall
    the therapist’s note that Shields had to stop the therapy
    because of pain.) Wexford nevertheless failed to ensure that
    Shields received the surgery he needed to avoid permanent
    impairment of his shoulder. These facts would support
    respondeat superior liability for Wexford and would lead us to
    reverse summary judgment for Wexford on that ground.
    The facts in this case are also an excellent example of the
    problems generated by barring respondeat superior liability for
    corporations under § 1983. On the facts before us, it appears
    that Wexford structured its affairs so that no one person was
    4
    For more detailed critiques of the extension of Monell to private corpora-
    tions, and for more detailed reviews of the policy considerations and the
    nuances in the case law, see Richard Frankel, Regulating Privatized
    Government Through § 1983, 
    76 U. Chi. L. Rev. 1449
     (2009), and Barbara
    Kritchevsky, Civil Rights Liability of Private Entities, 
    26 Cardozo L. Rev. 35
    (2004); see also Jack M. Beermann, Why Do Plaintiffs Sue Private Parties
    Under Section 1983?, 
    26 Cardozo L. Rev. 9
    , 27 (2004). As just one example
    of additional problems, the Monell policy/custom rule is difficult to apply
    to a private corporation. How does a court identify the relevant "final
    policymaker" in a corporation? Is it the CEO, the board of directors, the
    shareholders? What if the corporation is a subsidiary of another? See
    Kritchevsky, 26 Cardozo L. Rev. at 56–60.
    Nos. 12-2746 and 13-1143                                      25
    responsible for Shields’ care, making it impossible for him to
    pin responsibility on an individual. If respondeat superior
    liability were available, Wexford could not escape liability by
    diffusing responsibility across its employees, and prisoners
    would be better protected from violations of their
    constitutional rights.
    In view of these considerations, we have considered the
    possibility of circulating an opinion overruling Iskander and its
    progeny on this point for consideration by the entire court
    under Circuit Rule 40(e). Since Shields has not asked us to
    overrule those cases and Wexford has not had occasion to brief
    the issue, we have decided not to take that approach. A
    petition for rehearing en banc would provide an opportunity
    for both sides to be heard on this issue, and our decision is of
    course subject to review on certiorari. For now, this circuit’s
    case law still extends Monell from municipalities to private
    corporations. Iskander, 
    690 F.2d at 128
    ; Gayton, 
    593 F.3d at 622
    ;
    Rodriguez, 
    577 F.3d at 822
    . To recover against Wexford under
    our current precedent, Shields must offer evidence that his
    injury was caused by a Wexford policy, custom, or practice of
    deliberate indifference to medical needs, or a series of bad acts
    that together raise the inference of such a policy. Woodward, 
    368 F.3d at 927
    .
    Shields attempts to proceed by showing a series of bad acts.
    He argues that mistakenly referring him to the wrong doctor
    (and failing to detect or correct that mistake), combined with
    failing to promptly discipline and eventually replace Dr.
    Migliorino, shows that Wexford was deliberately indifferent to
    his medical needs.
    26                                     Nos. 12-2746 and 13-1143
    Such isolated incidents do not add up to a pattern of
    behavior that would support an inference of a custom or
    policy, as required to find that Wexford as an institution/
    corporation was deliberately indifferent to Shields’ needs. See
    Palmer v. Marion County, 
    327 F.3d 588
    , 596 (7th Cir. 2003)
    (“proof of isolated acts of misconduct will not suffice; a series
    of violations must be presented to lay the premise of deliberate
    indifference”); Cornfeld v. Consolidated High School Dist. No. 230,
    
    991 F.2d 1316
    , 1326 (7th Cir. 1993) (requiring “a pattern or
    series of incidents of unconstitutional conduct” in the absence
    of an explicit policy). Under our existing case law, summary
    judgment was properly granted for Wexford on this claim.
    b. Drs. Funk, Migliorino, Shute, and Schaefer
    Shields contends that Drs. Funk, Migliorino, Shute, and
    Schaefer were all deliberately indifferent to his medical needs.
    However, he has not come forward with evidence that would
    allow a reasonable jury to find that any one of the Wexford
    doctors both knew there was a risk of harm to Shields and
    consciously disregarded that risk. See Mathis v. Fairman, 
    120 F.3d 88
    , 91 (7th Cir. 1997).
    The initial response to Shields’ injury was not deliberately
    indifferent. Dr. Migliorino saw Shields the day he was injured
    and sent him to an outside hospital emergency room. When an
    MRI revealed an injury, Dr. Migliorino referred Shields to an
    orthopaedic surgeon, and Dr. Funk approved the referral.
    There is no indication that this response was inadequate, let
    alone deliberately indifferent. Rather, Drs. Funk and
    Migliorino seem to have taken prompt action to diagnose
    Shields’ injury and to seek treatment for it.
    Nos. 12-2746 and 13-1143                                         27
    Shields argues that Drs. Funk and Migliorino deliberately
    delayed the surgery he needed, referring him to endless
    doctors in search of a different, cheaper treatment
    recommendation. However, Drs. Funk and Migliorino referred
    Shields to the type of doctor who seemed well qualified to
    perform his surgery: an orthopaedic surgeon specializing in
    the shoulder. Given that Drs. Funk and Migliorino did not
    select specific doctors for referrals, referring Shields to the type
    of doctor who would be able to treat his injury competently,
    with surgery or otherwise, was adequate. Each time a
    particular doctor said he was unwilling to try the surgery
    himself, Drs. Funk and Migliorino scheduled another referral
    promptly. We see no basis for holding Drs. Funk and
    Migliorino responsible for the specialists’ reluctance to do the
    surgery themselves. Under these circumstances, the multiple
    referrals do not permit an inference of deliberate indifference.
    We must assume the referral to Dr. Olysav was a mistake
    since he was not the proper sort of specialist. The problem for
    Shields is that § 1983 requires proof of individual
    responsibility. There is no indication that Dr. Funk or Dr.
    Migliorino had any involvement in that mistaken referral, let
    alone that either one acted with deliberate indifference to
    Shields’ health in allowing the referral to go forward.
    Approving Dr. Olysav’s treatment recommendation of
    physical therapy also was not deliberately indifferent. Shields
    points to the fact that all previous shoulder specialists who had
    seen his records had recommended surgery. However,
    choosing one treatment recommendation over another does
    not amount to deliberate indifference where both
    recommendations are made by qualified medical professionals,
    28                                    Nos. 12-2746 and 13-1143
    as Drs. Funk and Migliorino believed to be the case here. See
    Estate of Cole v. Fromm, 
    94 F.3d 254
    , 261 (7th Cir. 1996) (“Mere
    differences of opinion among medical personnel regarding a
    patient’s appropriate treatment do not give rise to deliberate
    indifference.”).
    Neither Dr. Funk nor Dr. Migliorino was deliberately
    indifferent to Shields’ medical needs after approving him for
    physical therapy as recommended by Dr. Olysav. Dr.
    Migliorino left Hill before Shields’ physical therapy was
    stopped because of pain, and there is simply no evidence that
    Dr. Funk knew of any continuing injury after he approved Dr.
    Migliorino’s recommendation that Shields undergo physical
    therapy. In particular, there is no evidence that Dr. Funk saw
    the physical therapist’s report that Shields could not complete
    the prescribed physical therapy because of the pain it caused.
    On these undisputed facts, a reasonable jury could not find
    that either Dr. Funk or Dr. Migliorino personally realized there
    was a risk that Shields’ injury was not being treated properly,
    and so could not find that either consciously disregarded that
    risk.
    Finally, there is no evidence that would support a finding
    that Dr. Shute or Dr. Schaefer was deliberately indifferent to
    Shields’ medical needs. Dr. Schaefer’s job was limited to
    determining whether further treatment was planned. After
    determining it was not, he lifted the medical hold on Shields.
    He did not personally examine Shields, so he did not know
    that his injury had not been adequately addressed. Shields
    makes no arguments about Dr. Shute on appeal, so any claim
    against him is waived. Puffer v. Allstate Ins. Co., 
    675 F.3d 709
    ,
    718.
    Nos. 12-2746 and 13-1143                                       29
    2. The SIU Defendants
    Summary judgment was also properly granted on Shields’
    § 1983 claims against SIU, Dr. Olysav, and Dr. Froelich. Shields
    makes no arguments regarding SIU itself on appeal, so any
    claim against SIU is waived. Puffer, 
    675 F.3d at 718
    . Shields also
    has not shown that either Dr. Olysav or Dr. Froelich acted
    under color of state law within the meaning of § 1983. Whether
    a medical provider is a state actor is a functional inquiry,
    focusing on the relationship between the state, the medical
    provider, and the prisoner. Rodriguez, 
    577 F.3d at 826
    . A
    business like Wexford that contracts to provide medical care to
    prisoners undertakes “freely, and for consideration,
    responsibility for a specific portion of the state’s overall
    [constitutional] obligation to provide medical care for
    incarcerated persons,” 
    id. at 827
    , and thus acts under color of
    state law for purposes of § 1983. On the other hand, we have
    held that medical providers who have “only an incidental or
    transitory relationship” with the penal system generally are not
    considered state actors. Id. at 827.
    The undisputed facts show here that Dr. Olysav and Dr.
    Froelich each had only an incidental and transitory relationship
    with the penal system. Neither was not acting under color of
    state law for purposes of § 1983. Wexford referred Shields to
    Dr. Olysav for a one-time examination, which he performed
    with the help of Dr. Froelich. Dr. Olysav recommended
    physical therapy and had nothing more to do with the patient.
    Neither Dr. Olysav nor Dr. Froelich scheduled follow-up
    appointments with Shields or retained responsibility for his
    course of treatment, so they did not have a sufficiently direct
    relationship with him to find that they were acting under color
    30                                    Nos. 12-2746 and 13-1143
    of state law. See Rodriguez, 
    577 F.3d at 828
    . Their relationship
    with Wexford was similarly too attenuated to support the
    conclusion that they were acting under color of state law.
    Shields correctly points out that Drs. Olysav and Froelich
    both indicated that they had treated inmates before and that
    Wexford had made the arrangements for those treatments.
    However, there is no evidence that Drs. Olysav and Froelich
    had a contract with Wexford or the prison, that their practices
    focused on treating inmates, or even that they regularly treated
    inmates as part of their practices. Standing alone, merely
    having treated inmates before does not establish the kind of
    close relationship between the doctors and Wexford required
    to find that they were state actors. In other words, the
    undisputed facts show that Dr. Olysav and Dr. Froelich had
    only incidental and transitory relationships with both Wexford
    and Shields. The undisputed facts do not allow a reasonable
    inference that these doctors acted under color of state law
    when they took the referral from Wexford. Summary judgment
    was properly granted for them on Shields’ § 1983 claims.
    Accordingly, the district court also did not abuse its discretion
    by declining to exercise supplemental jurisdiction over the
    state law claims for medical malpractice against these
    defendants. See 
    28 U.S.C. § 1367
    (c)(3).
    B. Rule 60 Motion for Relief
    Finally, Shields appeals the district court’s denial of his
    Rule 60 motion for relief. After the district court issued its
    opinion and final judgment, Shields filed a motion to amend
    his complaint to add state medical malpractice claims against
    Nos. 12-2746 and 13-1143                                             31
    the Wexford defendants.5 The court found that the motion to
    amend his complaint was brought under Rule 15(b), which
    directs courts to grant leave to amend freely where the
    opposing party will not be prejudiced by the amendment. Fed.
    R. Civ. P. 15(b)(1). The court then denied the motion, holding
    that Shields’ operative complaint (the second amended
    complaint) did not give the Wexford defendants fair notice of
    a medical malpractice claim against them. The court also held
    that allowing such a late amendment would prejudice the
    Wexford defendants by requiring them to devote resources to
    investigating and defending the claim after having already
    taken discovery and moved successfully for summary
    judgment on the claims actually asserted against them. On
    appeal, Shields argues that the Wexford defendants were on
    sufficient notice that medical malpractice claims were being
    asserted against them, so that having to defend those claims
    would not have prejudiced them.
    Shields’ appeal of the district court’s denial of his motion to
    amend came too late. In civil cases where the federal
    government is not a party, a party ordinarily must file a notice
    of appeal within 30 days of the district court’s entry of
    judgment. Fed. R. App. P. 4(a)(1)(A). Filing a Rule 60 motion
    will toll the commencement of that time limit until the motion
    is resolved, as long as the Rule 60 motion is filed within 28
    days of the district court’s entry of judgment. Fed. R. App. P.
    4(a)(4)(A)(vi). Filing a post-judgment Rule 15(b) motion does
    5
    Shields also asked the district court to amend its judgment, a request
    properly brought under Rule 60. The court declined, and Shields does not
    appeal that denial, so we do not discuss these claims further.
    32                                    Nos. 12-2746 and 13-1143
    not similarly toll the time to file an appeal. See Fed. R. App. P.
    4(a)(4)(A).
    Shields filed his Rule 60 motion thirty days after the district
    court entered its final judgment. If we consider his motion to
    amend as having been brought under Rule 60, he is not entitled
    to the tolling provided for in Federal Rule of Appellate
    Procedure 4(a)(4)(A)(vi) because he did not file his motion
    within 28 days of the district court’s final judgment, as
    required by the rule. If we consider Shields’ motion under Rule
    15(b), then he did not file an appeal of the resolution of that
    motion within 30 days of the court’s entry of judgment in his
    case, as required by Rule 4(a)(1)(A). Either way, Shields’
    appeal is untimely, and his claims regarding the motion are
    barred.
    Conclusion
    There is ample evidence here that plaintiff Shields was the
    victim of delayed medical care that has left him with a serious
    and permanent injury that could have been avoided. The
    evidence suggests that he is the victim not of any one human
    being’s deliberate indifference but of a system of medical care
    that diffused responsibility for his care to the point that no
    single individual was responsible for seeing that he received
    the care he needed in a timely way. As a result, no one person
    can be held liable for any constitutional violation. Finally,
    Shields’ efforts to rely on state medical malpractice law against
    the Wexford defendants appear to have run afoul of
    procedures courts must follow for the timely and fair
    resolution of cases. As the case is presented to us, the judgment
    of the district court must be and is AFFIRMED.
    Nos. 12‐2746 and 13‐1143                                          33
    TINDER,  Circuit  Judge,  concurring.  I  concur  in  the  result
    reached  in  the  majority  opinion,  that  is,  affirming  the  judg‐
    ment of the district court. I also join in the majority opinion
    except  for  the  discussion  of  whether  the  Monell  standards
    should apply to private corporations like Wexford, at pp 10‐
    25  of  the  majority  opinion.  I  may  not  ultimately  disagree
    with  the  thorough  and  thoughtful  points  made  in  that  dis‐
    cussion. However, I would prefer to undertake that analysis
    in a case in which the issue is raised and briefed by the par‐
    ties. With regard to the majority opinion’s invitation to have
    a petition for rehearing filed on the question, I am doubtful
    that this is a proper case in which to do so.
    My  understanding  of  the  record  below  is  that  this  issue
    was certainly forfeited, if not waived, by Plaintiff‐Appellant
    Ernest Shields. In his amended complaints before the district
    court, Shields alleged the existence of “policies, regulations,
    or decisions officially adopted” by Wexford. The Defendants
    repeatedly  challenged  the  existence  of  such  policies  or  pro‐
    cedures  in  the  district  court,  including  in  their  motion  to
    dismiss and their summary judgment briefing. Instead of ar‐
    guing that the Monell paradigm did not apply for the reasons
    articulated  in  the  majority opinion, Shields stood on  the ar‐
    gument that Wexford had policies and practices that directly
    led  to  Shields’  suffering  a  deprivation  of  his  constitutional
    rights;  he  stuck  to  that  theory  throughout  the  summary
    judgment  briefing  and  even  in  post‐opinion  briefing.  He
    never breathed a word about Monell’s relationship to corpo‐
    rate liability. I would suggest that the majority opinion’s ar‐
    guments in this regard were waived by Shields’ failure to ar‐
    gue them before the district court. Frey Corp. v. City of Peoria,
    34                                          Nos. 12‐2746 and 13‐
    1143 Ill.,  735
      F.3d  505,  509  (7th  Cir.  2013)  (“When  a  party  fails  to
    develop  an  argument  in  the  district  court,  the  argument  is
    waived and we cannot consider it on appeal”). And so, too,
    in  his  briefing  before  our  court  Shields  renewed  his  Monell
    arguments  against  Wexford,  arguing  about  the  existence  of
    policies or procedures that led to his constitutional depriva‐
    tion.  He  did  not  assert  that  the  Monell  paradigm  should
    change  in  the  context  of  a  corporate  contractor  providing
    governmental services.
    In  other  words,  if  Shields  accepts  the  majority  opinion’s
    invitation  to  brief  this  issue  in  a  petition  for  rehearing,  he
    would then be raising it for the very first time. Some cases in
    our circuit state that  a  party is barred  from raising an issue
    for the first time in a petition for rehearing. See, e.g., Hebron v.
    Touhy, 
    18 F.3d 421
    , 424 (7th Cir. 1994) (an argument raised for
    the first time in a petition for rehearing “comes too late and
    has been waived”). It is true that other cases suggest that an
    argument raised for the first time in a petition for rehearing
    may be considered forfeited, and only on a plain error basis.
    See, e.g., United States v. Rosas, 
    410 F.3d 332
    , 337 n.1 (7th Cir.
    2004) (“raising a claim [for the first time] in a petition for re‐
    hearing  is  the  functional  equivalent  of”  raising  the  claim
    while an appeal is pending, and the claim is “considered for‐
    feited  and  the  review  is  exclusively  for  plain  error”)  (citing
    United States v. Macedo, 
    406 F.3d 778
    , 789 (7th Cir. 2005)); In‐
    diana Gas Co., Inc. v. Home Ins. Co., 
    141 F.3d 314
    , 321 (7th Cir.
    1998) (“An argument made for the first time in a petition for
    rehearing has been forfeited … .”). What plain error review
    Nos. 12‐2746 and 13‐1143                                                              35
    would  entail  in  this  context  is  unclear.1  But  there  exists  no
    law in our circuit that would allow us to review, de novo and
    on the merits, brand new arguments raised in a petition for
    rehearing.
    Our  sister  circuits  that  have  spoken  on  this  question
    agree with our determination on this matter: in general, new
    issues raised in petitions for rehearing are not eligible for re‐
    view.  Numerous  circuits  hold  that  an  issue  raised  for  the
    first  time  in  a  petition  for  rehearing  has  been  waived  and
    cannot be reviewed.2 Some hold that this practice constitutes
    1 In my view, such review ought to be exceedingly rare because it could
    encourage litigants to ignore issues in the district court and before panels
    of  this  court,  only  to  spring  them  for  the  first  time  in  a  petition  for  re‐
    hearing. That is inefficient and could turn the steady stream of rehearing
    petitions that we now experience into a flood.
    2 See, e.g., United States v. Bongiorno, 
    110 F.3d 132
    , 133 (1st Cir. 1997) (“[A]
    party  may  not  raise  new  and  additional  matters  for  the  first  time  in  a
    petition for rehearing.”); United States v. Cross, 
    308 F.3d 308
    , 314 (3d Cir.
    2002) (an issue raised for the first time in a petition for rehearing en banc
    cannot  be  considered  because  it  was  not  raised  on direct  appeal);  High‐
    tower v. Texas Hosp. Assʹn, 
    73 F.3d 43
    , 44 (5th Cir. 1996) (“In their petition
    for rehearing, appellees have raised a number of arguments that they did
    not  make  to  this  court  in  their  original  appellate  briefs … .  These  argu‐
    ments  have  been  raised  too  late  in  the  appellate  process  to  be  useful  to
    this court, and they are deemed waived and have played no role in our
    decision.”);  Costo  v.  United  States,  
    922  F.2d  302
    ,  302–03  (6th  Cir.  1990)
    (“Generally,  an  argument  not  raised  in  an  appellate  brief  or  at  oral  ar‐
    gument may not be raised for the first time in a petition for rehearing.”);
    Johnson  v.  Woodcock,  
    444  F.3d  953
    ,  954  n.2  (8th  Cir.  2006)  (an  issue  that
    was not raised “in the district court or in the briefs or during oral argu‐
    ment  before  this  court”  but  raised  “belatedly  by  way  of  a  petition  for
    rehearing” was waived); Picazo v. Alameida, 
    366 F.3d 971
    , 971–72 (9th Cir.
    36                                                  Nos. 12‐2746 and 13‐1143
    forfeiture rather than waiver.3 At least two circuits opt for a
    flexible  waiver  principle,  where  the  court  occasionally
    chooses  to  consider  arguments  raised  for  the  first  time  in  a
    petition for rehearing, in extraordinary cases.4 But no case—
    in our circuit or elsewhere—allows for a party to freely raise
    a new theory of its case in a petition for rehearing, one that it
    has repeatedly declined to raise in the district court or in its
    briefs before us.
    I agree that the matter of whether private corporate liabil‐
    ity under § 1983 should be evaluated in the same manner as
    municipal liability is an important question. And the majori‐
    ty opinion certainly also issues an invitation to resurrect that
    question  in  subsequent  cases.  The  district  courts  of  this  cir‐
    2004) (“[A]t no point in this litigation until the petition for rehearing did
    the state argue that we should apply Esparza, or even consider it … . Un‐
    der  the  law  of  this  circuit,  we  deem  the  state’s  most  recent  argument
    waived.”); United States v. Martinez, 
    96 F.3d 473
    , 475 (11th Cir. 1996) (“We
    do not consider issues or arguments raised for the first time on petition
    for  rehearing.”);  Haas  v.  Peake,  
    544  F.3d  1306
    ,  1308  (Fed.  Cir.  2008)  (an
    argument that was not argued in a brief on appeal, but raised for the first
    time in the petition for rehearing, was waived).
    3  See,  e.g.,  United  States  v.  Andrus,  
    499  F.3d  1162
    ,  1163  (10th  Cir.  2007)
    (appellant’s argument, “made for the first time in his petition for rehear‐
    ing and … not initially presented to the panel,” was forfeited).
    4  See  Fox  Television  Stations,  Inc.  v.  F.C.C.,  
    293  F.3d  537
    ,  540  (D.C.  Cir.
    2002) (court “ordinarily deems an argument raised for the first time in a
    petition  for  rehearing  to  have  been  waived”  but  the  practice  is  “more
    practical than rigid”); Anderson v. Branen, 
    27 F.3d 29
    , 30 (2d Cir. 1994) (a
    party’s  failure  to  raise  an  argument  before  the  circuit  court  or  district
    court “obviates any need on our part to address the merits of his petition
    [for  rehearing]”  unless  “manifest  injustice  otherwise  would  result.”)
    (quotation marks and citation omitted).
    Nos. 12‐2746 and 13‐1143                                               37
    cuit  will  likely  soon  be  faced  with  it,  and  our  court  will  no
    doubt have it shortly thereafter.
    I should point out one final reason why I think this case
    in  particular  is  poorly  suited  for  rehearing  on  a  new  ques‐
    tion.  Shields  is  currently  no  longer  represented  by  counsel.
    He was represented in the district court and on the brief he
    filed  in  this  court,  and  I  believe  that  he  waived  (or  at  least
    forfeited)  any  contention  that  respondeat  superior  ought  to
    apply  to  Wexford  through  his  counsel’s  argument  in  those
    proceedings. His counsel was permitted to withdraw shortly
    before this appeal was submitted to us on the briefs in lieu of
    holding  oral  argument.  Even  if  Shields  obtains  counsel  to
    pursue  a  petition  for  rehearing  in  a  fairly  short  period  of
    time,  the  litigation  choices  made  by  Shields’  prior  counsel
    will pose difficult hurdles to overcome in a rehearing effort.
    

Document Info

Docket Number: 12-2746

Citation Numbers: 746 F.3d 782

Judges: Hamilton

Filed Date: 3/12/2014

Precedential Status: Precedential

Modified Date: 1/12/2023

Authorities (43)

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United States v. Frank P. Bongiorno , 110 F.3d 132 ( 1997 )

Fernando Rojas v. Alexander's Department Store, Inc. , 924 F.2d 406 ( 1990 )

United States v. Hector Martinez Jorge Gomez Humberto Gallo , 96 F.3d 473 ( 1996 )

United States v. Andrus , 499 F.3d 1162 ( 2007 )

alfredo-devargas-v-mason-hanger-silas-mason-co-inc-tr-hook , 844 F.2d 714 ( 1988 )

Eugenio J. Costo v. United States , 922 F.2d 302 ( 1990 )

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Clifton Powell v. Shopco Laurel Company and Robert K. Skeen , 678 F.2d 504 ( 1982 )

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Indiana Gas Company, Inc. v. Home Insurance Company , 141 F.3d 314 ( 1998 )

Harriett G. Woodward, Special Administrator of the Estate ... , 368 F.3d 917 ( 2004 )

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