Abdulrazzaq v. Trump ( 2019 )


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  •                       UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    NASHWAN AL-RAMER ABDULRAZZAQ,
    Plaintiff,
    v.                               Civil Action No. 17-1928(EGS)
    DONALD J. TRUMP, et al.,
    Defendants.
    MEMORANDUM OPINION
    Petitioner Nashwan Al-Ramer Abdulrazzaq, a male Iraqi
    citizen detained at a prison facility in Guantanamo Bay, Cuba
    (“Guantanamo”), is awaiting trial before a military commission
    on non-capital charges of Denying Quarter, Attacking Protected
    Property, Using Treachery or Perfidity, Attempted Use of
    Treachery or Perfidity, and Conspiracy to Violate the Laws of
    War. Mot. to Dismiss Pet’r’s Second Am. Pet. for a Writ of
    Habeas Corpus (“Mot. to Dismiss”), ECF No. 47 at 17. 1
    On November 29, 2017, Petitioner filed a Second Amended
    Petition for a Writ of Habeas Corpus, raising four claims:
    (1) the conditions of his confinement at Guantanamo violate the
    Eighth Amendment; (2) the structure of the military commissions
    1 When citing electronic filings throughout this Opinion, the
    Court cites to the ECF page number, not the page number of the
    filed document.
    process violates the Due Process Clause of the Fifth Amendment
    (“conflict-of-interest” claim); (3) discrimination against him
    by reason of his nationality in violation of the equal
    protection guarantees in the Fifth Amendment (“equal protection”
    claim); and (4) violation of his right to counsel guaranteed by
    the Sixth Amendment and the Military Commissions Act (“MCA”)
    (“interference-with-counsel-communications” claim). Pet’r’s
    Opp’n to Resp’ts’ Mot. to Dismiss Pet’r’s Second Am. Pet. for a
    Writ of Habeas Corpus, (“Opp’n”), ECF No. 59 at 6-7.
    Pending before the Court is the Respondents’ motion to
    dismiss. Respondent argues that Petitioner has failed to state
    an Eighth Amendment claim, and that the Court lacks jurisdiction
    to consider the Petitioner’s conflict-of-interest, equal
    protection, and interference-with-counsel-communications claims.
    In the alternative, Respondent argues that the court should
    abstain from deciding these three claims at this time. Upon
    careful consideration of the parties’ submissions, the
    applicable law, and for the reasons discussed below, the Court
    GRANTS IN PART and HOLDS IN ABEYANCE IN PART Respondents’ Motion
    to Dismiss. Petitioner’s Eighth Amendment claim is DISMISSED.
    Petitioner’s remaining claims are HELD IN ABEYANCE. Since the
    Court will abstain from resolving the merits of those claims
    pending the ultimate conclusion of the military commission
    2
    proceedings, all proceedings relating to those claims are
    STAYED.
    I. Background
    A. Petitioner’s Medical Condition
    The following facts are alleged in Petitioner’s Second
    Amended Petition for Writ of Habeas Corpus. Petitioner has been
    in the custody of the United States since 2006, first at one or
    more “black sites,” and then at Guantanamo since April 2007.
    Second Am. Pet., ECF No. 164 ¶ 9. Petitioner’s medical records
    show that “he has sought treatment for chronic and worsening
    back pain” throughout his detention. 
    Id. ¶ 18.
    A computerized
    tomography scan (“CT scan”) taken in 2008 showed “degenerative
    disc disease between the L4 and L5 vertebrae.” 
    Id. At that
    point, Petitioner’s recurring back pain was deemed chronic. 
    Id. In May
    2008, an examination noted that he “seemed unsteady while
    standing” and in June 2008, his “back pain had increased to
    include pain that radiated down his right leg.” 
    Id. In August
    2008, his doctors noted that he “‘expressed concerns about the
    current back pain and the length of time’ it has taken to
    resolve the issue.” 
    Id. Petitioner “continued
    to seek treatment
    through 2008 and into 2009.” 
    Id. ¶ 19.
    In August 2009, he
    reported experiencing “flare-ups and pain radiating from his
    back to his left leg.” 
    Id. As a
    result, medical examiners
    “performed various diagnostic tests, but failed to cure the
    3
    ailment or the pain.” 
    Id. “X-rays and
    CT scans continued to show
    degenerative disc disease.” 
    Id. “Throughout 2010,
    Petitioner
    continued to be seen for chronic back pain [and] [i]n June 2010,
    he again reported pain that ran down the side of his leg.” 
    Id. “Throughout 2010,
    he received physical therapy, traction table
    therapy, and regular treatments with a Transcutaneous Electrical
    Nerve Stimulator unit.” 
    Id. ¶ 21.
    However, “[t]hese therapies
    and treatments were ineffective.” 
    Id. In September
    2010, Petitioner was diagnosed with spinal
    stenosis, “an abnormal narrowing of his spinal canal” which can
    result in pain and “neurological deficits such as numbness and
    loss of motor control.” 
    Id. ¶ 22.
    As a result of this diagnosis,
    “a doctor proposed the possibility of surgery, though none was
    performed.” 
    Id. In November
    2011, “Petitioner was again
    diagnosed with lumbar spine disc herniation and spinal
    stenosis,” reporting “pain radiating to his right buttock.” 
    Id. ¶ 23.
    Petitioner continued to experience and be seen for chronic
    low back pain throughout the remainder of 2011 and 2012. 
    Id. ¶¶ 23,
    24. In January 2012, he “reported low back pain radiating to
    his left thigh” and in September 2012, “sharp pain radiating
    from his back toward his left knee.” 
    Id. ¶ 24.
    Doctors ordered
    testing, “but it is not clear from the medical records whether
    that testing was performed.” 
    Id. “In November
    2012, [Petitioner]
    continued to report radiating pain from his low back down
    4
    through his thighs, but for the first time, reporting feeling
    ‘pins and needles sensations’ in his toes.” 
    Id. ¶ 25.
    Between 2013 and 2017, “Petitioner’s condition continued to
    degrade and he continued to suffer from back pain.” 
    Id. ¶ 26.
    On
    January 9, 2017, Petitioner was subjected to “forcible cell
    extraction” (“FCE”) 2 with “no accommodation . . . made for his
    long-standing spinal and nerve diseases, well-known to
    Guantanamo personnel . . . after which his lower back pain
    symptoms noticeably increased.” 
    Id. ¶ 27.
    On January 23, 2017, another CT scan was performed
    revealing Petitioner’s increased degeneration of the spine. 
    Id. ¶ 28.
    “It was at this time, many years into Petitioner’s history
    of accelerating symptoms, that an MRI was first proposed.” 
    Id. Independent medical
    experts informed Petitioner and Respondents
    that Petitioner’s spinal condition, “if left untreated, could
    cause severe and permanent neurological impairment.” 
    Id. However, “Guantanamo
    personnel left this condition untreated for
    approximately 9 months by which time severe and permanent
    neurological impairment had either occurred or was imminent.”
    
    Id. 2 Petitioner
    alleges that the forced cell extraction was a result
    of Petitioner’s resistance to female guards shackling him, which
    he did because physical contact with females who are not family
    is contrary to his religious convictions. 
    Id. ¶ 27.
                                     5
    In August 2017, Petitioner “began to experience an increase
    in the loss of sensation in both feet . . . increased loss of
    sensation in both hands and both legs . . . increase in his
    muscle weakness . . [and] an increase in the level, sharpness,
    and frequency of his pain.” 
    Id. ¶ 29.
    On August 10, 2017,
    following a medical examination, “[t]he doctor determined that
    Petitioner’s deteriorating condition required transportation to
    the hospital for additional tests. Some tests were conducted,
    but, apparently, a prescribed CT scan could not be performed
    because the hospital staff failed to properly inject intravenous
    contrast dye for the exam.” 
    Id. ¶ 31.
    On September 1, 2017, counsel for Petitioner addressed an
    “Emergency Request for Expert Assistance-Neurological Surgery”
    memorandum to Respondents. 
    Id. ¶ 34.
    “The memorandum described
    the inability of Petitioner to obtain urgently needed medical
    care, the inability of Petitioner or his counsel to obtain
    current medical records concerning his status or care, and
    requested the intervention of the Convening Authority to appoint
    an independent medical specialist able to diagnose Petitioner's
    condition and recommend treatment.” 
    Id. ¶ 34.
    The memorandum
    was supported by a letter from doctors associated with
    Physicians for Human Rights who opined that Petitioner needed
    immediate emergency attention. 
    Id. ¶ 35.
    6
    On September 5, 2017, a surgical team was flown to
    Guantanamo in the midst of Hurricane Irma to perform emergency
    back surgery on Petitioner. 
    Id. ¶¶ 36-37.
    B. Military Commission Proceedings
    On June 2, 2014, the Convening Authority 3 referred the
    charges against the Petitioner to a military commission for
    trial, Mot. to Dismiss, ECF No. 47 at 17, and pretrial
    proceedings have been ongoing since that time, Resp’t Opp’n to
    Pet’r’s Mot. to Lift Stay and for Prelim. Inj., ECF No. 149 at
    6. Petitioner’s trial is scheduled to begin September 19, 2020.
    
    Id. at 7.
    Petitioner has raised his equal protection, conflict-
    of-interest, and interference-with-counsel-communications claims
    with the military judge in motions during pretrial proceedings
    and received adverse rulings on each. Mot. to Dismiss, ECF No.
    47 at 8, Reply; ECF No. 62 at 4.
    II. Standard of Review
    A motion to dismiss under Federal Rule of Civil Procedure
    12(b)(6) “tests the legal sufficiency of a complaint.” Browning
    v. Clinton, 
    292 F.3d 235
    , 242 (D.C. Cir. 2002). The court will
    dismiss a claim if the complaint fails to plead “enough facts to
    state a claim for relief that is plausible on its face.” Bell
    3 The Convening Authority is the Defense Department official who
    refers a case to trial. In re Al-Nashiri, 
    835 F.3d 110
    , 112
    (D.C. Cir. 2016).
    7
    Atlantic Corp. v. Twombly, 
    550 U.S. 544
    , 570 (2007). A complaint
    must contain “a short and plain statement of the claim showing
    that the pleader is entitled to relief,” Fed. R. Civ. P.
    8(a)(2), “in order to give the defendant fair notice of what the
    . . . claim is and the grounds upon which it rests,” 
    Twombly, 550 U.S. at 555
    (citation and internal quotation marks omitted).
    A complaint survives a Rule 12(b)(6) motion only if it
    “contain[s] sufficient factual matter, accepted as true, to
    ‘state a claim to relief that is plausible on its face.’”
    Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678 (2009) (quoting 
    Twombly, 550 U.S. at 570
    ). A claim is facially plausible “when the
    plaintiff pleads factual content that allows the court to draw
    [a] reasonable inference that the defendant is liable for the
    misconduct alleged.” 
    Id. A complaint
    alleging facts which are
    “‘merely consistent with’ a defendant’s liability . . . ‘stops
    short of the line between possibility and plausibility of
    entitlement to relief.’” 
    Id. (quoting Twombly,
    550 U.S. at 557).
    III. Discussion
    A. Eighth Amendment Claim
    1. Petitioner Fails to State an Eighth Amendment Claim
    Petitioner alleges long-standing and deliberate
    indifference to his serious medical needs in violation of the
    Eighth Amendment. Opp’n, ECF No. 59 at 6. There is no dispute as
    to whether this claim is properly before the Court: a person “in
    8
    custody may challenge the conditions of his confinement in a
    petition for habeas corpus . . . ” Aamer v. Obama, 
    742 F.3d 1023
    , 1032 (D.C. Cir. 2014).
    The Eighth Amendment prohibits the infliction of “cruel and
    unusual punishments.” U.S. Const. amend. VIII. “[T]he
    government[] [is] obligat[ed] to provide medical care for those
    whom it is punishing by incarceration.” Estelle v. Gamble, 
    429 U.S. 97
    , 103 (1976). The Supreme Court therefore has
    “conclude[d] that deliberate indifference to serious medical
    needs of prisoners constitutes the ‘unnecessary and wanton
    infliction of pain’ proscribed by the Eighth Amendment.” 
    Id. at 104
    (quoting Gregg v. Georgia, 
    428 U.S. 153
    , 173 (1962)).
    To state a claim for an Eighth Amendment violation,
    Petitioner must allege that the Guantanamo officials: (1) knew
    that Petitioner “face[d] a substantial risk of serious harm”;
    and (2) “disregard[ed] that risk by failing to take reasonable
    measures to abate it.” Farmer v. Brennan, 
    511 U.S. 825
    , 847
    (1994). The risk of “serious inmate harm” must be dire: “a
    condition of urgency, one that may produce death, degeneration,
    or extreme pain.” Hathaway v. Coughlin, 
    37 F.3d 63
    , 66 (2d Cir.
    1994). With regard to the second prong, “a prison official must
    have a ‘sufficiently culpable state of mind.” 
    Farmer, 511 U.S. at 834
    . “In prison condition cases that state of mind is one of
    ‘deliberate indifference’ to inmate health or safety.” 
    Id. 9 (citing
    Wilson v. Seiter, 
    501 U.S. 294
    , 302-303 (1991)). The
    test for “deliberate indifference” is a subjective one:
    a prison official cannot be found liable under
    the Eighth Amendment for denying an inmate
    humane conditions of confinement unless the
    official knows of and disregards an excessive
    risk to inmate health or safety; the official
    must both be aware of facts from which the
    inference could be drawn that a substantial
    risk of serious harm exists, and he must also
    draw the inference.
    
    Id. at 837.
    This state of mind is more blameworthy than
    negligence. 
    Id. at 835
    (citing 
    Estelle, 429 U.S. at 104
    ).
    It is not the case, however, “that every claim by a
    prisoner that he has not received adequate medical treatment
    states a violation of the Eighth Amendment”:
    [I]n the medical context, an inadvertent
    failure to provide adequate medical care
    cannot be said to constitute “an unnecessary
    and wanton infliction of pain” or to be
    “repugnant to the conscience of mankind.”
    Thus, a complaint that a physician has been
    negligent in diagnosing or treating a medical
    condition does not state a valid claim of
    medical   mistreatment   under    the   Eighth
    Amendment. Medical malpractice does not become
    a constitutional violation merely because the
    victim is a prisoner. In order to state a
    cognizable claim, a prisoner must allege acts
    or omissions sufficiently harmful to evidence
    deliberate indifference to serious medical
    needs. It is only such indifference that can
    offend “evolving standards of decency” in
    violation of the Eighth Amendment.
    
    Estelle, 429 U.S. at 105-106
    .
    10
    Respondent urges the Court to dismiss Petitioner’s claim,
    arguing that Petitioner is unable to meet the subjective factor–
    deliberate indifference–because Petitioner concedes that medical
    personnel did not ignore his complaints; rather “his own
    allegations show that his spinal condition has not been ignored,
    but rather has been continually evaluated, monitored, and
    treated.” Mot. to Dismiss, ECF No. 47 at 47. Furthermore,
    Respondents point out that in view of the three spinal
    operations he has undergone, Petitioner cannot allege that he
    has been refused surgical treatment. 
    Id. Respondents conclude
    that Petitioner’s claim essentially is “that Guantanamo medical
    personnel should have recognized the gravity of and acted upon
    Petitioner’s condition sooner.” 
    Id. at 48.
    This, they point out,
    is either an assertion of a professional disagreement or a
    negligence claim, neither of which satisfies the deliberate
    indifference standard. 
    Id. Petitioner argues
    that the question of whether Guantanamo
    medical officials had the “requisite knowledge of a substantial
    risk” is a question of fact and therefore inappropriate to be
    determined on a motion to dismiss. 
    Id. (quoting Farmer,
    511 U.S.
    at 842). He does not dispute the standard applicable to an
    Eighth Amendment claim, but citing medical records provided by
    the Respondent, asserts that “the Petition certainly alleges
    facts demonstrating more than a decade of deliberate
    11
    indifference to [Petitioner’s] ever more urgent medical needs”
    and given that “factual allegations are to be liberally
    construed in the Petitioner’s favor at this stage in the
    proceedings” it would be inappropriate to dismiss his claims at
    this time. Opp’n, ECF No. 59 at 38, 40. This argument is
    unpersuasive because the Court is “not bound to accept as true a
    legal conclusion couched as a factual allegation.” Papasan v.
    Allain, 
    478 U.S. 265
    , 286 (1986).
    There is no dispute that Respondent knew of Petitioner’s
    serious medical condition at the beginning of his detention.
    Petitioner’s medical records, based on a custodial interview in
    2006, indicate that he reported that prior to his detention, he
    saw a doctor in Tehran, Iran who diagnosed him as having a
    herniated disc and constricted vertebrae. ECF No. 59-1 at 1. 4
    4 Although this medical record is attached to Petitioner’s
    Opposition briefing, the Court finds that it is appropriate to
    take note of it. “The Supreme Court has provided scant guidance
    on [what procedure is due to detainees challenging their
    detention in habeas corpus proceedings], consciously leaving the
    contours of the substantive and procedural law of detention open
    for lower courts to shape in a common law fashion.” Al-Binahni
    v. Obama, 
    590 F.3d 866
    , 870 (D.C. Cir. 2010). “This primacy of
    independence over process is at the center of the [Supreme
    Court’s] Boumediene opinion, which eschews prescribing a
    detailed procedural regime in favor of issuing a spare but
    momentous guarantee that a “judicial officer must have adequate
    authority to make a determination in light of the relevant law
    and facts.” 
    Id. at 880.
    “As such, the Court is not restricted to
    follow the standard for addressing motions to dismiss . . . as
    required in a civil action outside of the habeas context.” Al-
    Kandari v. United States, Civil Action No. 15-329, ECF No.
    Classified Mem. Op. at 11 (D.D.C. Aug. 31, 2015).
    12
    Petitioner reported that the doctor in Tehran told him that
    surgery would not address the issue, but when physical therapy
    did not help him, the doctor advised him to have surgery. 
    Id. It is
    reasonable, therefore, to infer that failure to provide
    medical care for this condition would result in “a substantial
    risk of serious harm” to the Petitioner.
    Respondent argues–and the Court agrees–that Petitioner
    cannot, however, as a matter of law, state a claim for an Eighth
    Amendment violation because, taking the allegations in the
    Petition to be true, and making all reasonable inferences from
    them, plaintiff’s allegations do not state a cognizable claim
    for deliberate indifference on the part of the Guantanamo
    medical officers. Rather, the allegations show that his
    condition has been evaluated, monitored, and treated throughout
    his detention. See Second Am. Pet., ECF No. 164 ¶ 18 (CT scan
    shows degenerative disc disease in 2008 with examinations in
    May, June, and August); ¶ 19 (“various diagnostic tests”
    performed); ¶ 21 (2010: “Petitioner continued to be seen for
    chronic back pain” and “[t]hroughout 2010, he received physical
    therapy, traction table therapy, and regular treatments with a
    Transcutaneous Electrical Nerve Stimulator unit”); ¶ 22 (2010:
    “diagnosed with spinal stenosis”); possibility of surgery
    proposed); ¶ 23 (2011: “diagnosed with lumbar spine disc
    herniation and spinal stenosis”); ¶ 24 (late 2011-12 “seen for
    13
    chronic low back pain”); ¶ 28 (January 2017: CT scan); ¶ 37
    (September 5, 2017: surgery). Respondent’s Motion to Dismiss
    contains additional facts—specifically that Petitioner underwent
    surgery on September 18, 2017 and on November 14, 2017—that
    post-date the filing of the Second Amended Complaint and to
    which Petitioner does not object. See Mot. to Dismiss, ECF No.
    147 at 22-23; see generally ECF No. 59. In view of the lack of
    an objection to the fact of these two surgeries, the Court finds
    that it is appropriate to acknowledge them. 
    See supra
    n.6.
    Overall, the record indicates that Petitioner has undergone a
    total of five surgeries to date during his detention. Pet’r’s
    Mot. to Lift Stay of Proceedings and for Prelim. Inj., ECF No.
    147 at 8.
    Petitioner disagrees with the decisions that were made by
    Guantanamo medical officers, and the Court does not by any means
    discount his allegations of the chronic and debilitating pain he
    suffers as a result of this disease. Petitioner’s own
    allegations, however, demonstrate that his condition has been
    evaluated, monitored, and treated throughout his detention. The
    reasonable inference to be drawn from Petitioner’s allegations
    is that he disagrees with the medical decisions that have been
    made and/or that those decisions amount to negligence. But as
    discussed infra Section III.A.2, Petitioner does not dispute
    that he is not entitled to a medical provider of his own
    14
    choosing nor that he is not entitled to medical care of his own
    choosing. And a claim of negligent medical treatment does not
    state an Eighth Amendment claim. 
    Estelle, 429 U.S. at 105
    .
    Accordingly, and in view of the deference due to the judgment of
    medical personnel in this situation, Petitioner’s deliberate
    indifference claim will be DISMISSED.
    The Court is concerned about the alleged impact of the
    forced cell extraction alleged in the Petition, but notes that
    the parties have, in response to the October 20, 2017 Order of
    this Court, submitted biweekly joint status reports stating,
    inter alia, whether the Petitioner was subjected to forced cell
    extractions during the proceeding two week period, and
    Petitioner has not been subjected to one since the biweekly
    reporting began. See generally Docket for Civil Action No. 17-
    1928.
    2. Petitioner is not Entitled to Prospective Relief on
    his Eighth Amendment Claim
    Petitioner has failed to state a claim for deliberate
    indifference, but even if he had, he would not be entitled to
    the injunctive relief he seeks. Petitioner seeks, among other
    things, the following forward-looking injunctive relief:
    (i) “begin immediately to treat Petitioner in accordance with
    applicable standards of medical care as determined by a court-
    appointed medical expert;” (ii) “provide the Court and defense
    15
    counsel with a proposed course of medical treatment of
    Petitioner;” and (iii) “appoint and fund the reasonable
    compensation and expenses of qualified medical doctors
    independent of the United States government in the specialties
    of orthopedic and/or spinal neurosurgery and pain management,
    which are applicable to Petitioner’s current medical
    disabilities, and provide them such access as they deem
    necessary to enable them to promptly conduct such medical
    examinations, including but not limited to in-person medical
    examination(s) of Petitioner, and record reviews as they deem
    appropriate to prepare a report to the Court and the parties on
    (a) the adequacy of Petitioner’s past treatment and (b) their
    recommendations as to a future course of treatment.” Second Am.
    Pet., ECF No. 164 at 50-51.
    “[T]o establish eligibility for an injunction, the inmate
    must demonstrate the continuance of [the deliberate
    indifference] during the remainder of the litigation and into
    the future. In so doing, the inmate may rely, in the district
    court’s discretion, on developments that postdate the pleadings
    and pretrial motions, as the defendants may rely on such
    developments to establish that the inmate is not entitled to an
    injunction.” 
    Farmer, 511 U.S. at 846
    (citations omitted). The
    Court should exercise caution in issuing any injunction:
    16
    Of course, a district court should approach
    issuance of injunctive orders with the usual
    caution, see Bell v. 
    Wolfish, supra
    , 441 U.S.
    at 
    562, 99 S. Ct., at 1886
    (warning courts
    against becoming “enmeshed in the minutiae of
    prison operations”), and may, for example,
    exercise its discretion if appropriate by
    giving prison officials time to rectify the
    situation before issuing an injunction.
    
    Id. at 846-47.
    The Petition for Writ of Habeas Corpus was filed on
    September 21, 2017. Petitioner, in his opposition brief,
    acknowledges that he has received intensive medical attention
    since just before the petition was filed and that the intensive
    medical attention has continued since that time. See Opp’n, ECF
    No. 59 at 40, 43 (“Since early September 2017, following his
    collapse, Petitioner began to receive intensive medical
    attention, and that has continued. He has had four significant
    spinal and other surgeries, and other types of focused medical
    attention since then.”); see also 
    id. at 46
    (“the fact that
    prison authorities may have recently begun to act appropriately,
    after years of deficient medical care, is certainly welcome”).
    Petitioner disputes that this “emergency-driven medical
    attention” should provide justification for denying prospective
    relief, arguing that “[t]he only reliable record of the
    attitudes and intentions of the prison authorities at Guantanamo
    is the record of their attitudes and actions up to, and
    immediately after, Petitioner’s August [2017] collapse. . . a
    17
    record of 10-plus years of deliberate indifference.” 
    Id. at 40-
    41.
    Respondent has attached to its motion to dismiss three
    declarations of the Senior Medical Officer (“SMO”) responsible
    for Petitioner’s care. In the first declaration, dated October
    5, 2017, the SMO states that he/she has served in the position
    since July 14, 2017, and provides some information about his/her
    qualifications. Decl. of SMO, Camp VII, ECF No. 47-1 ¶¶ 1-2. The
    Declaration goes on to describe: (1) Petitioner’s diagnosis of
    lumbar spinal stenosis; (2) treatment strategies; (3) the onset
    of progressive symptoms; (4) treatment of the progressive
    symptoms; (5) Petitioner’s denial of bowel/bladder incontinence
    and saddle anesthesia; (6) the need for an MRI or CT, “neither
    of which were available locally at Guantanamo”; (7) the rapid
    progression of the symptoms in early September 2017 and the
    resulting need for surgery by appropriate specialists on
    September 5, 2017; (8) the need for the performance of another
    surgery on September 18, 2017; (9) Petitioner’s post-operative
    recovery and physical rehabilitative therapy; (10) the need for
    subsequent surgery; and (11) the arrival of MRI equipment at
    Guantanamo. 
    Id. ¶¶ 4-20.
    In the second declaration, dated November 16, 2017, the SMO
    states that he/she has served in the position since October 30,
    2017 and provides some information about his/her credentials.
    18
    Decl. of SMO, Camp VII, ECF No. 47-2 ¶ 1. The declaration goes
    on to describe: (1) a CT scan performed following Petitioner’s
    September 18, 2017 surgery; (2) multi-disciplinary
    teleconferences conducted “to formulate a comprehensive, safe,
    and methodical operative plan for the Petitioner’; (3) the
    arrival of a multi-disciplinary team which performed surgery on
    Petitioner on November 14, 2017; and (4) Petitioner’s post-
    operative recovery. 
    Id. ¶¶ 4-8.
    The third declaration, dated December 28, 2017, of the same
    SMO who submitted the second declaration, provides an update on
    Petitioner’s post-operative recovery. Decl. of SMO, Camp VII,
    ECF No. 47-3. Declarations of the SMO have been appended to the
    biweekly status reports that the Court has been monitoring since
    ordering them to be filed in October 2017.
    To be entitled to injunctive relief, Petitioner must allege
    facts from which it can be reasonably inferred that the
    deliberate indifference will continue “during the remainder of
    the litigation and into the future.” 
    Farmer, 511 U.S. at 846
    .
    As 
    explained supra
    Section III.A.1, Petitioner has acknowledged
    that he has received intensive medical attention since early
    2017. See Opp’n, ECF No. 59 at 40, 43, 46. The SMO declarants
    are physicians responsible for the medical care provided to
    certain Guantanamo detainees. The declarations are based on
    personal discussions with the Petitioner and the specialists
    19
    treating him. They are detailed and thorough. Furthermore, the
    fact that Respondent has deployed surgical teams to Guantanamo
    to treat Petitioner and that he has undergone five surgeries
    undermines any inference that Respondent may be deliberately
    indifferent to Petitioner’s surgical needs in the future.
    Petitioner disagrees with the medical decisions that have
    been made, but he did not respond to the Respondent’s arguments
    that he does not have a right to choose his own medical provider
    nor to obtain treatment of his own choosing. See generally
    Opp’n, ECF No. 59. Petitioner has therefore conceded those
    arguments. See Hopkins v. Women’s Div., Gen. Bd. of Global
    Ministries, 
    284 F. Supp. 2d 15
    , 25 (D.D.C. 2003) (“It is well
    understood in this Circuit that when a plaintiff files an
    opposition to a dispositive motion and addresses only certain
    arguments raised by the defendant, a court may treat those
    arguments that the plaintiff failed to address as conceded.”),
    aff’d, 98 Fed. App’x 8 (D.C. Cir. 2004).
    Even if Petitioner had not conceded those arguments,
    however, persuasive authority is clear that detainees do not
    have a constitutional right to choose their own medical
    providers nor to obtain treatment of their own choosing. See
    Roberts v. Spalding, 
    783 F.2d 867
    , 870 (9th Cir. 1986) (“A
    prison inmate has no independent constitutional right to outside
    medical care additional and supplemental to the medical care
    20
    provided by the prison staff within the institution.”); United
    States v. Rovetuso, 
    768 F.2d 809
    , 825 (7th Cir. 1985) (“The
    Eighth Amendment guarantees a prisoner treatment of his serious
    medical needs, not a doctor of his own choosing.”); United
    States ex rel. Hyde v. McGinnis, 
    429 F.2d 864
    , 867-68 (2d Cir.
    1970) (“The prisoner's right is to medical care—not the type or
    scope of medical care which he personally desires. A difference
    of opinion between a physician and a patient does not give rise
    to a constitutional right . . .”); Rabbani v. Trump, 05-cv-1607
    (RCL), Mem. Op., ECF No. 379 at 19 (noting that Guantanamo
    detainee is not entitled to the medical treatment of his
    choice).
    The injunctive relief Petitioner seeks, see supra at 15-16,
    is clearly inconsistent with this authority as he seeks to
    select his own medical provider and direct his own treatment. It
    is also contrary to Supreme Court authority holding that courts
    are to defer to the judgment of medical personnel. See Estelle
    at 107 (“But the question whether an X-ray or additional
    diagnostic techniques or forms of treatment is indicated is a
    classic example of a matter for medical judgment. A medical
    decision not to order an X-ray, or like measures, does not
    represent cruel and unusual punishment.”). Finally, the
    injunctive relief sought is highly intrusive, and therefore
    inappropriate. See Rabbani, ECF No. 379 at 21 (noting that
    21
    similarly intrusive relief would “subject[] the medical judgment
    and authority of [Guantanamo medical officers] to whatever
    supposedly neutral physician the petitioner’s counsel selects”).
    In view of the appropriate caution to be exercised in issuing an
    injunction, the Court finds that Petitioner is not entitled to
    the injunctive relief he seeks. Accordingly, Petitioner’s Eighth
    Amendment claim is DISMISSED.
    B. The Court Will Abstain from Exercising Jurisdiction
    Over Petitioner’s Equal Protection, Conflict-of-Interest
    and Interference-With-Counsel-Communications Claims in
    Favor of Ongoing Military-Commission Proceedings
    Petitioner also alleges: (1) discrimination against him by
    reason of his nationality in violation of the equal protection
    guarantees in the Fifth Amendment (“equal protection” claim);
    (2) the structure of the military commissions process violates
    the Due Process Clause of the Fifth Amendment (“conflict-of-
    interest” claim); and (3) violation of his right to counsel
    guaranteed by the Sixth Amendment and the MCA (“interference-
    with-counsel-communications” claim). Opp’n, ECF No. 59 at 6-7.
    The relief Petitioner seeks is, among other things, that the
    Court order the military commission charges against him be
    dismissed and prosecution of him under the current system be
    enjoined. Second Am. Pet., ECF No. 164 at 52.
    22
    1. The Court Need Not Determine Whether it Has
    Subject Matter Jurisdiction to Consider
    Petitioner’s Remaining Claims
    Respondent argues that the Court lacks jurisdiction to
    consider these claims pursuant to 28 U.S.C. § 2241(e)(2) and/or
    10 U.S.C. § 950g, or in the alternative, the Court should
    abstain from considering them pending the conclusion of the
    military commission proceedings. Because the Court concludes
    that it should abstain from exercising jurisdiction in favor of
    the ongoing military commission proceedings, the Court need not
    determine whether it has subject matter jurisdiction to consider
    them. See Sinochem Int’l Co. v. Malay. Int’l Shipping Corp., 
    549 U.S. 422
    , 431, (2007) (“[A] federal court has leeway ‘to choose
    among threshold grounds for denying audience to a case on the
    merits.’” (quoting Ruhrgas AG v. Marathon Oil Co., 
    526 U.S. 574
    ,
    585, (1999))); see also In re Al-Nishiri, 
    835 F.3d 110
    , 117 n.1
    (D.C. Cir. 2016) (“We need not weigh in on whether the district
    court had subject matter jurisdiction to adjudicate Al-Nashiri’s
    motion for preliminary injunctive relief. Although the
    government suggests in its briefing before us that Al-Nashiri’s
    claim does not sound in habeas—a claim that calls into question
    the district court’s statutory jurisdiction, see 28 U.S.C.
    § 2241(e)(2)—we affirm the denial of that motion for reasons we
    explain below. Because the motion was properly denied on
    threshold grounds, we need not consider the district court’s
    23
    subject matter jurisdiction any further.”) (citations omitted)).
    2. Military Commissions Act
    “The MCA provides that military commissions have
    jurisdiction to try ‘alien unprivileged enemy belligerent[s],’
    [10 U.S.C.] § 948c, for ‘any offense made punishable’ by the
    MCA, ‘whether such offense was committed before, on, or after
    September 11, 2001,’ 
    id. § 948d.”
    In re 
    Al-Nashiri, 835 F.3d at 115
    . “In the MCA, Congress established an ‘integrated’ scheme
    dictating how enemy belligerents are to be tried and obtain
    appellate review . . .” 
    Id. at 122.
    That scheme establishes
    “procedural protections and rigorous review mechanisms for
    military commissions.” 
    Id. at 120.
    The “significant procedural
    and evidentiary safeguards include “the right to be represented
    by counsel, 10 U.S.C. § 949c, be presumed innocent, 
    id. § 949l,
    obtain and offer exculpatory evidence, 
    id. § 949j,
    call
    witnesses on his behalf, 
    id. and challenge
    for cause any of the
    members of the military commission and the military judge, 
    id. § 949f.”
    Id. at 123.
    
    The “rigorous review mechanisms” include:
    trial with a military judge presiding and a
    “jury” that, in capital cases, generally
    consists of twelve military officers known as
    “members” of the military commission. 10
    U.S.C. §§ 948m, 949m(c). If he is convicted,
    the    convening     authority—the     Defense
    Department official who initially referred the
    case to trial—may review the guilty finding
    and set it aside, or reduce it to a finding of
    24
    guilty of a lesser-included offense. 
    Id. § 950b.
    The convening authority must review a
    sentence to approve, disapprove, commute, or
    suspend it in whole or in part. 
    Id. A final
              guilty finding, as modified by the convening
    authority, will then be reviewed by the CMCR
    unless the defendant properly waives this
    right of review. 
    Id. §§ 950f,
    950c. The CMCR
    is composed of both military and civilian
    judges and has the power to review factual and
    legal questions alike. 
    Id. § 950f.
    The
    defendant may appeal the CMCR’s decision to
    our court, and we are empowered to review all
    questions of law, including the sufficiency of
    the evidence. 
    Id. § 950g.
    Finally, our ruling
    can be challenged via petition for writ of
    certiorari in the Supreme Court. 
    Id. § 950g(e).
    Id.
    3. Jurisdictional 
    Abstention
    “Federal courts generally ‘have a strict duty to exercise
    the jurisdiction that is conferred upon them by Congress.’” In
    re 
    Al-Nashiri, 835 F.3d at 118
    (quoting Quackenbush v. Allstate
    Ins. Co., 
    517 U.S. 706
    , 716 (1996)). “This duty ‘is not,
    however, absolute’” 
    Id. (quoting Quackenbush,
    517 U.S. at 716).
    “In the context of criminal prosecutions, federal courts
    routinely decline to adjudicate petitions that seek collateral
    relief to prevent a pending prosecution.” 
    Id. (citations omitted).
    “[W]here the issue the petitioner challenges can be
    litigated in pretrial motions and raised as a defense at trial,
    federal courts typically require the petitioner to navigate that
    process instead of skirting it.” 
    Id. (citing Jarkesy
    v. SEC, 803
    
    25 F.3d 9
    , 26 (D.C. Cir. 2015). In Schlesinger v. Councilman, 
    420 U.S. 738
    (1975), the Supreme Court applied abstention doctrine
    to court martial proceedings. 
    Councilman, 420 U.S. at 759
    . And
    in In re Al-Nashiri, the United States Court of Appeals for the
    District of Columbia Circuit (“D.C. Circuit”) applied abstention
    doctrine to military commissions constituted pursuant to the
    MCA. In re 
    Al-Nashiri, 835 F.3d at 122
    , 124. Accordingly, the
    parties do not dispute that “the system enacted to adjudicate
    [Guantanamo detainees’] guilt . . . adequately protect[s]
    [their] rights” and consequently, “judicial review should not
    take place before that system has completed its work” subject to
    limited exceptions. In re 
    Al-Nashiri, 835 F.3d at 122
    , 124;
    Opp’n, ECF No. 58 at 24 (“In re al-Nashiri binds this Court, and
    so the only remaining issue is whether Petitioner’s claims fall
    within the scope of the doctrine announced in that case.”). 5 What
    is at dispute is whether Petitioner’s claims fall within one of
    the limited exceptions to abstention.
    4. The “Status Exception” to Abstention
    Petitioner argues that his commission-related claims fall
    within “two branches” of the “status exception” to abstention.
    Opp’n, ECF No. 59 at 28. Judge Friedman recently explained how
    5 Petitioner reserves the right to argue that argue that
    abstention does not apply to military commission proceedings at
    the appropriate time. Opp’n, ECF No. 59 at 24 n.33.
    26
    the status exception fits within the “narrow and limited,” In re
    
    Al-Nashiri, 835 F.3d at 128
    , exceptions to abstention:
    In In re Al-Nashiri, the D.C. Circuit
    described    an    exception    to    Councilman
    abstention    for    a   particular    kind   of
    extraordinary circumstance: claims arising
    from “express statutory or constitutional
    language that gives [petitioner] a right not
    to be tried” at all. In re 
    Al-Nashiri, 835 F.3d at 131
    . Such rights permit pre-conviction
    intervention by a habeas court because “the
    trial itself creates an injury that cannot be
    remedied on appeal.” 
    Id. See also
    Khadr v.
    United States, 
    529 F.3d 1112
    , 1117-18 (D.C.
    Cir.   2008)    (holding   that   denial   of  a
    preliminary    jurisdictional    ruling   by   a
    military   commission    is    not   immediately
    appealable). Courts have recognized only four
    types of proceedings that rise to this level:
    (i) trials that would violate the double
    jeopardy prohibition, Abney v. United States,
    
    431 U.S. 651
    , 659, 
    97 S. Ct. 2034
    , 
    52 L. Ed. 2d
    651 (1977); (ii) trials for conduct
    protected by the speech or debate clause,
    Helstoski v. Meanor, 
    442 U.S. 500
    , 506-07, 
    99 S. Ct. 2445
    , 
    61 L. Ed. 2d 30
    (1979); (iii)
    trials without a grand jury indictment in
    violation of the Fifth Amendment, Midland
    Asphalt Corp. v. United States, 
    489 U.S. 794
    ,
    802, 
    109 S. Ct. 1494
    , 
    103 L. Ed. 2d 879
    (1989);
    and (iv) the “status exception,” where
    circumstances raise “substantial arguments”
    as to whether certain individuals may be tried
    by the military at all. In re 
    Al-Nashiri, 835 F.3d at 133
    . “[T]hat is, where there is a
    substantial    question   whether   a   military
    tribunal has personal jurisdiction.” 
    Id. See also
    Schlesinger v. Councilman, 420 U.S.
    [738,] 758-59, 
    95 S. Ct. 1300
    .
    Al-Baluchi v. Esper, Civil Action No. 08-2083, 
    2019 WL 3414334
    ,
    at * 5 (D.D.C. July 29, 2019)
    27
    a. Equal Protection Claim
    Petitioner argues that his equal protection claim falls
    under one type of status exception to abstention. See Opp’n, ECF
    No. 59 at 29. The D.C. Circuit has observed that “[t]he precise
    contours of this ‘status’ exception are unclear, but the Supreme
    Court has offered two examples of challenges that may come
    within its scope.” In re 
    Al-Nashiri, 835 F.3d at 133
    . The first
    example is “where the military attempts to court-marshal a
    defendant who is undisputedly a civilian.” 
    Id. (quotation marks
    omitted). “In these cases, the ‘issue presented concerned not
    only the military court’s jurisdiction, but also whether under
    Art. I Congress could allow the military to interfere with the
    liberty of civilians even for the limited purpose of forcing
    them to answer to the military justice system.’ 
    Councilman, 420 U.S. at 759
    . Requiring civilian defendants to first proceed
    through the military system would be ‘especially unfair’ because
    of the ‘disruption caused to [their] civilian lives’ and the
    accompanying ‘deprivation of liberty.’ 
    Id. (quoting Noyd,
    395
    U.S. [683] 696 n.8 [(1969)], 
    89 S. Ct. 1876
    [1884] [(1969)]).”
    In re 
    Al-Nashiri, 835 F.3d at 133
    . Accordingly, abstention “is
    not appropriate in cases in which individuals raise substantial
    arguments denying the right of the military to try them at all,
    and in which the legal challenge turns on the status of the
    persons as to whom the military asserted its power.” Hamdan v.
    28
    Rumsfeld, 
    548 U.S. 548
    , 585, n.16 (quotation marks and citations
    omitted). “In other words, . . . when there is a substantial
    question whether a military tribunal has personal jurisdiction
    over the defendant,” abstention is inappropriate. 
    Id. Petitioner argues
    that his equal protection claim falls
    within this exception because he raises a substantial question
    as to whether the military commission created by the MCA has
    personal jurisdiction over him: “If, as Petitioner contends, the
    jurisdictional limitation to non-citizens violates the
    Constitution on its face, then § 948c is void ab initio and no
    one, including Petitioner, may lawfully be tried by the MCA
    military commission.” Opp’n, ECF No. 59 at 29. Petitioner argues
    that although the Fifth Amendment does not contain an explicit
    right not to be tried, he falls within this exception because
    “as a matter of logic, being forced to trial in a tribunal that
    is devoid of jurisdiction over a person because of a fundamental
    constitutional flaw rises to the same level as being forced to
    trial despite a right not to be tried.” Opp’n, ECF No. 59 at 29.
    Petitioner argues that his claim is “substantial” because
    “Congress has established a separate and decidedly unequal
    system of criminal justice that denies fundamental and statutory
    rights to non-citizens that it affords to its citizens.” 
    Id. at 30.
    29
    The status exception within which Petitioner argues he fits
    falls within “an exception to Councilman abstention for a
    particular kind of extraordinary circumstance: claims arising
    from ‘express statutory or constitutional language that gives
    [petitioner] a right not to be tried’ at all.” Al-Baluchi, 
    2019 WL 3414334
    , at * 5 (quoting In re 
    Al-Nashiri, 835 F.3d at 131
    ).
    Respondent argues—and the Court agrees—that because the system
    created by the MCA has been determined by the D.C. Circuit to
    adequately protect the rights of Guantanamo detainees, an
    exception to abstention must be based on a right not to be tried
    at all, otherwise the admonition that the “cost, anxiety and
    inconvenience” of needing to defend a prosecution is
    insufficient to justify abstaining, would be meaningless. See
    
    Councilman, 420 U.S. at 755
    .
    Petitioner’s argument—that his equal protection claim
    raises a substantial question as to whether the military
    commission has personal jurisdiction over him “rises to the same
    level” as a constitutional right not to be tried—is
    unpersuasive. Petitioner has acknowledged that the Fifth
    Amendment does not contain an explicit right not to be tried. He
    therefore reframes his equal protection claim as one of personal
    jurisdiction to fit within this example of the status exception
    to abstention. But he has provided no legal support for this
    novel theory. See generally Opp’n, ECF No. 59 at 28-32.
    30
    Furthermore, Petitioner’s argument that his claim is
    “substantial” is inconsistent with D.C. Circuit precedent for
    two reasons. First, when the D.C. Circuit held that “the system
    enacted to adjudicate [Guantanamo detainees’] guilt . . .
    adequately protect[s] [their] rights,” In re 
    Al-Nashiri, 835 F.3d at 122
    , it was well aware that “[t]he MCA provides that
    military commissions have jurisdiction to try ‘alien
    unprivileged enemy belligerent[s],’” 
    id. at 115
    (citing 10
    U.S.C. § 948c). Second, Petitioner’s equal protection claim has
    been rejected by the D.C. Circuit. Al Bahlul v. U.S. 
    840 F.3d 757
    , 758 (D.C. Cir. 2016) (en banc) (per curiam) (“Bahlul has
    also raised First Amendment and Equal Protection challenges to
    his conviction. The Court rejects those challenges.”). 6
    Petitioner attempts to distinguish his claim from those in Al-
    Nashiri, because he “unlike al-Nashiri . . . does assert that
    the military commissions are unconstitutional.” Opp’n, ECF No.
    59 at 24-25 (internal quotations omitted). Since the D.C.
    6Petitioner argues that the merits of his equal protection claim
    remain open in this Circuit because the claim was rejected
    without an opinion and two of the six judge majority voted under
    a plain error standard. Opp’n, ECF No. 59 at 31 n.38.
    Respondents disagree, arguing that this claim “has been rejected
    by the only appellant panels to consider it on the merits,”
    noting that Petitioner stated “that any attempt to present this
    claim within the integrated military-commission trial and
    appellate system would be futile.” Reply, ECF No. 62 at 16 n.8
    (citing Second Am. Pet.). The Court notes that Petitioner
    subsequently raised this claim before the military judge. 
    Id. at at
    8 n.2
    31
    Circuit has rejected this same equal protection claim, however,
    it is clear that Petitioner has not raised a substantial
    question of jurisdiction.
    Petitioner does not explain how raising this claim at this
    time justifies this Court’s intervention in the ongoing
    military-commission proceedings. Petitioner raised this same
    claim before the military judge. Reply, ECF No. 62 at 8 n.2. To
    the extent Petitioner disagrees with the military judge’s ruling
    on this claim, he can seek appellate review within the system
    created by the MCA, which includes review by an Article III
    Court and potentially the Supreme Court. See In re 
    Al-Nashiri, 835 F.3d at 122
    . Petitioner does not claim that he will be
    unable to seek appellate review of the military judge’s
    decisions with which he disagrees. See generally Opp’n, ECF No.
    59. And his disagreement with that decision does not justify
    this Court’s intervention. In re 
    Al-Nashiri, 835 F.3d at 123
    (“Al-Nashiri asks us to do what the Supreme Court notably did
    not do in Councilman: determine whether pretrial intervention is
    warranted by examining the on-the-ground performance of the
    system that Congress and the Executive have established.”
    (citation omitted)).
    For all of these reasons, Petitioner’s equal protection
    claim does not fall within the status exception to abstention,
    and the Court will abstain from exercising jurisdiction to
    32
    decide this pre-trial challenge in favor of ongoing military-
    commission proceedings.
    b. Conflict-of-Interest and Interference-
    With-Counsel-Communication Claims
    Petitioner argues that his conflict-of-interest and
    interference-with-counsel-communications claims fall under the
    second example of a status exception to abstention. Opp’n, ECF
    No. 59 at 32. This example occurs when there is an allegation
    that a “military commission was not ‘regularly constituted’
    under the Geneva Conventions. An irregularly constituted court
    is ‘ultra vires’ and therefore necessarily lacks personal
    jurisdiction over any defendant, the Court reasoned.” In re Al-
    
    Nashiri, 835 F.3d at 134
    (quoting 
    Hamdan, 548 U.S. at 589
    n.20).
    Petitioner claims that the commission proceedings are ultra
    vires because he is being denied: (1) the right to go to trial
    before an unbiased judicial official; and (2) the effective
    assistance of counsel in violation of the Sixth Amendment.
    Opp’n, ECF No. 59 at 33.
    Petitioner’s conflict-of-interest claim is that the
    Convening Authority’s powers and responsibilities are both
    prosecutorial and judicial. 
    Id. at 32-33.
    Specifically:
    the Convening Authority is the single most
    powerful official presiding over an accused’s
    military commission proceeding, responsible
    for most of the critical actions affecting an
    accused’s rights over the course of the
    criminal   proceeding,   from   discretionary
    33
    authority over what charges are brought to
    trial and whether they are capital, to hand-
    selecting the venire, retaining the power to
    amend or overturn any sentence, and many
    others in between, including negotiating plea
    bargains and resourcing the defense.
    
    Id. at 32.
    Petitioner’s interference-with-counsel-communications
    claim alleges that “as a direct result of Government actions
    (the most recent of which remain classified) Petitioner’s
    ability to communicate with his commission counsel on a
    confidential basis has been materially impaired to the point
    that he has been constructively denied the assistance of
    counsel, in violation of the Sixth Amendment and MCA.” 
    Id. at 33.
    Petitioner contends that the alleged conflict of interest
    and interference with counsel communications makes the
    commission proceedings “so procedurally deficient that they are
    wholly ultra vires.” 
    Id. at 32
    (citing In re Al-
    Nashiri, 835 F.3d at 134
    ). As a result, Petitioner claims, he “has been and
    will continue to be denied a full and fair opportunity to
    litigate his defenses before the military commission.” 
    Id. at 33
    (citing Second Am. Pet., ECF No. 164 ¶¶ 83-84). Petitioner
    argues that these defects are “structural” because they
    “affect[] the framework within which the trial proceeds, rather
    than simply an error in the trial itself,” 
    id., and accordingly
    they fall within the ultra vires exception, 
    id. at 34.
    Petitioner also contends that the ultra vires exception applies
    34
    because “the Executive Branch exceeded the authority granted to
    it by Congress in formulating procedures for military
    commissions” when it gave the Convening Authority a
    prosecutorial role, which results in the commission being an
    irregularly constituted court. 
    Id. at 36
    (citing 
    Hamdan, 548 U.S. at 589
    n.20).
    The D.C. Circuit, when it determined that “the system
    enacted to adjudicate [Petitioner’s] guilt will adequately
    protect his rights,” was well aware of the Convening Authority’s
    powers and responsibilities. See In re 
    Al-Nashiri, 835 F.3d at 122
    . Accordingly, Petitioner’s argument—that the alleged
    conflict of interest renders the entire scheme so procedurally
    deficient as to be ultra vires—is untenable. The scheme provides
    for review by the CMCR and the D.C. Circuit, and Petitioner has
    not identified a structural flaw that will prevent him from
    presenting his claims to those appellate bodies. See generally
    Opp’n, ECF No. 59; see also In re 
    Al-Nashiri, 835 F.3d at 125
    (Petitioner “does not argue before us that any evidentiary or
    procedural defects will prevent the military commission and
    various appellate bodies from fully adjudicating his defense”).
    Nor has he identified a structural flaw with the CMCR or D.C.
    Circuit. See generally Opp’n, ECF No. 59. The Court is
    unpersuaded by Petitioner’s argument that the alleged conflict
    of interest results in the commission being an irregularly
    35
    constituted Court because at most, Petitioner has alleged an
    isolated flaw in the undisputedly congressionally-authorized
    scheme. This hardly renders the commission “irregularly
    constituted” in light of the D.C. Circuit’s In re Al-Nashiri
    decision. Finally, Petitioner does not argue that the MCA
    contains a provision that impairs his ability to communicate
    with counsel. See generally 
    id. Petitioner has
    raised these two claims before the military
    judge and received adverse decisions. Mot. to Dismiss, ECF No.
    47 at 30; Reply, ECF No. 62 at 4. To the extent he disagrees
    with the military judge’s rulings, he can seek appellate review
    within the system created by the MCA, which again includes
    review by an Article III Court and potentially the Supreme
    Court.
    For all of these reasons, Petitioner’s conflict-of-interest
    and interference-with-counsel-communications claims do not fall
    within the status exception to abstention, and the Court will
    therefore abstain from exercising jurisdiction to decide these
    pre-trial challenges in favor of ongoing military-commission
    proceedings.
    In the alternative, Petitioner briefly argues that his
    interference-with-counsel-communications claim is properly
    characterized as a challenge to a condition of confinement:
    “While the interference with Petitioner’s attorney-client
    36
    relationship alleged in Claim for Relief IV differs in important
    respects from that addressed in Hatim, it shares the key
    characteristic of being based on a prison-wide policy that does
    not pertain specifically to military commission accused. It thus
    constitutes a ‘condition of confinement’ regardless of whether
    it is also deemed appropriate for habeas jurisdiction on any
    other ground.” Opp’n, ECF No. 59 at 23-24.
    Petitioner relies on Hatim v. Obama, 
    760 F.3d 54
    (D.C. Cir.
    2014) to support his assertion that this is a conditions of
    confinement claim. In Hatim, Guantanamo detainees challenged two
    policies–one concerning where detainees could meet with their
    habeas lawyers and the other concerning the physical search
    detainees must undergo before and after meeting with their
    habeas lawyers–as “having the purpose and effect of discouraging
    meeting with their [habeas] counsel.” 
    Hatim, 760 F.3d at 356
    ,
    357. There was no dispute that the challenges to the two
    policies were challenges to conditions of confinement and
    therefore properly raised in a habeas petition. 
    Id. at 358.
    Here, Petitioner argues that there is a prison-wide policy
    that results in interference with the attorney-client
    relationship. As an initial matter, regardless of whether this
    claim implicates any Sixth Amendment rights Petitioner may or
    may not have, see Reply, ECF No. 62 at 20, the MCA itself
    provides for his right to be represented by counsel. See 10
    37
    U.S.C. § 949c. The Court is not persuaded that this is properly
    construed as a conditions of confinement claim. Unlike his
    Eighth Amendment claim, Petitioner does not allege that this is
    a conditions of confinement claim, see generally Second Am.
    Pet., ECF No. 164, and Petitioner has not sought leave to amend
    his Second Amended Petition, see generally Docket for Civil
    Action No. 17-1928. And the alleged interference with counsel
    communications does not “make his imprisonment more burdensome
    than the law allows or curtail[] his liberty to a greater extent
    than the law permits.” 
    Aamer, 742 F.3d at 1036
    (quoting Miller
    v. Overholser, 
    206 F.2d 415
    , 420 (D.C. Cir. 1953).
    Furthermore, this claim pertains to the conduct of and
    fairness of his military-commission defense; not this habeas
    proceeding. See Second Am. Pet., ECF No. 164 at 2 (alleging
    “interference with Petitioner’s constitutional and statutory
    right to counsel in his military commission case”); 
    Id. at 8
    (“Petitioner requests that the Court enjoin further proceedings
    in Petitioner’s military commission case until his military
    commission defense counsel are permitted to advise him of the
    information contained at Exhibit NN, Attach. J, which is
    necessary for counsel to obtain his informed consent to carry on
    privileged discussions under the present circumstances.); 
    Id. at 37
    (“Petitioner is being denied his constitutional and statutory
    right to counsel in his military commission case.”). Petitioner
    38
    raised the same claim before the military judge, who denied the
    motion on the following grounds: “Taking the recitation of facts
    provided by the defense in various pleadings . . . at face
    value, the commission finds there is no evidence or even an
    allegation of any intrusion into the attorney-client
    relationship in this case. The commission further finds the
    defense is not operating under an ethical constraint in meeting
    with their client.” Reply, ECF No. 62-1 at 3.
    To the extent Petitioner disagrees with the military
    judge’s ruling on this claim, he can seek appellate review
    within the system created by the MCA, which again includes
    review by an Article III Court and potentially the Supreme
    Court. Petitioner does not claim that he will be unable to seek
    appellate review of this decision. See generally Opp’n, ECF No.
    59. And because this Court has determined to abstain from
    exercising jurisdiction to decide this pre-trial challenge in
    favor of ongoing military-commission proceedings, the Court can
    consider the claim following the ultimate conclusion of those
    proceedings.
    III. Conclusion
    For the reasons set forth above, Respondent’s motion to
    dismiss is GRANTED IN PART and HELD IN ABEYANCE IN PART.
    Petitioner’s Eighth Amendment claim is DISMISSED. Petitioner’s
    remaining claims are HELD IN ABEYANCE. Since the Court will
    39
    abstain from resolving the merits of those claims pending the
    ultimate conclusion of the military commission proceedings, all
    proceedings relating to those claims will be STAYED. An
    appropriate Order accompanies this Memorandum Opinion.
    SO ORDERED.
    Signed:   Emmet G. Sullivan
    United States District Judge
    October 28, 2019
    40