Austin v. State of California

District Court, E.D. California·Decided June 13, 2022·No. 1:22-cv-00097·Unknown

Opinion

1 2 3 4 5 6 7 10 11 GREGORY A. AUSTIN, Case No. 1:22-cv-00097-DAD-BAM 12 Plaintiff, ORDER GRANTING APPLICATION TO PROCEED IN FORMA PAUPERIS 13 v. (Doc. 2) 14 STATE OF CALIFORNIA, et al., SCREENING ORDER GRANTING 15 Defendants. PLAINTIFF LEAVE TO AMEND 16 (Doc. 1) 17 18 Plaintiff Gregory A. Austin (“Plaintiff”), proceeding pro se, initiated this civil action on 19 January 24, 2022. (Doc. 1.) Concurrent with his complaint, Plaintiff filed an application to 20 proceed in forma pauperis without prepaying fees or costs. (Doc. 2.) 21 I. Application to Proceed in Forma Pauperis 22 Plaintiff has requested leave to proceed in forma pauperis pursuant to Title 28 of the 23 United States Code section 1915(a). Plaintiff has made the showing required by section 1915(a), 24 and accordingly, the request to proceed in forma pauperis is GRANTED. 28 U.S.C. § 1915(a). 25 II. Screening Requirement and Standard 26 The Court screens complaints brought by persons proceeding in pro se and in forma 27 pauperis. 28 U.S.C. § 1915(e)(2). Plaintiff’s complaint, or any portion thereof, is subject to 28 dismissal if it is frivolous or malicious, if it fails to state a claim upon which relief may be 1 granted, or if it seeks monetary relief from a defendant who is immune from such relief. 28 2 U.S.C. § 1915(e)(2)(B)(ii). 3 A complaint must contain “a short and plain statement of the claim showing that the 4 pleader is entitled to relief . . . .” Fed. R. Civ. P. 8(a)(2). Detailed factual allegations are not 5 required, but “[t]hreadbare recitals of the elements of a cause of action, supported by mere 6 conclusory statements, do not suffice.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Bell 7 Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007)). While a plaintiff’s allegations are taken as 8 true, courts “are not required to indulge unwarranted inferences.” Doe I v. Wal-Mart Stores, Inc., 9 572 F.3d 677, 681 (9th Cir. 2009) (internal quotation marks and citation omitted). 10 To survive screening, Plaintiff’s claims must be facially plausible, which requires 11 sufficient factual detail to allow the Court to reasonably infer that each named defendant is liable 12 for the misconduct alleged. Iqbal, 556 U.S. at 678 (quotation marks omitted); Moss v. U.S. Secret 13 Serv., 572 F.3d 962, 969 (9th Cir. 2009). The sheer possibility that a defendant acted unlawfully 14 is not sufficient, and mere consistency with liability falls short of satisfying the plausibility 15 standard. Iqbal, 556 U.S. at 678 (quotation marks omitted); Moss, 572 F.3d at 969. 16 III. Plaintiff’s Allegations 17 Plaintiff’s complaint is titled “Petition for Injunction Pending Medical Malpractice and 18 Antitrust Business Practices,” “Brief and Propounding Argument.” (Doc. 1, Compl. at 1.) The 19 caption names as primary defendants the State of California and the United States of America 20 “as Represented by Stacy Ferreira, CEO, Clinica Sierra Vista[;] Kerry Hydash, CEO, Family 21 Healthcare Network[;] Michelle Baass, MediCal Director and Marck Ghaly, MD/MPH, CalHHS 22 Secretary and Xavier Bacerra, U.S. HHS Secretary, Anthony Fauci, CDC/NIH Director.” (Id.) 23 However, Plaintiff also avers:

24 Individual providers involved in the case that have not been listed on the cover page include Dr. S. Nareddy, Resident, under Department Head Dr. Hebah 25 Ghanem, Infections Disease, Dr. Mark Specker, Neuro, Dr. Christopher Codey, Internal Medicine, Dr. S. Borno, Cardio, McGuire Physical Therapy, various lab 26 technicians and physicians during ER visits and overnight stays for exacerbations of symptoms, including chest pain. 27

28 (Id. at 4.) 1 Plaintiff’s complaint is not entirely clear, and its verbose nature makes it difficult to 2 distill the factual allegations and the nature of his claims beyond his general challenge to 3 California’s managed care network and his purported abandonment as a patient. (Id. at 3.) With 4 respect to his claims regarding managed care, Plaintiff challenges the system as a monopoly and 5 complains of a failure to allow him access to medications without a doctor’s order. For instance, 6 Plaintiff alleges:

7 [U]nder the Managed Care business plan of California, the inherent Doctor- Patient relationship has been disrupted, replaced with a Doctor-insurance provider 8 relationship, while patients themselves have been relegated to mere inventory status. Both California’s healthcare management and its corporate groups 9 operate, and receive pay, under Medicare’s managed care guidelines, all under authority of the Affordable Care Act[ ] of the US Federal Government. 10 This monopolized mandatory managed care business model, a model that is 11 intended to provide care for patients who cannot otherwise afford care, paradoxically instead prevents our individual self-care. CalHHS/MediCal 12 prevents our self-care by requiring state medical licensure, while simultaneously rendering an outcome that can only be that of fiscal inefficiency and outright 13 abandonment of patient care. Therefore, against the public’s trust, the state monopoly prevents patients from attaining allopathic medications without a 14 physician’s order also neglects diagnosing these same patients, and further fails to prescribe medicines on a trial basis without diagnosis, resulting in patient 15 abandonment.

16 Therefore, the propounded wrongful principle is that the monopolized CalHHS/MediCal Managed Care business model as provider has also assumed the 17 role of patient by proxy to thereby manage, or mismanage. CalHHS/MediCal corporate doctors are hired under the same provider, resulting in a doctor-patient 18 proxy relationship without the need for even the presence of any individual patients…. 19 20 (Id. at 3.) Plaintiff maintains that this monopoly falls under United States Antitrust laws. 21 With regard to his medical treatment, as best as can be determined, Plaintiff claims that 22 he was bitten by an “assassin bug,” which he suspects “is a Chagas variant,” that “has been made 23 objectively evident on cardiac stress test, and subjectively evident by virtue of chronic skin rash, 24 especially around joints, as well as neck pain.” (Id. at 4.) Plaintiff has self-treated this condition 25 with allopathic chemicals attained from outside California’s managed care network. He claims 26 that he has presented the signs and symptoms of this disease to both Clinica Sierra Vista staff 27 physicians and Family Healthcare Network staff physicians, but he has not received “legitimate 28 treatment for this chief compliant, nor a care plan for differential diagnosis, nor any follow-up 1 whatsoever.” (Id.) Plaintiff asserts that instead of care management, he received an invitation 2 for self-treatment, including “suggestions to try elderberry, homeopathic remedies, or treatments 3 available at the health food stores.” (Id. at 5.) Plaintiff alleges that these suggestions, in lieu of 4 physician orders, justify his petition to “be granted access to allopathic medications already on 5 the formulary, as well as alternatives . . ..” (Id. at 5.) Plaintiff appears to contend that the signs 6 and symptoms of his disease were ignored and then he was abandoned as a patient.

Free access — add to your briefcase to read the full text and ask questions with AI

Austin v. State of California, (E.D. Cal. 2022).

Austin v. State of California (Austin v. State of California) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

United States v. Orleans
425 U.S. 807 (Supreme Court, 1976)
Pennhurst State School and Hospital v. Halderman
465 U.S. 89 (Supreme Court, 1984)
Kentucky v. Graham
473 U.S. 159 (Supreme Court, 1985)
Will v. Michigan Department of State Police
491 U.S. 58 (Supreme Court, 1989)
McNeil v. United States
508 U.S. 106 (Supreme Court, 1993)
Federal Deposit Insurance v. Meyer
510 U.S. 471 (Supreme Court, 1994)
Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Watters v. Wachovia Bank, N. A.
550 U.S. 1 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Owens v. Hinsley
635 F.3d 950 (Seventh Circuit, 2011)
Clarissa Brady,plaintiff-Appellant v. United States
211 F.3d 499 (Ninth Circuit, 2000)
National Audubon Society, Inc. Golden Gate Audubon Society, Inc. Marin Audubon Society, Inc. Muir Beach Enviro, Inc. California Waterfowl Association, Inc., and National Trappers Association, Inc. California Trappers Association, Inc. Tim Wion Christopher S. Brennan Loyd E. Horn, Intervenors v. Gray Davis, Governor of California Douglas Wheeler, Resources Secretary, State of California Jacqueline E. Schafer, Director, Cdfg California Department of Fish & Game California Fish & Game Commission, and Ann M. Veneman, U.S. Department of Agriculture Gary Simmons, California State Director, Wildlife Services, U.S. Department of Agriculture Jamie Clark Rappaport, Director, U.S. Fish and Wildlife Service Anne Badgley, Regional Director, U.S. Fish and Wildlife Service, Am Soc Prev Cruelty Protect Pets and Wildlife/vote Yes on Proposition 4 Animal Protection Institute the Ark Trust, Inc. Doris Day Animal League the Fund for Animals the Humane Society of the United States International Fund for Animal Welfare, Defendants-Intervenors-Appellants. National Audubon Society, Inc. Golden Gate Audubon Society, Inc. Marin Audubon Society, Inc. Muir Beach Enviro, Inc. California Waterfowl Association, Inc., and National Trappers Association, Inc. California Trappers Association, Inc. Tim Wion Christopher S. Brennan Loyd E. Horn, Intervenors-Appellants v. Gray Davis, Governor of California Douglas Wheeler, Resources Secretary, State of California Jacqueline E. Schafer, Director, Cdfg California Department of Fish & Game California Fish & Game Commission, and Ann M. Veneman, U.S. Department of Agriculture Gary Simmons, California State Director, Wildlife Services, U.S. Department of Agriculture Gale A. Norton, Secretary, U.S. Department of the Interior Jamie Clark Rappaport, Director, U.S. Fish and Wildlife Service Anne Badgley, Regional Director, U.S. Fish and Wildlife Service Robert Stanton, Director, National Park Service, Am Soc Prev Cruelty Protect Pets and Wildlife/vote Yes on Proposition 4 Animal Protection Institute the Ark Trust, Inc. Doris Day Animal League the Fund for Animals the Humane Society of the United States International Fund for Animal Welfare, Defendants-Intervenors-Appellees. National Audubon Society, Inc. Golden Gate Audubon Society, Inc. Marin Audubon Society, Inc. Muir Beach Enviro, Inc. California Waterfowl Association, Inc. v. Gray Davis, Governor of California Mary D. Nichols, Resources Secretary, State of California Robert C. Hight, Director of the California Department of Fish and Game California Department of Fish and Game California Fish & Game Commission, Ann M. Veneman, Secretary, U.S. Department of Agriculture Gary Simmons, California State Director, Wildlife Services, U.S. Department of Agriculture Gale A. Norton, Secretary, U.S. Department of the Interior Jamie Clark Rappaport, Director, U.S. Fish and Wildlife Service Robert Stanton, Director, National Park Service, American Society for the Prevention of Cruelty to Animals Animal Protection Institute the Ark Trust, Inc. Doris Day Animal League the Fund for Animals Humane Society of the United States Protect Pets and Wildlife/vote Yes on Proposition 4 the International Fund for Animal Welfare, Defendants-Intervenors-Appellees
307 F.3d 835 (Ninth Circuit, 2002)
Michael Lacey v. Joseph Arpaio
693 F.3d 896 (Ninth Circuit, 2012)
George v. Smith
507 F.3d 605 (Seventh Circuit, 2007)
Doe I v. Wal-Mart Stores, Inc.
572 F.3d 677 (Ninth Circuit, 2009)
Moss v. U.S. Secret Service
572 F.3d 962 (Ninth Circuit, 2009)
Coughlin v. Rogers
130 F.3d 1348 (Ninth Circuit, 1997)