Donald Beard, Jr. v. Wexford Health Sources, Incorp

900 F.3d 951
Court of Appeals for the Seventh Circuit·Decided August 21, 2018·No. 16-1763·Published·Cited by 33 cases

Opinion

Easterbrook, Circuit Judge.

*953 Wexford Health Sources provides medical care to inmates in Illinois's prisons. Donald Beard, Jr., an inmate, experiences chronic ankle pain. In December 2010 he consulted with his prison's doctors about managing his condition. Beard wanted surgery, but the doctors ordered conservative treatment. When Beard's pain persisted, the doctors considered referring Beard for surgical evaluation, a step that requires Wexford's approval. It rejected the doctors' requests for surgical evaluation, though it authorized Beard to see a podiatrist in September 2012 and an orthopedist in January 2015.

Beard filed a pro se complaint in September 2011. He alleged that members of the prison's medical staff and administrative team were deliberately indifferent to his serious medical need in violation of the Eighth Amendment (applied to the states through the Fourteenth), and he sought damages plus injunctive relief. The district court recruited counsel, who added Wexford as a defendant and stipulated to the dismissal of the individual defendants. Beard presented his case against Wexford to a jury, which awarded him $10,000 in compensatory damages and $500,000 in punitive damages.

Wexford persuaded the judge that the punitive-damages award violates the Fourteenth Amendment's prohibition on excessive or arbitrary punishment. The judge reduced punitive damages to $50,000. Initially he offered Beard a choice between retrying the issue of punitive damages and accepting the reduced award but later withdrew the option and entered a judgment that awarded only $50,000 in punitive damages (plus the jury's compensatory award).

Beard's first argument on appeal is that the district court improperly prevented him from presenting an additional theory of liability. Beard convinced the jury to find Wexford directly liable; he contends that he should have been allowed to argue that Wexford also is vicariously liable for its doctors' violations of his constitutional rights. Beard maintains that Iskander v. Forest Park , 690 F.2d 126 (7th Cir. 1982), which stopped him from pursuing vicarious liability, should be overruled.

Monell v. Department of Social Services , 436 U.S. 658 , 98 S.Ct. 2018 , 56 L.Ed.2d 611 (1978), holds that a municipal corporation cannot be vicariously liable if its employees deprive others of their civil rights. Iskander treats private corporations the same way, when their liability depends on performing governmental functions. Beard maintains that Monell should be limited to governmental litigants. But Beard has not explained how Iskander harmed him. We asked Beard's counsel what additional damages he would have sought if Wexford could be found vicariously liable. He did not point to any. So we need not decide whether Iskander should be overruled; anything we say about the subject would be advisory.

Beard also contends that the district court erred in reducing the jury's award of punitive damages without offering him a new trial. Punitive damages punish blameworthy behavior and deter defendants from committing future bad acts-the more reprehensible a defendant's conduct and the more easily a defendant can conceal violations, the higher the punitive damages. See, e.g., Zazú Designs v. L'Oréal, S.A. , 979 F.2d 499 , 508 (7th Cir. 1992). But excessive punitive-damages awards violate the Due Process Clause. See, e.g., State Farm Mutual Automobile Insurance Co. v. Campbell , 538 U.S. 408 , 123 S.Ct. 1513 , 155 L.Ed.2d 585 (2003) ; BMW of North America, Inc. v. Gore , 517 U.S. 559 , 116 S.Ct. 1589 , 134 L.Ed.2d 809 (1996). The Justices have instructed courts to review whether an *954 award of punitive damages exceeds the Due Process Clause's bounds by considering the reprehensibility of the defendant's conduct, the ratio between punitive and compensatory damages, and any civil penalties that punish similar behavior. See, e.g., BMW of North America , 517 U.S. at 574-75 , 116 S.Ct. 1589 . Applying these guideposts to the jury's verdict, the district court concluded that an award of punitive damages equal to fifty times compensatory damages violates the Due Process Clause and must be reduced. The district court's decision is consistent with the Supreme Court's caution that "few awards exceeding a single-digit ratio between punitive and compensatory damages, to a significant degree, will satisfy due process." State Farm , 538 U.S. at 425 , 123 S.Ct. 1513 .

So far, so good. But even taking the Court's caution about single-digit ratios as a rule, the district court had nine single digits (and an infinite number of fractions) from which to choose. From these options, the court selected: five. It concluded that, because a ratio of five to one "better matches the reprehensibility of Wexford's conduct, the actual harm suffered by [Beard], and the need for deterrence and punishment of Wexford", a punitive-damages award in excess of $50,000 would offend the Due Process Clause.

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Donald Beard, Jr. v. Wexford Health Sources, Incorp, 900 F.3d 951 (7th Cir. 2018).

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