MEMORANDUM OPINION
CACHERIS, District Judge.
The plaintiff is an inmate at the St. Brides Correctional Center and has brought this case, pursuant to 42 U.S.C. § 1983,
pro se
and
in forma pauperis.
Reading his complaint in the most favorable light, it alleges lack of adequate and effective medical treatment. Plaintiff has submitted to the court a standard complaint form and copies of several grievance forms which he has filed at St. Brides since November 8, 1982. The court has neither ordered nor received any pleadings, statements or other materials from any of the defendants. Thus, all of the facts before the court are those submitted by the plaintiff.
I
PACTS
Plaintiff arrived at St. Brides on November 8, 1982. Approximately two months later he began to complain about metal items which were lodged within his right arm.
He complained of pain and requested that the items be removed. In his grievance forms filed on January 14,1983 and on February 2, 1983, both of which plaintiff attached to his complaint, plaintiff admitted that
he
had put these metal items into his arm before he arrived at St. Brides.
In his February 2, 1983 grievance form he admitted that he had been to the defendant, Dr. Romm, and that “he said let it come out its self. This has been in my arm for 3 months and is not comeing out by its self. I ask him to take it out and [Dr. Romm] said NO!” (emphasis in original). In each of the grievance forms filed by the plaintiff he asked to have the items removed from his arm.
Plaintiff has brought this action against the Warden at St. Brides, Dr. Romm, and two members of the medical staff, whom he refers to as nurses. As to the Warden, plaintiff complains that, in response to his grievances, the Warden has responded that “appropriate medical treatment is being given at this time.”
As to Dr. Romm, plaintiff states, “I have a paper [clip] in my arm. I put this in my arm befor I came to St. Brids. Dr. Romm will not take this out of my arm.” His complaint is similar regarding the two nurses. Generally, he com
plains of a “like Pack] of medical treatment within the institution.”
For the reasons developed below, the court shall dismiss plaintiff’s complaint,
sua sponte.
So that there may be no misunderstanding as to the grounds upon which this court is acting, the court accepts jurisdiction of the case pursuant to 28 U.S.C. § 1343, and dismisses on the grounds that the case is frivolous. 28 U.S.C. § 1915(d).
II
PRISONER CIVIL RIGHTS
As a general rule, there should be no discrimination in the way the courts work, particularly when the issue involves a person’s civil rights. In the past two decades, however, special deference has been accorded to that group of litigants composed of prisoners seeking redress for violations of their constitutional and other rights, particularly those proceeding
pro se
and
in forma
pauperis.
Certainly, there is no suggestion here that such deference is misplaced. But, as noted by Justice Rehnquist, expanding § 1983 to allow prisoners to take a sabbatical in the nearest federal courthouse, “deprives those courts of the latitude necessary to process this ever-increasing species of complaint.”
Cruz v. Beto,
405 U.S. 319, 327-28, 92 S.Ct. 1079, 1084, 31 L.Ed.2d 263 (1971) (Rehnquist, J., dissenting).
See also Jones v. Bales,
58 F.R.D. 453, 463 (N.D.Ga. 1972),
aff’d.,
480 F.2d 805 (5th Cir.) (especially broad discretion of courts in prisoner civil rights actions);
Boyce
v.
Alizaduh,
595 F.2d 948, 951 n. 6 (4th Cir. 1979).
Nevertheless, the courts tend to look the other way when a
pro se
prisoner civil rights case is received, and allow it to proceed through the system without question. This creates a special problem for the courts, however. As reported by the Administrative Office of the United States Courts, total filings of state prisoner civil rights cases in federal courts have grown from 218 in 1966 to 16,741 in 1982.
The frustration experienced by the courts in trying to deal with this avalanche of cases has been frequently expressed by Judge Foley:
If every State civil rights complaint is to be filed with direction of service upon named defendants, often in great numbers, the burden placed upon the Court would be greatly increased. It should also be kept in mind that service of these complaints often with demands of millions of dollars does not lead to better the tense relationship that we know exists between inmates and correction officers. Every statistical survey has demonstrated that 95% and above of prisoner civil rights claims that are filed are frivolous. A judge should be allowed the perception to detect the ones with substance and thus relieve State officials and legal officers of the burden of responding to great numbers of frivolous claims.
Grouchulski v. State of New York,
481 F.Supp. 1294, 1296 (N.D.N.Y.1980) (on remand from Court of Appeals vacating
sua sponte
dismissal of § 1983 complaint).
Both the Congress and the courts have attempted in the past few years to remedy this situation. In 1980, for example, Congress passed the Civil Rights of Institutionalized Persons Act which,
inter alia,
provided for a state administered grievance procedure which the courts may require prisoners to utilize before bringing certain § 1983 complaints to the federal courts. 42 U.S.C. § 1997
et seq.,
§ 1997e.
While it cannot be confirmed as yet, there are indications that such inmate grievance procedures may be helping to cut down on the numbers of frivolous claims coming to the federal courts. Nonetheless, federal judges remain overburdened with such cases, and it is believed there is a need for guidance as to when and how a district court may exercise its broad discretion to dismiss frivolous claims
sua sponte
during initial review, with the ultimate purpose being to preserve more of a judge’s precious time for reflec-' tion on meritorious claims.
HI .
SUA SPONTE DISMISSAL POWER
It is established that a district court has the power to dismiss a complaint,
sua sponte,
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MEMORANDUM OPINION
CACHERIS, District Judge.
The plaintiff is an inmate at the St. Brides Correctional Center and has brought this case, pursuant to 42 U.S.C. § 1983,
pro se
and
in forma pauperis.
Reading his complaint in the most favorable light, it alleges lack of adequate and effective medical treatment. Plaintiff has submitted to the court a standard complaint form and copies of several grievance forms which he has filed at St. Brides since November 8, 1982. The court has neither ordered nor received any pleadings, statements or other materials from any of the defendants. Thus, all of the facts before the court are those submitted by the plaintiff.
I
PACTS
Plaintiff arrived at St. Brides on November 8, 1982. Approximately two months later he began to complain about metal items which were lodged within his right arm.
He complained of pain and requested that the items be removed. In his grievance forms filed on January 14,1983 and on February 2, 1983, both of which plaintiff attached to his complaint, plaintiff admitted that
he
had put these metal items into his arm before he arrived at St. Brides.
In his February 2, 1983 grievance form he admitted that he had been to the defendant, Dr. Romm, and that “he said let it come out its self. This has been in my arm for 3 months and is not comeing out by its self. I ask him to take it out and [Dr. Romm] said NO!” (emphasis in original). In each of the grievance forms filed by the plaintiff he asked to have the items removed from his arm.
Plaintiff has brought this action against the Warden at St. Brides, Dr. Romm, and two members of the medical staff, whom he refers to as nurses. As to the Warden, plaintiff complains that, in response to his grievances, the Warden has responded that “appropriate medical treatment is being given at this time.”
As to Dr. Romm, plaintiff states, “I have a paper [clip] in my arm. I put this in my arm befor I came to St. Brids. Dr. Romm will not take this out of my arm.” His complaint is similar regarding the two nurses. Generally, he com
plains of a “like Pack] of medical treatment within the institution.”
For the reasons developed below, the court shall dismiss plaintiff’s complaint,
sua sponte.
So that there may be no misunderstanding as to the grounds upon which this court is acting, the court accepts jurisdiction of the case pursuant to 28 U.S.C. § 1343, and dismisses on the grounds that the case is frivolous. 28 U.S.C. § 1915(d).
II
PRISONER CIVIL RIGHTS
As a general rule, there should be no discrimination in the way the courts work, particularly when the issue involves a person’s civil rights. In the past two decades, however, special deference has been accorded to that group of litigants composed of prisoners seeking redress for violations of their constitutional and other rights, particularly those proceeding
pro se
and
in forma
pauperis.
Certainly, there is no suggestion here that such deference is misplaced. But, as noted by Justice Rehnquist, expanding § 1983 to allow prisoners to take a sabbatical in the nearest federal courthouse, “deprives those courts of the latitude necessary to process this ever-increasing species of complaint.”
Cruz v. Beto,
405 U.S. 319, 327-28, 92 S.Ct. 1079, 1084, 31 L.Ed.2d 263 (1971) (Rehnquist, J., dissenting).
See also Jones v. Bales,
58 F.R.D. 453, 463 (N.D.Ga. 1972),
aff’d.,
480 F.2d 805 (5th Cir.) (especially broad discretion of courts in prisoner civil rights actions);
Boyce
v.
Alizaduh,
595 F.2d 948, 951 n. 6 (4th Cir. 1979).
Nevertheless, the courts tend to look the other way when a
pro se
prisoner civil rights case is received, and allow it to proceed through the system without question. This creates a special problem for the courts, however. As reported by the Administrative Office of the United States Courts, total filings of state prisoner civil rights cases in federal courts have grown from 218 in 1966 to 16,741 in 1982.
The frustration experienced by the courts in trying to deal with this avalanche of cases has been frequently expressed by Judge Foley:
If every State civil rights complaint is to be filed with direction of service upon named defendants, often in great numbers, the burden placed upon the Court would be greatly increased. It should also be kept in mind that service of these complaints often with demands of millions of dollars does not lead to better the tense relationship that we know exists between inmates and correction officers. Every statistical survey has demonstrated that 95% and above of prisoner civil rights claims that are filed are frivolous. A judge should be allowed the perception to detect the ones with substance and thus relieve State officials and legal officers of the burden of responding to great numbers of frivolous claims.
Grouchulski v. State of New York,
481 F.Supp. 1294, 1296 (N.D.N.Y.1980) (on remand from Court of Appeals vacating
sua sponte
dismissal of § 1983 complaint).
Both the Congress and the courts have attempted in the past few years to remedy this situation. In 1980, for example, Congress passed the Civil Rights of Institutionalized Persons Act which,
inter alia,
provided for a state administered grievance procedure which the courts may require prisoners to utilize before bringing certain § 1983 complaints to the federal courts. 42 U.S.C. § 1997
et seq.,
§ 1997e.
While it cannot be confirmed as yet, there are indications that such inmate grievance procedures may be helping to cut down on the numbers of frivolous claims coming to the federal courts. Nonetheless, federal judges remain overburdened with such cases, and it is believed there is a need for guidance as to when and how a district court may exercise its broad discretion to dismiss frivolous claims
sua sponte
during initial review, with the ultimate purpose being to preserve more of a judge’s precious time for reflec-' tion on meritorious claims.
HI .
SUA SPONTE DISMISSAL POWER
It is established that a district court has the power to dismiss a complaint,
sua sponte,
either by noting the inadequacy of the complaint and then dismissing it for failure to state a claim under Rule 12, Fed.R.Civ.P.,
Harvey v. Clay County Sheriffs Dept.,
473 F.Supp. 741 (W.D. Missouri 1979); 5 Wright & Miller,
Federal Practice and Procedure,
§ 1357 (1969); by way of the court’s “inherent power” to take such action under the proper circumstances,
Doe v. Rostker,
89 F.R.D. 158, 163 (N.D.Cal. 1981); or by way of 28 U.S.C. § 1915(d), through a finding that the complaint, filed
in forma pauperis
pursuant to 28 U.S.C. § 1915(a), is frivolous on its face,
Fries v. Barnes,
618 F.2d 988 (2d Cir.1980).
There is, however, disagreement within some of the Circuit Courts as to whether such power should be exercised in
pro se in forma pauperis
cases prior to calling for defendant’s answer. The Second Circuit has repeatedly reversed such dismissals:
Great circumspection is required before terminating such actions, particularly in their embryonic stages. It is prudent for judges to avoid an inquisitorial role, and not search out issues more appropriately left to a motion by the opposing party.
If defendants had moved to dismiss for failure to state a claim, pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure, [the prisoner-plaintiff] would have received notice of the challenge to the sufficiency of his complaint. He would have had an opportunity to respond by seeking leave to amend, or setting forth arguments supporting the validity of his claim.
Untimely dismissal may prove wasteful of the court’s limited resources rather than expeditious, for it often leads to a shuttling of the lawsuit between the district and appellate courts.
Lewis v. State of New York,
547 F.2d 4, 5-6 (2d Cir.1976) (reversing district court’s
sua sponte
dismissal of prisoner’s
pro se
complaint for failure to state a federal claim under § 1983).
The Ninth Circuit has also criticized
sua sponte
dismissal of prisoner cases:
A district court may dismiss an action on its own motion for failure to state a claim, but only after the court takes the
proper procedural steps.
Dodd v. Spokane County,
393 F.2d 330, 334 (9th Cir. 1968). The court must permit issuance and service of process as required by Fed. R.Civ.P. 4(a) and the court must notify the plaintiff of the proposed action and afford him an opportunity to submit written argument in opposition.
Id.
at 334. In addition, the court must give a statement of the reasons for dismissal, and an opportunity to amend unless the complaint is clearly deficient, [citations omitted]
Franklin v. State of Oregon State Welfare Division,
662 F.2d 1337, 1340 (9th Cir.1981)
(citing Lewis v. State of New York,
supra). The Ninth Circuit summarized that it opposes
sua sponte
disposition because it “(1) eliminates the traditional adversarial relationship; (2) causes inefficiencies in the judicial process as a whole; and (3) may give the appearance that the judiciary is a proponent rather than an independent entity.”
Id.
at 1341.
It should be noted, however, that the criticism of
sua sponte
dismissals in
pro se in forma pauperis
cases centers around those cases which base their dismissals upon a Rule 12(b)(6) rationale. Although it has been said that the federal courts have an inherent power to dismiss
sua sponte
under Rule 12, that power is not expressly lodged in the Federal Rules of Civil Procedure.
Doe v. Rostker, supra
89 F.R.D. at 163.
Cf. Leonard v. United States,
633 F.2d 599 (2d Cir.1980),
cert. denied,
451 U.S. 908, 101 S.Ct. 1975, 68 L.Ed.2d 295 (1981) (“The district court has the power to dismiss a complaint sua sponte for failure to state a claim.”);
Dodd v. Spokane County,
393 F.2d 330 (9th Cir.1968) (federal court may invoke
sua sponte
a motion to dismiss under Rule 12(b)(6) if the proper procedural steps are taken).
Implicitly, the Supreme Court has approved
sua sponte
dismissal of
pro se in forma pauperis
cases brought pursuant to § 1983 on the grounds of failure to state a claim. In
Estelle v. Gamble,
429 U.S. 97, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976), “[t]he District Court,
sua sponte,
dismissed the complaint for failure to state a claim upon which relief could be granted.”
Id.
at 98, 97 S.Ct. at 288. The Court noted that the case was dismissed simultaneously with the granting of leave to proceed
in forma pauperis. Id.
n. 2. The complaint involved alleged inadequate treatment of a back injury, and established the rule that in order to state a claim for relief under § 1983 there must be “deliberate indifference to serious medical needs.”
Id.
at 106, 97 S.Ct. at 292. The Supreme Court upheld the
sua sponte
dismissal with regard to the doctors, specifically noting that this holding was not contrary to the court’s prior ruling in
Haines v. Kerner,
404 U.S. 519, 92 S.Ct. 594, 30 L.Ed.2d 652 (1972)
(supra
note 4 and accompanying text). Justice Marshall noted:
In contrast to the general allegations in
Haines,
Gamble’s complaint provides a detailed factual accounting of the treatment he received. By his exhaustive description he renders speculation unnecessary. It is apparent from his complaint that he received extensive medical care and that the doctors were not indifferent to his needs.
Estelle v. Gamble,
429 U.S. at 108 n. 16, 97 S.Ct. at 293 n. 16.
Further, the
Aldisert Report
specifically recommends
sua sponte
dismissal under § 1915(d) where the complaint is irrepara
bly frivolous or malicious.
“The committee recommends that the decision whether to dismiss pursuant to § 1915(d) be made prior to the issuance of process. In this way the defendant will be spared the expense and inconvenience of answering a frivolous complaint.”
Aldisert Report
at 59.
The Fourth Circuit has long approved
sua sponte
dismissal prior to issuance of a summons based on the authority of § 1915(d).
Boyce v. Alizaduh,
595 F.2d 948, 950 (4th Cir.1979);
Graham v. Riddle,
554 F.2d 133, 134-35 (4th Cir.1977). The court specifically has endorsed the procedure set out in the
Aldisert Report
of first determining if the plaintiff qualifies for filing
in forma pauperis
under § 1915(a), and then determining if the complaint is “frivolous or malicious” thereby warranting dismissal under § 1915(d).
Boyce v. Alizaduh,
595 F.2d at 950. Further, the Fourth Circuit has interpreted the Supreme Court’s
sub silentio
treatment of the procedure in
Estelle v. Gamble
as approval.
Id.
at 950 n. 2,
citing Smart v. Villar,
547 F.2d 112, 113-14 (10th Cir.1976). While granting broad discretion, however, the Fourth Circuit views the critical issue to be the definition of “frivolous” as used in § 1915(d).
IV
DETERMINING FRIVOLOUSNESS
There appear to be two accepted definitions of “frivolous” as used in § 1915(d). In
Jones v. Bales,
58 F.R.D. 453 (N.D.Ga. 1972),
aff’d.,
480 F.2d 805 (5th Cir.), the court stated that “[i]n light of 1915(d)’s general purpose, the specific term ‘frivolous’ refers to an action in which the plaintiff’s realistic chances of ultimate success are slight.”
Id.
at 464. The Fifth Circuit subsequently suggested that this test should be whether the complaint was “without arguable merit.”
Watson v. Ault,
525 F.2d 886, 892 (5th Cir.1976).
The Fourth Circuit has indicated that it follows the
Watson
standard, and suggests that the
Aldisert Report
appears to adopt the
Watson
standard. In
Boyce v. Alizaduh
the court set out its definition of frivolous for purposes of § 1915(d):
To satisfy the test of frivolousness under § 1915(d), it is accordingly essential for the district court to find “beyond doubt” and under any “arguable” construction, “both in law and in fact” of the substance of the plaintiff’s claim that he would not be entitled to relief.
Conley v. Gibson
(1957) 355 U.S. 41, 45-6 [78 S.Ct. 99, 101-02, 2 L.Ed.2d 80], ...;
Watson v. Ault, supra
525 F.2d at 892.
595 F.2d at 952.
V
THE STANDARD
Based on the preceding analysis, it is this court’s opinion that a complaint
brought pursuant to § 1983 by a prisoner plaintiff, proceeding
pro se
and
in forma pauperis,
may be dismissed
sua sponte
based on the statutory authority of § 1915(d), 28 U.S.C. Such disposition should not be based solely upon a Rule 12(b)(6) rationale without benefit of summons upon and answer from the defendant.
In issuing a
sua sponte
dismissal, the district court should follow a four step procedure. First, the court should determine the economic status of the plaintiff and, if appropriate, grant
in forma pauperis
status pursuant to § 1915(a). Second, the court must determine that the complaint submitted by the plaintiff is detailed and sufficient enough unto itself to render speculation as to the facts and merits of the case unnecessary. Where the complaint is found to be such, the court must then determine if the complaint is frivolous. In determining this, the court should find that, beyond doubt and under any arguable construction, in law and in fact, the substance of the complaint would not entitle the plaintiff to any relief. Upon such finding, the fourth step is to dismiss the case,
sua sponte,
without affording the plaintiff the opportunity to amend. If, however, the court finds that the complaint is frivolous but that it could be cured, the court should issue a show cause order, explaining why the complaint is frivolous and allowing the plaintiff an opportunity to respond and to amend his complaint.
The second and third steps in the above procedure are specifically intended to respond to the concerns raised by the Second and Ninth Circuits, and implicitly a concern of the Fourth Circuit, that the courts avoid the posture of an advocate in the
sua sponte
dismissal process.
Pro se in forma pauperis
prisoner plaintiffs should continue to be accorded great latitude in their pleadings and, generally, in their compliance with procedural technicalities. Only where it is obvious from the complaint that the plaintiff has no cause of action should the above procedure be followed.
Applying this procedure to the instant case, the court finds that plaintiff’s economic status is such as to qualify him for
in forma pauperis
status, and therefore the case shall be so filed. The court further finds that plaintiff’s complaint is detailed and sufficient such as to render speculation unnecessary. By his own admissions, plaintiff was seen by the nursing staff at the institution, and by the doctor. Plaintiff admitted in his grievance forms that the doctor had examined him and determined the proper course of treatment to be nonsurgical. In addition, plaintiff has submitted his grievance forms which show that he has submitted his complaint to the appropriate committee at the institution and to the defendant-Warden, the latter having advised him that he deferred to the doctor’s recommendations.
Under the third step, the court can find no arguable construction of the complaint which would entitle the plaintiff to relief. The rule set forth by the Supreme Court in
Estelle
v.
Gamble, supra,
is clear that there must be deliberate indifference to the prisoner’s serious medical needs. As in the case of
Estelle v. Gamble,
here it is evident from plaintiff’s own complaint that the defendants were not indifferent to his medical needs. He was examined and a medical course of treatment was prescribed. The fact that it was not the course of treatment the plaintiff wanted is immaterial. It may
be that the plaintiff here has a medical malpractice case against the doctor and his staff if, in fact, the course of treatment prescribed was improper. But, § 1983 is not the proper vehicle for bringing such a malpractice suit, and the federal courts are the wrong forum.
The court further finds, after studying the complaint and attached materials, that amendment of this complaint would not cure the defect. Plaintiff here cannot overcome his own admissions by way of amendment.
Accordingly, the court will order that the instant case be dismissed sua
sponte
as frivolous. 28 U.S.C. § 1915(d). An appropriate order shall be issued this date.