Singer v. Schettle

District Court, E.D. Wisconsin·Decided June 29, 2020·No. 2:19-cv-00004·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN

KEVIN T. SINGER,

Plaintiff,

v. Case No. 19-CV-004

DR. SCHETTLE and JASON JACKSON,

Defendants.

DECISION AND ORDER

Plaintiff Kevin T. Singer, a Wisconsin state prisoner who is representing himself, filed this lawsuit under 42 U.S.C. § 1983 in the United States District Court for the Western District of Wisconsin. District Judge James Peterson screened the complaint and allowed Singer to proceed on Eighth Amendment claims against the defendants. (ECF No. 6.) The case was transferred to this court and assigned to Magistrate Judge David Jones. (ECF No. 15.) The case was later reassigned to this court after Judge Jones resigned. All parties consented to this court’s jurisdiction. (ECF Nos. 37, 39.) The defendants now move for summary judgment. (ECF No. 42.) Singer opposes the motion (ECF No. 56) and requests the appointment of counsel (ECF No. 59). The motion is fully briefed and ready for resolution. BACKGROUND The facts in this section are taken from the defendants’ proposed findings of fact (ECF No. 44) and their declarations in support (ECF Nos. 45–48). Singer

responded to the defendants’ proposed findings of fact. (ECF No. 57.) Singer disputes several of the defendants’ proposed facts but rarely cites evidence to support his disputes. The only evidence he submitted in support of his opposition to the defendants’ motion is a two-page affidavit. (ECF No. 58.) Except where Singer contests the defendants’ proposed facts with a statement in his affidavit, the court will deem the proposed fact admitted. See Fed. R. Civ. P. 56(c)(1); Civil

L. R. 56(b)(1)(C)(i), (b)(2)(B)(i)–(ii), and (b)(4); Smith v. Lamz, 321 F.3d 680, 683 (7th Cir. 2003) (“We have consistently held that a failure to respond by the nonmovant as mandated by the local rules results in an admission.”). A. The Parties At all times relevant to this lawsuit Singer was an inmate at Waupun Correctional Institution (“WCI”). (ECF No. 44, ¶ 1.) The court allowed him to proceed on claims against Dr. John Schettle, a now retired dentist previously employed with

the Wisconsin Department of Corrections, and Jason Jackson, a dental assistant. (Id., ¶¶ 2, 4.) Dr. Schettle and Jackson both worked at WCI during all relevant times. (Id., ¶¶ 3–4.) As a dental assistant Jackson provided chairside assistance and office support services in the Dental Services Unit. (Id., ¶ 5.)

2 B. Dental Care Procedures at WCI Inmates at all Wisconsin Department of Corrections institutions receive a handbook when they enter the prison instructing them to request medical or dental

attention by filing a request with the Health Services Unit. (ECF No. 44, ¶ 6.) Dental Service Requests may be either emergency, urgent, routine, or hygiene in nature. (Id., ¶¶ 7–12.) Dentists must triage Dental Service Requests, identify the proper category based on the request, and then provide the request to dental assistants for placement on the waiting list for that category. (Id., ¶¶ 13–14.) Dental assistants do not triage the service requests. (Id., ¶ 15.)

All inmates are required to pay a copay for health services, including dental services and treatment. (ECF No. 44, ¶ 20.) The Wisconsin Department of Corrections offers several payment plans to address the copay. (Id., ¶ 21.) C. Singer’s Dental Care at WCI Singer’s claims relate to four dental appointments in 2017 during which the defendants provided him treatment: May 8, June 1, June 9, and June 12. (ECF No. 44, ¶ 16.)

1. May 8, 2017 Appointment On May 8, 2017, Singer appeared for a routine treatment of a filling on tooth #15. (ECF No. 44, ¶ 17.) Singer had a failing stainless steel crown on that tooth, and Dr. Schettle determined it was best to either repair the crown with a filling or replace the crown and remove any decay around it. (Id., ¶¶ 17, 19) Dr. Schettle informed Singer of the treatment plan but did not discuss extracting the tooth. (Id., 3 ¶ 19.) During the appointment Singer complained about having to pay a $7.50 copay for the routine treatment and ultimately refused treatment because he did not have funds to pay the copay. (Id., ¶ 18.) Dr. Schettle explained to Singer that his condition

would worsen if he refused treatment and advised him to pay the copay and receive the treatment. (Id.) Singer still refused treatment and signed the refusal form in front of Dr. Schettle. (Id.) The defendants state that Singer expressed no desire to harm himself during the May 8, 2017 appointment and did not state that he would extract the tooth himself. (ECF No. 44, ¶ 22.) On the refusal from Singer listed only “lack of funds” as

the reason he was refusing dental care. (ECF No. 45-1 at 10.) During his deposition Singer stated that Dr. Schettle “tried to talk [him] out of” performing his own dental work or extracting his own tooth. (ECF No. 46-2 at 7.) On May 24, 2017, the dental unit received a Dental Service Request from Singer that stated, “My tooth is starting to ache painfully.” (ECF No. 44, ¶ 23 (citing ECF No. 45-1 at 8).) Dr. Schettle responded the next day and directed that Singer be placed on the “essential” wait list for evaluation. (Id., ¶ 24.) On May 30, 2017, Singer

had a visit with Psychological Services clinician Desiree Grin, who he told that he had removed his tooth and flushed it down the toilet. (Id., ¶ 25.) Grin completed an incident report that did not classify Singer’s act “as self-harm clinically,” but she did note her concern about Singer’s “high propensity to engage in self-harm.” (Id., ¶¶ 25– 26; ECF No. 47-1 at 2.) Singer states that he also told Grin he was considering suing “the dentist,” and Grin “seemed supportive of the idea.” (ECF No. 58, ¶ 1.) He stated 4 in his deposition that he, in fact, kept the tooth and flushed the razorblade down the toilet. (ECF No. 46-2 at 9.) 2. June 1, 2017 Appointment

Although Singer had told Grin that he had removed his tooth, the defendants state that he appeared for a dental appointment on June 1, 2017, to address the crown on tooth #15. (ECF No. 44, ¶ 27.) Dr. Schettle was with another patient at the time, and Singer did not wait for treatment, returning to his housing unit. (Id.) When Dr. Schettle was available he asked Jackson to call Singer back for his evaluation. (Id.) When he returned for the appointment Singer again complained about the copay

and maintained that he would refuse treatment to avoid paying it. (Id., ¶ 28.) Dr. Schettle told Singer that he could accept the treatment and “go negative in his account” to pay for it. (Id.) Singer responded that he had the money but wished to use it to pay for items from the canteen instead. (Id.) Singer admitted at his deposition that he had sufficient funds to pay the copay and, as the defendants assert, spent the money instead on canteen items. (Id., ¶¶ 30–31 (citing ECF No. 46-2 at 3, 5).) Singer also testified that Dr. Schettle did not treat or examine his mouth during the June 1,

2017 appointment because Singer refused to pay the copay. (ECF No. 46-2 at 4.) Singer signed another refusal form and wrote, “Because of copay, I’ll do my own dental work.” (ECF No. 44, ¶ 29; ECF No. 45-1 at 6.) Dr. Schettle asserts that he did not believe that Singer’s statement on the refusal form suggested that Singer was planning to extract his own tooth or harm himself. (ECF No. 44, ¶ 32.)

5 3. June 9, 2017 Appointment On June 9 the Dental Services Unit received a request for treatment from Singer that stated,

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