### In the 

# United States Court of Appeals For the Seventh Circuit

____________________ No. 18

- 3415
R EGINALD Y OUNG , Plaintiff

- Appellant ,

v.
U NITED S TATES OF A MERICA , Defendant

- Appellee

.

____________________ Appeal from the Unit ed States District Court for the So u thern District of Illinois

. No. 17

- cv
- 946

- JPG

- RJD

— J. Phil Gilbert , Judge

.

____________________
S UBMITTED M AY 30 , 2019

— D ECIDED N OVEMBER 4, 2019

____________________

Before W OOD , Chief Judge , and E ASTERBROOK and R OVNER , Circuit Judges

. E ASTERBROOK , Circuit Judge

. Illinois requires the plaintiff in a medical

- malpractice suit to file a n affidavit stating that

“ there is a reasonable and meritorious cause ” for litigation

. 735 ILCS 5/2

- 622. The plaintiff needs a physician ’ s r eport to support the affidavit’s assertions

. The report must show that the physician has re viewed the plaintiff’s medical records and must justify the conclusion that “ a reasonable and meri-2 No. 18

- 3415

torious cause” exists

. This requirement applies to malpractice litigation in federal court because §5/2

- 622 is a substantive condition of liability. Hahn v. Walsh , 762 F.3d 617 (7th Cir. 2014).
Hahn was a private suit. T oday ’ s suit is against the United States under the Federal Tort Claims Act, which says that the United States is liable to the same extent as a private person. 28 U.S.C. §1346(b)(1). The only way to make the United States liable to the same extent as a private entity is to apply §5/ 2

- 622. So other courts of appeal s have held with respect to equivalent statutes in other states. See Frazier v. United States , 560 F. App ’ x 320, 323

– 24 (5th Cir. 2014); Li@lepaige v. United States , 528 F. App ’ x 289, 292

– 93 (4th Cir. 2013); Smith v. United States , 498 F. App ’ x 120, 121

– 2 2 (3d Cir. 2012); Swails v. United States , 406 F. App ’ x 124, 125 (9th Cir. 2010); Cestnik v. Fed. Bureau of Prisons , 84 F. App ’ x 51, 53

– 54 (10th Cir. 2003). None of those decisions carries precedential force, but the conclusion is compelling. The language of §1346(b)(1) shows that §5/2

- 622 must apply in suits against the national government, just as it applies in suits against private physicians. And we held in Gipson v. United States , 631 F.3d 448, 451

– 52 (7th Cir. 2011), that an Indiana statute requiring an expert’s report to show the standard of medical care applies under the FTCA. The reasoning of Gipson is equally applicable to a statute such as §5/2

- 622. Reginald Young, a federal prisoner, filed this suit alleg ing that physicians at his prison commiled malpractice by not performing or authorizing surgery to correct a cataract that

causes blurred vision and headaches. Two physician s recommended surgical intervention, but others disagreed; Young maintains that th e two physicians’ recommendationsNo. 18

- 3415 3

prove that the lack of surgery is medical malpractice. ButYoung did not provide, with the complaint or later, an affidavit complying with §5/2

- 622, nor did he ask any physician to prepare the sort of report that would hav e accompanied such an affidavit. Instead he asserted that a recommendation for surgery is the only medical document he needs. The district judge dis agreed and granted a motion by the United States to dismiss the complaint or for summary judgment. 2018 U.S. Dist. L EXIS 151134 (S.D. Ill. Sept. 5, 2018). The judge did not state which of these requests was being granted, and the difference is potentially i mportant. A motion to dismiss asserts that the complaint is defective. A motion for summary judgment assert s that the evidence of record would not permit a reasonable jury to find for the non

moving party. A prisoner may have insuperable difficulty obtaining a favorable physician ’ s report before filing a complaint, so if a complaint not accompanied by a §5/2

- 62 2 affidavit is defective, many a prisoner will be unable to litigate a malpractice claim . But if a prisoner or other pro se plaintiff has until the summary judgment stage to comply with the state law, information ob tained in discovery may allow a physician to evaluate the medical records and decide whether there is reasonable cause for liability. Section 5/2

- 622(a) requires the affidavit and report to be alached to the complaint unless an exception applies, and the litigants in Hahn assumed that this is wh en the documents must be filed. Because timing was not contested in Hahn

— the debate concerned whether the affidavit and report were required at all

— our decision did not produce a holding on that topic. And having given the maler some thought, we now concl ude that a complaint in federal court4 No. 18

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cannot properly be dismissed because it lacks an affidavit and report under §5/2

- 622. As we observed in Cooke v. Jackson National Life Insurance Co ., 919 F.3d 1024, 1027 (7th Cir. 2019): “ Many cases hold that federal, not state, rules apply to procedural malers

— such as what ought to be alached to pleadings

— in all federal suits, whether they arise under federal or state law. See, e.g., Shady Grove Orthopedic Associates, P.A. v. Allstate Insurance Co ., 559 U.S. 393 (201 0); Burlington Northern R.R. v. Woods , 480 U.S. 1 (1987); Walker v. Armco Steel Corp ., 446 U.S. 740 (1980); Mayer v. Gary Partners & Co ., 29 F.3d 330 (7th Cir. 1994). ” Rule 8 of the Federal Rules of Civil Procedure specifies what a complaint must contain. It does not require alachments. One can initiate a contract case in federal court without alaching the contract, an insurance case without alaching the policy, a securities case without alaching the registration statement, and a tort case with out alaching an expert ’ s re port. S upporting documents come later. Section 5/2

- 622 applies in federal court to the extent that it is a rule of substance ; but to the extent that it is a rule of procedure it gives way to Rule 8 and other doctrines that deter mine how litigation proceeds in a federal tribunal. Section 5/2

- 622 itself allows delay in filing the affidavit and report when, for example, the time to obtai n a report would prevent suing within the statute of limitations (§5/2

- 622(a)(2)) or records need ed for evaluation are unavailable (§5/2

- 622(a)(3)). At least the second of these exceptions likely applies to Young ’ s suit. But these exceptions are accompanied by language that excuse s the defendant from answering the complaint until the affidavit and rep ort have been filed. Just as Rule 8 specifies what must be in a complaint, so Fed.No. 18

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R. Civ. P. 12(a)(1) tells us when the answer is due. A defendant in federal court may ask a district court for an extension but cannot rely on state law as canceling or defe rring the need to answer a complaint

. Illinois wants insubstantial medical

- malpracti ce suits resolved swiftly. T hat goal can be achieved in federal court under summary

- judgment practice, because Fed. R. Civ. P. 56(b) allows such a motion to be filed “ at an y time ” . A defendant may submit a motion with its answer and ask the court to grant summary judgment because the plaintiff has not supplied the required affidavit and report. And just as §5/2

- 622(a)(3) allows extra time if necessary to provide the reviewin g physician with vital information, so Rule 56(d) allows a district court to grant extra time to the nonmovant to gather essential evidence. The state substantive goal and the federal procedural system thus can exist harmoniously. By requesting summary jud gment as an alternative to its motion to dismiss the complaint, the United States put Young on notice of the need for an affidavit and report. In the ensuing six months he did not try to comply. Instead he argued that two physi cians’ recommendation s in fav or of surgery sufficed . The district judge replied : No medical record Young has submiled indicates (1) that the doctors making the records had reviewed all of Young ’ s medical records and other relevant documents, (2) that there was “ reasonable and meritor ious cause ” for filing a medical malpracticeaction, or (3) the reasons for that conclusion. It is true that the authors of [some] medical records recommended a different course of treatment than Young received, but in medicine there is often a range of reasonable treatments, and a doctor ’ s recommending one course does not necessarily imply that a doctor who choses [sic] another comm its malpractice. This is why the certificate of merit [ i.e., the documents under §5/2

- 622] requires not a state-6 No. 18

- 3415

ment that a course of treatment desired by the plaintiff is “ reasonable and meritorious ” but a statement that the medical malpractice cause of ac tion is. Young has provided no such statement in this case. 2018 U.S. Dist. L EXIS 151134 at *6 (emphasis in original) . We agree with this analysis, which means that the judgment must be

AFFIRMED

.