[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT

________________________ No. 14

- 12142 Non

- Argument Calendar

________________________ D.C. Docket No. 5:12

- cv - 00244

- MTT

- MSH

ROBERT TUCKER, III,

Plaintiff

- Appellant,

versus BUSBEE, Dr., Upson County Jail,

Defendant

- Appellee, PEACOCK, Sheriff, Upson County, RALPH SEARCY, Captain, Jail Administrator, KILGORE, Mayo r, UPSON COUNTY COMMISSIONERS, Defendants.

Case: 14-12142 Date Filed: 07/27/2015 Page: 1 of 72 ________________________ Appeal from the United States District Court for the Middle District of Georgia

_______________________ _ (July 27, 2015) Before HULL, ROSENBAUM and JILL PRYOR, Circuit Judges.
PER CURIAM: Robert Tucker, III, a state prisoner proceeding pro se , appeals the district court’s denial of his second motion for leave to amend his civil suit brought under 42 U.S.C. § 1 983 against Dr. Jonathan Busbee

. 1 On appeal, Mr. Tucker argues that his proposed amended complaint states a claim for deliberate indifference against Dr. Busbee because Dr. Busbee knew of Mr. Tucker’s serious medical condition, but did not refer Mr. Tucker to a medi cal specialist. For the reasons that follow, and after careful review, we affirm.
I. Mr. Tucker alleged in his original complaint that he was dia gnosed with diabetic retinopathy in his left eye around February 2011 . At the time, Mr. Tucker

was housed as a pretrial detainee at Upson County Jail, where he remained until he was convicted and transferred to state prison on July 20, 2011. Dr. Thomas Rowe , who diagnosed M r. Tucker while he was at Upson , re commended that Mr. Tucker

1 This Court granted the parties’ joint motion to dismiss all but one of Mr. Tucker’s claims on appeal, leaving only Mr. Tucker’s challenge to the district court’s denial of his second request to amend his complaint to add Dr. Busbee as a party.

Case: 14-12142 Date Filed: 07/27/2015 Page: 2 of 73 be evaluated by a retina spec ialist . Dr. Rowe wrote, “Expect need for laser
treatment , and possibly an operation.” Mot. to Leave to Amend Compl., Ex. A,
Doc. No. 11

- 1. Dr. Rowe suggested two possible offsite specialists. After his diagnosis, Mr. Tucker received routine medical care for his diabetic condition from Dr. Busbee, the jail physician. Dr. Busbee , who was aware of Mr. Tucker’s retinal diagnosis , referred him to Ralph Searcy, the jail administrator

. Because Ups on jail officials believed Mr. T ucker would be transferred before any offsite treatment could be scheduled, they tried to expedite his departure so that he could receive treatment. Despite the prison official s ’ knowledge of Mr.
Tucker’s condition and filing of multiple grievances, he was not offered treatment until August 2011, when he refused it

. Mr. Tucker’s original complaint made no allegations specifically about Dr. Busbee. Mr. Tucke r moved to amend his complaint to add, inter alia , that Dr. Busbee viola ted his Eighth Amendment rights “for [Dr. Busbee’s] actions in denying medical consultations with any retina specialist concerning [Plaintiff’s] retinitis.” 2 Mot. to Leave to Amend Compl. 3, Doc. No. 11. The district court sua sponte dismissed without prejudice under 28 U.S.C. § 1915A all of the defendants except Mr. Searcy , but did not rule on the motion to amend, leaving the motion to

2 Through out this litigation, the parties have used the terms retinitis and retinopathy interchangeably. We preserve the original wording here, but note that diabetic retinitis and diabetic retinopathy are two different diseases. Dr. Rowe diagnosed Mr. Tucker wit h diabetic retinopathy. See Mot. to Leave to Amend Compl., Ex. A, Doc. No. 11

- 1.

Case: 14-12142 Date Filed: 07/27/2015 Page: 3 of 74 the magistrate judge. The magistrate judge granted Mr. Tucker’s motion to amend his complaint as of right pur suant to Federal Rule of Civil Procedure 15(a)(1)(B).
But after a 28 U.S.C. § 1915A screening, the magistrate judge recom mended dismissing the new claim against Dr. Busbee for failure to state a claim

. The district court adopted the magistr ate’s report a nd recommendation and dismissed
all of the defendants except Mr. Searcy. Mr. Searcy subsequently filed a motion for summary judgment, attaching a declaration stating that following his retinal diagnosis, Mr. Tucker continued to receive “routine medical care from Jonathan Busbee and his staff,” who were aware of Mr. Tucker’s diagnosis. Decl. of Ra lph Searcy ¶¶ 11

- 12 , Doc. No. 31

- 1. Mr. Tucker then filed a second motion to amend his complaint, asserting that Mr. Searcy’s declaration provided him with ne w evidence to support his claim against the previously dismissed defendants

. In his proposed second amended complaint, Mr. Tucker attempted to add Dr. Busbee back as a defendant, alleging that Dr. Busbee had personal knowledge of his medical conditions du e to Mr. Tucker ’s repeated “ sick calls” concerning his health. He also alleged that Chief Deputy Major Kilgore conspired with Dr. Busbee and other prison officials to deny treatment of his diabetic retinitis

. The magistrate judge recommended denying Mr. Tucker’s second motion to amend for the same reasons it had dismissed the claim against Dr. Busbee in Mr. Tucker’s first amended complaint . The magistrate judge

Case: 14-12142 Date Filed: 07/27/2015 Page: 4 of 75 further noted that allowing Mr. Tucker to amend his complaint for a second time would be prejudicial at such a late stage in the proceedings. Over Mr. Tucker ’s objections , the district court adopted the report and recommendation. This appeal followed.
II. We review the district court’s denial of leave to amend the complaint for an
abuse of discretion. Covenant Christian Ministries, Inc. v. City of Marietta , 654 F.3d 1231, 1239 (11th Cir. 2011). However, we review de novo a legal determination that a proposed amendment to the complaint would be futile. SFM Holdings, Ltd. v. Banc of Am. Secs., LLC , 600 F. 3d 1334, 1336 (11th Cir. 2010). In determining whether a complaint states a claim for relief, we accept the factual allegations in the complaint as true and construe them in the light most favorable to the plaintiff. Chaparro v. Carniva l Corp. , 693 F.3d 1333, 1335 (11th Cir. 2012).

“ Pro se pleadings are held to a less stringent standard than pleadings drafted by attorneys and will, therefore, be liberally construed.” Tannenbaum v. United
States , 148 F.3 d 1262, 1263 (11th Cir. 1998).
III. A district court may dismiss a prisoner’s complaint under the Prison Litigation Reform Act if the court determines that the complaint “is frivolous, malicious, or fails to state a claim upon which relief may be granted.” 28 U.S.C.

Case: 14-12142 Date Filed: 07/27/2015 Page: 5 of 76 § 1915A(b)(1). If a “complaint as amended would still be properly dismissed,” amendment would be futile, and the district court need not allow an opportunity to amend. Cockrell v. Sparks , 510 F.3d 1307, 1310 (11th Cir. 2007). Here, the district court had previously dismiss ed Mr. Tucker’s claim against Dr. Busbee under 28 U.S.C. § 1915A ; that determination is not before us for review

. I f Mr.
Tucker’s proposed amendment failed to state a claim, then amendment would be futile, and the district court’s denial of Mr. Tucker’s r equest to amend his complaint for a second time was not error

. To show an Eighth Amendment violation by a prison doctor, the prisoner must allege that the doctor manifested “deliberate indifference to [the prisoner’s] serious medical needs.” Estelle v. Gamble , 429 U.S. 97, 104

- 05 (1976). 3 Negligence in diagnosing or treating a medical condition, including “an inadvertent failure to provide adequate medical care,” does not state a valid claim for deliberate indifference

. Id. at 105

- 06. “ [ A ] simple d ifference in medical opinion between the prison’s medical staff and the inmate as to the latter’s diagnosis or
course of treatment” likewise does not support a deliberate indifference claim. Harris v. Thigpen , 941 F.2d 1495, 1505 (11th Cir. 1991).

3 We note that Mr. Tucker styled his suit as a deliberate indifference claim under the Eighth Amendment. Because Mr. Tucker was a pre trial detainee at the relevant time, h is constitutional rights arise from the Due Process Clause of the Fourteenth Amendment. Hale v. Tallapoosa Cnty. , 50 F.3d 1579 , 1582 n.4 (11th Cir. 1995). We nevertheless may analyze the claim under the Eighth Amendment because states cannot impose on pr etrial detainees condition s that would violate prisoner s ’ Eighth Amendment rights. Id.

Case: 14-12142 Date Filed: 07/27/2015 Page: 6 of 77 Mr. T ucker’s proposed amendment added the allegation that Dr. Busbee knew of his medical condition but did not help Mr. Tucker obtain further medical
assistance

. Mr. Tucker does not allege that Dr. Busbee failed to provide him with the routine medical care tha t Dr. Busbee was capable of providing , nor does he allege that Dr. Busbee could have compelled the Upson officials to send him to a retina specialist

. But even if Dr. Busbee could have compelled the officials to provide Mr. Tucker with immediate specialized treatment , Dr. Busbee’s decision
not to do so was a matter of medical judgment, and a difference of opinion as to the proper course of medical treatment, standing alone, does not constitute deliberate indifference within the meaning o f the Eighth Amendment. See Harris , 941 F.2d at 1505

. At most, Dr. Busbee’s actions constituted mere ne gligence or medical malpractice and thus are insufficient to state a claim for deliberate indifference. See i d. Because amendment would be futile, th e district court did not

err in denying Mr. Tucker’s second motion to amend his complaint. See Cockrell , 510 F.3d at 1311

- 12

. IV. For the reasons set forth above, we affirm. AFFIRMED. Case: 14-12142 Date Filed: 07/27/2015 Page: 7 of 7