Case Name: Katherine HERBERT, Appellant, v. DISTRICT OF COLUMBIA, et al., Appellees
Court: District of Columbia Court of Appeals
Jurisdiction: District of Columbia
Decision Date: 1998-08-13
Citations: 716 A.2d 196
Docket Number: No. 93-CV-407
Parties: Katherine HERBERT, Appellant, v. DISTRICT OF COLUMBIA, et al., Appellees.
Judges: Before WAGNER, Chief Judge, and TERRY, STEADMAN, SCHWELB, FARRELL, KING, and REID, Associate Judges.
Reporter: West's Atlantic Reporter, Second Series
Volume: 716
Pages: 196–205

Head Matter:
Katherine HERBERT, Appellant, v. DISTRICT OF COLUMBIA, et al., Appellees.
No. 93-CV-407.
District of Columbia Court of Appeals.
Argued En Banc Nov. 19, 1997.
Decided Aug. 13, 1998.
Judy L. Feinberg, Washington, DC, with whom Andrea L. Koyner was on the brief, for appellant.
Edward E. Schwab, Assistant Corporation Counsel, with whom Jo Anne Robinson, Interim Corporation Counsel at the time the brief was filed, and Charles L. Reisehel, Deputy Corporation Counsel, were on the brief, for appehee District of Columbia.
Before WAGNER, Chief Judge, and TERRY, STEADMAN, SCHWELB, FARRELL, KING, and REID, Associate Judges.

Opinion:
SCHWELB, Associate Judge:
The question presented is whether the District of Columbia is vicariously hable under the "non-delegable duty" doctrine to a prisoner at the District of Columbia jail for injuries resulting from medical malpractice on the part of an employee of an independent contractor, where the contractor was providing medical services at the jail under the terms of a contract with the District's Department of Corrections (DOC). We conclude that the "non-delegable duty" doctrine has no apphcation and that the plaintiff is not entitled to any recovery against the District.
I.
FACTUAL BACKGROUND
The facts relating to this controversy are set forth in detail in Judge Terry's opinion for a majority of the division that initially heard this appeal. See Herbert v. District of Columbia, 691 A2d 1175, 1178-79 (D.C.1997) (Herbert I). We summarize only those facts relevant to the single issue addressed in this opinion.
In 1986, DOC and Professional Development Corporation (PDC) entered into a contract under which PDC agreed to provide health care services for inmates of the District of Columbia Jail. While the contract was in effect, the jail's infirmary was staffed entirely by physicians, nurses, and physician's assistants, all of whom were employees of PDC. The performance of the contract was monitored by DOC personnel, but District employees were not authorized by the contract to, and they did not, provide medical care to prisoners at the jail or supervise the care provided by PDC.
On July 16, 1987, Katherine Herbert, a prisoner at the jail, was admitted to the infirmary after she exhibited symptoms of nausea and abdominal cramping secondary to withdrawal from the use of narcotics. Charles Lawson, who was then employed by PDC as a physician's assistant, injected approximately fifty cubic centimeters of a dextrose or dextrose-and-sodium chloride solution into each of Ms. Herbert's thighs. At trial, all parties stipulated that these injections were entirely unauthorized and constituted medical malpractice by Lawson. As a result of this inappropriate treatment, Ms. Herbert developed cellulitis, suffered severe and debilitating pain, and substantially lost the use of both of her legs.
II.
PRIOR PROCEEDINGS
On December 17, 1987, Ms. Herbert filed suit against the District, PDC, and several individual defendants. In pretrial motions and at trial, Ms. Herbert alleged, among other things, that even if no negligence was shown on the part of the District, the District was liable to her for the malpractice committed by Lawson and PDC because the District's duty to provide appropriate health care to inmates at the jail was non-delegable. The motions judge rejected this contention, ruling that "the District of Columbia has a non-delegable duty only insofar as the plaintiff has suffered a constitutional deprivation." Because Ms. Herbert had raised no constitutionally based claim, the motions judge ruled against her on the issue of non-delegable duty. The trial judge adhered to this ruling at trial and directed a verdict in favor of the District. Judgment was entered against PDC and Lawson in the amount of $150,000, but these defendants apparently lack the financial resources to satisfy the judgment.
Ms. Herbert noted a timely appeal, and on April 10, 1997, in Herbert I, a divided panel of this court reversed the judgment in favor of the District. Specifically, the court held that the District's duty to provide reasonable, non-negligent medical care for prisoners in its custody is non-delegable, and that it was therefore error to grant the District's motion for a directed verdict. On July 31, 1997, we granted the District's petition for rehearing en bane and vacated the decision in Herbert 1. Herbert v. District of Columbia, 698 A.2d 1017 (D.C.1997) (en banc) (per curiam). We now affirm the judgment of the trial court. -
III.
LEGAL DISCUSSION
In the District of Columbia, the DOC has statutory responsibility for "the safekeeping, care, protection, instruction, and discipline of all persons committed to [its] institutions." D.C.Code § 24-442 (1996). Section 24-442 encompasses the common law rule, which requires prison authorities and employees to exercise reasonable care in carrying out these obligations. Hughes v. District of Columbia, 425 A.2d 1299, 1302 (D.C.1981). "[I]t is but just that the public be required to care for the prisoner, who cannot[,] by reason of the deprivation of his liberty, care for himself." Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976) (quoting Spicer v. Williamson, 191 N.C. 487, 132 S.E. 291, 293 (1926)). Indeed, the District acknowledges in its brief that it has a common law obligation to exercise "reasonable care in providing [prisoners with] access to medical services-" It is therefore undisputed that the District may be held hable for its own negligence in the medical treatment of persons confined in its correctional facilities.
Ms. Herbert's conception of the District's responsibilities in this area, however, goes well beyond the obligation to exercise reasonable care. Insisting that the District's duty to its prisoners is "non-delegable," Ms. Herbert is effectively asking this court to impose liability upon the District irrespective of whether or not the District was at fault. Under the "non-delegable duty" doctrine, the District would be obliged to compensate the plaintiff even if District officials exercised due care in the selection and supervision of a health care provider, and even if the District's conduct has been in all respects free of negligence. Ms. Herbert cites no statutory authority or dispositive judicial precedent for the imposition in these circumstances of liability without fault, and we are not prepared to adopt by judicial pronouncement a doctrine which would substantially broaden the District's responsibility for acts or omissions beyond its control.
Although prison personnel have a duty to exercise due care, wé have held that they are not insurers of an inmate's safety or well-being. Hughes, supra, 425 A.2d at 1302. This court has recently reiterated that "liability for individualized fault is the norm," and that vicarious liability without fault "is regarded as an exceptional solution." Traudt v. Potomac Elec. Power Co., 692 A.2d 1326, 1339 (D.C.1997) (citation and internal quotation marks omitted). If we were to adopt the rule urged upon us by Ms. Herbert, then the District would become a guarantor of satisfactory performance by PDC and its employees, even though the District has no control over that performance in a given case. There is obvious tension between such a doctrine and the principles enunciated in Hughes and Traudt.
In Logue v. United States, 412 U.S. 521, 93 S.Ct. 2215, 37 L.Ed.2d 121 (1973), the parents of Reagan Logue brought suit against the United States under the Federal Tort Claims Act, 28 U.S.C. § 1346(b), alleging that the federal Bureau of Prisons (BOP) was responsible for Logue's death by suicide. Logue, a federal prisoner, had hanged himself while he was confined, pending trial, in the Nueces County, Texas, jail. The county had contracted with the BOP for the safekeeping, care and subsistence of federal prisoners. Logue's parents contended, inter alia, that employees of the jail had been negligent in their surveillance of Logue, and that the United States was responsible for the negligence of the Nueces County sheriffs office because, in light of the county's contract with the BOP, the officials of the jail should be deemed to be employees of the federal government, and because the BOP had a "non-delegable" duty under 18 U.S.C. § 4042 to assure the exercise of reasonable care by officials at state or local facilities at which federal prisoners were housed. Id. at 526-28 & n. 7, 93 S.Ct. 2215. The Supreme Court unanimously rejected this position:
[W]e are not persuaded that employees of a contractor with the government, whose physical performance is not subject to governmental supervision, are to be treated as acting on behalf of a federal agency simply because they are performing tasks that would otherwise be performed by salaried employees of the government.
Id. at 531-32, 93 S.Ct. 2215 (internal quotation marks omitted). Although there are distinctions between Logue and the present case, we deem persuasive for present purposes the Court's rejection, in a scenario similar to ours, of the plaintiffs' "non-delega-ble duty" theory.
In Rivers v. State, 159 A.D.2d 788, 552 N.Y.S.2d 189 (1990) (Rivers II), a surgeon performed a hernia operation on a prison inmate. The inmate alleged that the surgery had been negligently carried out. The State did not employ or even select the surgeon, although the State's referring doctor knew that the surgeon performed operations at the hospital in question. The. trial court held that the State was liable for the surgeon's negligence on the theory that the State's duty to provide health care to the inmate was non-delegable, and that the surgeon's failure to exercise due care was therefore attributable to the State. Rivers v. State, 142 Misc.2d 563, 537 N.Y.S.2d 968, 971-74 (Ct.Cl.1989) (Rivers I). The appellate court reversed, holding that the State should not be held to be "the guarantor of the adequacy of medical services under all circumstances, including those beyond its control." Rivers II, 552 N.Y.S.2d at 189. The court went on to state that the rule applied by the trial court would
lift prisoners' rights vis-a-vis malpractice beyond the rights afforded to all others. Claimant's status as a prisoner and his impaired ability to make health-related decisions totally on his own hardly justifies such an extreme result in terms of the State's responsibility_ [T]he premise for imputing liability is the element of control. We consider that rationale the appropriate test of responsibility.
Id. 552 N.Y.S.2d at 189-90 (citation and internal quotation marks omitted). Noting that the surgeon was an independent contractor and that no negligence was established on the part of the State, the court concluded that the State was not responsible for Rivers' injuries. Id. 552 N.Y.S.2d at 190.
We agree with the Appellate Division's analysis. Logue and Rivers, read together with Hughes and Traudt, support affirmance of the trial court's decision.
In support of her claim that the District's duty to exercise reasonable care in the provision of medical services to prisoners is non-delegable, Ms. Herbert relies on Estelle v. Gamble, 429 U.S. 97, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976), and a number of other decisions construing the Cruel and Unusual Punishment Clause of the Eighth Amendment. These decisions have no application to the case at bar.
The Supreme Court concluded in Estelle that prison officials' "deliberate indifference to serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain . proscribed by the Eighth Amendment." Id. at 104, 97 S.Ct. 285 (citation and internal quotation marks omitted). The Court has also held that the constitutional obligation to avoid the imposition of cruel and unusual punishment is non-delegable:
Contracting out prison medical care does not relieve the State of its constitutional duty to provide adequate medical treatment to those in its custody, and it does not deprive the State's prisoners of the means to vindicate their Eighth Amendment rights.
West v. Atkins, 487 U.S. 42, 56, 108 S.Ct. 2250, 101 L.Ed.2d 40 (1988) (footnote omitted).
The present case, however, does not involve the kind of conduct which gives rise to an Eighth Amendment claim. The defendants are alleged to have been negligent, not cruel. "It is obduracy and wantonness, not inadvertence or error in good faith, that characterize the conduct prohibited by the Cruel and Unusual Punishment Clause...." Whitley v. Albers, 475 U.S. 312, 319, 106 S.Ct. 1078, 89 L.Ed.2d 251 (1986). "[A]n inadvertent failure to provide adequate medical care cannot be said to constitute [a violation of the Eighth Amendment]." Estelle, supra, 429 U.S. at 105, 97 S.Ct. 285. "Medical malpractice does not become a constitutional violation merely because the victim is a prisoner." Id. at 106, 97 S.Ct. 285. On the contrary, a plaintiff seeking to establish a constitutional violation must prove "deliberate indifference to serious medical needs." Id.
To hold that the duty not to be cruel or wanton or obdurate cannot be delegated away is one thing; to expand that doctrine to make the District liable for the ordinary negligence of a contract health care provider, without proof of lack of due care on the part of the District, is quite another. The present case involves medical malpractice, and Ms. Herbert has neither alleged nor proved anything more.
In sum, the District's limited obligation under the Eighth Amendment not to inflict cruel and unusual punishment may not be avoided by delegation to an independent contractor, but there is no evidence in this case that the District failed to carry out its constitutional responsibilities. There was proof that PDC and Lawson engaged in medical malpractice, but for the reasons discussed above, the District's common law and statutory obligation to exercise reasonable care in providing medical services may lawfully be delegated, and the District cannot be held liable without proof of negligence on the part of its officials or employees.
The District has meaningful responsibilities pursuant to D.C.Code § 24-442, but it can satisfy those responsibilities by exercising reasonable care in the selection and supervision of its independent contractors. Ms. Herbert has not demonstrated that the District failed to carry out these statutory duties.
IV.
CONCLUSION
If liability without fault should be imposed on the taxpayers in circumstances of the kind presented by this record, this should be effected by the legislature, not by the courts. Accordingly, the judgment of the trial court is affirmed. Except as to the issue of the District's non-delegable duty, the division's opinion in Herbert I is reinstated.
So ordered.
. Ms. Herbert also sought to recover against the District on a number of other theories, including negligent hiring, negligent supervision, and a claim that she was a third party beneficiary of the contract between DOC and PDC. See Herbert I, 691 A.2d at 1179. The division that heard the appeal sustained the trial court's disposition of these claims.
. We have considered en banc only the question whether the District's duty to provide Ms. Herbert with non-negligent medical care was non-delegable. As to all other issues, we reinstate the judgment and opinion of the division in Herbert I.
. Logue had made a previous attempt to kill himself and was known to be a suicide risk.
. 18 U.S.C. § 4042 is the federal counterpart of D.C.Code § 24-442. It requires the BOP to "provide for the safekeeping, care, and subsistence of all persons charged with . offenses against the United States...."
. E.g., in Logue, the Court relied in part, see 412 U.S. at 532, 93 S.Ct. 2215, on 28 U.S.C. § 2671, which states, inter alia, that the term "Federal agency . does not include any contractor with the United States." This statute further provides that "Employee of the government" includes "officers or employees of any federal agency...."
.Many District of Columbia prisoners are held in federal facilities. Logue's rejection of the "non-delegable duty" construct should also be followed here in order to ensure that District prisoners are treated uniformly in this respect regardless of the location where they are incarcerated.
. In her Reply Brief, Ms. Herbert relies heavily on two state court cases which apparently hold that the duty of state or local officials to provide non-negligent health care to prisoners is non-delegable and cannot be avoided by engagement of an independent contractor. See Shea v. City of Spokane, 17 Wash.App. 236, 562 P.2d 264 (1977), aff'd, 90 Wash.2d 43, 578 P.2d 42 (1978); Medley v. North Carolina Dep't of Correction, 330 N.C. 837, 412 S.E.2d 654 (1992). These decisions are analyzed in considerable detail in this writer's separate opinion in the division. Herbert I, supra, 691 A.2d at 1187-88 (Schwelb, J., concurring in part and dissenting in part). Substantially for the reasons stated in that opinion, we do not believe that these cases provide persuasive precedent for Ms. Herbert's position. Shea is factually distinguishable in critical respects, for in that case the actions of the City of Spokane could reasonably be characterized as wanton or obdurate. Medley rests substantially on what we regard as a patent non-sequitur; the court believed that the state's obligations to inmates were non-delegable, like those of a father to a child, but failed to draw the logical conclusion; a father carries out his parental responsibilities if he takes his child to a reputable physician, and surely cannot be held personally liable if the physician subsequently makes an error in treating the child. The same rule should apply to the state.
We also note that Logue was not cited either in Shea or in Medley, and that the reasoning of Medley, in particular, is difficult to reconcile with that of Logue. Compare Medley, 412 S.E.2d at 659 ("by virtue of the state's non-delegable duty to provide medical care for inmates, Dr. Stanley, hired by the state to perform this duty, was at the time of the alleged negligence as a matter of law an agent of [the Department of Correction]") with the passage from Logue, 412 U.S. at 531-32, 93 S.Ct. 2215 quoted at page 7, supra.