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Parsons v. Dushuttle

Superior Court of Delaware

March 8, 2019

Stephen M. Parsons
v.
Richard P. Dushuttle, M.D., et al.

          Submitted: January 22, 2019

          Noel Eason Primos, Judge.

         Dear Mr. Parsons:

         Pending before the Court are your complaint, motion to proceed in forma pauperis, and motion for appointment of counsel.

         You have sued Dr. Richard DuShuttle and Bayhealth Medical Center (hereinafter the "Defendants"), alleging, inter alia, that the Defendants committed medical malpractice after Dr. DuShuttle allegedly installed a hip replacement device improperly and you needed to undergo a second surgery. You have alleged damages in excess of $100, 000.00 due to "debilitating pain that was suffered from the day of surgery..., the improper placement of [sic] artificial hip which caused the Plaintiff limited mobility and confinement to a wheelchair and the loss of wages...."

         Included with your complaint is an application to proceed in forma pauperis and a motion for the appointment of counsel. This Court previously denied your in forma pauperis request for failure to fully complete the affidavit and answer all of the questions asked. You subsequently submitted a revised affidavit establishing to the Court's satisfaction that you are indigent. Therefore, the Court grants your application to proceed in forma pauperis.

         However, before your case may move forward, the Court must also review the complaint, and if the complaint is deemed to be legally frivolous, factually frivolous, or malicious, the Court must dismiss it.[1] While the Court views pro se in forma pauperis civil suits generously, [2] to protect judicial resources and the public good, the Court will not allow itself or members of the public "to become the victim[s] of frivolous or malicious claims which on their face are clearly: subject to a motion to dismiss under Superior Court Civil Rule 12(b)(6) or subject to a defense of immunity or subject to some other defect."[3] A claim is factually frivolous where the factual allegations are "baseless, of little or no weight, value or importance, [or] not worthy of serious attention or trivial."[4] A claim is legally frivolous where it is "based on an indisputably meritless legal theory."[5] A claim is malicious when "designed to vex, injure or harass, or one which is otherwise abusive of the judicial process or which realleges pending or previously litigated claims."[6]

         In this case, you have previously sued Defendant Richard P. DuShuttle, M.D., twice in the United States District Court for the District of Delaware along with other Defendants who are not parties to this action, and in both suits you alleged medical malpractice pursuant to 42 U.S.C. § 1983.[7] In order to make out a viable claim under § 1983, "a plaintiff must allege facts showing a deprivation of a constitutional right, privilege or immunity by a person acting under color of state law."[8] Allegations of medical malpractice are not sufficient to establish a constitutional violation.[9] Rather, these claims fall within the purview of state law pursuant to 18 Del. C. §§ 6801-65, the "Delaware Health Care Negligence Insurance and Litigation Act." Thus, the District Court in both cases properly dismissed your complaints as legally frivolous.[10]

         The claims you allege here are factually identical to certain claims that you alleged in the United States District Court. This Court finds that these claims have now been brought in the proper venue and that the claims do not rise to the level of a legally or factually frivolous or malicious suit. However, as explained below, your complaint cannot be accepted for filing due to the absence of an affidavit of merit.

         Pursuant to 18 Del. C. § 6853(a), all healthcare negligence complaints must be supplemented with an affidavit of merit as to each defendant.[11] The affidavit of merit must be signed by an expert witness, be accompanied by a current curriculum vitae or resume of the witness, and state that there are reasonable grounds to believe that health-care medical negligence has been committed as to each defendant.[12] The General Assembly's purpose and intent behind Section 6853 was to reduce the filing of meritless medical negligence claims.[13] "By requiring an affidavit of merit, Section 6853(a) simply requires a plaintiff to make a. prima facie showing that there are reasonable grounds to believe that negligence occurred and caused an injury."[14]

         Additionally, Section 6853(c) requires that the affidavit of merit "set forth the expert's opinion that there are reasonable grounds to believe that the applicable standard of care was breached by the named defendant(s) and that the breach was a proximate cause of injury(ies) claimed in the complaint."[15]The expert witness must be licensed to practice medicine as of the date of the affidavit, must have practiced or taught for at least three years in the same field as alleged in the medical negligence or malpractice complaint, and must be board certified in the same field as the defendant.[16]

         If a litigant fails to include an affidavit of merit along with the complaint, this Court may not hear the case.[17] Specifically, Section 6853(a)(1) provides that if an affidavit of merit, or a motion to extend the time to file such an affidavit, is not filed with the complaint, the Prothonotary may not file the complaint or docket it. Section 6853(a)(1) does not provide an exception for indigent ox pro se plaintiffs.[18] Although the Court will provide pro se litigants some degree of leniency, self-represented litigants must still abide by the same rules that apply to all other litigants, which includes filing an affidavit of merit.[19]

         However, pursuant to Section 6853(a)(2), the Court may, in its discretion, grant a 60-day extension upon a timely motion made by the plaintiff and for good cause.[20] "Good cause shall include, but not be limited to, the inability to obtain, despite reasonable efforts, relevant medical records for expert review."[21] In this case, you did not file such a motion demonstrating good cause nor did you make a request for an extension of time to obtain the necessary affidavit(s). Nevertheless, there is precedent within this Court to grant additional time for filing an affidavit of merit even if the plaintiff has not filed a motion making such a request.[22] Therefore, you will be provided with an additional 60 days from the date of this order to obtain and submit an affidavit or affidavits of merit. If you do not submit an affidavit by that deadline, your complaint will not be accepted, and your case will be closed.

         Lastly, the Court will address your motion for appointment of counsel. "There is a well-recognized right to appointed counsel for indigent defendants in criminal cases. Courts have been reluctant, however, to extend that right to indigent plaintiffs in civil cases, and have almost universally declined to do so."[23] This Court has previously held that simply being unable to undertake discovery or litigation or not having access to the statutory and case law of Delaware are not adequate bases for a court to appoint counsel.[24] Moreover, many attorneys work on a contingency fee basis wherein they are paid only if the plaintiff recovers monies through verdict or settlement.

         In this case, you have indicated that you do not have the ability to present your own case, as you are "unskilled in the law and the complexity of the legal issues presented in the complaint...." You assert that appointment of counsel would serve the best interests of justice, and you argue that the six-pronged test from Tabron v. Grace, [25] and later adopted by the United States District Court for the District of Delaware in Marvel v. Prison Industries, [26]should be followed by this Court. This Court, however, has declined to follow the Tabron test on multiple occasions and instead has considered motions for the appointment of counsel under the more narrow purview of the 14th Amendment Due Process Clause.[27] Thus, the appropriate analysis for this Court to consider with regard to your motion for the appointment of counsel is the three-pronged analysis as laid out by the United States Supreme Court in Matthews v. Eldridge, [28] This analysis requires the Court to balance "(1) the private interests at stake, (2) the government's interest and (3) the risk that the procedure without counsel would lead to erroneous results."[29]

         As to the first Matthews factor, the private interest at stake in this case is your right to meaningful access to the Courts. "Meaningful access has been interpreted to mean 'either access to an adequate law library or legal assistance in the preparation of complaints, appeals, petitions, etc., though the State is vested with discretion to select the method by which to implement this constitutional guarantee.'"[30] Here, you have not demonstrated that your meaningful access to the Courts has been restricted. You have access to a prison law library and have already filed a complaint, a petition to proceed in forma pauperis, two complaints in the United States District Court for the District of Delaware, and the present motion for appointment of counsel. Thus, the Court finds that you are sufficiently capable of following this Court's rules and procedures, and that there is nothing in the record demonstrating that you are being denied "meaningful access" to the Courts.[31]

         The second Matthews factor requires the Court to examine the government's interest, which includes ".. .maintaining order and discipline in its penal institutions."[32] "This strong interest, when considered in the context of the extraordinary remedy Plaintiff seeks, means that Plaintiff must make a very strong showing that his private interest in meaningful access outweighs this strong and well-recognized State interest." [33] Here, you have failed to meet your burden of establishing how your case is different from the multitude of other cases in which inmates allege civil claims, including claims of medical malpractice.[34]

         As to the last Matthews factor, this Court finds that the complexity of the issues, and the risk that proceeding without counsel would lead to erroneous results, do not justify the appointment of counsel in this case. This Court has previously held that "...a plaintiffs diminished chance of success in the absence of appointed counsel, without more, does not outweigh the State's strong interest in maintaining order in penal institutions."[35] Moreover, medical malpractice suits are not complex enough so as to justify the appointment of ...


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