Alito Tijwan Cross v. Buschman

NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
No. 22-3194
ALITO TIJWAN CROSS,
Appellant
v.
BUSCHMAN; PHYSICIAN’S ASSISTANT WICKHAM; H. QUAY
On Appeal from the United States District Court
for the Middle District of Pennsylvania
(D.C. No. 1-22-cv-00098)
District Judge: Honorable Christopher C. Conner
Submitted Under Third Circuit L.A.R. 34.1(a)
January 17, 2024
Before: SHWARTZ, MATEY, and PHIPPS, Circuit Judges.
(Opinion filed: July 3, 2024)
OPINION∗
∗ This disposition is not an opinion of the full Court and, pursuant to I.O.P. 5.7,
does not constitute binding precedent.

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MATEY, Circuit Judge.
After prison officials failed to treat his diabetes, Plaintiff-Appellant Alito Cross
brought this Bivens action alleging Defendants-Appellees (“Officials”) acted with
deliberate indifference to a serious medical need in violation of the Eighth Amendment.
The District Court dismissed the complaint, holding that no Bivens remedy is available in
this context. We will vacate the District Court’s order and remand for further
proceedings.
I.
Cross is a federal prisoner with diabetes. Cross alleges that he repeatedly passed
out from diabetic complications. Though he sought medical care, Defendant-Appellee
Buschman, a doctor at the prison, allegedly failed to provide appropriate treatment.
Cross then sued Buschman and two other prison officials (Appellees Wickham
and Quay) for deliberate indifference under the Eighth Amendment asking for damages
under Bivens v. Six Unknown Named Agents of Federal Bureau of Narcotics, 403 U.S.
388 (1971), and Carlson v. Green, 446 U.S. 14 (1980).
Exercising its power to screen prisoner complaints under 28 U.S.C. § 1915A, the
District Court dismissed Cross’s complaint with prejudice, concluding that no Bivens
remedy is available in this context. The District Court did not address whether Cross had
sufficiently pled a constitutional violation. Instead, the Court held that Cross’s claim
presented a new Bivens context because Cross failed to allege that he suffered any harm
caused by the lack of medical care. The District Court also held that the Federal Bureau
of Prisons’ administrative remedy system was a special factor counseling against and

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ultimately precluding the extension of a Bivens remedy and denied leave to amend. Cross
timely appealed.1
II.
Bivens held that the Fourth Amendment itself “gives rise to a cause of action for
damages consequent upon” a violation of the provision by a federal official, 403 U.S. at
389, and Carlson extended that remedy to federal prisoners alleging deliberate
indifference to serious medical needs, 446 U.S. at 18–23. To determine whether Bivens
and Carlson allow Cross to sue for damages,2 we must first ask whether this case
“presents ‘a new Bivens context,’” an inquiry that requires determining whether Cross’s
claim is “‘meaningful[ly]’ different” from Carlson. Egbert v. Boule, 596 U.S. 482, 492
(2022) (quoting Ziglar v. Abbasi, 582 U.S. 120, 139 (2017)). If the “claim arises in a new
context, a Bivens remedy is unavailable if there are ‘special factors’ indicating that the
Judiciary is at least arguably less equipped than Congress to ‘weigh the costs and benefits
of allowing a damages action to proceed.’” Id. (quoting Ziglar, 582 U.S. at 136).
The Officials do not defend the District Court’s conclusion that Cross’s claim
presents a new Bivens context based on Cross’s alleged failure to plead that he suffered
any harm caused by purportedly deliberate indifference. And for good reason. Construed
1 The District Court had jurisdiction under 28 U.S.C. § 1331, and we have
jurisdiction under 28 U.S.C. § 1291. We exercise plenary review over the District Court’s
dismissal under § 1915A and review a dismissal for failure to state a claim de novo.
Dooley v. Wetzel, 957 F.3d 366, 373–74 (3d Cir. 2020).
2 To prevail on his claim, Cross must “show that the [Officials] violated his Eighth
Amendment rights.” Dongarra v. Smith, 27 F.4th 174, 177 (3d Cir. 2022). Since the
District Court did not decide whether Cross has plausibly alleged an Eighth Amendment
violation, we need not address that issue here.

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liberally, as we must at this stage, see Estelle v. Gamble, 429 U.S. 97, 106 (1976),
Cross’s complaint alleges that he suffered impaired vision, mental stress, and several
episodes of lost consciousness, all stemming from his untreated diabetes.3
On appeal, the Officials raise various alternative grounds for affirmance, including
arguments for why Cross’s claim presents a new Bivens context. But none were
addressed by the District Court, and we leave these arguments for remand. See Gov’t of
V.I. v. Charleswell, 24 F.3d 571, 577 (3d Cir. 1994).4
* * *
For these reasons, we will vacate the District Court’s order and remand for further
proceedings consistent with this opinion.
3 These allegations distinguish this case from Dongarra, where the plaintiff was
never harmed. 27 F.4th at 180–81. Here, Cross alleges actual harm from the Officials’
alleged deliberate indifference.
4 We note that this Court has previously rejected the Officials’ argument that
congressional silence in the Prison Litigation Reform Act of 1995 precludes a Bivens
remedy. See, e.g., Bistrian v. Levi, 912 F.3d 79, 92–93 (3d Cir. 2018); Mack v. Yost, 968
F.3d 311, 323–24 (3d Cir. 2020). We do not address whether there may be other
circumstances suggesting Cross’s claim presents a new Bivens context.
Judge Shwartz agrees with the judgment to vacate the dismissal order because,
among other things, she agrees with the rulings of other circuit courts that Carlson
currently remains good and binding law post-Egbert. See Snowden v. Henning, 72 F.4th
237, 242 (7th Cir. 2023) (observing, post-Egbert, that the “Court has stopped short of
overruling the Bivens trilogy”), petition for cert. filed, No. 23-976 (U.S. Mar. 6, 2024);
Bulger v. Hurwitz, 62 F.4th 127, 136–37 (4th Cir. 2023) (observing, post-Egbert, that the
Supreme Court “has chosen not to overrule its three Bivens cases, electing instead to
severely limit the reach of Bivens by imposing a highly restrictive two-step analysis”).

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MATEY, Circuit Judge, concurring.
“Constitutional rights do not typically come with a built-in cause of action to
allow for private enforcement,” DeVillier v. Texas, 144 S. Ct. 938, 943 (2024), but Bivens
v. Six Unknown Named Agents of Federal Bureau of Narcotics, 403 U.S. 388 (1971),
created one. In recent years, the Supreme Court has “cabined” Bivens’ “scope,
undermined its foundation, and limited its precedential value.” Hernandez v. Mesa, 589
U.S. 93, 118 (2020) (Thomas, J., concurring). But Bivens lives on in three discrete
contexts that now sit uncomfortably with the historically grounded restraint on inferred
causes of action. I write separately to explain why those lingering settings raise recurring
questions about the role of the President in executing the laws.
I.
There is little new to say about Bivens beyond a bit of history and a recap of where
things stand.
Though “[t]he Constitution is almost completely silent concerning the remedies to
be employed for its implementation,” Alfred Hill, Constitutional Remedies, 69 Colum. L.
Rev. 1109, 1118 (1969),1 actions for damages against federal officials are nothing new.
1 “To the framers, special provision for constitutional remedies probably appeared
unnecessary, because the Constitution presupposed a going legal system, with ample
remedial mechanisms, in which constitutional guarantees would be implemented.”
Richard H. Fallon, Jr. & Daniel J. Meltzer, New Law, Non-Retroactivity, and
Constitutional Remedies, 104 Harv. L. Rev. 1731, 1779 (1991). An assumption that
played out in practice, as for most of our Nation’s history “constitutional ‘public law’
protections [have been] intricately bound up with—indeed, presuppose[d]—a general
backdrop of ‘private law’ protections defining primary rights of personal property and
bodily liberty.” Akhil Reed Amar, Of Sovereignty and Federalism, 96 Yale L.J. 1425,
1507 (1987).

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From the Founding2 to the middle of the twentieth century, federal officials who injured
private parties in violation of the Constitution routinely faced damages actions in state
2 See, e.g., Little v. Barreme, 6 U.S. (2 Cranch) 170 (1804) (Marshall, C.J.)
(holding federal official was subject to a damages suit for trespass when the official
conducted an unlawful seizure); Imlay v. Sands, 1 Cai. R. 566 (N.Y. Sup. Ct. 1804); Wise
v. Withers, 7 U.S. (3 Cranch) 331 (1806) (Marshall, C.J.); Gelston v. Hoyt, 16 U.S. (3
Wheat.) 246 (1818) (Story, J.). This early practice continued throughout the nineteenth
century. See, e.g., Mitchell v. Harmony, 54 U.S. 115 (1851); United States v. Lee, 106
U.S. 196 (1882); cf. James E. Pfander & Jonathan L. Hunt, Public Wrongs and Private
Bills: Indemnification and Government Accountability in the Early Republic, 85 N.Y.U.
L. Rev. 1862 (2010) (using congressional records between 1789 and 1860 to collect
examples of judgments against federal officers for which the officers sought
indemnification); Wheeldin v. Wheeler, 373 U.S. 647, 652 (1963) (“When it comes to
suits for damages for abuse of power, federal officials are usually governed by local
law.”). Even before the Founding, the Crown’s agents could be held liable for damages in
a suit at common law. See Louis L. Jaffe, Suits against Governments and Officers:
Sovereign Immunity, 77 Harv. L. Rev. 1, 1–2 (1963) (“From time immemorial many
claims affecting the Crown could be pursued in the regular courts if they did not take the
form of a suit against the Crown. . . . If the subject was the victim of illegal official
action, in many cases he could sue the King’s officers for damages. . . . This was the
situation in England at the time the American Constitution was drafted.”).
Courts rarely required a constitutional violation to be part of the plaintiff’s
complaint, and the federal official’s status appeared as a defense. See Jennifer L. Mascott
& R. Trent McCotter, Egbert v. Boule: Federal Officer Suits by Common Law, 2021–
2022 Cato S. Ct. Rev. 111, 132–34 (2022); Fallon & Meltzer, supra, at 1781 (“In many
cases, a plaintiff denied relief from the sovereign could seek alternative redress from the
official through whom the government had acted; a tradition arose under which an
official who pleaded a defense of official authority would be ‘stripped’ of that shield
when his conduct violated the Constitution, and hence held liable like a private
tortfeasor.”). But common law causes of action—like trespass or conversion—were still
the vehicle to vindicate the violation of an underlying constitutional right. See Buchanan
v. Barr, 71 F.4th 1003, 1014–15 (D.C. Cir. 2023) (Walker, J., concurring); Amar, supra,
at 1506–07.

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and federal court.3 It was a system that stood stable for nearly two centuries4 before
Bivens created a damages remedy inferred from the Constitution. The project continued
in Davis v. Passman, 442 U.S. 228 (1979), and reached its high watermark in Carlson v.
Green, 446 U.S. 14 (1980), which presumes an implied action for any alleged
constitutional harm and then requires the defendants to: 1) “demonstrate ‘special factors
counselling hesitation in the absence of affirmative action by Congress’”; or 2) “show
that Congress has provided an alternative remedy which it explicitly declared to be a
3 A practice that continued even after Bivens. See, e.g., Hernandez v. Lattimore,
612 F.2d 61 (2d Cir. 1979); Dellums v. Powell, 566 F.2d 167 (D.C. Cir. 1977). The
ratification debates provide some evidence that the Founding generation saw these suits
as important checks on federal power. See Mascott & McCotter, supra, at 131; Andrew
Kent, Lessons for Bivens and Qualified Immunity Debates from Nineteenth-Century
Damages Litigation Against Federal Officers, 96 Notre Dame L. Rev. 1755, 1758 (2021)
(“It is well known and uncontroversial that the Framers and ratifiers of the Constitution in
1787–88 expected that common law or general law would supply forms of action to
contest many kinds of misconduct by federal officers.”). Which is consistent with
Founding-era judicial assumptions as no court (and least none that I can find) explored
whether the Constitution itself provided a means to recover damages for constitutional
violations by a federal actor. Cf. Bell v. Hood, 327 U.S. 678, 684 (1946) (stating that
whether a federal court “can grant money recovery for damages said to have been
suffered as a result of federal officers violating” federal constitutional rights in the
absence of a statutory cause of action is a “question [that] has never been specifically
decided by this Court”).
4 Things began to change in the early twentieth century. Erie’s arrival brought
about the death of general law causes of action. See Hernandez, 589 U.S. at 100–01, 110
n.8; James E. Pfander, Iqbal, Bivens, and the Role of Judge-Made Law in Constitutional
Litigation, 114 Penn St. L. Rev. 1387, 1415 (2010); O’Connor v. Eubanks, 83 F.4th
1018, 1028 & n.4 (6th Cir. 2023) (Thapar, J., concurring) (discussing Erie’s impact on
remedies available for violating the Fifth Amendment’s Takings Clause). A path that
some argue could have been avoided, even accepting Erie’s premises. See Carlos M.
Vázquez & Stephen I. Vladeck, State Law, the Westfall Act, and the Nature of the Bivens
Question, 161 U. Pa. L. Rev. 509, 540–42 (2013). That left state law as the primary
constitutional gap filler providing the means to remedy constitutional violations. At least
until federal legislation limited the availability of state tort suits against federal officers.
See id. at 566–82.

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substitute for recovery directly under the Constitution and viewed as equally effective.”
446 U.S. at 18–19 (quoting Bivens, 403 U.S. at 396).
In the years since, the Supreme Court has considered—and declined—some
twelve requests to imply a new cause of action for damages under the Constitution.5 In
doing so, the Court has reframed the Bivens inquiry, discarded Carlson’s reasoning, and
directed courts to presume that Bivens does not apply. See Egbert v. Boule, 596 U.S. 482,
490–94 (2022). In addition, where Carlson focused exclusively on alternative remedies
provided by Congress, 446 U.S. at 19–23, newer decisions consider the availability of
administrative remedies, see, e.g., Egbert, 596 U.S. at 497–98; Corr. Servs. Corp. v.
Malesko, 534 U.S. 61, 74 (2001). And those alternative remedies, whether regulatory or
legislative, need not provide the same relief as a Bivens damages action. See Egbert, 596
U.S. at 493 (“Nor does it matter that ‘existing remedies do not provide complete relief.’”
(quoting Bush v. Lucas, 462 U.S. 367, 388 (1983))). Or even “explicitly declared to be a
substitute” for a Bivens claim. See Egbert, 596 U.S. at 501 (emphasis omitted). The
judgment in Carlson may survive, but its reasoning does not.
5 See Chappell v. Wallace, 462 U.S. 296 (1983); Bush v. Lucas, 462 U.S. 367
(1983); United States v. Stanley, 483 U.S. 669 (1987); Schweiker v. Chilicky, 487 U.S.
412 (1988); FDIC v. Meyer, 510 U.S. 471 (1994); Corr. Servs. Corp. v. Malesko, 534
U.S. 61 (2001); Wilkie v. Robbins, 551 U.S. 537 (2007); Hui v. Castaneda, 559 U.S. 799
(2010); Minneci v. Pollard, 565 U.S. 118 (2012); Ziglar v. Abbasi, 582 U.S. 120
(2017); Hernandez, 589 U.S. at 96; Egbert v. Boule, 596 U.S. 482 (2022). We have
followed that guidance and recognize the possibility of a damages suit only if the facts
alleged are nearly identical to Bivens, Passman, or Carlson. See, e.g., Xi v. Haugen, 68
F.4th 824, 834 (3d Cir. 2023) (noting even factually similar claims are new contexts if
they differ in “any ‘meaningful way’” (quoting Ziglar, 582 U.S. at 139)).

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II.
The result is real tension and new constitutional problems where, as here, the
Officials argue that the Federal Bureau of Prisons has eliminated the need for any Bivens
inquiry by promulgating an administrative remedy program. That alternative process, the
Officials conclude, means Cross cannot resort to Bivens. Presumably, the same result
would follow in any action by a federal prisoner against federal officials for damages.
That might well be right. While the Supreme Court has declined to overrule
Carlson,6 it has said that “a new context arises when there are ‘potential special factors
that previous Bivens cases did not consider.’” Egbert, 596 U.S. at 492 (quoting Ziglar v.
Abbasi, 582 U.S. 120, 140 (2017)). The BOP’s administrative grievance process seems
like a special factor creating a new Bivens context.7 And none of the opinions in Carlson
6 See, e.g., Malesko, 534 U.S. at 72. Malesko involved an Eighth Amendment
deliberate indifference claim by a federal prisoner. Though the Court declined to
recognize a Bivens remedy because it found the case to arise in a new context, the
majority still recognized the continued existence of a Carlson claim. See id. (“If a federal
prisoner in a BOP facility alleges a constitutional deprivation, he may bring a Bivens
claim against the offending individual officer, subject to the defense of qualified
immunity.”). Even Justice Scalia, a famed Bivens critic, would have preserved some form
of a Carlson claim. See id. at 75 (Scalia, J., concurring) (“I would limit Bivens and its two
follow-on cases (Davis v. Passman, 442 U.S. 228 (1979), and Carlson v. Green, 446 U.S.
14 (1980)) to the precise circumstances that they involved.”).
7 See Malesko, 534 U.S. at 74 (discussing the availability of the BOP’s
administrative remedy program as a factor cutting against extending a Carlson claim to a
new context); Mack v. Yost, 968 F.3d 311, 320–21 (3d Cir. 2020) (recognizing BOP’s
administrative remedy program as a special factor precluding a Bivens claim for First
Amendment retaliation); Bulger v. Hurwitz, 62 F.4th 127, 140–41 (4th Cir. 2023); cf.
Egbert, 596 U.S. at 497–98 (discussing administrative remedies as a special factor
precluding a Bivens extension). Mack suggested that the BOP’s administrative remedies
may be insufficient if an inmate suffers physical injury. See 968 F.3d at 321 & n.9; see
also Bistrian v. Levi, 912 F.3d 79, 92 (3d Cir. 2018). But that qualification conflicts with

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considered the BOP’s administrative remedies because special factors and alternative
remedies were treated separately.8 All suggesting that Carlson does not disturb the best
reading of Egbert requiring courts to consider whether the BOP’s administrative
remedies foreclose resort to Bivens. See Egbert, 596 U.S. at 501 (“[A] plaintiff cannot
justify a Bivens extension based on ‘parallel circumstances’ with Bivens, Passman, or
Carlson unless he also satisfies the ‘analytic framework’ prescribed by the last four
decades of intervening case law.” (quoting Ziglar, 582 U.S. at 139)); see also id. at 491
(“‘[E]ven a single sound reason to defer to Congress’ is enough to require a court to
refrain from creating such a remedy.” (alteration in original) (quoting Nestlé USA, Inc. v.
Doe, 593 U.S. 628, 635 (2021) (plurality)).9 That result is confirmed by the importance of
the Executive’s independent authority under Article II to address alleged constitutional
violations.
Egbert’s caution “[n]or does it matter that ‘existing remedies do not provide complete
relief.’” 596 U.S. at 493 (quoting Bush, 462 U.S. at 388).
8 See Carlson, 446 U.S. at 18. More recent decisions view alternative remedies as
special factors. See, e.g., Egbert, 596 U.S. at 493 (“If there are alternative remedial
structures in place, ‘that alone,’ like any special factor, is reason enough to ‘limit the
power of the Judiciary to infer a new Bivens cause of action.’” (emphasis added) (quoting
Ziglar, 582 U.S. at 137)); Mack, 968 F.3d at 320–21 (considering alternative remedial
schemes as a special factor); Xi, 68 F.4th at 836–37 (same).
Timing may be the answer: the BOP’s grievance process was not codified until
1979, after the conduct at issue in Carlson occurred. See Control, Custody, Care,
Treatment, and Instruction of Inmates, 44 Fed. Reg. 62248 (Oct. 29, 1979).
9 A conclusion recently reached by a panel in the Tenth Circuit. See Noe v. United
States, No. 23-1025, 2023 WL 8868491, at *2–3 (10th Cir. Dec. 22, 2023).

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A.
The Constitution of 1787 is framed to reflect broad and eternal principles10 and did
not endeavor to enact “a comprehensive code.” Stephen E. Sachs, Constitutional
Backdrops, 80 Geo. Wash. L. Rev. 1813, 1821 (2012). Of design, it “does not answer, or
even address, every important question of government, politics, law, or rights,” including
how the document itself is to be implemented. Michael Stokes Paulsen, The Text, the
Whole Text, and Nothing but the Text, So Help Me God: Un-Writing Amar’s Unwritten
Constitution, 81 U. Chi. L. Rev. 1385, 1386 (2014) (book review). Instead, the
Constitution hinges on preexisting rules emanating from other sources of law, positive,
common, and natural. That leaves ample room for future state and federal actors to
prescribe rules for its operation based on “a range of interpretive and policy choices.” Id.
As now framed, Bivens forces an examination of who decides what remedies are
available when federal officials violate a constitutional right. For much of our Nation’s
history, state governments provided state law causes of action consistent with their
“coordinate responsibility to enforce the Constitution according to their regular modes of
procedure,” DeVillier, 144 S. Ct. at 944 (alterations omitted) (quoting Howlett v. Rose,
496 U.S. 356, 367 (1990)), and the presumption of preexisting law working in concert
with constitutional implementation. Bivens, Davis, and Carlson changed tack to place the
federal courts in charge of setting the terms of constitutional remedies, disrupting the
constitutional settlement that had placed states in the remedial driver’s seat. Immediately,
10 See, e.g., Edward S. Corwin, The “Higher Law” Background of American
Constitutional Law, 42 Harv. L. Rev. 365 (1929).

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the impact to both local and federal legislative authority became clear. See, e.g., Bivens,
403 U.S. at 418 (Burger, C.J., dissenting) (criticizing the majority for creating a cause of
action for damages “at the price of impinging on the legislative and policy functions that
the Constitution vests in Congress”); id. at 428–29 (Black, J., dissenting) (“[T]he fatal
weakness in the Court’s judgment is that neither Congress nor the State of New York has
enacted legislation creating such a right of action. . . . The task of evaluating the pros and
cons of creating judicial remedies for particular wrongs is a matter for Congress and the
legislatures of the States.”). Of less attention is the loss of Executive power caused by
Bivens.
The President is no bystander to the execution of the laws and is sworn to
“preserve, protect and defend the Constitution of the United States.” U.S. Const. art. II,
§ 1, cl. 8. That duty “imposes an obligation on all Presidents to safeguard the
Constitution,” Saikrishna Prakash, The Executive’s Duty to Disregard Unconstitutional
Laws, 96 Geo. L.J. 1613, 1629 (2008), and requires an “active role in precluding
constitutional violations,” id. at 1628 n.55. The President’s duty to “take Care that the
Laws be faithfully executed,” U.S. Const. art. II, § 3, encompasses the setting of
constitutional policy, the supervision of subordinates charged with carrying out that
intent, and the balancing of the sensitive interests embedded in constitutional choice. See
Prakash, supra, at 1632 (“The Faithful Execution duty arguably extends to the
Constitution itself because the Supremacy Clause expressly makes the Constitution the
law of the land.”). These, and other provisions, assign the President deep and demanding
duties in implementing the guarantees of the Constitution, including the prohibitions in

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the Eighth Amendment. A role that sensibly includes monitoring the conduct of
Executive Branch employees and addressing errors, omissions, and misconduct.
B.
Bivens poses a direct challenge to the authority of the Executive. When a federal
court creates a federal remedy against an Executive employee that Congress has not
presented to the President for signature, it is necessarily impinging upon “[t]he executive
Power . . . vested in a President of the United States of America.” U.S. Const. art. II, § 1,
cl. 1. The President’s duty to “take Care that the Laws be faithfully executed,” id. § 3, is
why courts now consider administrative remedies in determining whether to recognize a
Bivens extension. See, e.g., Egbert, 596 U.S. at 497–98; Malesko, 534 U.S. at 74.
Remedial programs reflect the Executive’s judgment about how wrongful acts should be
addressed, alleviated, and compensated.
That is the case here. Congress charged the President, and his subordinate the
Attorney General, with implementing federal prison programs. See 18 U.S.C.
§§ 4001(b)(1), 4042. In carrying out Congress’s commands, the President holds an
independent duty to ensure that the Constitution’s guarantees are followed within federal
prisons.11 That duty includes efforts to prevent and remedy deliberate indifference to the
11 See Steven G. Calabresi & Christopher S. Yoo, The Unitary Executive:
Presidential Power from Bush to Washington 23 (2008) (coordinate construction of
Article II presidential powers is “especially appropriate when separation of powers
matters are involved”); Gary Lawson & Christopher D. Moore, The Executive Power of
Constitutional Interpretation, 81 Iowa L. Rev. 1267, 1287 (1996) (“Once the President
has interpreted the law that he has the power to enforce or execute, a second
interpretative stage emerges: the President must then determine whether the law is
consistent with the Constitution. The President, no less than Congress or the courts,

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medical needs of federal prisoners. See §§ 4001(b)(2), 4042(a); see also 18 U.S.C. § 4005
(providing for funding and use of medical providers within federal prisons).
The President has answered that call in the BOP’s administrative remedy program.
See 28 C.F.R. §§ 542.10–542.19. That response deserves deference or, at a minimum,
serious consideration and respect in determining whether a damages action under Bivens
and Carlson should be recognized here.12
* * *
The Eighth Amendment binds all federal actors, and the President has a duty to
ensure his subordinates comply with the Amendment’s demands. But when it comes to
the specific means of implementing the Amendment, including remedies for violations,
the Constitution leaves it to the states, Congress, and the Executive. Because the
Officials’ argument concerning the effect of the BOP regulations was not addressed by
operates under the Constitution as supreme positive law. . . . The need to interpret the
Constitution as a source of positive law, and to prefer the Constitution to any other source
of law with which it may conflict, is as much a part of ‘[t]he executive Power’ vested in
the President as it is part of ‘[t]he judicial Power’ vested in the federal courts. The
Constitution is law, and the executive power of law interpretation includes the power and
duty to interpret the Constitution.”).
12 Note that at least some Eighth Amendment claims may be actionable as medical
negligence claims under the Federal Tort Claims Act, 28 U.S.C. §§ 2671–2680 (as Cross
originally pled his complaint). The FTCA also permits “civil action[s] . . . brought for a
violation of the Constitution of the United States.” 28 U.S.C. § 2679(b)(2)(A). As Judge
Walker has explained, reading § 2679(b)(2)(A) to permit state tort actions for federal
constitutional injuries “finds support in the text of the statute, accords with Founding-era
principles of officer accountability, and closes a remedial gap—ensuring relief for those
injured by federal officers’ unconstitutional conduct.” Buchanan, 71 F.4th at 1017
(Walker, J., concurring).

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the District Court, we rightly decline to consider the question.13 But in an appropriate
case, we should consider whether the administrative remedy program used by the BOP
precludes relief under Carlson.
13 The District Court addressed the Officials’ argument that the administrative
remedy program was a special factor precluding a Bivens extension to a new context. But
it did not address the argument that the administrative remedy program itself creates a
new context.

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