McFields v. Dart, No. 20-1391 (7th Cir. 2020)
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The Cook County Jail houses primarily people who have not yet been convicted. Under the jail’s “paper triage” policy, a detainee who has dental pain and wants treatment must submit a health service request form (HSRF). Staff review the HSRF and categorize it as “routine,” “priority,” or “urgent.” The detainee is referred to a dentist for treatment in three to 30 days, depending on the categorization. Most detainees do not receive a face-to-face assessment from a nurse or higher-level practitioner before they see a dentist. An assessment could identify bona fide complaints of dental pain or reveal serious medical issues and would allow a nurse to dispense over-the-counter pain medication.
McFields, a former detainee, filed a putative class action, alleging that detainees suffered gratuitous pain as a result of the paper triage policy. They alleged that the standard of care for processing a health service request requires a face-to-face assessment within 48 hours and that the jail’s policy is objectively unreasonable. The Seventh Circuit affirmed the denial of class certification, noting that each detainee presents a different situation that involved a different type of pain, took place at a different time, and involved different medical professionals and prison staff. McFields failed to satisfy the commonality and typicality requirements of Rule 23. Individual issues predominate over common questions.
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