Laquan Johnson v. Elaine Terry

U.S. Court of Appeals for the Eleventh Circuit
Laquan Johnson v. Elaine Terry, 112 F.4th 995 (11th Cir. 2024)

Laquan Johnson v. Elaine Terry

Opinion

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                                                          [PUBLISH]
                                  In the
                 United States Court of Appeals
                        For the Eleventh Circuit

                         ____________________

                                No. 23-11394
                         ____________________

        LAQUAN JOHNSON,
                                                     Plaintiff-Appellant,
        versus
        ELAINE TERRY,
        OFFICER BURGESS,
        DR. MARTIN,
        DR. WINSTON,
        MS. GARCIA, et al.,


                                                 Defendants-Appellees,


        DARLENE DREW, et al.,
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        2                      Opinion of the Court                  23-11394

                                                                  Defendants.


                             ____________________

                   Appeal from the United States District Court
                      for the Northern District of Georgia
                       D.C. Docket No. 1:18-cv-01899-AT
                            ____________________

        Before BRANCH, GRANT, and ED CARNES, Circuit Judges.
        ED CARNES, Circuit Judge:
               LaQuan Johnson is a federal prisoner who filed a complaint
        asserting claims under Bivens v. Six Unknown Named Agents of Federal
        Bureau of Narcotics, 
403 U.S. 388
 (1971). He sought money damages
        from federal prison officials, doctors, a nurse, and a kitchen super-
        visor alleging that they violated his constitutional rights by using
        excessive force, by failing to protect him from other inmates, and
        by being deliberately indifferent to his serious medical needs.
                The Supreme Court has decided that “in all but the most
        unusual circumstances,” we should not use Bivens to recognize new
        constitutional-claim causes of action for damages against federal of-
        ficials. See Egbert v. Boule, 
596 U.S. 482
, 486, 491 (2022). The Court
        has instructed us that the reason we aren’t free to use Bivens to
        “fashion[] new causes of action,” 
id. at 490
, is that “prescribing a
        cause of action is a job for Congress, not the courts,” 
id. at 486
. The
        claims Johnson has asserted would require new Bivens causes of
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        23-11394                  Opinion of the Court                               3

        action, which we are forbidden to create except in the “most unu-
        sual circumstances,” if then. 
Id. at 486
.
                               I. Facts and Procedural History
              LaQuan Johnson is a federal prisoner who was housed at the
        United States Penitentiary in Atlanta, Georgia, which we’ll call
        USP-Atlanta, from September 2015 to April 2019. He was a pretrial
        detainee until he was tried and convicted on April 14, 2017. 1
                 According to USP-Atlanta’s policy while Johnson was
        housed there, pretrial detainees and convicted inmates were usu-
        ally housed in separate units. In mid-June 2016, while Johnson was
        still a pretrial detainee, an inmate he knew as “Phillip” moved into
        his cell in the pretrial unit. Phillip was not a pretrial detainee; in-
        stead, he was being confined because he had been convicted. John-
        son told an officer that as a pretrial detainee, he should not be
        housed in the same unit as Phillip, let alone in the same cell. Phillip
        was moved out of Johnson’s cell, but soon after, Elaine Terry, a
        correctional counselor at USP-Atlanta and one of the defendants,
        moved Phillip back into Johnson’s cell in the pretrial unit and

        1 Johnson appeals the district court’s grant of the defendants’ motion for sum-

        mary judgment. Given that, we are required to view the facts as drawn from
        the pleadings, affidavits, and depositions, in the light most favorable to him.
        E.g., Hardin v. Hayes, 
957 F.2d 845
, 848 (11th Cir. 1992); Stewart v. Baldwin
        County Bd. of Educ., 
908 F.2d 1499
, 1503 (11th Cir. 1990). What we state as
        “facts” in this opinion may not be the actual facts. They are, however, the
        facts for summary judgment purposes. Swint v. City of Wadley, Ala., 
51 F.3d 988, 992
 (11th Cir. 1995).
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        4                     Opinion of the Court                23-11394

        moved Johnson to a different cell in the same unit. Johnson com-
        plained to Terry that Phillip was not supposed to be housed in a
        pretrial unit, but she ignored his complaint.
               A week later, Phillip got into an argument with Lewis
        Mobley, a different pretrial detainee housed in the pretrial unit.
        Johnson intervened to try and keep the two from fighting. That
        resulted in Phillip hitting Johnson and pushing him into a toilet,
        which fractured bones in Johnson’s right hand (the first attack).
                Later that day Johnson went to “health services,” which is
        the prison’s medical clinic, to get his hand evaluated. He was
        treated by a nurse who x-rayed, splinted, and wrapped his hand.
        The x-rays indicated that Johnson had fractured a bone in his hand.
        Johnson claims that Dr. Darren Martin, who viewed the x-rays, in-
        structed someone named Ms. Robinson to tell Johnson his hand
        wasn’t broken, and then the medical providers gave him ibuprofen.
        All of that happened in mid-to-late June 2016.
               Johnson again complained about his hand injury in July 2016
        and in October 2017. In July of 2016 he was seen by a nurse practi-
        tioner, who offered to x-ray and bandage Johnson’s hand, but he
        refused. He was also seen by a nurse practitioner in October 2017
        who x-rayed his hand and found that the fracture had healed. Dr.
        James Winston reviewed and cosigned both nurse practitioners’
        notes from their interaction with Johnson.
              In or around October 2016, Johnson informed Warden Dar-
        lene Drew that he was being housed with convicted prisoners
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        23-11394              Opinion of the Court                        5

        when he was a pretrial detainee. Drew did nothing to correct the
        problem.
               In March 2018 a convicted inmate named Walter Bush at-
        tacked Johnson (the second attack). (At this point, Johnson had
        been convicted and was no longer a pretrial detainee.) Bush in-
        jured Johnson’s right hand during the attack. Johnson went to
        health services a couple of days later and was seen by a nurse prac-
        titioner. The nurse practitioner ordered an x-ray of Johnson’s
        hand, found that there were no new fractures, and offered Johnson
        pain medication. He declined it, stating that he already had some.
        The nurse practitioner told Johnson that a doctor would be con-
        tacted to come check on him, but none of the doctors on staff ever
        spoke to Johnson about his injury. Dr. Winston reviewed the nurse
        practitioner’s notes from the encounter and signed off on the as-
        sessment.
               In April 2018 Johnson was once again attacked by another
        inmate (the third attack). He says that he was watching TV when
        a convicted inmate named Cedric Brown punched him in the face
        and fractured his jaw. Johnson was seen by a dentist, who then
        referred him to an oral surgeon. The oral surgeon operated on
        Johnson’s jaw, then wired his mouth closed to help with the heal-
        ing process. The surgeon directed that Johnson consume a liquid
        diet for six weeks while his mouth was wired shut.
               Johnson contends that Carolina Garcia, a kitchen supervisor,
        was in charge of giving him his liquid diet, and she provided it as
        directed for two weeks; but then she stopped. After not receiving
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        6                     Opinion of the Court                23-11394

        his liquid diet for two days, Johnson cut the wires out of his mouth
        with fingernail clippers so that he could eat. He then began chew-
        ing regular food with his fractured jaw. The food got stuck in the
        wound in his mouth and began to rot. Once the food rotted, one
        of Johnson’s teeth also rotted and needed to be removed.
               A few months later, in August 2018, a group of prisoners
        were playing basketball in an outdoor recreation area when the ball
        got stuck in the rim. Because Johnson is tall, they asked him if he
        could get the ball down. He jumped up and landed on a screw
        when he came down; the screw punctured his foot and caused se-
        vere bleeding. Johnson went inside to find help and saw Nurse
        Terrisha Harris passing out medicine. He asked her for help, but
        she refused to treat his foot. He then explained his predicament to
        an unidentified officer, who brought him two pairs of socks to help
        stop the bleeding.
               Two days later, Johnson reported to health services and was
        seen by Dr. Winston, the same doctor who had reviewed Johnson’s
        medical records after Bush had injured Johnson’s hand. Dr. Win-
        ston gave Johnson a tetanus shot and took some x-rays. The radi-
        ologist’s report determined that the x-ray showed no acute fracture
        or “joint space malalignment,” and that no “foreign body” re-
        mained in Johnson’s foot. Dr. Winston told Johnson that he would
        follow up with him to see how his foot was healing, but Johnson
        never saw him again. Johnson tried reaching out to Dr. Winston
        about a follow-up, but he was not able to get in touch with him.
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        23-11394               Opinion of the Court                         7

               When he was unable to get in touch with Dr. Winston,
        Johnson mentioned his injury to Dr. Michael Nwude while the doc-
        tor was walking through Johnson’s unit. Dr. Nwude told Johnson
        that he would “call [him] up to the health service” so that he could
        be provided with arch support for his shoes to help with his foot
        injury. But Dr. Nwude did not do that, and the next time Johnson
        saw Dr. Nwude walking through the unit, the doctor refused to
        talk to him. At the time he filed this lawsuit, Johnson still walked
        with a limp because of his foot injury.
               Johnson attempted to file complaints with the Bureau of
        Prisons (BOP) about the attacks he had experienced and the lack of
        adequate medical care he had received while at USP-Atlanta. To
        resolve inmate complaints that arise at USP-Atlanta and other fed-
        eral prisons, the BOP uses a four-level administrative remedy pro-
        gram. The purpose of the program “is to allow an inmate to seek
        formal review of an issue relating to any aspect of his/her own con-
        finement.” 
28 C.F.R. § 542.10
(a); see also Corr. Servs. Corp. v.
        Malesko, 
534 U.S. 61, 74
 (2001) (“[The administrative remedy pro-
        gram] provides [a] means through which allegedly unconstitu-
        tional actions and policies can be brought to the attention of the
        BOP and prevented from recurring.”).
                The first step is an “informal resolution” process within in-
        dividual institutions. See 
28 C.F.R. § 542.13
(a). To begin this pro-
        cess, a prisoner may present his complaint to prison staff on a griev-
        ance form known as a BP-8 form. See 
id.
 In addition to (or instead
        of) informal resolution, the inmate can submit a formal grievance
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        8                        Opinion of the Court                    23-11394

        on a BP-9 form to staff at the institution where he is located. See 
id.
        § 542.14(a), (c)(4); see also id. § 542.13(b) (providing that the inmate
        is “not required to attempt informal resolution”). If the inmate
        feels that submission of a formal grievance at his institution will
        compromise his “safety or well-being,” he may bypass that process
        and submit his formal request to the regional director. See id. §
        542.14(d)(1). If he is unsatisfied with the warden’s response to his
        complaint, he may appeal to the regional director (on a BP-10
        form), and then to the office of general counsel (on a BP-11
        form). See id. § 542.15(a). Johnson testified in his deposition that
        Terry (the correctional counselor) either would refuse to give him
        any of the various informal or formal grievance forms when he
        asked, or would give Johnson a form but refuse to file it after John-
        son had filled it out. He swore in an affidavit that when he was
        eventually able to obtain and file grievance forms, he did not re-
        ceive any response. Johnson also testified that “if you get no re-
        sponse it[’]s like a denial,” so he then appealed those “denials.” But
        he says that when he filed an appeal, he would be notified that he
        had failed to comply with an earlier step in the four-level program.
                Johnson claims that the officers at USP-Atlanta purposefully
        sabotaged his grievances, by either: (1) failing to file his initial griev-
        ances; (2) failing to return the responses to his grievances so that if
        Johnson appealed, he would not know why the grievance was ini-
        tially denied; or (3) waiting until his appeal deadline had passed be-
        fore sending him rejection notices, which would result in his ap-
        peals being untimely.
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        23-11394                Opinion of the Court                          9

               Johnson filed suit in federal district court, bringing failure to
        protect, deliberate indifference, and excessive force claims against
        a number of officers, medical staff, and an employee at USP-
        Atlanta. The defendants filed a motion to dismiss his complaint for
        failure to exhaust his administrative remedies because he did not
        comply with the BOP’s administrative remedy program before fil-
        ing his complaint. The district court denied the motion without
        prejudice and provided the parties with a limited discovery period
        to determine whether Johnson had exhausted his administrative
        remedies. After discovery closed, the defendants renewed their
        motion to dismiss. The magistrate judge assigned to the case found
        that Johnson was denied access to the administrative remedy pro-
        gram at USP-Atlanta and recommended that the court deny the
        motion to dismiss. Over the defendants’ objections, the court
        adopted that report and recommendation and denied the motion.
               After additional discovery the defendants moved for sum-
        mary judgment, arguing in part that Johnson’s Bivens claims are not
        cognizable. The magistrate judge recommended that the court
        grant the defendants’ motions for summary judgment because his
        Bivens claims presented a new context and special factors counseled
        against extending Bivens to that new context. The district court
        agreed and granted the defendants’ motions for summary judg-
        ment, concluding that Johnson’s claims did not entitle him to a
        Bivens remedy. Johnson appeals that judgment.
                   II. Bivens Law Through the Years and Today
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        10                      Opinion of the Court                  23-11394

               Claims for money damages against federal officials and em-
        ployees who have committed constitutional violations are known
        as Bivens claims, after the Supreme Court’s decision in Bivens v. Six
        Unknown Named Agents of Federal Bureau of Narcotics, 
403 U.S. 388
        (1971).
               When it enacted 
42 U.S.C. § 1983
, Congress allowed an in-
        jured person to sue for money damages claiming that a state official
        had violated his constitutional rights. Congress has never enacted
        a corresponding statute providing a damages remedy to plaintiffs
        whose constitutional rights have been violated by a federal official.
        See Ziglar v. Abbasi, 
582 U.S. 120
, 130 (2017). Nevertheless, in Bivens,
        the Supreme Court created for the first time an implied private
        right of action for damages against federal agents, at least for a vi-
        olation of the Fourth Amendment. See 
403 U.S. at 397
. The Court
        concluded that it had the authority to do so because “where feder-
        ally protected rights have been invaded, it has been the rule from
        the beginning that courts will be alert to adjust their remedies so
        as to grant the necessary relief.” 
Id. at 392
 (quotation marks omit-
        ted).
               In the decade after Bivens, the Court created two more
        causes of action for violations of constitutional rights by federal
        officials. One was against a Congressman under the Fifth Amend-
        ment for sex discrimination after he fired his secretary because she
        was a woman; another was against federal prison officials under the
        Eighth Amendment for failing to treat an inmate’s asthma, result-
        ing in his death. See Davis v. Passman, 
442 U.S. 228
, 230–31 (1979);
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        23-11394               Opinion of the Court                         11

        Carlson v. Green, 
446 U.S. 14
, 16 & n.1, 18 (1980). As in Bivens, the
        Supreme Court stated that the purpose behind those decisions was
        “to deter individual federal officers from committing constitu-
        tional violations.” Malesko, 
534 U.S. at 70
. But there the Supreme
        Court’s creative decision-making that had birthed the Bivens doc-
        trine stopped.
                In the 44 years since Carlson, the Supreme Court has over
        and over again “refused to extend Bivens to any new context or new
        category of defendants.” Ziglar, 582 U.S. at 135 (quotation marks
        omitted); see Bush v. Lucas, 
462 U.S. 367, 368
 (1983) (holding there is
        no Bivens action for “federal employees whose First Amendment
        rights are violated by their superiors”); Chappell v. Wallace, 
462 U.S. 296, 305
 (1983) (declining to create Bivens action for enlisted mili-
        tary personnel against their superior officers); United States v. Stan-
        ley, 
483 U.S. 669, 684
 (1987) (“We hold that no Bivens remedy is avail-
        able for injuries that arise out of or are in the course of activity
        incident to [military] service.”) (quotation marks omitted);
        Schweiker v. Chilicky, 
487 U.S. 412, 414
 (1988) (declining to recognize
        Bivens action for due process violations resulting from denial of So-
        cial Security disability benefits); FDIC v. Meyer, 
510 U.S. 471, 473
        (1994) (holding there can be no Bivens action against a federal
        agency); Malesko, 
534 U.S. at 63
 (declining to create a Bivens remedy
        against “a private corporation operating a halfway house under
        contract with the Bureau of Prisons”); Wilkie v. Robbins, 
551 U.S. 537, 541
 (2007) (declining to recognize Bivens action against “[o]ffi-
        cials of the Bureau of Land Management . . . accused of harass-
        ment and intimidation aimed at extracting an easement across
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        12                     Opinion of the Court                  23-11394

        private property”); Hui v. Castaneda, 
559 U.S. 799
, 801–02 (2010) (dis-
        allowing Bivens remedy against U.S. Public Health Service employ-
        ees for “constitutional violations arising out of their official du-
        ties”); Minneci v. Pollard, 
565 U.S. 118, 131
 (2012) (finding no Bivens
        remedy when prisoner sued “privately employed personnel work-
        ing at a privately operated federal prison” under the Eighth Amend-
        ment); Ziglar, 582 U.S. at 125, 146 (declining to extend Bivens to con-
        ditions-of-confinement claim against group of executive officials);
        Hernandez v. Mesa, 
589 U.S. 93
, 96–97 (2020) (declining to recognize
        Bivens remedy for cross-border shooting by border patrol agent);
        Egbert, 596 U.S. at 486 (declining to allow excessive force and First
        Amendment retaliation Bivens claims against a U.S. Border Patrol
        agent to proceed).
                The Supreme Court has explained that its nearly complete
        about-face in the Bivens area after Davis and Carlson results from its
        having “come to appreciate more fully the tension between judi-
        cially created causes of action and the Constitution’s separation of
        legislative and judicial power.” Egbert, 596 U.S. at 491 (quotation
        marks omitted). The Court understands that “it is a significant step
        under separation-of-powers principles for a court to determine that
        it has the authority, under the judicial power, to create and enforce
        a cause of action for damages against federal officials in order to
        remedy a constitutional violation.” Ziglar, 582 U.S. at 133. And
        because the power to create causes of action is legislative, “[i]n
        most instances . . . the Legislature is in the better position to con-
        sider if the public interest would be served by imposing a new sub-
        stantive legal liability.” Id. at 135–36 (quotation marks omitted); see
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        23-11394                  Opinion of the Court                               13

        also Egbert, 596 U.S. at 492 (explaining that unless a court exhibits
        the “utmost deference to Congress’ preeminent authority in” cre-
        ating a cause of action, it “arrogate[s] legislative power”) (alteration
        accepted) (quotation marks omitted).
                Creating causes of action involves complex policy consider-
        ations, including “economic and governmental concerns, adminis-
        trative costs, and the impact on governmental operations sys-
        temwide.” Egbert, 596 U.S at 491 (quotation marks omitted). The
        ability of courts to weigh those considerations is “at best, uncer-
        tain.” Id. Thus “recognizing a cause of action under Bivens” out-
        side of the three contexts already allowed by the Supreme Court
        “is a disfavored judicial activity” and should be avoided “in all but
        the most unusual circumstances.” Id. at 486, 491 (quotation marks
        omitted). Judging from the Court’s decisions in the last four-and-
        a-half decades, those “most unusual circumstances” are as rare as
        the ivory-billed woodpecker.2

        2 So rare is the ivory-billed woodpecker that many experts have come to be-

        lieve it is extinct. As one expert wrote in 2017: “The last bird, a female, was
        seen in 1944 . . . . Sadly, most ornithologists now think the bird is gone for-
        ever.” Andy Kratter, Ivory-billed Woodpecker, Florida Museum (2017),
        https://www.floridamuseum.ufl.edu/100-years/object/ivory-billed-wood-
        pecker. In 2021 the Fish and Wildlife Service, which is in charge of such de-
        terminations, proposed declaring that the big woodpecker is extinct. See En-
        dangered and Threatened Wildlife and Plants; Removal of 23 Extinct Species
        from the Lists of Endangered and Threatened Wildlife and Plants, 
86 Fed. Reg. 54298
-01 (Sept. 30, 2021) (to be codified at 50 C.F.R. 17). But in 2022 the Ser-
        vice pulled back from that proposal and extended the period for public com-
        ment, recognizing “substantial disagreement among experts regarding the sta-
        tus of the species.” Ian Fischer, Service Announces 6-Month Extension on Final
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        14                          Opinion of the Court                          23-11394

                Remarkably, the Supreme Court has even “gone so far as to
        observe that if ‘the Court’s three Bivens cases had been decided to-
        day,’ it is doubtful that we would have reached the same result.”
        Hernandez, 589 U.S. at 101 (cleaned up) (quoting Ziglar, 582 U.S. at
        134). And even more pointedly, just two years ago the Court told
        us that “we have indicated that if we were called to decide Bivens
        today, we would decline to discover any implied causes of action in
        the Constitution.” Egbert, 596 U.S. at 502. In other words, today
        the Court would decide the Bivens case, as well as its two progeny,
        Davis and Carlson, differently. See also Malesko, 
534 U.S. at 75
 (con-
        curring opinion of Scalia, J., joined by Thomas, J.) (“Bivens is a relic
        of the heady days in which this Court assumed common-law pow-
        ers to create causes of action — decreeing them to be ‘implied’ by
        the mere existence of a statutory or constitutional prohibition.”).




        Decision for the Ivory-billed Woodpecker, U.S. Fish & Wildlife Service (July 6,
        2022),     https://www.fws.gov/press-release/2022-07/service-announces-6-
        month-extension-final-decision-ivory-billed-woodpecker. More recently, a re-
        search team, after searching over a period of several years in the dense bot-
        tomland forests of Louisiana, reported evidence that three of the ivory-bills (as
        ornithologists call them) still exist. Steven C. Latta et al., Multiple lines of evi-
        dence suggest the persistence of the Ivory-billed Woodpecker (Campephilus principalis)
        in Louisiana, ECOLOGY AND EVOLUTION (May 18, 2023),
        https://doi.org/10.1002/ece3.10017. If that’s true, the number of the birds
        that exist will exactly match the number of Supreme Court decisions that have
        confirmed and applied Bivens in the last forty-three years: three live ivory-
        billed woodpeckers and three live Bivens decisions. A coincidence of rarity.
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        23-11394               Opinion of the Court                        15

                The Supreme Court has been clear, however, that it has not
        yet overruled the Bivens decision insofar as the decision itself goes.
        See Ziglar, 582 U.S. at 134 (“[T]his opinion is not intended to cast
        doubt on the continued force, or even the necessity, of Bivens in the
        search-and-seizure context . . . .”); see also Egbert, 596 U.S. at 502
        (“[T]o decide the case before us, we need not reconsider Bivens it-
        self.”). But it has also been clear that when courts are thinking
        about recognizing a new Bivens claim, the “watchword” is “cau-
        tion” –– so much caution that it has not found a new Bivens claim
        worth recognizing in 44 years. Egbert, 596 U.S. at 491 (quotation
        marks omitted); Malesko, 
534 U.S. at 68
 (“Since Carlson we have con-
        sistently refused to extend Bivens liability to any new context or
        new category of defendants.”); see also 
id. at 74
 (“The caution to-
        ward extending Bivens remedies into any new context, a caution
        consistently and repeatedly recognized for three decades [now
        more than four decades], forecloses such an extension here.”)
        (bracketed words added).
               As Justice Gorsuch aptly put it when calling on the Court to
        forthrightly overrule Bivens, what the Court has done is “leave[] a
        door ajar and hold[] out the possibility that someone, someday,
        might walk through it even as it [has] devise[d] a rule that ensures
        no one ever will.” Egbert, 596 U.S. at 504 (Gorsuch, J., concurring)
        (quotation marks and ellipsis omitted); see also Hernandez, 589 U.S.
        at 118 (Thomas, J., concurring) (“The analysis underlying Bivens
        cannot be defended. We have cabined the doctrine’s scope, under-
        mined its foundation, and limited its precedential value. It is time
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        16                      Opinion of the Court                    23-11394

        to correct this Court’s error and abandon the doctrine alto-
        gether.”).
               Taking to heart what the Supreme Court has done to limit
        Bivens’ precedential value and drastically restrict its reach, we re-
        cently refused to extend Bivens to a Fourth Amendment excessive
        force claim against United States Marshals and county police offic-
        ers conducting a joint state and federal task force to apprehend fu-
        gitives. See Robinson v. Sauls, 
102 F.4th 1337
, 1339, 1347 (11th Cir.
        2024).
                We are not the only court to have taken to heart what the
        Supreme Court has said on this subject. All of our sister circuits
        have also stressed the need for caution, hesitancy, and reluctance
        when it comes to extending the Bivens decision. See Gonzalez v. Ve-
        lez, 
864 F.3d 45, 52
 (1st Cir. 2017) (“While the boundaries of Bivens-
        type liability are hazy, the Supreme Court . . . [has] made plain its
        reluctance to extend the Bivens doctrine to new settings.”); Doe v.
        Hagenbeck, 
870 F.3d 36, 43
 (2d Cir. 2017) (acknowledging that “[t]he
        Court has . . . made clear that it is reluctant to extend Bivens liability
        to any new context or new category of defendants” and that “ex-
        panding the Bivens remedy is now a disfavored judicial activity”)
        (quotation marks omitted); Xi v. Haugen, 
68 F.4th 824
, 833 (3d Cir.
        2023) (“Most recently, in Egbert . . . , the Court went so far as to
        suggest that any extension to a new context may be ultra vires.”);
        Dyer v. Smith, 
56 F.4th 271
, 277 (4th Cir. 2022) (“And this year [in
        Egbert], the Supreme Court all but closed the door on Bivens reme-
        dies.”); Cantú v. Moody, 
933 F.3d 414
, 421–22 (5th Cir. 2019)
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        23-11394                Opinion of the Court                         17

        (explaining that the Court has “admonished [courts] to exercise
        caution in the disfavored judiciary activity of extending Bivens to
        any new set of facts”) (quotation marks omitted); Callahan v. Fed.
        Bureau of Prisons, 
965 F.3d 520
, 523 (6th Cir. 2020) (“[The Court] has
        renounced the method of Bivens, Davis, and Carlson. When asked
        ‘who should decide’ whether a cause of action exists for violations
        of the Constitution, ‘the answer most often will be Congress.’”)
        (alteration accepted) (quoting Ziglar, 582 U.S. at 135); Effex Cap.,
        LLC v. Nat’l Futures Ass’n, 
933 F.3d 882, 891
 (7th Cir. 2019) (stating
        that the Supreme Court has “limited the application” of Bivens and
        “made very clear that the expansion of the Bivens remedy to other
        constitutional provisions is a disfavored judicial activity”) (quota-
        tion marks omitted); Ahmed v. Weyker, 
984 F.3d 564
, 571 (8th Cir.
        2020) (explaining that its conclusion not to extend Bivens “should
        [not] be surprising” because “the Supreme Court has not recog-
        nized a new Bivens action for almost 40 years”) (quotation marks
        omitted); Chambers v. Herrera, 
78 F.4th 1100
, 1105 (9th Cir. 2023)
        (“Essentially . . . future extensions of Bivens are dead on arrival.”)
        (quotation marks omitted); Silva v. United States, 
45 F.4th 1134
, 1136
        (10th Cir. 2022) (“The Supreme Court’s message [in Egbert] could
        not be clearer — lower courts expand Bivens claims at their own
        peril. We heed the Supreme Court’s warning and decline Plaintiff’s
        invitation to curry the Supreme Court’s disfavor by expanding
        Bivens to cover [this] claim.”); Loumiet v. United States, 
948 F.3d 376
,
        381 (D.C. Cir. 2020) (recognizing that “expanding the Bivens rem-
        edy is now a disfavored judicial activity” that requires “caution
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        18                      Opinion of the Court                   23-11394

        before extending Bivens remedies into any new context”) (quota-
        tion marks omitted).
               Theoretically, we may someday see more Supreme Court
        decisions confirming and extending Bivens. Barring that unlikely
        event, for the time being the decision will remain on the judiciary’s
        equivalent of an endangered species list, just like its natural history
        analogue, the ivory-billed woodpecker. Both the decision and the
        bird are staring extinction in the face.
                Meanwhile, rarity doesn’t foreclose false sightings. See Fields
        v. Fed. Bureau of Prisons, No. 23-6246, 
2024 WL 3529034
 (4th Cir.
        July 25, 2024). In the recent Fields case, a divided Fourth Circuit
        panel extended Bivens to a new context, allowing a federal pris-
        oner’s claims of excessive force in violation of the Eighth Amend-
        ment to proceed against individual prison officers. See id. at *1. A
        vigorous and cogent dissent rejected the “wiggle room” the Fields
        majority “purport[ed] to detect” in the Supreme Court’s repeated
        warnings that courts should not extend Bivens. Id. at *9 (Richard-
        son, J., dissenting).
               The decision in Fields, a far-afield outlier, may lead to en banc
        reconsideration or to the Supreme Court finally rendering Bivens
        cases extinct. See id. at *14 (Richardson, J., dissenting) (predicting it
        may encourage the Court to finally “shut the Bivens door com-
        pletely”). After all, the Supreme Court has stated as clearly as the
        English language permits: “[I]f we were called on to decide Bivens
        today, we would decline to discover any implied causes of action in
        the Constitution.” Egbert, 596 U.S. at 502; see also id.at 502–04
USCA11 Case: 23-11394     Document: 43-1      Date Filed: 08/12/2024     Page: 19 of 42




        23-11394               Opinion of the Court                        19

        (Gorsuch, J., concurring in the judgment) (urging the Court to
        overrule Bivens and “forthrightly return the power to create new
        causes of action to the people’s representatives in Congress”). That
        “called on to decide Bivens” call may be coming if the panel decision
        in Fields manages to duck en banc correction. Id. at 502.
                Until then, determining whether a new Bivens claim can be
        recognized involves a two-step analysis. Egbert, 596 U.S. at 492. To
        begin the analysis, courts first “ask ‘whether the case presents a
        new Bivens context — i.e., is it meaningfully different from the
        three cases in which the Court has implied a damages action.’” Rob-
        inson, 102 F.4th at 1342 (quoting Egbert, 592 U.S. at 492). The ques-
        tion is not a superficial one; for a case to arise in a previously rec-
        ognized Bivens context, it is not enough that the case involves the
        same constitutional right and “mechanism of injury.” Ziglar, 582
        U.S. at 138–39. “If the case is different in a meaningful way from
        previous Bivens cases decided by this Court, then the context is
        new.” Id. at 139. And there are a lot of meaningful ways for cases
        to differ, as the examples the Court has supplied show:
              A case might differ in . . . meaningful way[s] because
              of the rank of the officers involved; the constitutional
              right at issue; the generality or specificity of the offi-
              cial action; the extent of judicial guidance as to how
              an officer should respond to the problem or emer-
              gency to be confronted; the statutory or other legal
              mandate under which the officer was operating; the
              risk of disruptive intrusion by the Judiciary into the
              functioning of other branches; or the presence of
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        20                     Opinion of the Court                  23-11394

               potential special factors that previous Bivens cases did
               not consider.
        Id. at 139–40.
               “[I]f a claim arises in a new context,” the second step in the
        analysis will make “a Bivens remedy . . . unavailable if there are spe-
        cial 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.” Egbert, 596 U.S. at 492 (quotation
        marks omitted). Central to this special-factors analysis “are sepa-
        ration-of-powers principles.” Hernandez, 589 U.S. at 102 (quotation
        marks omitted). The inquiry focuses on “the risk of interfering
        with the authority of the other branches, and . . . ask[s] whether
        there are sound reasons to think Congress might doubt the efficacy
        or necessity of a damages remedy.” Id. (quotation marks omitted).
                That analysis should not be applied at “a narrow level of gen-
        erality,” and it “does not invite federal courts to independently as-
        sess the costs and benefits of implying a cause of action.” Egbert,
        596 U.S. at 496 (cleaned up). Instead, while conducting the special
        factors analysis, “a court must ask more broadly if there is any rea-
        son to think that judicial intrusion into a given field might be harm-
        ful or inappropriate.” Id. (cleaned up). “If there are [any special
        factors] — that is, if we have reason to pause before applying Bivens
        in a new context or to a new class of defendants — we reject the
        request.” Hernandez, 589 U.S. at 102; see also Egbert, 596 U.S. at 496
        (explaining that even a “potential” for improper “judicial intrusion”
        into the legislative realm is enough to refuse a plaintiff a Bivens
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        23-11394                   Opinion of the Court                                21

        remedy) (cleaned up); Robinson, 102 F.4th at 1342–43 (“If there is
        even a single reason to pause before applying Bivens to a new con-
        text, a court may not recognize a Bivens remedy.”) (quotation marks
        omitted).
                          III. Bivens Should Not Be Extended Here
                Johnson asks us to extend Bivens to allow him to bring three
        types of Bivens claims: his excessive force claim, his failure to pro-
        tect claim, and his deliberate indifference to serious medical needs
        claims.
               But the first of those claims is not properly before us. John-
        son did not mention his excessive force claim in any of his briefing
        or otherwise make any arguments about it on appeal. So that claim
        is abandoned. See Sapuppo v. Allstate Floridian Ins. Co., 
739 F.3d 678, 681
 (11th Cir. 2014) (concluding that a claim not adequately briefed
        was abandoned, explaining: “A party fails to adequately brief a
        claim when he does not plainly and prominently raise it, for in-
        stance by devoting a discrete section of his argument to those
        claims”) (quotation marks omitted). 3 That leaves his failure to

        3 At oral argument, Johnson contended that he had raised his excessive force

        claim in his briefs to this Court by arguing that special factors did not preclude
        extending Bivens to all of his claims, including his excessive force one. But in
        his briefs Johnson never discussed the excessive force claim specifically and
        only referred to his “claims.” Other than that general reference, the excessive
        force claim is mentioned just once in his brief, and that was only to note that
        Johnson had included the claim in his complaint. Even after the defendants
        asserted in their response brief that Johnson had abandoned the excessive force
        claim by not raising it, he did not address that claim or the abandonment issue
        involving it in his reply brief. So his attempt to revive the claim at oral
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        22                         Opinion of the Court                       23-11394

        protect claim and his deliberate indifference to serious medical
        needs claims.4
               In his complaint, Johnson asserted that those two sets of
        claims were being brought under the “Fifth and/or Eighth Amend-
        ments.” Actually, those claims arise, if at all, under the Eighth and
        Fourteenth Amendments. When Johnson was attacked by Phillip
        in June 2016, he was a pretrial detainee. As a result, his failure to
        protect and deliberate indifference claims stemming from that in-
        cident arise under the Due Process Clause of the Fourteenth
        Amendment. See Goodman v. Kimbrough, 
718 F.3d 1325
, 1331 n.1
        (11th Cir. 2013). The factual predicates for the remainder of his
        failure to protect and deliberate indifference claims occurred after
        Johnson was convicted, so those claims arise under the Eighth
        Amendment. See Cox v. Nobles, 
15 F.4th 1350
, 1357 (11th Cir. 2021)



        argument is unsuccessful. See Sapuppo, 
739 F.3d at 681
; Holland v. Gee, 
677 F.3d 1047, 1066
 (11th Cir. 2012) (“[W]e do not consider arguments not raised in a
        party’s initial brief and made for the first time at oral argument.”) (quotation
        marks omitted); McFarlin v. Conseco Servs., LLC, 
381 F.3d 1251, 1263
 (11th Cir.
        2004) (“A party is not allowed to raise at oral argument a new issue for re-
        view.”).
        4 The defendants argue that Johnson forfeited any challenge to the district

        court’s dismissal of his deliberate indifference claims because his objections to
        the magistrate judge’s findings and his briefing of the issue to us are insuffi-
        cient. See, e.g., Roy v. Ivy, 
53 F.4th 1338
, 1351 (11th Cir. 2022); Singh v. U.S.
        Att’y Gen., 
61 F.3d 1275, 1278
 (11th Cir. 2009). We disagree. Johnson’s objec-
        tions to the report and recommendation and discussion in his appellate briefs
        adequately challenge whether his deliberate indifference claims present a new
        context for Bivens claims.
USCA11 Case: 23-11394       Document: 43-1        Date Filed: 08/12/2024       Page: 23 of 42




        23-11394                 Opinion of the Court                            23

        (failure to protect); Farrow v. West, 
320 F.3d 1235, 1243
 (11th Cir.
        2003) (deliberate indifference).
                Johnson’s failure to protect claim is against Terry, a correc-
        tions counselor, and Warden Drew. He alleges that he informed
        the two of them that he was being housed with convicted inmates
        in violation of BOP policy, but they did nothing to correct the situ-
        ation, which led to Johnson being attacked by convicted inmates
        three times: in June 2016, March 2018, and April 2018. 5 Johnson’s
        deliberate indifference claims are based on four different incidents,
        and they involve five defendants and the treatment they gave or
        failed to give him: (1) Winston and Martin’s treatment of the first
        injury to Johnson’s hand; (2) Winston’s treatment of the second in-
        jury to his hand; (3) Winston and Martin’s treatment of his jaw in-
        jury and Garcia’s failure to continue to provide his liquid diet; and
        (4) Winston, Martin, Nwude, and Harris’ treatment of his left foot
        injury.
               We will begin by explaining why Johnson’s failure to protect
        claim and his deliberate indifference claims both arise in new con-
        texts. Then we will discuss why special factors counsel against rec-
        ognizing either set of claims here.
                           A. Johnson’s failure to protect claim
                               “presents a new Bivens context”
              Instead of arguing that his failure to protect claim does not
        present a new Bivens context because it is not meaningfully

        5 Johnson himself was a convicted inmate when the last two attacks occurred.
USCA11 Case: 23-11394     Document: 43-1      Date Filed: 08/12/2024     Page: 24 of 42




        24                     Opinion of the Court                 23-11394

        different from Bivens, Davis, or Carlson, Johnson contends that the
        failure to protect claim is similar to the Bivens claim in Farmer v.
        Brennan, 
511 U.S. 825
 (1994), and for that reason does not present a
        new Bivens context.
                That argument fails because the Supreme Court has made
        clear that Farmer is not one of its decisions creating a Bivens cause
        of action. In 2017 the Court stated in Ziglar, that “[t]hese three
        cases — Bivens, Davis, and Carlson — represent the only instances in
        which the Court has approved of an implied damages remedy un-
        der the Constitution itself.” 582 U.S. at 131 (emphasis added). That
        those three cases are the only ones in which the Court had ap-
        proved of a Bivens remedy as of 2017 means that it did not approve
        of one in Farmer, which was decided in 1994. If the Court had ac-
        tually approved of a Bivens remedy in Farmer, it would have said in
        Ziglar that it had approved of a Bivens remedy only four times and
        would have included Farmer in its list with the other three deci-
        sions. But it didn’t say or do that.
               The same is true of what the Court stated and didn’t state
        just four years ago in Hernandez, where it referred to Bivens, Davis,
        and Carlson as “the Court’s three Bivens cases.” 589 U.S. at 101 (quo-
        tation marks omitted). It made similar statements in Egbert in 2022,
        Minneci in 2012, and Malesko in 2001. See Egbert, 596 U.S. at 490–91
        (“Since [Bivens, Davis, and Carlson], the Court has not implied addi-
        tional causes of action under the Constitution.”); Minneci, 
565 U.S. at 124
 (“Since Carlson, the Court has had to decide in several differ-
        ent instances whether to imply a Bivens action. And in each
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        23-11394                Opinion of the Court                         25

        instance it has decided against the existence of such an action.”);
        Malesko, 
534 U.S. at 68
 (“Since Carlson we have consistently refused
        to extend Bivens liability to any new context or new category of
        defendants.”). The Court’s conspicuous omission of Farmer from
        the list of Bivens decisions it recognized in its Ziglar, Hernandez, Eg-
        bert, Minneci, and Malesko opinions rules out Farmer as a Bivens de-
        cision. We agree with the Seventh Circuit’s reasoning in Sargeant
        v. Barfield that “[n]ot once has the Supreme Court mentioned
        Farmer alongside [its three listed Bivens] cases, and we think it
        would have if Farmer created a new context or clarified the scope
        of an existing one.” 
87 F.4th 358
, 365 (7th Cir. 2023).
                 Johnson argues that the Supreme Court’s failure to include
        Farmer in any of its listings of Bivens decisions is not determinative
        because the Court has told us not to “conclude [its] more recent
        cases have, by implication, overruled an earlier precedent.” Agos-
        tini v. Felton, 
521 U.S. 203, 237
 (1997). The Court has declared gen-
        erally that when a later case suggests that an earlier holding is no
        longer applicable, we “should follow the case which directly con-
        trols, leaving to this Court the prerogative of overruling its own
        decisions.” 
Id.
 (quotation marks omitted). Johnson’s argument is
        basically that even though the Court has never listed Farmer as one
        of its Bivens remedy cases, it has never explicitly overruled Farmer
        either, so Farmer established a new context of Bivens remedies to
        which we can compare Johnson’s claim.
               That argument might be successful but for the insurmount-
        able fact that the Court did not hold in Farmer that the Bivens claim
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        26                     Opinion of the Court                23-11394

        was a cognizable cause of action. It never engaged with or decided
        the Bivens issue. At most, it assumed that Bivens could apply but, as
        we will explain below, assumptions are not holdings and do not
        establish precedents. See infra at 27–28.
                In Farmer, a transgender woman who “project[ed] feminine
        characteristics” was placed in the general population of the federal
        men’s prison where she was housed. 511 U.S. at 829–30. Within
        two weeks she was beaten and raped by another inmate in her cell.
        Id. at 830. She sued multiple federal prison officials under Bivens
        alleging that by placing her in the general population where she
        “would be particularly vulnerable to sexual attack” due to her ap-
        pearance, they acted with deliberate indifference to her safety. Id.
        at 829–31. The sole issue before the Supreme Court was how to
        define what constitutes deliberate indifference in the Eighth
        Amendment context. Id. at 829, 832. The Court’s entire discussion
        in Farmer revolved around resolving that one issue. See id. at 835–
        47. The Court did not address whether a Bivens cause of action
        existed for the prisoner’s claim. See id. at 832–51. It was not an
        issue before the Court. See id.
               It is no wonder that the Court did not decide the Bivens issue
        in Farmer. It was not mentioned by either party at oral argument.
        See Transcript of Oral Argument, Farmer, 
511 U.S. 825
 (No. 92-
        7247), 
1994 WL 662567
. It was not mentioned in either party’s
        briefs. See Brief for Petitioner, Farmer, 
511 U.S. 825
 (No. 92-7247),
        
1993 WL 625980
; Brief for Respondents, Farmer, 
511 U.S. 825
 (No.
        92-7247), 
1993 WL 657282
; Reply Brief for Petitioner, Farmer, 511
USCA11 Case: 23-11394      Document: 43-1      Date Filed: 08/12/2024      Page: 27 of 42




        23-11394                Opinion of the Court                         
27 U.S. 825
 (No. 92-7247), 
1994 WL 190959
. It was not mentioned in
        the petition for certiorari. Petition for Writ of Certiorari., Farmer,
        
511 U.S. 825
 (No. 92-7247). And it was not mentioned in the opin-
        ion of the Seventh Circuit, whose judgment was being reviewed.
        See Farmer v. Brennan, 
11 F.3d 668
 (Mem.) (7th Cir. 1992). So the
        issue of whether a Bivens cause of action existed was about as ab-
        sent from the Farmer case as it could have been.
               The Supreme Court has long and consistently told us that
        issues not raised by the parties and not discussed in opinions are
        not holdings. Cooper Indus., Inc., v. Aviall Servs., Inc., 
543 U.S. 157, 170
 (2004) (“Questions which merely lurk in the record, neither
        brought to the attention of the court nor ruled upon, are not to be
        considered as having been so decided as to constitute precedent.”)
        (quotation marks omitted); Brecht v. Abrahamson, 
507 U.S. 619, 631
        (1993) (holding that the Court is not bound by assumptions in pre-
        vious cases); United States v. Verdugo-Urquidez, 
494 U.S. 259, 272
        (1990) (“The Court often grants certiorari to decide particular legal
        issues while assuming without deciding the validity of antecedent
        propositions, and such assumptions . . . are not binding in future
        cases that directly raise the questions.”) (citations omitted); Edel-
        man v. Jordan, 
415 U.S. 651, 670
 (1974) (concluding that the Court
        was not bound by a previous decision because that decision “did
        not in its opinion refer to or substantively treat the [relevant] argu-
        ment”); United States v. L.A. Tucker Truck Lines, Inc., 
344 U.S. 33, 38
        (1952) (“The [issue] was not there raised in briefs or argument nor
        discussed in the opinion of the Court. Therefore, the case is not a
        binding precedent on this point.”); Webster v. Fall, 
266 U.S. 507
, 511
USCA11 Case: 23-11394     Document: 43-1      Date Filed: 08/12/2024     Page: 28 of 42




        28                     Opinion of the Court                 23-11394

        (1925) (“Questions which merely lurk in the record, neither
        brought to the attention of the court nor ruled upon, are not to be
        considered as having been so decided as to constitute precedents.”);
        The Edward, 
14 U.S. (1 Wheat.) 261, 276
 (1816) (“[T]he [issue] al-
        luded to passed sub silentio, without bringing the point distinctly to
        our view, and is, therefore, no precedent.”). To sum up all of those
        Supreme Court decisions about what are not holdings: “The Court
        often grants certiorari to decide particular legal issues while assum-
        ing without deciding the validity of antecedent propositions, and
        such assumptions . . . are not binding in future cases that directly
        raise the questions.” Verdugo-Urquidez, 
494 U.S. at 272
 (citations
        omitted).
               We have held the same thing. See, e.g., United States v. Penn,
        
63 F.4th 1305
, 1310 (11th Cir. 2023) (“[A]ssumptions are not hold-
        ings. And any ‘answers’ to questions neither presented nor decided
        are not precedent.”) (citations and quotation marks omitted); see
        also United States v. Hurtado, 
89 F.4th 881
, 902 n.1 (11th Cir. 2023)
        (“[A]ssumptions are not holdings.”) (Carnes, J., concurring) (quo-
        tation marks omitted).
                Farmer is not the only occasion on which the Supreme Court
        has assumed for purposes of argument, either explicitly, or implic-
        itly as in Farmer, that a Bivens cause of action was cognizable. See
        Wilson v. Layne, 
526 U.S. 603, 609, 618
 (1999) (implicitly assuming
        that a Bivens remedy was available for the plaintiff’s Fourth Amend-
        ment claim but holding that the officers were entitled to qualified
        immunity); Wood v. Moss, 
572 U.S. 744, 757, 764
 (2014) (“assum[ing]
USCA11 Case: 23-11394      Document: 43-1      Date Filed: 08/12/2024     Page: 29 of 42




        23-11394               Opinion of the Court                         29

        without deciding that Bivens extends to [the plaintiffs’] First
        Amendment claim[],” but ordering dismissal of the claim on quali-
        fied immunity grounds); Reichle v. Howards, 
566 U.S. 658
, 663 n.4
        (2012) (same, except reversing the denial of summary judgment for
        the defendants on qualified immunity grounds); Ashcroft v. Iqbal,
        
556 U.S. 662, 675, 687
 (2009) (explicitly assuming without deciding
        that a First Amendment claim was actionable under Bivens, but
        holding that the plaintiff did not plausibly allege a constitutional
        violation); Christopher v. Harbury, 
536 U.S. 403, 405
, 412 n.6 (2002)
        (holding that the complaint failed to state an actionable claim, and
        noting: “The petitioners did not challenge below the existence of a
        cause of action under Bivens . . . , and we express no opinion on the
        matter in deciding this case.”). If Johnson were correct most, if not
        all, of those cases should be listed with Bivens, Davis, and Carlson as
        “Bivens cases.” But they are not and never have been. Not by the
        Supreme Court and not by our Court.
               Most of our sister circuits that have addressed whether
        Farmer created or recognized an implied Bivens remedy in that con-
        text have determined that it did not. See Tate v. Harmon, 
54 F.4th 839
, 847 (4th Cir. 2022) (“[W]hile the Court allowed the action [in
        Farmer] to proceed, it never addressed whether the claim was
        properly a Bivens claim.”); Sargeant, 87 F.4th at 365 (holding that
        Farmer did not create a Bivens remedy because “[t]he Court never
        held — just assumed — that a Bivens remedy was available to the
        plaintiff”); Marquez v. Rodriguez, 
81 F.4th 1027
, 1030–31 (9th Cir.
        2023) (“The Supreme Court’s Bivens jurisprudence squarely fore-
        closes [the plaintiff]’s argument that Farmer established a
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        30                        Opinion of the Court                       23-11394

        cognizable Bivens context.”); but see Bistrian v. Levi, 
912 F.3d 79, 91
        (3d Cir. 2018) (relying on Farmer to find failure to protect claim did
        not present a new context). We agree with the Fourth, Seventh,
        and Ninth Circuits’ holdings that Farmer did not create a Bivens rem-
        edy and thus cannot serve as a comparator case in the new context
        inquiry; we disagree with the Third Circuit’s holding that it did and
        can.6
               As we have mentioned, Johnson does not contend that his
        failure to protect claim is similar to the claims in Bivens, Davis, or
        Carlson. Having put all of his argument eggs in Farmer’s basket,
        Johnson loses the first stage-issue of whether his failure to protect
        claim presents a new Bivens context. It does.
               Instead of turning now to the second-stage issue involving
        Johnson’s failure to protect claim, we will defer discussion of that
        issue until we decide the first-stage issue involving the deliberate
        indifference claims. Doing so will enable us to address the second-
        stage issue involving both categories of claims together.




        6 Johnson also argues that our opinion in Caldwell v. Warden, FCI Talladega, 
748 F.3d 1090
 (11th Cir. 2014), recognized a Bivens failure to protect claim against
        prison officials. But, as we have already discussed, the only decisions that
        count in step one of the Bivens analysis are the three that the Supreme Court
        has explicitly listed as counting. See supra at 24–25.
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        23-11394                Opinion of the Court                         31

                   B. Johnson’s deliberate indifference to serious medical
                      needs claims present a new Bivens context
                Johnson contends that his deliberate indifference claims are
        sufficiently analogous to Carlson that they do not present a new
        Bivens context. We disagree.
                In Carlson a prisoner’s estate sued a group of federal prison
        officials for violating the prisoner’s due process, equal protection,
        and Eighth Amendment rights. 
446 U.S. at 16
. The complaint al-
        leged that the officials knew that the prisoner had chronic asthma,
        that the facility he was housed in had grossly inadequate medical
        facilities and staff, and also that the officials:
              kept [the prisoner] in that facility against the advice of
              doctors, failed to give him competent medical atten-
              tion for some eight hours after he had an asthma at-
              tack, administered contra-indicated drugs which
              made his attack more severe, attempted to use a res-
              pirator known to be inoperative which further im-
              peded his breathing, and delayed for too long a time
              his transfer to an outside hospital.
        
Id.
 at 16 n.1. The complaint contended that these failures caused
        the prisoner’s death. 
Id.
 Applying the relevant standard at the
        time, the Court concluded that the estate’s Bivens claims were cog-
        nizable because there were no special factors counseling hesitation
        by the Court nor any substitute remedy for the estate’s harm. 
Id.
        at 18–23.
              In deciding whether Johnson’s deliberate indifference claims
        present a new context as compared to the Eighth Amendment
USCA11 Case: 23-11394     Document: 43-1      Date Filed: 08/12/2024    Page: 32 of 42




        32                     Opinion of the Court                23-11394

        claim in Carlson, we look to Ziglar, 
582 U.S. 120
, for guidance. In
        Ziglar, the Court analyzed whether six prisoners’ claim that a war-
        den violated the Fifth Amendment by allowing prison guards to
        abuse the men during their detention presented a context different
        from Carlson. 582 U.S. at 146–47. The complaint alleged that the
        instances of abuse constituted excessive force and were “serious vi-
        olations of Bureau of Prisons policy.” Id. at 147.
                After acknowledging that the claim in Ziglar “ha[d] signifi-
        cant parallels to . . . Carlson,” the Court held that recognizing the
        prisoners’ Fifth Amendment claim would still constitute an exten-
        sion of Bivens. Id. It determined that the claim in Ziglar differed
        from the Eighth Amendment claim in Carlson in at least three
        meaningful ways: (1) “Carlson was predicated on the Eighth
        Amendment and [the claim in Ziglar] is predicated on the Fifth”; (2)
        the “judicial guidance” surrounding the standard for the claim in
        Ziglar (that the warden allowed guards to abuse detainees) was less
        developed than the precedent for the claim in Carlson (that the of-
        ficials failed to provide medical treatment to a prisoner); and (3)
        Ziglar had “certain features that were not considered in the Court’s
        previous Bivens cases,” such as “the existence of alternative reme-
        dies” and “legislative action suggesting that Congress does not
        want a damages remedy.” Id. at 147–49. In its conclusion, the
        Ziglar Court again recognized that Carlson and Ziglar were similar
        but ultimately held that “[g]iven this Court’s expressed caution
        about extending the Bivens remedy, . . . the new-context inquiry is
        easily satisfied.” Id. at 149.
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        23-11394               Opinion of the Court                        33

               As the Supreme Court did with the claim in Ziglar, we
        acknowledge that Johnson’s deliberate indifference to serious med-
        ical needs claims have “significant parallels” to Carlson’s Eighth
        Amendment claim. But also as the Supreme Court did with the
        claim in Ziglar, we conclude that Johnson’s claims present a new
        context. First, Johnson’s claim based on the medical care he re-
        ceived after being attacked by Phillip is predicated on a different
        constitutional right than the one in Carlson (Fourteenth Amend-
        ment instead of Eighth Amendment). That alone is enough for the
        claim to present a new context. See id. at 148 (“[A] case can present
        a new context for Bivens purposes if it implicates a different consti-
        tutional right . . . .”). And that is so even though the same analysis
        applies to deliberate indifference claims under both amendments.
        See Goodman, 
718 F.3d at 1331
 n.1 (explaining that “the standards
        [for analyzing deliberate indifference claims] under the Fourteenth
        Amendment are identical to those under the Eighth”) (quotation
        marks omitted).
               While Johnson’s other deliberate indifference claims arise
        under the Eighth Amendment as the claim did in Carlson, that is
        not enough to prevent the context of those claims from being a
        new one for Bivens purposes. See Hernandez, 589 U.S. at 103 (“A
        claim may arise in a new context even if it is based on the same
        constitutional provision as a claim in a case in which a damages
        remedy was previously recognized.”).
               As the Court found in Ziglar, we find that the context of
        these claims is different from the context of the claim in Carlson
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        34                     Opinion of the Court                  23-11394

        because there the Court did not consider whether there were alter-
        native remedies under the current alternative remedy analysis. See
        Ziglar, 582 U.S. at 148 (“This case also has certain features that were
        not considered in [Carlson] and that might discourage a court from
        authorizing a Bivens remedy” such as “the existence of alternative
        remedies”); Egbert, 596 U.S. at 492 (“[W]e have explained that a
        new context arises when there are ‘potential special factors that
        previous Bivens cases did not consider.’”) (quoting Ziglar, 582 U.S.
        at 140). In Carlson, the Court asked whether there were “alterna-
        tive remed[ies] which [Congress] explicitly declared to be a substi-
        tute for recovery directly under the Constitution and viewed as
        equally effective,” and it found that the Federal Tort Claims Act did
        not meet that standard. Carlson, 446 U.S. at 18–19.
                Now as part of the special factors analysis that we consider,
        see infra at 36–42, we ask whether any alternative remedy exists that
        Congress or the Executive believed to be sufficient to remedy the
        type of harm Johnson allegedly suffered. Egbert, 596 U.S. at 498
        (explaining that the existence of any “remedial process” that Con-
        gress or the Executive “finds sufficient” prohibits the creation of a
        Bivens remedy). The fact that Carlson did not consider the existence
        of alternative remedies under the framework explained in Egbert
        renders Johnson’s claim different from the one in Carlson. See
        Ziglar, 582 U.S. at 148; see also Egbert, 596 U.S. at 500–01 (distin-
        guishing Davis from the claim in Egbert because Davis “predates our
        current approach to implied causes of action and diverges from the
        prevailing framework,” and explaining that “a plaintiff cannot jus-
        tify a Bivens extension based on ‘parallel circumstances’ with Bivens,
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        23-11394                 Opinion of the Court                           35

        [Davis], or Carlson unless he also satisfies the ‘analytic framework’
        prescribed by the last four decades of intervening case law”) (quot-
        ing Ziglar, 582 U.S. at 139).
                As we will discuss in more detail later, alternative remedies
        existed for prisoners in Johnson’s position besides bringing a Bivens
        action, namely submission of a grievance form though the BOP ad-
        ministrative remedy program. See infra at 37–42; Malesko, 
534 U.S. at 74
 (explaining that the BOP administrative remedy program is a
        “means through which allegedly unconstitutional actions and pol-
        icies can be brought to the attention of the BOP and prevented
        from recurring”). Because an alternative remedy existed to remedy
        the type of harm Johnson allegedly suffered, and because the Carl-
        son Court did not consider the existence of such remedies under
        the Supreme Court’s current analytical framework, Johnson’s case
        is different from Carlson.
                Also relevant is the fact that the injury in this case is different
        from the one in Carlson. There the prisoner died from an asthma
        attack when officials failed to provide the medical care required to
        treat it. Here Johnson suffered severe but ultimately non-lethal
        physical injuries to his body that were eventually treated by the de-
        fendants. The severity, type, and treatment of Johnson’s injuries
        differ significantly from those of the prisoner in Carlson.
              Johnson lists some similarities between his deliberate indif-
        ference claim and the one in Carlson that he believes should be
        enough to satisfy the new context inquiry. He contends that both
        claims involve prison officials, medical officers in the prison, and
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        36                     Opinion of the Court                  23-11394

        the deprivation of “medically necessary assistance,” including the
        treatment prescribed by a doctor. To that extent, the claims in the
        two cases are similar on their face. But the first-stage new context
        inquiry requires more than “superficial similarities.” Egbert, 596
        U.S. at 495; see Ziglar, 582 U.S. at 147–49 (holding that a claim that
        presented “significant parallels” to Carlson still presented a new
        context).
                We look at whether the two cases have any relevant differ-
        ences, not whether they are mostly the same. As the Court decided
        in Ziglar, “[i]f the case is different in a meaningful way from previ-
        ous Bivens cases decided by this Court, then the context is new.”
        582 U.S. at 139. And even small differences can “easily satisf[y]” the
        new context inquiry so long as they are meaningful. See id. at 149.
        This case is different from Carlson in several meaningful ways. As
        we have noted, one of Johnson’s claims involved a different consti-
        tutional claim than in Carlson. And the Court in Carlson did not
        apply the current alternative remedies analysis to the claim there.
        The severity, type, and treatment of Johnson’s injuries were differ-
        ent from those of the plaintiff in Carlson. Those differences make
        this a new context under the first-stage inquiry.
                        C. Special factors argue against extending
                                 Bivens to this new context
                Because Johnson’s failure to protect and his deliberate indif-
        ference to serious medical needs claims arise in a new context, the
        next step –– stage two –– is determining whether there are any spe-
        cial factors that would cause us to hesitate before extending Bivens
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        23-11394               Opinion of the Court                        37

        to those new contexts. “If there is even a single reason to pause
        before applying Bivens in a new context, a court may not recognize
        a Bivens remedy. Egbert, 596 U.S. at 492 (quotation marks omitted).
               One notable special factor is the existence of an alternative
        remedial structure to remedy the harm the plaintiff has allegedly
        faced. “[I]f Congress already has provided, or has authorized the
        Executive to provide, an alternative remedial structure” to address
        a plaintiff’s allegations, there is no need for an additional Bivens
        remedy. Id. at 493 (quotation marks omitted). In other words, if
        there is “any alternative, existing process for protecting the injured
        party’s interest,” Ziglar, 582 U.S. at 137 (cleaned up) (emphasis
        added), the purpose of creating Bivens actions has already been re-
        alized by another means, Egbert, 596 U.S. at 498. Courts are not to
        “second-guess that calibration by superimposing a Bivens remedy.”
        Id.
               Congress, through the Executive Branch, has authorized an
        alternative remedy that applies here: the BOP’s administrative
        remedy program. The Supreme Court has pointed that out. See
        Malesko, 
534 U.S. at 74
 (finding that the BOP’s administrative rem-
        edy program was an appropriate alternative remedy to a Bivens
        claim). It’s not our place to “second-guess that calibration.” Egbert,
        596 U.S. at 498.
              Johnson contends that the BOP’s administrative remedy
        program should not be considered a sufficient alternative remedy
        for him, and hence not a special factor, because the district court
        found that he was denied access to the program. But whether the
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        38                      Opinion of the Court                  23-11394

        plaintiff himself was denied access to an alternative remedy is not
        the question. The question is “whether the Government has put
        in place safeguards to prevent constitutional violations from recur-
        ring.” Egbert, 596 U.S. at 498 (alteration accepted) (quotation marks
        omitted); see id. at 493 (“Importantly, the relevant question is not .
        . . whether the court should provide for a wrong that would other-
        wise go unredressed . . . .”) (quotation marks omitted); see also id.
        at 497 (declining to create a Bivens remedy because “Congress has
        provided alternative remedies for aggrieved parties in [the plaintiff]’s
        position”) (emphasis added). The alternative remedy question is a
        general one, not a specific one; a macro focus, not a micro focus.
                That means it does not matter whether we think the admin-
        istrative remedy program adequately addressed Johnson’s com-
        plaints. It doesn’t matter because the Supreme Court has held that:
        “the question whether a given remedy is adequate is a legislative
        determination that must be left to Congress, not the federal
        courts.” Id. at 498; see also id. at 493 (explaining that it “does [not]
        matter that existing remedies do not provide complete relief”)
        (quotation marks omitted). The only consideration is whether
        there is a remedial process in place that is intended to redress the
        kind of harm faced by those like the plaintiff. And there is one here.
        The BOP’s administrative remedy program.
               Egbert makes clear that an alternative remedy need not satis-
        factorily address every plaintiff’s complaints to be sufficient. In that
        case the plaintiff argued that the Border Patrol’s grievance process
        was not an adequate alternative remedy because, while he was able
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        23-11394               Opinion of the Court                         39

        to file a claim that was investigated by Border Patrol, he was not
        able to participate in the proceedings after his complaint was filed,
        nor was there a right to judicial review of an adverse decision. Id.
        at 489–90, 497. The Supreme Court rejected that argument, ex-
        plaining that it had “never held that a Bivens alternative must afford
        rights to participation or appeal.” Id. at 497–98. Because “Bivens is
        concerned solely with deterring the unconstitutional acts of indi-
        vidual officers,” the purpose of the alternative remedy special fac-
        tor analysis is to avoid encroaching on a process or remedy that
        Congress or the Executive has put in place. Id. at 498 (quotation
        marks omitted). “So long as Congress or the Executive has created
        a remedial process that it finds sufficient to secure an adequate level
        of deterrence, the courts cannot second-guess that calibration by
        superimposing a Bivens remedy.” Id.
                Because the Court has told us that the ultimate question is
        whether Congress or the Executive created an alternative remedy,
        we can’t look at the adequacy or efficacy of the alternative remedy
        in general or in relation to a specific plaintiff. The inquiry can be
        criticized as toe-deep, superficial, and cursory, but if Congress or
        the Executive has acted, we are to presume that they deemed their
        action sufficient to achieve its purpose, and that bars creation of a
        Bivens cause of action.
               Here, Congress through the Executive Branch put the BOP
        administrative remedy program in place to address prisoner griev-
        ances, including those involving alleged constitutional violations.
        See 
28 C.F.R. § 542.10
(a) (“The purpose of the Administrative
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        40                         Opinion of the Court                        23-11394

        Remedy Program is to allow an inmate to seek formal review of an
        issue relating to any aspect of his/her own confinement.”); see also
        Malesko, 
534 U.S. at 74
. In doing so, Congress through the Execu-
        tive Branch found that remedial process to be appropriate and ad-
        equate. We cannot second-guess that judgment and superimpose
        a Bivens remedy on top of the administrative remedy, which would
        allow prisoners to bypass the grievance process. See Egbert, 596 U.S.
        at 497–98. Although Johnson believes he was, in essence, not al-
        lowed to access the grievance procedure, that is not enough to dis-
        qualify it as a special factor and authorize the creation of a new
        Bivens remedy. 7


        7 Johnson also asserts that because the Court in Egbert and Hernandez pointed

        out that the plaintiffs in those cases were actually able to take advantage of the
        relevant grievance procedure, those decisions establish that an alternative re-
        medial process cannot be a relevant special factor unless it is actually available
        to the plaintiff himself. See Hernandez, 589 U.S. at 104–06 (explaining that be-
        cause the Executive Branch has already determined that there was no miscon-
        duct and because the case implicated foreign relations, there was no need for
        the judicial branch to create a cause of action); Egbert, 596 U.S. at 497 (“As
        noted, [the plaintiff] took advantage of this grievance procedure, prompting a
        year-long internal investigation into [the defendant’s] conduct.”); see also id.
        (“In Hernandez, we declined to authorize a Bivens remedy, in part, because the
        Executive Branch already had investigated alleged misconduct by the defend-
        ant Border Patrol agent.”). Although the alternative remedies in Hernandez
        and Egbert were actually available to the plaintiffs in those cases, the Supreme
        Court in Egbert made clear that is not a requirement. See supra at 38–39; Egbert,
        596 U.S. at 493, 497–98.
        True, those clear statements in Egbert are dicta. But, as we stated in Schwab
        about some other dicta: “[T]here is dicta and then there is dicta, and then there
        is Supreme Court dicta. This is not subordinate clause, negative pregnant,
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        23-11394                   Opinion of the Court                                 41

               The Supreme Court has instructed us that the existence of a
        grievance procedure is a special factor that by itself is enough to
        rule out inferring a Bivens cause of action. This is what the Court
        said about that in Egbert, its latest decision on the subject:
                Finally, our cases hold that a court may not fashion a
                Bivens remedy if Congress already has provided, or
                has authorized the Executive to provide, an alterna-
                tive remedial structure. If there are alternative reme-
                dial structures in place, that alone, like any special fac-
                tor, is reason enough to limit the power of the Judici-
                ary to infer a new Bivens cause of action. Importantly,
                the relevant question is not whether a Bivens action
                would disrupt a remedial scheme, or whether the
                court should provide for a wrong that would other-
                wise go unredressed. Nor does it matter that existing
                remedies do not provide complete relief. Rather, the
                court must ask only whether it, rather than the polit-
                ical branches, is better equipped to decide whether
                existing remedies should be augmented by the crea-
                tion of a new judicial remedy. [T]he question is who
                should decide.


        devoid-of-analysis, throw-away kind of dicta. It is well thought out, thor-
        oughly reasoned, and carefully articulated analysis by the Supreme
        Court . . . .” Schwab v. Crosby, 
451 F.3d 1308, 1325
 (11th Cir. 2006); see also Pe-
        terson v. BMI Refractories, 
124 F.3d 1386
, 1392 n.4 (11th Cir. 1997) (“[D]icta from
        the Supreme Court is not something to be lightly cast aside.”); United States v.
        City of Hialeah, 
140 F.3d 968, 974
 (11th Cir. 1998) (“Even though that statement
        by the Supreme Court . . . was dictum, it is of considerable persuasive value,
        especially because it interprets the Court’s own precedent.”).
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        42                      Opinion of the Court                  23-11394

        596 U.S. at 493 (cleaned up); see also id. at 492 (“If there is even a
        single reason to pause before applying Bivens in a new context, a
        court may not recognize a Bivens remedy.”) (quotation marks omit-
        ted).
               As we have noted, Congress already has provided, or has au-
        thorized the Executive to provide, an alternative remedial struc-
        ture in the form of a grievance procedure for use by federal prison
        inmates. And it is in place. That by itself is “a single reason to pause
        before applying Bivens” in the new context of this case, and the Su-
        preme Court has instructed us that means we may not recognize a
        Bivens remedy in a case like this one. Egbert, 596 U.S. at 492 (quo-
        tation marks omitted). We cannot extend Bivens here because do-
        ing so would “arrogate legislative power” and allow federal prison-
        ers to bypass the grievance process put in place by Congress
        through the Executive Branch. See Egbert, 596 U.S. at 492 (altera-
        tion accepted) (quotation marks omitted).
                                      IV. Conclusion
              We follow the Supreme Court’s instructions and will not
        venture beyond the boundaries it has staked out. We will not infer
        any new Bivens causes of action in this case.
               AFFIRMED.


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