FILED
                                                           United States Court of Appeals
                                                                   Tenth Circuit

                                                                   July 31, 2014
                   UNITED STATES COURT OF APPEALS
                                                Elisabeth A. Shumaker
                                                                    Clerk of Court
                                TENTH CIRCUIT



 MICHAEL A. FISCHER,

              Plaintiff-Appellant,
                                                        No. 14-2032
 v.                                          (D.C. No. 1:12-CV-00673-JCH-CG)
                                                        (D. of N.M.)
 CODY DUNNING, C.O.; DR.
 DEMING; and PETER LARAIA, Head
 of Medical Administration,

              Defendants-Appellees.


                           ORDER AND JUDGMENT *


Before LUCERO, TYMKOVICH, and PHILLIPS, Circuit Judges. **


      Michael Fischer claims several officials of a state correctional facility,

where Fischer is currently serving time, were deliberately indifferent to his

medical needs in violation of the Eighth Amendment. But, because Fischer

repeatedly refused to comply with a discovery order requiring him to disclose his


      *
         This order and judgment is not binding precedent except under the
doctrines of law of the case, res judicata and collateral estoppel. It may be cited,
however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th
Cir. R. 32.1.
      **
         After examining the briefs and the appellate record, this three-judge
panel has determined unanimously that oral argument would not be of material
assistance in the determination of this appeal. See Fed. R. App. P. 34(a); 10th
Cir. R. 34.1(G). The cause is therefore ordered submitted without oral argument.
medical records, the district court granted the defendants’ motion to dismiss the

suit. Finding that dismissal with prejudice is a proper sanction for violation of a

discovery order and that Fischer was not entitled to a court-appointed attorney,

we AFFIRM the judgment of the district court.

                                 I. Background

      Fischer is an inmate in a New Mexico correctional facility. He indicates

that he suffers from diabetes and accordingly informed prison officials that he

requires certain medical treatments—including injections, wheelchair transport,

an oxygen machine, diabetic hose, and appointments with a physician and certain

specialists.

      Claiming he did not receive these treatments, Fischer sued several prison

officials, alleging that their deliberate indifference to his medical needs

constituted a violation of the Eighth Amendment’s prohibition of cruel and

unusual punishment. Early in the proceedings, the district court dismissed the

claims against all but the two defendants responsible for his medical needs.

Fischer has not appealed that decision.

      The district court then sought to evaluate the legal and factual basis for

Fischer’s claims and accordingly ordered the defendants to submit a Martinez

report assembling the record “necessary for the orderly consideration of the

issues” Fischer had raised. Martinez v. Aaron, 

, 319 (10th Cir.

1978). To allow the defendants to properly compile a Martinez report, the

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defendants requested access to Fischer’s 2009 to 2012 medical records, but

Fischer refused.

      The defendants then asked that the district court compel Fischer to

authorize release of the records. Fischer opposed the motion on the grounds that

he had not yet seen the records himself, arguing his medical providers

unconstitutionally charged fees to send him copies. But the district court

concluded that Fischer had failed to show any reason why his medical providers

should be required to produce his records at no cost, and, accordingly, the court

ordered Fischer to sign the release form.

      Nevertheless, Fischer continued to argue throughout the proceedings that he

should not be compelled to provide access to his medical records before he had

either received free copies of those records or been temporarily released from

prison to review them in person. In several orders, the district court diligently

explained and reiterated why it found Fischer’s arguments unpersuasive and why

the defendants were entitled to see Fischer’s medical records.

      Eventually, Fischer did partially fill out the appropriate release form, but he

left several spaces blank, including those for his initials and Social Security

number; additionally, he amended the form to limit the defendants’ access to

records created during the ten-month period while Fischer was in prison. 1

      1
        To his reply brief, Fischer has attached a consent to release medical
information, which he completed in 2013. But the release is limited to an
                                                                      (continued...)

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Arguing that Fischer had thereby disobeyed the court’s disclosure order in

violation of Federal Rule of Civil Procedure 37(b), the defendants moved to

dismiss Fischer’s suit with prejudice. In response, the district court entered an

order to show cause, which expressly warned Fischer that continued

noncompliance with the discovery order might result in dismissal of his suit.

Fischer’s response merely reiterated the same arguments the district court had

already addressed, and, as a result, the district court granted the defendants’

motion to dismiss with prejudice.

      Throughout the district court proceedings, Fischer filed several motions

urging the district court to appoint counsel, which the district court denied,

finding that “[i]t does not appear that the legal claims raised in the Amended

Complaint are complex or that special knowledge of medical law is necessary. It

also appears that Plaintiff is capable of presenting his claims since the Amended

Complaint, provides a clear narrative regarding the alleged lack of necessary

medical care by Defendants.” Fischer v. Laraia, No. 12-0673 at *3 (D. N. M.

July 25, 2013).




      1
       (...continued)
individual New Mexico doctor for the purposes of evaluating and treating sleep
apnea. Thus, the consent form does not fulfill Fischer’s obligation to release his
records to the defendants in this case.

                                         -4-
                                    II. Analysis

      Fischer appeals the dismissal and the decision not to appoint an attorney.

We address each issue in turn.

      A. Discovery

      Because Fischer proceeds pro se, we construe his filings broadly, see Hall

v. Bellmon, 

, 1110 (10th Cir. 1991), but “our role is not to act as his

advocate.” Gallagher v. Shelton, 

, 1067 (10th Cir. 2009).

Construing Fischer’s arguments as broadly as we may, we find that he has not

made any legal arguments on appeal challenging the district court’s decision to

dismiss this action. His brief lists the medical services he was allegedly denied,

asserts that certain prison officials were notified of his medical condition, and

argues that those officials violated the Eighth Amendment. But the question

before us on appeal is not whether Fischer received unsatisfactory medical care;

the only question before us here is whether dismissal of Fischer’s lawsuit was an

appropriate sanction for his failure to comply with a discovery order. Fischer’s

brief does not offer any arguments relevant to that inquiry.

      Even if we were to interpret the mere act of appealing the district court’s

judgment as an argument that the court misapplied Federal Rule of Civil

Procedure 37(b), Fischer would not prevail. “Determination of the correct

sanction for a discovery violation is a fact-specific inquiry that the district court

is best qualified to make. Therefore, we review the district court’s decision to

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dismiss for discovery violations under an abuse of discretion standard.”

Ehrenhaus v. Reynolds, 

, 920 (10th Cir. 1992).

      Federal Rule of Civil Procedure 37(b)(2) provides that, when a party “fails

to obey an order to provide or permit discovery,” the district court may “dismiss[]

the action in whole or in part.” But, in recognition “that dismissal represents an

extreme sanction appropriate only in cases of willful misconduct,” we assess

whether the district court considered several factors before taking such drastic

action: (1) the degree of actual prejudice to the defendant; (2) the amount of

interference with the judicial process; (3) the culpability of the litigant; (4)

whether the court warned the party in advance that dismissal of the action would

be a likely sanction for noncompliance; and (5) the efficacy of lesser sanctions.”

–21 (citations and internal quotation marks omitted).

Although these factors “do not constitute a rigid test,” the district court “should

ordinarily evaluate [them] on the record.” 

case, the district court, citing directly to Ehrenhaus, fairly

considered each of those factors. Regarding the first factor—the degree of actual

prejudice to the defendant—the district court 2 identified that, where a plaintiff

puts his physical health at issue, he must make a good faith effort to authorize the

release of relevant medical records. See D.N.M.LR-Civ. 26.3(d). And the district

      2
          For the purposes of this analysis, we do not distinguish between the
district court’s order and the magistrate judge’s findings and recommendations,
which the district court reviewed de novo and adopted in their entirety.

                                          -6-
court then explained that, without access to Fischer’s medical records, the

defendants were not able to meaningfully defend themselves against Fischer’s

claims, all of which concerned Fischer’s medical condition.

      Before the district court, Fischer argued that his eventual decision to

release medical records created during the ten-month period he was in prison

satisfies his obligation. We disagree. Fischer’s claim hinges not only on the

prison’s provision of medical treatment but on the necessity of those treatments.

According to Fischer, his diabetes diagnosis and the prescription of the specific

treatments he requested preceded his incarceration, and, as a result, the

defendants need access to his pre-incarceration medical records in order to

dispute that they disregarded Fischer’s medical needs. Even after seven months

of discovery-related motions practice, Fischer has not provided those records.

      Regarding the second factor—the amount of interference with the judicial

process—the district court noted that Fischer’s refusal to release his medical

history had entirely stalled the litigation. The district court thrice ordered Fischer

to sign the appropriate form, each time explaining why it was unpersuaded by

Fischer’s objections. Nevertheless, Fischer continued to make those same

arguments, asking the court to change its decision. Repeating this cycle was

costing time and judicial resources without creating any opportunity for the court

to resolve the dispute at hand.




                                          -7-
      Regarding the third factor—the culpability of the litigant—the district court

pointed to its redundant and clear instructions to fill out the form. On several

occasions, the district court had carefully explained why the defendants were

entitled to access Fischer’s medical records and why Fischer was not entitled to

first receive free copies of those records. Because Fischer had requested

appointed counsel, the district court also considered whether Fischer’s lack of

legal knowledge might be what was preventing him from complying with the

court’s order. But the court determined that the arguments in Fischer’s responses

show that he both received and comprehended the court’s orders; he simply

ignored those orders because he believed the court should have been persuaded by

his arguments. On that basis, the court correctly concluded that Fischer’s

noncompliance constituted willful misconduct.

      Regarding the fourth factor—whether the court warned the party in advance

that dismissal of the action would be a likely sanction for noncompliance—the

court pointed to its order to show cause, which stated, “[i]f true, Defendants’

allegations provide a basis upon which Plaintiff may be subject to sanctions under

Rule 37, including dismissal of his case with prejudice.” Fischer v. Laraia, No.

12-0673 at *2 (D. N. M. Nov. 7, 2013). Although the court did not expressly

warn Fischer that dismissal would be the “likely” consequence of disobeying the

discovery order, the court made the possibility sufficiently clear.




                                         -8-
      Regarding the fifth factor—the efficacy of lesser sanctions—the court

found that no other remedy would be effective. The redundancy of Fischer’s

objections implies that he did not intend to comply until his demands for free

copies of his medical records had been met. Finding that monetary sanctions

would not likely be meaningful to a pro se inmate, the district court concluded

that it had no other tools to motivate Fischer to cooperate. Without Fischer’s

cooperation, the lawsuit could not move forward, and, as a result, dismissal was

proper.

      In sum, the district court soundly concluded that all five Ehrenhaus factors

favored dismissal and, accordingly, that aggravating factors strongly outweighed

the judicial policy of resolving cases on the merits. As a result, even if Fischer

had properly challenged the district court’s legal analysis, we would hold that the

district court did not abuse its discretion in dismissing Fischer’s lawsuit with

prejudice.

      B. Motion for Court-Appointed Counsel

      Although we accept Fischer’s assertion that he has been unable to fully

comprehend portions of the legal proceedings, Fischer has not made the showings

necessary to receive court-appointed counsel.

      “We review a district court’s refusal to appoint counsel for an indigent

prisoner in a civil case for an abuse of discretion. . . . Only in those extreme cases

where the lack of counsel results in fundamental unfairness will the district

                                         -9-
court’s decision be overturned.” Hill v. SmithKline Beecham Corp., 

, 1115 (10th Cir. 2004). Unlike criminal defendants, civil claimants do not

have a Sixth Amendment right to appointed counsel. See Beaudry v. Corr. Corp.

of Am., 

, 1169 (10th Cir. 2003). Instead, the court’s discretion to

appoint counsel stems from 28 U.S.C. § 1915. When we evaluate a district

court’s decision to deny such a motion, we consider “the merits of a prisoner’s

claims, the nature and complexity of the factual and legal issues, and the

prisoner’s ability to investigate the facts and present his claims.” 

.

      In this case, the district court interpreted five of Fischer’s filings as

motions to appoint counsel. In those documents, Fischer argues that he should be

entitled to court-appointed counsel because he does not have any income and

because, aside from the offerings of the prison’s law library, he does not have

access to legal material. The district court denied each of those motions.

      As we review the district court’s decision, we, like the district court, are

unable to evaluate the merits of his underlying claims—largely due to Fischer’s

refusal to release his medical records. We have, however, already addressed the

merits of his objections to the district court’s discovery order and concluded that

they are not persuasive.

      Thus, the district court focused its analysis on Fischer’s capacity to

effectively present his claims. The court concluded that Fischer’s claims were not

                                          -10-
particularly complex and that his filings had demonstrated that he had been able

to present them clearly. After reviewing Fischer’s filings, we, too, find that he

sufficiently described the medical services he needs and explained why he

believes the Eighth Amendment requires the defendants to provide them.

      Although the district court denied Fischer’s motion for appointment of

counsel before addressing his failure to comply with the discovery order, we can

conclude from Fischer’s filings that he understood the discovery-related

proceedings as well. Further, he was able to clearly convey the reasons for which

he believed he should not have to release his medical records. The documents

Fischer filed after the court had imposed its discovery order demonstrate that,

despite his understanding of the court’s ruling and the court’s admonition that

noncompliance could result in dismissal, Fischer willfully flouted the court’s

instructions. We therefore conclude that the discovery issues were not

insurmountably complex and that Fischer was able to present his arguments.

      The district court therefore did not abuse its discretion in denying Fischer’s

motions for appointed counsel. 3

                                   III. Conclusion

      Because the district court did not abuse its discretion in sanctioning Fischer

for noncompliance with its discovery order or in denying his motion to appoint



      3
          Appellant’s motion filed in this court for appointed counsel is denied.

                                         -11-
counsel, we AFFIRM the district court’s decision to dismiss this action with

prejudice. Further, we note that the district court has already determined that

Fischer need not pay costs and fees in advance but must make partial payments

over time, and we remind Fischer that he is responsible for continuing to make

those payments.

                                       ENTERED FOR THE COURT

                                       Timothy M. Tymkovich
                                       Circuit Judge




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