Estelle v. Gamble | Definition

Doc's CJ Glossary by Adam J. McKee
Course: Introduction 

Estelle v. Gamble (1976) is a ruling by the SCOTUS that deliberate indifference to an inmate’s serious medical needs could result in a successful Section 1983 lawsuit, but medical malpractice did not rise to that standard.


Estelle v. Gamble was a landmark ruling by the United States Supreme Court in 1976 that established the legal standard for medical care in prisons. The case involved a Texas inmate, J.W. Gamble, who had filed a lawsuit against the director of the Texas Department of Corrections, alleging that he had been subjected to cruel and unusual punishment due to the inadequate medical care he had received while incarcerated.

At the heart of the case was the question of whether the Eighth Amendment’s prohibition against cruel and unusual punishment required prison officials to provide inmates with adequate medical care. The Court held that it did, stating that “deliberate indifference to serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain” in violation of the Eighth Amendment.

However, the Court also made clear that not every medical claim brought by an inmate would be successful. In order for an inmate to succeed in a Section 1983 lawsuit alleging inadequate medical care, they must prove that the prison officials acted with deliberate indifference to their serious medical needs. This means that the officials must have been aware of the inmate’s medical condition and deliberately ignored it or failed to take appropriate action.

The Court also clarified that medical malpractice, or simple negligence by prison officials, did not rise to the level of deliberate indifference. In order to establish deliberate indifference, an inmate must show that the prison officials were aware of a serious medical need and intentionally disregarded it, resulting in harm to the inmate.

Estelle v. Gamble had significant implications for the provision of medical care in prisons. The ruling established that inmates have a constitutional right to receive adequate medical care and that prison officials have a duty to provide that care. It also clarified the legal standard for bringing a successful Section 1983 lawsuit alleging inadequate medical care and distinguished between deliberate indifference and medical malpractice.

Since the ruling, there have been numerous lawsuits brought by inmates alleging inadequate medical care, and many prisons have implemented policies and procedures designed to ensure that inmates receive appropriate medical attention. However, there are still ongoing concerns about the quality of medical care in prisons, and many inmates continue to suffer from serious medical conditions that are left untreated or inadequately treated.


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Last Modified: 04/23/2023

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