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Supreme Court · Decisions

Estelle, Corrections Director, et al. v. Gamble

The Court held that a prisoner claiming an Eighth Amendment violation under § 1983 must allege acts or omissions sufficiently harmful to show deliberate indifference to serious medical needs, and that medical malpractice alone is not cruel and unusual punishment.· AI-written

429 U.S. 97 · No. 75-929 · 1976 term · Burger Court

Decided Nov 30, 1976 · argued Oct 5, 1976

Criminal procedure · Cruel and unusual punishment, non-death penalty

Majority opinion: Thurgood Marshall

The voteMajorityDissent

8–18 in the majority, 1 in dissent

1 dissent (8–1)

Reversed and remanded. Estelle, Corrections Director, et al. won.

What this ruling means

Reversed and remanded: the Supreme Court overturned the decision of the U.S. Court of Appeals, Fifth Circuit and sent the case back to that court for further proceedings that follow the Supreme Court’s ruling.

Estelle, Corrections Director, et al. was the petitioner, the side that asked the Supreme Court to review the case. “Won” means the Court gave that side the result it asked for.

From the Supreme Court Database. A justice who agreed with the result but not the reasoning counts in the majority.

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Summary

The opening of the case’s Wikipedia article: what the case was about and what the Court held.

Estelle v. Gamble, 429 U.S. 97 (1976), was a case in which the Supreme Court of the United States established the standard of what a prisoner must plead in order to claim a violation of Eighth Amendment rights under 42 U.S.C. § 1983. Specifically, the Court held that a prisoner must allege acts or omissions sufficiently harmful to evidence deliberate indifference to serious medical needs. Though the Court credited Gamble's complaint that doctors had failed to provide appropriate care, it held that medical malpractice did not rise to the level of "cruel and unusual punishment" simply because the victim is a prisoner.

Read the full article on Wikipedia

Data notes

The text is Wikipedia’s (CC BY-SA 4.0), matched to the case by its citation, docket number or name and year, and is not checked against the opinion. The site keeps the article’s opening section, ending on its last full sentence. The one-sentence summary under the title is the Decisions list’s: Wikipedia’s own ruling sentence, or, tagged “AI-written”, one Claude wrote from this opening.

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How the justices voted

Each justice who took part, placed by their Martin–Quinn ideology score for the 1976 term. Filled: the 8 in the majority. Hollow: the 1 in dissent. Colour is the party of the president who appointed them.

More liberalMore conservativeMedianBrennanMarshallStevensWhiteStewartBlackmunPowellBurgerRehnquist

Majority(8)

Dissent(1)

Data notes

Each justice’s vote and what they wrote are from the justice-centered file of the Supreme Court Database. “Wrote a concurrence” means the justice sided with the majority and wrote separately; a justice who dissented in part is counted on the side they took overall. A justice who wrote nothing is listed as joining their side.

Positions are each justice’s Martin–Quinn score for the case’s term, the same scores as the Ideology page: negative is more liberal, positive more conservative. A score sums up a justice’s votes across the whole term, so it says where they usually sit, not why they voted as they did here. The median line is the Court’s median justice that term.

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The parties

Who brought the case to the Court, who answered it, and how it got there.

Petitioner
Estelle, Corrections Director, et al.Governmental official, or an official of an agency established under an interstate compact (Texas)
Respondent
GamblePrisoner, inmate of penal institution
Reached the Court by
Certiorari (the Court chose to hear it)
Data notes

The names are the two sides of the case’s title. The description under each is the Supreme Court Database’s category for that party, in its own wording. The petitioner is the side that asked the Supreme Court to review the decision below. “Why it was taken” appears only when the majority opinion says lower courts disagreed or were unsure about the question; reasons that would fit any case (“to resolve the question presented”, “an important question”) are left out.

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The law at issue

The law the Court was asked to apply, and the kind of power it used to decide.

Provision
Eighth Amendment (cruel and unusual punishment)
Kind of law
Constitutional Amendment
Decided by
Judicial review (national level)
Data notes

The Supreme Court Database codes the main constitutional provision, statute or court rule each case turned on, and the basis of the decision: judicial review of a federal or state law, interpreting a statute, supervising the lower courts, and so on. A case can rest on more than one. “Overruled” counts only where the majority opinion says so.

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Timeline

What happened at the Court and how the case got there, newest first.

  1. Nov 30, 1976DecidedDecided · Decided 8–1: reversed and remanded. Estelle, Corrections Director, et al. won.
  2. Oct 5, 1976ArguedArgued · Oral argument before the Court.
  3. Not datedTaken upTaken up · The Supreme Court agreed to hear the case (certiorari).
  4. Not datedCourt belowCourt below · Decided by the U.S. Court of Appeals, Fifth Circuit: reversed and remanded.
  5. Not datedBeganBegan · The case began in the Texas Southern U.S. District Court.
Data notes

From the Supreme Court Database: the court the case began in, the court whose decision the Supreme Court reviewed and what that court did, how the case came to the Court, and the dates of argument and decision. The database does not date the steps in the lower courts. Court names are the database’s.

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Other decisions on the same issue

21 other argued cases since 1946 on cruel and unusual punishment, non-death penalty, newest first.

  1. City of Grants Pass, Oregon v. JohnsonLandmark · Other areas144 S. Ct. 2202Jun 28, 2024 · 144 S. Ct. 2202Criminal procedure6–36–3 band

  2. Jones v. Mississippi141 S. Ct. 1307Apr 22, 2021 · 141 S. Ct. 1307Criminal procedure6–36–3 band

  3. Margaret Minneci, et al. v. Richard Lee Pollard et al.565 U.S. 118Jan 10, 2012 · 565 U.S. 118Criminal procedure8–18–1 band

  4. Edmund G. Brown, Jr., Governor of California, et al., Appellants v. Marciano Plata et al.563 U.S. 493May 23, 2011 · 563 U.S. 493Criminal procedure5–45–4 band

  5. Joe Harris Sullivan v. Florida560 U.S. 181May 17, 2010 · 560 U.S. 181Criminal procedure9–0Unanimous band
  6. Terrance Jamar Graham v. FloridaLandmark · Other criminal sentences560 U.S. 48May 17, 2010 · 560 U.S. 48Criminal procedure6–36–3 band

  7. Gary Albert Ewing v. California538 U.S. 11Mar 5, 2003 · 538 U.S. 11Criminal procedure5–45–4 band

  8. United States v. Hosep Krikor Bajakajian524 U.S. 321Jun 22, 1998 · 524 U.S. 321Criminal procedure5–45–4 band

  9. Dee Farmer v. Edward Brennan, Warden, et al.511 U.S. 825Jun 6, 1994 · 511 U.S. 825Criminal procedure9–0Unanimous band

  10. Richard Lyle Austin v. United States509 U.S. 602Jun 28, 1993 · 509 U.S. 602Criminal procedure9–0Unanimous band

  11. Donald L. Helling, et al. v. William McKinney509 U.S. 25Jun 18, 1993 · 509 U.S. 25Criminal procedure7–27–2 band

  12. Keith J. Hudson v. Jack McMillian, et al.503 U.S. 1Feb 25, 1992 · 503 U.S. 1Criminal procedure7–27–2 band

  13. Ronald Allen Harmelin v. Michigan501 U.S. 957Jun 27, 1991 · 501 U.S. 957Criminal procedure5–45–4 band

  14. Pearly L. Wilson v. Richard Seiter, et al.501 U.S. 294Jun 17, 1991 · 501 U.S. 294Criminal procedure5–45–4 band
  15. Whitley, Individually and As Assistant Superintendent, Oregon State Penitentiary, et al. v. Albers475 U.S. 312Mar 4, 1986 · 475 U.S. 312Criminal procedure5–45–4 band

  16. Solem, Warden, South Dakota State Penitentiary v. Helm463 U.S. 277Jun 28, 1983 · 463 U.S. 277Criminal procedure5–45–4 band

  17. Rhodes, Governor of Ohio, et al. v. Chapman et al.452 U.S. 337Jun 15, 1981 · 452 U.S. 337Criminal procedure8–18–1 band

  18. Rummel v. Estelle, Corrections Director445 U.S. 263Mar 18, 1980 · 445 U.S. 263Criminal procedure5–45–4 band

  19. Ingraham et al. v. Wright et al.430 U.S. 651Apr 19, 1977 · 430 U.S. 651Criminal procedure5–45–4 band

  20. Powell v. Texas392 U.S. 514Jun 17, 1968 · 392 U.S. 514Criminal procedure5–45–4 band

  21. Robinson v. CaliforniaLandmark · Other areas370 U.S. 660Jun 25, 1962 · 370 U.S. 660Criminal procedure6–27–2 band

Data notes

Every other orally argued case with a clear vote, from the 1946 term on, that the Supreme Court Database files under the same issue as this one. The database gives each case one issue from a list of about 270 (abortion, search and seizure of vehicles, the death penalty, and so on), whatever law it turned on.

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Official record

Read the full opinion on Justia, the argument audio on Oyez and Wikipedia. Case data from the Supreme Court Database, Version 2026 Release 01, through the 2025 term.