Yvon Wagner v. County of Maricopa ( 2012 )


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  •                  FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    YVON WAGNER, as the personal               No. 10-15501
    representative of the Estate of Eric
    Vogel,                                       D.C. No.
    Plaintiff-Appellant,   2:07-cv-00819-
    EHC
    v.
    COUNTY OF MARICOPA , a political           ORDER AND
    subdivision of the State of Arizona;        AMENDED
    JOSEPH M. ARPAIO , husband;                  OPINION
    UNKNOWN ARPAIO , Named as Jane
    Doe Arpaio - wife,
    Defendants-Appellees.
    Appeal from the United States District Court
    for the District of Arizona
    Earl H. Carroll, Senior District Judge, Presiding
    Argued and Submitted
    April 15, 2011—San Francisco, California
    Filed March 7, 2012
    Amended November 16, 2012
    2                 WAGNER V . MARICOPA COUNTY
    Before: John T. Noonan and N. Randy Smith, Circuit
    Judges, and Frederic Block, Senior District Judge.*
    Order;
    Opinion by Judge Noonan;
    Dissent by Judge N.R. Smith
    SUMMARY**
    The panel withdrew its prior opinion and in a newly filed
    opinion reversed the district court’s judgment, entered
    following a jury trial, and remanded in an action brought by
    the Estate of Eric Vogel asserting that jail officials were
    partially responsible for Vogel’s death from acute cardiac
    arrhythmia following his release from jail.
    The Estate alleged that County of Maricopa jail officers
    subjected Vogel, who suffered from a mental illness, to an
    unreasonable search and seizure while he was a pretrial
    detainee. Prior to transferring Vogel into the jail’s
    psychiatric unit, defendants subjected him to a “dress out,”
    during which they forced him on the ground, stripped him of
    all his clothes, and changed him into the jail outfit, which
    included pink underwear. The panel held that the district
    court erred by limiting the testimony of Vogel’s sister at trial
    under the hearsay rule because her statements were offered to
    *
    T he Honorable Frederic Block, Senior District Judge for the U.S.
    District Court for Eastern New York, Brooklyn, sitting by designation.
    **
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    WAGNER V . MARICOPA COUNTY                      3
    establish Vogel’s state of mind. The panel further held that
    the district court erred by excluding references to the pink
    underwear, and that, unexplained and undefended, the dress-
    out in pink appeared to be punishment without legal
    justification. The panel held that it appeared that this due
    process question was still open for exploration at trial on
    remand. Alternatively, the panel held that plaintiff may
    prevail on the narrower issue of whether defendants were
    deliberately indifferent to Vogel’s serious medical needs.
    Finally, the panel held that the district court should have
    permitted Vogel’s expert to offer the opinion that the stress of
    the dress-out incident could have exacerbated Vogel’s mental
    illness.
    Dissenting, Judge N. Smith stated that the majority failed
    to correctly construe the hearsay rule and failed to give the
    proper deference to the district court’s other evidentiary
    rulings.
    COUNSEL
    John M. Curtain, Phoenix, Arizona, for plaintiff-appellant.
    Eileen D. Gilbride, Phoenix, Arizona, for defendants-
    appellees.
    4             WAGNER V . MARICOPA COUNTY
    ORDER
    The opinion and dissent filed on March 7, 2012 are
    hereby WITHDRAWN.
    The majority of the panel votes to deny the petition for
    rehearing. Judge N.R. Smith votes to grant the petition for
    rehearing and petition for rehearing en banc. Judge Noonan
    and Judge Block recommend denying the petition for
    rehearing en banc.
    The full court has been advised of the petition for
    rehearing en banc, and no judge of the court has requested a
    vote on whether to rehear the matter en banc. Fed. R. App. P.
    35.
    The petition for rehearing is DENIED and the petition for
    rehearing en banc is DENIED.
    OPINION
    NOONAN, Circuit Judge:
    The central figure in this case, Eric Vogel, suffered from
    mental illness. Our system of laws is administered by
    rational human beings. It has always been a challenge to the
    legal system to interact with the irrational.
    Yvon Wagner, as the personal representative of the estate
    of her brother, Eric Vogel, appeals the judgment of the
    district court in favor of the defendants, County of Maricopa
    and Joseph Arpaio. We reverse the judgment and remand for
    a new trial.
    WAGNER V . MARICOPA COUNTY                      5
    FACTS
    Eric Vogel was born on December 21, 1964. By the age
    of six, he was showing signs of potential illness. His parents
    withdrew him from school when he was in the second grade,
    and he was thereafter home-schooled until he graduated from
    high school. He attended a community college for two
    semesters and part of a semester at Arizona State University.
    Thereafter, he simply lived at home.
    Living at home, without further formal education, Vogel
    had no gainful employment and lived a remarkably restricted
    life. The windows of his home itself were covered with
    blankets and tape so that no one could see in. After his
    father’s death or departure, he lived alone with his mother.
    He left the home no more than two or three times to attend
    the funerals of relatives. In October 2001, when Vogel was
    36, his sister, Yvon Wagner, visited the home and found him
    to be delusional, imagining that a snake was around his neck.
    On the morning of November 12, 2001, for no apparent
    reason, Vogel left his home. Police responded to a report of
    a burglar in the neighborhood and spotted Vogel as a possible
    suspect. The first officer on the scene struggled to get control
    of him while Vogel shouted, “Kill me.” When a second
    officer arrived, Vogel stated that he, Vogel, must see the
    president. The police said they would accommodate him. He
    calmed down and they drove him to the Phoenix jail.
    In Arizona, common jails are kept by the sheriff of the
    county. 
    Ariz. Rev. Stat. § 31-101
    . Joseph Arpaio, as the
    sheriff of Maricopa County, kept the jail to which Vogel was
    brought.
    6             WAGNER V . MARICOPA COUNTY
    Vogel was put under arrest for assaulting a police officer.
    He completed a medical questionnaire, indicating that he had
    high blood pressure but no other health problems. A
    classification counselor interviewed him and placed a
    psychiatric hold on him. A psychological counselor
    examined him and concluded that he needed psychiatric care.
    He was put in an isolation cell with a huge window
    opening the cell to the view of the jailers and to inmates. The
    next morning, November 13, Vogel was assessed by a
    psychological counselor as disoriented, paranoid, and
    psychotic. He told her that he was at the World Trade Center
    getting messages from satellites. She obtained an order for
    his transfer to the inpatient psychiatric unit at the jail.
    That afternoon, Vogel was informed that he must “dress-
    out.” In the argot of the jail, “to dress-out” was to change
    from one’s civilian clothes to prison garb approved by Sheriff
    Arpaio. The prison outfit included pink underwear. Vogel
    declined to change.
    The “dress-out” prison officer summoned assistance –
    four other officers, each to hold an arm or a leg while Vogel’s
    clothes were changed. He was placed on the ground, stripped
    of all his clothes, and forced into the jail ensemble including
    the pink underwear. As the process went on, he shouted that
    he was being raped. The officers were aware that he was
    being transferred to the Psychiatric Unit. At the end of the
    “dress-out” Vogel was wheeled there in “a restraint chair.”
    Vogel received treatment for a week and was then bailed
    out by his mother. On December 6, 2001, he was in his
    mother’s car when she had a minor traffic accident. The
    police were summoned. Before they arrived, however, Vogel
    WAGNER V . MARICOPA COUNTY                     7
    left the scene and attempted to walk four or five miles to his
    home. He died the next day. The cause, according to the
    Maricopa County Medical Examiner, was acute cardiac
    arrhythmia.
    PROCEEDINGS
    On December 6, 2002, Vogel’s mother as representative
    of his estate began this action in Arizona Superior Court. It
    was removed by the defendants to the federal district court,
    which eventually returned the case to the state court. The
    plaintiff amended to assert a claim against the defendants for
    violation of 
    42 U.S.C. § 1983
     by subjecting Vogel to an
    unreasonable search and seizure, denying due process and the
    equal protection of the laws, and acting with deliberate
    indifference to his serious medical needs. A claim was also
    asserted under the Americans with Disability Act, 
    42 U.S.C. § 12131
    , et seq., and the Rehabilitation Act of 1973,
    
    29 U.S.C. § 794
    , as well as several claims under Arizona law.
    The case was transferred back to the federal district court.
    In limine, the district court ruled that Vogel’s mother and
    sister could not testify to what he told them about events at
    the jail. The court also ruled that counsel could not refer to
    “pink underwear” unless he could show that the record
    contained “credible evidence” that Vogel was aware of the
    color of the underwear. The court also precluded the
    testimony of the plaintiff’s expert Dr. Spitz that Vogel’s
    death was in part caused by the “dress-out,” thereby
    preventing the issue of liability for the death from reaching
    the jury. The court also limited the testimony of Dr. Esplin.
    Before trial began, Vogel’s mother died and his sister
    Yvon Wagner replaced her as the representative of the estate.
    8             WAGNER V . MARICOPA COUNTY
    At the close of the trial, the court denied plaintiff’s
    counsel the opportunity to make a rebuttal.
    The jury returned a verdict for the defendants on each
    count. This appeal followed.
    DISCUSSION
    We review evidentiary rulings for abuse of discretion and
    reverse if the exercise of discretion is both erroneous and
    prejudicial. As Judge Smith points out, it is not entirely clear
    whether construction of a hearsay rule is a matter of
    discretion or a legal issue subject to de novo review.
    Compare United States v. Stinson, 
    647 F.3d 1196
    , 1210-11
    (9th Cir. 2011), with United States v. Ortega, 
    203 F.3d 675
    ,
    682 (9th Cir. 2000). We need not resolve the ambiguity here
    because our conclusions would be the same under either
    standard. We begin with the ruling limiting the testimony of
    Yvon Wagner.
    Exclusion of Wagner’s testimony.            Wagner in her
    deposition stated:
    He [her brother] felt he was being raped.
    He felt one of the officers attempted to put his
    penis in his mouth and that he had to keep his
    mouth so tight that he bruised his outer lips to
    avoid being accosted that way.
    He was sure they were going to rape him.
    He hollered to people. He was sure that all
    the inmates heard him saying who he was and
    that he was being raped and please help him.
    WAGNER V . MARICOPA COUNTY                      9
    And they were, you know, have [sic] a party
    at his expense. . . .
    He believed he had been raped. He
    believed somebody took their penis out of
    their pants and attempted to insert it in his
    mouth. And that’s as close to – my brother
    was a virgin. He – 36 years old, never
    touched another woman. This was very, I’m
    sure, frightening for him.
    In response to the motion in limine, Wagner made the
    same argument she makes now. She argued that her
    statements were
    not being offered to prove the details of the
    incident at the jail. Her testimony is not to
    prove an actual rape, but instead to show her
    brother’s state of mind following his
    incarceration. Her testimony establish[es] the
    impact that the event had on Eric. Yvon can
    testify as to the statements he made, his tone
    of voice, and his state of mind in making
    them.
    Federal Rule of Evidence 803(3) excepts from the
    general exclusion of hearsay “statement[s] of the declarant’s
    then-existing state of mind (such as motive, intent, or plan) or
    emotional, sensory, or physical condition (such as mental
    feeling, pain, or bodily health), but not including a statement
    of memory or belief to prove the fact remembered or
    believed[.]” The “declarant” is the person who made the out-
    of-court statement. See Fed. R. Evid. 801(b).
    10           WAGNER V . MARICOPA COUNTY
    Indisputably, Wagner could have testified at trial about
    the impact the jail incident had on Vogel, how his mood was
    following the incident, how disturbed he seemed, and even
    what he thought happened to him during the incident, all
    without putting inadmissible hearsay before the jury. None
    of this testimony would have been put forth in order to
    establish the truth of what he had said. Wagner proposed to
    testify about how extremely delusional Vogel was following
    the incident, and more importantly, the emotional impact the
    incident had on him, including how humiliated he now felt by
    the pink underwear. She was not asserting the truth of
    anything that Vogel said had happened to him in jail.
    Her testimony was admissible not to prove “the fact
    remembered or believed” but the “mental feeling” of Vogel.
    As our dissenting colleague points out, the limiting language
    of Rule 803(3) bars “‘statements as to why [the declarant]
    held the particular state of mind, or what he might have
    believed that would have induced the state of mind.’” United
    States v. Emmert, 
    829 F.2d 805
    , 810 (9th Cir. 1987) (quoting
    United States v. Cohen, 
    631 F.2d 1223
    , 1225 (5th Cir. 1980)).
    The bar applies only when the statements are offered to prove
    the truth of the fact underlying the memory or belief. In
    Emmert, for example, the defendant sought to introduce his
    out-of-court statement that “he was scared because of the
    threats made by the agents.” 
    829 F.2d at 810
    .
    Here, Vogel’s statements to his sister were offered to
    establish his state of mind, not that he was raped or that he
    went through the dress-out procedure. The statements were
    offered to show his state of mind at the time of the
    conversation, thus satisfying any contemporaneity
    requirement. See United States v. Ponticelli, 
    622 F.2d 985
    ,
    991 (9th Cir. 1980), overruled on other grounds by United
    WAGNER V . MARICOPA COUNTY                    11
    States v. De Bright, 
    730 F.2d 1255
    , 1259 (9th Cir. 1984) (en
    banc). That Vogel was subjected to the dress-out was
    established by the testimony of the defendants’ employees.
    The jury could infer the connection between the dress-out and
    Vogel’s mental state. Exclusion of this evidence was
    erroneous.
    The defense argument that Wagner lacked personal
    knowledge is mistaken. She had personal knowledge of how
    Vogel had been impacted by the incident. She testified as a
    percipient of what she had observed.
    The court curtailed Yvon Wagner’s testimony further by
    not permitting her to testify to Vogel’s conversation with her
    where he gave his sense of humiliation at being forced to
    wear pink underwear or his sense of having been subjected to
    a rape. The court banned any testimony mentioning “rape”
    or “gang rape” unless counsel showed that the terms were not
    “unduly prejudicial.” As already noted, the court excluded
    reference to the color of the clothes put on Vogel unless there
    was credible evidence that “Vogel was aware of the color of
    the jail-issued underwear.”
    The rulings as to “rape” and “gang rape” misconceived
    any testimony Wagner would have offered. She would have
    used the words to show her brother’s present state of mind,
    not his past experience.
    As to testimony of Vogel’s perception of the color,
    Wagner’s testimony was to the current state of her brother’s
    mind when he spoke to her. His mind was focused on the
    implications of being dressed in pink. That he had been
    dressed in pink was not a delusion. It was a fact, essential to
    his experience and to the Estate’s deliberate indifference and
    12            WAGNER V . MARICOPA COUNTY
    due process claims. The jury was asked to evaluate whether
    the jail’s measures were taken in furtherance of a legitimate
    goal or whether they were, instead, punitive. The exclusion
    of any mention of “pink underwear” or “rape” delivered a
    second blow to the plaintiff’s case.
    That Vogel was delusional does not mean that he was
    incapable of seeing. If you pricked him, he bled. As his eyes
    saw the pink, his mind made the association of the color. So
    at least a jury could infer from the impact of the dress-out on
    Vogel, an impact apparent from his conversation with his
    sister.
    Exclusion of references to the color pink. When a color
    of such symbolic significance is selected for jail underwear,
    it is difficult to believe that the choice of color was random.
    The County offers no penological reason, indeed no
    explanation whatsoever for its jail’s odd choice. Given the
    cultural context, it is a fair inference that the color is chosen
    to symbolize a loss of masculine identity and power, to shame
    and stigmatize the male prisoners as feminine.
    Unpleasant physical measures – e.g., a strip search – may
    be necessary to secure the safety of an institution even though
    they impinge on the dignity of innocent inmates. Bull v. City
    and County of San Francisco, 
    595 F.3d 964
     (9th Cir. 2010)
    (en banc). As the Supreme Court has explained:
    [I]f a particular condition or restriction of
    pretrial detention is reasonably related to a
    legitimate governmental objective, it does not,
    without more, amount to “punishment.”
    Conversely, if a restriction or condition is not
    reasonably related to a legitimate goal--if it is
    WAGNER V . MARICOPA COUNTY                      13
    arbitrary or purposeless--a court permissibly
    may infer that the purpose of the
    governmental action is punishment that may
    not constitutionally be inflicted upon
    detainees qua detainees.
    Bell v. Wolfish, 
    441 U.S. 520
    , 539 (1979) (citations omitted).
    Unexplained and undefended, the dress-out in pink appears to
    be punishment without legal justification.
    It appears to us that this due process question is still open
    for exploration at trial on remand. Alternatively, the plaintiff
    may prevail on the narrower proposition that for the jail to
    apply this procedure automatically to a man its own staff had
    identified as in need of psychiatric treatment was in deliberate
    indifference to his serious medical needs. Because of the
    evidentiary rulings of the trial court, neither issue was
    properly presented to the jury.
    Medical experts. Wagner presented Daniel Spitz, the
    chief medical examiner of Macomb County, Michigan, a
    county embracing southern Detroit. In his deposition Spitz
    had stated that he had conducted thousands of autopsies; that
    he had examined three to five cases where schizophrenia in
    relation to cardiac arrhythmia was the cause of death; and that
    there was forensic and psychiatric literature on the connection
    between schizophrenia and cardiac arrhythmia. He gave the
    opinion that the sudden and unexpected death of Vogel was
    due to cardiac arrhythmia intensified by an increase in
    schizophrenia and that that increase in schizophrenia was
    “likely” due to Vogel’s recollection of his treatment at the jail
    and his fear of returning to it.
    14            WAGNER V . MARICOPA COUNTY
    The district court held that Dr. Spitz failed to meet the
    qualifications for an expert set by Daubert v. Merrell Dow
    Pharmaceuticals, Inc., 
    509 U.S. 579
     (1993). His testimony
    was excluded entirely.
    The defense does not deny the foundation of Spitz’s
    opinion. Its Reply Brief states: “No one disputes the general
    proposition that persons with severe schizophrenia have an
    increased incidence of the kind of arrhythmia that killed
    Vogel. Everyone agrees that Vogel’s underlying mental
    illness was the factor that induced the cardiac arrhythmia.”
    The defendants deny that anyone could determine what
    caused the particular increase in the arrhythmia that killed
    Vogel.
    The purpose of expert testimony is to “assist the trier of
    fact to understand the evidence or to determine a fact in
    issue” by providing opinions on “scientific, technical, or other
    specialized knowledge[.]” Fed. R. Evid. 702 (2008). To
    guard against the risk that jurors will accept an expert’s
    testimony simply because he or she is an expert, a district
    court must ensure that all expert testimony is “not only
    relevant, but reliable.” Daubert, 
    509 U.S. at 589
     (1993); see
    also Kumho Tire Co., Ltd. v. Carmichael, 
    526 U.S. 137
    , 147
    (1999) (holding that Daubert applies to “all expert
    testimony”). The test for reliability is flexible and depends
    on the discipline involved. See Kumho, 
    526 U.S. at 150
    .
    “[T]he law grants a district court the same broad latitude
    when it decides how to determine reliability as it enjoys in
    respect to its ultimate reliability determination.” 
    Id. at 142
    .
    The district court’s decision to exclude Dr. Spitz’s
    opinion as to a likelihood that the dress-out procedure
    actually caused Vogel’s death was a reasonable application of
    WAGNER V . MARICOPA COUNTY                    15
    Daubert. This opinion by Dr. Spitz was not supported by the
    typical Daubert factors—testing, peer review and general
    acceptance. Dr. Spitz did not explain, for example, how the
    generally accepted facts, – (1) that the incidence of cardiac
    arrhythmia is disproportionately high among schizophrenics
    and (2) that stress can render the condition fatal – allowed
    him to determine the specific event that triggered Vogel’s
    death. Nor did he explain how having seen four or five cases
    of fatal cardiac arrhythmia in schizophrenics helped him
    reach his conclusion.
    Generally accepted facts and experience might lead a
    medical expert to reliably opine (as Dr. Ehrlich did) that the
    dress-out procedure could have been a triggering stressor.
    Although Dr. Spitz’s and Dr. Ehrlich’s opinions are similar
    in that respect, Dr. Spitz went farther and offered an opinion
    as to an actual cause. It is this leap that dispositively
    distinguishes the two experts.
    However, the district court should not have excluded Dr.
    Spitz’s testimony in its entirety. Dr. Spitz should have been
    permitted to offer the opinion that the stress of the dress-out
    incident could have exacerbated Vogel’s mental illness.
    From this, the jury could infer that the dress-out was a cause
    of the heart attack. It was for the jury, not for the court as
    gatekeeper, to determine whether or not the stress of the
    incident was an actual cause of Vogel’s heart attack.
    The plaintiff also offered the testimony of Phillip Esplin,
    a Phoenix psychologist. Esplin had originally been proposed
    as a witness by the County and had prepared a report as
    required by Fed. R. Civ. P. 26(a)(2). Taking his deposition,
    Wagner found his testimony favorable to her position and
    16             WAGNER V . MARICOPA COUNTY
    sought him as a witness at trial. The district court permitted
    but significantly curtailed his testimony.
    In both of its rulings the district court pointed out the
    dependence of the two proposed experts on Wagner’s
    reported conversations with her brother. As the district court
    excluded Wagner’s testimony as to the conversations, so it
    found that the experts could not base their opinions upon
    Wagner’s accounts. As we have already indicated, the
    exclusion of testimony showing Vogel’s state of mind was
    both error and prejudicial to the plaintiff. It was equally error
    and prejudicial to exclude the two experts’ opinions based on
    that testimony.
    Argument to the Jury. The district court abruptly
    eliminated the plaintiff’s opportunity for rebuttal argument.
    No good reason was given for this disappointment of the
    plaintiff’s legitimate expectation. If the court intends to
    restrict rebuttal, the litigants should be so advised prior to the
    argument.
    Counsel for the county suggested that Vogel’s family had
    not provided adequate care for Eric Vogel. The argument
    was irrelevant and improper.
    For the reasons stated, the judgment of the district court
    is REVERSED and the case is REMANDED for proceedings
    in accordance with this opinion.
    N.R. SMITH, Circuit Judge, dissenting:
    In its opinion, the majority fails to correctly construe the
    hearsay rule and fails to give the proper deference to the
    WAGNER V . MARICOPA COUNTY                     17
    district court’s other evidentiary rulings. I must therefore
    dissent because:
    1. Assuming (but not deciding) that a de novo standard
    of review applies when determining whether a statement is
    hearsay, the majority fails to properly construe the hearsay
    rule. Under the hearsay rule, statements asserting a
    declarant’s beliefs are hearsay, if offered to prove the
    declarant’s belief or offered for a purpose that requires the
    declarant to believe the matters asserted are true. Therefore,
    the district court did not err in concluding that Yvon
    Wagner’s testimony was hearsay.
    2. The majority fails to apply the “substantially
    deferential” abuse of discretion test, recently elucidated by
    our en banc panel in United States v. Hinkson, 
    585 F.3d 1247
    ,
    1262 (9th Cir. 2009) (en banc), for the remaining evidentiary
    issues appealed here. Though an appellate jurist may have
    ruled differently on these issues, “we may not simply
    substitute our view for that of the district court, but rather
    must give the district court’s findings deference.” 
    Id.
    I.
    STANDARD OF REVIEW
    This circuit’s case law is not entirely clear regarding
    whether we review de novo a district court’s decision that a
    statement is or is not hearsay. Compare United States v.
    Stinson, 
    647 F.3d 1196
    , 1210 (9th Cir. 2011) (“We review a
    district court’s evidentiary rulings for abuse of discretion.”),
    and United States v. Tran, 
    568 F.3d 1156
    , 1162 (9th Cir.
    2009) (applying an abuse of discretion standard in
    determining whether a statement is hearsay under Rule 801),
    18            WAGNER V . MARICOPA COUNTY
    with Mahone v. Lehman, 
    347 F.3d 1170
    , 1173–74 (9th Cir.
    2003) (“We review the district court’s construction of the
    hearsay rule de novo . . . .” (quoting Orr v. Bank of Am., NT
    & SA, 
    285 F.3d 764
    , 778 (9th Cir. 2002))), United States v.
    Collicott, 
    92 F.3d 973
    , 978–82 (9th Cir. 1996) (holding that
    the district court erred, because the statements at issue were
    hearsay and not admissible under Rule 801(d)(1)(B), never
    mentioning whether the district court abused its discretion,
    but rather seems to have reviewed the hearsay determination
    de novo), and United States v. Warren, 
    25 F.3d 890
    , 894–95
    (9th Cir. 1994) (held that the statements at issue were
    admissible under Rule 801(d)(2)(A) because they were not
    hearsay, with no mention of an abuse of discretion).
    The Second Circuit and Sixth Circuit have held that a
    district court’s determination whether a statement is hearsay
    is reviewed de novo. United States. v. Ferguson, 
    653 F.3d 61
    , 86 (2d Cir. 2011); Biegas v. Quickway Carriers, Inc.,
    
    573 F.3d 365
    , 378–381 (6th Cir. 2009). But see Trepel v.
    Roadway Exp., Inc., 
    194 F.3d 708
    , 716–17 (6th Cir. 1999)
    (“Therefore, in disregard of our heretofore well-settled
    precedent that hearsay evidentiary rulings are reviewed de
    novo, we shall review the district court’s ruling for an abuse
    of discretion.” (citation omitted)).
    We review the district court’s remaining evidentiary
    rulings for abuse of discretion. Gen. Elec. Co. v. Joiner,
    
    522 U.S. 136
    , 141 (1997). We do not reverse evidentiary
    rulings unless the rulings are “manifestly erroneous and
    prejudicial.” Orr, 
    285 F.3d at 773
    . “This includes the
    exclusion of evidence under a hearsay rule.” Stinson,
    
    647 F.3d at 1210
    . We also review the district court’s
    handling of closing arguments for an abuse of discretion.
    WAGNER V . MARICOPA COUNTY                            19
    United States v. Lazarenko, 
    564 F.3d 1026
    , 1043 (9th Cir.
    2009).
    Our circuit employs a “significantly deferential” two-step
    test to determine whether a district court abused its discretion.
    Hinkson, 
    585 F.3d at 1262
    . The first step “is to determine de
    novo whether the trial court identified the correct legal rule to
    apply to the relief requested.” 
    Id.
     If so, the second step “is
    to determine whether the trial court’s application of the
    correct legal standard was (1) ‘illogical,’ (2) ‘implausible,’ or
    (3) without ‘support in inferences that may be drawn from the
    facts in the record.’” 
    Id.
     (quoting Anderson v. City of
    Bessemer City, N.C., 
    470 U.S. 564
    , 577 (1985)). “If any of
    these three apply, only then are we able to have a ‘definite
    and firm conviction’ that the district court reached a
    conclusion that was a ‘mistake’ or was not among its
    ‘permissible’ options, and thus that it abused its discretion by
    making a clearly erroneous finding of fact.” 
    Id.
     In other
    words, “we do not automatically reverse a district court’s
    factual finding if we decide a ‘mistake has been committed.’”
    Id. at 1263.
    II.
    WAGNER’S TESTIMONY
    The majority first concludes that the district court erred
    by excluding testimony from Vogel’s sister, Yvon Wagner,
    regarding statements made by Vogel (who was deceased
    before trial).1 Wagner would have testified regarding Vogel’s
    1
    W agner would have testified that Vogel (1) said the detention officers
    dressed him in “pink underwear, in pink slippers and, again, at his expense
    they were accosting him” during the dress-out procedure; (2) believed he
    20               WAGNER V . MARICOPA COUNTY
    thoughts and beliefs during the dress-out procedure based on
    statements Vogel purportedly made—after the fact—to
    Wagner. The majority finds that the district court erred,
    apparently as a matter of law, no matter whether the standard
    of review is de novo or abuse of discretion. The majority
    erroneously concludes that Wagner’s testimony was not
    offered to prove what Vogel asserted.
    A. Wagner’s testimony was hearsay evidence
    The Estate argues that Wagner’s testimony was not
    hearsay, because it was not offered to prove the details of the
    dress-out procedure (i.e., that Vogel was actually raped).
    Instead, the Estate argues that Wagner’s testimony was
    offered to show Vogel’s state of mind following the dress-out
    procedure and the lasting impact the event had on Vogel
    following his release. The majority asserts that Wagner “was
    not asserting the truth of anything that Vogel said had
    happened to him in jail.” Maj. Op. at 10. I disagree with
    both. Wagner’s testimony was offered to prove the truth of
    the matter asserted—i.e., that Vogel believed the events he
    described happened. The district court did not incorrectly
    construe or apply the hearsay rule.
    Hearsay “is a statement, other than one made by the
    declarant while testifying at the trial or hearing, offered in
    evidence to prove the truth of the matter asserted.” Fed. R.
    Evid. 801(c). The majority agrees that, if Wagner’s
    had been raped; (3) “felt one of the officers attempted to put his penis in
    his mouth and that he had to keep his mouth so tight that he bruised his
    outer lips to avoid being accosted that way,” and (4) believed the officers
    used the pink underwear to put him in a vulnerable position before a
    planned sex “party.”
    WAGNER V . MARICOPA COUNTY                      21
    testimony—including Vogel’s statements that (1) he was
    forcibly undressed by detention officers, (2) he was dressed
    in pink underwear and slippers, (3) the officers “manhandled”
    him on the floor of his jail cell, and (4) he called out to other
    inmates for help—were offered for the truth of the matter
    asserted, it would be hearsay. Even if this information were
    consistent with other evidence in this case, it could not be
    proven by Wagner using hearsay evidence.
    However, the Estate and the majority assert that Wagner’s
    testimony is not offered to prove the “truth of anything that
    Vogel said had happened to him in jail.” Maj. Op. at 10.
    That assertion may be true, but it is not focused on Wagner’s
    statements. For example, Wagner testified that Vogel (1)
    “felt he was being raped,” (2) “felt one of the officers
    attempted to put his penis in his mouth,” (3) “believed he was
    being raped,” and (4) “believed the pink underwear was used
    to put him in [a] vulnerable position with these officers.”
    Wagner’s testimony is offered to prove the truth of what
    Vogel asserted—i.e., that he believed what he described
    occurred. A statement is hearsay if offered to prove the truth
    of the matter asserted. Focusing on Wagner’s statements,
    they are hearsay, because they were offered to show that
    Vogel actually believed the facts asserted. 30B Michael H.
    Graham, Federal Practice & Procedure § 7044 (interim ed.
    2000) (explaining that second-hand statements of belief are
    hearsay, but may be admissible under Rule 803(3)’s
    exception to the hearsay rule). Further, the statements are
    hearsay, because it must be proven that Vogel believed the
    matters asserted were true for the Estate’s mental state
    argument to succeed. Id. § 7006 (“If the declarant must
    believe the matter asserted to be true for any inference to
    logically flow, . . . the hearsay risks of sincerity and narration
    are present. Such statements are thus properly classified as
    22             WAGNER V . MARICOPA COUNTY
    hearsay.”). The Estate never made an offer of proof to
    demonstrate that the proffered testimony complied with the
    hearsay rule. Therefore, the district court’s determination
    (that Wagner’s testimony was hearsay) was not erroneous and
    the district court did not misconstrue the hearsay rule.
    B. Wagner’s testimony did not fall under Rule 803(3)’s
    then-existing state of mind exception to the hearsay rule
    The Estate argues that, even if Wagner’s testimony were
    hearsay, it was admissible as evidence under the state of mind
    exception in Federal Rule of Evidence 803(3). The majority
    agrees. However, the district court disagreed and, because
    this is a discretionary decision, we must afford the district
    court’s decision substantial deference. Here, the district
    court’s determination that Wagner’s testimony regarding
    Vogel’s post-release statements did not fall under Rule
    803(3)’s state of mind exception was not illogical,
    implausible, or without support in inferences that may be
    drawn from the facts in the record. The statements (1) were
    statements of memory or belief made at least one week after
    the events at issue; and (2) were offered not simply to
    demonstrate Vogel’s present mental condition but his past
    mental condition (i.e., that he was agitated), and also to
    explain why he was agitated (i.e., that he believed he was
    being raped). Therefore, although we may have decided this
    issue differently, the district court did not abuse its discretion.
    Rule 803(3) creates an exception to the hearsay rule for
    “[a] statement of the declarant’s then existing state of mind,
    emotion, sensation, or physical condition (such as intent,
    plan, motive, design, mental feeling, pain, and bodily health),
    but not including a statement of memory or belief to prove the
    fact remembered or believed . . . .” Fed. R. Evid. 803(3)
    WAGNER V . MARICOPA COUNTY                   23
    (2010) (emphasis added). Vogel’s statements do not meet
    Rule 803(3)’s foundational requirements of
    “contemporaneousness, [lack of] chance for reflection, and
    relevance.” United States v. Ponticelli, 
    622 F.2d 985
    , 991
    (9th Cir. 1980), overruled on other grounds by United States
    v. De Bright, 
    730 F.2d 1255
    , 1259 (9th Cir. 1984) (en banc).
    Vogel explained the dress out procedure to his family
    following his release from jail, which was at least seven days
    after the procedure took place. These were “statement[s] of
    memory,” which are expressly prohibited under Rule 803(3).
    The Rules of Evidence exclude statements of memory,
    because “[t]he more time that elapses between the declaration
    and the period about which the declarant is commenting, the
    less reliable is his statement . . . . The state of mind
    declaration also has probative value, because the declarant
    presumably has no chance for reflection and therefore for
    misrepresentation.” Ponticelli, 
    622 F.2d at 991
    . Vogel
    conceivably could have misrepresented what happened at the
    jail (or what he believed happened) to explain or justify his
    unruly conduct with the officers. Thus, although detention
    officers’ testimony about what Vogel said during the dress-
    out procedure is admissible (given its contemporaneity),
    Vogel’s statements a week or two after the fact do not
    provide the same probative value contemplated by the
    exception in Rule 803(3). See United States v. Miller, 
    874 F.2d 1255
    , 1265 (9th Cir. 1989) (holding that hearsay
    statements made less than 24 hours after an event did not
    meet the contemporaneity and lack of reflection requirements
    under Rule 803(3)).
    Additionally, Wagner’s statements were offered to show
    not only that Vogel was agitated during the dress-out
    procedure, but also why he was agitated. Such use of
    Wagner’s statements is not permitted under Rule 803(3), as
    24            WAGNER V . MARICOPA COUNTY
    interpreted by our circuit. We stated in United States v.
    Emmert that “the state-of-mind exception does not permit the
    witness to relate any of the declarant’s statements as to why
    he held the particular state of mind, or what he might have
    believed that would have induced the state of mind.”
    
    829 F.2d 805
    , 810 (9th Cir. 1987) (emphasis added) (quoting
    United States v. Cohen, 
    631 F.2d 1223
    , 1225 (5th Cir. 1980));
    see also 
    id.
     (“[Rule 803(3)] . . . narrowly limit[s] admissible
    statements to declarations of condition—‘I’m scared’—and
    not belief—‘I’m scared because [someone] threatened me.’”
    (emphasis altered) (internal quotation marks omitted)). We
    reaffirmed the validity of Emmert in United States v.
    Fontenot by holding that hearsay statements did not fall under
    the exception in Rule 803(3), because the statements related
    why the declarant held the particular state of mind. United
    States v. Fontenot, 
    14 F.3d 1364
    , 1371 (9th Cir. 1994). The
    Fifth Circuit and Tenth Circuit also do not allow statements
    that identify why the declarant has the particular state of
    mind. See, e.g., United States v. Lin, 
    960 F.2d 449
    , 452 (5th
    Cir. 1992) (holding that “[e]vidence of . . . fear was
    admitted,” but “[p]roperly excluded were the alleged reasons
    for that fear” (citing Cohen, 
    631 F.2d at 1225
    )); United States
    v. Ledford, 
    443 F.3d 702
    , 709–10 (10th Cir. 2005) (“The
    phrase ‘because the defendant threatened me’ is expressly
    outside the state-of-mind exception because the explanation
    for the fear expresses a belief different from the state of mind
    of being afraid.”).
    The majority contends that we made it clear in Emmert
    “that the bar applies only when the statements are offered to
    prove the truth of the facts underlying the memory or belief.”
    Maj. Op. at 10. However, in Emmert and Fontenot, we did
    not indicate that our decisions hinged on the declarant
    offering the reasons for the belief in order to prove the events
    WAGNER V . MARICOPA COUNTY                     25
    believed. Rather, our decisions identified the reason for the
    exclusion to be that the “testimony would have fallen within
    the ‘belief category and would not have been limited to [the
    declarant’s] current state of mind.” Emmert, 
    829 F.2d at 810
    ;
    see also Fontenot, 
    14 F.3d at 1371
     (noting that “the
    statements would have demonstrated that [Fontenot] believed
    his and Cathy Fontenot’s lives were in danger” (alterations in
    original)).
    Here, Wagner intended to testify that Vogel was agitated,
    because he believed he was being raped and the officers were
    dressing him in pink underwear for a sex party. This
    testimony was central to the Estate’s theory of causation that
    Vogel’s traumatic experience in jail caused his fatal
    arrhythmia several weeks later. For these reasons, and in
    light of our case law, the district court’s application of Rule
    803(3) to the facts of this case was not illogical, implausible,
    or without support in inferences that may be drawn from the
    facts in the record. The district court did not abuse its
    discretion.
    C. Wagner’s testimony lacked foundation
    The majority also determines that the district court abused
    its discretion in concluding that Wagner lacked personal
    knowledge about Vogel’s mental condition during the
    jailhouse dress-out procedure. However, the majority again
    fails to give any deference to the district court’s decision.
    Federal Rule of Evidence 602 provides that a “witness may
    not testify to a matter unless evidence is introduced sufficient
    to support a finding that the witness has personal knowledge
    of the matter. Evidence to prove personal knowledge may,
    but need not, consist of the witness’ own testimony.”
    (emphasis added). The majority claims Wagner had adequate
    26           WAGNER V . MARICOPA COUNTY
    foundation, because she had personal knowledge of her
    conversation with Vogel and perceived his emotions. The
    majority claims Vogel’s statement’s went to establish his
    state of mind at the time he spoke to his sister. Maj. Op. at
    10. If Wagner’s testimony were only offered to prove
    Vogel’s temperament during his conversation with Wagner,
    the majority would be correct.
    However, Wagner intended to offer various opinions
    regarding Vogel’s state of mind while in jail and why he
    reacted the way he did during the dress-out procedure. For
    example, Wagner, testified that (1) Vogel “believed he was
    being raped,” (2) Vogel “believed the pink underwear was
    used to put him in [a] vulnerable position,” (3) Vogel hid
    under his bed to protect himself because he was “paranoid”
    and “felt he was in extreme harm’s way,” and (4) “this was
    very, I’m sure, frightening for him.” The Estate’s entire
    theory of liability turns on the purportedly indelible trauma
    Vogel endured during his stay at the county jail. Thus, there
    is no doubt that Wagner offered this testimony to prove what
    Vogel felt and believed while he was in jail—not how he felt
    as he described the jailhouse incident a week later. To be
    sure, the County objected to Wagner’s testimony, not because
    Wagner failed to establish that she actually had a
    conversation with Vogel, but because Wagner lacked
    foundation to testify about the thoughts and beliefs of her
    floridly psychotic brother during the jailhouse incident. For
    these reasons, we cannot conclude that the district court
    abused its discretion in excluding this testimony, in part,
    because of lack of foundation. Its determination was not
    illogical, implausible, or without support in inferences that
    may be drawn from the facts in the record.
    WAGNER V . MARICOPA COUNTY                      27
    III.
    EXCLUDING REFERENCES TO PINK
    UNDERWEAR
    The Estate failed to specifically and distinctly argue in its
    opening brief that the district court erred in excluding
    evidence related to pink underwear. Therefore, we should
    consider such an argument waived, and we should not address
    it. See Kim v. Kang, 
    154 F.3d 996
    , 1000 (9th Cir. 1998).
    While the Estate mentions the issue in its statement of issues
    and summary of the argument sections of its opening brief,
    the Estate fails to discuss and argue the point in the body of
    the arguments section in the opening brief. Such a deficiency
    waives the issue. See Martinez-Serrano v. I.N.S., 
    94 F.3d 1256
    , 1259 (9th Cir. 1996) (“[A]n issue referred to in the
    appellant’s statement of the case but not discussed in the body
    of the opening brief is deemed waived.”).
    I fail to understand why the majority addresses the issue.
    The sheriff’s use of pink underwear is a policy consideration,
    with which we may disagree but should not review, especially
    when the issue is not properly before us. Sadly however, the
    majority’s consideration of the issue is consistent with its
    failure to apply the appropriate standard of review (i.e., abuse
    of discretion) to the evidentiary issues discussed in other
    sections of this dissent.
    28             WAGNER V . MARICOPA COUNTY
    IV.
    EXPERT TESTIMONY
    A. The district court did not abuse its discretion by
    excluding Dr. Daniel Spitz’s expert testimony
    Neither party disputed Dr. Spitz’s preliminary
    conclusions that (1) Vogel’s death was caused by acute
    cardiac arrhythmia, and (2) people with severe schizophrenia
    have an increased chance of dying from cardiac arrhythmia.
    The district court excluded Dr. Spitz’s testimony, because
    there was no reliable scientific basis for his supplemental
    conclusion that Vogel’s dress-out experience at the county
    jail caused his cardiac arrhythmia three weeks later. The
    majority concludes that the district court erred in excluding
    Dr. Daniel Spitz’s testimony. I disagree.
    Under Daubert v. Merrell Dow Pharmaceuticals, Inc., a
    court must determine whether an expert is “proposing to
    testify to (1) scientific knowledge that (2) will assist the trier
    of fact to understand or determine a fact in issue.” 
    509 U.S. 579
    , 592–93 (1993). This analysis “entails a preliminary
    assessment of whether the reasoning or methodology
    underlying the testimony is scientifically valid and of whether
    that reasoning or methodology properly can be applied to the
    facts in issue.” 
    Id.
     Among other things, a court should
    consider (1) whether a theory or technique “can be (and has
    been) tested,” (2) “whether the theory or technique has been
    subjected to peer review and publication,” (3) “the known or
    potential rate of error,” and (4) whether it is generally
    accepted in the scientific community. 
    Id.
     at 593–94. After
    examining Dr. Spitz’s deposition testimony, the district court
    determined that the scientific theories underlying his
    WAGNER V . MARICOPA COUNTY                             29
    proposed testimony did not satisfy the standards in Daubert.
    The Estate failed to demonstrate that Dr. Spitz’s three-week-
    later causation theory (1) could be or had been tested, (2) had
    been subjected to peer review or publication, or (3) was
    generally accepted in the scientific community. It was also
    unclear what evidence Dr. Spitz considered when forming his
    opinion and whether he considered all of the relevant
    evidence in the case.
    In addition to the district court’s findings above, Dr. Spitz
    admitted that he (1) did not interview any witnesses, (2) did
    not consult any relevant treatises or literature, and (3) only
    had experience investigating the deaths of possibly four or
    five schizophrenics where the cause of death was acute
    arrhythmia. Dr. Spitz also based his opinion, in part, on
    statements from Vogel’s relatives (which the court deemed
    unreliable and inadmissible) and what he termed “common
    sense.” Further, although Dr. Spitz testified that the dress-out
    procedure played a role in Vogel’s death, he could not
    explain why other events—such as the car accident
    immediately preceding Vogel’s death—had not caused acute
    arrhythmia earlier, explaining that “[w]hy [Vogel] died when
    he did is something probably nobody knows.”2
    2
    Other experts concurred in this assessment. For example, when asked
    about the possibility that the dress-out incident had some influence on the
    arrhythmia, Dr. Ira Ehrlich responded, “Anything is possible. Of course
    it’s possible.” W hen asked again whether Vogel may have been obsessing
    about the jail incident when he died, Dr. Ehrlich explained, “He could
    have. I would certainly not ever dismiss that as a possibility. I just don’t
    see how anybody can point at that one incident and say that’s what did it;
    in all likelihood, medical certainty, that’s what did it. I think that’s
    impossible.” Dr. Ehrlich also expressed serious doubts about anyone’s
    “ability to say, with any degree of certainty, what was going on in Mr.
    Vogel’s brain at the time that he developed his fatal arrythmia[.] . . . Mr.
    30              WAGNER V . MARICOPA COUNTY
    Plainly stated, Dr. Spitz’s general qualifications as a
    medical examiner do not provide him license to speculate
    regarding the environmental—as distinct from the
    medical—factors that caused Vogel’s death. Dr. Spitz
    provided no scientific theory or method that could
    substantiate his purportedly “common sense” idea that the
    jailhouse dress-out procedure three weeks earlier was the
    cause of Vogel’s heart arrhythmia. Though Dr. Spitz could
    testify to the medical causes of Vogel’s death, his speculation
    as to which of the many environmental stressors in Vogel’s
    life “likely” or “probably” caused death did not meet
    Daubert’s threshold standard for scientifically valid
    reasoning or methodology. Given the many glaring
    deficiencies in Dr. Spitz’s proposed testimony, the district
    court’s ruling cannot be an abuse of discretion.
    B. The district court did not abuse its discretion by
    excluding portions of Dr. Phillip Esplin’s expert testimony
    The majority concludes that the district court abused its
    discretion in excluding certain portions of the expert
    testimony of Dr. Phillip Esplin. The district court determined
    that Dr. Esplin’s testimony was (1) “[un]supported by
    evidence;” (2) wholly “uncredible,” because, by Dr. Esplin’s
    own admission, no one can know what a floridly psychotic
    person was thinking; (3) lacking foundation; (4) “more
    prejudicial than probative;” and (5) going to “puzzle” the
    jury. Given these deficiencies, I cannot say the district
    court’s ruling was illogical, implausible, or without support
    in inferences that may be drawn from the facts in the record.
    Vogel’s brain is a salad bowl of stuff that has been tossed— unkindly
    perhaps, but— tossed so that there is no organization there whatsoever.”
    WAGNER V . MARICOPA COUNTY                    31
    The majority’s cursory treatment of the district court’s
    ruling on Dr. Esplin’s testimony never explains how the
    district court applied an erroneous legal standard or relied on
    a clearly erroneous finding of fact. No reliable evidence in
    the record—apart from Wagner’s testimony—supported Dr.
    Esplin’s claim that Vogel thought the pink coloring of the
    jail-issued underwear was significant. Dr. Esplin himself
    admitted that no one could know or understand what was
    going on inside the mind of a floridly psychotic
    schizophrenic, suggesting that, even with Wagner’s
    testimony, his testimony on causation would be purely
    speculative. Given these foundation and methodological
    deficiencies, the district court acted within its discretion to
    exclude this testimony under Federal Rules of Evidence 702
    and 703.
    V.
    CLOSING ARGUMENT
    Lastly, the majority hastily concluded that the district
    court abused its discretion by denying the Estate a rebuttal
    closing argument at trial. However, the majority never
    explains what law gives a plaintiff in the District of Arizona
    an inalienable right to rebuttal argument, much less how the
    district court abused its discretion in shaping closing
    arguments under District of Arizona Local Rule 39.1(d).
    Rule 39.1(d) guarantees a “right to close” to the party bearing
    the burden of proof, but that rule has never been defined to
    provide the right to speak last. The district court permitted
    the Estate to make a “thorough,” 60-minute closing argument.
    Following a short recess, the court explained to counsel that
    “[t]he closing is going to end with [the County]. There isn’t
    going to be any rebuttal. I just did a little research, it’s
    32             WAGNER V . MARICOPA COUNTY
    discretionary. [The Estate] had a thorough, complete effort
    at it, and [the County] is entitled to that as well. But we’re
    not going to have a rebuttal.” The court also noted, “I don’t
    think there was anything that [the Estate] could have touched
    on that [the Estate] didn’t explore, several times.”
    It is well established that a “trial court has broad
    discretion in controlling closing arguments.” United States
    v. Spillone, 
    879 F.2d 514
    , 518 (9th Cir. 1989); accord
    Fernandez v. Corporacion Insula De Seguros, 
    79 F.3d 207
    ,
    209–10 (1st Cir. 1996) (“The decision to permit rebuttal [in
    a civil action] is a procedural matter which rests within the
    sound discretion of the trial judge and rarely (if ever)
    provides fertile ground for appeal.” (internal citation
    omitted)). Because the Estate closed with a 60-minute
    argument pursuant to Rule 39.1(d), the district court did not
    abuse its “broad” discretion in denying the Estate a rebuttal
    closing argument.
    I would therefore affirm.