First Amendment retaliation litigation has never been the same ever since the Supreme Court held in 2006 that it's not protected speech if the government worker speaks out pursuant to his official job duties. That was the Garcetti case. It was believed at the time, at least by some of us, that the lower courts might interpret Garcetti narrowly and hold only that "mandated" speech is unprotected but that otherwise speech that relates to your employee remains free speech for which you cannot be punished. That wistful hope is long behind us, and the courts now hold that speech that is part and parcel of your ability to perform your job is unprotected and management has the right to discipline you for it. This case shows us how it works.
The case is Salvana v. DOCCS, a summary order issued in February 5. Plaintiff was a doctor in the state prison system who claims he suffered retaliation after speaking out against the medication abuse policy that requires doctors to get permission from higher-level officials before they prescribe addictive or unsafe medications. So plaintiff did speak up. But was it protected speech that insulates him from discipline? It is not, the Court of Appeals (Jacobs, Leval and Sullivan) says.
Plaintiff spoke as an employee (unprotected) and not as a citizen (protected) because, while he claims it was not his job to criticize DOCCS policy, the Garcetti inquiry extends beyond that narrow issue-framing. Plaintiff loses because his "core duty" was to ensure the "high quality of medical care": for his patients. His criticism of the medication policy furthers that goal, as he discussed the policy's effect on the medical needs of specific individuals, focused narrowly on exempting only his own unit from its requirements; he said he knows what's best for his patients.
Under this angle, plaintiff's speech was part and parcel of his ability to perform his core job duties. He did not raise abstract objections to system-wide, broad policy issues, which might bring his case within the First Amendment's protections. Instead, the Court of Appeals holds, "he attacked the policy primarily on the ground that it was interfering with his ability to care for his patients as he saw fit in the unit that he supervised."