" Valdes v. Crosby, 450 F.3d 1231, 1237 (11th Cir. 2006).Doby v. Berry, 3:04-cv-1044-J-32MMH, 2006 WL 3518611, at *3 (M.D. Fla. Dec. 6, 2006). In his Amended Complaint, Plaintiff is apparently claiming a custom or de facto policy of refusing medical treatment based on cost saving measures which resulted in deliberate indifferent to his serious medical needs and/or there exists a history of widespread abuse, deliberate indifference, that puts the Secretary on notice of unconstitutional conditions due to the deprivation of medical care.