11-5384-cr
United States v. Douglas



                                 UNITED STATES COURT OF APPEALS
                                       FOR THE SECOND CIRCUIT


                                            August Term, 2012

                           (Argued: December 19, 2012     Decided: April 15, 2013)

                                          Docket No. 11-5384-cr


                                       UNITED STATES OF AMERICA,

                                                                      Appellee,

                                                 — v. —

                                           CAMERON DOUGLAS,

                                                                      Defendant-Appellant,

                            KELLY SOTT, EDUARDO ESCALERA, DAVID ESCALERA,

                                                                      Defendants.


B e f o r e:

                                CALABRESI, LYNCH, and CHIN, Circuit Judges.


__________________
       Appeal from a December 21, 2011, judgment of the United States District Court

for the Southern District of New York (Richard M. Berman, J.) sentencing defendant to

54 months’ imprisonment for possession of controlled substances while an inmate of a

federal prison. Defendant contends that the district court’s above-guidelines sentence was

substantively unreasonable. The district court’s sentence was substantively reasonable in

light of the particular facts of defendant’s case.

       AFFIRMED.



              PAUL L. SHECHTMAN (Nicholas M. De Feis, Allison S. Menkes, De Feis
                    O’Connell & Rose, P.C., New York, New York, on the brief),
                    Zuckerman Spaeder LLP, New York, New York, for defendant-
                    appellant.

              JUSTIN ANDERSON (Katherine Polk Failla, Assistant United States Attorney, on
                      the brief), Assistant United States Attorney, for Preet Bharara, United
                      States Attorney for the Southern District of New York, New York, New
                      York, for appellee.

              Daniel N. Abrahamson, Theshia Naidoo, Tamar Todd, Drug Policy
                    Alliance, Berkeley, California, for amici curiae New York Society of
                    Addiction Medicine, American Academy of Addiction Psychiatry,
                    California Society of Addiction Medicine, American Association for
                    the Treatment of Opioid Dependence, Center for Prisoner Health
                    and Human Rights, Osborne Association, National Alliance for
                    Medication Assisted Recovery, Exponents, The Legal Action Center,
                    International Doctors for Healthy Drug Policy, Dr. Robert G.
                    Newman, Dr. Beny Primm, Dr. David Lewis, Dr. Josiah D. Rich, Dr.
                    Joshua Lee, Dr. Ernest Drucker, Dr. Joyce H. Lowinson, Dr. Sharon
                    Stancliff, Dr. Peter Banys, Dr. Bruce Trigg, Dr. Carl Hart, Dr.
                    Daliah Heller, and Dr. Herman Joseph, in support of defendant-
                    appellant.

                                               2
GERARD E. LYNCH, Circuit Judge:

       This case requires us to decide whether a significantly above-guidelines sentence

may be imposed in view of earlier sentencing leniency that turns out, after the fact, to

have been unjustified. We conclude that above-guidelines sentences must be justified by

reference to specific reasons that place the case outside the run of ordinary cases, and that

the further the sentence departs from the typical sentence imposed for the conduct of

conviction, the greater the justification that is required. In the particular circumstances of

this case, we conclude that defendant’s sentence was reasonable.

                                     BACKGROUND

I.     Douglas’s 2009 Arrest and Prosecution

       From 2006 to 2009, Cameron Douglas distributed methamphetamine and cocaine

on behalf of suppliers in California. During that time, he was addicted to heroin and

relied on the proceeds of his illegal activity to satisfy his habit. Douglas was arrested for

his part in the distribution ring on July 28, 2009. After his arrest, he was taken to a

hospital and treated for heroin intoxication before being taken to prison.

       Shortly after his arrest, Douglas agreed to cooperate with the government by

testifying against his suppliers, Eduardo and David Escalera. After he agreed to

cooperate, Douglas was released from custody and placed under house arrest. While on


                                              3
home detention, he convinced his girlfriend, Kelly Sott, to bring him heroin hidden inside

an electric toothbrush. When the heroin was found, Douglas’s bail was revoked and he

was remanded to the Metropolitan Correctional Center (“MCC”) in New York.

       Douglas pled guilty to a two-count superseding information on January 27, 2010.

The information charged him with conspiracy to distribute methamphetamine and

cocaine, in violation of 21 U.S.C. §§ 846 and 841(b)(1)(A), which carried a ten-year

mandatory minimum sentence, and with misdemeanor possession of heroin, in violation

of 21 U.S.C. § 844 and 18 U.S.C. § 3147, for the incident that occurred while he was on

pretrial release. Because the government believed that the Escaleras might have left the

country when news of Douglas’s arrest was made public by an online publication, the

prosecutors agreed to allow Douglas to be sentenced before he testified against his

suppliers.

       The guidelines sentencing range for Douglas’s conduct was 151 to 188 months’

imprisonment. In his sentencing memorandum, Douglas described his struggles with

drug addiction and his privileged but troubled upbringing. In view of his addiction,

Douglas asked the court to impose a sentence of time served or, alternatively, a sentence

of forty-two months’ imprisonment, which would have allowed Douglas to enter the

Bureau of Prisons (“BOP”) Residential Drug Abuse Program (“RDAP”) immediately.1


       1
      The Ninth Circuit has helpfully described the RDAP program. See Close v.
Thomas, 653 F.3d 970, 972 (9th Cir. 2011); Reeb v. Thomas, 636 F.3d 1224, 1225 (9th

                                            4
The government characterized Douglas’s cooperation as “tremendously valuable” and

stated its intention to file a motion pursuant to 18 U.S.C. § 3553(e) and U.S.S.G. § 5K1.1

to authorize the district court to depart downward from the mandatory minimum sentence

of ten years’ imprisonment.

       Douglas appeared for sentencing on April 20, 2010. At sentencing, the

government did not recommend any particular sentence, but it did file the departure

motion. The district court (Richard M. Berman, Judge) discussed the many letters

submitted by Douglas’s parents, former teachers, friends, and supporters expressing the

view that Douglas had finally “bottomed out,” and was resolved to overcome his

addiction and disregard for legal constraints. The district judge noted that he thought

“this case and this sentencing may well be [Douglas’s] last chance to make it.” April 20,

2010, Sentencing Tr. at 9. The district court imposed a sixty-month sentence of

incarceration followed by a five-year period of supervised release.




Cir. 2011). Additional information can be found on the BOP website. See Federal
Bureau of Prisons, Substance Abuse Treatment,
http://www.bop.gov/inmate_programs/substance.jsp (last visited April 4, 2013).

                                             5
II.    Douglas’s Additional Conduct

       Unbeknownst to the district court (and to the prosecutors handling his case) at the

time of his first sentencing, Douglas had recently been discovered to be in possession of

contraband yet again. While in BOP custody, Douglas had convinced one of his attorneys

– with whom he had begun a romantic relationship – to smuggle approximately thirty

unprescribed Xanax pills to him in the MCC. He took some of the pills himself and

provided others to other inmates. This additional misconduct came to the attention of the

prosecutors only when they were asked to enter an immunity agreement covering

Douglas’s uncharged criminal activity to facilitate his testimony against the Escalera

brothers, who by that point had been located and arrested. Notwithstanding the Xanax

incident, on October 4, 2011, Douglas testified against David Escalera, who was

convicted by a jury and later sentenced to 120 months’ imprisonment.

       However, less than two weeks after the completion of David Escalera’s trial, and

before the scheduled separate trial for Eduardo Escalera, Douglas was found in

possession of contraband for a third time while incarcerated or under supervision. On

October 16, a BOP staff member suspicious of window coverings in Douglas’s cell and

Douglas’s furtive movements searched his person and cell and discovered a piece of

paper with traces of white powder on it as well as a small amount (0.028 grams) of an

orange rock-like substance. Later testing showed the rock-like substance to be Suboxone,

a drug used to treat heroin addiction, for which Douglas did not have a prescription.

                                             6
Although lab analysis of the powder on the paper was inconclusive, Douglas later

admitted the substance was heroin. After submitting to urinalysis, Douglas also tested

positive for opiates. Douglas told prosecutors that he had found the heroin either in the

television room or in the chapel. He told the government that he had not sought out the

heroin and that it was not originally intended for him.

       Four days later, on October 20, the government filed an information charging

Douglas with one count of possession of a prohibited object while an inmate of a federal

prison, in violation of 18 U.S.C. § 1791(a)(2) and (b)(1). The same day, pursuant to a

plea agreement, Douglas pled guilty. The agreement stipulated that Douglas’s offense

level under the sentencing guidelines was 11 and that his Criminal History Category was

III. After giving Douglas credit for acceptance of responsibility, the agreement calculated

his guidelines sentence range as twelve to eighteen months’ imprisonment. The

agreement preserved the government’s right to seek an enhancement for obstruction of

justice if Douglas had “engaged in conduct, unknown to the Government at the time of

the signing of this Agreement, that constitutes obstruction of justice.”

       In its Presentence Report (“PSR”) to the district court, the Probation Office

recommended a sentence of 366 days’ imprisonment. According to the Probation Office,

that recommendation was shorter than it might otherwise have been in light of

administrative sanctions already imposed on Douglas, which included eleven months’

disciplinary segregation in the Special Housing Unit and eighty days’ canceled “good

                                              7
conduct” credit toward his early release. However, the PSR was submitted before the

Probation Office learned that Douglas had misled the government about how he obtained

the heroin. After Douglas entered his plea but before he was sentenced, another MCC

inmate (a cooperating witness in another case) informed the government that Douglas had

not found the heroin on the ground but instead had bought it from him. In short, Douglas

had not only purchased heroin while in prison, he had lied to prosecutors in an effort to

mislead them about the seriousness of his conduct. As a result of this deception, the

government elected not to call Douglas as a witness at the trial of Eduardo Escalera.

       At sentencing, Douglas urged the district court not to impose additional

punishment beyond the administrative sanctions he had already received. Additionally,

he urged the court to consider his seven-year history of drug addiction as a mitigating

factor because his conduct was best explained not by a desire to break the law but by the

effects of, among other things, Opioid Protracted Abstinence Syndrome (“OPAS”).2 The



       2
         Dr. Carol J. Weiss, a psychiatrist who provided an expert report to the district
court discussing Douglas’s mental health issues, described OPAS as “a phenomenon well
documented in the medical scientific literature” that “is the primary cause of relapse in
long term opioid users.” As Dr. Weiss described it, OPAS is caused by the long-term
chemical deficiency that results from the damage done by heroin to the body’s ability to
produce natural opioids. This altered neurochemical state, which has been characterized
as a “brain-related disorder with genetic and environmental overlays characteristic of a
medical illness,” can increase the probability of relapse years after detoxification. See
Herbert D. Kleber, Methadone Maintenance 4 Decades Later, 300 J. Am. Med. Ass’n
2303, 2304 (2008); Jordi Camí & Magí Farré, Drug Addiction, 349 New Engl. J. Med.
975, 983 (2003).

                                             8
best solution to his problems, he argued, was not punishment but treatment. Because he

was approaching the eligibility period for RDAP treatment at the time of his offense,

Douglas urged the court not to add time to his sentence, which would prolong the time

before he could enter that program. Finally, Douglas noted the relative rarity with which

drug possession in prison was prosecuted criminally and the small amount of drugs he

had possessed.

       The government’s sentencing memorandum urged the district court to apply a two-

level obstruction-of-justice enhancement, pursuant to U.S.S.G. § 3C1.1, an adjustment

that would have raised Douglas’s guidelines sentencing range to 18 to 24 months’

imprisonment. The government asked the district court to impose a sentence “at the high

end” of the guidelines range in view of what it characterized as Douglas’s “repeated

inability to conform his conduct to the law, his demonstrated disrespect for the criminal

justice system, his decision to provide false information to the Government, and the

seriousness of the offense.” Gov’t Sentencing Mem. at 4-5.

       The district court sentenced Douglas on December 21, 2011. At the outset, the

district court noted that Douglas had “been continuously reckless, disruptive and non-

compliant.” Sentencing Tr. at 4. The district court applied the obstruction-of-justice

enhancement requested by the government and also denied Douglas the benefit of the

acceptance-of-responsibility credit. The district court therefore calculated Douglas’s

sentencing guidelines range as twenty-four to thirty months’ imprisonment.

                                             9
       Based on its review of the factors set forth in 18 U.S.C. § 3553(a), the district court

determined that there were grounds to impose a more severe sentence than that

recommended by the guidelines. The district court focused on several factors: Douglas’s

“history of reckless behavior,” his “extensive substance abuse and mental health issue

history,” and his “continued pursuit of drugs.” Sentencing Tr. at 12-13, 15. The district

court also described the Xanax and Suboxone incidents, noted that it had been unaware of

the former at the time of Douglas’s first sentencing, and criticized both defense counsel

and the government for sweeping those facts “under the rug.” Sentencing Tr. at 16. The

district court characterized the original, sixty-month sentence it imposed on Douglas as

“the biggest opportunity of his life,” which Douglas had “blown.” Sentencing Tr. at 18.

After considering the administrative sanctions already imposed by the BOP and hearing

argument from both sides, the district court imposed a sentence of fifty-four months’

imprisonment, to be followed by three years of supervised release. The court noted that it

believed an upward variance was appropriate because of Douglas’s “pattern of reckless,

criminal, dangerous, destructive, deceitful conduct even after being afforded a last

chance” by the court’s prior sentence. Sentencing Tr. at 57. In support of its decision to

impose an above-guidelines sentence, the district court cited United States v. Rossi, 422

F. App’x 425 (6th Cir. 2011) (unpublished opinion), United States v. Nix, 415 F. App’x

981 (11th Cir. 2011) (unpublished opinion), and United States v. Pope, 554 F.3d 240 (2d

Cir. 2009).

                                             10
         On December 23, 2011, Douglas filed a timely notice of appeal.

                                       DISCUSSION

I.       Principles

         Our review of the reasonableness of a district court’s sentence “encompasses two

components: procedural review and substantive review.” United States v. Cavera, 550

F.3d 180, 189 (2d Cir. 2008) (en banc). Here, Douglas argues only that his sentence was

substantively unreasonable.3 We review the substantive reasonableness of a district

court’s sentence for abuse of discretion, and we “take into account the totality of the

circumstances, including the extent of any variance from the Guidelines range.” Gall v.

United States, 552 U.S. 38, 51 (2007). We set aside a district court’s sentence as

substantively unreasonable only if affirming it “would . . . damage the administration of

justice because the sentence imposed was shockingly high, shockingly low, or otherwise

unsupportable as a matter of law.” United States v. Rigas, 583 F.3d 108, 123 (2d Cir.

2009).




         3
         Although some parts of Douglas’s brief could be read as arguing that the district
court’s sentence was procedurally unreasonable because the district court erred in
concluding that Douglas was not eligible for the acceptance-of-responsibility credit, his
counsel conceded at oral argument that he was not making that argument on appeal. In
any event, the argument lacks merit. The district court’s factual findings regarding
Douglas’s acceptance of responsibility were not clearly erroneous, and its denial of the
adjustment was entirely reasonable under the circumstances.

                                             11
       In conducting this analysis, we are mindful of the fact that the Sentencing

Guidelines are just that, guidelines, and that “they are truly advisory.” Cavera, 550 F.3d

at 189. We have previously declined to adopt a presumption of reasonableness for

sentences that fall within the guidelines range. United States v. Fernandez, 443 F.3d 19,

27 (2d Cir. 2006). Instead, we have opted for a more flexible approach that allows

consideration of the facts of an individual case. As a way to guide this analysis, we have

used as our lodestar the parsimony clause of 18 U.S.C. § 3553(a), which directs

sentencing courts to “impose a sentence sufficient, but not greater than necessary to

comply with” the factors set out in 18 U.S.C. § 3553(a)(2). United States v. Dorvee, 616

F.3d 174, 183 (2d Cir. 2010). Those factors are, broadly speaking, proportionality,

deterrence, incapacitation, and rehabilitation.

       We evaluate whether an above-guidelines sentence represents an abuse of

discretion based on the reasons given by the district court when imposing the sentence.

United States v. Sindima, 488 F.3d 81, 85-86 (2d Cir. 2007). Indeed, the requirement that

sentencing judges “articulate their reasons . . . is a precondition for meaningful appellate

review.” Cavera, 550 F.3d at 193 (internal quotation marks and citation omitted). And

although we may not rely on any sort of “rigid mathematical formula that uses the

percentage of a departure as the standard for determining the strength of the justifications

required for a specific sentence,” Gall, 552 U.S. at 47, the extent of the departure from the

typical sentence for the type of crime at issue is a significant factor in determining how

                                             12
compelling the sentencing court’s reasons must be. See id. at 51 (indicating that the

question is whether the reasons given under the § 3553(a) factors “justify the extent of the

variance” from the guidelines); see also United States v. Bradley, 675 F.3d 1021, 1025

(7th Cir. 2012).

II.    Application

       Douglas argues that his sentence is substantively unreasonable because it was well

above the guidelines range and because it appears to have been substantially higher than

those imposed on other defendants caught engaging in the same behavior. At the outset,

Douglas argues that criminal prosecutions for violations of § 1791 are rare, and that most

prisoners apprehended in possession of contraband are dealt with entirely by BOP

administrative sanctions, without criminal prosecution. Accordingly, he argues, the

median punishment for such conduct is no additional criminal punishment at all, but

rather administrative sanctions of the sort Douglas had already received. Assuming

without deciding that a district court may take patterns of prosecutorial discretion into

account in determining an equitable sentence that avoids unwarranted disparities among

similarly situated offenders, an appellate court is ill placed to assess whether a defendant

is in fact situated similarly to others whose circumstances, because they were never

prosecuted, are unknown to us. The relative infrequency of prosecution of prisoners

found with contraband therefore does not count heavily against the reasonableness of the

sentence in this case.

                                             13
       More compelling is Douglas’s evidence regarding the sentences typically imposed

for similar crimes in this Circuit. In his brief, Douglas reviews all cases in this Circuit

since 1990 in which a defendant was charged with violating 18 U.S.C. § 1791. He lists

fourteen cases, none of which resulted in a sentence longer than thirty-seven months’

imprisonment. The longest sentence was the one we affirmed in United States v. Mills,

66 Fed. App’x 273 (2d Cir. 2003) (summary order). That case, as Douglas points out,

presented several aggravating circumstances. Mills involved his three young children, all

under the age of eight, and his seventy-one-year-old mother in a scheme to smuggle two

balloons full of controlled substances into prison by swallowing them.4 Mills also had a

higher criminal-history category (VI) than Douglas does (III), yet he received a sentence

that was not only lower than that imposed on Douglas, but was also in the middle of

Mills’s guidelines range. Given these differences between the harshest sentence imposed

in this Circuit in the last twenty-three years for the crime Douglas committed and the facts

of his case, Douglas argues that his sentence is unsupported by the district court’s

reasons.

       The government does not contest that Douglas’s sentence is the longest ever

imposed for a violation of 18 U.S.C. § 1791 in this Circuit, nor does it question the


       4
         We note that while Mills’s use of his children in his scheme may shock our
sensibilities, Douglas also callously involved in his criminal schemes others with whom
he had close relations, including his girlfriend and an attorney with whom he was
romantically involved, with serious consequences to both.

                                              14
completeness of Douglas’s survey. Instead, it argues that Douglas’s sentence was

adequately supported by the reasons given by the district court, namely that the district

judge had never seen a defendant who, in his words, had “so recklessly and wantonly and

flagrantly and criminally acted in as destructive and [as] manipulative a fashion as

Cameron Douglas has,” Sentencing Tr. at 18, and that the district court gave adequate

consideration to Douglas’s need for treatment and the administrative sanctions already

imposed by the BOP. The government also argues that Douglas’s sentence was

reasonable in light of the fact that he had been accorded striking leniency at his original

sentencing but betrayed the promises in his cooperation agreement and engaged in a

pattern of criminal conduct both before and after that sentencing in ways that the district

court had not known when it imposed a reduced sentence.

       We agree with Douglas that his sentence was extraordinary. But so are the facts of

his case, which differ in significant ways from those of the other cases surveyed by the

defense. His original, sixty-month sentence was five years shorter than the applicable

mandatory minimum, and more than seven-and-a-half years below the sentence

recommended by the guidelines for the criminal behavior to which he pled guilty. As he

points out, the reduced sentence was in part a reward for his cooperation. But reduced

sentences for cooperation are only partially a quid pro quo for assistance to the

government. Cooperators also receive reduced punishment in part because their

willingness to assist the government can signify a renunciation of criminal associations

                                             15
and the beginning of a new life. Douglas capitalized on this rationale when he and his

supporters emphasized to the district court at his original sentencing that he had indeed

turned a corner in life and was resolved to reform.

       That promise, as it turned out, was already tainted. Even at the time of his first

sentence, unbeknownst to the court, Douglas had already engaged in further criminal acts

while in custody. Moreover, even if the district court had overlooked that conduct,

Douglas received his dramatic downward departure from the recommended guidelines

sentence largely because he was lucky enough to be sentenced before he testified against

his suppliers – which he never fully did. Before Douglas completed his expected

cooperation, he breached his commitment to the government by engaging in further drug-

related conduct and by lying about it to prosecutors, destroying his further value as a

witness. Had Douglas not been sentenced on his original guilty plea until after testifying,

as is the typical practice in this Circuit, the discovery of his further offense would have

permitted the government to revoke his agreement and decline to file a departure motion.

Had that occurred, as we have every reason to expect it would have, the minimum

sentence Douglas could have received – even without any additional prosecution for his

possession of heroin in prison – would have been 120 months, six months more than the

combined sentences he actually received.

       Moreover, Judge Berman noted at Douglas’s first sentencing that it represented his

“last chance to make it.” When combined with the additional conduct the district court

                                              16
learned of only after the first sentence – like the Xanax incident and the fact that Douglas

was not forthcoming about how he obtained the contraband heroin and Suboxone – the

facts of Douglas’s case are sufficiently unusual, and sufficiently more serious, to permit

the district court to make a substantial upward variance from the recommended guidelines

range. On this record, we cannot conclude that the district court abused its discretion by

sentencing Douglas to an aggregate prison sentence that was still shorter than the

mandatory minimum sentence applicable to his underlying offense, which would very

likely have been required but for accidents of timing. See United States v. Verkhoglyad,

516 F.3d 122, 130 (2d Cir. 2008) (upholding an above-guidelines sentence imposed in

view of numerous probation violations); United States v. Pelensky, 129 F.3d 63, 69-70

(2d Cir. 1997) (upholding a statutory maximum thirty-six-month sentence, despite a

guidelines range of five to eleven months, because of defendant’s “dismal track record on

supervised release,” including failure to complete drug treatment and disregard for court

orders).

       Finally, we take note of the argument, made by Douglas and supported by amici,

that punitive sanctions are a less appropriate response to criminal acts by persons

suffering from addiction than drug treatment. It may well be that the nation would be

better served by a medical approach to treating and preventing addiction than by a

criminal-justice-based “war on drugs.” See, e.g., Heather Schoenfeld, The War on Drugs,

the Politics of Crime, and Mass Incarceration in the United States, 15 J. Gender Race &

                                             17
Just. 315 (2012); Juan R. Torruella, Déjà Vu: A Federal Judge Revisits the War on Drugs,

or Life in a Balloon, 20 B.U. Pub. Int. L.J. 167 (2011). But Congress has made a

different choice, and this case is not a vehicle for deciding questions of comprehensive

drug policy. For so long as the sale and possession of narcotics remain crimes, courts

must struggle with the difficult task of sentencing those who commit such crimes.

       We do not hold that district courts may not approach cases of addicted defendants

who seek treatment and show promise of changing their lives with compassion and with

due consideration of the relative costs and effectiveness of treatment versus long prison

sentences. Indeed, that is precisely how the district court approached Douglas’s original

sentence in this case. Sentencing courts are not required, however, to turn a blind eye to

behavior that can reasonably be understood as demonstrating that a particular defendant

has shown himself to be a poor candidate for treatment or for leniency. District courts are

in the best position to decide whether the defendant before the court is likely to respond to

drug treatment or has spurned chances at rehabilitation and persisted in a life of “reckless,

criminal, dangerous, destructive, [and] deceitful conduct.” We therefore cannot say that

the district court’s assessment of the sentence appropriate for Douglas was unreasonable.

                                      CONCLUSION

       Because of the peculiar facts of this case, the district court gave sufficient reasons

to support its unusually long sentence in this case. We therefore affirm the judgment of

the district court.

                                             18
     CALABRESI, Circuit Judge, concurring:

 1           I join the majority opinion in full because I agree that it is not substantively

 2   unreasonable for a district judge, after having given a defendant a number of breaks and

 3   second chances, to impose a sentence like this one. I write separately to emphasize my view

 4   that a term of imprisonment of between 5 and 10 years ought not to be seen merely as a

 5   punishment. It also must represent an expression of some faith that the convict might be

 6   rehabilitated within that time. Prisons should have a duty, therefore, not just to keep the

 7   convict locked away, but to enhance his ability to become a responsible citizen. When the

 8   convict’s crime involves drug addiction, a necessary part of this rehabilitation is enforced,

 9   medically monitored withdrawal. Congress has passed a law criminalizing possession of

10   drugs by an inmate in federal prison, and there is no question that Douglas broke that law

11   and manifested, as the majority opinion shows, a high level of culpability. There is also no

12   question in my mind, however, that the incidence of this crime also demonstrates a

13   significant level of culpability on the part of the jailing institution.1 When a prison cannot

14   protect an addicted inmate from the capacity to relapse, it has failed to perform an essential

15   obligation – an obligation that it owes both to the inmate and to the society that the inmate

16   will someday rejoin.

     1
       During his first sentencing hearing, Judge Berman imposed a 60 month sentence, and recommended that
     Douglas be allowed to participate in the Bureau of Prisons (“BOP”) Residential Drug Abuse Program. But
     under BOP policies, an inmate may only enter that program when he has 42 months or less left on his
     sentence. Upon entry, Douglas would only be eligible for the BOP’s “Drug Abuse Education” program,
     which the BOP describes as “not drug abuse treatment.” Federal Bureau of Prisons Annual Report on
     Substance      Abuse     Treatment      Programs     Fiscal     Year      2011,    at   *5,   available at
     http://www.bop.gov/inmate_programs /docs/annual_report_fy_2011.pdf (last accessed April 1, 2013). In 12
     weeks preceding his admission to the Residential Drug Abuse Program, Douglas might also be able to
     participate in “Nonresidential” Drug Abuse Treatment, a group and cognitive behavioral therapy program.
     Federal        Bureau       of      Prisons,       Drug        Abuse         Treatment,     available   at
     www.bop.gov/inmate_programs/substance.jsp/ (last accessed April 1, 2013). This case, then, is about an
     addict who would not be eligible for treatment for his addiction for more than a year, and who was, at the
     same time, exposed to a flourishing drug trade within the walls of the prison.
 1          I underscore what is suggested in the last paragraphs of the majority opinion, that

 2   Congress’s choice to make the use of drugs, and that use in prison, crimes, is highly

 3   problematical. No one has made the argument that this is an unconstitutional penalty

 4   imposed upon Douglas because of his status as an addict, and I believe no such argument

 5   can convincingly be made. Cf. Robinson v. California, 370 U.S. 660 (1962). As a result, our

 6   Court has no authority to stand in the way of the operation of this law, even though our

 7   experience with such cases may lead us to think it is counterproductive. And so we must

 8   affirm the district court and enforce that law.

 9          We can, however, make observations based on our experience. This law and laws

10   like it require district courts to confront a vexing question every day: how to treat addicts

11   who have suffered a relapse. We are not permitted to treat this question as a medical one,

12   although, in some sense, it is. We dismiss Douglas’s argument that he should be treated as a

13   victim of his drug abuse, rather than as a criminal, both because that is not a legal argument,

14   and because it seems to ask us to treat him differently from the thousands of other addicts

15   we see every year. But it remains true that these defendants are all victims. The multiple

16   costs of our imprisonment approach – including the expense of filling our prisons with drug

17   addicts, to mention just a base economic cost – impel me to express the hope that Congress

18   may some day seek out a different way of dealing with this problem.
