Hensley v. Roden ( 2014 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 13-1147
    KEVIN HENSLEY,
    Petitioner, Appellant,
    v.
    GARY RODEN,
    Superintendent, MCI Norfolk,
    Respondent, Appellee.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. Rya W. Zobel, U.S. District Judge]
    Before
    Howard, Selya, and Thompson,
    Circuit Judges.
    Stewart T. Graham, Jr., with whom Graham & Graham was on
    brief, for appellant.
    Jennifer L. Sullivan, Assistant Attorney General, with whom
    Martha Coakley, Attorney General, was on brief, for appellee.
    June 20, 2014
    THOMPSON, Circuit Judge.        Kevin Hensley ("Hensley") was
    convicted in Massachusetts state court of first degree murder after
    killing his estranged wife, Nancy Hensley ("Nancy").              Hensley
    appealed and the Massachusetts Supreme Judicial Court ("SJC")
    affirmed.     Hensley   turned   to   the    federal   courts.   Alleging
    violations of his Sixth Amendment rights to confrontation and
    effective assistance of counsel, he sought a writ of habeas corpus
    in United States District Court.       Unconvinced, the district court
    denied the petition.    After due consideration, we affirm.
    I. BACKGROUND
    When we consider a state conviction on habeas review, we
    presume the state court's factual findings to be correct.             See
    Abram v. Gerry, 
    672 F.3d 45
    , 46 (1st Cir. 2012).         As a result, the
    below facts are derived from the SJC decision, see Commonwealth v.
    Hensley, 
    913 N.E.2d 339
    (Mass. 2009), and the district court's
    decision, which itself drew from the SJC decision, see Hensley v.
    Roden, 
    2013 WL 22081
    (D. Mass. 2013).
    A. The Crime
    Hensley and Nancy were married in 1979 and over the years
    they had four children together. By January 2002, the marriage was
    in trouble.     The pair argued about whether Nancy was spending
    enough time at home or whether she was spending too much time at a
    local gym, possibly in the company of men.             Hensley decided to
    investigate the latter possibility by donning a fake beard and
    -2-
    following Nancy to the gym.        Though he saw no sign of infidelity on
    Nancy's    part,   Hensley   saw    her   speak   with   other   men   and   he
    confronted her.
    Shortly thereafter, on January 9, 2002, Nancy filed for
    divorce and obtained a temporary abuse prevention order against
    Hensley.    The order required Hensley to leave the family's home,
    which was located at 198 Byron Street in East Boston.            He moved to
    his sister's house in nearby Winthrop.            As per the order, Nancy
    retained custody of the children, whom Hensley was prohibited from
    contacting pending further hearing.
    On January 16 (the scheduled hearing date), the parties
    entered into an agreement.          The order, which was entered as a
    temporary order in the divorce proceeding, provided that apart from
    prearranged visitation with the children, Hensley would stay away
    from the family's home.       Hensley would have use of the couple's
    1988 Plymouth Horizon automobile and Nancy would use their 2000
    Buick LeSabre.      They agreed that the children would remain in
    Nancy's care.
    Not happy with the turn his life had taken, Hensley
    became despondent.      According to his family, friends, and work
    supervisor, Hensley appeared depressed and distraught over the
    break-up of his family. He separately confided in two friends that
    if he lost custody of his children, he would kill Nancy and then
    himself.
    -3-
    On January 22, Nancy filed a complaint for contempt in
    family court, which alleged that Hensley was not complying with the
    agreement they had entered into.              A few days later, Hensley was
    spotted   by    one   of    his   neighbors    jumping   over    a   fence   that
    surrounded an empty lot that stood opposite his home at 198 Byron
    Street.     The neighbor reported this to Nancy.                Hensley told a
    friend that he had been attempting to see his children and that
    Nancy had seen him and now she would try to take out another
    restraining order against him.
    A little over a week later, on January 31, Hensley
    reported at 6:30 a.m. to his job at the Boston transportation
    department. Around 8:00 a.m., Hensley informed his supervisor that
    he was not "feeling right" and asked if he could use some vacation
    time to head home.         Hensley then went to his sister's house where
    he stayed briefly before proceeding to 198 Byron Street.                Hensley
    parked his vehicle around the corner (and out of view) from the
    house.    He was next seen leaving the house around 11:45 a.m.                He
    left in Nancy's Buick LeSabre automobile.
    That afternoon Hensley's oldest daughter returned from
    school.     The daughter, upon heading down to the basement to get
    something to drink, found her mother's dead body. Nancy's body was
    under her bedroom comforter; a blue necktie was tied tightly around
    her neck.      She had blood on her face and hands, and her left eye
    was swollen.     Nancy was wearing one sock and the other was in the
    -4-
    kitchen with what appeared to be a bloodstain.                 There was no sign
    of forced entry.         Hensley's daughter called 911.
    Meanwhile, Hensley drove Nancy's car to a ski resort in
    New Hampshire.       Hensley parked the car and ran a dryer vent hose
    from the exhaust pipe into the car in an attempt to asphyxiate
    himself.      He was thwarted when New Hampshire police officers and
    emergency personnel pulled Hensley from the vehicle around 9:00
    p.m. and carried him to a nearby hospital.                   New Hampshire state
    police quickly learned that Hensley was the suspect in a homicide
    back   in    Massachusetts.       Hensley      was    held   on    an   involuntary
    emergency hospitalization based on his suicide attempt, which
    according to Hensley also included ingesting a bottle of sleeping
    pills.
    At 1:11 a.m., New Hampshire state police questioned a
    Mirandized Hensley about Nancy's death.               He admitted going to the
    house,      explaining    that   he   wanted    to    get    the   Buick   LeSabre
    automobile and kill himself. When asked whether he went inside the
    house, Hensley said "I think I did."                 Later in the interview he
    changed his response to: "I don't remember, it's all a blur, I just
    want to die."      Hensley also claimed not to remember whether he saw
    Nancy.       He   admitted   having    keys    to    both    the   house   and   the
    automobile.       Around 3:30 a.m., New Hampshire police learned that a
    warrant had issued in Massachusetts for Hensley's arrest.                   Hensley
    was then transported to jail.
    -5-
    B. The Trial and Conviction
    Hensley was indicted and tried for murder in the first
    degree based on alternative theories of deliberate premeditation
    and extreme atrocity or cruelty. Although Hensley did not take the
    stand, his defense was clear; he claimed mental impairment.                       In
    essence,    defense   counsel    attempted      to   show   that       Hensley    was
    incapable of forming the mental state required for first degree
    murder    under   either   of   the   charged    theories.         A    variety    of
    witnesses testified on this point. Hensley's sister testified that
    Hensley had always been a wonderful man and a doting and involved
    father.     After he was served with the initial abuse prevention
    order though, Hensley became a different person.                       According to
    Hensley's sister, he "basically fell apart," alternating between
    being depressed, hysterical, incoherent, and despondent. Hensley's
    daughter painted a similar picture, describing her father as having
    a "nervous breakdown" and not wanting to live anymore.                    Hensley's
    supervisor echoed similar sentiments.           His friends testified that
    a barely functioning Hensley "looked like a zombie."
    Testifying at trial, as a witness for the state, was Dr.
    Mark Flomenbaum, the chief medical examiner in Massachusetts at the
    time.     Dr. Flomenbaum, who did not perform Nancy's autopsy, was
    called to take the stand because Dr. William Zane, the medical
    examiner who had performed the autopsy, was not available.                        Dr.
    Flomenbaum, after speaking to his credentials and explaining the
    -6-
    autopsy   process   in   general,   turned   to   Nancy's   autopsy.   He
    explained that he had reviewed the autopsy report, supporting
    materials, and photographs.     Dr. Flomenbaum went on to opine that
    the cause of Nancy's death was "ligature strangulation," the
    mechanism being "blood starvation to the brain." He also testified
    regarding some of Dr. Zane's findings, including the length of the
    struggle, which was put at two to ten minutes, and the nature of
    the struggle, e.g., the fact that it appeared that the abrasions on
    Nancy's neck were caused by her trying to pull the ligature off
    during strangulation.     The autopsy report itself was not admitted
    into evidence; however, Dr. Flomenbaum had the report with him on
    the witness stand to refer to as needed.
    Following closing arguments, during which defense counsel
    conceded that Hensley killed Nancy but emphasized that he could not
    have formed the mental state required for a first degree murder
    conviction, the case went to the jury.        On July 14, 2002, Hensley
    was found guilty of first degree murder under both the theory of
    deliberate premeditation and extreme atrocity or cruelty.          He was
    sentenced to life in prison.
    C. The State Court Appeals
    Hensley appealed his conviction to the SJC and filed a
    motion for a new trial in Massachusetts Superior Court based on
    ineffective assistance of counsel.           His motion was denied; he
    appealed that as well. The SJC consolidated the two appeals and it
    -7-
    issued a decision on September 15, 2009. In it, the court rejected
    Hensley's myriad challenges, affirming his conviction and the
    denial of the motion for a new trial.          We need not recount all of
    Hensley's claims, or the SJC's conclusions, as only two are
    relevant to this appeal.
    The first was Hensley's claim that the trial court
    violated    his   Sixth   Amendment    right   to   confrontation    when   it
    admitted the testimony of Dr. Flomenbaum, who was not the medical
    examiner who performed Nancy's autopsy. The SJC was not persuaded.
    It found that Dr. Flomenbaum's opinion as to Nancy's cause of death
    was admissible because the doctor opined, as an expert, based on
    information properly and typically relied on by experts, and was
    subject to cross-examination.         As for Dr. Flomenbaum's testimony
    regarding Dr. Zane's specific findings contained in the autopsy
    report (on which Dr. Flomenbaum based his cause-of-death opinion),
    the SJC concluded that "such testimony may not have been admissible
    at that point in the trial" since Dr. Flomenbaum was not the one
    who prepared the autopsy report.            However, any such error was
    harmless, said the SJC, since the cause of death was not contested
    at trial.    And, according to the SJC, to the extent the testimony
    was contested at trial, such testimony went to whether Hensley was
    guilty under the theory of extreme atrocity or cruelty, e.g., the
    testimony relating to the nature and extent of the struggle.
    Therefore,    the   SJC   concluded,    because     there   was   "more   than
    -8-
    sufficient evidence" to support Hensley's conviction under the
    deliberate premeditation theory, it did not need to consider
    whether any error in admitting Dr. Flomenbaum's testimony affected
    the jury's verdict under the theory of extreme atrocity or cruelty.
    The second argument made by Hensley, relevant to this
    appeal, related to the performance of his trial counsel.        Hensley
    contended that counsel's failure to present expert testimony and
    medical records pertinent to his mental impairment, and its effect
    on his capacity, constituted ineffective assistance.
    The expert Hensley was referring to was David Rosmarin,
    M.D., a forensic psychiatrist whom Hensley's counsel had retained
    and consulted.      Dr. Rosmarin evaluated Hensley and was prepared to
    testify at trial; however, defense counsel never called him.          In
    support of his appeals, Hensley had Dr. Rosmarin pen a written
    report of his findings.        Hensley pointed out that in it, Dr.
    Rosmarin had made some favorable findings, namely that mental
    impairment    and    dissociative   symptoms   precluded   Hensley   from
    "form[ing] the intent to kill or inflict grievous bodily harm."
    However, the SJC noted that the report was not all advantageous.
    The report also contained damaging statements about Hensley's level
    of criminal responsibility, as well as a gruesome description of
    the murder, which included references to Hensley being angry and
    blaming Nancy for his suicidal designs. Moreover, the SJC found it
    significant that this was not a case in which defense counsel had
    -9-
    failed to investigate a mental impairment defense. Rather, counsel
    had thoroughly investigated (and ultimately presented) a mental
    impairment defense, but counsel made the strategic decision not to
    make Dr. Rosmarin part of that defense.              Given the damaging
    information contained in the report, the fact that calling Dr.
    Rosmarin would have opened the door for the Commonwealth's expert
    to testify, and the ample evidence of Hensley's severe depression
    offered by family and friends, the SJC concluded that counsel was
    not ineffective for failing to present Dr. Rosmarin's expert
    testimony.
    For similar reasons, the SJC was not persuaded that
    counsel   had   bobbled   things   by   not   presenting   medical   record
    evidence of Hensley's history of depression, in particular, records
    from the East Boston Neighborhood Health Center where Hensley
    treated from 1999 to 2002. While the records would have shown some
    history of anxiety and depression, the SJC found that the records
    may have brought some "unsympathetic facts" to light, such as
    Hensley's lacking depressive symptoms and refusing counseling.
    Again, given the abundance of evidence presented by family and
    friends as to Hensley's mental state, the SJC saw no error in
    counsel's decision not to introduce these medical records.           As the
    SJC said, Dr. Rosmarin and the medical records "may well have
    adversely affected the trial strategy, which was to portray Hensley
    as a suicidal, yet sympathetic family man."
    -10-
    D. Habeas Petition
    Refusing to be put off, Hensley filed a habeas corpus
    petition in the federal district court, renewing just the arguments
    chronicled       above,    i.e.,    that    his    Sixth    Amendment     right   to
    confrontation was violated when Dr. Flomenbaum's testimony was
    admitted, and his attorney's failure to introduce certain mental
    health related evidence transgressed his Sixth Amendment right to
    effective    counsel.        The    district      court    denied   the   petition,
    concluding that the SJC's decision did not run afoul of the
    applicable federal law.         Hensley now appeals.
    II. DISCUSSION
    A   district     court's      decision   to    deny    habeas   relief
    engenders de novo review.            Morgan v. Dickhaut, 
    677 F.3d 39
    ,             46
    (1st Cir. 2012).          We, like the district court, are guided by the
    Antiterrorism and Effective Death Penalty Act of 1996 (AEDPA), 28
    U.S.C. § 2254.      In the case of claims adjudicated on the merits in
    state court, AEDPA contemplates just two scenarios that warrant a
    federal court granting habeas relief.               
    Id. § 2254(d)(1)-(2).
    For one, a federal court may grant habeas relief if the
    state court adjudication "resulted in a decision that was contrary
    to, or involved an unreasonable application of, clearly established
    Federal law, as determined by the Supreme Court of the United
    States."     
    Id. § 2254(d)(1).
             This means we look to the Supreme
    Court's holdings, as opposed to dicta, at the time the state court
    -11-
    rendered its decision, González-Fuentes v. Molina, 
    607 F.3d 864
    ,
    876 (1st Cir. 2010), while employing the following criteria.
    An adjudication will be contrary to clearly established
    law if the state court "'applies a rule that contradicts the
    governing law set forth' by the Supreme Court or 'confronts a set
    of facts that are materially indistinguishable from a decision of
    [the Supreme Court] and nevertheless arrives at a result different
    from [its] precedent.'"   Gomes v. Brady, 
    564 F.3d 532
    , 537 (1st
    Cir. 2009) (alterations in original)(quoting Williams v. Taylor,
    
    529 U.S. 362
    , 405-06 (2000)).    On the other hand, a state court
    adjudication constitutes an unreasonable application "if the state
    court identifies the correct governing legal principle from the
    Supreme Court's then-current decisions but unreasonably applies
    that principle to the facts of the prisoner's case."   Abrante v.
    St. Amand, 
    595 F.3d 11
    , 15 (1st Cir. 2010) (internal quotation
    marks omitted).   An "'unreasonable application of federal law is
    different from an incorrect application of federal law,'" and a
    state court is afforded deference and latitude.     Harrington v.
    Richter, 
    131 S. Ct. 770
    , 785 (2011) (quoting 
    Williams, 529 U.S. at 410
    ).
    The second scenario justifying habeas relief is if the
    state court adjudication led to "a decision that was based on an
    unreasonable determination of the facts in light of the evidence
    presented in the State court proceeding." 28 U.S.C. § 2254(d)(2).
    -12-
    Though this means that a federal court will be taking a closer look
    at a state court's findings of fact, the fundamental principle of
    deference to those findings still applies.      See John v. Russo, 
    561 F.3d 88
    , 92 (1st Cir. 2009).
    A "state court's determination that a claim lacks merit
    precludes federal habeas relief so long as fairminded jurists could
    disagree on the correctness of the state court's decision."
    
    Harrington, 131 S. Ct. at 786
    (internal quotation marks omitted).
    The confines of our review clear, we proceed to Hensley's
    claims.
    A. Admission of Dr. Flomenbaum's Testimony
    Hensley solely contends that the SJC's decision as to the
    admission of Dr. Flomenbaum's testimony was contrary to governing
    Supreme Court precedent, see 28 U.S.C. § 2254(d)(1), specifically
    Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    (2009).       In Melendez-
    Diaz, which was decided a few months before the SJC issued its
    decision in this matter, the Supreme Court considered whether a
    Massachusetts trial court's admission into evidence of certificates
    of analysis, which reported the results of forensic analysis done
    on seized drugs, violated the defendant's constitutional rights.
    
    See 557 U.S. at 307
    .       As phrased by the Court, the operative
    question   was   whether   the   certificates   were    "'testimonial,'
    rendering the affiant 'witnesses' subject to the defendant's right
    of confrontation under the Sixth Amendment."      
    Id. -13- The
    court concluded that they were, finding that although
    under Massachusetts law the moniker for the disputed documents was
    "certificates," the so-called certificates were "quite plainly
    affidavits."           
    Id. at 310.
             Affidavits, the court explained, were
    squarely within the core class of testimonial statements, which had
    been previously chronicled in Crawford v. Washington, 
    541 U.S. 36
    ,
    51-52 (2004).1              See 
    Melendez-Diaz, 557 U.S. at 309-10
    ; see also
    United States v. Cameron, 
    699 F.3d 621
    , 640 (1st Cir. 2012)
    (explaining          that     the    Supreme    Court    ruled   that   admitting   the
    disputed certificates "violated the Confrontation Clause because
    they        fell     into    the     'core    class     of   testimonial   statements'
    identified in Crawford" (quoting 
    Melendez-Diaz, 557 U.S. at 310
    )),
    cert.       denied,     133     S.    Ct.    1845     (2013).     Significantly,    the
    certificates of analysis were "'made under circumstances which
    would lead an objective witness reasonably to believe that the
    statement would be available for use at a later trial,'" and, under
    Massachusetts law, "the sole purpose" of the certificates was to
    provide evidence about the particulars (composition, quantity) of
    the analyzed substance.                
    Melendez-Diaz, 557 U.S. at 311
    (quoting
    
    Crawford, 541 U.S. at 52
    ) (internal quotation marks omitted).
    Thus, the Court concluded that the defendant, pursuant to the
    protections afforded by the Sixth Amendment, was entitled to be
    1
    Others included: prior testimony not                        subject   to   cross
    examination, depositions, and confessions.
    -14-
    confronted at trial with the analysts who had performed the
    forensic testing, absent their unavailability and a prior cross-
    examination opportunity.         
    Id. According to
    Hensley, Melendez-Diaz "clearly established"
    that forensic documents, such as autopsy reports, prepared under
    circumstances that would lead an objective witness to believe the
    statement    would    be   available    for   use   at   a   later   trial,   are
    testimonial and not admissible absent confrontation.                  Since Dr.
    Zane, the author of Nancy's autopsy report, did not testify,
    Hensley     claims    that    the   autopsy    report    was    non-admissible
    testimonial hearsay.         From this, Hensley extrapolates that it was
    error for Dr. Flomenbaum to recite facts contained in the autopsy
    report and to offer opinions based on the report.2             Hensley further
    claims that the court's admission of the testimony was not, as the
    SJC found, harmless error.
    Unfortunately for Hensley, his Confrontation Clause claim
    fails from its starting presumption.          The "threshold question" in
    these types of claims "is whether the challenged statement is
    testimonial." United States v. Figueroa-Cartagena, 
    612 F.3d 69
    , 85
    (1st Cir. 2010).      "If it is not, the Confrontation Clause 'has no
    application.'"       
    Id. (quoting Whorton
    v. Bockting, 
    549 U.S. 406
    ,
    420 (2007)).
    2
    One opinion is excepted. Hensley does not contest on appeal
    that Dr. Flomenbaum's opinion as to the cause of death was
    admissible.
    -15-
    Here, contrary to the position Hensley takes on appeal,
    Melendez-Diaz did not say one way or the other whether autopsy
    reports     should   be   considered    testimonial.      Indeed,   the   only
    allusion to autopsy reports in the majority opinion is in a
    footnote.     There, in response to the dissent's suggestion that the
    Confrontation Clause is not designed to detect errors in scientific
    tests, and that other methods such as a new test might better serve
    that purpose, the majority provided autopsies as an example of a
    forensic test that cannot be repeated. See 
    Melendez-Diaz, 557 U.S. at 318
    & n.5; see also 
    id. at 337
    (Kennedy, J., dissenting).               The
    Court in no way - explicitly or implicitly - indicated that autopsy
    reports are testimonial in nature.            It simply used autopsies as an
    example of a forensic test where do-overs are not possible.
    As the Supreme Court stated, Melendez-Diaz "involves
    little more than the application of" the Crawford v. Washington
    holding.3    
    Melendez-Diaz, 557 U.S. at 329
    .          And notably, although
    3
    Given this characterization, it is worth mentioning that
    post-Crawford and pre-Melendez-Diaz, the weight of the case law
    appears to be against Hensley. See, e.g., United States v. De La
    Cruz, 
    514 F.3d 121
    , 133 (1st Cir. 2008) (holding that an autopsy
    report is a non-testimonial business record); United States v.
    Feliz, 
    467 F.3d 227
    , 236 (2d Cir. 2006) (same).      Thus, courts
    consistently rejected Crawford-based habeas petitions that relied
    upon the supposedly erroneous admission of autopsy reports. See
    Mitchell v. Kelly, 
    520 F. App'x 329
    , 331 (6th Cir. 2013) (per
    curiam) (holding that the state court did not unreasonably apply
    Crawford "given the lack of Supreme Court precedent establishing
    that an autopsy report is testimonial"), cert. denied, 
    134 S. Ct. 312
    (2013); Vega v. Walsh, 
    669 F.3d 123
    , 128 (2d Cir. 2012) (per
    curiam) (holding that the state court's decision was not contrary
    to Crawford as reasonable jurists could disagree as to whether
    -16-
    Crawford described a core class of testimonial statements (which
    did   not    include   autopsy   reports),   it   was   hardly   definitive,
    "leav[ing] for another day any effort to spell out a comprehensive
    definition of 'testimonial.'"         
    Crawford, 541 U.S. at 68
    .          The
    Supreme Court continued taking this approach, declining to "produce
    an exhaustive classification of all conceivable statements . . . as
    either testimonial or nontestimonial" in Davis v. Washington, 
    547 U.S. 813
    , 822 (2006).      In other words, things are not as clear cut
    as Hensley would make them out to be.
    Further evidencing the unsettled nature of the issue at
    hand is how courts have treated autopsy reports following Melendez-
    Diaz.     Most notably, this court in Nardi v. Pepe stated that "an
    autopsy report can be distinguished from, or assimilated to, the
    sworn documents in Melendez-Diaz."           
    662 F.3d 107
    , 111 (1st Cir.
    2011).      Referring to whether autopsy reports are covered by the
    Confrontation Clause, we continued: "no one can be certain just
    what the Supreme Court would say about that issue today."4              Id.;
    autopsy reports came within Crawford's formulations); McNeiece v.
    Lattimore, 
    501 F. App'x 634
    , 636 (9th Cir. 2012) (holding that
    because Crawford did not clearly establish that autopsy reports are
    testimonial, the state court's decision that portions of an autopsy
    report were admissible was not contrary to Supreme Court
    precedent), cert. denied, 
    133 S. Ct. 2357
    (2013).
    4
    In Nardi, we added that even were the Supreme Court to
    classify autopsy reports as testimonial, it is not clear whether
    "the admissibility of in-court expert testimony that relied in some
    measure on such a report would be 
    affected." 662 F.3d at 112
    . We
    noted the witness's ability to be cross-examined and the
    longstanding tradition of allowing experts to rely on hearsay where
    -17-
    see also United States v. McGhee, 
    627 F.3d 454
    , 459 (1st Cir. 2010)
    (noting that the Melendez-Diaz Court was "sharply divided" and that
    the Court's "new slant on the Confrontation Clause is likely to be
    contested territory for some years"), vacated on reh'g on other
    grounds, 
    651 F.3d 153
    (1st Cir. 2011).
    When    other     courts,    post       Melendez-Diaz,      have     been
    confronted    with     the   question     of    whether     autopsy   reports     are
    testimonial or not, disparity of treatment has reigned. On the one
    hand, some courts have concluded that autopsy reports are not
    testimonial.        See, e.g., United States v. James, 
    712 F.3d 79
    , 99
    (2d Cir. 2013) (deciding that the autopsy report at issue "was not
    testimonial because it was not prepared primarily to create a
    record for use at a criminal trial"), cert. denied, 
    2014 WL 2178370
    (May 27, 2014); People v. Dungo, 
    286 P.3d 442
    , 450 (Cal. 2012)
    (finding that even though California's statutory scheme required
    the reporting of suspicious autopsy findings to law enforcement, an
    autopsy serves several purposes and the "autopsy report itself was
    simply an official explanation of an unusual death, and such
    official records are ordinarily not testimonial"); Banmah v. State,
    
    87 So. 3d 101
    , 103 (Fla. Dist. Ct. App. 2012) (concluding that
    autopsy reports are not testimonial because they are made pursuant
    to   a   statutory      duty    and   not,      in    all   instances,     used    in
    doing so is common practice. 
    Id. Given our
    determination today
    though, there is no need for us to wade into this thicket.
    -18-
    prosecutions); People v. Cortez, 
    931 N.E.2d 751
    , 756 (Ill. App. Ct.
    2010) (finding that Melendez-Diaz did not upset the court's prior
    holdings that autopsy reports are business records without Crawford
    implications).
    On the flip side, courts have come down the other way,
    finding   autopsy    reports    testimonial     and   affording   them   the
    protection of the Confrontation Clause.          See, e.g., United States
    v. Ignasiak, 
    667 F.3d 1217
    , 1231 (11th Cir. 2012) (holding that,
    applying the logic of Crawford, Melendez-Diaz, and Bullcoming, the
    autopsy reports at issue were testimonial); Commonwealth v. Avila,
    
    912 N.E.2d 1014
    , 1029, 1030 n.20 (Mass. 2009) (finding that the
    medical examiner's autopsy report statements were testimonial);
    Cuesta-Rodriguez v. State, 
    241 P.3d 214
    , 228 (Okla. Crim. App.
    2010)   (holding    that   in   light   of   Oklahoma's   statutory   scheme
    relative to the medical examiner's duty in the case of a suspicious
    death, an autopsy report in such cases would be testimonial); Wood
    v. State, 
    299 S.W.3d 200
    , 209-10 (Tex. Ct. App. 2009) (holding that
    although not all autopsy reports are testimonial, given the suspect
    nature of the victim's death, the subject autopsy report was
    testimonial).
    Of course, for habeas purposes, the operative time period
    for assessing whether or not a rule is clearly established is at
    the time the state court renders its judgment, Greene v. Fisher,
    
    132 S. Ct. 38
    , 44 (2011).       However, highlighting later or present
    -19-
    uncertainty of the law can help us gauge how unsettled the law was
    at the time the operative state court decision was issued.             See,
    e.g., 
    Nardi, 662 F.3d at 112
    (stating that "we stress the present
    uncertainty of the law only to emphasize that it was even more
    unsettled at the time of Crawford just how far that decision would
    be extended"). As the above cases make clear, even after Melendez-
    Diaz had been around a little longer, it was still uncertain where
    autopsy reports stood.      This strongly undercuts Hensley's claim
    that   the   testimonial   nature   of     autopsy   reports   was   clearly
    established.
    In an effort to get around this fact, Hensley urges us
    away from the narrow issue of whether the Supreme Court had, at the
    time of the SJC decision, determined that autopsy reports in
    particular are testimonial and asks us instead to focus on the
    general parameters set by Melendez-Diaz.         He claims Melendez-Diaz
    clearly established that a forensic document is testimonial if it
    was prepared under circumstances that would lead an objective
    witness to believe that it would be available for use at a later
    trial.   Because the Massachusetts statutory scheme requires (among
    other things) that if a medical examiner suspects foul play, he or
    she alert the district attorney and make available any records from
    the investigation, see Mass. Gen. Laws ch. 38, § 7, Hensley claims
    that an objective witness would believe that an autopsy report
    might be used in later criminal proceedings.
    -20-
    Even assuming Hensley has adequately characterized what
    Melendez-Diaz says, his argument misses the mark.             He is correct
    that AEDPA does not require a "Supreme Court case directly on all
    fours," and instead it is sufficient if the Court's "general
    principles can be discerned."       White v. Coplan, 
    399 F.3d 18
    , 25
    (1st Cir. 2005).    However, it is also true that the "contrary to"
    habeas standard is a difficult one to meet; federal habeas relief
    functions as a "guard against extreme malfunctions in the state
    criminal justice systems, and not as a means of error correction."
    
    Greene, 132 S. Ct. at 43
    (internal quotation marks omitted).              The
    state court decision "must be substantially different from the
    relevant precedent of [the Supreme] Court."           
    Williams, 529 U.S. at 405
    .
    Taken    in   this   light,   we   cannot    see   how   the   SJC's
    rejection of Hensley's Confrontation Clause argument was contrary
    to governing Supreme Court precedent.         As we hashed out above, at
    the time the SJC issued its decision (and indeed well after that),
    it was not settled that autopsy reports fell within the core class
    of testimonial documents enumerated in Crawford, or within the
    parameters set by Melendez-Diaz.        Given that the Supreme Court had
    given no clear answers relative to this issue, it cannot be said
    -21-
    that the SJC's decision was contrary to clearly established law.5
    Hensley's Confrontation Clause entreaty fails.
    B. Ineffective Assistance of Counsel
    The other half of Hensley's appeal relates to his Sixth
    Amendment right to effective representation. To remind the reader,
    Hensley faults his counsel for not presenting David Rosmarin, M.D.
    (the forensic psychiatry expert retained by the defense) as a
    witness, and for not introducing into evidence medical records
    pertinent to his mental impairment, and its effect on his capacity.
    Hensley claims that the SJC's rebuke of his ineffective assistance
    of   counsel       claim      was   an    unreasonable       application   of     clearly
    established federal law, see 28 U.S.C. § 2254(d)(1), as well as an
    unreasonable         determination         of   the   facts     given    the    evidence
    presented at trial, see 
    id. § 2254(d)(2).
                        We can make quick work
    of the second part of his contention and so begin there.
    i. Section 2254(d)(2) Claim
    Hensley argues that the SJC's determination that counsel
    was not deficient for failing to introduce his medical records was
    based       in   part    on   clear      factual    error,    which    resulted    in   an
    unreasonable determination of the facts.                     See 
    id. In particular,
    Hensley highlights some of the court's factual findings about
    5
    In light of our determination, there is no need to get into
    whether it was error for Dr. Flomenbaum to testify about, and offer
    opinions based on, Nancy's autopsy report. Similarly, delving into
    the impact of the admission of the report on Hensley's case, i.e.,
    whether it was harmless error, will not be required.
    -22-
    portions of his medical records, which the court perceived could
    have had a negative impact on the jury, thus validating counsel's
    decision not to introduce the records.
    The problem is that although Hensley frames this as a
    fact-based habeas challenge, a review of his brief reveals that he
    does    not   dispute   the   accuracy   of   any   of   the   SJC's   factual
    determinations.      Rather, Hensley quibbles with the emphasis the
    court put on certain facts or the context in which the court placed
    the facts.      For example, Hensley complains that the SJC's finding
    that "Hensley was greatly concerned that his depression medication
    was impairing his sexual performance" bore no relevance.               Hensley
    also faults the district court for not mentioning - when it found
    that Hensley "had showed no symptoms of depression during two
    separate visits" - that those visits occurred back in 1999.                 In
    other words, Hensley does not even allege that the court's factual
    findings were erroneous, let alone furnish us with evidentiary
    support to overcome the "fundamental principle of deference to
    state court findings" that § 2254(d)(2) calls for.             
    John, 561 F.3d at 92
    (internal quotation marks omitted).           There is no more to be
    said.    Hensley's § 2254(d)(2) challenge fails.
    ii. Section 2254(d)(1) Claim
    The rest of Hensley's ineffective assistance habeas claim
    goes like so.      According to Hensley, the SJC's determination that
    his Sixth Amendment right was not abridged - either by counsel's
    -23-
    failure to call Dr. Rosmarin or introduce the medical records -
    was an unreasonable application of Strickland v. Washington, 
    466 U.S. 668
    (1984).6    See 28 U.S.C. § 2254(d)(1).
    For   a   defendant     to    be   entitled     to   reversal     of   a
    conviction pursuant to Strickland, he must make a two part 
    showing. 466 U.S. at 687
    .       The first piece is that defense counsel's
    performance was deficient, that is, the attorney "made errors so
    serious   that   counsel    was    not    functioning      as    the   'counsel'
    guaranteed the defendant by the Sixth Amendment."                
    Id. On top
    of
    a flawed performance, there must also be prejudice to the defense.7
    
    Id. It must
    be "reasonably likely" that the result of the criminal
    proceeding   would   have   been    different,       
    id. at 696,
      and   that
    likelihood   "must    be    substantial,       not    just      conceivable."
    
    Harrington, 131 S. Ct. at 792
    .           The defendant's burden is a heavy
    one, Turner v. United States, 
    699 F.3d 578
    , 584 (1st Cir. 2012),
    and an ineffective assistance of counsel showing is not an easy one
    6
    The SJC actually considered Hensley's ineffective assistance
    of counsel claim under Commonwealth v. Williams, which, like
    Strickland, places a dual focus on counsel's performance and
    defendant's prejudice.     See 
    900 N.E.2d 871
    , 874 (Mass. 2009)
    (citing Commonwealth v. Wright, 584 N.E.2d. 621, 624 (Mass. 1992)).
    The Massachusetts standard employed by the SJC is at least as
    protective of defendants as the federal standard. See Yeboah-Sefah
    v. Ficco, 
    556 F.3d 53
    , 70 n.7 (1st Cir. 2009). Hensley does not
    claim otherwise.
    7
    Given that neither the SJC nor the district court saw any
    problem with how counsel comported himself, they did not consider
    the prejudice prong.
    -24-
    to make given our deferential review, United States v. Valerio, 
    676 F.3d 237
    , 246 (1st Cir. 2012).
    Since we are considering a habeas challenge, we are not
    actually     tasked     with    deciding       whether   Hensley's     counsel's
    performance fell short of Strickland's requirements; rather the
    "pivotal question is whether the state court's application of the
    Strickland standard was unreasonable."             
    Harrington, 131 S. Ct. at 785
    .       Here,   it    is    clear,    the    SJC's    application     was   not
    unreasonable. We start with the retained (but not called) forensic
    psychiatrist, Dr. Rosmarin.
    As the SJC noted, Dr. Rosmarin's testimony, according to
    his later obtained affidavit, would have been a mixed bag. For
    instance, Dr. Rosmarin concluded that Hensley suffered from Major
    Depression, and in the moments before Nancy's killing, could not
    "conceive of" killing Nancy or weigh such a decision or "act in
    furtherance of this weighing."           Hensley "was not able to form the
    intent to kill or inflict grievous bodily harm" because mental
    impairment and dissociative symptoms prevented him from doing so.
    Not surprisingly, Hensley hones in on these statements; however,
    Dr. Rosmarin's take was not all favorable.               Dr. Rosmarin had also
    determined that Hensley "did not lack criminal responsibility for
    the    killing."        And    Dr.   Rosmarin     relayed    Hensley's     grisly
    description of the murder.           Particularly, Hensley stated that he
    -25-
    was "angry" and "afraid I might beat [Nancy] up."         Hensley said he
    started "choking her," stating "[y]ou destroyed me and my family."
    "The decision whether to call a particular witness is
    almost always strategic, requiring a balancing of the benefits and
    risks of the anticipated testimony." Horton v. Allen, 
    370 F.3d 75
    ,
    86 (1st Cir. 2004).       Here, in addition to keeping out some
    potentially nocuous testimony, trial counsel's decision not to call
    Dr. Rosmarin meant that the state could not present the rebuttal
    expert witness that it had retained. It is on Hensley to "overcome
    the presumption that, under the circumstances, the challenged
    action might be considered sound trial strategy."         
    Strickland, 466 U.S. at 689
    (internal quotation marks omitted).         It is plain that
    he has not done that here.
    We reach the same conclusion as to Hensley's East Boston
    Neighborhood Health Center medical records. As with Dr. Rosmarin's
    testimony, it is possible the medical records would have done more
    harm than good to Hensley's case.             The records did evidence
    Hensley's history of depression and anxiety.          However, as the SJC
    pointed out, a jury may not have looked favorably on other portions
    of the records, e.g., many notations regarding Hensley's concern
    with how his anti-anxiety medication was affecting his sexual
    performance (albeit with a couple of mentions of how this was
    impacting   his   marriage),   a   notation   about   Hensley's   lack   of
    -26-
    depressive symptoms, as well as one regarding a refusal to go to
    counseling.
    To prevail under Strickland, counsel's choice must have
    been "so patently unreasonable that no competent attorney would
    have made it."     United States v. Rodriguez, 
    675 F.3d 48
    , 56 (1st
    Cir. 2012) (internal quotation marks omitted).    Given the possible
    negative impact of the medical records, and the fact that other
    evidence (family and friend testimony) demonstrated Hensley's
    depression, we find it hard to see how defense counsel's decision
    not to introduce the East Boston Neighborhood Health Center medical
    records was patently unreasonable.
    To sum things up, the SJC reasonably determined that
    defense counsel's decision not to call Dr. Rosmarin, or present the
    subject medical records, was sound.      Hensley's attorney clearly
    investigated and pursued a mental incapacity defense.           Counsel
    retained Dr. Rosmarin and had him evaluate Hensley three times
    prior   to    trial.    Counsel   obtained   Hensley's   East    Boston
    Neighborhood Health Center medical records and provided these
    records to Dr. Rosmarin.     Counsel then reasonably elected to try
    and establish Hensley's mental impairment through testimony from
    his friends and family, choosing not to introduce expert testimony
    from a forensic psychiatrist or the medical records pertaining to
    Hensley's mental health treatment.       Counsel obtained a mental
    impairment instruction and argued in summation that Hensley's
    -27-
    impairment made murder in the second degree the more appropriate
    choice.
    Relief pursuant to 28 U.S.C. § 2254(d)(1) is not called
    for when this court might merely have a differing opinion as to how
    things should have turned out.        See Sanna v. Dipaolo, 
    265 F.3d 1
    ,
    13 (1st Cir. 2001).       To the contrary, the "state court decision
    must be so offensive to existing precedent, so devoid of record
    support, or so arbitrary, as to indicate it is outside the universe
    of plausible, credible options."            
    Id. (internal quotation
    mark
    omitted).     This is a high hurdle, which we are not even close to
    surmounting here.       Hensley has failed to cast doubt on the SJC's
    decision as to his Sixth Amendment ineffective assistance of
    counsel claim.    The SJC did not unreasonably apply Strickland when
    it   concluded   that    Hensley's    attorney's   performance   was   not
    deficient.8    Hensley's § 2254(d)(1) contest is without merit.
    III. CONCLUSION
    Both Hensley's Sixth Amendment right to confrontation
    offering, and right to effective representation imploration, fall
    short.    The district court's denial of Hensley's petition for
    habeas relief is affirmed.
    8
    Because (as we see it) the SJC's determination regarding
    counsel's performance was not unreasonable, we need not get into
    Strickland's prejudice component.
    -28-