United States v. Michael Sanderson , 521 F. App'x 232 ( 2013 )


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  •                              UNPUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 12-6274
    UNITED STATES OF AMERICA,
    Plaintiff – Appellee,
    v.
    MICHAEL SANDERSON,
    Defendant – Appellant.
    Appeal from the United States District Court for the District of
    South Carolina, at Greenville.    G. Ross Anderson, Jr., Senior
    District Judge. (6:11-cr-00331-GRA-1)
    Argued:   January 30, 2013                 Decided:   May 29, 2013
    Before DAVIS, DIAZ, and THACKER, Circuit Judges.
    Affirmed by unpublished opinion. Judge Diaz wrote the majority
    opinion, in which Judge Thacker joined.   Judge Davis wrote a
    dissenting opinion.
    ARGUED: Benjamin Thomas Stepp, OFFICE OF THE FEDERAL PUBLIC
    DEFENDER, Greenville, South Carolina, for Appellant.    Jeffrey
    Mikell Johnson, OFFICE OF THE UNITED STATES ATTORNEY, Columbia,
    South Carolina, for Appellee.    ON BRIEF: Kimberly H. Albro,
    Research and Writing Specialist, OFFICE OF THE FEDERAL PUBLIC
    DEFENDER, Columbia, South Carolina, for Appellant.   William N.
    Nettles, United States Attorney, Robert F. Daley, Jr., Maxwell
    B. Cauthen, III, Assistant United States Attorneys, OFFICE OF
    THE UNITED   STATES   ATTORNEY,   Columbia,   South   Carolina,   for
    Appellee.
    Unpublished opinions are not binding precedent in this circuit.
    2
    DIAZ, Circuit Judge:
    Michael Sanderson was indicted for failing to register as a
    sex   offender      in   South    Carolina,         in   violation       of   
    18 U.S.C. § 2250
    .       The     district       court        determined      that   Sanderson     is
    incompetent to stand trial and ordered that he be involuntarily
    medicated     in    an   attempt       to    restore        competency.       Sanderson
    appeals, claiming that involuntary medication, in this instance,
    does not comply with the requirements of the Fifth Amendment’s
    Due Process Clause.        For the reasons that follow, we affirm.
    I.
    In 1998, Sanderson was convicted of attempted aggravated
    sexual battery in Virginia state court, based on an incident
    involving an eleven-year-old girl.                    Because of his conviction,
    Sanderson was required to register as a sex offender.                              He was
    convicted twice in Virginia state court for failing to register.
    Toward the end of 2010, Sanderson moved to South Carolina,
    where he again allegedly failed to register.                          After Sanderson
    missed a scheduled meeting with a probation officer in Virginia,
    a   warrant   was     issued     for    his       arrest.         Thereafter,      federal
    authorities        arrested    him     at     a     motel    in    Greenville,      South
    Carolina.     Sanderson’s motel room was littered with pornographic
    pictures and contained an intricate memorial to a country music
    star, who Sanderson claimed was his common law wife.                          A federal
    3
    grand jury indicted Sanderson for failing to register pursuant
    to the Sex Offender Registration and Notification Act (“SORNA”),
    in violation of 
    18 U.S.C. § 2250
    .
    Following         the    indictment,         Dr.     Dawn    Graney,     a   forensic
    psychologist      at    the    Federal      Correctional          Institution,       Butner
    (“FCI Butner”), provided the court with an initial mental health
    evaluation,       which      summarized       Sanderson’s         lengthy     history    of
    mental health       treatment.          Dr.       Graney    offered    a     diagnosis   of
    Personality    Disorder         Not   Otherwise         Specified      with    Antisocial
    Features and provisional diagnoses of Schizoaffective Disorder,
    Alcohol Dependence with Physiological Dependence in a Controlled
    Environment, and Paraphilia Not Otherwise Specified.                           During the
    evaluation, Sanderson was defensive, rejected the diagnosis of
    mental   illness,       and    refused      to     take    medication.         Dr.    Graney
    concluded that Sanderson would be unable to assist in his own
    defense,    but    that       there   was     a    substantial        probability       that
    antipsychotic medications could restore Sanderson’s competency.
    On July 6, 2011, a magistrate judge conducted an initial
    competency hearing and (1) held that Sanderson was not competent
    to stand trial; and (2) ordered that Sanderson remain at FCI
    Butner for further treatment.
    Several      months       later,    Dr.       Byron    Herbel     and    Dr.     Robert
    Cochrane submitted a second forensic evaluation report.                                 They
    diagnosed     Sanderson        with     Schizophrenia,           Paranoid     Type,    with
    4
    Interepisode Residual Symptoms; Alcohol Dependence in Early Full
    Remission in a Controlled Environment; Cannabis Abuse in Early
    Full   Remission        in    a    Controlled      Environment;      Paraphilia       Not
    Otherwise Specified; and Antisocial Personality Disorder.                         Drs.
    Herbel     and    Cochrane        noted    that    prior    evaluations       described
    Sanderson as being a moderate risk to reoffend; however, they
    offered no independent opinion concerning Sanderson’s risk for
    recidivism as a sex offender.
    Drs. Herbel and Cochrane concluded that Sanderson remained
    incompetent to stand trial.                 They also found that involuntary
    medication       was    substantially       likely     to   return        Sanderson    to
    competency and substantially unlikely to have side effects that
    would interfere significantly with Sanderson’s ability to assist
    in   his   own     defense.         Drs.    Herbel    and     Cochrane      proposed    a
    specific treatment plan, which they concluded to be medically
    appropriate.
    The district court held a second competency hearing, at
    which Dr. Herbel was the only witness.                        Consistent with his
    report,    Dr.     Herbel      testified      that    there    was    a     substantial
    probability        that       antipsychotic        medications       would      restore
    Sanderson’s competency to stand trial and that less intrusive
    measures would not be effective.                  Dr. Herbel also testified that
    there was no evidence that Sanderson posed any danger to himself
    or   others      and   that    Sanderson     would    therefore      be    unlikely    to
    5
    satisfy the criteria for civil commitment.                       At the conclusion of
    the hearing, the court indicated it would order that Sanderson
    be   involuntarily        administered         antipsychotic          medications.         On
    January 30, 2012, the court issued a written order.
    This appeal followed.              We have jurisdiction to review the
    district court’s interlocutory order pursuant to Sell v. United
    States, 
    539 U.S. 166
    , 176-77 (2003) (holding that an order to
    involuntarily medicate a defendant is an appealable “collateral
    order”).
    II.
    A.
    Sanderson      contends      that        the     district        court     erred     in
    granting     the    government’s         request       that      he    be     involuntarily
    administered       antipsychotic          medications.                 To     assess      that
    contention,    we    consider      whether       the      record      evidence     presents
    special    circumstances      sufficient         to       overcome     the     government’s
    concededly     significant         interest          in    prosecuting          Sanderson’s
    alleged    SORNA     violation.           We     review       the      district     court’s
    analysis of this issue de novo.                      United States v. White, 
    620 F.3d 401
    , 410 (4th Cir. 2010).
    An   individual       has    a     constitutionally             protected     liberty
    interest in avoiding involuntary administration of antipsychotic
    drugs,     which    may     only    be     overcome         by    an        “essential”    or
    6
    “overriding” state interest.                   Sell, 
    539 U.S. at 178-79
    .               The
    Supreme    Court       has    suggested       that    the    instances   in    which   the
    government      may     seek       such   a   remedy    to    restore    a    defendant’s
    competency to stand trial “may be rare,” 
    id. at 180
    , and we too
    have cautioned against making this a routine remedy, see White,
    
    620 F.3d at 422
    .
    When the government seeks to forcibly medicate a defendant
    to   stand      trial,       the    Due   Process      Clause     requires      that   the
    government establish by clear and convincing evidence that (1)
    important governmental interests are at stake and not outweighed
    by   special      circumstances           that       diminish    those       governmental
    interests; (2) involuntary medication will significantly further
    those    governmental          interests;       (3)    involuntary       medication    is
    necessary to further those interests; and (4) the administration
    of the drugs is medically appropriate.                       Sell, 
    539 U.S. at
    180-
    81; United States v. Bush, 
    585 F.3d 806
    , 813-14 (4th Cir. 2009).
    With respect to the first factor, the Supreme Court has
    provided an illustrative list of “special circumstances” that
    could    override       an     important       governmental      interest:       (1)   the
    potential for civil confinement; (2) the potential for future
    confinement for a defendant who regains competence; and (3) the
    length     of    the     defendant’s          incarceration      while       charges   are
    pending.     Sell, 
    539 U.S. at 180
    .
    7
    In White, we concluded that the government’s interest in
    prosecuting a defendant for conspiracy, credit card fraud, and
    identity theft did not outweigh her liberty interest.                   
    620 F.3d at 422
    .       In doing so, we relied on four special circumstances:
    (1) White would likely have spent a “significant amount of time”
    in pretrial detention in relation to her likely sentence before
    her   trial    could   even   begin;     (2)   White’s     alleged   crimes    were
    entirely non-violent; (3) White would likely not pose a threat
    to the public, because she would not be permitted to carry a
    firearm; and (4) the proposed antipsychotic drugs had rarely
    been tried on someone with White’s diagnosed condition.                     
    Id. at 413-14
    .
    With this legal framework in place, we turn to consider the
    parties’ contentions on appeal.
    B.
    Sanderson argues only that the government has failed to
    satisfy the first Sell factor.            While conceding that there is an
    important      governmental      interest       in   prosecuting      the     SORNA
    offense,      Sanderson       contends       that    the    following       special
    circumstances of his case override the government’s interest in
    prosecuting     him:   (1)    the   charged     offense    is   non-violent     and
    victimless; (2) even if released, Sanderson will be monitored
    under SORNA and remain on indefinite probation in Virginia; (3)
    Sanderson does not pose any danger to the public or himself, as
    8
    evidenced by his lack of criminal behavior in the last ten to
    fifteen years, except for his failure-to-register offenses; (4)
    Sanderson will have spent a significant amount of his likely
    sentence in pretrial detention by the time he would be medicated
    and tried; and (5) the government could easily try Sanderson
    later if he regained competency because the evidence against him
    is   largely    documentary      and     not      dependent    upon   the   memory    of
    witnesses.
    The government contends that none of Sanderson’s supposed
    special circumstances outweigh its interest in prosecuting the
    charged offense.         According to the government, it is irrelevant
    that Sanderson’s alleged crime is non-violent because SORNA aims
    to protect society from sex offenders by providing information
    concerning      their       location.        In    the   government’s       view,    the
    charged   offense       is    deemed    serious      because    of    the   threat    to
    society as a whole.           Second, the fact that Sanderson is already
    subject to monitoring and supervision provides little comfort to
    the government; Sanderson faces prosecution precisely because he
    has ignored those requirements.                  Third, the government says that
    Sanderson      poses    a    threat     if   released     because     he    is   a   sex
    offender who has repeatedly violated his obligation to register
    and has a history of violent offenses.                    Fourth, the government
    contends that the length of Sanderson’s pretrial detention is
    not long in relation to his likely sentence, and he is likely to
    9
    be     restored      to   competency        by     antipsychotic           medications.
    Finally,     the    government     posits       that   a    trial    may   never        occur
    unless Sanderson receives medication because Sanderson is not
    likely to regain competency on his own and even if he does, the
    government may well face challenges locating Sanderson in the
    future.
    The   district     court     agreed        with      the     government.              It
    concluded     that    Sanderson’s        failure-to-register          offense,          which
    carries a ten-year maximum sentence, is a serious offense that
    the government has an important interest in prosecuting.                                  The
    court rejected Sanderson’s argument that special circumstances
    override that interest.             First, it concluded that Sanderson’s
    then    eleven-month      period    of     pretrial         confinement      was    fairly
    brief compared to his likely sentence.                       Second, it found that
    Sanderson’s        competence      is    likely        to    be     restored       by    the
    prescribed treatment plan.              Therefore, the court concluded that
    the first Sell factor was satisfied.                     The court also concluded
    that the remaining Sell factors, which are not challenged on
    appeal, were satisfied.
    C.
    We hold that the relevant special circumstances in this
    case are insufficient to override the government’s interest in
    prosecuting         Sanderson      for      the        charged       SORNA     offense.
    Considering        Sanderson’s    purported       special         circumstances         as   a
    10
    whole, they present a less compelling argument against forcible
    medication than the circumstances in White and fail to mitigate
    the government’s interest in prosecuting him.
    To begin with, the nature of the crime weighs in favor of
    forcible medication.          While Sanderson’s alleged SORNA violation
    is    technically    a     non-violent    crime,         the    government      correctly
    notes that the purpose of failure-to-register laws is to protect
    society as a whole from sex offenders.                    This stands in contrast
    to the nature of the credit card fraud and identity theft crimes
    charged in White, which, while certainly serious, are different
    in both degree and kind.
    Second, the monitoring requirements imposed by SORNA and
    Virginia’s    probation        judgment       do    not        help   Sanderson        here.
    Indeed,     the    factual     record     is       replete       with    instances       of
    Sanderson ignoring these requirements, including two convictions
    in Virginia for failing to register, along with his absconding
    from supervision in Virginia when he moved to South Carolina.
    Third, the issue of whether Sanderson poses a public threat
    weighs in favor of forcible medication.                          We acknowledge that
    Sanderson    has     not    been   convicted        of    any     crime,   other       than
    failing to register, since 1998.                   Nor does the record contain
    any    evidence     that    Sanderson     has      been    aggressive      or     violent
    during that period.            Nonetheless, Sanderson has a history of
    violent    offenses        predating    the     offense         giving   rise     to    his
    11
    registration obligation, including assault with a deadly weapon,
    various firearms offenses, and battery.                               Further, Sanderson’s
    argument that he has not been prone to violence since 1998 is
    undercut by the fact that he has spent a substantial amount of
    that    time       in    prison.         And      while      Dr.   Herbel’s       opinion   that
    Sanderson “does seem to have some kind of sexual problems” is
    not    particularly           compelling,             J.A.   69,   previous       psychosexual
    reports indicated that Sanderson was at a “moderate risk” to
    reoffend       in       the   community.              Our    concerns     about      Sanderson’s
    record       are    buttressed          by    SORNA’s        policy     that    previous    sex
    offenders should be monitored because they pose future threats.
    And the fact that Sanderson, while posing a potential threat, is
    not    dangerous         enough    to    be       a    candidate    for    civil     commitment
    weighs in favor of forcible medication because Sanderson will go
    free if he is not restored to competency.                             See United States v.
    Evans, 
    404 F.3d 227
    , 239 (4th Cir. 2005).
    Fourth, the length of Sanderson’s pretrial detention does
    not greatly mitigate the government’s interest.                                 In White, the
    defendant had spent nearly forty-one months in prison by the
    time we issued the majority opinion in her case, a period of
    confinement that the opinion’s author suggested might be close
    to    that    she       was   likely         to   receive      based    on     her   Guidelines
    12
    sentence.             See    White,    
    620 F.3d at 418
        (Davis,       J.). 1      By
    comparison,           Sanderson       had     spent     approximately        two     years     in
    pretrial detention 2 when we heard oral argument in this case.                                In
    the    district         court,    counsel         estimated    Sanderson’s          Guidelines
    sentence         to    be    forty-one      to    fifty-one        months’    imprisonment.
    Assuming that this range is a reasonable estimate of Sanderson’s
    expected         prison      sentence,      the    length     of    Sanderson’s       pretrial
    detention does not detract substantially from the government’s
    interest in prosecuting him.
    Apart from White, we have looked to the statutory maximum
    in    assessing        the    length     of    pretrial      detention,       a    test     under
    which Sanderson fares worse.                      For example, we previously held
    that       two    years      of   pretrial        detention    did     not    constitute       a
    significant           “special     circumstance”         for   a     defendant       facing     a
    potential         eight-year       sentence.            Evans,       
    404 F.3d at 239
    .
    Sanderson faces an even greater statutory maximum sentence of
    ten years.            Thus, while Sanderson’s extensive period of pretrial
    detention weakens the government’s interest in prosecuting the
    1
    The Sixth Circuit recently cited favorably to this portion
    of White and also measured the length of a defendant’s pretrial
    detention against the Guidelines range.     See United States v.
    Grigsby, No. 11-3736, 
    2013 WL 1458009
    , at *9 (6th Cir. April 11,
    2013).
    2
    We acknowledge that Sanderson’s treatment regimen may
    extend to 12-14 weeks before he may be fit to stand trial.
    Adding this period to the length of his pretrial detention does
    not have a material impact on our analysis.
    13
    offense, it does not defeat it entirely under either the measure
    employed in Evans or Judge Davis’s opinion for the court in
    White. 3
    Fifth, while it is true that the government will not be
    substantially burdened in proving the offense if the case is
    delayed,    the        record    suggests    that    Sanderson    will       not   regain
    competence        without       medication.         Therefore,     the      theoretical
    potential of a future prosecution does little to weigh against
    the government’s interest in trying Sanderson now.
    Finally,           the     likely   effectiveness      of        the    prescribed
    medication        on    Sanderson’s      illness     supports    the        government’s
    request.      Although          this   consideration     appears       to    mirror    the
    second     Sell    factor--whether          “administration      of    the     drugs   is
    substantially likely to render the defendant competent to stand
    3
    Relying on his opinion in White, Judge Davis would also
    factor into the period of pretrial detention the additional time
    Sanderson will be detained “if he wishes to exhaust his
    appellate rights” as well as any “good time credits” to which
    Sanderson may be entitled.     Post, at 23.    It seems to us,
    however, that whether Sanderson will exhaust his appellate
    rights (and how long that will take) is entirely speculative, as
    is the amount of good time credit (if any) that Sanderson may
    earn while incarcerated.       But even accepting that this
    additional period of confinement is relevant to the analysis and
    cuts against the government’s interest in prosecuting the
    offense when compared to the estimated guidelines sentence
    proferred by counsel, we are satisfied that the government
    retains an “important interest in trying a defendant who is
    charged with a crime that has the potential of [a ten-year]
    prison term.” Evans, 
    404 F.3d at 239
    .
    14
    trial,”   
    539 U.S. at
    181--we   have     previously     used   this     as   a
    consideration in analyzing the first factor as well.                   White, 
    620 F.3d at 420-21
    .        Unlike White, where the prescribed medication
    had   rarely    been   used     to   treat     someone   with   the    defendant’s
    medical   condition,      see    
    id.,
       here     medical   professionals        have
    prescribed a treatment plan with a documented history of success
    for   individuals      suffering,     as     Sanderson   does,    from   paranoid
    schizophrenia.
    III.
    In sum, the       special circumstances present in this case do
    not outweigh the government’s interest in prosecuting Sanderson.
    Only the length of Sanderson’s pretrial detention constitutes a
    special circumstance in his favor.               But in light of the entire
    record, that consideration alone is insufficient to defeat the
    government’s     interest       in   prosecuting     Sanderson     now    for    the
    charged SORNA offense.          We therefore affirm the district court’s
    order.
    AFFIRMED
    15
    DAVIS, Circuit Judge, dissenting:
    I respectfully dissent.
    I
    At    bottom,     the    majority’s           concern    appears       to    be    that,
    absent      our    affirmance        of    the       involuntary         medication      order,
    Sanderson will continue to live in society with an untreated
    mental illness, contrary to the advice of doctors. However noble
    that     concern,       Sell    v.        United       States    permits       involuntary
    medication only for the purpose of rendering a pretrial detainee
    competent         to   stand      trial,         and     only       in     those        “limited
    circumstances” in which the government’s interest in prosecution
    is “essential” or “overriding.” 
    539 U.S. at 169
    , 178–79 (2003).
    The government has failed to establish such an interest here.
    If nothing else, the record shows that Sanderson has not
    and will not register. There is no reason to believe that merely
    convicting him (again) will impel him to do so. Today, he is a
    mentally disordered, non-violent felon on lifetime probation in
    the Commonwealth of Virginia. After he is forcibly medicated and
    competently pleads guilty (as he undoubtedly will, see infra p.
    24 n.6), he will become one of the more than a million mentally
    ill    inmates     across      the    country.         See   U.S.    Dep’t     of       Justice,
    Bureau of Justice Statistics, Doris J. James & Lauren E. Glaze,
    Mental      Health     Problems      of   Prison       and   Jail    Inmates        1    (2006),
    available         at    http://bjs.gov/content/pub/pdf/mhppji.pdf                           (“At
    16
    midyear 2005 more than half of all prison and jail inmates had a
    mental        health     problem,     including         705,600    inmates      in    State
    prisons, 78,800 in Federal prisons, and 479,900 in local jails.
    These        estimates    represented      56%     of    State     prisoners,        45%    of
    Federal       prisoners,      and    64%   of    jail     inmates.”).      He   may    then
    refuse his medication, increasing the likelihood that he will,
    upon release, remain a mentally disordered, non-violent felon on
    lifetime probation in the Commonwealth of Virginia, who probably
    will not register. The idea that forced medication of Sanderson
    will preclude the possibility that he will continue to live in
    society with an untreated mental illness, contrary to the advice
    of doctors, is fanciful, at best.
    II
    There are several more specific reasons I am compelled to
    dissent.
    As a preliminary matter, although the majority acknowledges
    that the government bears the burden of proving, “by clear and
    convincing evidence,” that “important governmental interests are
    .    .   .    not   outweighed      by   special    circumstances,”         ante,      at   7
    (citing Sell, 
    539 U.S. at
    180–81; United States v. Bush, 
    585 F.3d 806
    , 813–14 (4th Cir. 2009)), in light of the dramatically
    weakened governmental interests discussed herein, it appears to
    me   to      have   applied    a    preponderance        standard.    See    Jimenez        v.
    DaimlerChrysler          Corp.,     
    269 F.3d 439
    ,      450    (4th     Cir.     2001)
    17
    (“[C]lear and convincing has been defined as evidence of such
    weight that it produces in the mind of the trier of fact a firm
    belief or conviction, without hesitancy, as to the truth of the
    allegations sought to be established, and, as well, as evidence
    that     proves    the    facts      at    issue       to     be    highly    probable.”)
    (internal quotation marks, citations, and alterations omitted).
    In this case, the government falls short of meeting that heavier
    burden, as the record fails to show it is “highly probable” that
    either Sanderson, the government, or the public at large will
    enjoy a lasting benefit by affirmance of the district court’s
    order. See United States v. White, 
    620 F.3d 401
    , 422 (4th Cir.
    2010).
    Furthermore,           contrary     to     the        majority’s       unsupported
    assertion, the “nature of the crime” does not “weigh[] in favor
    of   forcible     medication.”       Ante,       at    11.    The   relevant      crime     is
    failure to register, not sexual assault, cf. United States v.
    Myers,    
    598 F.3d 474
    ,     477–78    (8th       Cir.    2010)    (noting      that    a
    defendant’s       act    of    sexually     assaulting         a    child    in   1996    was
    distinct from his act of failing to register as a sex offender
    in 2008), and, as the majority grudgingly concedes, failure to
    register is non-violent, ante, at 11. Although “the purpose of
    failure-to-register laws is to protect society . . . from sex
    offenders,”       the    majority        fails    to     explain       how   this    truism
    counsels     in     favor       of   forced           medication.       Every       criminal
    18
    proscription aims to protect society from criminals. And like
    the alleged credit card fraud and identity theft at issue in
    White, failure to register is a non-violent crime, the nature of
    which diminishes the government’s interest in prosecution. 
    620 F.3d at 419
    . This could hardly be more self-evident than with
    respect to an offender already on lifetime probation.
    Also,      the     majority     overstates       the    significance        of
    Sanderson’s      prior     convictions        for    failure     to   register,
    concluding that “monitoring requirements imposed by SORNA and
    Virginia’s probation judgment do not help him.” Ante, at 11. In
    fact,   the    prior    convictions    indicate      that   monitoring        works,
    insofar   as   the     government   has   located    Sanderson    when    he    has
    failed to check in with his probation officer. The very purpose
    of SORNA is to track sex offenders and notify the public where
    they live. United States v. Under Seal, 
    709 F.3d 257
    , 265 (4th
    Cir. 2013). As already mentioned, to the extent that Sanderson’s
    failure to comply with monitoring requirements endangers public
    safety, the government has not shown that forcibly medicating
    him to stand trial would more effectively protect the public. In
    the first place, the government has shown no connection between
    Sanderson’s     failure     to     register    and   his    refusal      to    take
    antipsychotic medication. But even if such a connection exists,
    forcibly medicating Sanderson for competency purposes will not
    ensure that he continues the medication should he be convicted
    19
    and   sentenced.       Indeed,       as    the       record    shows,     Sanderson       has
    stopped taking antipsychotic medication in the past, and the
    government conceded at oral argument that he could not be forced
    to    continue     taking         the     medication          after     conviction        and
    sentencing unless he posed a danger to himself or others. See
    Washington v. Harper, 
    494 U.S. 210
    , 227 (1990) (holding that the
    Due Process Clause permits the government “to treat a prison
    inmate who has a serious mental illness with antipsychotic drugs
    against    his    will,     if     the    inmate      is   dangerous     to     himself    or
    others and the treatment is in the inmate’s medical interest”).
    The government’s own witness, Dr. Bryon Herbel, indicated that
    the   government       is     unlikely          to    make     this     showing     because
    Sanderson has exhibited no recent signs of “direct aggression,”
    “violence” or “harm” toward himself, “others[,] or property of
    others.” J.A. 50.
    Next,      the   majority          mistakenly        suggests      that      Sanderson
    “poses    a   public      threat”        that    “weighs       in   favor     of    forcible
    medication.”      Ante,      at    11.    In     reaching      this     conclusion,       the
    majority      cites    Sanderson’s          “history          of    violent     offenses,”
    including “assault with a deadly weapon” and “battery,” 
    id.,
     but
    overlooks     details       that    diminish         the     apparent    seriousness       of
    these crimes. For instance, although Sanderson was convicted of
    assault with a deadly weapon in March 1991, he apparently was
    confined only a few months: seven months later, he was arrested
    20
    for      pedestrian          soliciting         rides      or     business.           Similarly,
    Sanderson          was     convicted      of    battery     in     September       1994,      but
    received only a 10-day sentence. Id. at 106. It is curious that
    the      majority        believes    it    is    better     positioned       to       gauge   the
    seriousness          of    these    past       offenses    than    were     the       sentencing
    judges.       In     any    event,   Dr.       Herbel     testified      that     Sanderson’s
    recent history (the past 10 to 15 years) has been “relatively
    free of direct aggression or violence or overt criminal behavior
    aside from failure to register.” J.A. 50. Thus, contrary to the
    majority’s assertion, Sanderson does not pose a public threat
    absent medication.
    Nor is it certain that Sanderson will simply “go free” if
    we do not affirm the involuntary medication order. Ante, at 12.
    Although        the       government      may    elect     to     dismiss       the    charges,
    neither        the    government         nor    the     majority     has    explained         why
    continued       detention,         for    a     reasonable      amount     of    time,     would
    violate Sanderson’s due process, when forced medication would
    not. 1       Moreover,      “[e]very       state      provides     avenues”       for      civil
    1
    To be sure, the government could not indefinitely detain
    Sanderson. In Jackson v. Indiana, the Supreme Court held that
    a person charged . . . with a criminal offense who is
    committed solely on account of his incapacity to
    proceed to trial cannot be held more than the
    reasonable period of time necessary to determine
    whether there is a substantial probability that he
    will attain that capacity in the foreseeable future.
    (Continued)
    21
    commitment, Sell, 
    539 U.S. at 182
    , and the record is devoid of
    any facts indicating whether Sanderson would qualify for such a
    program. 2
    It      seems   clear      to    me,        as   well,    that    the    majority
    underestimates       the     time    that    Sanderson        will    have   spent    in
    detention     before       trial,    and     how      much    this    diminishes     the
    government’s interest in prosecuting him. The majority correctly
    notes that, by the day of oral argument, Sanderson had been
    detained     about     two    years    (24        months).     Ante,    at   13.     His
    restoration to competency will take at least 12 to 14 weeks, 3
    If it is determined that this is not the case, then
    the [government] must either institute the customary
    civil commitment proceeding that would be required to
    commit indefinitely any other citizen, or release the
    defendant.
    
    406 U.S. 715
    , 738 (1972). Here, Dr. Herbel testified that
    “antipsychotic medication” is “the standard treatment of people
    who suffer from schizophrenia,” and Sanderson would probably
    remain incompetent without the drugs. J.A. 25–26, 48. But the
    record also indicates that Sanderson has consented at least once
    before to medication, and it is unclear whether Sanderson would
    be more likely, after some period of continued detention (during
    which his counsel could continue to advise him of his best
    options), to consent to antipsychotic medication.
    2
    Dr. Herbel testified only that Sanderson would be a “weak
    candidate” for commitment under federal law. J.A. 50.
    3
    See Dr. Herbel Test., J.A. 35–36 (noting that                         effective
    treatment takes “eight weeks . . . at an adequate                            dose” of
    antipsychotic medication) (emphasis added), and id                           at 59–60
    (noting that “it may take a month or six weeks” to                           get to a
    (Continued)
    22
    and Sanderson will be detained substantially longer if he wishes
    to exhaust his appellate rights. Sanderson is entitled to move
    for an en banc rehearing by this Court and to file a petition
    for certiorari to the Supreme Court, avenues that could prolong
    Sanderson’s          detention         at     least         six        additional     months. 4
    Furthermore, the majority fails to consider the impact of good
    time credits, which may significantly lengthen the amount of
    time       Sanderson      will    be     deemed       to     have       served,     should    he
    ultimately      be       convicted      and      sentenced        to    prison.     Barber    v.
    Thomas, 
    130 S. Ct. 2499
    , 2502 (2010) (“Federal sentencing law
    permits .       .    .   authorities        to    award      prisoners      credit     against
    prison time as a reward for good behavior.”) (citing 
    18 U.S.C. § 3624
    (b)).
    Assuming      Sanderson         exhausts       his    appellate       rights    in    six
    months       (increasing         his    detention          to     30     months),     and    his
    restoration         to    competency          takes    12       weeks      (increasing       his
    detention to 33 months), he will be entitled to about 146 days--
    therapeutic dose). Indeed, the government requested                                  an     order
    allowing treatment to last up to four months.
    4
    Our en banc petitioning process would take a minimum of
    about 24 days. Fed. R. App. P. 40. Sanderson could file his
    petition for certiorari anytime within 90 days of the final
    ruling by the Fourth Circuit, and if the Government wanted to
    file a brief in opposition, the process would take an additional
    30 days. Sup. Ct. R. 13(1), 15(3). Thus, if the Supreme Court
    denied his petition in less than five weeks, Sanderson’s legal
    remedies would be entirely exhausted in about six months.
    23
    or   nearly   five   months--of   good   time   credits,   increasing   his
    total (credited) detention to nearly 38 months. See Barber, 
    130 S.Ct. at
    1502–03; White, 
    620 F.3d at
    414 n.13; 
    18 U.S.C. § 3624
    (b). This total, of course, does not include the months he
    will have remained in detention pending our decision in this
    appeal, and awaiting his trial           and sentencing. 5 Adding those
    months to the total no doubt will bring Sanderson’s credited
    detention within his advisory guidelines sentencing range of 41
    to 51 months. 6
    I note, in addition, that the majority concedes that “the
    government will not be substantially burdened in proving the
    5
    The majority asserts that “whether Sanderson will exhaust
    his appellate rights (and how long that will take) is entirely
    speculative.” Ante, at p.14 n.4. But “just as counsel has
    vigorously pursued the appeal to this court on behalf of his
    mentally ill client, we would expect his vigorous representation
    to continue through further appellate review.” White, 602 F.3d
    at 414 n.11.
    6
    If Sanderson were to plead guilty after becoming competent
    (and it is impossible to believe he will not), his advisory
    guidelines sentencing range would be even lower: 30-37 months.
    See U.S. Sentencing Guidelines Manual § 2A3.5 (2013) (providing
    a base offense level of 16 for failure to register as a Tier III
    sex offender); id. at § 3E1.1 (allowing a three-level reduction
    in   a    defendant’s   offense    level   for    acceptance   of
    responsibility); id. at Sentencing Table (providing for an
    advisory sentencing range of 30-37 months for a defendant with
    an offense level of 13 and criminal history category V). See
    also United States v. Grigsby, No. 11-3736, 
    714 F.3d 964
    , ---,
    
    2013 WL 1458009
    , at *9 (6th Cir. 2013) (taking into account this
    three-level,    acceptance-of-responsibility    reduction    when
    considering the propriety of forcibly medicating a pretrial
    detainee to become competent to stand trial).
    24
    offense if the case is delayed.” Ante, at 14. Although the Sell
    Court expressly identified this as a special circumstance that
    diminishes the government’s interest in prosecution, Sell, 
    539 U.S. at 180
    , the majority erroneously concludes that it counsels
    in favor of forced medication, because “the record suggests that
    Sanderson will not regain competence without medication.” Ante,
    at 14. The majority’s focus is misplaced. Whether Sanderson will
    improve without medication is a separate question from whether
    he will likely consent to medication. That he has refused so far
    does not mean that he may not consent in the future. And because
    Sanderson’s     prosecution     does   not   depend    on   witnesses      whose
    “memories may fade” or on “evidence [that] may be lost,” Sell,
    
    539 U.S. at 180
    ,   the   government    has     failed   to   show    that
    immediate forced medication is preferable to continued detention
    for a reasonable period of time. 7
    7
    I do not dispute the majority’s conclusion that “the
    likely effectiveness of the prescribed medication on Sanderson’s
    illness supports the government’s request” to forcibly medicate
    Sanderson. Ante, at 14. Sanderson conceded as much by not
    challenging the government’s proof of the second Sell factor,
    whether “involuntary medication will significantly further” the
    government’s interest in prosecution. Sell, 
    539 U.S. at 181
    (emphasis in original). Our focus, of course, is on the first
    Sell factor, and while the efficacy of antipsychotic medication
    may not diminish the government’s interest in prosecution,
    neither does it increase that interest.
    25
    III
    In sum, the majority has failed to “ensure that this case
    is sufficiently exceptional to warrant the extraordinary measure
    of forcible medication.” White, 
    620 F.3d at 413
    . Sanderson is
    charged with a non-violent crime; he poses no physical danger to
    society; forcibly medicating him to become competent for trial
    will       not    ensure    his    continued      medication       after     adjudication,
    either during any period of further incarceration or after his
    certain          release;    the     government        will    not      be   substantially
    burdened         in   proving      the   crime    if    the    case     is   delayed;   and
    Sanderson is unlikely to receive a sentence longer than the time
    he   will        have   already      served,     should       he   be    convicted.     Such
    circumstances make clear that “little public good or benefit
    will       be    achieved”    in    forcibly      medicating       Sanderson     to   stand
    trial. White, 602 F.3d at 422. 8
    8
    Without in any manner questioning the bona fides of the
    district court’s order, the plain fact that any judge wants to
    move cases off his docket cannot go unremarked upon. In federal
    and state “Baby Judge Schools,” see, e.g., Steinebach v. Tucson
    Electric Power Co. (In re Steinebach), 
    303 B.R. 634
    , 640 (Bankr.
    D. Ariz. 2004), and In re Conduct of Galler, 
    805 N.W.2d 240
    , 245
    (Minn. 2011), judges are routinely tutored to be mindful not to
    permit   docket   pressures   to   seep  into   decision-making.
    Sanderson’s case presents a paradigm challenge: if he’s not
    medicated, what is a beleaguered district judge to do? While I
    appreciate the challenge, we should hesitate to make forcible
    medication the default solution. Certainly, Sell does not
    countenance such an outcome. Nor is there any warrant for the
    Third Branch to act as the all-purpose problem-solver for
    systemic challenges traceable to both legislative efforts to
    (Continued)
    26
    We   should   reverse   the   order   of   the   district   court.
    Respectfully, I dissent.
    over-federalize criminal law, see United States v. Bond, 
    681 F.3d 149
    , 169 (3d Cir. 2012) (Rendell, J., concurring) (“Perhaps
    lured by the perception of easier convictions and tougher
    sentences, prosecutors opt to proceed federally. There is no law
    against this, or principle that we can call upon, to limit or
    regulate it.”) (internal citation omitted), cert. granted, 
    133 S.Ct. 978
     (2013), and to the sometimes dubious exercise of
    prosecutorial discretion to which those efforts give rise, see
    generally Daniel Richman, Prosecutors and Their Agents, Agents
    and Their Prosecutors, 
    103 Colum. L. Rev. 749
    , 795 (2003)
    (“[T]he federal criminal ‘code’ may well be even broader than
    that of the states in the range of conduct it ostensibly
    covers.”). See also Michael A. Simons, Prosecutorial Discretion
    and Prosecution Guidelines: A Case Study in Controlling
    Federalization, 
    75 N.Y.U. L. Rev. 893
     (2000); Kathleen F.
    Brickey, Criminal Mischief: The Federalization of American
    Criminal Law, 
    46 Hastings L.J. 1135
     (1995).
    27