United States v. Regina R. Dinwiddie ( 1996 )


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  •                             _____________
    No. 95-1803WM
    _____________
    United States of America,         *
    *
    Appellee,               *
    *   On Appeal from the United
    v.                           *   States District Court
    *   for the Western District
    *   of Missouri.
    Regina Rene Dinwiddie,            *
    *
    Appellant.              *
    ___________
    Submitted:   November 13, 1995
    Filed: February 16, 1996
    ___________
    Before RICHARD S. ARNOLD, Chief Judge, BRIGHT and FAGG, Circuit
    Judges.
    ___________
    RICHARD S. ARNOLD, Chief Judge.
    Regina Rene Dinwiddie appeals from the District Court's order
    finding that she violated the Freedom of Access to Clinic Entrances
    Act of 1994, 18 U.S.C. § 248 ("FACE"). The order prohibits Mrs.
    Dinwiddie from further violating FACE and from engaging in a number
    of other activities whenever she is within 500 feet of a facility
    that provides reproductive-health services. See United States v.
    Dinwiddie, 
    885 F. Supp. 1286
    (W.D. Mo. 1995).       We affirm the
    District Court's holding that FACE is constitutional and that Mrs.
    Dinwiddie violated FACE, but remand to the District Court with
    instructions to modify the injunction.
    I.
    Regina Rene Dinwiddie is an opponent of abortion who, for many
    years, has protested outside of Planned Parenthood of Greater
    Kansas City ("Planned Parenthood"), a clinic where abortions are
    performed.    The government filed a complaint against Mrs.
    Dinwiddie, alleging that she violated the Freedom of Access to
    Clinic Entrances Act, which provides criminal and civil penalties
    against anyone who:
    by force or threat of force or by physical obstruction,
    intentionally injures, intimidates or interferes with or
    attempts to injure, intimidate or interfere with any
    person because that person is or has been, or in order to
    intimidate such person or any other person or any class
    of persons from, obtaining or providing reproductive
    health services.
    18 U.S.C. § 248(a)(1).1   The District Court concluded that Mrs.
    1
    FACE also provides penalties against anyone who:
    (2) by force or threat of force or by physical
    obstruction,      intentionally      injures,
    intimidates or interferes with or attempts to
    injure, intimidate or interfere with any
    person lawfully exercising or seeking to
    exercise   the   First  Amendment   right   of
    religious freedom at a place of religious
    worship; or
    (3) intentionally damages or destroys the
    property of a facility, or attempts to do so,
    because such facility provides reproductive
    health services, or intentionally damages or
    destroys the property of a place of religious
    worship.
    18 U.S.C. § 248(a).
    FACE contains the following definitions:
    (1) Facility.--The term "facility" includes a
    hospital, clinic, physician's office, or other
    facility that provides reproductive health
    -2-
    Dinwiddie violated FACE by obstructing, using physical force
    against, and threatening to use physical force against a number of
    Planned Parenthood's patients and members of its staff.
    The Court found that Mrs. Dinwiddie directed particularly
    pointed threats at Dr. Robert Crist, a physician who is the Medical
    Director of Planned Parenthood. Over a six- to eight-month period
    beginning in mid-1994, the defendant made approximately 50 comments
    to Dr. Crist, often through a bullhorn, warning "Robert, remember
    Dr. Gunn [a physician who was killed in 1993 by an opponent of
    abortion] . . .. This could happen to you . . .. He is not in the
    world anymore . . .. Whoever sheds man's blood, by man his blood
    shall be shed . . .."
    services, and includes the building or
    structure in which the facility is located.
    (2) Interfere with.--The term "interfere with"
    means to restrict a person's freedom of movement.
    (3) Intimidate.--The term "intimidate" means to
    place a person in reasonable apprehension of bodily
    harm to him- or herself or to another.
    (4) Physical obstruction.--The term "physical
    obstruction" means rendering impassable ingress to
    or   egress   from   a  facility   that   provides
    reproductive health services or to or from a place
    of religious worship, or rendering passage to or
    from such a facility or place of religious worship
    unreasonably difficult or hazardous.
    (5) Reproductive health services.--The term
    "reproductive    health     services"    means
    reproductive health services provided in a
    hospital, clinic, physician's office, or other
    facility, and includes medical, surgical,
    counselling or referral services relating to
    the human reproductive system, including
    services   relating   to  pregnancy   or   the
    termination of a pregnancy.
    18 U.S.C. § 248(e).
    -3-
    The District Court also determined that Mrs. Dinwiddie
    threatened and, on one occasion, used physical force against other
    members of Planned Parenthood's staff and some of its patients. On
    January 28, 1994, the defendant said to Patricia Brous, the
    Executive Director of Planned Parenthood, "Patty, you have not seen
    violence yet until you see what we do to you." According to Ms.
    Brous, whose testimony the Court found credible, "the words that
    have been thrown, through the bullhorn or otherwise, at staff and
    patients have become much more violent. There is a higher level of
    stress. We have had to have counselors deal with stress among the
    staff."   On July 28, 1994, Mrs. Dinwiddie physically assaulted
    Lenard Venable, a Maintenance Supervisor at Planned Parenthood,
    with an electric bullhorn.       Also, she physically obstructed
    potential patients from entering the clinic.
    Dr. Crist, Ms. Brous, and other members of Planned
    Parenthood's staff testified that Mrs. Dinwiddie's conduct has
    caused them to fear for their personal safety. Dr. Crist stated
    that because of his fear of the defendant, he now wears a bullet-
    proof vest. Planned Parenthood has responded to Mrs. Dinwiddie by
    placing an armed guard at its front door.
    Finally, the District Court noted that Mrs. Dinwiddie is a
    well-known advocate of the viewpoint that it is appropriate to use
    lethal force to prevent a doctor from performing abortions.2
    2
    Mrs. Dinwiddie signed a petition defending Michael Griffin,
    who was convicted of killing Dr. David Gunn. In part, the petition
    states:
    We, the undersigned, declare the justice of taking all
    godly action necessary to defend innocent human life
    including the use of force. We proclaim that whatever
    force is legitimate to defend the life of a born child is
    legitimate to defend the life of an unborn child. We
    assert that if Michael Griffin did in fact kill David
    Gunn, his use of lethal force was justifiable provided it
    was carried out for defending the lives of unborn
    children.
    -4-
    Citing this viewpoint and Mrs. Dinwiddie's conduct towards Planned
    Parenthood's staff and patients, the Court determined that the
    defendant is likely to continue to violate FACE and is an imminent
    threat to public safety.
    The District Court issued a permanent injunction that orders
    Mrs. Dinwiddie not to violate FACE and "not [to] be physically
    located within 500 feet of the entrance of any facility (a `buffer
    zone') in the United States that provides reproductive health
    services as contemplated by 
    [FACE]." 885 F. Supp. at 1296
    . There
    is an exception to this 500-foot buffer zone. Mrs. Dinwiddie may
    be "physically located within 500 feet of the entrance of any
    facility in the United States that provides reproductive health
    services as contemplated by [FACE] solely for the purpose of
    engaging in legitimate personal activity that could not be remotely
    construed to violate [FACE]."     
    Ibid. The Court then
    provided
    examples of what constitutes "legitimate personal activity":
    Legitimate personal activity would include, for example,
    activity such as: (1) acquiring routine personal health
    services; (2) accompanying an immediate family member who
    is both in need of assistance and is acquiring health
    services; (3) receiving personal health services in an
    emergency situation; (4) shopping at a retail store or
    pharmacy adjacent to a reproductive health facility; (5)
    travelling within a buffer zone while engaged in activity
    unrelated to any service provided by a reproductive
    health facility; (6) peacefully carrying a placard in a
    manner   that   would   not   constitute    intimidation,
    interference, or physical obstruction; (7) peacefully
    distributing literature in a manner that would not
    constitute intimidation, interference, or physical
    Mrs. Dinwiddie has expressed similar sentiments on other
    occasions. For instance, on a television program, Mrs. Dinwiddie
    was asked whether it is "right to be able to kill a doctor to save
    that unborn child." She responded: "I think that abortion is a
    violent, violent business and that violence begets violence. The
    Scriptures say that if you live by the sword, you die by the
    sword." Such statements are protected under the First Amendment,
    but they may also be relevant to show that other statements could
    reasonably be understood as threats of physical harm.
    -5-
    obstruction; or (8) unamplified speaking in a manner that
    would not constitute intimidation, interference, physical
    obstruction, or violation of a local noise ordinance.
    Legitimate personal activity would not include, for
    example, activity that: (1) is described in part III.A.
    
    [i.e. 885 F. Supp. at 1290-94
    ] of this permanent
    injunction; (2) constitutes intimidation, physical
    obstruction, interference, force, or threats of force;
    (3) involves any use whatsoever of a bullhorn, megaphone,
    or other sound or voice amplifying device; (4) brings
    defendant in violation of any local noise ordinance; or
    (5) brings defendant in violation of laws related, but
    not limited, to assault, battery, trespass, harassment,
    vandalism, disturbing the peace, destruction of property,
    or unlawful possession of weapons, when such activity
    also has the effect of violating FACE.
    
    Id. at 1296-97.3
    Mrs. Dinwiddie raises several arguments on appeal. First, she
    argues that FACE is unconstitutional.      Second, Mrs. Dinwiddie
    asserts that she did not violate FACE. Finally, she claims that
    the permanent injunction is vague and overbroad.
    II.
    Mrs. Dinwiddie contends that FACE is unconstitutional because
    Congress lacked the authority to enact FACE and because FACE
    violates the Free Speech Clause of the First Amendment. We hold
    that FACE is within Congress's commerce power and is not facially
    inconsistent with the First Amendment.
    A.
    The Constitution grants to Congress the power "[t]o regulate
    3
    The District Court subsequently found that Mrs. Dinwiddie
    violated the permanent injunction and was guilty of civil contempt
    of court. United States v. Dinwiddie, 
    885 F. Supp. 1299
    (W.D. Mo.
    1995). The contempt order is not before us on this appeal.
    -6-
    Commerce . . . among the several States . . .." U.S. Const., Art.
    I, § 8, cl. 3. Congress may use this commerce power: to regulate
    the channels of interstate commerce, to regulate or protect the
    instrumentalities of interstate commerce or people or things
    involved in interstate commerce, and to regulate conduct that has
    a substantial effect on interstate commerce.     United States v.
    Lopez, 
    115 S. Ct. 1624
    , 1629-30 (1995). FACE falls within both the
    second and third of these categories of commerce power.
    1.
    The Commerce Clause permits Congress to "protect . . . persons
    or things in interstate commerce, even though the threat may come
    only from intrastate activities."     
    Id. at 1629.
       See Perez v.
    United States, 
    402 U.S. 146
    , 150 (1971) (Congress may prohibit
    thefts from interstate shipments); United States v. Coombs, 
    12 Pet. 72
    , 77 (1838) (Congress may punish conduct that "interferes with,
    obstructs or prevents" interstate commerce).      Thus, if Planned
    Parenthood of Greater Kansas City, its staff, or its patients are
    "in interstate commerce," FACE's protection of them from Mrs.
    Dinwiddie's disruptive activities is a valid exercise of the
    commerce power.
    Planned Parenthood has a number of patients and staff who do
    not reside in Missouri and who, therefore, engage in interstate
    commerce when they obtain or provide reproductive-health services.
    Substantial numbers of women travel across state lines to obtain
    reproductive-health services. S. Rep. No. 117, 103d Cong., 1st
    Sess. 13-14, 31 (1993); Bray v. Alexandria Women's Health Clinic,
    
    113 S. Ct. 753
    , 792 (1993) (Stevens, J., dissenting) (between 20
    and 30 per cent. of patients at a Virginia abortion clinic were
    from outside Virginia, and a majority of a Maryland clinic's
    patients were from outside Maryland); Women's Health Care Services
    v. Operation Rescue, 
    773 F. Supp. 258
    , 266-67 (D. Kan. 1991), rev'd
    on other grounds, 
    24 F.3d 107
    (10th Cir. 1994) (between 8 and 10
    -7-
    per cent. of the patients at one Wichita, Kansas, clinic were from
    outside of Kansas, and 44 per cent. from another Wichita clinic
    were from out of state).       The interstate nature of Planned
    Parenthood's clientele is particularly evident because Planned
    Parenthood is located in a metropolitan area that encompasses more
    than one state. Also, some of Planned Parenthood's staff are not
    from Missouri. Dr. Crist, for example, resides in Overland Park,
    Kansas.
    In addition to having the power to protect those of Planned
    Parenthood's staff and patients who are "in interstate commerce,"
    Congress also has the power to protect Planned Parenthood.        A
    business is in interstate commerce when it "directly engage[s] in
    the production, distribution, or acquisition of goods or services
    in interstate commerce."     United States v. American Building
    Maintenance Industries, 
    422 U.S. 271
    , 283 (1975).       See United
    States v. Robertson, 
    115 S. Ct. 1732
    (1995) (per curiam) (an
    Alaskan gold mine that hired seven out-of-state employees and
    purchased equipment from an out-of-state supplier was engaged in
    interstate commerce and subject to regulation under RICO, a statute
    enacted under Congress's commerce power).         Because Planned
    Parenthood has out-of-state staff and patients, it is "in
    interstate commerce" and is within Congress's power to protect.
    In sum, FACE's protection of Planned Parenthood and its staff
    and patients is a valid exercise of Congress's power to protect
    people and businesses involved in interstate commerce.
    2.
    In addition to empowering Congress to protect persons and
    things in interstate commerce, the Commerce Clause also gives
    Congress the authority to regulate "those activities that
    substantially affect interstate commerce." 
    Lopez, 115 S. Ct. at 1630
    (citations omitted). Under this power, Congress may regulate
    -8-
    a class of purely intrastate activity if, in the aggregate, the
    activity has a substantial effect on interstate commerce. Ibid.;
    Heart of Atlanta Motel, Inc. v. United States, 
    379 U.S. 241
    , 258
    (1964); Wickard v. Filburn, 
    317 U.S. 111
    , 125 (1942). Furthermore,
    "[w]here the class of activities is regulated and that class is
    within the reach of federal power, the courts have no power `to
    excise, as trivial, individual instances' of the class." 
    Perez, 402 U.S. at 154
    (quoting Maryland v. Wirtz, 
    392 U.S. 183
    , 193
    (1968)).
    In determining whether the conduct prohibited by FACE had a
    substantial effect on interstate commerce, our scope of review is
    limited.   We must decide "whether a rational basis existed for
    concluding that [the] regulated activity sufficiently affected
    interstate commerce."   
    Lopez, 115 S. Ct. at 1629
    .      The House
    Judiciary Committee and the Senate Labor and Human Resources
    Committee gathered evidence showing that the blockading of clinics
    and the use of violence and threats of violence against clinics'
    patients and staff depressed interstate commerce in reproductive-
    health services.    H.R. Rep. No. 306, 103d Cong., 2d Sess. 8-9
    (1993), reprinted in 1994 U.S. Code Cong. & Admin. News 699, 705-
    06; S. Rep. No. 117, at 31-32. It is settled law that the Commerce
    Clause gives Congress the power to regulate activity that
    diminishes interstate commerce in a good or service. See, e.g.,
    Katzenbach v. McClung, 
    379 U.S. 294
    , 299-300 (1964) (Congress may
    regulate discrimination in restaurant services because, among other
    things, this discrimination reduces the amount of food purchased by
    restaurants); 
    Wickard, 317 U.S. at 128-29
    (the growing of wheat for
    home consumption reduces wheat sales and is, therefore, within the
    commerce power). Thus, there is a rational basis for concluding
    that the conduct prohibited by FACE substantially affects
    interstate commerce.
    Mrs. Dinwiddie advances two arguments against this line of
    reasoning.   Her first argument is drawn from United States v.
    -9-
    Wilson, 
    880 F. Supp. 621
    (E.D. Wis. 1995), rev'd, No. 95-1871, 
    1995 WL 765450
    (7th Cir. Dec. 29, 1995), which, though it has now been
    reversed, is the only opinion holding that FACE is not within
    Congress's commerce power. In Wilson, the district court reasoned
    that FACE is unconstitutional because "FACE does not regulate
    commercial entities, but rather regulates private conduct affecting
    commercial entities which in turn receive goods that have traveled
    in interstate commerce." 
    Id. at 628.
    We disagree. As the Seventh
    Circuit explained, "[t]here is no authority for the proposition
    that Congress's power extends only to the regulation of commercial
    entities."   Wilson, 
    1995 WL 765450
    at *9.     See, e.g., National
    Organization for Women, Inc. v. Scheidler, 
    114 S. Ct. 798
    , 803-06
    (1994) (racketeering activity by a non-commercial enterprise can
    have a sufficient effect on interstate commerce so as to be
    punishable under RICO, a statute based on the Commerce Clause);
    Stirone v. United States, 
    361 U.S. 212
    , 215 (1960) (the Hobbs Act,
    which provides criminal and civil penalties against anyone who "in
    any way or degree obstructs, delays, or affects commerce or the
    movement of any article or commodity in commerce, by robbery or
    extortion . . . or [by] commit[ting] or threaten[ing] physical
    violence to any person or property . . .," 18 U.S.C. § 1951(a), is
    within Congress's commerce power).
    Next, Mrs. Dinwiddie asserts that holding FACE to be within
    Congress's commerce power would be inconsistent with United States
    v. Lopez, the Supreme Court's most recent decision interpreting the
    Commerce Clause. In Lopez, the Supreme Court held that the Gun-
    Free School Zones Act, which prohibited possession of a firearm in
    the vicinity of a school, see 18 U.S.C. § 922(q)(1)(A), was not a
    valid exercise of Congress's commerce power. The government had
    asserted that the possession of a gun in a school zone leads to
    lower national productivity and, thus, less interstate commerce.
    The Court rejected this argument, finding that it would require the
    Court to "pile inference upon inference" to conclude that the
    conduct prohibited by the Gun-Free School Zones Act had a
    -10-
    substantial effect on interstate commerce.   
    Lopez, 115 S. Ct. at 1634
    .
    For two reasons, we believe that Lopez does not call on us to
    hold that FACE is beyond Congress's power to regulate activity that
    substantially affects interstate commerce. First, unlike the Gun-
    Free School Zones Act, FACE prohibits interference with a
    commercial activity -- the provision and receipt of reproductive-
    health services. Cf. 
    id. at 1633
    (education is not a commercial
    activity).   FACE does not require us to "pile inference upon
    inference" to conclude that the conduct that it proscribes affects
    interstate commerce. As the House and Senate committee reports
    show, the causal link is quite direct --- when people interfere
    with a business, the availability of the service provided by that
    business declines. Second, in Lopez, the Supreme Court did not
    overturn Katzenbach v. McClung, Wickard v. Filburn, or any other
    opinion holding that Congress has the power to regulate conduct
    that reduces interstate commerce in a good or service. See 
    Lopez, 115 S. Ct. at 1637
    (Kennedy, J., concurring) (Katzenbach, Wickard,
    and other post-New Deal cases "are within the fair ambit of the
    Court's practical conception of commercial regulation and are not
    called into question by our decision today"). Therefore, Lopez
    notwithstanding, FACE is a valid exercise of Congress's power to
    regulate activity that substantially affects interstate commerce.4
    B.
    Mrs. Dinwiddie next contends that the Freedom of Access to
    Clinic Entrances Act facially violates the Free Speech Clause of
    4
    Accord, Wilson, 
    1995 WL 765450
    at *7-*13; Cheffer v. Reno, 
    55 F.3d 1517
    , 1520-21 (11th Cir. 1995); United States v. Lucero, 
    895 F. Supp. 1421
    , 1423-24 (D. Kan. 1995); United States v. White, 
    893 F. Supp. 1423
    , 1432-34 (C.D. Cal. 1995). Because we hold that FACE
    is within Congress's commerce power, we need not consider the
    government's argument that Congress also had the authority to enact
    FACE under Section Five of the Fourteenth Amendment.
    -11-
    the First Amendment.        She asserts that FACE imposes an
    impermissible content-based restriction on speech, and that it is
    both vague and overbroad. We hold that FACE is not content based,
    and that it easily satisfies the intermediate-scrutiny test that
    applies to content-neutral laws that burden expressive conduct. We
    also conclude that FACE is neither vague nor overbroad.
    1.
    A statute that regulates speech or conduct "based on hostility
    -- or favoritism -- towards the underlying message expressed" is
    content based.    R.A.V. v. St. Paul, 
    505 U.S. 377
    , 386 (1992).
    Generally, a content-based statute is unconstitutional unless it
    survives strict scrutiny, which requires the government to prove
    that the statute "`is necessary to serve a compelling state
    interest and that it is narrowly drawn to achieve that end.'"
    Whitton v. City of Gladstone, 
    54 F.3d 1400
    , 1408 (8th Cir. 1995)
    (quoting Perry Ed. Ass'n v. Perry Local Educators' Ass'n, 
    460 U.S. 37
    , 45 (1983)). Mrs. Dinwiddie asserts that FACE is content based
    and should be subject to strict scrutiny.
    FACE criminalizes three types of activity -- the use of
    "force," "threat[s] of force," and "physical obstruction." See 18
    U.S.C. § 248(a). Mrs. Dinwiddie does not contest the fact that
    both physical obstruction and the use of force are unprotected by
    the First Amendment. See Wisconsin v. Mitchell, 
    113 S. Ct. 2194
    ,
    2199 (1993) ("[A] physical assault is not by any stretch of the
    imagination expressive conduct protected by the First Amendment.");
    Cameron v. Johnson, 
    390 U.S. 611
    , 615-17 (1968) (rejecting a First
    Amendment challenge to a law that prohibits obstructing access to
    a courthouse).     Instead, Mrs. Dinwiddie focusses on FACE's
    prohibition on using a "threat of force" to "intimidate" a person
    because she is obtaining or providing reproductive-health services.
    According to the defendant, proscribing threats of force that
    "intimidate," which FACE defines as to "place a person in
    -12-
    reasonable apprehension of bodily harm," 18 U.S.C. § 248(e)(3),
    imposes a content-based restriction on speech because it punishes
    the speech based on its communicative impact.
    Mrs. Dinwiddie is correct that "[l]isteners' reaction to
    speech is not a content-neutral basis for regulation." Forsyth
    County, Ga. v. Nationalist Movement, 
    505 U.S. 125
    , 134 (1992).
    See, e.g., Texas v. Johnson, 
    491 U.S. 397
    , 412 (1989) (a statute
    prohibiting flag desecration was content based because it punished
    speech based on the "emotive impact of [the] speech on its audience
    . . .." (quoting Boos v. Berry, 
    485 U.S. 312
    , 321 (1988)). But
    this reasoning does not apply to statutes that outlaw threats of
    violence. It is "well settled that threats of violence are . . .
    unprotected speech." United States v. J.H.H., 
    22 F.3d 821
    , 825
    (8th Cir. 1994). See 
    R.A.V., 505 U.S. at 388
    ("threats of violence
    are outside the First Amendment"); Watts v. United States, 
    394 U.S. 705
    , 707 (1969) (per curiam) (holding that a statute that
    criminalizes threats to the President is constitutional on its face
    and distinguishing "a threat . . . from what is constitutionally
    protected speech").     Accordingly, we have upheld the facial
    validity of a number of statutes that, using language similar to
    FACE's, prohibit threats of violence. See, e.g., 
    J.H.H., 22 F.3d at 824-26
    (upholding 42 U.S.C. § 3631, which prohibits "threats of
    force" that "intimidate" a person because of his race and because
    he is participating in certain housing programs); United States v.
    Lee, 
    6 F.3d 1297
    , 1302-04 (8th Cir. 1993) (en banc) (John R.
    Gibson, J., concurring) (18 U.S.C. § 241, which prohibits
    conspiracies to "injure, oppress, threaten, or intimidate" a person
    because   he  is   exercising   a   federal   right,  is   facially
    constitutional and can be applied to conduct that causes a person
    "reasonably [to] fear the use of imminent force or violence"),
    cert. denied, 
    114 S. Ct. 1550
    (1994); United States v. Bellrichard,
    
    994 F.2d 1318
    , 1321-25 (8th Cir.) (18 U.S.C. § 876, which prohibits
    mailing a letter that contains a "threat to injure" the addressee,
    is constitutional), cert. denied, 
    114 S. Ct. 337
    (1993). Thus,
    -13-
    rather than imposing a content-based restriction on speech, FACE's
    proscription of "threats of force" that "place a person in
    reasonable apprehension of bodily harm" regulates speech that is
    not protected by the First Amendment.5
    Next, Mrs. Dinwiddie takes aim at FACE's motive requirement,
    which limits the statute's application to those who engage in
    proscribed conduct "because [the victim] is or has been, or in
    order to intimidate [the victim] from, obtaining or providing
    reproductive health services . . .."      18 U.S.C. § 248(a)(1).
    According to the defendant, this motive requirement selects for
    punishment abortion-related expressive conduct and, therefore,
    transforms FACE into a content-based statute. We disagree.
    In order for a statute to be facially content based, it must
    discriminate in favor of or against the message conveyed by speech
    or conduct.    FACE's motive requirement does not discriminate
    against speech or conduct that expresses an abortion-related
    message. FACE would, for example, apply to anyone who blockades a
    clinic to prevent a woman from getting an abortion, regardless of
    the message expressed by the blockade. Thus, FACE would prohibit
    striking employees from obstructing access to a clinic in order to
    stop women from getting abortions, even if the workers were
    5
    Mrs. Dinwiddie also argues that FACE runs afoul of
    Brandenburg v. Ohio, 
    395 U.S. 444
    (1969) (per curiam), which holds
    that the government may punish the advocacy of illegal conduct only
    "where such advocacy is directed to inciting or producing imminent
    lawless action and is likely to incite or produce such action."
    
    Id. at 447.
    See also NAACP v. Claiborne Hardware Co., 
    458 U.S. 886
    , 928 (1982) (statements advocating violence were protected by
    the First Amendment because they were not "directed to inciting or
    producing imminent lawless action" and were not "likely to incite
    or produce such action"). According to Mrs. Dinwiddie, FACE is
    flawed because it does not require that a threat place the listener
    in imminent fear of harm.     We disagree.    The Brandenburg test
    applies to laws that forbid inciting someone to use violence
    against a third party. It does not apply to statutes, like FACE,
    that prohibit someone from directly threatening another person.
    -14-
    carrying signs that said, "We are underpaid!" rather than "Abortion
    is wrong!" Cf. Police Department of Chicago v. Mosley, 
    408 U.S. 92
    (1972) (invalidating a law that banned picketing within 150 feet of
    a school but exempted labor picketing).6
    What FACE's motive requirement accomplishes is the perfectly
    constitutional task of filtering out conduct that Congress believes
    need not be covered by a federal statute. Congress enacted FACE to
    prohibit conduct that interferes with the ability of women to
    obtain abortions. See H.R. Rep. No. 306, at 12; S. Rep. No. 117,
    at 24.    FACE's motive requirement targets this conduct while
    ensuring that FACE does not federalize a slew of random crimes that
    might occur in the vicinity of an abortion clinic. Congress's use
    of a motive requirement to single out conduct that "is thought to
    inflict greater individual or societal harm," 
    Mitchell, 113 S. Ct. at 2201
    , is quite common. For example, Title VII of the 1964 Civil
    Rights Act forbids an employer from discriminating against an
    employee "because of [the employee's] race, color, religion, sex,
    or national origin." 42 U.S.C. § 2000e-2(a)(1). See 
    Mitchell, 113 S. Ct. at 2200-01
    (discussing the constitutionality of Title VII's
    motive requirement and upholding a statute that enhances sentences
    for crimes motivated by racial bias).7
    Finally, Mrs. Dinwiddie argues that even if FACE appears to be
    content neutral, it is, in fact, content based because the vast
    majority of people whose conduct it proscribes are opposed to
    6
    Indeed, FACE also applies to conduct that interferes with
    religious services conducted in a place of worship. See 18 U.S.C.
    § 248(a)(2).
    7
    Mrs. Dinwiddie contends that motive may be used only as a
    sentencing consideration and not as an element in a civil action or
    criminal offense. We disagree. If Mrs. Dinwiddie were correct,
    Title VII would be unconstitutional.         But Title VII is a
    constitutional, content-neutral statute. 
    Mitchell, 113 S. Ct. at 2200
    .
    -15-
    abortion.   But there is no disparate-impact theory in First
    Amendment law. The fact that a statute, whether through a motive
    requirement or some other mechanism, disproportionately punishes
    those who hold a certain viewpoint does not "itself render the
    [statute] content or viewpoint based." Madsen v. Women's Health
    Center, Inc., 
    114 S. Ct. 2516
    , 2524 (1994).    See, e.g., United
    States v. O'Brien, 
    391 U.S. 367
    (1968) (upholding a law that
    prohibited the destruction of draft cards even though most people
    who burned their draft cards were opponents of the Vietnam War).
    Thus, we reject Mrs. Dinwiddie's argument and hold that FACE is a
    content-neutral law.
    2.
    Although FACE is content neutral and, therefore, need not
    survive strict scrutiny, it does "incidentally affect some conduct
    with protected expressive elements, such as peaceful but
    obstructive picketing." American Life League v. Reno, 
    47 F.3d 642
    ,
    648 (4th Cir.), cert. denied, 
    116 S. Ct. 55
    (1995).          When a
    content-neutral law burdens expressive conduct, we must subject the
    law to intermediate scrutiny.     A statute survives intermediate
    scrutiny "if it furthers an important or substantial governmental
    interest; if the governmental interest is unrelated to the
    suppression of free expression; and if the incidental restriction
    on alleged First Amendment freedoms is no greater than is essential
    to the furtherance of that interest." 
    O'Brien, 391 U.S. at 377
    .
    FACE easily passes this test.
    FACE furthers the government's interest in protecting women
    who obtain reproductive-health services and ensuring that
    reproductive-health services remain available. See H.R. Rep. No.
    306, at 6; S. Rep. No. 117, at 14-17.         These interests are
    significant, see 
    Madsen, 114 S. Ct. at 2526
    ; Pro-Choice Network of
    Western New York v. Schenck, 
    67 F.3d 377
    , 387 (2d Cir. 1995) (en
    banc), and are not related to restricting free speech. Also, FACE
    -16-
    regulates only uses of force, threats of force, and physical
    obstruction. Thus, it "leaves open ample alternative means for
    communication," American Life 
    League, 47 F.3d at 652
    , and is
    narrowly tailored to further the government's interests.        The
    statute forbids physical interference with people going about their
    own lawful private business. It is difficult to conceive of any
    such statute that could not survive this level of scrutiny.
    3.
    We now consider Mrs. Dinwiddie's claim that FACE is overbroad
    and vague.    A statute is unconstitutionally overbroad if "it
    reaches a substantial number of impermissible applications." New
    York v. Ferber, 
    458 U.S. 747
    , 771 (1982). As we have discussed,
    FACE prohibits only a limited range of activity. It is not even
    close to being overbroad. See Broadrick v. Oklahoma, 
    413 U.S. 601
    ,
    613 (1973) (invalidating a statute on overbreadth grounds is
    "strong medicine" that must be applied "sparingly and only as a
    last resort").
    To "survive a vagueness challenge, a statute must `give the
    person of ordinary intelligence a reasonable opportunity to know
    what is prohibited' and `provide explicit standards for those who
    apply [the statute].'" Video Software Dealers Ass'n v. Webster,
    
    968 F.2d 684
    , 689 (8th Cir. 1992) (quoting Grayned v. City of
    Rockford, 
    408 U.S. 104
    , 108 (1972)). Mrs. Dinwiddie asserts that
    FACE is impermissibly vague because it uses the following terms:
    "interfere with," "physical obstruction," "intimidate," "force or
    threat of force," and "injures."
    The meaning of these terms is quite clear.     In Cameron v.
    Johnson, the Supreme Court rejected a vagueness challenge levelled
    against a statute that prohibited engaging in "picketing or mass
    demonstrations in such a manner as to obstruct or unreasonably
    interfere with free ingress to or egress from any public
    -17-
    premises . . 
    .." 390 U.S. at 612
    n.1 (emphasis added).       The
    meanings of "interfere with" and "physical obstruction" are even
    clearer in FACE because, unlike the statute at issue in Cameron,
    FACE provides narrow definitions of these terms. See 18 U.S.C.
    § 248(e)(2) and (4).     As for "force or threat of force" and
    "injures," they are readily understandable terms that are used in
    everyday speech.      Finally, considering that FACE defines
    "intimidate" as "to place a person in reasonable apprehension of
    bodily harm," 18 U.S.C. § 248(e)(3), "intimidate" is a clear term
    that is similar to an element in the crime and tort of assault.
    See, e.g., Mo. Rev. Stat. § 565.070(3) (a person commits the crime
    of third-degree assault if "[h]e purposely places another person in
    apprehension of immediate physical injury"); Restatement (Second)
    of Torts § 21 (1965) (defining the tort of assault as placing a
    person in imminent apprehension of "harmful or offensive contact"
    with the intention of doing so).
    Therefore, we reject Mrs. Dinwiddie's overbreadth and
    vagueness arguments and, like every other court that has considered
    the question, conclude that FACE does not violate the First
    Amendment.8
    III.
    Having held that FACE is constitutional, we now address Mrs.
    Dinwiddie's argument that she did not violate the statute.
    Although the District Court found that Mrs. Dinwiddie ran afoul of
    FACE in numerous ways, 
    see 885 F. Supp. at 1291-94
    , it emphasized
    Mrs. Dinwiddie's use of "threats of force" to "intimidate" Dr.
    8
    Accord, 
    Cheffer, 55 F.3d at 1521-22
    ; American Life 
    League, 47 F.3d at 648-53
    ; 
    Lucero, 895 F. Supp. at 1424-25
    ; White, 893 F.
    Supp. at 1435-37; Riely v. Reno, 
    860 F. Supp. 693
    , 700-04 (D. Ariz.
    1994); Cook v. Reno, 
    859 F. Supp. 1008
    , 1010-11 (W.D. La. 1994);
    Council for Life Coalition v. Reno, 
    856 F. Supp. 1422
    , 1426-30
    (S.D. Cal. 1994).
    -18-
    Crist, Planned Parenthood's Medical Director. We therefore begin
    by discussing the definition of "threats of force."
    A.
    Although the government may outlaw threats, see ante at 13-14,
    the First Amendment does not permit the government to punish speech
    merely because the speech is forceful or aggressive.       What is
    offensive to some is passionate to others. The First Amendment,
    therefore, requires a court (or a jury) that is applying FACE's
    prohibition on using "threats of force," to differentiate between
    "true threat[s]," 
    Watts, 394 U.S. at 708
    , and protected speech.
    The court must analyze an alleged threat "in the light of [its]
    entire factual context," 
    Lee, 6 F.3d at 1306
    (Lay, J., concurring
    in part and dissenting in part), and decide whether the recipient
    of the alleged threat could reasonably conclude that it expresses
    "a determination or intent to injure presently or in the future."
    Martin v. United States, 
    691 F.2d 1235
    , 1240 (8th Cir. 1982), cert.
    denied, 
    459 U.S. 1211
    (1983).
    When determining whether statements have constituted threats
    of force, we have considered a number of factors: the reaction of
    the recipient of the threat and of other listeners, see 
    J.H.H., 22 F.3d at 827
    ; whether the threat was conditional, see Bellrichard,
    
    994 F.2d 1321
    ; whether the threat was communicated directly to its
    victim, see ibid.; whether the maker of the threat had made similar
    statements to the victim in the past, see United States v.
    Whitfield, 
    31 F.3d 747
    , 749 (8th Cir. 1994); and whether the victim
    had reason to believe that the maker of the threat had a propensity
    to engage in violence. See 
    ibid. This list is
    not exhaustive, and
    the presence or absence of any one of its elements need not be
    dispositive. See, e.g., 
    Bellrichard, 994 F.2d at 1322
    ("A threat
    may be considered a `true threat' even if it is premised on a
    contingency.").
    -19-
    We will now examine Mrs. Dinwiddie's statements to Dr. Crist.
    The District Court found that from mid-1994 through early 1995, the
    defendant made approximately 50 comments to Dr. Crist, often
    through a bullhorn, warning "Robert, remember Dr. Gunn . . .. This
    could happen to you . . .. He is not in the world anymore . . ..
    Whoever sheds man's blood, by man his blood shall be shed." We
    agree with the District Court that these statements were "threats
    of force," and that they violated FACE by "intimidating" Dr. Crist
    (i.e., placing Dr. Crist in "reasonable apprehension of bodily
    harm").
    Although Mrs. Dinwiddie did not specifically say to Dr. Crist,
    "I am going to injure you," the manner in which Mrs. Dinwiddie made
    her statements, the context in which they were made, and Dr.
    Crist's reaction to them all support the conclusion that the
    statements were "threats of force" that "intimidated" Dr. Crist.9
    Mrs. Dinwiddie made these statements not once or twice, but about
    50 times. She communicated them directly to Dr. Crist, who reacted
    to them by wearing a bullet-proof vest. Finally, Dr. Crist was
    aware that Mrs. Dinwiddie, a well-known advocate of the view that
    it is justifiable to use lethal force against doctors who perform
    abortions, had attacked Lenard Venable, a Maintenance Supervisor at
    Planned Parenthood, physically obstructed potential patients who
    were trying to enter Planned Parenthood, and, on January 28, 1994,
    told Patty Brous, Planned Parenthood's Executive Director, "Patty,
    you have not seen violence yet until you see what we do to you."
    These facts gave Dr. Crist reason to believe that Mrs. Dinwiddie
    had a propensity to use force.10
    9
    The fact that Mrs. Dinwiddie did not specifically say to Dr.
    Crist that she would injure him does not mean that Mrs. Dinwiddie's
    comments were not "threats of force." See, e.g., 
    Bellrichard, 994 F.2d at 1319-24
    (holding that a number of letters warning their
    addressees that God or a third party would kill them were threats).
    10
    Mrs. Dinwiddie argues that because her comment to Ms. Brous
    occurred before May 26, 1994, the date FACE took effect, the
    -20-
    Our conclusion that Mrs. Dinwiddie's statements were "threats
    of force" that "intimidated" Dr. Crist is supported by Watts v.
    United States, a case on which Mrs. Dinwiddie heavily relies. At
    issue in Watts was the defendant's statement at a rally that "[i]f
    they ever make me carry a rifle the first man I want to get in my
    sights is L.B.J."    
    Watts, 394 U.S. at 706
    .     The Supreme Court
    reversed Watts's conviction for threatening the President because
    Watts's statement was expressly conditioned on his induction into
    the Armed Forces and because the audience responded to Watts by
    laughing.   See 
    id. at 707-08.
        In contrast, Mrs. Dinwiddie's
    comments were not expressly conditional. Dr. Crist did not laugh
    at the defendant's words; he started wearing a bullet-proof vest.
    Finally, whereas Watts did not communicate his comment directly to
    President Johnson, Mrs. Dinwiddie used a bullhorn to speak directly
    to Dr. Crist.    In sum, Mrs. Dinwiddie's words were far more
    District Court's reliance on it was erroneous. It is true that
    Mrs. Dinwiddie cannot be held liable under FACE for conduct that
    occurred prior to May 26, 1994. See Section 6 of Pub. L. No. 103-
    259, 108 Stat. 694, 697 (1994) (statutory note accompanying FACE).
    But that is not what the District Court did. The Court stated,
    correctly, that although Mrs. Dinwiddie's pre-May 26, 1994 conduct
    and background events not linked directly to Mrs. Dinwiddie "do not
    bear directly on the liability of Dinwiddie under FACE, they are
    relevant to the definitions in 18 U.S.C. § 
    248(e)." 885 F. Supp. at 1291
    . In other words, although Mrs. Dinwiddie's comment to Ms.
    Brous does not violate FACE, it can be used as a factor in
    determining whether her post-May 26, 1994, comments to Crist were
    "threats of force" that "intimidated" Crist by placing him in
    "reasonable apprehension of physical harm."
    The same reasoning applies to Mrs. Dinwiddie's advocacy of the
    view that it is justifiable to use violence against doctors who
    perform abortions. Punishing Mrs. Dinwiddie for expressing this
    opinion would violate the First Amendment. See 
    Brandenburg, 395 U.S. at 447
    .   But it was appropriate for the District Court to
    consider Crist's "awareness of Dinwiddie's well-publicized advocacy
    of lethal 
    force," 885 F. Supp. at 1293
    , in determining whether Mrs.
    Dinwiddie intimidated him with threats of force. See 
    Mitchell, 113 S. Ct. at 2201
    (the First Amendment "does not prohibit the
    evidentiary use of speech to establish the elements of a crime or
    to prove motive or intent").
    -21-
    threatening than Watts's.11
    B.
    Having concluded that Mrs. Dinwiddie violated FACE by using
    threats of force to intimidate Dr. Crist, we need not dwell on her
    numerous other violations of FACE. 
    See 885 F. Supp. at 1291-94
    .
    We will, however, discuss one incident the District Court
    highlighted.
    On July 28, 1994, Mrs. Dinwiddie physically assaulted Lenard
    Venable, a Maintenance Supervisor at Planned Parenthood, with an
    electric bullhorn. At oral argument, Mrs. Dinwiddie asserted that
    her attack on Venable did not violate FACE because Venable was not
    "providing reproductive health services." 18 U.S.C. § 248(a)(1).
    Mrs. Dinwiddie maintains that a worker at an abortion clinic who
    does not perform abortions or counsel pregnant women does not
    "provide" reproductive-health services. We decline to adopt this
    narrow interpretation of "provide."
    A "term appearing in several places in a statutory text is
    generally read the same way each time it appears."   Ratzlaf v.
    United States, 
    114 S. Ct. 655
    , 660 (1994). Thus, in interpreting
    the meaning of "providing reproductive health services," we examine
    how the word "provide" is used in 18 U.S.C. § 248(a)(3), a section
    of FACE that prohibits damaging or destroying a facility because
    "such facility provides reproductive health services" (emphasis
    added). The phrase "facility [that] provides reproductive health
    11
    Mrs. Dinwiddie also argues that her statements were less
    threatening than those of the defendant in Gooding v. Wilson, 
    405 U.S. 518
    (1972), who said to a police officer, "White son of a
    bitch, I'll kill you.    You son of a bitch, I'll choke you to
    death."   
    Id. at 519-20
    n.1.   That may be true, but it is also
    irrelevant.   The Supreme Court reversed Wilson's conviction on
    overbreadth grounds; it never reached the question of whether his
    words constituted threats.
    -22-
    services" refers to a type of building. See 18 U.S.C. § 248(e)(1).
    Buildings do not perform abortions or counsel pregnant women. The
    word "provide" must, then, have a broader meaning than Mrs.
    Dinwiddie has suggested.
    A building that houses an abortion clinic "provides"
    reproductive-health services because it is an integral part of a
    business in which abortions are performed and pregnant women are
    counselled.   The same logic applies to workers at an abortion
    clinic -- Dr. Crist could not do his job without either Planned
    Parenthood's "facility" or its workers. Therefore, like Planned
    Parenthood's "facility," Venable "provides" reproductive-health
    services, and Mrs. Dinwiddie's attack on him violated FACE.
    IV.
    After concluding that Mrs. Dinwiddie violated FACE, the
    District Court issued a permanent injunction that orders her not to
    violate FACE and "not [to] be physically located within 500 feet of
    the entrance of any facility (a `buffer zone') in the United States
    that provides reproductive health services as contemplated by
    [FACE]" except "for the purpose of engaging in legitimate personal
    activity that could not be remotely construed to violate 18 U.S.C.
    § 
    248." 885 F. Supp. at 1296
    . This "legitimate personal activity"
    exception permits Mrs. Dinwiddie, among other things, to carry a
    placard, distribute literature, and speak without an amplifier, so
    long as she does not intimidate, interfere with, or physically
    obstruct anyone or violate a local noise ordinance.             But
    "legitimate personal activity" does not include "activity
    that . . . is described in part III.A." of the District Court's
    opinion or "any use whatsoever of a bullhorn, megaphone, or other
    sound or voice amplifying device." 
    Id. at 1296-97.
    Mrs. Dinwiddie
    argues that this injunction is unconstitutional because it is vague
    and overinclusive. We agree with her, in part, and remand to the
    District Court with instructions to modify the injunction.
    -23-
    A.
    For the sake of argument, we will assume (for now) that the
    injunction is content neutral. In order to be constitutional, a
    content-neutral injunction that imposes time, place, or manner
    restrictions on speech or expressive conduct must "burden no more
    speech than necessary to serve a significant government interest,"
    
    Madsen, 114 S. Ct. at 2525
    . The interest advanced by the District
    Court's injunction -- protecting the safety of the staff and
    patients of Planned Parenthood and other reproductive-health
    facilities -- is "quite sufficient to justify an appropriately
    tailored injunction . . .." 
    Id. at 2526.
    Our task, then, is to
    decide whether the injunction "burdens no more speech than
    necessary" to achieve this objective.
    We begin by examining the injunction's requirement that
    whenever Mrs. Dinwiddie is within 500 feet of a reproductive-health
    facility, she engage only in "legitimate personal activity that
    could not be remotely construed to violate [FACE]." In Brown v.
    Polk County, 
    61 F.3d 650
    (8th Cir. 1995) (en banc), we confronted
    a similarly worded provision. The administrator of Polk County,
    Iowa, ordered that a county employee "immediately cease any
    activities that could be considered to be religious proselytizing,
    witnessing, or counseling . . .." 
    Id. at 652
    (emphasis added). We
    held that this mandate violated the employee's rights under the
    Free Exercise Clause of the First Amendment because "[i]t would
    seem to require no argument that to forbid speech `that could be
    considered' religious is not narrowly tailored to the aim of
    prohibiting harassment . . .." 
    Id. at 659.
    What was true in Brown is even more true in this case. Within
    500 feet of a reproductive-health facility, the injunction forbids
    Mrs. Dinwiddie from doing anything that could be "remotely
    construed" to violate FACE or that is not "legitimate personal
    activity," a phrase which the District Court never completely
    -24-
    defines. Also, to withstand constitutional scrutiny, the District
    Court's injunction must burden no more speech than necessary to
    further a significant government interest.      This standard is
    stricter than intermediate scrutiny, the test that we employed in
    Brown. See 
    Madsen, 114 S. Ct. at 2525
    -26. In sum, this portion of
    the injunction is inconsistent with the First Amendment.12
    The District Court's order that Mrs. Dinwiddie not engage in
    "activity that . . . is described in part III.A. of this permanent
    injunction" whenever she is within 500 feet of a reproductive-
    health facility is also unconstitutional. Part III.A. contains the
    District Court's entire description of Mrs. Dinwiddie's conduct.
    It mentions not only Mrs. Dinwiddie's violations of FACE, but also
    speech that is protected by the First Amendment. For instance, in
    Part III.A., the District Court states:
    During one program, Dinwiddie was asked [by a television
    reporter] whether it is "right to be able to kill a
    doctor to save that unborn child" and responded:      "I
    think that abortion is a violent, violent business and
    that violence begets violence. The Scriptures say that
    if you live by the sword, you die by the 
    sword." 885 F. Supp. at 1293
    . In the context of answering the reporter's
    question, her remarks were pure speech. Enjoining Mrs. Dinwiddie
    from voicing this opinion to a reporter (or from signing a petition
    expressing this view), not only "burdens more speech than
    necessary," but is also an unconstitutional viewpoint-based
    12
    This part of the injunction also runs afoul of Fed. R. Civ.
    P. 65(d), which requires that "[e]very order granting an
    injunction . . . shall be specific in terms [and] shall describe in
    reasonable detail . . . the act or acts sought to be
    restrained . . .." With its prohibition on activities that can be
    "remotely construed" to violate FACE and its lack of a definition
    for legitimate personal activity, the injunction violates Rule
    65(d) by calling on Mrs. Dinwiddie "to guess at what kind of
    conduct" is permissible in the buffer zones.          Calvin Klein
    Cosmetics v. Parfums de Coeur, Ltd., 
    824 F.2d 665
    , 669 (8th Cir.
    1987).
    -25-
    restriction on speech. The First Amendment, therefore, does not
    permit the injunction to incorporate Part III.A. of the District
    Court's opinion.
    B.
    Part III.A. does describe a number of activities, such as Mrs.
    Dinwiddie's use of threats of force to intimidate Dr. Crist and her
    attack on Venable, which it was certainly appropriate for the
    District Court to enjoin. The remainder of the injunction helps to
    ensure that Mrs. Dinwiddie does not repeat this conduct.
    Specifically, the injunction orders Mrs. Dinwiddie not to violate
    FACE and, within 500 feet of any reproductive-health facility in
    the United States, not to engage in activity that:
    (2) constitutes intimidation, physical obstruction,
    interference, force, or threats of force; (3) involves
    any use whatsoever of a bullhorn, megaphone, or other
    sound or voice amplifying device; (4) brings defendant in
    violation of any local noise ordinance; or (5) brings
    defendant in violation of laws related, but not limited,
    to assault, battery, trespass, harassment, vandalism,
    disturbing the peace, destruction of property, or
    unlawful possession of weapons, when such activity also
    has the effect of violating 
    FACE. 885 F. Supp. at 1297
    .
    We believe that an injunction limited to these provisions
    would not violate the First Amendment.        Like FACE, such an
    injunction would be content neutral; it would limit the manner in
    which Mrs. Dinwiddie may express herself "without reference to the
    content" of the message she conveys. 
    Madsen, 114 S. Ct. at 2523
    (quoting Ward v. Rock Against Racism, 
    491 U.S. 781
    , 791 (1989)
    (internal quotations omitted)).    Moreover, the injunction would
    burden no more speech than necessary to protect the staff and
    patients of Planned Parenthood and other reproductive-health
    facilities.
    -26-
    The types of activity that the injunction would proscribe are
    quite narrow. Ordering Mrs. Dinwiddie to stop violating FACE, a
    statute that prohibits a limited range of disruptive conduct, would
    have a de minimis effect on her ability to express herself. Two of
    the injunction's other mandates -- that, within 500 feet of a
    reproductive-health facility, Mrs. Dinwiddie not engage in activity
    that "constitutes intimidation, physical obstruction, interference,
    force, or threats of force," or that violates a number of state
    laws "when such activity also has the effect of violating FACE" --
    are subsets of the conduct prohibited by FACE. Accordingly, these
    provisions would be constitutional, as well.
    The injunction's restrictions on using sound- or voice-
    amplifying devices and on violating local noise ordinances would
    also be consistent with the First Amendment. As the District Court
    noted, Mrs. Dinwiddie's "use of threats and intimidation in
    violation of FACE have been facilitated by the use of her bullhorn.
    Defendant has used her bullhorn not only to threaten and intimidate
    persons at Planned Parenthood, but also to assault physically
    workers such as 
    Venable." 885 F. Supp. at 1297
    .        These
    restrictions would help to ensure that Mrs. Dinwiddie does not
    repeat this or similar illegal conduct, while allowing her to carry
    signs, distribute literature, and speak at a reasonable volume even
    when she is within 500 feet of an abortion clinic.
    Moreover, the radius of the 500-foot buffer zones does not
    violate the First Amendment.       In Madsen, the Supreme Court
    invalidated an injunction's requirement that, within 300 feet of an
    abortion clinic, protestors refrain from physically approaching any
    person seeking services at the clinic. The Court explained that
    "[a]bsent evidence that the protestors' speech is independently
    proscribable (i.e., `fighting words' or threats), or is so infused
    with violence as to be indistinguishable from a threat of physical
    harm, this provision cannot 
    stand." 114 S. Ct. at 2529
    . Here,
    Mrs. Dinwiddie's speech was "independently proscribable" -- she
    -27-
    threatened Dr. Crist.      See also 
    id. at 2528
    (upholding an
    injunction's prohibition on "singing, chanting, whistling,
    shouting, yelling, use of bullhorns [or] sound equipment . . .
    within earshot of the patients inside [an abortion clinic]" during
    certain hours of the day).
    Finally, the nationwide scope of the injunction is
    constitutional, as well. The government has a significant interest
    not only in safeguarding Dr. Crist and Planned Parenthood's
    patients, but also in protecting the staff and patients of other
    reproductive-health facilities. We agree with the District Court
    that a geographically narrow injunction would be insufficient to
    advance this interest:
    If the permanent injunction encompassed only Planned
    Parenthood or the Western District of Missouri, then this
    Court would jeopardize the lives and safety of providers
    and recipients of reproductive health services who are
    protected by FACE. Defendant could easily frustrate the
    purpose and spirit of the permanent injunction simply by
    stepping over state lines and engaging in similar
    activity at another reproductive health 
    facility. 885 F. Supp. at 1296
    . Furthermore, in light of the narrow range of
    conduct prohibited by the injunction (as we have modified it) and
    Mrs.   Dinwiddie's   "consistent,   repetitious,    and   flagrant
    unwillingness or inability to comply" with FACE, 
    id. at 1295,
    a
    nationwide injunction would burden no more speech than necessary to
    protect the staff and patients of reproductive-health facilities.
    See United States v. Carson, 
    52 F.3d 1173
    , 1184-85 & n.10 (2d Cir.
    1995) (rejecting a First Amendment challenge to an injunction that
    prohibits Carson, a former union officer who had engaged in
    racketeering, from "participating in any way in the affairs of or
    having any dealing, directly or indirectly, with . . . any labor
    organization . . ."); Commodity Futures Trading Comm'n v. Hunt, 
    591 F.2d 1211
    , 1220 (7th Cir. 1979) ("When the violation has been
    founded on systematic wrongdoing, rather than an isolated
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    occurrence, a court      should   be   more   willing   to   enjoin   future
    misconduct.").
    We conclude that an injunction limited to the terms discussed
    in Part IV.B. of this opinion would adequately protect the staff
    and patients of reproductive-health facilities and would be
    consistent with the First Amendment.
    V.
    For these reasons, we affirm the District Court's holding that
    the Freedom of Access to Clinic Entrances Act is constitutional and
    that Mrs. Dinwiddie violated FACE.     We remand this case to the
    District Court with instructions to modify the injunction in a
    manner consistent with Part IV of this opinion.
    It is so ordered.
    A true copy.
    Attest:
    CLERK, U.S. COURT OF APPEALS, EIGHTH CIRCUIT.
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