State of Iowa v. Mark Daryl Becker , 818 N.W.2d 135 ( 2012 )


Menu:
  •                IN THE SUPREME COURT OF IOWA
    No. 10–0631
    Filed July 20, 2012
    STATE OF IOWA,
    Appellee,
    vs.
    MARK DARYL BECKER,
    Appellant.
    On review from the Iowa Court of Appeals.
    Appeal from the Iowa District Court for Butler County, Stephen P.
    Carroll, Judge.
    Mark Becker appeals his conviction for first-degree murder
    claiming the district court erred in refusing to give his proposed
    instruction defining the elements of the insanity defense and that the
    district court erred when it refused to instruct the jury of the
    consequences of a verdict of not guilty by reason of insanity. DECISION
    OF COURT OF APPEALS AND JUDGMENT OF DISTRICT COURT
    AFFIRMED.
    Mark C. Smith, State Appellate Defender, and Martha J. Lucey,
    Assistant State Appellate Defender, for appellant.
    2
    Thomas J. Miller, Attorney General, Darrel L. Mullins, Scott D.
    Brown, and Andrew B. Prosser, Assistant Attorneys General, Gregory M.
    Lievens, County Attorney, for appellee.
    3
    ZAGER, Justice.
    On June 24, 2009, Mark Becker shot and killed Edward Thomas in
    a temporary high school weight room in Parkersburg, Iowa, in front of
    numerous high school students participating in summer workouts.
    Becker was charged with the crime of murder in the first degree in
    violation of sections 707.1 and 707.2(1) and (2) of the Iowa Code. Becker
    provided notice that he would be relying on the defense of insanity to the
    charge. The jury rejected the insanity defense and found Becker guilty of
    first-degree murder.        Following the guilty verdict, the district court
    sentenced Becker to life in prison without the possibility of parole and
    ordered him to pay restitution to the victim’s estate. He was also ordered
    to pay restitution for his attorney and expert witness fees. Becker has
    appealed his conviction and the imposition of expert witness fees.
    Becker claims the jury was improperly instructed on the insanity defense
    and   that     the   jury   should   have   been   instructed   regarding   the
    consequences of a verdict of not guilty by reason of insanity. He also
    claims the restitution order for expert witness fees exceeded the statutory
    limitations.      We transferred the case to the court of appeals which
    affirmed the conviction and restitution orders.        Becker sought further
    review, which we granted. For the reasons set forth below, we affirm the
    district court.
    I. Background Facts and Proceedings.
    Becker was born June 3, 1985. His mother testified that he was
    an active, friendly child but that he “started to withdraw a little bit” the
    summer after his freshman year of high school. He was active in sports,
    and Thomas was his high school football coach. After graduation from
    high school, he attended Wartburg College in Waverly, Iowa, for one
    semester.      He left college and lived in various locations over the next
    4
    several years.     During this time, according to his mother’s testimony,
    Becker “continued to be more inward, more depressed, [and] very
    uncommunicative.”
    Becker began living with his parents outside of Parkersburg in July
    of 2008. In September, his parents awoke one night to Becker yelling.
    He was swearing at his parents and was acting very violently. At one
    point, he began hitting the basement walls with a baseball bat.         His
    parents called the sheriff who testified that Becker claimed he had a
    metaphysical ESP connection with Thomas and that Thomas was
    sending him messages that were keeping him up at night. Becker was
    committed to a psychiatric unit the next day. He spent the next week in
    this facility and was released with a prescription for medication that his
    mother testified he took sporadically.
    Over the next month, Becker began to have more frequent violent
    episodes.   In November, he was arrested for an assault.        His mother
    picked him up from jail, and on the way home, he began swearing at her
    and hit her while she was driving, breaking her glasses.         When she
    attempted to call her husband, he grabbed her cell phone and broke it in
    half. As a result, Becker was again committed and spent another week
    in the hospital.
    Following his discharge, Becker’s parents rented a room for him in
    Waterloo. However, they were unable to afford the room, and he moved
    back to their home in February 2009.           Becker continued to have
    difficulties, and his parents called the sheriff’s department several times.
    In April, Cedar Valley Community Support Services became involved to
    provide support and assistance to Becker.        It helped Becker get an
    apartment and a job in Waterloo.         His relationship with his parents
    began to improve, and he would stop by and visit with them on occasion.
    5
    On June 20, Becker knocked at the front door of the residence of
    Dwight Rogers, a Cedar Falls resident.    Though Rogers did not know
    Becker, Becker asked for Rogers by name. When Rogers asked Becker
    who he was, Becker responded, “[Y]ou know who the F I am.” Rogers
    said he did not have a good feeling about the situation, so he closed the
    door and told his wife to call 911. He reopened the door and saw Becker
    approaching with a baseball bat.    He closed the door again and was
    attempting to get Becker’s license plate number when Becker swung the
    bat at Rogers’s front door, breaking the storm door. The two struggled
    over the door, but Rogers was able to close it.    Becker then broke a
    picture window and a garage door window before attempting to drive his
    car through the garage door.   Becker left once law enforcement sirens
    became audible. He then led law enforcement officers on a high-speed
    chase that ended when he hit a deer.
    Becker was arrested and taken to the Butler County Sheriff’s
    Office. He was booked and interviewed and then sent to a psychiatric
    unit in Waterloo for evaluation.   Law enforcement requested they be
    notified before Becker was released. He was evaluated on June 21, and
    the next day he was diagnosed with paranoid schizophrenia and given
    medication. On June 23, Becker requested he be released as he felt that
    he was better. A nurse indicated to Becker’s doctor “that he seem[ed] to
    be doing much better,” and following this conversation, Becker’s doctor
    agreed to discharge him. Becker’s service coordinator with Cedar Valley
    Community Support Services agreed to pick Becker up, and the doctor
    discharged him with prescriptions for medication. The sheriff was not
    notified.
    Becker’s keys had been taken by the police, so the service
    coordinator opened his apartment for him and made plans to get his
    6
    prescriptions filled the next day.   About 9:30 that evening, however,
    Becker called his parents from a Waterloo Burger King and asked to be
    picked up so he could spend the night with them.       They agreed, and
    Becker’s mother came to Waterloo to pick him up. At that time, she felt
    that Becker seemed to be doing better than he had in quite some time.
    Becker woke his father up at 4:30 a.m. on June 24, and they had
    coffee together. Becker’s mother woke up around 5:00 a.m. and spoke
    with him for a few minutes.     Becker’s mother and father then left for
    work. Later they planned to pick up his prescriptions and check with
    the sheriff about getting Becker’s keys back.
    Sometime that morning, Becker pried open a gun cabinet in his
    parents’ basement. He took a .22 caliber revolver and practiced shooting
    the gun at a birdhouse in his parents’ yard. He later told officials that
    after his practice session he knew he would have to get close to Thomas
    in order to be sure that he hit him. Becker then reloaded the gun and
    found a spare set of keys for one his parents’ cars and drove to
    Aplington. He knocked on the door of a residence and asked for Thomas
    by name. He was told Thomas did not live at that house. Becker then
    drove to Parkersburg where he asked a few people where he might find
    Thomas. Becker told one of these people that he needed to find Thomas
    because he was working with him on a tornado relief project. He was
    directed to the elementary school where he was told Thomas might be
    teaching driver’s education.
    Upon arrival at the elementary school, Becker left the gun in the
    car. He asked a family friend who worked as a custodian at the school
    where Thomas was. The custodian called a custodian at the high school
    who told him Thomas was in the weight room.        This information was
    7
    relayed to Becker who, after some small talk, returned to his car and
    drove to the weight room.
    Since the high school in Parkersburg had been damaged by a
    tornado, a makeshift weight room had been set up in a bus barn. Becker
    arrived at the weight room at about 7:45 a.m. Initially, he left the gun in
    the car. According to witnesses, he stuck his head in the door of the bus
    barn and looked around and left. Becker then retrieved the gun from his
    car and put it in the pocket of his coveralls. 1 He reentered the weight
    room, approached Thomas, took out the gun, and shot Thomas six times
    in the head, chest and leg. He proceeded to kick and stomp on Thomas,
    yelling, “Fuck you, old man.” He then left the weight room screaming
    that he had killed Satan and telling people to go get his carcass. Thomas
    died from his injuries.
    Becker drove away from the high school towards his parents’
    home. Witnesses had already reported the shooting and described the
    car Becker was driving. Since the car was registered to Becker’s father,
    Sheriff Johnson headed to Becker’s parents’ home.                 As the sheriff
    approached the Becker residence, he could see a vehicle approaching.
    The vehicle turned in behind Johnson. The car followed Johnson into
    the driveway.    Johnson accelerated, turned his vehicle at an angle for
    cover, and drew his weapon. As the car approached, Johnson saw an
    arm come out of the window. The driver was holding a handgun out of
    the window by the trigger guard. The vehicle stopped; Johnson ordered
    him to drop the gun; and Becker complied. Becker stepped out of the car
    and said, “I’m done, I’m done.” Becker was handcuffed and taken into
    1Becker  stated to a doctor who examined him afterward that he wore coveralls
    because “the gun could fit easily into his pocket.”
    8
    custody.   He was interviewed by agents from the Division of Criminal
    Investigations and admitted shooting Thomas.
    Becker was charged with first-degree murder by trial information
    on June 30, 2009. He provided notice of an insanity defense on July 13.
    Trial commenced on February 12, 2010. The State presented numerous
    witnesses who identified Becker as the shooter.       The defense called
    numerous witnesses to testify to Becker’s history of mental problems and
    his behavior in the days leading up to the shooting. The defense then
    called two psychiatrists who offered expert testimony that at the time of
    the shootings Becker was suffering from paranoid schizophrenia, and
    that, as a result, Becker did not know and understand the nature or
    consequences of his actions and was incapable of distinguishing right
    from wrong in relation to those actions. In rebuttal, the State called two
    of its own psychiatrists.   They agreed Becker suffered from paranoid
    schizophrenia, but they testified that he nevertheless understood the
    nature and consequences of his action and knew right from wrong in
    relation to the acts he committed.
    The case was submitted to the jury on February 24.         The jury
    deliberated for several days and sent several questions to the district
    court, including one on February 26, in which they asked the judge what
    would happen if Becker were found not guilty by reason of insanity. The
    judge answered by referring the jurors to jury instruction 10 which told
    the jurors that it was their duty to determine guilt or innocence and that
    in the event of a guilty verdict, they would have nothing to do with
    punishment. Instruction 10 does not refer to the consequences of a not-
    guilty-by-reason-of-insanity verdict. However, in response to the jury’s
    question, the court informed the jury that in the event of either a guilty
    verdict or a not-guilty-by-reason-of-insanity verdict, the jury would have
    9
    nothing to do with the consequences and that these were issues for the
    court, not the jury. On March 2, the jury returned a verdict of guilty.
    Becker filed a motion for a new trial on April 8, claiming, among other
    things, that the jury instructions on insanity the district court provided
    to the jury were inaccurate and misleading. Becker also reasserted his
    claim that the court should have instructed the jury of the consequences
    of a verdict of not guilty by reason of insanity. The trial court denied the
    motion and on April 14 sentenced Becker to life in prison without parole.
    II. Issues.
    Becker appealed his conviction, claiming the district court
    improperly instructed the jury when it submitted the Iowa State Bar
    Association’s jury instructions defining the elements of the insanity
    defense instead of the instruction Becker requested. He also claimed the
    district court violated his due process rights under the Iowa Constitution
    when it refused to instruct the jury as to the consequences of a not-
    guilty-by-reason-of-insanity   verdict.        Finally,   Becker   claims   the
    restitution order, including the expert witness fees paid to Becker’s
    expert witnesses, exceeded the maximum amount allowed by the statute.
    The court of appeals affirmed the district court’s rulings on all three
    issues.
    On further review, “we retain the discretion to consider all issues
    raised in the initial appeal.” State v. Doggett, 
    687 N.W.2d 97
    , 99 (Iowa
    2004). In exercising that discretion, we are allowed to let the court of
    appeals’ decision on any particular issue stand as the final decision on
    that issue. See id.; see also State v. Johnson, 
    784 N.W.2d 192
    , 193–94 &
    n.1 (Iowa 2010). On further review, we address the two issues relating to
    the jury instructions and allow the court of appeals’ opinion to stand as
    the final decision on the restitution issue.
    10
    III. Standards of Review.
    Becker’s claims on appeal both focus on the jury instructions. His
    first claim is that the instructions given by the district court did not
    accurately define insanity and that his own instruction should have been
    given. “We review challenges to jury instructions for correction of errors
    at law.   ‘We review the related claim that the trial court should have
    given the defendant’s requested instructions for an abuse of discretion.’ ”
    State v. Marin, 
    788 N.W.2d 833
    , 836 (Iowa 2010) (citations omitted); see
    also In re Det. of Palmer, 
    691 N.W.2d 413
    , 416 (Iowa 2005) (“We also
    review a district court’s failure to give a jury instruction for an abuse of
    discretion.”). “An abuse of discretion occurs when the court’s decision is
    based on a ground or reason that is clearly untenable or when the
    court’s discretion is exercised to a clearly unreasonable degree.” Pexa v.
    Auto Owners Ins. Co., 
    686 N.W.2d 150
    , 160 (Iowa 2004); see also Summy
    v. City of Des Moines, 
    708 N.W.2d 333
    , 339 (Iowa 2006).
    We employ a different standard of review when a jury instruction
    implicates a constitutional right.   “We review de novo a district court
    decision implicating a defendant’s constitutional rights.” State v. Lyman,
    
    776 N.W.2d 865
    , 873 (Iowa 2010); see also State v. Willard, 
    756 N.W.2d 207
    , 211 (Iowa 2008); State v. Nail, 
    743 N.W.2d 535
    , 538 (Iowa 2007).
    Becker claims that article I, section 9 of the Iowa Constitution required
    the district court to instruct the jury that if it found Becker not guilty by
    reason of insanity, then he would be committed to a mental health
    institute for evaluation. Becker claims that failing to give the requested
    instruction violated his due process rights.         Since Becker’s claim
    regarding the failure to provide a consequence instruction implicates his
    constitutionally based due process rights, our review is de novo. State v.
    Heemstra, 
    721 N.W.2d 549
    , 553 (Iowa 2006) (“We review challenges to
    11
    jury instructions for correction of errors at law.    To the extent [a jury
    instruction] error is based on constitutional grounds, our review is de
    novo.” (citations omitted)).
    “Error in giving or refusing to give a particular instruction
    warrants reversal unless the record shows the absence of prejudice.”
    Marin, 788 N.W.2d at 836.       If an error in giving or refusing to give a
    requested jury instruction violated a defendant’s constitutional rights,
    then a “jury instruction error is presumed prejudicial unless ‘the
    contrary appears beyond a reasonable doubt from a review of the whole
    case.’ ” State v. Hanes, 
    790 N.W.2d 545
    , 550 n.1 (Iowa 2010) (quoting
    State v. Davis, 
    228 N.W.2d 67
    , 73 (Iowa 1975), overruled in part on other
    grounds by Hanes, 790 N.W.2d at 550 n.1). When the error in giving or
    refusing to give a jury instruction is not of a constitutional dimension,
    “we presume prejudice and reverse unless the record affirmatively
    establishes there was no prejudice.”        Id. at 551.    Under this test,
    prejudice will be found where the information given unquestionably had
    a powerful and prejudicial impact on the jury or where the instruction
    could reasonably have misled or misdirected the jury. Id.
    IV. The Jury Instructions Regarding the Insanity Defense.
    In a criminal case, the district court is required to instruct the jury
    as to the law applicable to all material issues in the case. Marin, 788
    N.W.2d at 837; see also Iowa R. Civ. P. 1.924 (requiring the district court
    to “instruct the jury as to the law applicable to all material issues in the
    case”); Iowa R. Crim. P. 2.19(5)(f) (“The rules relating to the instruction of
    juries in civil cases shall apply to the trial of criminal cases.”).   When
    reviewing jury instructions, we consider them as a whole, not separately.
    State v. Fintel, 
    689 N.W.2d 95
    , 104 (Iowa 2004) (“Jury instructions are
    not considered separately; they should be considered as a whole.”).
    12
    Instructions must correctly state the law, but they do not need to
    “contain or mirror the precise language of the applicable statute.” State
    v. Schuler, 
    774 N.W.2d 294
    , 298 (Iowa 2009). We have stated that “the
    court is required to give a party’s requested instruction so long as it
    ‘ “states a correct rule of law having application to the facts of the case
    and      when    the   concept   is   not   otherwise   embodied   in   other
    instructions.” ’ ” Marin, 788 N.W.2d at 837 (quoting Summy, 708 N.W.2d
    at 340). However, we also note that “the court is not required to give any
    particular form of an instruction; rather, the court must merely give
    instructions that fairly state the law as applied to the facts of the case.”
    Id. at 838; see also State v. Veal, 
    564 N.W.2d 797
    , 812 (Iowa 1997),
    overruled in part on other grounds by State v. Hallum, 
    585 N.W.2d 249
    ,
    253 (Iowa 1998), vacated on other grounds, 
    527 U.S. 1001
    , 
    119 S. Ct. 1335
    , 
    144 L. Ed. 2d 233
     (1999) (“A trial court is . . . not required to
    instruct in the language of requested instructions so long as the topic is
    covered.” (citation and internal quotation marks omitted)). We will begin
    our analysis of the instructions by defining the law of the defense of
    insanity in Iowa and then proceed to determine whether the instructions
    given, when read as a whole, fairly and correctly state the law on the
    issue.
    Iowa courts first considered the proper instructions for an insanity
    defense in State v. Felter, 
    25 Iowa 67
     (1868). See The Defense of Insanity
    at the Time of the Act in Criminal Cases in Iowa, Note, 
    32 Iowa L
    . Rev.
    714, 720 (1947). For the next century, various judicially defined tests for
    insanity were used until, in 1976, the Iowa legislature codified Iowa’s
    13
    insanity defense at what is now Iowa Code section 701.4 (2009). 1976
    Iowa Acts ch. 1245(1), § 104. 2 The section now reads:
    A person shall not be convicted of a crime if at the time
    the crime is committed the person suffers from such a
    diseased or deranged condition of the mind as to render the
    person incapable of knowing the nature and quality of the
    act the person is committing or incapable of distinguishing
    between right and wrong in relation to that act. Insanity
    need not exist for any specific length of time before or after
    the commission of the alleged criminal act. If the defense of
    insanity is raised, the defendant must prove by a
    preponderance of the evidence that the defendant at the time
    of the crime suffered from such a deranged condition of the
    mind as to render the defendant incapable of knowing the
    nature and quality of the act the defendant was committing
    or was incapable of distinguishing between right and wrong
    in relation to the act.
    Iowa Code § 701.4. 3        As used in the statute, “the words ‘right’ and
    ‘wrong’ . . . should be understood in their legal and not in their moral
    sense.”   State v. Hamann, 
    285 N.W.2d 180
    , 183 (Iowa 1979).                  Becker
    does not challenge the statutory definition itself; rather, he claims the
    jury instructions provided by the district court did not correctly state the
    law.
    The district court submitted two instructions to the jury regarding
    the insanity defense, instructions 34 and 35. Instruction 34 was entitled
    “Insanity Defense” and read as follows:
    The Defendant claims he is not criminally accountable
    for his conduct by reason of insanity. A person is presumed
    sane and responsible for his acts.
    Not every kind or degree of mental disease or mental
    disorder will excuse a criminal act. “Insane” or “insanity”
    2The only amendment to the statute occurred in 1984 when the legislature
    amended the statute to require the defendant to bear the burden of proving an insanity
    defense by a preponderance of the evidence. See 1984 Iowa Acts ch. 1320, § 1.
    3We  have recognized that section 701.4 is a codification of the M’Naghten rule
    for determining whether a defendant was insane at the time of the crime. State v.
    Hamann, 
    285 N.W.2d 180
    , 182 (Iowa 1979).
    14
    means such a diseased or deranged condition of the mind as
    to make a person either incapable of knowing or
    understanding the nature and quality of his acts, or
    incapable of distinguishing right and wrong in relation to the
    acts.
    A person is “sane” if, at the time he committed the
    criminal act, he had sufficient mental capacity to know and
    understand the nature and quality of the act and had
    sufficient mental capacity and reason to distinguish right
    from wrong as to the particular act.
    To know and understand the nature and quality of
    one’s acts means a person is mentally aware of the
    particular acts being done and the ordinary and probable
    consequences of them.
    Concerning the mental capacity of the Defendant to
    distinguish between right and wrong, you are not interested
    in his knowledge of moral judgments, as such, or the
    rightness or wrongness of things in general. Rather, you
    must determine the Defendant’s knowledge of wrongness so
    far as the acts charged are concerned. This means mental
    capacity to know the acts were wrong when he committed
    them.
    The Defendant must prove by a “preponderance of the
    evidence” that he was insane at the time of the commission
    of the crime.
    Preponderance of the evidence is evidence that is more
    convincing than opposing evidence. Preponderance of the
    evidence does not depend upon the number of witnesses
    testifying on one side or the other.
    Insanity need not exist for any specific length of time.
    Becker made no objection to instruction 34 at trial and does not claim it
    was improper on appeal.
    Instruction 35 was entitled “Elements of Insanity Defense” and it
    read as follows:
    If the State has proved all of the elements of a crime,
    you should then determine if the Defendant has proved he
    was insane.
    In order for the Defendant to establish he was insane,
    he must prove by a preponderance of the evidence either of
    the following:
    15
    1.     At the time the crime was committed, the
    Defendant did not have sufficient mental
    capacity to know and understand the nature
    and quality of the acts he is accused of; or
    2.     At the time the crime was committed, the
    Defendant did not have the mental capacity to
    tell the difference between right and wrong as to
    the acts he is accused of.
    If the Defendant has failed to prove either of the
    elements by a preponderance of the evidence, then the
    Defendant is guilty.
    Both these instructions substantially mirror the Iowa State Bar
    Association’s uniform jury instructions. 4 See Iowa State Bar Ass’n, Iowa
    Crim. Jury Instructions 200.10, .11 (2010).             As we have noted in the
    past, “trial courts should generally adhere to the uniform instructions.”
    State v. Mitchell, 
    568 N.W.2d 493
    , 501 (Iowa 1997). We will review the
    district court’s decision to give instructions 34 and 35 for a correction of
    errors at law. Marin, 788 N.W.2d at 836.
    Before trial, Becker requested the following instruction be given in
    place of instruction 35:
    If the State has proved all of the elements of a crime,
    you should then determine if the defendant has proved he
    was insane.
    In order for the defendant to establish he was insane,
    he must prove by a preponderance of the evidence either of
    the following:
    4The  only difference between the two is that Iowa Criminal Jury Instruction
    200.11 has an additional paragraph that instruction 35 did not include.           This
    paragraph reads, “If the defendant has proved either of these elements by a
    preponderance of the evidence, then the defendant is not guilty by reason of insanity.”
    However, this paragraph is an incorrect statement of the law because the law requires
    more than simply proving one of the two alternatives listed in section 701.4. A
    defendant must also show that a diseased or deranged condition of the mind rendered
    him incapable of knowing the nature and quality of the act or that it was wrong. Iowa
    Code § 701.4. Thus this alteration made instruction 35 a more accurate statement of
    the law than the uniform instruction.
    16
    1.    At the time the crime was committed, the
    defendant suffered from such a deranged
    condition of the mind as to render him incapable
    of knowing the nature and quality of the acts he
    is accused of; or
    2.    At the time the crime was committed, the
    defendant suffered from such a deranged
    condition of the mind as to render him incapable
    of distinguishing between right and wrong in
    relation to the act.
    Insanity need not exist for any specific length of time
    before or after the commission of the act.
    If the defendant has proved either of these elements by
    a preponderance of the evidence as explained in Instruction
    No. ___, then the defendant is not guilty by reason of
    insanity.
    If the defendant has failed to prove either of the
    elements by a preponderance of the evidence, then the
    defendant is guilty.
    We will review the district court’s decision to give instruction 35 instead
    of Becker’s proposed instruction for an abuse of discretion. See Marin,
    
    788 N.W.2d 836
    .
    As noted above, the statute states that:
    A person shall not be convicted of a crime if at the time
    the crime is committed the person suffers from such a
    diseased or deranged condition of the mind as to render the
    person incapable of knowing the nature and quality of the
    act the person is committing or incapable of distinguishing
    between right and wrong in relation to that act. . . .
    Iowa Code § 701.4.       We note that Becker’s proposed instruction
    accurately states all the elements of the insanity defense contained in
    section 701.4. Furthermore, we agree that Becker’s proposed instruction
    is a succinct statement of the elements of section 701.4, and it more
    closely tracks the language found in that section.        However, when
    reviewing the jury instructions that were actually given by a district
    court, the relevant inquiry is not whether the defendant’s proposed
    17
    instruction more closely mirrors the statutory language at issue in the
    case.    See Schuler, 774 N.W.2d at 298–99.      Instead, we are trying to
    determine whether the instructions actually given by the district court
    accurately portray the applicable law to the jury. Id. Though instruction
    35 used in this case is not a model of clarity, for the reasons set forth
    below, when read with instruction 34, it accurately and fairly stated the
    applicable law.
    Section 701.4 requires that in order to be found not guilty by
    reason of insanity the defendant must show he was either (1) incapable
    of knowing the nature and quality of the act he is committing, or
    (2) incapable of distinguishing between right and wrong in relation to
    that act.   Iowa Code § 701.4.     The defendant must also show that a
    diseased or deranged condition of the mind rendered him incapable of
    having the relevant knowledge for making the relevant distinction. See
    id.
    Instruction 34 read:
    Not every kind or degree of mental illness or mental
    disorder will excuse a criminal act. “Insane” or “insanity”
    means such a diseased or deranged condition of the mind as
    to make a person either incapable of knowing or
    understanding the nature and quality of his acts, or
    incapable of distinguishing right and wrong in relation to the
    acts.
    This paragraph asks the jury to make the same three determinations as
    section 701.4 does. The first is whether the defendant suffered from “a
    diseased or deranged condition of the mind.”        There is overwhelming
    evidence in the record that Becker suffered from a diseased or deranged
    condition of the mind, and neither party argued to the jury that he did
    not. The second is whether that diseased or deranged condition of the
    mind made the defendant “incapable of knowing or understanding the
    18
    nature and quality of his acts.” The third determination is whether that
    diseased or deranged condition of the mind made the defendant
    “incapable of distinguishing right and wrong in relation to the acts.”
    The third paragraph of instruction 34 indirectly explains when a
    defendant is “insane” by explaining when the defendant is “sane.”         It
    reads:
    A person is “sane” if, at the time he committed the
    criminal act, he had sufficient mental capacity to know and
    understand the nature and quality of the act and had
    sufficient mental capacity and reason to distinguish right
    from wrong as to the particular act.
    Apart from a few linguistic changes, this paragraph rephrases the
    previous one, which, as noted above, tracks the Code. See Iowa Code
    § 701.4.
    Paragraph three says a person is “sane” if he “had sufficient
    mental capacity” to do certain things, as opposed to the statute, which
    says a person is “insane” if he is “incapable” of doing those things. Iowa
    Code § 701.4.         “Incapable” means “lacking capacity, ability, or
    qualification for the purpose or end in view.”          Merriam–Webster’s
    Collegiate Dictionary 628 (11th ed. 2004).       Thus, a person who is
    “incapable” of knowing or distinguishing would, by definition, “lack
    capacity” to know or distinguish. Put another way, a person who “lacks
    capacity” to know or distinguish would not “ha[ve] sufficient capacity” to
    know or distinguish, which is the language used in paragraph three of
    the model instruction and which is contained in instruction 34.          See
    Iowa State Bar Ass’n., Iowa Crim. Jury Instruction 200.10.
    The inquiry into the defendant’s abilities under paragraphs two
    and three of instruction 34 is the same: Under both paragraphs, the jury
    must determine the defendant’s mental capacity to (1) know and
    19
    understand the consequences of his actions, or (2) distinguish right from
    wrong in relation to those actions.        Under paragraph two, if the
    defendant cannot perform either one of the two functions listed, and this
    inability is due to a “diseased or deranged condition of the mind,” then
    the defendant is insane.     If the jury determines, however, that the
    defendant did have the mental capacity to both know and understand
    the consequences of his actions and to distinguish right from wrong in
    relation to those actions, then the defendant is “sane.” The change in
    phrasing does not change the task of the jury, and Becker does not
    contest the propriety of instruction 34.
    This brings us to instruction 35, which is entitled “Elements of
    Insanity Defense.” This instruction tells the jury that if the State has
    proven all the elements of the crime charged, then the jury must
    determine if the defendant was insane. The instruction then states, in
    relevant part,
    In order for the Defendant to establish he was insane,
    he must prove by a preponderance of the evidence either of
    the following:
    1.    At the time the crime was committed, the
    Defendant did not have sufficient mental
    capacity to know and understand the nature
    and quality of the acts he is accused of; or
    2.    At the time the crime was committed, the
    Defendant did not have the mental capacity to
    tell the difference between right and wrong as to
    the acts he is accused of.
    If the Defendant has failed to prove either of the
    elements by a preponderance of the evidence, then the
    Defendant is guilty.
    Though standing alone it is an incomplete statement of the law, this
    instruction does not contain any inaccurate statements of the law.
    20
    By the time the jury reaches this instruction, it has already
    determined that the State proved all the elements of the crime of murder
    in the first degree beyond a reasonable doubt, and the jury is now
    considering the defense of insanity.       Becker focuses on the fact that,
    unlike section 701.4, this instruction does not contain the term diseased
    or deranged condition of the mind, but instead uses the term mental
    capacity.    Becker points out that “[t]he phrases ‘diseased or deranged
    condition of the mind’ and ‘mental capacity’ are not synonymous.”
    However, the relevant inquiry is not whether diseased or deranged
    condition of the mind is synonymous with mental capacity; instead, we
    must determine whether the phrase “did not have sufficient mental
    capacity” or “did not have the capacity” are synonymous with the word
    incapable.
    The statute requires a defendant to do more than show he suffers
    from a diseased or deranged condition of the mind. A defendant must
    also show that a diseased or deranged condition of the mind rendered
    the defendant incapable of knowing and understanding the nature and
    quality of his act or knowing right from wrong in relation to that act. See
    Iowa Code § 701.4. Instead of making diseased or deranged condition of
    the mind synonymous with mental capacity, instruction 35 omits the
    diseased or deranged condition of the mind element of section 701.4
    completely.    However, this omission means the instruction, if read by
    itself, is incomplete, not that it is incorrect. The instruction tells the jury
    that regardless of whether the defendant has shown that he has a
    diseased or deranged condition of the mind, which was not disputed in
    this case, the defendant must still prove by a preponderance of the
    evidence that he either did not have “sufficient mental capacity,” which
    as noted above has substantially the same meaning as “incapable,” to
    21
    know and understand the nature and quality of the acts he is accused of,
    or to tell the difference between right and wrong as to the acts he is
    accused of. If the defendant has failed to prove either of these elements
    by a preponderance of the evidence, then he is guilty.
    Instruction 35 is accurate. If the defendant cannot show he did
    not have “sufficient mental capacity” or “the mental capacity” to make
    (i.e., he was “incapable” of making) one of the two relevant assessments
    contained in instruction 35, then the presence or absence of a diseased
    or deranged condition of the mind becomes completely irrelevant. See
    Iowa Code § 701.4 (requiring a defendant show a diseased or deranged
    condition of the mind rendered him incapable of making one of the two
    assessments contained in the section). Without proving one of the two
    elements listed in instruction 35, the insanity defense must fail, even if
    the defendant has a diseased or deranged condition of the mind. Simply
    put, instruction 35 tells the jury when the defense of insanity must fail
    for want of an element of the defense.
    Jury instructions must be considered as a whole.                    Fintel, 689
    N.W.2d at 104 (“Jury instructions are not considered separately; they
    should be considered as a whole.”). 5 When read together, instructions
    34 and 35 accurately and fairly stated the applicable law on the defense
    of insanity.    Accordingly, the district court did not commit legal error
    when it gave instructions 34 and 35 to the jury. Marin, 
    788 N.W.2d 836
    (“We review challenges to jury instructions for correction of errors at
    law.”).
    We also conclude that the district court did not abuse its
    discretion by refusing to give Becker’s requested instruction in place of
    5Instruction number 5 specifically advised the jury, “You must consider all of the
    instructions together. No one instruction includes all of the applicable law.”
    22
    instruction 35. Id. (“ ‘We review the related claim that the trial court
    should have given the defendant’s requested instructions for an abuse of
    discretion.’ ” (citation omitted)); see also Palmer, 691 N.W.2d at 416 (“We
    also review a district court’s failure to give a jury instruction for an abuse
    of discretion.”). Becker’s requested instruction may have stated the law
    in a more coherent and concise manner than instruction 35, but jury
    instructions do not need to “contain or mirror the precise language of the
    applicable statute.” Schuler, 774 N.W.2d at 298. Instruction 35, when
    read with instruction 34, accurately and completely stated the applicable
    law.   When the instructions already accurately state the law, the
    defendant is not entitled to have his proposed instruction submitted to
    the jury. See Marin, 788 N.W.2d at 837. Accordingly, we cannot say that
    the district court’s decision to give instruction 35 instead of Becker’s
    proposed instruction was clearly unreasonable. See Summy, 708 N.W.2d
    at 339.   Becker’s instruction was an accurate, complete and succinct
    statement of section 701.4, and it would not have been improper for the
    district court to have utilized this instruction. Indeed, future appeals of
    this nature might be avoided by issuing an instruction like the one
    Becker requested; one that more closely mirrors the language found in
    section 701.4. See State v. Janssen, 
    239 N.W.2d 564
    , 567 (Iowa 1976)
    (noting that a change in the uniform instruction might avoid future
    appeals). However, it was not an abuse of discretion by the district court
    to utilize instruction 35, in conjunction with instruction 34, instead of
    Becker’s proposed instruction.
    V. The District Court’s Refusal to Instruct the Jury Regarding
    the Consequences of a Not-Guilty-by-Reason-of-Insanity Verdict.
    On February 19, 2010, and at the jury instruction conference prior
    to closing arguments, Becker requested the following jury instruction:
    23
    Punishment not for Jury. The duty of the jury is to
    determine if the defendant is guilty or not guilty.
    In the event of a guilty verdict, you have nothing to do
    with punishment.
    If you find a verdict of not guilty by reason of insanity,
    the defendant shall be immediately ordered committed to a
    state mental health institute or other appropriate facility for
    a complete psychiatric evaluation.
    The trial court refused to give Becker’s instruction and gave the following
    instruction, instruction number 10, in its place:
    Duty of Jury. The duty of the Jury is to determine if
    the Defendant is guilty or not guilty.
    In the event of a guilty verdict, you have nothing to do
    with punishment. 6
    On Friday, February 26, during the jury’s deliberations, the jury
    foreman sent a note to the court asking, “What would happen to Mark
    Becker if we find him insane?” The court met with the attorneys for the
    State and Becker outside the presence of the jury and informed the
    attorneys of the jury’s question.          The court proposed the following
    answer:
    Ladies and gentlemen of the jury:
    You have asked the following question: “What would
    happen to Mark Becker if we find him insane?”
    Answer: You need not concern yourself with the
    potential consequences of a verdict of not guilty by reason of
    insanity.
    Please refer to Instruction Number 10. You must
    decide whether he is guilty or not guilty, and, if you decide
    he is guilty, you must then decide the issue of insanity.
    In the event of a guilty verdict or a verdict of not guilty
    by reason of insanity, you have nothing to do with the
    6Thewording of instruction 10 is the same wording used in uniform instruction
    100.13. See Iowa State Bar Ass’n, Iowa Crim. Jury Instructions 100.13.
    24
    consequences. Those are issues for the Court, not for the
    jury.
    After the court read this proposed answer to the attorneys, the State
    indicated that it believed the “instruction accurately states the law.”
    Becker’s counsel agreed and did not renew its request that the jury be
    instructed about the consequences of a not-guilty-by-reason-of-insanity
    verdict. 7
    After the jury received the court’s answer, deliberations continued
    through the afternoon. The jury told the court they had voted four times
    that day and were still deadlocked. Without objection from either party,
    the court adjourned the jury’s deliberations for the weekend. On Monday
    morning, the jury was instructed by the court to continue its
    deliberations.    The next day, the jury returned its verdict of guilty to
    murder in the first degree, rejecting the insanity defense.
    Becker filed a motion for a new trial on April 8, 2010. He claimed
    the court erred by not giving the proposed instruction on the elements of
    insanity defense and the requested consequence instruction. At the April
    14 hearing on the motion for new trial and sentencing, Becker argued
    that it was an error not to give his proposed consequence instruction,
    “particularly in light of the question asked by the jury.”                 The State
    countered that the instruction requested by Becker was an incomplete
    statement of the consequences of a not-guilty-by-reason-of-insanity
    verdict, a point the district court had made when the issue was originally
    brought up before the instructions were given to the jury. The district
    court then denied the motion for a new trial.
    7The   State has claimed that error was not preserved on this issue by counsel’s
    failure to renew its request for the consequence instruction.
    25
    At trial, Becker claimed his consequence instruction was necessary
    to protect his due process rights and his right to a fair trial guaranteed
    by article I, section 9 of the Iowa Constitution and the Fifth, Sixth and
    Fourteenth Amendments to the Federal Constitution. On appeal, Becker
    has abandoned his claims under the Federal Constitution and now
    asserts that “[t]he proposed instruction was required by due process and
    the right to a fair trial guaranteed by Article I, section 9 of the Iowa
    Constitution.”
    We begin our analysis by defining Becker’s claim and the
    framework within which that claim should be evaluated.                         Article I,
    section 9 of the Iowa Constitution guarantees its citizens the right to a
    jury trial and provides that “no person shall be deprived of life, liberty, or
    property, without        due process of law.”               “Due process requires
    fundamental fairness in a judicial proceeding.” In re Det. of Morrow, 
    616 N.W.2d 544
    , 549 (Iowa 2000) (citation and internal quotation marks
    omitted). In order to satisfy due process, therefore, Becker’s trial must
    not have been fundamentally unfair. 8                 Becker claims that when a
    criminal defendant pleads not guilty by reason of insanity, and requests
    such a consequence instruction, the due process guarantee of a
    fundamentally fair trial contained in the Iowa Constitution requires the
    district court inform the jury that a defendant who is found not guilty by
    reason of insanity will be “immediately ordered committed to a state
    mental health institute or other appropriate facility for a complete
    psychiatric evaluation.” 9
    8Becker’s counsel acknowledged at oral argument that Becker’s due process
    claims were based on concerns of fundamental fairness.
    9We    take this opportunity to note two features that are not present in this case.
    The first is that Becker did not request the jury be instructed as to all the consequences
    of a not-guilty-by-reason-of-insanity verdict that are set forth in Iowa Rule of Criminal
    Procedure 2.22(8). Becker’s proposed instruction only covered part of the first sentence
    26
    Becker correctly points out that the United States Supreme Court
    has held that federal courts are not required to give an instruction
    explaining the consequences of a not-guilty-by-reason-of-insanity verdict.
    See Shannon v. United States, 
    512 U.S. 573
    , 575, 
    114 S. Ct. 2419
    , 2422,
    
    129 L. Ed. 2d 459
    , 464 (1994). Shannon held that the instruction was
    not required “under the Insanity Defense Reform Act of 1984 or as a
    matter of general federal practice.” Id. Becker also correctly notes that
    the Supreme Court has never decided the issue on constitutional
    grounds. 10 In the absence of direct guidance from the Supreme Court on
    this issue, Becker asks this court to apply the Iowa Constitution to his
    claim and find that failing to give a consequence instruction violated due
    process under the Iowa Constitution.
    Our first step in addressing this claim is to identify the proper
    framework within which to evaluate Becker’s argument.                           We have
    _____________________________
    of rule 2.22(8)(b). Other consequences were omitted, including the fact that a defendant
    who is found not guilty by reason of insanity is entitled to a hearing after fifteen days
    and every sixty days thereafter and that the court must order the defendant released if
    it concludes that the defendant is no longer mentally ill and is no longer a danger to
    himself or others. Id. r. 2.22(8). During oral argument Becker argued as an alternative
    that due process required a full recitation of the provisions of rule 2.22(8). That issue is
    not properly before us. However, as discussed elsewhere in this opinion, due process
    does not mandate that either instruction be given simply because the defendant
    requests it.
    We also note that Becker’s appeal is not based on the fact that the court refused
    to give a consequence instruction in response to the jury’s question. As we have
    already noted, Becker’s request was made prior to jury deliberations, and Becker’s
    attorney did not request the instruction be given in response to the jury’s question
    regarding consequences.
    10Becker also cites cases decided by lower federal courts holding that there is no
    constitutional underpinning to the theory that a consequence-of-insanity instruction is
    required. See Bassik v. Scully, 
    588 F. Supp. 895
    , 899 (E.D.N.Y. 1984); see also United
    States ex rel. Hand v. Redman, 
    416 F. Supp. 1109
    , 1111 (D. Del. 1976). We also note
    that other states have recognized that even those cases which require a consequence
    instruction do not do so based on a constitutional right. See Robison v. State, 
    888 S.W.2d 473
    , 476–77 & n.4 (Tex. Crim. App. 1994). Becker has not provided any case
    where a state has recognized a right to such an instruction on constitutional grounds.
    27
    repeatedly stated that we jealously reserve the right to develop our state
    constitutional provision in a fashion independent of the federal
    counterpart.     Zaber v. City of Dubuque, 
    789 N.W.2d 634
    , 654 (Iowa
    2010). It is unclear whether Becker argues that due process requires a
    consequence instruction whenever it is requested or whether his claim is
    based    on    the   particular   facts    and   circumstances   of   his   case.
    Accordingly, we treat his appeal as both a categorical challenge to the
    failure to give the instruction and a challenge to the failure to give the
    instruction at his particular trial.
    A. The Categorical Challenge to the Failure to Give the
    Consequence Instruction.          Many of Becker’s arguments in favor of a
    consequence instruction are not specific to the facts of his case. Because
    these general arguments could apply to any defendant asserting an
    insanity defense, we will treat these arguments as a categorical challenge
    to a district court’s refusal to give a consequence instruction. We now
    turn to the question of whether due process requires a district court give
    a consequence instruction whenever the defendant requests one.
    Becker has cited a list of cases supporting the proposition “that the
    Iowa Constitution provides significant protection of individual rights.”
    However, only one of the cases cited by Becker, State v. Cox, 
    781 N.W.2d 757
     (Iowa 2010), actually involved a due process claim. See Cox, 781
    N.W.2d at 761, 768 (holding that the due process guarantee of “the Iowa
    Constitution prohibits admission of prior bad acts evidence based solely
    on general propensity”). Cox cited heavily to State v. Reyes, 
    744 N.W.2d 95
     (Iowa 2008), and drew much of its analytical framework from that
    decision.     See Cox, 781 N.W.2d at 761–64.         In Reyes, we stated that
    when a “challenge is based on due process under the Iowa Constitution,
    [but the defendant] does not offer or suggest a framework different than
    28
    that under the United States Constitution[] . . . we consider the legal
    standard under the Iowa Constitution as identical to that under the
    United States Constitution.” Reyes, 744 N.W.2d at 101. We have also
    stated in the past that when asking us to apply a different approach than
    that used by the Supreme Court, “counsel should do more than simply
    cite the correct provision of the Iowa Constitution.” State v. Effler, 
    769 N.W.2d 880
    , 895 (Iowa 2009) (Appel, J., specially concurring).          Even
    where a party has not provided a substantive standard independent of
    federal law, we reserve the right to apply the standard presented by the
    party in a fashion different than the federal cases. See State v. Oliver,
    
    812 N.W.2d 636
    , 650–51 (Iowa 2012).
    “Procedural due process protections act as a constraint on
    government action that infringes upon an individual’s liberty interest,
    such as the freedom from physical restraint.” State v. Hernandez-Lopez,
    
    639 N.W.2d 226
    , 240 (Iowa 2002).           “Due process [also] entitles a
    defendant to certain minimal basic procedural safeguards . . . .” State v.
    McMullin, 
    421 N.W.2d 517
    , 519 (Iowa 1988).             We have addressed
    categorical procedural due process claims in the context of a criminal
    trial.   In Reyes, we addressed whether a defendant’s claim that Iowa
    Code section 701.11, which made evidence of prior sexual assaults
    involving the same victim admissible in sexual abuse prosecutions,
    violated a defendant’s procedural due process rights.       744 N.W.2d at
    101–02.       In that case, as in this one, the defendant specifically
    referenced article I, section 9 of the Iowa Constitution, but did not
    provide a framework within which to evaluate his due process claim. Id.
    at 101. We stated that
    [w]hen evaluating the constitutionality of rules of evidence
    under due process attack, the traditional approach has
    been to invalidate an evidentiary rule only if it “violates
    29
    those ‘fundamental conceptions of justice which lie at the
    base of our civil and political institutions,’ which define ‘the
    community’s sense of fair play and decency.’ ” The United
    States Supreme Court has declared that courts should
    construe the category of evidentiary rules that violate this
    rule “very narrowly.”
    Id. (citations omitted). In determining the constitutionality of the statute,
    we looked to historical practice as well as the evolution of our approach
    to the admissibility of prior acts of sexual abuse over time. Id. at 101–
    02. We ultimately held “that a defendant’s fundamental right to a fair
    trial is not jeopardized by the admission of such evidence.” Id. at 102.
    In State v. Cox, however, we were asked to review exactly the same
    statute that was at issue in Reyes under the Iowa Constitution. Cox, 781
    N.W.2d at 761.     However, while Reyes involved prior sexual assaults
    against the same victim, the prior assaults at issue in Cox were against
    different victims. Id. at 761–62. We cited Reyes for the idea that rules of
    evidence run afoul of due process when they violate fundamental
    concepts of justice which define the community’s sense of fair play and
    decency. Id. at 764. We addressed Cox’s argument that “Iowa courts
    have generally refused to accept the admission of propensity evidence,
    and therefore, Iowa Code section 701.11 violates a fundamental
    conception of justice under the Iowa Constitution.”          Id.   We then
    discussed the historical disapproval of propensity evidence of this nature
    and the fundamental concerns of fairness raised by the admission of
    such evidence. Id. at 764–67. We were also concerned about the impact
    such evidence could have on the presumption of innocence, which is a
    fundamental component of due process.           Id. at 766–67.     We then
    concluded that “[b]ased on Iowa’s history and the legal reasoning for
    prohibiting admission of propensity evidence out of fundamental
    30
    conceptions of fairness, . . . the Iowa Constitution prohibits admission of
    prior bad acts evidence based solely on general propensity.” Id. at 768.
    We also note that the Supreme Court has taken a more restrained
    approach when analyzing categorical due process challenges to criminal
    procedures. In Medina v. California, 
    505 U.S. 437
    , 
    112 S. Ct. 2572
    , 
    120 L. Ed. 2d 353
     (1992), the Supreme Court addressed “the proper
    analytical framework for determining whether California’s allocation of
    the burden of proof in competency hearings comports with due process.”
    505 U.S. at 442–43, 112 S. Ct. at 2576, 120 L. Ed. 2d at 361. In that
    case, the Court was reviewing a California statute that “require[d] a
    defendant who alleges incompetence to stand trial to bear the burden of
    proving so by a preponderance of the evidence.” Id. at 439, 112 S. Ct. at
    2574, 120 L. Ed. 2d at 359. The defendant advocated for the use of a
    balancing test like the one used in Mathews v. Eldridge, 
    424 U.S. 319
    , 
    96 S. Ct. 893
    , 
    47 L. Ed. 2d 18
     (1976), to determine whether the statute
    satisfied procedural due process. Id. at 442–43, 112 S. Ct. at 2576, 120
    L. Ed. 2d at 361. The Mathews test would require the balancing of three
    factors:
    (1) the private interest that will be affected by the
    government action; (2) the risk of the erroneous deprivation
    of the interest, and the probable value of additional
    procedures; and (3) the government interest in the
    regulation, including the burdens imposed by additional
    procedures.
    Hernandez–Lopez, 639 N.W.2d at 240. In rejecting the use of a balancing
    test, the Supreme Court stated,
    In our view, the Mathews balancing test does not
    provide the appropriate framework for assessing the validity
    of state procedural rules which, like the one at bar, are part
    of the criminal process.
    31
    In the field of criminal law, we “have defined the
    category of infractions that violate ‘fundamental fairness’
    very narrowly” based on the recognition that, “[b]eyond the
    specific guarantees enumerated in the Bill of Rights, the Due
    Process Clause has limited operation.” The Bill of Rights
    speaks in explicit terms to many aspects of criminal
    procedure, and the expansion of those constitutional
    guarantees under the open-ended rubric of the Due Process
    Clause invites undue interference with both considered
    legislative judgments and the careful balance that the
    Constitution strikes between liberty and order. As we said in
    Spencer v. Texas, 
    385 U.S. 554
    , 564, 
    87 S. Ct. 648
    , 653, 
    17 L. Ed. 2d 606
     (1967), “it has never been thought that
    [decisions under the Due Process Clause] establish this
    Court as a rule-making organ for the promulgation of state
    rules of criminal procedure.”
    Medina, 505 U.S. at 443–44, 112 S. Ct. at 2576, 120 L. Ed. 2d at 361–62
    (citations omitted).
    The Medina court      recognized history and contemporaneous
    practice in its due process analysis.      The Medina court recognized,
    however, that contemporary practice has “limited relevance to the due
    process inquiry.” 505 U.S. at 447, 112 S. Ct. at 2578, 120 L. Ed. 2d at
    364.   Further, although the Medina court canvassed history in some
    detail, it did not end its analysis with historical inquiry, but next turned
    to consideration of whether the challenged approach “transgresses any
    recognized principle of ‘fundamental fairness.’ ” Id. at 448, 112 S. Ct. at
    2578, 120 L. Ed. 2d at 365. While Medina thus discusses history and
    contemporaneous practice as factors, the touchstone of due process
    analysis remains fundamental fairness.
    Instead of the balancing test described in Mathews, the Court felt
    that in the criminal context, a narrower inquiry was more appropriate.
    Specifically, the Court stated
    it is normally “within the power of the State to regulate
    procedures under which its laws are carried out . . .” and its
    decision in this regard is not subject to proscription under
    the Due Process Clause unless “it offends some principle of
    32
    justice so rooted in the traditions and conscience of our
    people as to be ranked as fundamental.”
    Id. at 445, 
    112 S. Ct. 2577
    , 120 L. Ed. 2d at 363 (citations and internal
    quotation marks omitted). The Court also noted that “the States have
    considerable expertise in matters of criminal procedure and the criminal
    process is grounded in centuries of common-law tradition, [and] it is
    appropriate to exercise substantial deference to legislative judgments in
    this area.” Id. at 445–46, 112 S. Ct. at 2577, 120 L. Ed. 2d at 363.
    Neither party has cited to any cases that undertake a thorough
    due process analysis of the categorical challenge presented in this case.
    However, the Oregon Court of Appeals was asked to evaluate a related
    challenge in State v. Amini, 
    28 P.3d 1204
     (Or. Ct. App. 2001). Though
    Amini addresses a due process and fair trial challenge to a statute
    requiring the instruction instead of a judicial rule prohibiting it, the
    methodology used is instructive. See Amini, 28 P.3d at 1206.
    When a defendant pleads guilty except for insanity, Oregon law
    requires the court to instruct the jury of the postacquittal consequence of
    a successful not-guilty-by-reason-of-insanity verdict. Or. Rev. Stat. Ann.
    § 161.313 (West, Westlaw through 2012 Reg. Sess.).          In Amini, the
    defendant sought to have his convictions reversed, claiming the trial
    court violated his right to a fair trial under the Oregon and United States
    Constitutions when it instructed the jury according to the statute.
    Amini, 28 P.3d at 1206. Initially, the court of appeals reversed, finding
    Amini’s right to a trial by an impartial jury under the Oregon
    Constitution had been violated. See State v. Amini, 
    963 P.2d 65
    , 72 (Or.
    Ct. App. 1998), rev’d, 
    15 P.3d 541
    , 542 (Or. 2000). The Oregon Supreme
    Court reversed the court of appeals decision as to the Oregon
    Constitution finding
    33
    [the] instruction had no tendency to deny defendant a trial
    by a jury that is free of preconceptions about defendant’s
    guilt, that is not subject to improper outside influences, and
    that evaluates the evidence that is introduced at trial based
    on the jury instructions that the trial court provides.
    Amini, 15 P.3d at 547.     The court remanded the case to the court of
    appeals to consider Amini’s claims under the Sixth and Fourteenth
    Amendments to the Federal Constitution. Id.
    On remand, the court of appeals framed Amini’s challenge as
    “whether the statute’s requirements, when complied with, necessarily
    prevent a defendant from having a fair trial.” Amini, 28 P.3d at 1208.
    After noting that the right to a fair trial was a fundamental one, the court
    stated “[t]he question, then, becomes whether the giving of an instruction
    that tells the jury about the consequences of one of the three potential
    verdicts   necessarily   made   defendant’s   trial   and   his   subsequent
    conviction constitutionally infirm.” Id. at 1208–09. The court then cited
    to numerous United States Supreme Court cases, including Medina, that
    limit the role of the Due Process Clause in dictating criminal procedures.
    Id. at 1209. The court also noted that
    “[j]udges are not free in defining ‘due process’ to impose on
    law enforcement officials [their] ‘personal and private
    notions’ of fairness and to ‘disregard the limits that bind
    judges in their judicial function.’ . . . [They] are to determine
    only whether the action complained of . . . violates those
    ‘fundamental conceptions of justice which lie at the base of
    our civil and political institutions’ and which define the
    ‘community’s sense of fair play and decency.’ ”
    Id. (quoting Dowling v. United States, 
    493 U.S. 342
    , 353, 
    110 S. Ct. 668
    ,
    
    107 L. Ed. 2d 708
    , 720 (1990)). Following these precedents, the court
    then looked to historical traditions and notions of fundamental fairness
    that define the community sense of fair play about which there can be no
    reasonable disagreement. Id. at 1210. The court then noted that there
    was no historical tradition of prohibiting the instruction and that there
    34
    was reasonable disagreement over whether such an instruction was
    helpful or detrimental to a defendant. Id. at 1212. The court ultimately
    concluded that even though jurors were generally not informed on the
    consequences of their verdicts, a statute that departed from that
    common law rule and required the court to give them just that sort of
    information was not constitutionally infirm. Id. at 1212–13.
    Our approach to procedural due process challenges to a particular
    practice in a criminal proceeding is similar to the one taken by the
    Oregon Court of Appeals, as well as the United States Supreme Court.
    Each requires us to first examine subjective, open-ended considerations,
    such as fair play and fundamental concepts of justice. Also, each test
    takes into account more objective factors, such as historical practice and
    contemporary consensus.      These principles are the generally accepted
    means of determining whether a particular criminal practice violates due
    process.   See generally 1 Wayne R. LaFave, et al, Criminal Procedure,
    § 2.7(c), 685–713 (3d ed. 2007) (describing due process methodology).
    The question, then, becomes whether the district court’s refusal to
    provide the jury with the proposed consequence instruction necessarily
    denied Becker a fair trial and made his subsequent conviction
    constitutionally infirm. We will apply the principles set forth above to
    Becker’s claim that the district court’s refusal to instruct the jury that he
    would be committed for evaluation purposes if he were found not guilty
    by reason of insanity violated the principles of due process contained in
    the Iowa Constitution.
    We begin by noting that instructing the jury of the consequences of
    a not-guilty-by-reason-of-insanity verdict has no historical basis in Iowa.
    As Becker notes, our caselaw has consistently rejected the necessity of
    such an instruction. See State v. Oppelt, 
    329 N.W.2d 17
    , 21 (Iowa 1983);
    35
    State v. Hamann, 
    285 N.W.2d 180
    , 185–86 (Iowa 1979); State v. Fetters,
    
    562 N.W.2d 770
    , 775–76 (Iowa Ct. App. 1997). In Hamann, this court
    was asked to answer exactly the same question Becker poses today. Like
    Becker, Hamann requested an instruction on the consequences of a not-
    guilty-by-reason-of-insanity verdict.     Hamann, 285 N.W.2d at 185.
    Though this court was divided on other issues presented by Hamann’s
    appeal, we unanimously agreed that giving the instruction would have
    been improper. Id. at 185–86, 190.
    We recognized then that, though a majority of states refused to
    require the instruction, there was a split of authority on the issue and
    that “[a] number of jurisdictions have adopted what is known as the
    Lyles rule.” Id. at 186 (discussing Lyles v. United States, 
    254 F.2d 725
    (D.C. Cir. 1957), an early case requiring the instruction in the District of
    Columbia). We acknowledged Lyles’s principal argument:
    Lyles recognizes that jurors are aware of the results of guilty
    and not guilty verdicts. But a not guilty by reason of
    insanity verdict has no commonly understood meaning. The
    Lyles court reasoned that “the jury has a right to know the
    meaning of this possible verdict as accurately as it knows by
    common knowledge the meaning of the other two possible
    verdicts.”
    Id. (quoting Lyles, 254 F.2d at 728). However, we noted that there were
    “[t]wo principal reasons” not to adopt the Lyles reasoning. Id. “The first
    is that such information is irrelevant to the jury’s proper function, the
    determination of the insanity issue.      The second reason is that the
    information would invite a compromise verdict.”       Id. (citing Wayne R.
    LaFave & Austin W. Scott, Handbook on Criminal Law 316 (1972)).
    We then declined to adopt the Lyles rule. Id. In doing so, we cited
    to what is now Iowa Rule of Criminal Procedure 2.22(8), which describes
    36
    postverdict consequences of a not-guilty-by-reason-of-insanity verdict.11
    Id.   We noted that under this rule, “Iowa law clearly states that the
    disposition of a criminal defendant acquitted on a defense of insanity is a
    matter for the court, not the jury, to determine.” Id. Since the jury did
    not play a role in postacquittal proceedings,
    an instruction to the jury regarding the post-trial disposition
    of a defendant found not guilty by reason of insanity is
    irrelevant to the jury’s proper function. It could only serve to
    confuse the jury or invite it to consider improperly
    defendant’s post-trial disposition. A jury might improperly
    consider defendant’s post-trial disposition even in the
    absence of an instruction on that subject. But this does not
    justify our aiding and abetting it in that role. Rather, such a
    possibility merely tends to illustrate the necessity of
    precisely informing the jury of its proper function.
    Id.   We then concluded that “[t]here was no error in the trial court’s
    refusal to grant defendant’s requested instruction on a defendant’s
    disposition after acquittal on the ground of insanity.” Id.
    In Oppelt, the trial court refused to give the following instruction
    after it was requested by the defendant:
    In the event of a verdict of not guilty by reason of
    insanity, you have nothing to do with the commitment of the
    defendant to a hospital for treatment. Iowa law specifies the
    process by which the mentally ill who are determined to be
    seriously mentally impaired and a danger to themselves or
    others are involuntarily hospitalized. That decision rests
    solely with the Court.
    329 N.W.2d at 21. We adhered to the rule announced in Hamann and
    held “that refusal of such an instruction is not error.” Id. The court of
    appeals has also failed to reverse convictions when the district court
    failed or refused to give an instruction like the one Becker requested.
    11The relevant Iowa law has not changed since Hamann was decided. Under the
    current version of rule 2.22(8), the disposition of a defendant acquitted on an insanity
    defense is still a matter of concern for the court and not the jury. Iowa R. Crim. P.
    2.22(8).
    37
    See State v. Kehoe, 
    804 N.W.2d 302
    , 311–12 (Iowa Ct. App. 2011);
    Fetters, 562 N.W.2d at 776.     Our precedent has established that as a
    general rule, a district court’s refusal to give a consequence instruction is
    not error.
    The Supreme Court has also found a trial court did not err by
    refusing to instruct the jury as to the consequences of a not-guilty-by-
    reason-of-insanity verdict. See Shannon, 512 U.S. at 575, 114 S. Ct. at
    2422, 
    129 L. Ed. 2d
     at 464.            The Court recognized some “familiar
    precepts” regarding the jury’s role:
    It is well established that when a jury has no
    sentencing function, it should be admonished to “reach its
    verdict without regard to what sentence might be imposed.”
    The principle that juries are not to consider the
    consequences of their verdicts is a reflection of the basic
    division of labor in our legal system between judge and jury.
    The jury’s function is to find the facts and to decide whether,
    on those facts, the defendant is guilty of the crime charged.
    The judge, by contrast, imposes sentence on the defendant
    after the jury has arrived at a guilty verdict. Information
    regarding the consequences of a verdict is therefore
    irrelevant to the jury’s task. Moreover, providing jurors
    sentencing information invites them to ponder matters that
    are not within their province, distracts them from their
    factfinding responsibilities, and creates a strong possibility of
    confusion.
    Id. at 579, 114 S. Ct. at 2424, 
    129 L. Ed. 2d
     at 466–67 (citations and
    footnotes omitted). Though the challenge in Shannon was not based on
    due process concerns, the reasoning adopted by the Court is still
    instructive as to whether due process requires the instruction Becker
    requested in this case.
    Limiting the jury’s role to factfinding without regard to the
    consequences is the rule, and not the exception, within our judicial
    system. As we said in Hanes,
    It is well-settled that juries should not be instructed
    regarding the statutory penalty for the charged offenses. As
    38
    the court of appeals has explained, “a trial has one
    purpose—to seek the truth,” and “[p]enalties have nothing to
    do with the factual determination that a defendant did or did
    not commit a crime.” It is the legislature, and not the jury,
    that determines the appropriate penalty for the crime.
    “[K]nowledge of the penalty would only serve to confuse and
    distract the jury from its unique and important judicial
    function.”
    790 N.W.2d at 549 (citations omitted). Some courts have disapproved of
    analogizing the consequences of telling a jury of the consequences of a
    not-guilty-by-reason-of-insanity verdict with telling the jury of the
    penalties for a guilty verdict. For example, in State v. Babin, 
    319 So. 2d 367
     (La. 1975), the Louisiana Supreme Court noted,
    Instructions on the post-verdict status of a not guilty by
    reason of insanity acquittal are not properly analogous to
    instructions on post-conviction sentencing, because as was
    stated in the dissent in this case on original hearing,
    instructions as to a sentence following a guilty verdict
    concern only the length of the defendant’s incarceration,
    whereas possible confusion in a juror’s mind as to the
    ramifications of a verdict of not guilty by reason of insanity
    pertains to the very nature of the defendant’s disposition,
    i.e., whether or not he will be detained and the
    circumstances of his detention.
    319 So 2d at 380.
    We recognize that confinement following a not-guilty-by-reason-of-
    insanity verdict is not “punishment.” Cf. In re Det. of Garren, 
    620 N.W.2d 275
    , 280–82 (Iowa 2000) (noting that civil commitment of sexually violent
    predators was for purposes of treatment, not punishment).       However,
    some of the principles articulated in Hanes and cases like it are still
    applicable: The jury’s role is to find facts and informing them of
    postverdict considerations would only confuse the jury and distract it
    from its factfinding function.
    Applying the analysis in Medina, and other recognized due process
    analyses, we conclude that there is no historical tradition of requiring a
    39
    consequence instruction in all cases involving a defense of not guilty by
    reason of insanity. Jury instructions as to consequences of verdicts are
    disfavored generally, and they have been specifically rejected in the
    context of a verdict of not guilty by reason of insanity.
    Having determined there is no historical basis for the instruction,
    we now address whether there is a contemporary consensus as to
    whether such an instruction is required.              Medina characterizes
    contemporary practice as having “limited relevance” in due process
    analysis of substantive criminal procedures. 505 U.S. at 447, 112 S. Ct.
    at 2578, 120 L. Ed. 2d at 364. We note at the outset that there is not a
    consensus that due process or a fair trial requires such an instruction.
    Becker has not provided us with any case in which a court has
    determined    that   due   process   principles   require   a   consequence
    instruction. The cases cited by Becker actually indicate that there is no
    constitutional basis for requiring such an instruction. See U.S. ex rel.
    Hand v. Redman, 
    416 F. Supp. 1109
    , 1111 (D. Del. 1976). The courts
    which have addressed the issue from a constitutional dimension have
    determined that there is no due process violation for failing to require
    such an instruction. See, e.g., Robison v. State, 
    888 S.W.2d 473
    , 476–77
    & n.4 (Tex. Crim. App. 1994) (en banc) (“[W]e fail to see where the policy
    decisions of our sister courts throughout the union are ever raised to the
    level of a due process right or a due course of law right.”); see also State
    v. Neely, 
    819 P.2d 249
    , 256–57 (N.M. 1991); State v. Stoudamire, 
    631 P.2d 1028
    , 1031 (Wash. Ct. App. 1981).             Additionally, one court
    specifically held the failure to give the instruction does not make a trial
    40
    “fundamentally unfair.”         Campbell v. State, 
    515 S.W.2d 453
    , 456 (Mo.
    1974). 12
    There are many jurisdictions which require a consequence
    instruction, even though the Due Process Clause is not used to justify
    the requirement.       Twenty-four jurisdictions require an instruction like
    the one Becker requested be given. 13                   However, this includes a
    compilation of established criminal jury instructions, court supervisory
    orders, and rules of criminal procedure.                   About one-third of the
    12Campbell acknowledged that at the time of his trial, there was no requirement
    to issue a consequence instruction on the request of the accused. Campbell v. State,
    
    515 S.W.2d 453
    , 456 (Mo. 1974). However, the court acknowledged that Missouri had
    amended its statute to require the giving of a consequence instruction in cases involving
    mental disease or defect excusing responsibility. See id.; see also Mo. Ann. Stat.
    § 552.030(6) (West, Westlaw current through 2012 Reg. Sess.). Section 552.030(6)
    states in part, “At the request of the defense the jury shall be instructed by the court as
    to the contents of subsection 2 of section 552.040.” Subsection 552.040(2) sets forth
    the Missouri commitment procedures following an acquittal on the ground of mental
    disease or defect. Id. § 552.040(2).
    13Schade v. State, 
    512 P.2d 907
    , 918 (Alaska 1973); People v. Moore, 211 Cal.
    Rptr. 856, 866 (Ct. App. 1985); People v. Thomson, 
    591 P.2d 1031
    , 1032 (Colo. 1979)
    (en banc); State v. Wood, 
    545 A.2d 1026
    , 1034–36 (Conn. 1988); Jones v. United States,
    
    432 A.2d 364
    , 374 n. 21 (D.C. 1981), aff’d, 
    463 U.S. 354
    , 
    103 S. Ct. 3043
    , 
    77 L. Ed. 2d 694
     (1983) (noting that Criminal Jury Instruction for the District of Columbia, No. 5.11
    (3d ed. 1978), which is given whenever a defendant claims insanity, informs the jury of
    the consequences of a not-guilty-by-reason-of-insanity verdict); Roberts v. State, 
    335 So. 2d
     285, 288 (Fla. 1976) (adopting the Lyles rule); Spraggins v. State, 
    364 S.E.2d 861
    ,
    863 (Ga. 1988); State v. Amorin, 
    574 P.2d 895
    , 898–99 (Haw. 1978); Georgopulos v.
    State, 
    735 N.E.2d 1138
    , 1143 (Ind. 2000) (requiring the instruction under article seven,
    section four of the Indiana Constitution (the court’s supervisory responsibilities)); State
    v. Alexander, 
    729 P.2d 1126
    , 1135–36 (Kan. 1986); Babin, 319 So. 2d at 380; Erdman v.
    State, 
    553 A.2d 244
    , 250 (Md. 1989); Commonwealth v. Biancardi, 
    656 N.E.2d 1234
    ,
    1234 (Mass. 1995); Campbell, 515 S.W.2d at 456; Blake v. State, 
    121 P.3d 567
    , 575–76
    (Nev. 2005) (en banc) (stating that the instruction should be given, but a failure to do so
    does not warrant reversal unless prejudice is shown); State v. Lister, 
    448 A.2d 395
    , 399
    (N.H. 1982) (citing Novosel v. Helgemoe, 
    384 A.2d 124
    , 130 (N.H. 1978)); State v. Krol,
    
    344 A.2d 289
    , 304–05 (N.J. 1975); People v. Hays, 
    517 N.Y.S.2d 775
    , 777 (App. Div.
    1987); State v. Hammonds, 
    224 S.E.2d 595
    , 603–04 (N.C. 1976); State v. George, 
    97 P.3d 656
    , 662 (Or. 2004) (en banc); Commonwealth v. Mulgrew, 
    380 A.2d 349
    , 350 (Pa.
    1977); Glasscock v. State, 
    570 S.W.2d 354
    , 356 (Tenn. Crim. App. 1978); State v.
    Shickles, 
    760 P.2d 291
    , 298 (Utah 1988), abrogated on other grounds by State v.
    Doporto, 
    935 P.2d 484
    , 489 (Utah 1997); State v. Nuckolls, 
    273 S.E.2d 87
    , 90–91 (W. Va.
    1980).
    41
    jurisdictions which require the instruction have specific statutes
    mandating the practice. 14        However, a slight majority of states do not
    require a consequence instruction, or else only allow the instruction
    where the consequences of a not-guilty-by-reason-of-insanity verdict are
    inaccurately portrayed to the jury by the prosecutor or defense counsel.15
    14Wood,   545 A.2d at 1035–36 (noting that, under common law rules,
    Connecticut courts did not require the instruction, see State v. Holmquist, 
    376 A.2d 1111
    , 1113–14 (Conn. 1977), but that the instruction is currently required by statute);
    Spraggins, 364 S.E.2d at 863 (noting that instruction is required by statute); Cooper v.
    State, 
    325 S.E.2d 137
    , 139–40 (Ga. 1985) (holding a consequence instruction is not
    necessary because the consequences of the verdict “have no bearing upon the guilt or
    innocence of the defendant”); Amorin, 574 P.2d at 898–99; Alexander, 729 P.2d at
    1135–36 (approving of the instruction required by statute); Babin, 319 So.2d at 380
    (holding “the fairly explicit dictate” of the Louisiana Criminal Code required the
    instruction as opposed to earlier cases such as State v. Plaisance, 
    210 So. 2d 323
    , 326–
    27 (La. 1968), which held such an instruction was unnecessary); Campbell, 515 S.W.2d
    at 456 (recognizing that Missouri requires an instruction by statute); People v. Bassik,
    
    425 N.E.2d 873
    , 874 (N.Y. 1981); George, 97 P.3d at 662; Glasscock, 570 S.W.2d at
    356.
    15Tankersley  v. State, 
    724 So. 2d 557
    , 563–64 (Ala. Crim. App. 1998) (requiring
    the instruction only if the jury has been given the impression that the defendant would
    go free if acquitted by reason of insanity); State v. Moody, 
    94 P.3d 1119
    , 1164 (Ariz.
    2004) (en banc); Burns v. State, 
    913 S.W.2d 789
    , 791 (Ark. 1996); Aizupitis v. State, 
    699 A.2d 1092
    , 1094–95 (Del. 1997) (“This Court has decided to adhere to Delaware’s well-
    established precedents which do not require the trial court to give an instruction to the
    jury on the effect of a verdict of NGRI [not guilty by reason of insanity].”); State v.
    Gratiot, 
    663 P.2d 1084
    , 1086–88 (Idaho 1983); People v. McDonald, 
    769 N.E.2d 1008
    ,
    1020 (Ill. App. Ct. 2002); Oppelt, 329 N.W.2d at 20–21; Payne v. Commonwealth, 
    623 S.W.2d 867
    , 870 (Ky. 1981) (“The main function of the jury is to determine guilt or
    innocence. The constitutional right to a trial by jury is limited to that determination.
    The consideration of future consequences such as treatment, civil commitment,
    probation, shock probation, and parole have no place in the jury’s finding of fact and
    may serve to distort it. For that reason, we now hold that neither the prosecutor,
    defense counsel, nor the court may make any comment about the consequences of a
    particular verdict at any time during a criminal trial.”); State v. Okie, 
    987 A.2d 495
    ,
    497–500 (Me. 2010); People v. Goad, 
    364 N.W.2d 584
    , 589–90 (Mich. 1984) (not
    requiring the instruction because it would be impossible to fully explain the
    “consequences” of an NGRI verdict because they are contingent on future events); State
    v. Bott, 
    246 N.W.2d 48
    , 52–53 (Minn. 1976); Emanuel v. State, 
    412 So. 2d 1187
    , 1190
    (Miss. 1982); State v. Buckman, 
    630 P.2d 743
    , 748 (Mont. 1981); State v. Ryan, 
    444 N.W.2d 610
    , 631–32 (Neb. 1989); Neely, 819 P.2d at 256–57(due process did not require
    a consequence instruction); State v. Huber, 
    361 N.W.2d 236
    , 238–39 (N.D. 1985); State
    v. Rogers, 
    478 N.E.2d 984
    , 992 (Ohio 1985), judgment vacated on other grounds, 
    474 U.S. 1002
    , 
    106 S. Ct. 518
    , 
    88 L. Ed. 2d 452
     (1985); Nauni v. State, 
    670 P.2d 126
    , 134
    (Okla. Crim. App. 1983); State v. Arpin, 
    410 A.2d 1340
    , 1352 (R.I. 1980); State v. Huiett,
    
    246 S.E.2d 862
    , 864 (S.C. 1978) (allowing a curative instruction only); State v. Martin,
    42
    Becker has not argued that this occurred in this case, and there is
    nothing in the record to indicate this occurred. This split of authority,
    which was recognized in Amini and many other subsequent cases, weighs
    against a determination that a consequence instruction is required by
    due process.      However, the Supreme Court has noted that there is a
    difference between instructions that are “universally condemned” and
    those that are constitutionally defective.            Cupp v. Naughten, 
    414 U.S. 141
    , 146, 
    94 S. Ct. 396
    , 400, 
    38 L. Ed. 2d 368
    , 373 (1973) (“Before a
    federal court may overturn a conviction resulting from a state trial in
    which [a particular instruction] was used, it must be established not
    merely    that    the    instruction     is    undesirable,     erroneous,      or   even
    ‘universally condemned,’ but that it violated some right which was
    guaranteed to the defendant by the Fourteenth Amendment.”).
    We again note that no state or federal court has found the giving or
    not giving of a consequence instruction violates due process. Since the
    instruction at issue in this case has not garnered the support of a
    majority of jurisdictions, we cannot say that there is a community
    consensus on this issue such that due process mandates the instruction
    _____________________________
    
    683 N.W.2d 399
    , 407 (S.D. 2004); Robison, 888 S.W.2d at 476–77; State v. Percy, 
    507 A.2d 955
    , 957–58 (Vt. 1986) (discussing and reaffirming the Vermont Supreme Court’s
    holding in State v. Smith, 
    396 A.2d 126
    , 129 (Vt. 1978), to refuse, as a general rule, to
    require the instruction); Kitze v. Commonwealth, 
    435 S.E.2d 583
    , 586 (Va. 1993)
    (holding that failure to give a curative instruction if the prosecution made incorrect
    statements regarding the consequences of an insanity acquittal can result in the case
    being overturned); Spruill v. Commonwealth, 
    271 S.E.2d 419
    , 426 (Va. 1980) (holding
    that a consequence instruction was properly refused); State v. McDonald, 
    571 P.2d 930
    ,
    938 (Wash. 1977) (en banc), overruled on other grounds by State v. Sommerville, 
    760 P.2d 932
    , 936 (Wash. 1988); Stoudamire, 631 P.2d at 1031 (rejecting a due process and
    fundamental fairness argument and continuing to hold the instruction is unnecessary
    for the reasons set forth in McDonald); Haynes v. State, 
    186 P.3d 1204
    , 1210–12 (Wyo.
    2008) (noting that a prosecutor’s question regarding the consequences of a not-guilty-
    by-reason-of-insanity verdict was “highly improper” but concluding that reversal was
    unwarranted in light of the trial court’s instruction that the disposition of the defendant
    was of “no concern to the jury”); Lonquest v. State, 
    495 P.2d 575
    , 584 (Wyo. 1972).
    43
    be given. At least one commentator has stated that informing the jury of
    the consequence is “the better view.” 1 Wayne R. LaFave, Substantive
    Criminal Law § 8.3(d), at 607 (2d ed. 2003). LaFave agrees that many
    jurisdictions do not require an instruction and notes that “[t]he
    questionable explanation for [the majority] position is that such an
    instruction would distract the jury from the insanity issue and would
    invite    compromise            verdicts.”    Id.      However    “questionable”      this
    explanation might be, it has nevertheless garnered the support of a
    number of courts, including our own. See Hamann, 285 N.W.2d at 186.
    We        also   note    that   there   are   many      other   commentators,
    researchers, academics, and law students who believe the best practice
    is to give the instruction whenever it is requested by the defendant. See,
    e.g., 1 Wayne R. LaFave, Substantive Criminal Law, § 8.3(d), at 607 (“The
    better view is [that the instruction should be given], for, as explained in
    Lyles v. United States, it does not make sense that a jury should be
    presented with three verdict choices (guilty, not guilty, and not guilty by
    reason of insanity) but know the consequences of only the first two.”
    (footnotes omitted)); see also ABA Standards for Criminal Justice § 7–6.8,
    commentary (2d ed. 1986); Christopher J. Rauscher, “I Did Not Want a
    Mad Dog Released”—the Results of Imperfect Ignorance: Lack of Jury
    Instructions Regarding the Consequences of an Insanity Verdict in State v.
    Okie, 
    63 Me. L
    . Rev. 593, 613 (2011) (arguing the Maine Supreme Court
    should have “allowed the instruction because ‘it can do some good and it
    can never do any harm.’ ” (internal citation omitted)).                    Becker has
    provided us with one such note. Masha Bach, Note, The Not Guilty by
    Reason        of     Insanity     Verdict:   Should    Juries    Be   Informed   of    Its
    Consequences?, 16 Whittier L. Rev. 645, 646 (1995). There have been
    many studies done on jurors’ often mistaken attitudes towards the
    44
    insanity defense in general. See, e.g., Eric Silver et al., Demythologizing
    Inaccurate Perceptions of the Insanity Defense, 18 Law & Hum. Behav.
    63, 68 (Feb. 1994) (“[T]he public overestimates the extent to which
    insanity acquittees are released upon acquittal and underestimates the
    extent to which they are hospitalized as well as the length of confinement
    of insanity acquittees who are sent to mental hospitals.”).        Jurors’
    refusals to follow the directions given to them by the judge have also
    been explored.    Jennifer L. Skeem, et al., Venirepersons’s Attitudes
    Toward the Insanity Defense: Developing, Refining, and Validating a
    Scale, 28 Law & Hum. Behav. 623, 625 (Dec. 2004) (noting that in one
    study jurors who were “told to use their own ‘best lights’ to decide the
    case produce verdict patterns similar to those of mock jurors who receive
    various insanity test instructions”).    Clearly, there are many policy
    concerns implicated by consequence jury instructions and the insanity
    defense.
    Some jurisdictions which require a consequence instruction have
    acknowledged that their decision to require the instruction is guided by
    policy considerations.   See Erdman v. State, 
    553 A.2d 244
    , 250 (Md.
    1989) (“We are guided, as was the ABA, by common sense and policy
    considerations rather than by a doctrine outmoded by our present law.”);
    see also ABA Standards for Criminal Justice § 7–6.8, commentary
    (favoring the giving of a consequence instruction, but noting that
    because of “the absence of solid empirical data supporting either view,
    common sense and policy considerations must provide guidance.”
    (footnote omitted)).     While there are policy arguments that favor
    informing jurors of the consequences of a not-guilty-by-reason-of-
    insanity verdict when requested by the defendant, as noted above, there
    are also policy reasons to refuse to give a consequence instruction.
    45
    However, good public policy is a far more malleable standard than due
    process.       Thus, in evaluating Becker’s claim that refusal to give the
    requested instruction violated his due process rights, we are not required
    to determine whether the general practice of not giving the instruction is
    the best policy; we need only be assured that failure to give the
    instruction is not constitutionally infirm. Debates as to which policy is
    best, as opposed to whether a practice is constitutionally acceptable, are
    better left in the province of the legislature and the rulemaking process.
    See Hawkeye Foodservice Distrib., Inc. v. Iowa Educators Corp., 
    812 N.W.2d 600
    , 608 (Iowa 2012) (noting that the rulemaking “process
    permits policy considerations to be raised, studied, and argued in the
    legal community and the community at large” (citation and internal
    quotation marks omitted)). Our legislature has not seen fit to enact a
    statute implementing this policy. See, e.g., Mo. Ann. Stat. § 552.030(6)
    (West, Westlaw current through 2012 Reg. Sess.) (“At the request of the
    defense the jury shall be instructed by the court as to the [commitment
    procedures following an acquittal on the ground of mental disease or
    defect].”). 16 By leaving the decision to require a consequence instruction
    in the hands of the legislative or rulemaking processes, we ensure that
    the law can be adapted as new research on the issue becomes available.
    The Delaware Supreme Court noted,
    This court is cognizant that the common law must not
    remain static and that our nation’s constitutional forms of
    democracy have entrusted the judiciary with developing that
    body of jurisprudence. Conversely, the decision to make the
    16For   other examples of guidance from the legislature regarding jury
    instructions, see Iowa Code sections 668.3(5) (requiring the court to instruct the jury as
    to the effects of its findings in a comparative fault action) and 709.6 (“No instruction
    shall be given in a trial for sexual abuse cautioning the jury to use a different standard
    relating to a victim’s testimony than that of any other witness to that offense or any
    other offense.”).
    46
    paradigm shift that is caused by overruling established
    common-law principles must be tempered by judicial
    restraint, with deference to the doctrine of stare decisis and
    its role in perpetuating stability under the rule of law.
    Aizupitis v. State, 
    699 A.2d 1092
    , 1094 (Del. 1997) (citations omitted). As
    Becker’s arguments are not sufficiently persuasive to justify overruling
    our prior cases, we will adhere to our well-established precedents which,
    as a general rule, do not require the district court to give an instruction
    to the jury on the consequences of a verdict of not guilty by reason of
    insanity. See Hamann, 285 N.W.2d at 185–86. Due process does not
    require a district court to give a consequence instruction simply because
    the defendant requests it.
    B. The Request for the Instruction Based on the Totality of
    the Circumstances at Becker’s Trial.       Some of Becker’s due process
    arguments emphasize the specific facts of his case. Therefore, we will
    also examine whether, based on the specific facts and circumstances of
    Becker’s case, a consequence instruction was required by due process.
    In the past, we have employed a totality-of-the-circumstances test
    to evaluate due process claims, even though we have not labeled the test
    as such.    In State v. McMullin, 
    421 N.W.2d 517
     (Iowa 1988), we
    addressed a defendant’s claim that placing “the portion of the insanity
    instruction that told the jury to consider the insanity defense before it
    considered defendant’s guilt or innocence of the crimes charged” violated
    procedural due process.      421 N.W.2d at 518.      We agreed with the
    defendant that the jury instruction was faulty and
    present[ed] a risk that a jury, upon finding that a defendant
    is insane, may return a verdict of not guilty by reason of
    insanity without giving proper consideration to whether the
    defendant is entitled to a verdict of not guilty by reason of
    the State’s failure to prove its case.
    47
    Id. at 518–19.   We then turned to the question of whether the faulty
    instruction denied the defendant due process of law under the
    Fourteenth Amendment of the Federal Constitution. Id. at 519.
    While due process allows “a state’s legislative body to define
    criminal conduct and to create procedures by which the criminal laws
    will be enforced in the courts,” it would not allow a state to shift the
    burden of disproving an element of the crime charged to the defendant.
    Id. The true object of the due process inquiry in that case was “whether
    the ailing instruction by itself so infected the entire trial that the
    resulting conviction violates due process.”      Id. at 520 (citation and
    internal quotation marks omitted).       We noted that “the instructions
    repeatedly set out that the State must prove each element by evidence
    beyond a reasonable doubt.” Id. We concluded that placing the insanity
    instruction before the instructions regarding guilt and innocence, though
    erroneous, did not shift the burden of proof to the defendant and
    therefore did not violate due process.    Id.   Thus our determination of
    whether a due process violation occurred was based on all of the
    instructions given at trial, as opposed to whether a single faulty
    instruction was given.
    In considering due process challenges to jury instructions in
    individual cases, the Supreme Court has also employed a totality-of-the-
    circumstances test. For instance, in Kentucky v. Whorton, 
    441 U.S. 786
    ,
    
    99 S. Ct. 2088
    , 
    60 L. Ed. 2d 640
     (1979), the Supreme Court used a
    totality-of-the-circumstances analysis—considering “all instructions to
    the jury, the arguments of counsel, whether the weight of the evidence
    was overwhelming, and other relevant factors”—to determine whether the
    defendant received a constitutionally fair trial when the court refused to
    give a requested jury instruction on the presumption of innocence in a
    48
    criminal proceeding. 441 U.S. at 789, 99 S. Ct. at 2090, 60 L. Ed. 2d at
    643.   The approach to evaluating jury instructions under due process
    was summarized in Delo v. Lashley, 
    507 U.S. 272
    , 
    113 S. Ct. 1222
    , 
    122 L. Ed. 2d 620
     (1993), where the Supreme Court rejected a due process
    challenge based upon the failure of the trial court to give a requested
    instruction concerning the petitioner’s alleged lack of significant history
    of prior criminal activity in the punishment phase of a capital case. The
    Supreme Court stated:
    An instruction is constitutionally required only when, in light
    of the totality of the circumstances, there is a genuine
    danger that the jury will convict based on something other
    than the State’s lawful evidence, proved beyond a reasonable
    doubt.
    Delo, 507 U.S. at 278, 113 S. Ct. at 1226, 122 L. Ed. 2d at 628 (citation
    and internal quotation marks omitted).
    Most   importantly,   the   totality-of-the-circumstances   test   was
    applied in a jury instruction case in Simmons v. South Carolina, 
    512 U.S. 154
    , 
    114 S. Ct. 2187
    , 
    129 L. Ed. 2d 133
     (1994).           In this case, the
    Supreme Court considered whether the failure to give a jury instruction
    that the defendant was ineligible for parole violated due process where
    the state raised the specter of the defendant’s future dangerousness in
    the penalty phase of a capital trial. Simmons, 512 U.S. at 156, 165, 114
    S. Ct. at 2190, 2194, 
    129 L. Ed. 2d
     at 138, 143.        A divided Supreme
    Court concluded under the circumstances that due process required that
    the instruction be given. Id. at 171–75, 114 S. Ct. at 2198–2200, 129 L.
    Ed. 2d at 147–51. We will now consider whether in this particular case,
    based on the unique factual circumstances, due process required that
    Becker’s proposed instruction be given.
    49
    Applying the totality-of-the-circumstances test, we conclude that
    Becker has not made out a due process violation. We cannot conclude
    that Becker did not receive a fundamentally fair trial under all the facts
    and circumstances. The jury asked the court what the consequences of
    a not-guilty-by-reason-of-insanity verdict might be, but there is no direct
    evidence that the jurors convicted based on their beliefs regarding the
    consequences of an insanity verdict.      We might come to a different
    conclusion if prosecutors had given the inaccurate impression that
    Becker would go free if he was found guilty by reason of insanity. See id.
    at 165, 114 S. Ct. at 2194, 
    129 L. Ed. 2d
     at 143 (noting that due process
    required an instruction on parole ineligibility was required when the
    prosecutor “raised the specter of petitioner’s future dangerousness
    generally, but then thwarted all efforts by petitioner to demonstrate that,
    contrary to the prosecutor’s intimations, he never would be released on
    parole”).   However, there is no allegation that the State made any
    improper remarks regarding the consequences of a not-guilty-by-reason-
    of-insanity verdict in this case.
    We are also concerned about the content of Becker’s proposed
    consequence instruction.      Becker’s proposed instruction would have
    informed the jury that if he were found not guilty by reason of insanity,
    he would be “ordered committed to a state mental health institute or
    other appropriate facility for a complete psychiatric evaluation.” Becker
    claims that such an “instruction may effectively eliminate unnecessary
    and dangerous speculation [by the jury]” and inform the jury “what
    would happen if they voted not guilty by reason of insanity.” The State
    claims that Becker’s instruction was unnecessary because jurors are
    presumed to follow jury instructions.    Further, even if jurors had the
    concerns pointed out by Becker, Becker’s proposed instruction was
    50
    “inadequate to achieve its aims” of alleviating the jury’s concerns about
    the consequences of a not-guilty-by-reason-of-insanity verdict.
    We agree with the State on both counts. First, juries are presumed
    to follow the court’s instructions. Hanes, 790 N.W.2d at 552. The court
    instructed the jurors not to concern themselves with the consequences of
    a not-guilty-by-reason-of-insanity verdict. We must presume the jurors
    followed that instruction and did not consider the consequences when
    engaging in their deliberations.
    Second, even if the jurors were willing to disregard their oath and
    the district court’s instruction, Becker’s proposed instruction would not
    adequately and accurately advise the jury of the possible consequences
    of the not-guilty-by-reason-of-insanity verdict. It only tells the jury that
    Becker will be evaluated.    It provides no guarantees to the jury as to
    when and under what circumstances Becker might be released. As the
    Supreme Court noted,
    [I]f the members of a jury are so fearful of a particular
    defendant’s release that they would violate their oaths by
    convicting [the defendant] solely in order to ensure that he is
    not set free, it is questionable whether they would be
    reassured by anything short of an instruction strongly
    suggesting that the defendant, if found NGI, would very
    likely be civilly committed for a lengthy period.
    Shannon, 512 U.S. at 585–86, 114 S. Ct. at 2427, 
    129 L. Ed. 2d
     at 470
    (citations and internal quotation marks omitted).     Becker’s instruction
    would have provided the jury with a fraction of the postverdict
    commitment and evaluation procedures required by Iowa Rule of
    Criminal Procedure 2.22(8). Under rule 2.22(8), it is impossible to know
    when a defendant found not guilty by reason of insanity might be
    released. See Iowa R. Crim. P. 2.22(8). Since Becker’s release would be
    contingent on a number of future events, Becker’s proposed instruction
    51
    does not fully and accurately explain the consequences of a not-guilty-
    by-reason-of-insanity verdict. See People v. Goad, 
    364 N.W.2d 584
    , 591
    (Mich. 1984). Accordingly, the district court did not err by refusing to
    provide the proposed consequence instruction, and no due process right
    was violated.
    C. Conclusion. To summarize, we conclude that Becker has not
    made the case for a due process violation under article I, section 9 of the
    Iowa Constitution under either the Medina categorical framework or the
    individual totality of the circumstances test. Under the Medina test, we
    hold that fundamental fairness does not mandate that a district court
    give the instruction whenever a defendant requests it. Under the totality-
    of-the-circumstances test, it is possible that due process may require a
    consequence     instruction   “under     certain   limited   circumstances.”
    Shannon, 512 U.S. at 587, 114 S. Ct. at 2428, 
    129 L. Ed. 2d
     at 471.
    However, we conclude that under the specific facts and circumstances of
    this case, fundamental fairness did not require the district court to
    instruct the jury that, if the defendant were found not guilty by reason of
    insanity, he would be committed to a mental health facility for
    evaluation.     It is unnecessary to provide a list of the possible
    circumstances that might mandate a consequence instruction. Instead,
    like the Supreme Court, “[w]e note this possibility merely so that our
    decision will not be misunderstood as an absolute prohibition on
    instructing the jury with regard to the consequences of [a not-guilty-by-
    reason-of-insanity] verdict.” Id. at 587–88, 114 S. Ct. at 2428, 
    129 L. Ed. 2d
     at 471. After our de novo review of the record in this case, we hold
    that due process under article I, section 9 of the Iowa Constitution did
    not require the court to inform the jury of the consequences of a not-
    52
    guilty-by-reason-of-insanity verdict.      The district court did not err by
    refusing to provide the jury with the proposed consequence instruction.
    VI. Disposition.
    The instructions given by the district court, when read as a whole,
    fairly and accurately advised the jury of the legal standard it was to apply
    to Becker’s insanity defense. Becker’s appeal on this ground is without
    merit.      Also, due process under article I, section 9 of the Iowa
    Constitution does not require the district court inform the jury of the
    consequences of a not-guilty-by-reason-of-insanity verdict under the
    facts of this case. Becker’s conviction is affirmed.
    DECISION OF COURT OF APPEALS AND JUDGMENT OF
    DISTRICT COURT AFFIRMED.
    All justices concur except Hecht, J., who dissents.
    53
    #10–0631, State v. Becker
    HECHT, Justice (dissenting).
    I respectfully dissent.     Similar to the Fifth Amendment of the
    United States Constitution, article I, section 9 of the Iowa Constitution
    guarantees Becker’s fundamental right to a fair jury trial and precludes a
    deprivation of his liberty interest without due process of law. “The right
    to present a defense is . . . fundamental and essential to a fair trial . . . .”
    State v. Fox, 
    491 N.W.2d 527
    , 531 (Iowa 1992).
    “The right to offer the testimony of witnesses, and to compel
    their attendance, if necessary, is in plain terms the right to
    present a defense, the right to present the defendant’s
    version of the facts as well as the prosecution’s to the jury so
    it may decide where the truth lies. Just as an accused has
    the right to confront the prosecution’s witnesses for the
    purpose of challenging their testimony, he has the right to
    present his own witnesses to establish a defense. This right
    is a fundamental element of due process of law.”
    Id. (quoting Washington v. Texas, 
    388 U.S. 14
    , 19, 
    87 S. Ct. 1920
    , 1923,
    
    18 L. Ed. 2d 1019
    , 1023 (1967)). We, and other courts, have concluded
    a defendant’s right to present a defense has been denied when defense
    witnesses have been prevented by court rule from testifying or
    intimidated into not testifying, Webb v. Texas, 
    409 U.S. 95
    , 98, 
    93 S. Ct. 351
    , 353–54, 
    34 L. Ed. 2d 330
    , 333 (1972) (per curiam); Washington, 388
    U.S. at 23, 87 S. Ct. at 1925, 18 L. Ed. 2d at 1025, when a district court
    fails to instruct the jury on a defense theory of the case, Bradley v.
    Duncan, 
    315 F.3d 1091
    , 1098–99 (9th Cir. 2002), when the district court
    excludes testimony relevant to a defendant’s defense of justification,
    State v. Begey, 
    672 N.W.2d 747
    , 753 (Iowa 2003), or when an indigent
    defendant is denied court funds to hire an expert to prepare a defense,
    State v. Coker, 
    412 N.W.2d 589
    , 592–93 (Iowa 1987). Applying the same
    reasoning, I would hold that the district court’s failure to give a
    54
    “consequences” instruction under the circumstances of this case
    deprived Becker of due process because it, in effect, nullified his insanity
    defense and thus deprived him of a fair trial.
    The majority opinion details the long history of the insanity defense
    in Iowa jurisprudence. Expressing the public policy that insane persons
    shall not be convicted of a crime, the legislature codified the defense
    based on the enlightened proposition that mental illness should be
    treated, not punished.     The trial in this case was about only one
    substantial question: Would the jury credit Becker’s insanity defense?
    The standard against which the insanity defense is measured is, of
    course, a demanding one. Public policy necessitates that the defense be
    available only when the defendant’s severe mental illness caused the
    act(s) constituting the factual basis of a criminal charge.    Jurors take
    this notion seriously, tending not to lightly excuse violent and homicidal
    behavior from criminal sanction on insanity grounds. The extraordinary
    factual circumstances of this case made it obvious before Becker’s trial
    began that jurors would have overwhelming concerns about the
    consequences of an insanity verdict as they pondered whether Becker
    proved the defense.
    As the majority opinion recounts, Becker had repeatedly exhibited
    conduct suggesting severe mental derangement during the nine months
    prior to the shooting. On three occasions, Becker was hospitalized for
    mental health treatment after episodes of violent behavior against both
    family members and a stranger.           The episodes of violence were
    accompanied by statements revealing Becker had an attenuated
    connection with reality, including persistent delusional claims that
    Coach Ed Thomas controlled him and others through extrasensory
    powers. Despite his recurring inpatient psychiatric treatment, Becker’s
    55
    severe mental illness was not controlled.   Less than a week before he
    shot and killed Coach Thomas, Becker violently assaulted a stranger,
    damaged the stranger’s home by striking it with a baseball bat and
    crashing into it with a car, and was admitted to a hospital for treatment.
    Becker was discharged from the hospital approximately twenty-four
    hours before the tragedy that led to this prosecution. Thus, the factual
    circumstances of Becker’s mental illness forming the foundation of his
    insanity defense were characterized by recurring episodes of extreme
    violence interrupted by short courses of unsuccessful treatment of
    schizophrenia.
    Becker’s defense counsel astutely anticipated these extraordinary
    circumstances would make it impossible for the jury in this case to credit
    the insanity defense without a consequences instruction.         Counsel
    correctly intuited that if kept in the dark about the consequences of a
    verdict of insanity, the jury could not take a chance that Becker would
    again be turned loose without adequate medical management of his
    severe mental illness to continue his crazed and extremely violent
    behavior that had already caused one death. In my view, the peculiar
    circumstances of this case demanded a consequences instruction to
    allow Becker a meaningful opportunity to assert a statutory insanity
    defense and to assure him a fair trial.
    The record amply demonstrates the jury had reached an impasse
    on the insanity defense by midday on the third day of its deliberations.
    Seeking to break the impasse, the jury requested information about
    “what would happen to Mark Becker” if he were found insane. I believe
    this request clearly reveals some jurors were unwilling to credit the
    insanity defense without the additional information. Indeed, when the
    district court denied the jurors’ request for such information, the
    56
    deadlock   persisted   through   the    remainder   of   the   third   day   of
    deliberations, and through the fourth day as well, before the impasse
    was broken and the uninformed jury rejected Becker’s defense. Under
    these circumstances, I would hold, just as surely as if Becker had been
    denied the opportunity to present testimony, expert or otherwise,
    supporting his insanity defense, the district court’s rejection of Becker’s
    proposed “consequences” instruction deprived Becker of a meaningful
    opportunity to assert his insanity defense.     Given Becker’s history of
    violent, delusional, and homicidal conduct consistent with severe mental
    derangement, the jurors were justifiably unwilling, without the requested
    information about the consequences, to risk the possibility that Becker
    would again be released without proper psychiatric assessment and
    management. Deprived of a meaningful opportunity to assert his only
    defense, Becker’s right to a fair jury trial was abridged. I would grant
    him a new trial.