US v. La Cruz, (1st Cir. 2008)

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 United States Court of Appeals

For the First Circuit

Nos. 06-1659, 07-2515

UNITED STATES OF AMERICA,

Plaintiff,

 

v.

LUIS DE LA CRUZ,

Defendant, Appellant.

APPEALS FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Robert E. Keeton, Senior U.S. District Judge]

[Hon. Joseph L. Tauro, U.S. District Judge]

Before

 

Boudin, Chief Judge,

Selya, Senior Circuit Judge

and Stafford,* Senior District Judge.

    Paul J. Haley, with whom Law Office of Paul J. Haley was on

brief, for appellant.

    Jeffrey P. Singdahlsen, Attorney, U.S. Department of Justice

Criminal Division, Appellate Section, with whom Michael J.

Sullivan, United States Attorney, and Rachel E. Hershfang,

Assistant United States Attorney, were on brief, for the United

States.

 

February 1, 2008

 

                      

* Of the Northern District of Florida, sitting by designation.

        Stafford, Senior District Judge. Luis De La Cruz

("Defendant") appeals from the district court's final judgment of

conviction entered on a jury verdict of "guilty" as to two

offenses: (1) conspiracy to distribute and to possess with the

intent to distribute one kilogram or more of heroin, in violation

of 21 U.S.C. 846 (Count One); and (2) possession with the intent

to distribute and distribution of heroin, in violation of 21 U.S.C. 841(a)(1) (Count Two). Defendant also appeals the district

court's denial of his motion for new trial. We affirm.

I.

         For a number of years, beginning at least in 1999 and

continuing until his arrest in 2001, Defendant—also known as

Carlos—was the leader of an organization that distributed heroin in

and around Lawrence, Massachusetts. From his suppliers, Defendant

received heroin that was compressed into pellets approximately the

size of a thumb. Called fingers, the pellets each contained eight

to twelve grams of heroin. With the help of his runners, Defendant

processed the bulk heroin and placed the resulting powder into

small baggies. Ten baggies were then grouped together—each group

of ten constituting a bundle—and placed in a plastic sandwich bag

for distribution.

         Customers would typically call Defendant on his cell

phone to arrange a buy. Defendant, or one of his runners, would

later meet the customer at a specified public place, then move to

a more private place to complete the sale. On March 8, 2001, one

of Defendant's regular customers, Alison Tracy ("Tracy"), called

Defendant to arrange the purchase of 25 bundles of heroin. While

Tracy intended to use some of the heroin herself, she also intended

to sell eight of the bundles to one of her customers, Jesse Flynn

("Flynn").

         As they had on prior occasions, Tracy and Flynn drove to

Lawrence to pick up the heroin. Upon arriving in Lawrence, using

Flynn's cell phone, Tracy called Defendant to get directions for

meeting. Defendant told Tracy to wait at a local Dunkin Donuts

store. From the donut store, Defendant led Tracy and Flynn to a

quiet street where he sold Tracy 25 bundles (250 baggies) of

heroin. Some of these bundles contained baggies marked with black

eagles; the remainder of the bundles contained baggies marked with

blue stars.

         On that same March 8th day, Tracy also bought 25 bundles

of heroin from Richard Frias, whose street name was Miguel. The

baggies in the bundles that she purchased from Miguel were marked

with red beetles and blue dolphins. From the total bundles that

she bought that day, Tracy sold Flynn eight bundles: four

bundles—marked with blue stars and black eagles—that came from

Defendant, and four bundles—marked with blue dolphins—that came

from Miguel.

         On March 9, 2001, Bryan Wallace ("Wallace"), one of

Flynn's childhood friends, asked Flynn for some heroin. Flynn

initially refused to sell to Wallace but soon after relented,

agreeing to meet Wallace that evening at a restaurant in New

Hampshire. After eating dinner, Flynn sold Wallace two bundles of

heroin, one bundle containing baggies marked with blue stars and

one bundle containing baggies marked with black eagles.

         Wallace's girlfriend, Shay Kelleher ("Kelleher"), stopped

at Wallace's home to visit later that night. Kelleher found

Wallace looking pale and sluggish, with red eyes and constricted

pupils. Although Wallace appeared "unmistakably different" to

Kelleher, he did not appear to be in danger. She had previously

seen him high on various drugs, and he had never before suffered

any adverse consequences from his drug usage. Wallace showed

Kelleher some baggies that he said contained heroin bought from a

friend. Kelleher described the baggies as being marked with small

birds resembling the Harley-Davidson black eagle logo.

         The next evening, when Kelleher again stopped by

Wallace's home, she found Wallace's dead body. Blood had pooled in

his legs, and a blood-tinged foam cone had formed over his mouth.

When the police arrived, they found eleven torn and empty

baggies—some marked with black eagles and some with blue

stars—inside a garbage can, and seven unopened baggies—marked with

blue stars—on the kitchenette counter. The baggies tested positive

for heroin, as did the drug paraphernalia that was found in

Wallace's room.

         On the evening that Wallace's body was found, Wallace's

mother told investigators that her son had received a telephone

call from his friend, Jesse Flynn, the previous afternoon.

Arrested on March 20, 2001, Flynn told investigators that he bought

heroin on March 8 from Tracy and that he sold some of that heroin

to Wallace on March 9.

         On March 21, based on the information provided by Flynn,

investigators interviewed Tracy, who was then in custody on a

parole violation. Admitting that she sold heroin to Flynn, Tracy

agreed to place controlled calls to her suppliers, Carlos and

Miguel. Tracy's cooperation led investigators the next day, March

22, to (1) interview and then arrest Defendant, or Carlos; and (2)

arrest Roberto Herrera ("Herrera"), one of Miguel's runners, as he

was attempting to deliver heroin to Tracy. When arrested, Herrera

had in his possession ten bundles of heroin, some marked with black

eagles and some with blue stars, the same markings that appeared on

the baggies sold by Defendant to Tracy on March 8.

         Defendant was initially charged—by indictment dated April

4, 2001—with one count of conspiracy to possess with the intent to

distribute heroin, in violation of 21 U.S.C. 846. There was no

allegation in the initial indictment that the conspiracy resulted

in the death of Bryan Wallace.

         A three-count superseding indictment was returned on

October 24, 2002. Count One again alleged a section 846

conspiracy. In Counts Two and Three, it was alleged that, on or

about March 8 and March 9, 2001, respectively, Defendant possessed

with the intent to distribute, and did distribute, a mixture or

substance containing a detectable amount of heroin, in violation of

21 U.S.C. 841, or aided and abetted the same in violation of 18 U.S.C. 2. In all three counts, it was alleged that the offense

resulted in the death of Bryan Wallace.

         A second superseding indictment was returned on December

8, 2004. The second superseding indictment contained two counts:

a section 846 conspiracy count and a section 841 substantive

offense count. In both counts, it was alleged that the offense

resulted in the death of Bryan Wallace. In addition, notice was

given of three additional factors: (1) that Defendant was

accountable for at least 1 kilogram, but not more than 3 kilograms,

of heroin; (2) that Defendant was a manager and supervisor of a

criminal activity that involved at least five participants; and (3)

that death and serious bodily injury resulted from the use of the

heroin distributed by Defendant.

         On January 5, 2005, Defendant filed an emergency motion

to go to trial on the first superseding indictment. The emergency

motion was filed the day he was to be arraigned on the second

superseding indictment, which was just four days before trial on

the first superseding indictment was scheduled to begin. Defendant

argued that he should be permitted to go to trial on the first,

rather than the second, superseding indictment because he was then

ready to go to trial on the first superseding indictment and

because he would be "severely prejudiced" by the government's delay

in adding the "expansive charges" contained in the second

superseding indictment. While he noted in his motion that he had

been detained for close to four years without a trial, Defendant

did not expressly move to dismiss the second superseding indictment

on speedy trial grounds. Indeed, he made no mention whatsoever of

the Speedy Trial Act in his motion. To the contrary, Defendant

made it clear that he was not then moving to dismiss the second

superseding indictment, expressly stating that he "reserved[d] his

right to bring a motion to dismiss the second Superseding

Indictment."

         The district court denied Defendant's emergency motion,

stating: "Denied for failure to show that it is an appropriate

order for this court to make that asserted facts alleged in the

Second Superseding indictment should be disregarded in the fair

disposition of this case." Defendant did not thereafter file a

motion to dismiss the second superseding indictment on speedy trial

grounds.

         A two-week jury trial began on April 25, 2005. The jury

found Defendant guilty of the two offenses, or counts, charged in

the second superseding indictment. As to the conspiracy count, the

jury found, beyond a reasonable doubt, that the conspiracy involved

1 kilogram or more of a mixture or substance containing a

detectable amount of heroin, that the ingestion of heroin was a

but-for cause of Bryan Wallace's death, that the heroin causing

Wallace's death was distributed as part of the charged conspiracy,

and that Defendant himself was in the chain of distribution for the

heroin causing Wallace's death. As to the substantive count, the

jury found, beyond a reasonable doubt, that ingestion of heroin was

a but-for cause of Wallace's death, and that the heroin causing

Wallace's death passed through Defendant's hands.

         On May 12, 2005, the day he was convicted, Defendant

filed a two-sentence motion for new trial, requesting—in his

motion—additional time to file a memorandum of points and

authorities in support of the motion. The district court granted

Defendant's oral request that a hearing on his motion for new trial

be held "at a later time" but did not set a specific time for that

hearing or otherwise address Defendant's motion for new trial.

         On February 14, 2006, the district court sentenced

Defendant to twenty years in prison, with five years of supervised

release to follow. Twenty years is the mandatory minimum sentence

required under 21 U.S.C. 841(b)(1)(A) where a death results.

Defendant filed his first notice of appeal on March 10, 2006,

raising seven issues. Four months later, Defendant filed (in the

district court) a memorandum of law in support of his motion for a

new trial, raising eight grounds for relief—the seven claims raised

in his appeal plus a claim that the verdicts were against the

weight of the evidence.

         After Defendant's appeal was fully briefed and argued,

this court—whilst retaining appellate jurisdiction—ordered a

limited remand to permit the district court

[1]

to consider

Defendant's motion for new trial, a motion that "by mischance" had

never been resolved. The district court ordered further briefing

and held a hearing on the motion on June 27, 2007. By order

entered August 20, 2007, the district court denied Defendant's

motion for new trial, finding no merit to any of Defendant's eight

grounds for relief. The case was thereafter returned to this court

for supplemental briefing and resolution.

         In his supplemental brief on appeal, Defendant argued—for

the first time on appeal—that the verdicts were against the weight

of the evidence. He also added argument regarding one of the seven

issues raised in his initial brief on appeal. He otherwise relied

on the arguments raised in his initial brief.

         Defendant also filed a separate appeal from the district

court’s denial of his motion for new trial. That appeal—docketed

as No. 07-2515—was consolidated with Defendant’s initial appeal,

No. 06-1659. Although a briefing schedule was established in the

second appeal, Defendant advised the court that he did not intend

to file an opening brief in that appeal but would, instead, rely on

the briefs filed in his first appeal. When the government advised

the court that it likewise would rely on the briefs filed in the

first appeal, appeal No. 07-2515 was submitted to the court for

resolution. The two appeals are now ripe for resolution. 

II.

          Defendant raises eight issues on appeal, all of which

lack merit.

A.

         Defendant first claims that his speedy trial rights were

violated when the district court permitted the government to

proceed to trial on the second superseding indictment. On remand,

the district court rejected this claim, finding that Defendant

waived his speedy trial claim when he failed to move for dismissal

of the second superseding indictment on speedy trial grounds prior

to trial.

         The Speedy Trial Act, 18 U.S.C. 3162(a)(2),

specifically provides that "[f]ailure of the defendant to move for

dismissal prior to trial . . . shall constitute a waiver of the

right to dismissal under this section." See United States v.

Gomez, 67 F.3d 1515, 1520 (1st Cir. 1995) (explaining that "just as

the [Speedy Trial] Act provides a remedy for violation of its

speedy trial mandate, so too it unequivocally provides that the

failure of a defendant to move for dismissal prior to trial

constitutes a waiver of any right to that remedy").

         Here, the record clearly reveals that Defendant did not

move to dismiss the second superseding indictment prior to trial.

While Defendant complained about the government's delay in filing

the second superseding indictment, he did so in an emergency motion

to go to trial on the first superseding indictment, not in a motion

to dismiss the second superseding indictment. In that emergency

motion, Defendant expressly reserved his right to file—in the

future—a motion to dismiss the second superseding indictment.

After his emergency motion was denied, however, Defendant failed to

exercise the right that he expressly reserved, namely, the right to

file a motion to dismiss the second superseding indictment. As a

consequence, he cannot now obtain relief on speedy trial grounds.

B.       Defendant next contends that the district court abused

its discretion when it permitted the government's chemist, Stacy

Turner ("Turner"), to testify about the purity of the heroin found

in Wallace's home the night his body was discovered. Defendant

maintains, and the government concedes, that Defendant was not

specifically informed prior to trial that Turner would so testify.

Instead, Defendant was informed generally that Turner would testify

about the tests she performed and the conclusions she drew with

regard to the drugs and drug residue analyzed in the case.

[2]

         Finding no merit to this claim, the district court on

remand explained that Defendant did not and could not demonstrate

that he suffered actual prejudice from the inadequate disclosure,

mostly because the challenged testimony was cumulative and because

there was ample evidence, without Turner’s testimony, that firmly

connected Defendant to the death of Wallace. We agree.

         On direct examination by the government, soon after

Turner testified that the heroin seized from Herrara on March 22

tested thirty-seven percent pure, Turner was asked about the purity

of the heroin found in Wallace's room on March 10:

    Q:  And based on the smallness of the sample of

the heroin and your ability to extract it

directly, what, if anything, did you conclude

about its purity?

 

    A:  It's of a higher purity.

 

    Q:  And why do you say that? How are you able to

say that?

 

    A:  Well, this exhibit, looking at it under the

microscope, first of all, when I do the

microcrystal test, when you put acid on it, if

the substance completely dissolves into it,

you can likely say that there's no cut present

because most things won't dissolve, most cuts

won't dissolve. Then when looking at the

crystals, the heroin crystals that form,

they're very clear. If there was something

else present, there would be distorted

crystals there. And also, with the IR itself,

a direct sample with nothing else in it

indicates a higher purity substance.

 

    Q:  And when you say a higher purity substance,

what do you mean?

 

    A:  In my experience, it tends to be 80 percent or

higher.

At this point in Turner's testimony, Defendant objected and moved

to strike. The district court overruled the objection and denied

the motion to strike without discussion.

         Following cross and redirect examination of Turner,

Defendant renewed his objection and motion to strike. Explaining

his objection to the court at side bar, Defendant stated that he

expected the government to use Turner's testimony to argue that the

heroin seized from Wallace's home was different from the heroin

seized from Herrara. The government indicated that it would make

no such argument. The district court again overruled the objection

and denied the motion to strike, suggesting that it would be better

not to emphasize the testimony by again bringing it to the jury's

attention.

         Defendant then said to the court: "I'm just thinking

whether or not I should ask for a continuance on this particular

matter. . . . May I preserve my right to recall her?" The district

court responded that it would not grant Defendant a blanket right

to recall Turner but would hear from the parties if Defendant

should, in fact, decide to recall her.

         With the jury in recess and the government having rested,

the district court sua sponte returned to the issue of a

continuance. "I think you asked for a continuance. I think I've

indicated that I would not allow that. Of course, if you want to

bring it up again, you may do so." Id. at 94. Defendant

responded: "I may want to confer with a forensic toxicologist

that's been working with me about that purity matter . . . and I

would just ask for the afternoon so I could go back to my office

and call [the toxicologist]." Id. at 94-95. Denying Defendant's

request for an afternoon's break, the court instead recessed for an

hour-and-twenty-minute lunch break.

         At the conclusion of the break, Defendant moved for a

mistrial based on the government's failure to disclose that Turner

would be testifying about the purity of the heroin found with

Wallace. He argued that Turner's purity testimony had "ship-wrecked" his defense. He explained that his theory of defense was

based on the similarities in the baggie markings used by Defendant

and Miguel. He maintained that because Defendant and Miguel

both—at times—distributed baggies marked with blue stars and black

eagles, the jury could have concluded that Miguel, and not

Defendant, supplied the heroin on which Wallace overdosed.

Defendant did not ask to recall Turner; he did not ask for more

time to consult his toxicologist; and he did not explain how his

defense would have differed had he been given pre-trial notice of

Turner's purity testimony. The district court denied Defendant's

motion for mistrial, explaining that a defense based on the

similarities between the packaging of the heroin seized in

Wallace's room on March 10 and the packaging of the heroin seized

from Herrara almost two weeks later was utterly without merit.

         We review for abuse of discretion a district court's

decision on how to remedy a delayed disclosure of evidence. United

States v. Mooney, 315 F.3d 54, 64 (1st Cir. 2002). To establish an

abuse of discretion sufficient to require reversal, a defendant

must make some showing of prejudice. See, e.g., United States v.

Devin, 918 F.2d 280, 290 (1st Cir. 1993) (explaining that, in cases

of delayed disclosure, a court's principal concern must be whether,

given timely disclosure, "a more effective strategy would likely

have resulted").

         Here, at trial, the district court decided that, once

Turner's testimony about purity was heard by the jury, the better

course was to say nothing more about it, as any attempt to strike

the testimony would only serve to emphasize the testimony.

Addressing Defendant's concerns about how the government might use

the testimony, the court had the government state for the record

(outside the jury's presence) that purity-related issues would not

be argued to the jury. At the conclusion of Turner's testimony,

the district court indicated that Defendant would be heard if he

wished to recall Turner. Although the district court declined to

give Defendant an entire afternoon to consider such a recall, the

district court did allow Defendant a recess of one hour and twenty

minutes to consult with his toxicologist. At the conclusion of the

recess, Defendant neither asked for more time nor complained that

he had had insufficient time to confer with his toxicologist. He

simply said that he was not prepared to call Turner. Given the

circumstances, it would be difficult to find an abuse of discretion

on the part of the district court.

         We need not definitively decide that question, however.

The dispositive consideration is that Defendant has not

demonstrated that he was prejudiced by Turner's purity testimony.

In his appellate brief, Defendant suggests that the jury's verdict

was driven by Turner's purity testimony.

[3]

The record, however,

belies any such suggestion. Consistent with its assurances to the

district court, the government did not argue to the jury that the

source of the heroin found in Wallace's room could be established

by the drug's purity. The government also did not point to the

heroin's purity to prove that heroin was the cause of Wallace's

death. Instead, to prove the cause of death, the government relied

largely on the testimony of the medical examiner, who

concluded—without mentioning the matter of purity—that heroin was

the likely cause of death. The medical examiner explained that he

based his conclusion upon the totality of the evidence examined,

including the presence of heroin in Wallace's room, the drug

paraphernalia found next to his body, the foam cone seen on his

mouth by the officers at the scene, and the various physical

manifestations revealed through toxicological tests and an autopsy.

To establish the source of that heroin, the government relied on

the overwhelming evidence that Wallace was found with baggies of

heroin that could be traced to Flynn, from Flynn to Tracy, and from

Tracy to Defendant. Given the evidence and the government's

arguments, it is anything but apparent that the jury's verdict was

influenced, much less driven, by Turner's testimony about the

comparative purity of the heroin found with Wallace the night he

died and the heroin found with Herrara roughly two weeks later.

         Furthermore, before she testified about purity, Turner

explained that, unlike the heroin found with Wallace, the heroin

found with Herrara was "cut" with lactose. According to Turner,

the lactose was used as a "diluent" to "bulk up the heroin." Trial

Tr. vol. 10, pt. 1, 73-74 (May 9, 2005). Defendant did not object

to the testimony about the lactose found in Herrara's heroin, and

the jury was free to consider such testimony whether or not the

district court granted Defendant's motion to strike Turner's

testimony about purity. Under the circumstances, it is difficult

to imagine how the district court's failure to strike what, in

essence, amounted to cumulative testimony could have prejudiced

Defendant.

C.       Defendant next contends that the district court abused

its discretion when it allowed the government's medical examiner to

give an expert opinion regarding the cause of Wallace's death based

on toxicological and autopsy reports that were not prepared by the

examiner. Relying on Crawford v. Washington, 541 U.S. 36 (2004),

Defendant maintains that he was denied his right of cross-examination. Id. at 42 (holding that the Confrontation Clause

prohibits the admission of out-of-court statements that are

testimonial in nature unless the declarant is unavailable and the

defendant had a prior opportunity to cross-examine the declarant

concerning the statements).

         Dr. Thomas A. Andrew, M.D. ("Dr. Andrew"), Chief Medical

Examiner for the State of New Hampshire, testified as an expert

regarding the cause of Wallace's death. Dr. Andrew did not himself

perform the autopsy on Wallace's body or conduct any toxicological

tests or investigate at the scene where Wallace's body was found.

In forming his opinion as to the cause of death, Dr. Andrew instead

relied on police reports, crime scene photographs, and autopsy and

toxicology reports, all of which were prepared by other

individuals. Dr. Andrew explained that such materials are

routinely relied on by experts in his field. Dr. Andrew also

explained that autopsies are required by law in cases involving

sudden, unexpected, or violent deaths, that autopsy reports contain

objective fact-only descriptions of the observations made by the

examining physician at the time of the autopsy, and that autopsy

reports are intended to provide a permanent record of findings

relevant to the cause of death.

         Defendant objected to Dr. Andrew's testimony on

Confrontation Clause grounds. Citing Crawford, Defendant argued

that the autopsy report upon which Dr. Andrew relied constituted

testimonial evidence prepared by someone whom Defendant could not

cross-examine. The district court overruled Defendant's objection

at trial, holding that Dr. Andrew's testimony was not based on

testimonial hearsay but was, instead, properly based on his review

of a record, the preparation of which was required by law. For the

same reasons, the district court on remand found that Defendant’s

Crawford argument did not entitle him to a new trial.

         We review de novo a claim that evidence has been admitted

in violation of the Confrontation Clause. United States v. Walter,

434 F.3d 30, 33 (1st Cir. 2006); United States v. Brito, 427 F.3d

53, 59 (1st Cir. 2005).

         In his appellate brief, Defendant's discussion of his

Confrontation Clause claim is perfunctory at best.

[4]

In essence, he

argues that "[b]y allowing the medical examiner to testify

concerning reports which he had no part in testing or producing,

the defendant was denied his right of confrontation." Defendant's

Br. at 13. Other than citing Crawford for the general proposition

that the introduction of testimonial hearsay runs afoul of the

Confrontation Clause, Defendant cites no cases to support his

argument. We reject Defendant's argument, in part because his

claim is "unaccompanied by some effort at developed argumentation."

Casas, 425 F.3d at 30 n.2.

         In addition, we reject Defendant's argument on the

merits. An autopsy report is made in the ordinary course of

business by a medical examiner who is required by law to

memorialize what he or she saw and did during an autopsy. An

autopsy report thus involves, in principal part, a careful and

contemporaneous reporting of a series of steps taken and facts

found by a medical examiner during an autopsy. Such a report is,

we conclude, in the nature of a business record, and business

records are expressly excluded from the reach of Crawford. See

Crawford, 541 U.S. at 56 (noting that business records are not

testimonial by nature); see also id. at 76 (Rehnquist, C.J.,

concurring) (praising the Court's exclusion of business records

from the definition of testimonial evidence falling within the

ambit of the Confrontation Clause); United States v. Feliz, 467

F.3d 227, 236-37 (2d Cir. 2006) (noting that autopsy reports are

kept in the course of a regularly conducted business activity and

are nontestimonial under Crawford); Manocchio v. Moran, 919 F.2d

770, 778 (1st Cir. 1990) (recognizing that autopsy reports are

business records akin to medical records, prepared routinely and

contemporaneously according to "statutorily regularized procedures

and established medical standards" and "in a laboratory environment

by trained individuals with specialized qualifications").

         In People v. Durio, 794 N.Y.S.2d 863 (N.Y. Sup. Ct.

2005), the court held that the admission of both the routine

findings recited in an autopsy report as well as the accompanying

testimony of an assistant medical examiner who neither conducted

the autopsy nor prepared the report was proper under Crawford.

Concluding that the autopsy report was a nontestimonial business

record, the Durio court described the practical implications that

would follow from treating autopsy reports as inadmissible

testimonial hearsay under Crawford:

Years may pass between the performance of the

autopsy and the apprehension of the

perpetrator. This passage of time can easily

lead to the unavailability of the examiner who

prepared the autopsy report. Moreover,

medical examiners who regularly perform

hundreds of autopsies are unlikely to have any

independent recollection of the autopsy at

issue in a particular case and in testifying

invariably rely entirely on the autopsy

report. Unlike other forensic tests, an

autopsy cannot be replicated by another

pathologist. Certainly it would be against

society's interests to permit the

unavailability of the medical examiner who

prepared the report to preclude the

prosecution of a homicide case.

Id. at 869.

         Like the court in Durio, we are unpersuaded that a

medical examiner is precluded under Crawford from either (1)

testifying about the facts contained in an autopsy report prepared

by another, or (2) expressing an opinion about the cause of death

based on factual reports—particularly an autopsy report—prepared by

another.

[5]

Because, in this case, we find that Dr. Andrew's

testimony was proper under Crawford, we find no error in the

district court's decisions (at trial and on remand) regarding Dr.

Andrew’s opinion as to the cause of Wallace's death.

D.

         Defendant argues that the district court on remand abused

its discretion when it denied his motion for new trial based on

newly discovered evidence. That evidence, a post-conviction letter

written by cooperating witness Elison Anziani to a fellow inmate,

purportedly shows that Anziani lied when he testified against

Defendant at trial. Defendant first submitted the letter, in

Spanish, to the district court when he filed his post-sentencing

memorandum in support of his motion for new trial. The government

submitted an English translation of the letter when the case was

returned to the district court on remand.

         To obtain a new trial based on newly discovered evidence,

a defendant must show that:

  (1) the evidence was unknown or unavailable to

the defendant at the time of trial; (2)

failure to learn of the evidence was not due

to lack of diligence by the defendant; (3) the

evidence is material, and not merely

cumulative or impeaching; and (4) [the

evidence] will probably result in an acquittal

upon retrial of the defendant.

United States v. Rodriguez-Marrero, 390 F.3d 1, 14 (1st Cir. 2004)

(quoting United States v. Wright, 625 F.2d 1017, 1019 (1st Cir.

1980)). A motion for new trial must be denied if the defendant

fails to meet any one of these four factors. United States v.

Gonzalez-Gonzalez, 258 F.3d 16, 20 (1st Cir. 2001). "For newly

discovered evidence to warrant a retrial in a criminal case, the

existence of the required probability of reversal must be gauged by

an objectively reasonable appraisal of the record as a whole, not

on the basis of wishful thinking, rank conjecture, or unsupportable

surmise." United States v. George, 448 F.3d 96, 101 (1st Cir.

2006) (quoting United States v. Natanel, 938 F.2d 302, 314 (1st

Cir. 1991)). We review a district court's denial of a motion for

a new trial for manifest abuse of discretion.

United States v. Colon-Munoz, 318 F.3d 348, 357 (1st Cir. 2003).

         While explaining that it was unable to decipher the true

meaning of Anziani's "rambling, incomprehensible, and ambiguous"

letter, the district court denied Defendant's motion for new trial

based on newly discovered evidence, finding that Defendant failed

to satisfy the third and fourth prongs of the Wright newly-discovered-evidence test. According to the district court,

Defendant failed to demonstrate either that the evidence contained

within the letter was material or that the evidence—if presented

upon retrial—would probably result in an acquittal. As noted by

the district court, the government well established through

witnesses other than Anziani that Defendant conspired to distribute

and did, in fact, distribute heroin, that he sold heroin to Alison

Tracy on March 8, 2001, and that the heroin he sold to Tracy on

March 8 was distributed to Wallace through Flynn, resulting in

Wallace's death on March 10.

         Like the district court, we find that Defendant has

utterly failed to demonstrate that he is entitled to a new trial

based on Anziani's post-conviction letter. While Defendant

characterizes the letter as an admission by Anziani that Anziani

lied during trial, that characterization is questionable to say the

least. In fact, as suggested by the government, Anziani seems to

be saying in his letter that he did not lie. To be sure, he states

that if the records, or "papers" where "it [wa]s written down,"

failed to support his calculations as to drug quantities (40-50

grams a week) and times (12 weeks in 1999 and 18 weeks in 2001),

then perhaps it could be said that he "lied." Anziani goes on to

state, however:

Those were the things that I stated at trial.

Now, if it wasn't that way, then I'm crazy.

Look, in this thing, it's not about me taking

off of me and putting it on the other because

I haven't taken off of anyone nor I've taken

off of me. The one that is guilty of

everything is Luis himself. . . . Look, Luis

didn't lose the trial because of me, he lost

because he was guilty.

Government's Suppl. Resp., Addendum at 15.

         Even assuming, for the sake of argument, that Defendant's

characterization of Anziani's letter as an admission of

"fabricated" testimony is accurate, Defendant has neither specified

what testimony Anziani recanted nor explained how Anziani's

purported recantation would affect a retrial. It is Defendant's

burden to demonstrate every one of the four Wright factors, and

such burden he has failed to meet.

         Furthermore, even if the "papers" showed that Anziani's

testimony was not precisely accurate, it is clear that Anziani's

letter in no way exculpated Defendant. At most, Anziani appears to

admit that his testimony, based on his remembrance of particulars,

might be at odds with the written records. Such admission,

however, amounts to impeachment evidence cumulative to the

extensive testimony provided on cross-examination regarding

Anziani's plea agreement, his recollection of events, and his

motivations for testifying. It does not provide a basis for new

trial. Wright,625 F.2d at 1019 (stating that new evidence must be

"not merely cumulative or impeaching").

         Perhaps most importantly, the record convinces us that

the government's case against Defendant was so strong that even if

the jury discredited Anziani's testimony in its entirety, Defendant

would still have been convicted. The district court thus correctly

found that Defendant's newly discovered evidence did not warrant a

new trial.

E.

         Defendant contends that the district court erred by

failing to instruct the jury on the issue of foreseeability.

Specifically, Defendant maintains that the jury should have been

instructed that it had to find that Wallace's death and the

distribution of the charged drug quantities were foreseeable to

Defendant. The district court on remand found no merit to this

claim, finding that foreseeability is not an element of the jury's

findings on either drug quantity or death resulting.

         We review de novo a claim that the district court's

instructions omitted a required element of the charged offense.

United States v. Woodward, 149 F.3d 46, 68-69 (1st Cir. 1998).

         Count One of the second superseding indictment charged

Defendant with conspiring to distribute or to possess with the

intent to distribute one kilogram or more of a substance containing

heroin. The district court instructed the jury that, in order to

find Defendant guilty of Count One, it had to find, beyond a

reasonable doubt, that the charged conspiracy existed, that

Defendant knowingly participated in that conspiracy, and that the

conspiracy as a whole involved one kilogram or more of a substance

containing heroin. The district court refused to instruct the jury

that it also had to find, beyond a reasonable doubt, that the

charged drug quantities were attributable to, or foreseen by,

Defendant. Such refusal, we conclude, was not erroneous. See

United States v. González-Vélez, 466 F.3d 27, 35-36 (1st Cir. 2006)

(upholding the district court's instructions and verdict form in a

drug conspiracy case where the jury was instructed to find the

amount of drugs involved in the conspiracy as a whole, not the

individualized quantity attributable to or foreseen by a particular

defendant).

[6]

         In González-Vélez, the jury was instructed that, to find

a defendant guilty of a conspiracy to distribute a controlled

substance, it must find, beyond a reasonable doubt: "First that the

agreement specified in the indictment, and not some other agreement

or agreements, existed between at least two people to distribute

controlled substances; and Second, that the defendants knowingly

and willfully joined in that agreement." González-Vélez, 466 F.3d

at 33. On the verdict form, after each defendant's culpability was

determined individually given the above instruction, the jury was

asked to find the conspiracy-wide drug quantity, a finding needed

for sentencing purposes.

[7]

On appeal, the defendants argued that

the jury instructions and verdict form should have required the

jury to make individualized findings as to the amount of drugs

attributable to each defendant. This court rejected the

defendants' argument, explaining that (1) the quantity of drugs is

not an element of a section 846 conspiracy; (2) the drug quantity

for the conspiracy as a whole is the relevant drug quantity for

purposes of establishing the maximum statutory penalty available to

the district court at sentencing for a defendant convicted of a

section 846 conspiracy; and (3) an individualized finding by the

jury as to the amount of drugs attributable to, or foreseen by, a

specific defendant is not required. This court thus upheld the

district court's instructions and verdict form against the

defendants' claim of error.

         Here, consistent with the lessons taught in González-Vélez, the jury was correctly instructed that it should determine,

beyond a reasonable doubt, whether the conspiracy involved one

kilogram or more of a substance containing heroin. The jury in

fact found that the conspiracy involved one kilogram or more of

heroin, and that finding triggered a statutory maximum sentence of

life in prison, a maximum that was not exceeded by the district

court at Defendant's sentencing. Defendant's claim of error—that

the jury should have been instructed to make an individualized

finding as to the drug amounts attributable to or foreseeable by

Defendant—is without merit.

         In Counts One and Two of the second superseding

indictment, Defendant was charged with committing offenses that

resulted in Wallace's death. As to the death-resulting issue, the

district court instructed the jury that it must find, beyond a

reasonable doubt, that Wallace ingested heroin, that this heroin

was a "but for" cause of Wallace's death, and that this heroin was

distributed as part of the conspiracy charged in Count One and

passed through Defendant's hands as part of the distribution

charged in Count Two. The district court refused to give

Defendant's proffered instruction—namely, that "[t]he government

must prove beyond a reasonable doubt that the heroin distributed by

the conspiracy that caused the death of Bryan Wallace was

attributable to or foreseeable by the defendant." Trial Tr. Vol.

11, Pt. 2, 148 (May 10, 2005).

         A defendant convicted of either conspiring to distribute

or distributing one or more kilograms of heroin faces an enhanced

penalty "if death or serious bodily injury results from the use of

such substance." 21 U.S.C. 841(b)(1)(A). Nothing in the

language of the statute suggests that a death must be foreseeable

before the enhanced penalty provision applies. Indeed, in United

States v. Soler, 275 F.3d 146 (1st Cir. 2002), we concluded that

"when a defendant deals drugs and a user of those drugs dies as a

result, [the enhanced penalty] applies without any independent

proof that the death was a reasonably foreseeable event." Id. at

153. Other courts have similarly concluded that application of the

death-resulting enhanced penalty does not require a finding of

foreseeability. See, e.g., United States v. Houston, 406 F.3d

1121, 1125 (9th Cir. 2005) (holding that "proximate cause, at least

insofar as it requires that the death have been foreseeable, is not

a required element" of a death-resulting drug offense); United

States v. McIntosh, 236 F.3d 968, 972 (8th Cir. 2001) (holding that

the language of section 841(b)(1)(A) is "unambiguous and that

giving effect to its plain meaning prohibits us from superimposing

upon the statute a foreseeability or proximate cause requirement");

United States v. Patterson, 38 F.3d 139, 145 (4th Cir. 1994)

(concluding that "the plain language of § 841(b)(1)(C) [the

relevant language of which is identical to the language of §

841(b)(1)(A)] does not require, nor does it indicate, that prior to

applying the enhanced sentence, the district court must find that

death resulting from the use of a drug distributed by a defendant

was a reasonably foreseeable event").

         That a defendant had no direct dealings with the decedent

does not change the enhancement analysis. In McIntosh, the

defendant, Steven McIntosh, pleaded guilty to a charge that he

conspired with Lenora "Jean" Cresswell and John McMillan to

manufacture methamphetamine. The three shared their

methamphetamine with others, including Jean's niece, "Amy"

Cresswell. McIntosh was unaware that Jean, Amy, and McMillan

provided methamphetamine to Jean's 14-year-old daughter, Jessica.

Jessica died after she ingested methamphetamine that Amy shared

with her. In sentencing McIntosh, the district court determined

that McIntosh was subject to the death-resulting enhancement even

though there was no proof that McIntosh either directly furnished

Jessica with methamphetamine or knew that she was being supplied

with the drug by others. On appeal, the Eighth Circuit rejected

McIntosh's argument that application of the death-resulting

enhancement was precluded because the government failed to prove

that Jessica's death was reasonably foreseeable to him. The Eighth

Circuit wrote:

The enhancement inquiry is not altered

merely because McIntosh pleaded guilty to

conspiracy to manufacture methamphetamine

(rather than to a substantive violation of §

841 itself) nor because Jessica obtained the

drug directly from someone other than

McIntosh. Section 846 provides that a

defendant convicted of conspiracy "shall be

subject to the same penalties as those

prescribed for the [underlying] offense." In

this case, the district court found that

McIntosh played a direct part in manufacturing

the drug ingested by Jessica. The underlying

offense holds those who manufacture a drug

strictly liable when death results from the

manufactured drug. Accordingly, the district

court was not required to find that Jessica's

death was reasonably foreseeable to McIntosh

before enhancing his sentence. In sum, when a

conspiracy defendant plays a direct role in

manufacturing or distributing a drug that

results in death, Congress's intent under §

846 is clear that the defendant is strictly

liable under § 841(b)(1)(A)'s enhancement

scheme.

McIntosh, 236 F.3d at 973 (footnote omitted); see also Soler, 275

F.3d at 149, 152 (finding the death-resulting enhancement

appropriate even though the defendant had no direct dealings with

the decedent).

         What is required under the death-enhancing statute is

that the government prove cause-in-fact, that is, that the

decedent's death was caused in fact by his or her use of drugs that

were distributed either by the defendant himself or by others in a

conspiracy of which the defendant was a part. Here, the district

court properly instructed the jury about the required proof of

cause-in-fact, and—following the court's instructions—the jury

specifically found that Wallace died as a result of ingesting

heroin that was distributed during the course of the charged

offenses by Defendant to Wallace through Tracy and Flynn.

Defendant's claims of error based on the issue of foreseeability

are without merit.

[8]

F.

         Defendant contends that the district court erred when it

refused to give his proffered multiple conspiracies instruction.

[9]

Such an instruction was necessitated, he suggests, because the jury

heard evidence regarding not just one but two conspiracies, one

headed by Defendant and one headed by Miguel. The district court

on remand rejected this claim as a basis for new trial.

         This court reviews a district court's refusal to give a

requested jury instruction of this nature for abuse of discretion.

United States v. Lewis, 40 F.3d 1325, 1336 (1st Cir. 2004). "The

trial court's failure to give a proffered instruction will not be

reversed unless that instruction is (1) substantively correct; (2)

was not substantially covered in the charge actually given; and (3)

concerned an important point such that the failure to give it

seriously undermined the defendant's ability to present a

particular defense." United States v. Brandon 17 F.3d 409, 448

(1st Cir. 1994). Under this third requirement, reversal is not

required unless a defendant suffers substantial prejudice. See

United States v. Tipton, 90 F.3d 861, 883 (4th Cir. 1996)

(explaining that failure to give a multiple conspiracies

instruction does not constitute reversible error "unless a

defendant can show that this caused him substantial prejudice");

Brandon, 17 F.3d at 449 (upholding the district court's refusal to

give a multiple conspiracies instruction because the defendant

failed to demonstrate sufficient prejudice to warrant a reversal).

We should keep in mind that, "[i]n the context of alleged multiple

conspiracies, the defendant's main concern is that jurors will be

misled into attributing guilt to a particular defendant based on

evidence presented against others who were involved in a different

and separate conspiratorial scheme." Id. at 450.

         Here, with little attempt at developed argument,

Defendant suggests that the jury may have been misled into

attributing guilt to Defendant based on the evidence of Miguel's

separate conspiracy. We are not convinced. The district court in

this case emphasized to the jury that Defendant could only be held

accountable for the conspiracy charged in the indictment,

explicitly stating that "[t]he defendant is not on trial in this

case for alleged participation in any conspiracy other than the one

charged in the indictment." Trial Tr. vol. 11, Pt. 2, 126 (May 10,

2005). In addition, the jury was instructed that it could not

attribute guilt to Defendant based on the acts and statements of

others, unless those acts and statements were made by members of,

and in furtherance of, the charged conspiracy. Id. at 127. As to

the death-resulting issue, the jury was asked to find whether the

heroin that caused Wallace's death was distributed as a part of the

charged conspiracy. Id. at 128-29. Given the district court's

clear and correct instructions in the context of the evidence

presented at trial, Defendant falls far short of establishing that

the jury may have found him guilty based on the evidence regarding

Miguel. Defendant's claim of error thus fails because he has not

established prejudice.

G.

         Defendant claims that he received ineffective assistance

of trial counsel. Specifically, Defendant contends that trial

counsel was ineffective to the extent he (1) failed to adequately

develop evidence on the purity-level differences between the heroin

found at Wallace's house on the eve of his death and the heroin

seized from Herrara two weeks later; and (2) failed to have

Wallace's blood tested for heroin. On remand, the district court

considered, but found meritless, Defendant's ineffective assistance

of counsel claim. We likewise find no merit to Defendant's

ineffective assistance claim.

         “The essence of an ineffective-assistance claim is that

counsel's unprofessional errors so upset the adversarial balance

between defense and prosecution that the trial was rendered unfair

and the verdict rendered suspect.” Kimmelman v. Morrison, 477 U.S.

365, 374(1986). In order to prevail, a defendant must show both

that counsel's representation fell below an objective standard of

reasonableness and that there exists a reasonable probability that,

but for counsel's unprofessional errors, the result of the

proceeding would have been different. Strickland v. Washington,

466 U.S. 668, 688, 694 (1984). In other words, a defendant must

demonstrate both seriously-deficient performance on the part of his

counsel and prejudice resulting therefrom. In this case, Defendant

has demonstrated neither.

         Although the Supreme Court in Strickland discussed the

performance prong of an ineffectiveness claim before the prejudice

prong, the Court made clear that "there is no reason for a court

deciding an ineffective assistance claim to approach the inquiry in

the same order or even to address both components of the inquiry if

the defendant makes an insufficient showing on one." Id. at 697.

As the Court noted: "If it is easier to dispose of an

ineffectiveness claim on the ground of lack of sufficient

prejudice, which we expect will often be so, that course should be

followed." Id.

         Here, even if we were to assume, for the sake of

argument, that counsel's performance was deficient, Defendant has

made little attempt to establish the prejudice prong of the

Strickland test. Indeed, he merely states in conclusory fashion

that counsel's failures—failure to challenge the expert's purity

testimony and failure to have Wallace's blood tested for

heroin—materially prejudiced Defendant. Such conclusory argument

falls far short of satisfying Defendant's burden to prove that

there exists "a reasonable probability" that, absent his attorney's

incompetence, "the factfinder would have had a reasonable doubt

respecting guilt." Id. at 695.

         We are mindful that, in evaluating the prejudice suffered

by a defendant as a result of his counsel's alleged deficient

performance, we must consider the "totality of the evidence before

the judge or jury." Id. A verdict "only weakly supported by the

record is more likely to have been affected by errors than one with

overwhelming record support." Id. at 696; see also Buehl v.

Vaughn, 166 F.3d 163, 172 (3d Cir. 1999) (noting that "[i]t is

firmly established that a court must consider the strength of the

evidence in deciding whether the Strickland prejudice prong has

been satisfied"); Reed v. Norris, 195 F.3d 1004, 1006 (8th Cir.

1999) (finding it impossible for the defendant to establish

prejudice where the evidence of his guilt was overwhelming);

Bieghler v. McBride, 389 F.3d 701, 707 (7th Cir. 2004) (finding no

prejudice where overwhelming evidence pointed to the defendant's

guilt).

         In this case, the evidence was overwhelming that Wallace

died as a result of heroin that was distributed by Defendant. The

heroin baggies found in Wallace's room on March 10, 2001, were

marked with black eagles and blue stars; Tracy testified that, on

March 8, 2001, Defendant sold her baggies of heroin marked with

black eagles and blue stars; that same day, Tracy sold some of

those baggies to Flynn; Flynn testified that, on March 9, 2001, he

sold some of those same baggies to Wallace; Wallace's body was

found the next day; the medical examiner determined that heroin was

the cause of death. The evidence linking Defendant to the heroin

ingested by Wallace was thus clear. In contrast, there was no

evidence to suggest that, during the relevant time period, anyone

other than Defendant sold Tracy heroin baggies marked with blue

stars and black eagles. Consequently, even if counsel had not

"ship-wrecked" Defendant's theory of defense by his alleged

deficient performance, we find no reasonable probability that the

outcome of the trial would have been different. Quite simply, we

find Defendant's claim of ineffective assistance of counsel utterly

without merit.

H.

         Defendant's final claim is that the verdicts should have

been set aside on the ground that they were against the weight of

the evidence. The district court on remand rejected this claim,

finding the evidence to be more than ample for a jury to conclude,

beyond a reasonable doubt, that Defendant was guilty of the charged

offenses.

         We review the sufficiency of the evidence challenges de

novo, "affirming the conviction if, after viewing all the evidence

in the light most favorable to the government and indulging all

reasonable inferences in the government's favor, a rational

factfinder could conclude that the prosecution proved all elements

of the crime beyond a reasonable doubt." United States v.

Garcia-Carrasquillo, 483 F.3d 124, 129-30 (1st Cir. 2007). We

review a district court's denial of a motion for new trial for a

manifest abuse of discretion. United States v. Theodore, 468 F.3d

52, 56 (1st Cir. 2006).

         Here, the record amply demonstrates that the jury's

verdicts were supported by overwhelming evidence. We find

Defendant's arguments to the contrary utterly without merit.

Furthermore, given the overwhelming evidence of Defendant's guilt,

it is axiomatic that the district court did not abuse its

discretion in denying Defendant's motion for new trial.

III.

         For the reasons stated above, we AFFIRM the district

court's judgment of conviction and denial of motion for new trial.

Footnotes

[1] '  Senior United States District Judge Robert E. Keeton

presided over the trial. Due to Judge Keeton's retirement, United

States District Judge Joseph L. Tauro presided over the case on

remand.

[2] '   While the government's pre-trial disclosure included

laboratory reports that identified the tests that were run and

their results, those reports did not include Turner's conclusions

about the purity of the heroin found in Wallace's home.

[3] '   In his brief, Defendant states:

              There were two different sources of heroin in this case

and there was a marked difference in purity, 80% versus

37%. The inference that the government wanted drawn (and

which ultimately was drawn) was that although the

packaging from the two alleged sources looked the same,

the heroin inside the packages was of different purity

and therefore different sources.

 

Defendant's Br. at 10-11.

[4] '   See Torres-Arroyo v. Rullan, 436 F.3d 1, 7 (1st Cir. 2006)

(noting that "[g]auzy generalizations are manifestly insufficient

to preserve an issue for appellate review"); United States v.

Casas, 425 F.3d 23, 30 n.2 (1st Cir. 2005)(noting that "issues

adverted to in a perfunctory manner, unaccompanied by some effort

at developed argumentation, are deemed waived") (internal quotation

marks and citation omitted).

[5] '    We add that, as a matter of expert opinion testimony, a

physician's reliance on reports prepared by other medical

professionals is "plainly justified in light of the custom and

practice of the medical profession. Doctors routinely rely on

observations reported by other doctors, and it is unrealistic to

expect a physician, as a condition precedent to offering opinion

testimony . . . , to have performed every test, procedure, and

examination himself." Crowe v. Marchand, 506 F.3d 13, 17-18 (1st

Cir. 2007) (internal citations omitted).

[6] '  Because the defendants in González-Vélez failed to object to

the jury instructions at trial, the court reviewed the instructions

for plain error. The verdict form was reviewed de novo.

[7] '   See United States v. Irizarry, 404 F.3d 497, 504 (1st Cir.

2005) (explaining that, in a drug conspiracy case, the jury sets

the maximum penalty available to the district court at sentencing

by determining the amount of drugs attributable to the conspiracy

as a whole).

[8] '   Defendant complains not only about the district court's

failure to instruct the jury on the issue of foreseeability. He

also complains about the district court's refusal to allow him to

argue foreseeability to the jury and its failure to set aside the

jury's verdict on the basis of foreseeability. Having concluded

that the district court did not err in refusing to instruct on the

issue of foreseeability, we also find that the district court did

not err in limiting Defendant's argument and in denying Defendant's

motions for judgment of acquittal on the basis of a lack of

foreseeability.

[9] '  Defendant's proffered instruction stated, in relevant part:

              When two or more people join together in a conspiracy,

each is responsible for the acts of others when those

acts are foreseeable to him and acts were in furtherance

of that conspiracy. In contrast, when there are separate

unlawful agreements to achieve different purposes, there

may be multiple conspiracies. In that case, a member of

one conspiracy is not responsible for the foreseeable

acts of those in another conspiracy, or for acts of

others not in furtherance of the conspiracy of which he

is a part. . . . If you were to find the government has

not proven to you beyond a reasonable doubt that

[Defendant] participated in a specific conspiracy to

distribute heroin that was consumed by Mr. Wallace, then

you must acquit defendant of the offense that concerns

distribution of heroin to Mr. Wallace resulting in his

death.

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