FILED
United States Court of Appeals
UNITED STATES COURT OF APPEALS Tenth Circuit
FOR THE TENTH CIRCUIT February 20, 2019
_________________________________
Elisabeth A. Shumaker
Clerk of Court
UNITED STATES OF AMERICA,
Plaintiff - Appellee,
v. No. 18-2034
(D.C. No. 2:13-CR-02537-RB-1)
MOISES NATANAEL SOTO-CRUZ, (D. N.M.)
Defendant - Appellant.
_________________________________
ORDER AND JUDGMENT*
_________________________________
Before MATHESON, MURPHY, and CARSON, Circuit Judges.**
_________________________________
Moises Natanael Soto-Cruz appeals his concurrent 70-month sentence for drug
and illegal reentry convictions and violation of the terms of his supervised release
from previous convictions. Mr. Soto1 contends the sentence—which is within the
U.S. Sentencing Guidelines range—is substantively unreasonable. He argues the
*
This order and judgment is not binding precedent, except under the doctrines
of law of the case, res judicata, and collateral estoppel. It may be cited, however, for
its persuasive value consistent with Federal Rule of Appellate Procedure 32.1 and
Tenth Circuit Rule 32.1.
**
After examining the briefs and appellate record, this panel has determined
unanimously to honor the parties’ request for a decision on the briefs without oral
argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
submitted without oral argument.
1
We refer to the surname Mr. Soto uses in his brief.
district court did not give sufficient weight to his medical condition. Exercising
jurisdiction under 28 U.S.C. § 1291 and 18 U.S.C. § 3742(a), we affirm.
I. BACKGROUND
Mr. Soto was indicted on three counts: (1) conspiracy to distribute marijuana,
in violation of 21 U.S.C. § 846; (2) possession of marijuana with intent to distribute,
in violation of 21 U.S.C. § 841(a)(1) and (b)(1)(D); and (3) and reentry into the
United States after being “denied admission, excluded, deported, or removed,” in
violation of 8 U.S.C. § 1326(a) and (b). The Government also sought revocation of
Mr. Soto’s supervised release arising from previous violations of 21 U.S.C.
§ 841(a)(1) and 8 U.S.C. § 1362(a)(1) and (2). Mr. Soto pled guilty to Counts 2 and
3, and the government moved to dismiss Count 1. Mr. Soto also admitted to
violating the conditions of his supervised release.
Before sentencing, the U.S. Probation Office prepared a Presentence
Investigation Report (“PSR”). The PSR calculated an offense level of 20 and a
criminal history category of VI, leading to an advisory Guidelines range of 70 to 87
months.2
At his sentencing hearing, Mr. Soto urged the court to consider his medical
condition. Through counsel, Mr. Soto explained he suffered from a rare tumor in his
groin. During his pre-sentence detention, doctors removed one testicle to treat the
tumor. The surgery and difficulties in managing his care in prison caused stress.
2
Mr. Soto filed five objections to the PSR. The court overruled each, and Mr.
Soto does not appeal these rulings.
2
Mr. Soto also stated that a doctor in Mexico told him that treatment of his
condition would be expensive. Mr. Soto implied that he trafficked drugs to obtain
money to pay for treatment. He requested either a variance or a downward departure
from the Guidelines range.3
The Government reported that over a 12-year period, Mr. Soto had been
apprehended four times carrying marijuana across the border. It pointed to Mr.
Soto’s prior sentences—including an 18-month suspended sentence in 2009, a
46-month sentence in 2009, and a 37-month sentence in 2013.4 The prosecutor said
that “[o]ther than a total of six months’ release, [Mr. Soto] has been incarcerated in
American jails since October 2009 for backpacking marijuana. Other than six
months, he’s been in prison for eight years for doing this repeatedly, but those
sentences have not deterred him.” ROA, Vol. IV at 33.
The district court remarked on Mr. Soto’s medical condition: “I think that we
can all agree that Mr. Soto ought to be housed at a medical facility that can
immediately and responsibly treat this very serious medical condition.” Id. at 39.
The court then said that the sentence it was about to impose was “driven not by [Mr.
Soto’s] physical condition, but by [his] criminal history that predates that . . . medical
3
A departure is based on application of Chapters Four or Five of the
Guidelines. A variance is based on application of the factors in 18 U.S.C. § 3553(a).
United States v. McComb, 519 F.3d 1049, 1051 n.1 (10th Cir. 2007). On appeal, Mr.
Soto urges only a variance. See Aplt. Br. at 6 (referring to “statutory sentencing
factors”).
4
The Government did not mention Mr. Soto’s first 180-day sentence for
carrying drugs across the border in 2006.
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condition. And it’s a sad thing that the medical condition has to come on the heels of
all of that criminal history, but it does.” Id. The court said that “the punishment has
to reflect [Mr. Soto’s] history of repeat behavior that has not been deterred by the
sentence[s] that we’ve tried up till now.” Id. at 40.
The district court imposed a sentence of 60 months on Count 2 and 70 months
on Count 3. It also sentenced Mr. Soto to 24 months for violating the conditions of
supervised release from his prior sentence. All three sentences were to run
concurrently. The court recommended that the Bureau of Prisons incarcerate Mr.
Soto at a Federal Medical Center. Mr. Soto timely appealed.
II. DISCUSSION
A. Standard of Review
“[C]ourts of appeals must review all sentences . . . under a deferential
abuse-of-discretion standard,” Gall v. United States, 552 U.S. 38, 41 (2007),
including review for substantive reasonableness, United States v. Vasquez-Alcarez,
647 F.3d 973, 976 (10th Cir. 2011). We will reverse for substantive
unreasonableness only if the district court “exceeded the bounds of permissible
choice.” United States v. McComb, 519 F.3d 1049, 1053 (10th Cir. 2007) (quotations
omitted).
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B. Legal Background
1. District Court Sentencing
“[A] district court should begin all sentencing proceedings by correctly
calculating the applicable Guidelines range.” Gall, 552 U.S. at 49. But the parties
may argue for “whatever sentence they deem appropriate.” Id. And “the district
judge should then consider all of the § 3553(a) factors to determine whether they
support the sentence requested by a party.” Id. at 49-50. “In so doing,” the district
court “may not presume that the Guidelines range is reasonable.” Id. at 50. Rather,
it “must make an individualized assessment based on the facts presented.” Id.
Finally, the district court “must adequately explain the chosen sentence to allow for
meaningful appellate review and to promote the perception of fair sentencing.” Id.
Section 3553(a) lists seven factors. The first two are most relevant to this
case:5
(1) the nature and circumstances of the offense and the
history and characteristics of the defendant;
(2) the need for the sentence imposed—
(A) to reflect the seriousness of the offense, to
promote respect for the law, and to provide just
punishment for the offense;
(B) to afford adequate deterrence to criminal
conduct;
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The other factors are the sentences that are legally available, the Sentencing
Guidelines, the Sentencing Commission’s policy statements, the need to avoid
unwarranted sentence disparities, and the need for restitution. See 18 U.S.C.
§ 3553(a)(3)-(7); United States v. Barnes, 890 F.3d 910, 915 (10th Cir. 2018).
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(C) to protect the public from further crimes of the
defendant; and
(D) to provide the defendant with needed
educational or vocational training, medical care, or
other correctional treatment in the most effective
manner . . . .
18 U.S.C. § 3553(a)(1)-(2). The factors “do not necessarily bear equal weight, and the
district court b[ears] the delicate task of balancing these factors.” United States v.
Walker, 844 F.3d 1253, 1259 (10th Cir. 2017).
2. Appellate Review for Substantive Reasonableness
A defendant may challenge a sentence on procedural and substantive
unreasonableness grounds. See Gall, 552 U.S. at 49. Mr. Soto challenges only the
substantive unreasonableness of his sentence. “Substantive reasonableness involves
whether the length of the sentence is reasonable given all the circumstances of the
case in light of the factors set forth in 18 U.S.C. § 3553(a).” United States v. Craig,
808 F.3d 1249, 1261 (10th Cir. 2015); see also Gall, 552 U.S. at 51.
“The Supreme Court ‘permit[s] courts of appeals to adopt a presumption of
reasonableness’ when the district court sentenced a defendant within the Guidelines
range.” Vasquez-Alcarez, 647 F.3d at 977 (quoting Rita v. United States, 551 U.S.
338, 354 (2007)); see also Rita, 551 U.S. at 341. In this circumstance, “both the
sentencing judge and the Sentencing Commission will have reached the same
conclusion as to the proper sentence in the particular case.” Rita, 551 U.S. at 347.
We may apply this presumption even when the defendant argues his physical
condition warrants a variance. See id. at 345.
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“Our role is not to second guess the district court’s treatment of the § 3553(a)
factors. ‘The sentencing judge is in a superior position to find facts and judge their
import under § 3553(a) in the individual case.’” Vasquez-Alcarez, 647 F.3d at 978
(quoting Gall, 552 U.S. at 51). “[A]s long as the balance struck by the district court
among the factors set out in § 3553(a) is not arbitrary, capricious, or manifestly
unreasonable, we must defer to that decision even if we would not have struck the
same balance in the first instance.” United States v. Sells, 541 F.3d 1227, 1239 (10th
Cir. 2008). Indeed, we reverse the district court’s sentence as unreasonable only if
the court was “arbitrary, capricious, whimsical, or manifestly unreasonable when it
weighed the permissible § 3553(a) factors.” Craig, 808 F.3d at 1263 (quotations
omitted).
C. Analysis
Mr. Soto challenges the substantive reasonableness of his 70-month sentence.
His arguments cannot rebut the presumptive reasonableness of his within-Guidelines-
range sentence. See Sells, 541 F.3d at 1237. His sole argument is that the district
judge did not give sufficient weight to his medical condition under the first § 3553(a)
factor.
Mr. Soto must demonstrate that his sentence was unreasonably long “given all
the circumstances of the case in light of the factors set forth in 18 U.S.C. § 3553(a).”
Craig, 808 F.3d at 1261. The district court considered his medical condition along
with other factors, including the need to “afford adequate deterrence to criminal
7
conduct” and “protect the public from further crimes of the defendant.” 18 U.S.C.
§ 3553(a)(2)(B)-(C).
We have denied a request “simply to look with more favor on the facts
surrounding [a defendant’s] medical condition than the district court did.” McComb,
519 F.3d at 1057 (referring to a stroke, the severity of which the district court
doubted); see also Rita, 551 U.S. at 359-60 (affirming a sentence despite the
defendant’s health condition). A district court acts within its discretion in failing to
grant a variance to a defendant who “[d]espite increasingly severe sentences . . .
for . . . successive convictions, . . . continued to engage in the distribution of
controlled substances.” Sells, 541 F.3d at 1238.
Mr. Soto was sentenced to a suspended 18-month sentence in 2009, six months
in 2009, and 46 months in 2013—all for backpacking drugs from Mexico into the
United States. The district court considered this history alongside Mr. Soto’s
medical condition. It commented on his medical condition and recommended that
Mr. Soto be incarcerated at a Federal Medical Center, explicitly taking his “health into
account by seeking assurance that the Bureau of Prisons will provide appropriate
treatment.” See Rita, 551 U.S. at 360. The court did not “exceed[] the bounds of
permissible choice,” McComb, 519 F.3d at 1053, when it sentenced Mr. Soto within the
Guidelines range.
III. CONCLUSION
The district court did not abuse its discretion in weighing Mr. Soto’s criminal
history—which concerns the need to provide deterrence and protect the public—
8
relative to his medical condition in sentencing him to 70 months in prison. We
uphold the sentence and affirm the district court’s judgment.
Entered for the Court
SCOTT MATHESON, JR.
Circuit Judge
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