United States v. Heldeman

          United States Court of Appeals
                        For the First Circuit

No. 04-1915

                      UNITED STATES OF AMERICA,

                              Appellee,

                                  v.

                         MARVIN D. HELDEMAN,

                        Defendant, Appellant.


          APPEAL FROM THE UNITED STATES DISTRICT COURT

                   FOR THE DISTRICT OF RHODE ISLAND

              [Hon. Ernest C. Torres, U.S. District Judge


                                Before

                         Boudin, Chief Judge,

               Campbell and Cyr, Senior Circuit Judges.


     John E. MacDonald with whom Larochelle & MacDonald, Inc. and
Ronald Kliegerman were on brief for appellant.
     Donald C. Lockhart with whom Robert Clark Corrente, United
States Attorney, Luis M. Matos and Michael P. Iannotti, Assistant
United States Attorneys, were on brief for appellee.




                            March 29, 2005
           BOUDIN, Chief Judge. In March 2004, Marvin Heldeman pled

guilty in Rhode Island federal district court to one count of

conspiracy to commit health care fraud, 18 U.S.C. § 371 (2000),

seventeen counts of health care fraud, id. § 1347, three counts of

conspiracy to distribute drugs, 21 U.S.C. § 846 (2000), and three

counts of drug distribution, id. §§ 841(a)(1), (b)(1)(C).   In June

2004, the court sentenced Heldeman to 46 months' imprisonment, and

ordered that his residence be forfeited for having "facilitated"

his drug distribution offenses.       Id. § 853(a)(2).   On appeal,

Heldeman challenges the district court's forfeiture order and seeks

a remand for resentencing under United States v. Booker, 125 S. Ct.

738   (2005), and United States v. Antonakopoulos, 399 F.3d 68 (1st

Cir. 2005).

           Between October 2000 and December 2002, Heldeman, a New

York dermatologist, wrote prescriptions for steroids and Oxycodone

(a highly addictive and very strong pain medication) for a number

of individuals--many of whom were bodybuilders and some of whom

Heldeman had never seen or treated.       These prescriptions were

medically unnecessary and were of the sort not typically prescribed

by dermatologists.    For one bodybuilder, Timothy DiPaola, the

prescriptions were made out in the names of DiPaola's friends, so

that DiPaola could purchase the drugs with his friends' insurance

and then use them himself.    Heldeman also took phone calls from

pharmacies to confirm the validity of the prescriptions he had


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written, and instructed his office manager and nurse to do the same

if pharmacists called.

           In return for writing prescriptions, Heldeman received

various services of a sexual nature from his clients.                These

included having his clients pose for him in various states of

undress   while   Heldeman    took   photographs   or   videotaped   them.

Roughly half of the prescriptions were written at Heldeman's home

and some of the photography or videotaping occurred there; the pads

on which Heldeman wrote the prescriptions that formed the basis for

his indictment bore his home address; and Heldeman kept business

cards in his apartment bearing his home phone number and the

inscription "Dr. Marvin, The Bodybuilder's Friend."

           On appeal, Heldeman argues that the forfeiture of his

residence was error.     The pertinent portion of 21 U.S.C. § 853(a)

requires that anyone convicted of a controlled substance offense

punishable by over one year's imprisonment "shall forfeit to the

United States . . . any of the person's property used, or intended

to be used, in any manner or part, to commit, or to facilitate the

commission of, such violation."            We have held that identical

language in the civil forfeiture statute, id. § 881(a)(7), requires

a "substantial connection" between the property at issue and the

drug activity charged.       See United States v. Desmarais, 938 F.2d

347, 353 (1st Cir. 1991) (collecting cases).       Heldeman claims that

same standard should be applied here.


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            Whatever the exact degree of connection required by the

criminal forfeiture statute, see United States v. White, 116 F.3d

948, 950-52 (1st Cir. 1997) (leaving open the issue), the evidence

provided to the district court in this case amply supported the

forfeiture.     All six of the drug offenses with which Heldeman was

charged involved prescriptions written in his apartment.                   His

apartment served as a base of operations for his crime just as

surely as does a residence where drugs are actually delivered or

stored.    See Desmarais, 938 F.2d at 353.

            Nor is it any defense to claim (as Heldeman does) that

his activities could have been undertaken elsewhere.             The statute

requires    only   that     the   property     "facilitate[]"   the    offense.

Heldeman’s proffered reading would cripple the statute and defeat

the evident congressional intent to forfeit property used in

committing the crime.         See White, 116 F.3d at 950, 952; United

States v. Rogers, 102 F.3d 641, 648 (1st Cir. 1996), cert. denied,

522 U.S. 879 (1997).        It would also be at odds with our prior case

law on civil forfeiture, which contains no suggestion that the

property must be the only means of achieving the defendant's

criminal goals in order to merit forfeiture.               See, e.g., United

States v. Parcel of Land and Residence at 28 Emery St., Merrimac,

Mass.,    914   F.2d   1,   4-5   (1st    Cir.   1990)   (collecting   cases).

Heldeman may not be what the average person thinks of when speaking




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of a "drug dealer," but he does not dispute that his acts are

within section 841 so the forfeiture provision applies.

              Forfeitures     are    subject    to    the   Eighth    Amendment’s

excessive fines clause "if they constitute punishment for an

offense."         United States v. Bajakajian, 524 U.S. 321, 328 (1998).

Here, forfeiture was "imposed at the culmination of a criminal

proceeding and requires conviction of an underlying felony," id.,

and thus was punishment for the offense.              See also United States v.

Sherman, 262 F.3d 784, 795 (8th Cir. 2001) (subjecting § 853(a)(2)

forfeiture to excessive fines analysis), cert. denied, 537 U.S. 940

(2002), and cert. denied, 537 U.S. 1095 (2002); United States v.

Dicter, 198 F.3d 1284, 1292 (11th Cir. 1999) (same), cert. denied,

531 U.S. 828 (2000).         Heldeman says the forfeiture was excessive.

              A     forfeiture   will    violate      the   Eighth    Amendment's

prohibition only if it is "grossly disproportional to the gravity

of the defendant's offense."            Bajakajian, 524 U.S. at 336-37.         The

case law invites us to consider as pertinent factors (1) whether

the defendant falls into the class of persons at whom the criminal

statute was principally directed; (2) other penalties authorized by

the legislature (or the Sentencing Commission); and (3) the harm

caused   by       the   defendant.       Id.   at    337-40.    Our    review   of

disproportionality is de novo, with due deference given to the

district court's factual findings.             Id. at 336 & n.10.




                                         -5-
            Heldeman's   equity   in   his    residence   was   just   under

$900,000.     By contrast, the statute and sentencing guidelines

provide for a penalty of up to $6 million for his offense conduct

(a $1 million fine for each of six counts).               See 21 U.S.C. §

841(b)(1)(C); U.S.S.G. § 5E1.2(c)(4).         The forfeiture here amounts

to a mere 15 percent of the maximum total fine permitted, and we

are not impressed with Heldeman’s reliance upon the sentimental

value of his house. Bajakajian involved a forfeiture exceeding the

guidelines level by a factor of 70.          See 524 U.S. at 339-40.

            Some circuits have treated a forfeiture of less than the

statutory or guideline maximum as strongly suggesting or conclusive

of compliance with the Eighth Amendment.1           However this may be,

there are no strong countervailing arguments in favor of Heldeman

that would warrant a different result.         Heldeman's offense conduct

was not typical of drug dealing and did not involve guns or

violence; but it was calculated, repeated, and done for Heldeman's

benefit rather than misguided sympathy, and facilitated access to

dangerous substances in the absence of medical need.

            Turning to sentencing, Heldeman concedes that he did not

raise a Sixth Amendment argument below in any of its variations or


     1
      See, e.g., United States v. Bernitt, 392 F.3d 873, 880-81
(7th Cir. 2004), petition for cert. filed (U.S. Mar. 15, 2005) (No.
04-9247); United States v. Wallace, 389 F.3d 483, 486 (5th Cir.
2004), cert. denied, 125 S.Ct. 1426 (2005); United States v. Moyer,
313 F.3d 1082, 1086 (8th Cir. 2002); Dicter, 198 F.3d at 1292;
United States v. 817 N.E. 29th Dr., Wilton Manors, Fla., 175 F.3d
1304, 1310 (11th Cir. 1999), cert. denied, 528 U.S. 1083 (2000).

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labels.    Accordingly, only plain error review is available.           Here,

the use of mandatory guidelines at sentencing was "error" and

"plain" (applying the law as it stands today) but prejudice and

fundamental unfairness remain to be shown.            See United States v.

Olano, 507 U.S. 725, 732-36 (1993); Antonakopoulos, 399 F.3d at 77.

            With regard to these last two concepts, our principal

concern in these Booker "pipeline" cases is with the likelihood

that the defendant would have received a lesser sentence in a post-

Booker regime of advisory guidelines.         Antonakopoulos, 399 F.3d at

81.   Heldeman points to his advanced age and physical condition.

Heldeman    is   seventy-two   years    old   and   suffers   from    maladies

including    diabetes,   prostate      problems,    vision    problems,   and

brachial    plexus   palsy.    His     physician    described   his   medical

condition as "unstable" and in need of monitoring.              Further, his

unlawful activities--although serious--appear to have been the

exception to an otherwise lawful medical practice.

            The record contains some indication that the district

court felt itself constrained by the guidelines.              In particular,

the court noted that Heldeman's arguments were "legitimate" and

"somewhat mitigating," and should be considered in determining

where within the guidelines range Heldeman's sentence should fall;

but it concluded that these factors "do not approach what is

required to justify a downward departure," that age and physical

condition were both discouraged as grounds for departure, and that


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Heldeman's     traits,    although     worthy      of     consideration,        were

insufficient to take the case outside the "heartland" of the

guidelines.

            Guided by traditional plain error doctrine and Justice

Breyer's specific reference to it in Booker, this court has adhered

to the analysis mandated by Olano where dealing with unpreserved

errors--although we have been generous in other respects, given the

peculiarities of the situation created by Booker.                  The court has

offered to treat almost any colorable claim in the district court

as   preserving    the    Booker     issue   and        avoiding   plain    error

requirements.     See Antonakopoulos, 399 F.3d at 76.                Even where

plain error is required, we have recognized that a district judge

may well not have expressed his or her reservations because the

guidelines made them hopeless, and so invited proffers by the

defendant    as   to   what    the   defendant   might      have   said    if    the

guidelines had been advisory at the time.

             Consonantly, we are inclined not to be overly demanding

as to proof of probability where, either in the existing record or

by plausible proffer, there is reasonable indication that the

district judge might well have reached a different result under

advisory guidelines.          After all, it will be easy enough for the

district judge on remand to say no with a minimum expenditure of

effort if the sentence imposed under the pre-Booker guidelines

regime is also the one that the judge would have imposed under the


                                      -8-
more   relaxed    post-Booker   framework.    This     opinion   has   been

circulated to the other active members of the court.

           In the present case, we are satisfied that the district

judge might well have given a different sentence if the advisory

guideline regime had been in force and accordingly vacate the

sentence and remand for resentencing.        Given the standard we are

using, the remand should not be taken as either a suggestion or a

prediction that the sentence will necessarily be altered.              The

forfeiture   is    affirmed.     The   sentence   of   imprisonment    and

supervised release is vacated and that aspect of the judgment

remanded for further proceedings in accordance with this decision.

           It is so ordered.




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