Tag Archives: covid-19 risk factors

Three Appellate Decisions Make Compassionate Release Even Mushier – Update for October 12, 2021

We post news and comment on federal criminal justice issues, focused primarily on trial and post-conviction matters, legislative initiatives, and sentencing issues.

A SERIOUS COLLISION AT THE “INTERSECTION OF LAW AND SCIENCE”

In yesterday’s Dilbert, the Pointy-Headed Boss complaining, “If I thought data would influence my decision, I wouldn’t let you gather it.”  The Boss should lobby for a seat on the 6th, 8th, or 10th Circuit. He’d feel right at home.

dilbert211012

Compassionate release decisions under 18 U.S.C. § 3582(c)(1)(A)(i) last week from those three courts were overly deferential to district court decisions that are at odds with the facts (the data, as it were).

In the 10th Circuit, Adam Hemmelgarn said his mild asthma, a cyst on his lungs, and an array of physical effects from his prior COVID illness put him at risk if he contracted it again. His district court denied him relief, holding that the fact Adam had contracted COVID once and recovered suggested his medical condition did not place him at high risk of severe illness.

On appeal, Adam pointed to CDC guidance that one could catch a more severe case of COVID even after recovering from a prior infection. But the 10th Circuit, with remarkable circular reasoning, ruled that “the district court’s statement that Hemmelgarn recovered from COVID-19 despite his medical conditions is simply consistent with the view that those conditions do not place him at high risk of severe illness from COVID-19. Thus, this finding of fact is not clearly erroneous.”

sick211012jpgThe holding overlooks Adam’s point. It ignored the CDC warning Adam cited in his brief that “you can contract COVID-19 more than once, with more severity each time.” And of course, the decision ignores the inconvenient fact that in 64% of the 33 cases of BOP inmates whose deaths have been announced since March 1, 2021, the inmates who died of COVID had had previous coronavirus cases and recovered without serious effects (or at least, without effects as serious as dying, which is what happened the second time around).

In the 8th Circuit, Andrew Marcussen’s district court found he suffered from “COPD, hypertension, hyperlipidemia, prediabetes, BPH, GERD, seborrheic dermatitis and obesity.” Despite Andy’s infirmities sounding like a medical school final exam, the district court concluded his “underlying medical conditions, in combination with the COVID-19 pandemic, are not ‘extraordinary and compelling reasons’ for a sentence reduction.” This, the district judge wrote, was because of the “well-controlled nature of Defendant’s COPD and hypertension.”

On appeal, the government conceded that based on CDC guidance, Andy’s COPD and obesity qualified as extraordinary and compelling reasons for a sentence reduction. But the appeals court didn’t care about the DOJ’s admission. Compassionate release “requires a judicial determination of ‘extraordinary and compelling reasons’ based on an inmate’s unique circumstances,” the court said. “That determination is not governed by the Executive Branch, either the CDC’s general pronouncements relating to COVID-19 risks, or a United States Attorney’s ‘concession’. Those are of course relevant opinions, but they do not control the district court’s exercise of discretion.”

The Pointy-Headed Boss couldn’t have said it any better. You wonder where Scott Adams gets his material? One might be forgiven for wondering… if the record does not cabin the court’s discretion, then what does?

Before the district court, the government vigorously argued that Adam’s COPD and high BMI were not extraordinary and compelling reasons. It only changed its mind on appeal. Shouldn’t the district court get a second whack at the issue knowing the government agreed with the defendant? Any lawyer with a bar license on which the ink has dried knows that the government’s position on a matter before the court – especially in a criminal case – has an outsized influence on the court’s perception of an issue. The 8th’s implication that the government’s position had no influence on the district court’s decision is laughable.

More to the point, the issue is not whether Adam’s medical conditions are well-controlled absent Adam catching COVID. Instead, the question is whether obesity and COPD (not to mention everything else) will make matters worse if he does catch COVID. It’s like saying that a heart weakened by multiple heart attacks is well-controlled with meds and a pacemaker, so there’s nothing wrong with the patient running the Boston Marathon.

Finally, the 6th Circuit ruled that the fact that Michael Lemon is vaccinated ought to be ‘game, set, and match’ in denying his compassionate release motion:

“Following full vaccination, it is now well understood, both the likelihood of contracting COVID-19 and the associated risks should one contract the virus are significantly reduced,” the Circuit ruled, citing the CDC. Thus, Mike’s “access to the COVID-19 vaccine substantially undermines his request for a sentence reduction. To that end, we agree with the Seventh Circuit that a defendant’s incarceration during the COVID-19 pandemic — when the defendant has access to the COVID-19 vaccine — does not present an “extraordinary and compelling reason” warranting a sentence reduction… After all, with access to the vaccine, an inmate largely faces the same risk from COVID-19 as those who are not incarcerated. To be sure, inmates in some respects face social distancing challenges distinct from those of the general public (although perhaps not entirely unlike students in dorm rooms, individuals in medical and assisted care facilities, and even residents of densely occupied apartment complexes). But to the extent prisons do offer some unique challenges, the vaccine now significantly reduces the risks associated with COVID-19.”

collision211012The 6th calls this the “intersection of law and science.” But a lot of collisions happen at intersections. This decision comes only a week or so after a CDC report admitted that 70% of vaccinated inmates in a study group last August at an unidentified Texas BOP facility (it was FCI Texarkana) tested positive for COVID-19, not to new mention studies that vaccine life is a lot shorter than first thought.

In short, the evolving science provides scant support for a lot of faith in vaccines. They’re way better than nothing, but not nearly the pandemic antidote the courts say they are.

United States v. Hemmelgarn, Case No. 20-4109, 2021 U.S. App. LEXIS 30221 (10th Cir., October 8, 2021)

United States v. Marcussen, Case No. 20-2507, 2021 U.S. App. LEXIS 30109 (8th Cir., October 7, 2021)

United States v. Lemons, Case No 21-5313, 2021 U.S. App. LEXIS 30267 (6th Cir., October 8, 2021)

Centers for Disease Control and Prevention, Outbreak of SARS-CoV-2 B.1.617.2 (Delta) Variant Infections Among Incarcerated Persons in a Federal Prison — Texas, July–August 2021 (September 24, 2021) 

– Thomas L. Root

Congress Lurching Toward Easing Compassionate, Elderly Offender Release? – Update for June 29, 2020

We post news and comment on federal criminal justice issues, focused primarily on trial and post-conviction matters, legislative initiatives, and sentencing issues.

COVID-19 SPURS LAWMAKERS, CDC

corona200313Last week’s upsurge in COVID-19 cases nationally has begun to translate to an increase in Federal Bureau of Prisons inmates with coronavirus. A number that had dwindled last week to 1,256 by last Thursday shot back up to 1,429 as of last night. The inmate death count is 93, with COVID-19 present on 71 prison compounds throughout the BOP system (57% of all facilities).

As of yesterday, the BOP had tested 21,400 inmates, up about 12% from last week. The Bureau is still showing about 30% of inmates tested as positive for COVID-19, and it has only tested about now out of six inmates.

The noteworthy developments in COVID-19 last week, however, were not viral, but rather legislative and medical.

Legislative: Senators Richard Durbin (D-Illinois) and Charles Grassley (R-Iowa), principal authors of the First Step Act, last week jointly introduced S.4034, bipartisan legislation to reform the Elderly Offender Home Detention (EOHD) Program and compassionate release.

Sen. Charles Grassley (R-Iowa)
                  Sen. Charles Grassley (R-Iowa)

EOHD, authorized by First Step as part of 34 USC § 60541(g), permits the BOP to place prisoners who are 60 years old or older, convicted of non-violent offenses, and with good conduct in home detention for the remainder of their sentences. Compassionate release, expanded by First Step, permits a court to reduce a prisoner’s sentence for extraordinary and compelling reasons, pursuant to 18 USC § 3582(c)(1).

S.4034, dubbed the COVID-19 Safer Detention Act, would reform the EOHD and compassionate release by:

• Clarifying that the percentage of time an inmate needs to qualify for EOHD should calculated based on an inmate’s net sentence, including reductions for good time. Currently, the BOP charily calculates it as two-thirds of the total sentence, not two-thirds of the 85% of the sentence the inmate actually serves. This change has already passed the House by voice vote in HR 4018, which las been languishing in the Senate since last Christmas;

• Cutting the percentage of time an inmate must serve to qualify for  EOHD from two-thirds of the sentence to one-half;

• Making “old law” federal prisoners (those convicted prior to 1988) eligible for compassionate release;

• Making DC offenders housed in BOP facilities eligible for EOHD;

• Making denial of EOHD release subject to court review; and

• Providing that during the pandemic, COVID-19 vulnerability is deemed a basis for compassionate release, a statutory change that would prevent the government from trying to convince courts (and some have been convinced) that the pandemic is hardly extraordinary; and

• Shortening the period prisoners must wait for judicial review for elderly home detention and compassionate release from 30 to 10 days. Currently, there is no judicial review of a BOP denial of EOHD, and inmates must ask the BOP to file for compassionate release on their behalf, and wait 30 days for an answer before filing themselves.

Sen. Richard Durbin (D-Illinois)
Sen. Richard Durbin (D-Illinois)

It is unclear whether the bill will pass, but sponsorship by a Democrat and Republican increases its odds. Hamodia reported that the bill “will likely be attached it to another bill, such as a stimulus bill or the police-reform bill currently being crafted by Sen. Tim Scott (R-S.C.)”

Medical: The other COVID-19 major development last week was medical. Last Thursday, the Centers for Disease Control and Prevention in Atlanta released updated COVID-19 guidelines to adjust the ages and expand the health problems that could make people more likely to have severe complications. The move comes amid the rising number of younger patients and new studies that show the effects of certain conditions.

The new CDC guidelines are crucial for prisoners, because courts determine whether movants for compassionate release qualify according to whether the inmates have one or more of the CDC risk factors.

First, the CDC walked back the “65 and over” risk factor, which many judges have interpreted as being a hard number, denying any health-concern consideration for a 64-year old but treating a 66-year old prisoner as knocking on death’s door.

death200330Instead, CDC highlights that all ages could catch the coronavirus but effects of the infection may get worse as people get older. “There’s not an exact cutoff of age at which people should or should not be concerned,” Jay Butler, the CDC’s deputy director of infectious diseases, said in a news briefing.

Of more relevance to prisoners, the CDC has found that risks associated with obesity start at a much lower level. The CDC had held that only the morbidly obese (body mass index of 42+) were at risk. Now, the CDC says anyone with a BMI of 30 or more is at risk.

Under the old standard, a 50-year old 6-foot tall man would have to weigh 310 lbs. to be at risk. Now, the same guy only has to tip the scales at 225 lbs. to exceed a 30 BMI.

Other conditions CDC identified as elevating COVID-19 risk included chronic kidney disease, COPD, weaker immune system due to organ transplant, heart conditions, sickle cell disease, type 1 and 2 diabetes, asthma, dementia, cerebrovascular diseases, cystic fibrosis, high blood pressure, liver disease, pulmonary fibrosis, and an inherited blood disorder known as thalassemia. The CDC also added pregnancy to the list.

A number of inmates have been denied compassionate release because judges decided their risk factors – such as hypertension and dementia – did not match the risk factors on the prior CDC list. There is no statutory limitation to the number of times an inmate may file for compassionate release (other than the judge’s ire, perhaps), meaning that the changing COVID-19 risk landscape offers prisoners a new shot at release.

COVID-19 Tracker: The Marshall Project is running a state-by-state COVID-19 prison tracker website, which includes “Federal” as a category. The site charts total cases, inmates and staff currently sick, deaths, and new cases by date.

S.4034, COVID-19 Safer Detention Act (introduced June 22, 2020)

Hamodia, New Senate Legislation Expands Early Release (June 23)

CDC, People of Any Age with Underlying Medical Conditions (June 25, 2020)

Medical Daily, CDC Updates Guidelines On Coronavirus Risk Factors (June 26)

The Marshall Project, A State-by-State Look at Coronavirus in Prisons (June 25)

– Thomas L. Root