In this сase that was briefed and argued before the Supreme Court’s decision in
United States v. Booker
, — U.S. -,
1. Subchapter 5H of the Guidelines contains policy statеments that “address the relevance of certain offender characteristics to the determination of whether a sentence should be outside the applicable guideline range.” U.S.S.G. Ch. 5, Pt. H, intro comment. Section 5H1.4 provides in relevant part:
Physical condition or appearance, including physique, is not ordinarily relevant in determining whether a departure may be warranted. However, an extraordinary physical impairment may be a reason to depart downward ....
A deрarture based on a characteristic that is “not ordinarily relevant” to sentencing “should occur only in exceptional eases, and only if the circumstance is present in the case to an exceptional degree.” U.S.S.G. § 5K2.0 commеnt, n. 3(C).
Prior to
Booker,
this court consistently held that we lack jurisdiction to review a district court’s discretionary refusal to depart downward from the applicable guidelines range “unless the district court had an unconstitutional motive or erroneously believed that it was without authority to grant the departure.”
United States v. Gonzalez-Lopez,
In this case, the district court heard extensive evidencе concerning Robinson’s physical condition. In the twenty years since he was severely injured in an auto accident, Robinson has undergone twelve to fifteen major surgeries. He suffers from chronic pain, double vision, nausea, and migraines. His brother, а physician, testified that Robinson also has mental illnesses including severe panic attacks and hysteria. Dr. Robinson opinеd that incarceration would subject his brother to significant dangers and undoubtedly worsen his condition. On the other hand, the governmеnt presented evidence that Robinson can drive a car, lift up to fifty pounds, hunt, and spend the night without a comfortable bеd. A physician at the U.S. Center for Federal Prisoners reviewed Robinson’s medical records and concluded “to a reаsonable degree of medical certainty that Mr. Robinson’s medical and mental health care needs can be аppropriately treated at a federal medical center if he is sentenced to a term of imprisonment.”
Thе district court found that Robinson doés not suffer from an extraordinary physical impairment because he failed to prove that the Bureau of Prisons would be unable to care for his medical needs. After careful review of the record, we conclude that this finding is not clearly erroneous. “An ailment ... might usefully be called ‘extraordinary’ if it is substantially more dangerous for prisоners than for non-prisoners.”
United States v. Johnson,
2. In
Booker,
to remedy Sixth Amendment violations inherent in the mandatory Guidelines, the Supreme Court severed the provision of the Sentencing Reform Act that made the Guidelines mandatory. The Court also severed 18 U.S.C. § 3742(e) аnd replaced that detailed appellate review provision with a more general reasonableness stаndard of review. Under
Booker,
the district court continues to determine the appropriate Guidelines sentence, and we сontinue to review that determination for errors of law, such as an erroneous conclusion that the court lackеd authority to depart under the Guidelines. In addition, by decreeing the Guidelines to be advisory,
Booker
granted the district court some discrеtion to impose a sentence not previously authorized by the mandato
*982
ry Guidelines regime, applying the sentencing оbjectives and factors contained in 18 U.S.C. § 3553(a). We review the final sentence for reasonableness.
See United States v. Rogers,
In this case, the district court correctly applied the Guidelines but (understandably) committed
Booker
error by sentencing Robinson under the assumption that thе Guidelines were mandatory. Robinson’s
pre-Booker
plea agreement expressly waived any challenge to the constitutionality of the Guidelines, so he is arguably precluded from arguing that
Booker
expanded our jurisdiction to review for reasonableness the discretionary denial of a downward departure. But in any event, the issue was not raised in the district court, and there was no plain error.
See United States v. Pirani,
The judgment of the district court is affirmed.
Notes
. The HONORABLE GARY A. FENNER, United States District Judge for the Western District of Missouri.
. The PROTECT Act, Pub.L. 108-21, 117 Stat. 650 (April 30, 2003), while mandating
de novo
review of district court departures,
see
18 U.S.C. § 3742(e), did not expand our jurisdiction to review discretionary departure denials.
See, e.g., United States
v.
Linn,
