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United States v. Raymond Moore
486 F.2d 1139
D.C. Cir.
1973
Check Treatment

*1 of America STATES UNITED

Raymond MOORE, Appellant. 71-1352.

No. Appeals,

United States Court District Columbia Circuit.

Argued Sept. May 14,

Decided 23,1973.

Certiorari Denied Oct

See 94 S.Ct. 298

ington Area Council on Alcoholism Drug as amicus Abuse curiae. BAZELON, Before Judge, and Chief WRIGHT, McGOWAN, TAMM, LEV- ENTHAL, MacKINNON, ROBINSON, WILKEY, Judges, ROBB and Circuit sitting en banc. PER CURIAM: Judge Wilkey, Cir- Circuit with whom Judges join, cuit Robb MacKinnon and voting opinion con- filed an all to affirm Dis- in the victions and the sentences Leventhal, Judge trict Court. Circuit Judge con- with whom Circuit McGowan curs, voting all opinion filed an to affirm District convictions and to remand Court for further consideration resentencing. disposition NARA Cir- Judge cuit in Part MacKinnon concurred Judge opinion, IV of Circuit Leventhal’s Judge and Chief Bazelon in Part V Judges Circuit MacKinnon thereof. voting separate opinions Robb filed affirm convictions and the sentences all Court. District Judge Wright, whom Circuit Judges Judge Chief Bazelon and Circuit join, Tamm filed a dis- and Robinson voting senting opinion for a remand jury new trial permitted the defend- to decide whether repeated use ant as a result capacity to lacked substantial narcotics requirements conform his conduct to the Judge filed Bazelon law. Chief stating dissenting ex- opinion, he would possibility defense tend the of this Washington, (ap- D. Wald, C. Patricia than capacity other lack of to crimes appellant. court), pointed by possession. narcotics Atty. Adelman, Roger U. M. Asst. S. being majority five There Flannery, U. S. with whom Thomas A. voting all judges to affirm of the court filed, Atty. at time the brief was majority being convictions, no there Philip Terry, Cohan and John A. L. disposition, any specific Cir in favor of Attys. Cys, L. U. S. were Richard Asst. MacKinnon, and Wil Judges Robb cuit brief, appellee. Henry F. on the intimating any dissatisfac key, without Crimmins, Greene, Alt- Robert C. Oscar originally im the sentences tion with Aldock, Asst. U. S. shuler and John D. join Judge, vote posed District ap- Attys., appearances entered also Leventhal pellee. Judges McGowan Circuit convic affirming Moore’s defendant George Jr., Lamb, Washington, D. P. counts, vacating the sentences on all tion C., filed a brief on behalf Wash-

H41 door, remanding District chairs to look at the when Offi- imposed, and Daly resentencing. cer entered. Court Beverly’s . In front of Mr. ordered. So chair, edge one inch about WILKEY, Judge, bed, whom Circuit mirror was a white-framed Judges ROBB quantity Circuit MacKINNON on which there was a *3 (later join. powder white found to be milligrams 1,854.5 a mixture con- appeal a conviction an from This is taining heroin). [Footnote posses- 4-7% under two federal statutes right mirror, To the omitted.] Appellant that contends sion of heroin. Appellant’s a chair, in front of was improper he because his conviction was square record album flat cardboard overpowering heroin addict with an is a cover, quan- on which there was also a not, there- heroin need to use and should (later tity powder deter- white being fore, responsible in be held 1,824 milligrams mined of a be drug. possession After careful heroin). containing mixture appellant’s consideration, reject must 4-7% we “cutting boards” Between these two the conviction contention and affirm gelatin lay capsules and 81 93 new the trial court. gelatin capsules (as used determined Undisputed Evidence and I. The by the fact there a small but was District Court’s actions powder detectable amount white During January Metropolitan 1970 the containing capsules). heroin began investigation her- Police an into a lay cap- To the left of the mirror being trafficking operation allegedly oin (later powder sules filled white with a Washington in conducted a milligrams Northwest 3,650 (cid:127)found to be a total of Through informant, hotel. an investi- containing heroin). Toward 4-7% gating men, officers learned two edge a the far there was of the bed “Crip simply identified and Green” stocking over stretched woman’s “Jumbo,” selling were cutting hanger (called wire coat hotel; acting two rooms in under cutting screen). to the screen Next police supervision, made containing the informant unopened package was an purchases heroin from both of the sus- syringes hypodermic and about 10 pects. Lying album, in front needles. on chair, was an ace of Moore’s Mr. upon Based information, search (often cut- called a hearts half cut warrants for hotel rooms were the two ting pillow card). were Near the January obtained and executed on keys that were found fit set announcing knocking 1970. After and pillow of room Under door receiving identity purpose, their and and pis- was a 38-caliber Smith & Wesson reply, way no forced their officers tol. greeted into the The scene that room. implements accurately these officers described It is obvious that was mixing appellant’s undi- were intended for use own brief as follows: quin- luted heroin lactose and/or The room was about 10-12 feet concentra- to a street ine to reduce it depth. Against the far wall awas cutting 5-10%, into tion of about bed, being the head of the bed cap- normally injected, quantity and right. left and the foot to the Two ping can form in which it it in a positioned chairs were side carried. sold and bed, facing it, about one and foot away. Beverly Appellant were Beverly After Sherman was seat- W. plas- arrested, they chair, Ray- ed A were searched. on left-hand right- containing capsules of a mond Moore was tic vial seated on the (later seated, to- powder hand found to be chair. Both were white still milligrams mixture simply 2,274.9 of a in their twisted around tal heroin) Relying containing opinion Watson, ap- found 4-7 was our %. pellant right pocket. argued Appellant’s front a mere non- trouser Nothing Beverly.1 traffieking was found on the indict- addict ment should be dismissed one of Upon in- this evidence a four-count argued appellant First, three reasons. charging appel- returned dictment was non- unconstitutional to hold a lant with the Harrison violations trafficking guilty simple pos- addict 4704(a) Act, Narcotics 26 U.S.C. § position session of heroin. This rests (1964), Act, 21 U. and the Jones-Miller amplification extrapolation Advancing (1964).2 ar- S.C. Supreme interpretation Court’s gument hopelessly depend- that he was Eighth Amendment advanced in the ad- therefore, not, ent addict and could mittedly divergent opin- confused and heroin, responsible held ' ions Robinson v. California4 *4 appellant sought have the indictment to ground, Powell Texas.5 The v. second authority dismissed under princi- an extension of the common law opinion in court’s Watson United ple requisite that there cannot be the States.3 illegal performed will if the act free hearing At appel- on this motion overpowering compulsion, because of as- stipulat- lant stated Government serts a addict is excused narcotics appellant ed that a heroin was indeed any penalties ille- for the Appellant addict. further testified that gal purchase, possession, acts of and use pusher, he was not a heroin had never satisfy personal of narcotics to his ad- engaged drug trafficking, had appellant’s dictive needs. third is simply come to the hotel room where he interpretation construction of the purchase arrested in was order the il- to congressional acts, series of four drug. licit not once since neither in black let- Appellant’s Brief, pp. 24-26. imprisoned shall be less than five twenty years and, or more than dition, may in ad- 4704(a) 2. 26 U.S.C. § : $20,- be fined not more than any “It person shall be unlawful for subsequent 000. For second or offense purchase, sell, dispense, to or distribute (as (c) determined under section 7237 drugs except original narcotic 1954), Internal Bevenue Code stamped package original or from the imprisoned the offender shall be not less stamped package; and the absence of forty years and, than ten than or more appropriate taxpaid stamps from nar- addition, may fined than not more prima cotic shall be facie evidence $20,000. of a violation of this subsection “Whenever on trial violation person possession in whose the same of this section the defendant is shown to may be found.” possession have or to have had The Harrison Narcotics Act has since drug, possession narcotic such shall be repealed by Comprehensive been Drug deemed sufficient evidence to authorize Abuse Prevention and Control Act of explains conviction unless the defendant 91-513, III, Pub.L. Title § 1101 possession to the satisfaction of the (b) (3) (A), (Oct. 27, 1970). 84 Stat. 1292 jury.” § U.S.C. 174: The Jones-Miller Act has since been re- fraudulently pealed by Comprehensive knowingly Drug “Whoever or Abuse imports brings any drug or Prevention and narcotic in- Control Act of Pub. 91-513, any III, 1101(a)(2), territory United L. States or Title (Oct. jurisdiction, contrary 27, 1970). under its control or Stat. 1291 law, receives, conceals, buys, sells, or U.S.App.D.C. 335, 3. F.2d any or in manner facilitates the trans- (1970) (en banc). portation, concealment, any or sale of being imported such narcotic after 4. 370 U.S. 82 S.Ct. 8 L.Ed.2d brought in, knowing or the same to have imported brought been into the contrary law, United States or con- 5. 392 U.S. 88 S.Ct. 20 L.Ed.2d spires any to commit such acts in vio- lation States, of the laws of the United

114S report, have addiction had the in committee characteristics of a nor ter statute specifically non-trafficking disease, consequence appel- exempted that as a pur- helpless compul- penalties lant to control from criminal his addict sion possession, to obtain and use heroin. chase, and use. by argu- responded testimony, At the conclusion of this

The Government the trial ing court ruled that Dr. Kaufman was no constitution- first that there permitted testify would al, law, statutory rationale before common jury, ground non-trafficking apparently on the addict permitting a charge addiction can never possession of be a defense to a defense to a charge Secondly, of heroin. After heroin. it contended case, the Government rested its not non-traffick- event Moore was by appellant engaged court denied a motion for a in fact but was addict judgment acquittal. Appellant then pushing and, there even if renewed motion addicts, the in- dismiss mere were a defense available to permitted dictment on the basis Watson. This defense should not be such a rejected motion to dismiss was this time here. because the court felt there was Following hearing, the trial court trafficking per- sufficient evidence of appellant’s denied motion to dismiss. go jury. mit case judge, however, The trial reserved his court also indicated now judgment on whether of addic- evidence permit testify; Dr. Kaufman to jury by tion introduced to the could be *5 permission was, however, withdrawn the defense. following day. principal prosecution At trial the wit- ruling After this the defense decided arresting ness was the officer who testi- any not to further evidence. introduce fied to the facts described above. ad- resting, purposes however, Before for per- dition he testified that he had no completing record, the trial the defense knowledge appellant sonal that was en- testimony offered to introduce the gaged drug trafficking, that no tests McKinley Mr. of the District of Gore ap- had been conducted to determine if Adminis- Columbia Narcotics Treatment pellant’s fingerprints para- on the were testimony tration. This would phernalia room, that no tests were been to the effect that some addicts powder conducted to determine if heroin require have habits that more than 50 present hands, appellant’s was on day capsules per and that such addicts regis- that he had not checked the hotel capsules may in their have more than 50 knowing way ter and had no whether Mr. also at one time. Gore way appellant in was connected with testified, permitted, if that would have the room in which he arrested. On was currently appellant enrolled in á was cross-examination officer admitted therapy program, in Mr. that methadone require 50 to some addicts’ habits appellant’s opinion chances Gore’s capsules having per and that day, good, and that Moore rehabilitation were many capsules pockets would his problem beginning root to solve the was necessarily ap- not pellant be inconsistent with long- no soon his addiction and would being non-trafficking a mere ad- er need heroin. agreed Finally, on dict. the officer Following proffer, de- the court opinion ap- cross-examination that in his pellant jury non- was a heroin addict. that a clined to instruct Moore trafficking addict could not be convicted During presenta- the Government’s charged. Moore was under the statutes tion, presence heard court out of guilty in- of the on four counts found all jury testimony of Dr. Kauf- Acting upon appellant’s man, expert mo- an on Dr. dictment. addiction. appellant immediately was the verdict Kaufman testified that was tion after an appel- announced, long standing, appellant’s committed addict of the court Appellant’s Insti- II. Common Law lant Federal Correctional Defense Danbury, Connecticut, for deter- tute at logical Let us see how far the basis of suitability for treatment of his mination argument appellant’s inexorably II of the Narcotics Addict under Title logical take us. Bear mind that Act U.S.C. Rehabilitation argument appellant extension seq. Subsequently, et makes here was foreseen Justice reported appellant was staff NARA Supreme Black others of Court psycholog- addict, physically and both Powell, in Robinson and as discussed in- heroin, ically dependent but was fra, which account for the limits Thus on 14 suitable treatment. decisions, written into those limits appellant sentenced June 1971 court appellant would have this court years to six of two to concurrent terms upon expand. take itself 4704(a) U.S.C. § violations years of 21 violations and six A. re- Appellant now seeks U.S.C. § According appellant this case has versal of this conviction. one central issue: Appel- from the evi- proffered is clear We believe evidence Is the dependence non- long Moore not a mere dence that was and intensive lant’s trafficking heroin, to) en- (addiction injected was fact re- addict but gaged impairment if sulting Yet even trade.6 in substantial appellant was a we to assume that a loss were controls and his behavior heroin, nothing more, simple we be- rel- addict over the use of self-control responsibility must sus- his lieve that conviction his criminal evant possession. . . tained. . for unlawful opinion bed.) Judge Wright states that on his side Moore had none Last, trafficking operation significant particularly “it was clear most — pages progress, question significant but the remained in 108 because nowhere *6 buyer Wright’s opinion Judge or Moore the the is this con- whether was of Judge opinion Wright’s one at 1212. was seller.” fact mentioned —there clusive playing there was a traf- That The answer is indeed in the entire room. card men, Beverly half, ficking operation, playing in in and both had been torn card Moore, engaged working provide two were in it. a tool for and order to men, picture to There The us is clear. not one. uninitiated, the indicia that the narcotics on of undeniable For benefit the the part trafficking were enter- the bed of a the record album cover mirror and part prise, in was of heroin was and that turn Moore on the smooth surfaces placed which enterprise. First, put capsules. chairs This the both were to be the fingers edge conveniently each about one foot from the done cannot be facing long edge playing bed, bed, alone; its card had which the beveled of against capsuling The chairs en side wall. were is an tool. Since efficient position men, Hearts, only had Ace it of the two Bev- there of was working erly Moore, provide engaging dialogue, in a and be in half to to torn Beverly appellant bed, rather faced the on which both tool for both working. Second, be inferred could to be Moore. arrangement un- on the on these of the items bed If were hold this court clearly persons disputed not even indicated two were there was facts put working question to there. There was a mirror on sufficient evidence appellant piled 1,854.5 milligrams jury was a traf- Moore which were crystal heroin, right ficking addict, mixed the mir- it clear how is applied by chair, ror, appellant’s trial front of there standard would practical a cardboard would record album cover courts. The effect any pun- milligrams go 1,824 any which there were that ishment, free addict would Third, treat- mixed heroin. the left of indeed rehabilitative Beverly following cap- conviction, there because mirror front of were ment conviction, how filled matter sules with the heroin mixture. no no would be corresponded trafficking. roughly his These with been the 50 blatant had capsules (Bev- pocket. filled Moore’s erly capsules Brief, p. pocket; Appellant’s had no his words, might appellant’s In other is addiction a what be called the addict’s “char- involving acter,” crimes, only any defense to the or his moral standards. In possession, charged? with he case where the addict’s moral standards Arguing power craving physical that he has lost the are overcome his regard addiction, drug, may self-control to lose “self- be said appellant by applying control,” point, maintains that and it is at this and not principles point, law “the broad of common until this that an addict will com- responsibility” decide we must mit acts that violate his moral stand- in- purposes that he is entitled to dismissal of the here, ards. For our we jury dictment or a trial on this issue. think of such acts as crimes to obtain argument gist appellant’s drugs. here is long held that that “the commonlaw has legally un- determinative matter pre- capacity to control behavior is a appellant’s theory der sum must be the responsibility.” requisite for criminal Putting or result of the it two factors. inescapable logic ap- It is terms, in mathematical if the addict’s pellant’s argument, carry valid, craving if 4is a scale and his illegal any type strength over to all other acts of only of character is he will purpose whose was to narcotics resulting obtain have a loss of self-control and use, for his own a fact which is admit- illegal acquire drugs, commit some act to by Judge Wright opinion9 ted in his perhaps illegal purchase Appellant attempts justify only possession. example, For let a different purchase acts of nar- medically addict, us assume a induced cotics, illegal, prohibited both craving strength both whose but whose successfully prohibited they because if 8; of character him there will would eliminate addiction. The resulting self-control, be no loss of justification is on the basis illegal ad- presumably no kind. acts power dict has lost the of control over example, A third an addict with a crav- argues Appellant his choice of acts. strength and a of character of rationale, justifying that the same a tol- 3, may result of self-control to loss illegal erance of these two acts degree that the addict robs bank at court, or a strained construction of the gunpoint money drugs. buy to obtain Congress really statute that did not in- examples legally im- all these prohibit acts, tend to such or that it is portant resulting factor is the loss of constitutionally impermissible prohib- Drug varying self-control. addiction of carry acts, such would not over to oth- degrees may may not result loss *7 purpose er actions for the same of ob- strength self-control, depending taining narcotics for his own use. opposed of character crav- any In the case of addict there ing. adopted appellant’s theory, Under go two up factors that to make by dissenters, only if there is a re- (or thereof) “self-control” absence sulting loss of self-control there can be governs activities, his and which which, an absence of will under the free per- determines whether or not he will theory, extension of the common law acts, form certain crimes, such as to ob- provide would the ad- a valid defense to drugs. physical tain One factor is the dict. If there is a demonstrable absence craving drug. to have the The other is (loss self-control), of free il- will Id., at that, instances, in at least some an ad- may ‘compelled’ engage dict fact be “Perhaps question the most types activity troublesome other of criminal order arising recognition out of purchase of the addic- to obtain sufficient funds his tion defense is whether it necessary supply should be limited of narcotics. In such only to posses- those cases, principles acts —such as mere common law of criminal sion for use —which responsibility clearly applicable.” are inherent would be hardly disease itself. It can Opinion Judge p. be Wright, doubted legal possession drugs, acquisition case, acts and this is another it is not the charged by example appellant’s cannot to the user ration- called drugs. analysis just ale. dem- What the made onstrates, even the ad- ease But will which absence if of free dict-robber, is that his crime is caused possessor-acquirer, the excuses the mere compulsion, the same loss of self- his desperate more money bank robber for control, due addiction. demonstrable even more pre- lack cisely will and derived of free from Although attempted by appellant here, appellant the same factors there can be no successful differentia- argues possessor. should excuse the mere drive, tion between the source of argument appellant compulsion resulting In oral maintained and of control loss addicts, legal which, appellant argues, that there are different kinds vitiates is, accountability, compul- who are to confine some able hence the same possession necessarily their violation to and sion law ac- the basis serve as quisition for their use and posited own some of the defense each of the il- pos- legal only degree. who will commit other than crimes acts. It is a matter acquisition fact, session or to feed their hab- it seems clear that addict ; only its committing and that it is the latter whom who restrains himself from punish any we should except for their addiction. acquisition other crimes and position is, appellant possession, assuming This unfortu- he obtains his nately, logically untenable, accepts if one means, funds lawful has demonstrat- appellant’s greater degree own rationale that we must ed a of self-control than punish addicts for be- desperation the addict inwho robs a bank compulsion buy cause of under which to at retail. If the addict can re- they drugs. acquire act to committing any strain himself oth- illegal except purchase posses- er act By definition we have assumed crimes sion, demonstrating degree then he is first, simple possession of two classes— greater of self-control than that acquisition, second, greater or pharmacy bank, one who robs a robbery crimes such as motivated —both thus his defense loss of control compulsive need to obtain accountability is even than less valid resulting in loss of self-control. If we pharma- that of the who addict robs the punish second, we do so can be- cy or the bank. cause we find will. If will can free free second, exist for the it likewise ex- must If, appellant, ist for the first class. like B. position one takes addict dissenting opinions From the it is not (i.e. robbery) who commits crimes ignore logical they clear in- whether punished, feed his habit one consistency position, whether of this making judgment pos- addict vaguely recognize the in- dissenters will, sesses guilty is somehow free consistency arbitrarily line draw a way in a that the addict who does beyond which, to crimes other than ac- not commit such feed crimes to his habit quisition possession by proven ad- *8 (other acquisition of than crimes dict, the defense of will lack of free possession) words, is not. In other deployed. Certainly not be Mar- Justice necessarily quality follows shall, writing for of the four members makes addict commit such Powell, Court in declared limita- that the crimes to obtain the not the is regard- proposed by tion Justice Fortas compulsion of addiction and the loss of ing the defense of alcoholism chronic “self-control,” something apart but is merely by And “limitation fiat.”10 from his addiction—but if are we deal- motivating with a other so it would here. factor than be

10. 392 88 S.Ct 2145. U.S.. “controlling on the not be danger de- should sion” is obvious specific in- question whether [of] all other will be extended fense mug- im- should be stance of human behavior robberies, street crimes —bank punishment a constitu- as burglaries mune shown gings, can be —which matter”; arguments drug-crav- also show his tional product of the same to be the defense” “common-law how the so-called only ex- ing compulsion. would the Not unwisely applied compulsion may be on the same defense be tension here, urged here: logical the defense basis as indubitably certain as made say appellant’s [act] we When opinion, Judge separate but Bazelon’s by volition but not “his own” caused Wright Judge indicate that words force, by we are some other rather possi- open to another the door would thinking clearly nev- force that newly de- created ble extension except special ertheless “his” some envisaged: fense not hitherto The ac- [Footnote omitted.] sense. in Powell were While these comments pro- undoubtedly commits cused dicta, they simply do indi- offered as only question is act and the scribed position Conse- of the Court. cate the attributed to a the act can be whether availability quently limit] personality [we part that should of “his” only those regarded respon- addiction defense criminally as not be receipt which, purchase, like mere acts all of the traditional sible. Almost personal or of narcotics purposes can be of. the criminal law use, inseparable disease from the significantly by punishing the served time, and, no itself at the same pro- person in fact committed the inflict who upon members direct harm other regard act, to whether scribed without society.11 “compelled” by some his action was Wright’s Judge aspect “irresponsible” findWe cold comfort elusive already personality. indi- I have As words. cated, punishment a defendant of such purchase” by the addict If “mere justified clearly in terms of de- can protected, to the “mere sale” what about isolation, terrence, On and treatment. the sale same addict? Could hand, con- medical decisions the other drug-crazed addict, poor narcotics to a cerning of a term such the use compulsion of his unsatis driven “volition,” they based “disease” needs, as a humane act fied be defended diagno- problems the clinical are on “inflict[ing] upon other direct harm no necessary treatment, no sis and bear Why society”? members of legal correspondence decision supplying illicit traf of narcotics objectives whether overall any ficker less to a addict be certified by im- law can be furthered humane, harm on or inflict more posing punishment.13 society, than the other members supplying the same ad of narcotics Black turned Just as Justice the medical dict a licensed member of proposed away from the constitutional profession ?12 rule, spurn proposed “common we recently rule, law” because

C. dealing statutory created scheme up a reasonable points narcotics stands the wisdom 1. All of this reaching objectives of “de in Pow- chance of Justice Black’s observations terrence, isolation, treatment,” ell, where he reached conclusion particular “compul- nature of the questions also because the of “voluntariness” *9 song Opinion Judge AVright, of Tom 12. the satirical This recalls 11. at 1257-1258 Dope Peddler,” supplied). (emphasis entitled “The Old Lehrer by doing good.” “doing well who was S.Ct., 540-541, U.S., at 2158. 13. makes cer- While observed there problem traffic the Court the heroin range not necessary that should was a wide of activities available policies tain dealing problem de- of this to states with the the creation be weakened presented compelling policy by narcotics,20 re- de the Court no There is fense. here.14 cided that statute was quiring this California us to intervene range: within judg- Furthermore, if such a 2. statute, therefore, This one balancing conflicting weighing and ment punishes person which use for the policies to be public interests narcotics, purchase, sale for their Congress, made, be made it should possession, or dis or for antisocial infra, fully explore which, more we orderly resulting from their behavior activity demon- in this area its has administration. not a law which It is possesses ade- more both that strated purports provide require even problems quate to deal with facilities Rather, medical we deal treatment. addiction, and that we of narcotic with a statute “sta which makes the judiciary circumscribed are somewhat tus” of narcotic addiction- a criminal activity in this area.15 our offense, for which the offender prosecuted any be he time before “at Appellant’s III. reforms.” that a Defense California has said Eighth Amendment person continuously guilty can offense, whether or not proposed To evaluate defense in possessed any ever used or narcotics light Eighth Amendment re- we State, within the and whether or not law, particular, view the case Robin- guilty he has been antisocial son v. California and Powell v. behavior there.21 (1968).17 Texas This review demon- simply strates case law does not just The Court concluded that as it would support position by appel- advanced impermissible punish person be- lant. cause he was afflicted with mental dis-

ease, leprosy, disease, or- venereal so impermissible punish it be A. suffering his affliction one ill- from the Supreme In Robinson the Court was addiction, ness of narcotic since constitutionality asked to determine the light contemporary [I]n human which, of a among state statute other knowledge, a law which made a crimi provisions, punished person who was nal offense of such a disease would “addicted to the use of narcotics.”18 thought universally doubtless be to be appellant in Robinson had con- been pun infliction of cruel and unusual addiction, principally victed of on evi- Eighth ishment in violation of the dence of “marks and . . . discolor- Fourteenth Amendments.22 ation were [which] the result of the injection hypodermic needles into the Thus the held Court that “a state law tissue into the vein that was not sterile imprisons person thus afflicted [sic].” [by addiction to as a crimi narcotics] IV, 14. See Part narcotics, pro- infra. use of and included a against being hibition under their influ- 15. Judge Ibid. And see Leventhal’s ex- Exceptions ence. were provide^ those point haustive treatment of this in his who were administered narcotics under separate opinion. person the direction aof licensed to do so 16. 370 U.S. 82 S.Ct. 8 L.Ed.2d by the state. S.Ct., U.S., 19. 370 at 662. 82 at 1418. 17. 392 U.S. 88 S.Ct. 20 L.Ed. Id., 664-665, 82 S.Ct. 1417. 2d 1254. Id., S.Ct., at 1420. Safety 18. California Health and Code § prohibited 11721. The statute also Ibid. *10 drugs. habituated, especially though or In to nal, never touched he has even per inquire as a or to to whether State order any within the narcotic irregular son to of narcotics is addicted the use guilty of behavior been pun inquiry in his habit is an as to there, unusual effect inflicts a cruel regard. them in that he use ha Fourteenth Does in violation ishment daily bitually. To use often or them Amendment.23 according ordinary accept is, the to important possible There two words, use ance of those to them holdings in Robin- not made which were habitually.25 urged by appellant son, but which are ostensibly Robin- here, basis the alone, Standing then, Robinson no in points Robinson decided son. The not proposition authority for the the argues appellant are: here Eighth punishment prevents Amendment “compelled” of an quoted addict for acts he is language the Court 1. by addiction, to do his Robinson presumably it since immediately left above recognizes compulsion no in addiction. open punish the for state activities a to repugnance simply “irregular Robinson illustrates or such as use prospect punishing the at one for his addic- connected narcotics behavior” standing status addict. although tion, the addiction may punished. not alone be analysis important In case it the to important ma 2. It is also the keep concept of self-control loss of Eighth jority’s opinion did not base separate from the definition of addic- and Fourteenth Amendment rationale approach tion. This is the taken in unconstitutionality punishment Court, Robinson, Supreme for the so at any “compulsion” for loss of “self- least, judicial definition addiction addiction. control” in narcotics involved stops self-control, short loss anything Indeed, appears if it though recognize compelling some appellant his Robinson had lost aspects drug. craving respect giving in self-control with in some of This distinction is illustrated craving drug. his As Justice Mr. made in Justice Harlan’s remarks put dissent, it in Clark his his in Robinson: concurrence statutory upheld have the California [I]n this case trial court’s instruc suggest scheme, “It no answer permitted jury find the tions dealing involuntary we are sta with an appellant proof guilty on more no than penal in tus and thus sanctions will present California was is effective and The section unfair. at while he addicted to narcotics. was applies only persons sue use nar who reasonably addiction alone cannot Since daily cotics often or but even not to thought than to more to amount point losing self-control.” Further compelling narcotics, propensity use more, judge Robinson, in his trial was to this instruction jury, instructions did not effect of punishment authorize any compulsion definition turn on act.26 bare desire to commit a criminal loss of self-control: words, physical means, strong The word other addiction is “addicted” craving craving drug, ly disposed practice to have the taste or some Id., S.Ct., more involved There somewhat reasons. 23. at at It 1420. should dissenters, opinion Court, two were but Justices Clark be noted that White, by Stewart, ap- did while Justice Frankfurter written Justice was participate. parently joined Warren, Justices Black, Brennan, who no wrote U.S., S.Ct., at at opinions, points discussed here S.Ct., 1427, quoted Id., joined Harlan, who Justice Clark’s dissent. Justice concurring opinion own, of his wrote S.Ct., and to a extent (emphasis certain Justice Id., at 1426 Douglas, concurred, supplied). who also *11 1150 number, of dif- tice noted in can from a of Marshall that the view which arise voluntary causes, appellant’s public of them the dissenters intoxi- all ferent not “ compulsion Har- cation was ‘occasioned self-induced.27 As Justice a even clear, however, symptomatic is of it the of remarks make disease’ chronic lan’s craving punished may alcoholism, apparently, and thus be- be his the which not Eighth Amendment, not the havior lacked critical element of under craving. give Marshall, mens rea.” Justice in in to that disasso- the acts which ciating a himself Furthermore, be three brother addiction his while narcotics,” view, “compelling Rob- propensity from this noted Justices that use to urge question necessarily inson deal with did is an irresistible it many “whether cannot certain conduct consti- to them.28 The failure punished is, in keep tutionally be concept addiction because it to of minds ‘involuntary’ separate compulsion, or some or ‘occasioned from sense irresistible ” 33 self-control, compulsion.’ sim- in much He concluded has resulted loss penalties may confusion, ply in- explored “criminal be that will be below. as only if flicted the accused committed has behavior, engaged act, some in some has B. society prevent- an interest Eighth Amendment defense ing, perhaps in law historical common by some chronic alcoholics advanced 34 terms, has committed actus reus.” some v. Tex- members the Court Powell position Appellant’s 2. to be seems is, as, interpretation Rob- that that compelled if use a defendant inson held that was not physical narcotics due a serious crav- give compulsions in to the irresistible ing (addiction), acquire nar- but can “disease,” weaves in and out legal money cotics with obtained definitely opinions, Powell there is (such relying means as on the labor Supreme holding no Court effect. to this family), other members of the court writing Marshall, 1. Justice for four part can find no will on free distinguished Court,29 members defendant, since he result acts as a public Robinson, since drunkenness Indeed, compulsion, not so from choice. amounting public the acts kind of argument goes, money used since

behavior were much more than through per- buy procured punishment “mere status” for which was really fectly legal no means, there prohibited in Mar- Robinson.30 Justice guilt ap- involved, merely Thus disease. rejected shall the four the notion of resulting pellant argues the acts dissenters31 stood for that Robinson from addiction to narcotics must ‘simple’ principle “the but ‘subtle’ treated in manner addiction ‘[cjriminal penalties may not be inflict- alcohol considered Powell. upon person being ed in a condi- analogy Pow- Where asserted ” 32 powerless change.’ tion he is Jus- down, is, first, however, ell breaks See, g., dissenting opinion 27. e. Mr. Black, Harlan, 29. Justices and Chief Douglas Robinson, Justice U.S. 370 discusses, Justice concurred. Warren at 82 S.Ct. where U.S., 30. at alia, S.Ct. 2145. among inter in addiction newborn fants. Fortas, Douglas, Brennan, 31. Justices See, Dependenc Phillipson, Drug 28. Stewart. Opiate Type, Responsibil and Criminal e— U.S., S.Ct., at at ity (1971), paper presented at the 33rd quoting U.S., S.Ct., at meeting annual on Prob Committee Drug Dependence lems of National Academy Academy of Sciences —National U.S., S.Ct., at 2155. Engineering Division Medical .of Sciences, February Toronto, 16-17 Ibid. (reproduced Appendix Canada C Brief, 117). the Government’s pun- acquisition the acts Powell were held to thus separate ishable, product illegal freely direct Justice White’s willed opinion majority makes clear. act. for the posses- acquisition Second, here the According appellant’s thesis, *12 by Moore

sion of the addictive substance only addict has a choice as to man- the illegal activities, in Powell whereas (or ner in which he the funds obtains state induced his addictive the “addict” drugs) support habit; the this through legal violation means. Powell’s neglects the choice that each addict later, to four taken which actions makes at the start as to whether or punishable members of the Court were going he is to take narcotics and run the question, and which to Justice without becoming risk of addicted to them. Al- long punishable the were so White though may the narcotics user soon prod- proved had not been to be acts through compul- acquire continued use a compul- uct of irresistible an established drug, sion to have the and thus be said Moore, however, acquisi- sion. In (insofar to have lost his self-control possession tion and of the addictive sub- he must regularly) take the due to illegal, (narcotics) stance are themselves “disease,” it is a disease which he has acts caus- whether considered as initial through himself induced a violation of resulting ad- from addiction acts the law. contrast to the alcoholic diction. Powell, addict Moore has con- tracted virtually disease always While we we start where always illegal commences with are, an act. present or the ad- condition of the ignore ease, dict in we how this cannot regard point 3. As a final the defendant became an addict. Powell, we find the same concern we dis- here dissenters dwell established II, supra, by cussed under Justice voiced principles: “The rule Black: of constitutional law responsibility Thus criminal is as- urged upon by appellant us would through only sessed when “free will” revolutionary impact on the criminal evil, a man if is elects to do law, any possible proposed limits agent, not a free unable to is wholly illusory.”38 the rule would be voluntarily, choose or or to to act wary We are of the multitude of acts avoid the conduct which constitutes might which are now crimes and which crime, postulate he is outside appellant’s if defense have to be excused punishment.35 of the law of accepted, were since put original Moore could never needle in his of Robinson If boundaries succeeding many discarded, any arm the first and times are to be limits too new illegal by wayside without an exercise of will.36 His soon would fall Opinion Judge Wright, by another, at 1241. such as a child addicted mitted of maternal addic- to narcotics because supra, accompanying 36. See note 28 tion, is and a addicts whose disease few necessary adopt text. It is not for us to prescription. a result of a medical See judicially authority, the view of this be- Judge opinion, Wright’s p. present develop- cause state of the regard “free 196. The comments with knowledge ment of medical would not, course, will” here made imprudent to do so. It is sufficient completely applicable num- to this small purposes say of this case to hand, ber of individuals. On other appellant’s argument, espoused Judge apparently their number is so small Wright here, that narcotic addiction primary their cannot be the existence compulsion drugs, irresistible to take the judicial consideration in this decision clearly the law of the land virtue area, Judge Wright do not read we Supreme holding in Robin- Court’s rely heavily on the existence these son. support few unfortunate individuals are, course, very 37. There small num- position today. he takes ber of individuals who have the illegal U.S., S.Ct., disease of an virtue act com- 38. at 2160. the Court would be forced to hold the a narcotics addict for of nar- powerless punish any States con- cotics which he has for his use. own duct that could be shown to result discussing defense, While “compulsion,” complex, from a court in Watson believed record psychological meaning of term.39 adequate properly was not support defense, such a and the case was decided C. ground, e., on another i. the two- Passing Powell, on from Robinson and prior-felony disqualifying provision of we come to the ease on which much Title II Narcotic Addict Rehabili- present appeal based, Watson unconstitutionally tation Act of 1966 (1970).40 United appellant, In Watson the States possible barred Watson beneficial *13 addict, heroin was convicted Judge treatment under that Act.41 174, for violations of 26 21 and U.S.C. § in McGowan’s discussion the court’s 4704(a), and U.S.C. the Jones-Miller opinion to the effect that “if Robinson’s Acts, respectively Harrison which forbid deployment Eighth of the Amendment as importation pur fraudulent and the making a barrier to California’s addic- chase, sale, dispensation, or distribution anything, tion a crime means it must appropriate of narcotic not in the logic (1) Congress also mean in all that ly taxpaid stamped package. For all expose did not intend to the non-traf- practical partic purposes, because ficking addict-possessor pun- to criminal evidentiary provisions ular of the two ishment, or its effort to do so is as Acts, proof possession mere unavailing constitutionally as that of the enough narcotic is under ei to convict legislature”42 California is therefore ther, spoken and so the crime is often very per- dicta. These dicta have been “possession” as one for of narcotic suasive, particularly light of the ex- drugs. really This was the crime plicit Judge framework which McGowan appellant which was Watson raising convicted, set forth although appellant Moore’s case defense,43 occasionally and it has been powerful there are elements of traffick successfully used in the trial courts of ing (discussed I, supra), under he con bar, the District.44 The case at how- guilty tends that was of the crime ever, is the first time that we have been possession, for his own position change to these dicta into Among arguments use. the other made holding, conclusively and to rule Watson, by appellant, as here was the represents Robinson a constitutional bar proposition that after Robinson it is non-trafficking to conviction of a ad- constitutionally impermissible punish to dict-possessor. II, supra. Ibid. See also Part U.S.App.D.C. lowed.’” 141 at F.2d, 456, citing H.R.Rep.No.1486, at U.S.App.D.C. 40. 141 F.2d Cong., Sess., p. 9, 89th 2d and Senate (en banc). Report Cong., p. Sess., No. 89th 2d 41. The court noted that to bar a non-traf- Cong. U.S.Code & Admin.News ficking . appellant addict such as Watson p. 4245. prior felony convictions, because of two U.S.App.D.C., F.2d, 42. 141 at at might which in fact be no more than two “curiously possession, convictions Congressional preoccu- odds with See, U.S.App.D.C., F.2d, underlying pation, the Narcotic Re- Addict at 442. Act, habilitation with the distinction be- non-traffickers, tween traffickers Ashton, See United v. States F. purpose punish- the reiterated ‘strict Supp. (D.D.C.1970) ; United States ment be meted ... out where re- Lindsey, 2277-70; D.D.C.Crim. No. quired criminal, to the hardened while Allen, D.C.Super.Ct. United States v. Nos. justice tempered judg- ... (10 February 41333-70 and 21031-70 ment and fairness 1971) ; those cases where Bowser, and United States v. D.C. society it Super.Ct. to the best (10 February interest No. 45504-70 individual such 1971). a course be fol- earlier, jority amply “unmistakably we As made clear Powell recoiled supports opening up deter escape Robinson no such from new believe avenues of Eighth Any widening accountability from mination. reason compulsions from of things rationale should come of such Amendment al- Supreme Court,45 and, presumably, drug coholism hence we addic- appellant, if he prepared to hold that tion—conditions widely still it addict-possessor assumed, rightly wrongly, mere were a would Despite Eighth capacity Amendment defense. the victim retains some an lib- divergent through appear erate all their labors Thus it would himself.” according Powell, opinions Supreme Court, Robinson and “rightly wrongly,” noth here are able to derive dissenters ing addict is not compulsion” should in more certain than under an that we “irresistible possess narcotics, terpret the federal narcotic statutes but retains some abili- ty way as to doubts such a “avoid serious extricate himself from his addic- 46 Although ceasing constitutionality.” drugs. tion of their take the Thus phrase differently, certainly we would issue be “cruel un- Judge punishment” in accord McGowan’s usual we are convict him Supreme possessing narcotics, “be effec desire that Court since the deci- fully tively explain, possess sion entreated to more one that he *14 makes far, part espe- volition, it is it has done so least in his than how own may not, consistently cially beginning with the California at the of his habit. person prosecute Constitution, Federal hand, person the other once a has On being addict, for but the United taken amount of his a certain narcotics criminally prosecute an ad can States craving body develops (this, for more for his of narcotics dict course, is “addiction” as Justice Har- personal use.”47 Given the demonstrat craving it),49 physical lan defined divergence ed and inconclusiveness which, prevent, which he cannot and for Supreme views, is not in Court’s it Robinson, Supreme Court has said in explana upon us to force cumbent this Taking may punished. into he not be widening by Eighth Amendment tion addiction, view of account this which defense, but rather to leave it where by to us to be the one taken view seems Supreme it choos Court has left it until Supreme Robinson, not in Court it prompt by es, perhaps appellant’s this may say to that an inconsistent addict holding. ing, make such to craving (his punished for not be his hesitancy to “addiction”) punished Our rush where but when High Court is rein- has feared to tread subject he the decision not makes by opinions this in Wat- forced court’s admittedly painful process himself to the itself, in- son which it is not show that withdrawal, gives craving in to his in Robin- consistent excuse the addict acts violation of law commits Eighth grounds, but son on Amendment his addiction. which continue deny addict-posses- such relief to the being. Far “cruel and from unusual Judge Watson and As sor in Moore. punishment,” punish- Judge rationale observed, Baze- and as McGowan opinion for the lon in his acts concluded ment for such has been set forth panel preceded three-judge especially en Powell, which Robinson and Watson, opinions Black, Harlan, ma- banc determination of Justices States, U.S.App. U.S.App.D.C., F.2d, Castle United 47. 141 at at (1964), 398, 401, D.C. 347 F.2d cert, denied, 381 U.S. 85 S.Ct. U.S.App.D.C., F.2d, 48. 141 L.Ed.2d (emphasis added). Opinion Judge Wright, III.AA., supra. 49. See Part Eighth Amend- B. is no There Marshall.50 addict-possessor. ment defense approach prob We can best this Congress lem of the role of Congressional Ad- Intent Punish IV. considering by pos courts here now dict-Possessors recog sible defense mentioned not Judge Watson,52 by nized McGowan urged by appellant here, accepted A. Judge Wright opinion.53 It logical ap- fallacies in from the Aside argued Congress never intended argument above, the outlined pellant’s provisions mak of federal statutes to draw this court line concerning asks which ap possess a crime to narcotics mens rea involved ply possess to addicts who narcotics may drawn this addiction own their use. We cannot subscribe important, other, perhaps more court for argument. many Never, in differ power. policy The choice reasons of and their ent narcotics control acts appellant have us make is would dating amendments, did back to Eng- by early the choice made reverse of Congress say justification this. What carving exception judges in out an lish writing it into court have for duress; to the common law defense Only law now? a clear constitutional they apply it to the crime declined mandate could call for such action judgment policy made murder.51 part. our For this to find such court judges that, be- these common law perception would demonstrate Su great value the com- cause of the preme Court As is ob achieved. life, placed one mon on human law Judge Wright’s dissent, if vious own life rather than should risk one’s thing certain, it is there is one of an innocent. take that *15 question from clear. constitutional is far making problem our congres- Furthermore, latest two urges appellant that, un- is choice pronouncements squarely con- sional judges per- like haps were common law who statutory trary interpretation ap- body major legal policy-making urges Judge pellant Reilly here. As sys- parliamentary before the rise of Ap- the District of Court of Columbia today, is tem we it this court know peals noted in Wheeler United States appropriate body not to make such Congress (1971),54 it dear that made Congress policy judgment. is now enacting the District’s “Rehabilitation adequate to best forum with resources did it Users statute Narcotics” pol- implications determine the of such a pun- not mean exclude from criminal icy, social, scientific, and to evaluate the persons ishment narcotics, addicted the use psychological premises underlying such a least the District Col- Congress preamble policy, rules, appropriate umbia. said to make the Act: necessary mecha- and to establish carry (including funding) Congress nisms that Federal intends criminal enforced them out. laws shall Ap- the District of Columbia Court of Ibid. decision, split peals ad- held in a Blackstone, IV W. Commentaries permitted as a defense diction should be simple possession. That deci- heroin for en banc and set sion vacated F.2d, U.S.App.D.C., by an rendered si- consideration order at 452. sig- multaneously with the decision. The p. 1250, 53. At Part IV.C. is, the Franklin decision nificance therefore, unclear. In the recent A.2d 722 (1967 seq. States, edi- 24-601 et § 55. D.C.Code No. case of Franklin v. United tion) 1973) panel (D.C.Ct.App., . 27 Feb. against drug by drug as other users as well of crime committed meaning that, users” as persons, and sections 24-601 to 24-611 when the Government successfully prosecute any drug to substitute treat- shall be used able punishment in any ment for cases of crime user for a criminal under offense drug may by statute, committed users.56 federal it do so. The Reha bilitation Act is NOT statute Congress If had intended that addicts drug users; applying to if the Govern District Columbia should not be evidence, may ment has invoke prosecuted possession, for the crime of any applicable statute. As criminal Congress qualified would have 24-601 out, Judge Wright points dissent Congress prob- to that effect. had the drug among others use addicts and drug pun- (addicts), lem of users their epidemic propor areas has reached some tions, treatment, squarely ishment and before amassing difficulty evi and the it, any and declined to make distinction securing pos dence and convictions toas what acts constituted a crime committed and other crimes session an addict or non-addict. This conclusion many instances insur users is virtually Congress inescapable, de- many of these For mountable. “drug (as fined user” that term is em- presents statute users the rehabilitation ployed preamble just quoted) of treat feasible and humane method “any including person .person, include may pursue ment which the Government eighteen years age, under securing through of such of evidence any habit-forming who uses narcotic addiction,58 persons’ and this drugs endanger public so as to mor- particularly appropriate where, for als, health, safety, welfare, or who is reasons, pros of a multitude of criminal so addicted to the use such hahit- far ecution under other federal statutes forming power as to lost the hand, for. the other Con called On to his of self-control reference gress procedure it clear that this made addiction.” in the case of some shall not be used Appellant argues rejection of this “charged persons, explicitly with a those interpretation of the “Rehabilitation indictment, offense, whether statute, Users of on the Narcotics” theo- otherwise, or information or ry accept that to it would be to assume offense, for a criminal under sentence Congress complex “that enacted statu- serving sentence, [they whether are] tory scheme treatment of narcotic *16 probation parole, or or or [are] addicts which it to be never intended pending been released bond [have] utilized,” interpretation since under this appeal.” punished possession, addicts could be possession this rehabilitation do not view being We a “criminal act” evincing punish to intent not statute as 24-601, under all thus would § addict-possessors, merely one punished criminally, have to be and not Congress attempt by to reach more be treated under the rehabilitation stat- its avowed an accommodation between ute. eliminating the traffic twin aims of respect, With all we submit that rehabilitating harmful narcotics and reading statute, such a which damaged by traffic.60 those rejection pun leads to its of an intent to statutes, other While it is true that addict-possessors, simply ish incor notably Addict Reha- says most the Narcotic provision rect. We read the legisla- the statute shall not used be “to substi bilitation Act of evince a punishment tute treatment for in cases pros- purpose tive that after addicts 24-601, quoted Wheeler, 56. § D.C.Code 24-603(a). § D.C.Code supra, A.2d, at 725. 24-603(b). § D.C.Code (1967 edition) § D.C.Code 24-602 (emphasis supplied). IV.D., Part See infra. drug prosecute medically users ex- they sional intent be treated should ecuted 24-601, pressed placed in buttressed D.C.Code possible § than rather

whenever activity by Congress’ legislative be- both D.C.Code true that prison, it remains § legisla- expression of may fore and after that seq. not be used to substi- et 24-601 Congress intent, demonstrates that punishment, tive and we treatment tute authority preempted congressional in- has court’s must assume It create a common law spelled in that civil commitment out tent defense. legislature when the hornbook law that federal criminal statute to enforce (i. might spoken, e., prose- have been against what users laws (in- altered, judges common law is them) remains, unless it is subse- cute change cluding court) Congress. quently repudiated they would have fa- law back because overruling this manifesta from Far policy, there is different unless vored a congressional intent, just tion of mandate, which, of a constitutional Congress past, has con has done in ju- irrespective course, operate legislation under the to enact tinued preferences. dicial all others addicts and terms of which being prosecuted for nar can and are Furthermore, although this is trafficking.61 possession and cotics determining help in what the law limited appellant arrested, was was when not one of the numerous The fact that legislation, Compre congressional excep latest narcotics enactments makes Drug many hensive Prevention and addicts, Abuse of them tion for and that (passed passed Control Act of 1970 1970),64 October when there were cases were highly significant contains two for nar conviction of narcotics addicts provisions congressional in books, may relevant to tak offenses on the cotic Congress policy in narcotics tent and the area of intends for en to indicate penal First, anyone control. statute has prosecuted else. like addicts to be provisions making Statutory it “unlawful for Sutherland, Construction See acts; person” proscribed 5103-5105, 5107, (3d to commit the 4510, 5101, §§ argued particular 1943). equally second, it un 844 in makes that it is ed. likely It is knowingly any person in Congress lawful “for tentionally desired to remain possess light sub a controlled issue.62 In neutral in this many was obtain strong stance unless such substance members sentiment pre directly, pursuant Congress against users, ed a valid all practitioner scription justly or order Congress most aware ”65 Drug impute Comprehensive such motives we refuse . . . . Congress. pro- Act Abuse Prevention and Control lighter simple penalty vides a much Congress has not ex Thus while possession (and for the first ex- time plicitly provided shall not that addiction plicitly simple of- makes charge of be an affirmative defense to a suggests fense), congres- but this no means narcotics, possessing illicit *17 Compre- stances Act” one title of the Congress enacting legis- has been such Drug beginning continuing hensive Abuse Prevention and Con- lation trol Act of Pub.L. No. 91-513 present. See, g., to the e. Narcotics Im- (27 1970). portation October Act, (1909), Stat. amended, (1964), re- U.S.C. 3174 62. At 1254-1256. pealed 91-513, 1101(a)(2) Pub.L. No. § (27 1970) ; Harrison Narcotic October See, remarks of Commis- amended, Act of 38 Stat. Harry Anslinger sioner J. of the Federal 4701-4706, repealed, Pub. §§ U.S.C. Narcotics, S.Rep.No.2033, Bureau 91-513, (27 1101(b)(3)(A) L. § No. Cong. Sess., (1956). 84th 2d at 7-8 ; Drug 1970) October Narcotic Uniform Act, 401-425; Con- D.C.Code §§ 91-513, 61, supra. 64. Pub.L. No. see note Act, trolled Substances 801- §§ U.S.C. Emphasis supplied. (The Sub- “Controlled by not did possession addict decline in the health and noticeable well-being the give the chronic an offense before District’s rise contrary, the alcoholics.68 we find the statute. On Congress inescapable conclusion excusing D. ad- rejected notion the guilt possession, and in- from for apart pres- dicts But from aversion penalties for the suring Congress decided to reduce stead manner, there this simple possessions board. across the significant and difficult differences appellant the defense Now to create problems between the of chronic alcohol- explicit prohibi- dealing the the face of seeks ism and addiction. narcotics any person against possession tion problem the of alcoholism we directly con- be 844 would is, single U.S.C. all, re- what after aim —the Congress. trary expressed will of nar- habilitation of alcoholics.69 With addiction, however, take cotics we must aims, account first least two the C. being (like alcoholism) the rehabilita- appellant makes much of In his brief addicts, (quite tion of second apparent analogy statu between the being different) complete elimina- dealing tory with the rehabilita scheme tion of the ex- addictive substance. The analyzed in Easter tion of alcoholics policies particu- istence of these two Columbia,66 which resulted District of troubling implementa- larly their where allowing a' defense alcoholics this court’s contradictory. in- tion For drunkenness, public and the statuto stance, policy while of rehabilitation dealing ry in the District scheme might by giving well be addicts served Wright’s Judge addiction. use, possession defense to for their own n analogy opinio also relies hospi- mandatory providing and instead course, implication, Easter. treatment, possible penalties for tal reasoning should use the same we by providing help police addict- find defense prosecutorial them a means to use their possessor.67 addict-informers discretion enlist ferreting persuaded Even if we wholesale were aid out not, drug traffic, analogy, cer- and we are we sources of the grant tainly appellant’s persuades possible punishment defense threat of theory pressure Con- rehabilitation will some addicts undertake gress Ad- providing into Narcotics the facilities under such schemes as the they many Act, who could treatment of the dict Rehabilitation undergo. might civilly then Aside not to committed. otherwise choose impropriety, re- tactic was these Faced with the need to reconcile soundingly unsuccessful in the Easter aim&, eliminating drug traf- two it case, and reason to we have no believe addicts, fic and rehabilitation Immediately would fare better here. great pressure under from advocates Easter, appeared after facili- that the pushing aim, for one or the other Con- forthcoming simply ties were gress has reached accommo- a reasonable average off chronic alcoholic was worse through dation as the Nar- such means pre-Easter, than as demonstrated cotics Addict Rehabilitation Act of U.S.App.D.C. is, course, 66. 124 69. There aim of 361 F.2d 50 twin Judge Wright’s preventing yet See also have not be- discus- those who *18 pages so, opinion. doing sion at 1248-1249 come alcoholics from but this of lawyers judges. is not the task for Appellant, 67. Brief for at 65-72. Report 68. of the President’s Commission Columbia, Crime the District 486-491 ly escape pay the need to exorbi- Act the Controlled Substances Wright’s prices supplies Judge lead asserts: tant for their that dissent 1970. possessors punishment is other addicts crime. of addict “But necessary nor a neither a reasonable This has been a well-known fact is- goal.” this If means to achieve through many easy years, le- that access grounds, placed pragmatic sue is thus gal doctors, channels, by as can had prevail, judgment is entitled to

whose nurses, hospital orderlies, pharmacists, Congress this court ?71 that of or of etc., inevitably leads to a tremendous These are rate of narcotics addiction. this con- fact that Aside from the people termed not culturally class of who can be constitu- law is neither struction of the deprived economically tionally compelled intent nor reflects the any way. They do have associations legislation Congress on the with- nor the lower eco- criminals books, recognize the use if we mere nomic and social classes. Yet the opium is is, narcotics is an evil—and it drugs easy fact of has cre- access adoption policy of a a killer72—then the ated an addiction rate 30 times interpretation removes crimi- general population. prag- Viewed penalties from the nal and sanctions matically, language cited offers misguided opiates just mass use of as argument powerful re- in favor of never opiates use of for his as the individual’s moving penalties pos- particular problems. own argument drugs, session of legitimatizing possession. an for never startling fact, probable conse- One quence, accepting line of reason- have We seen civilizations which by appellant advanced lies buried carpet slipper stage, reached the slowly Judge Wright’s page In dissent on fading away drowsed beside the describing categories three of narcotics genius. may fires of Ours be the first Judge addicts, Wright states: speed process by civilization to drugs injection deliberate into our category comprised of The second culture; waiting for the natural without employed in the those addicts who are sleep age, of old our we hasten to evade paramedical professions. medical and crushing by permitting feared burdens among addiction these The rate of slip opium those who crave it to into an

professions appears to almost SO haze. greater general times than that population, attempt individuals Congress but since these has not ceased ready ways access to such fashion new to deal with these morphine frequent- demerol, they addiction;73 problems of narcotics Opinion Judge Wright, against at 1245. that do exist have provided specifically been Con- prohibition against possession 71. The flat gress, exceptions having such certain relationship logical bears both a direct prescriptions to do with medical au- objectives. possession illegal Making all thorities. our conclusion that Con- Thus preempted protect against the addict gress area, both this public against drug himself and the the courts cannot widen the list of ex- (whether traffic addicts or conducted ceptions, as we have been asked to do nonaddicts). case. Congress’ prohibition against posses- flat See, California, Robinson v. enforced, sion, obeyed if amount 660, 672, U.S. L.Ed.2d S.Ct. to an infallible cure addiction. (Douglas, J., concurring). simplistic comparison; to lose weight, eat; appears don’t to avoid addic- It the fall of 1971 tion, possess dealing never narcotics. It there were 42 bills with various objected, course, pro- aspects problems ad- narcotics enforcement, Congress. hibition is difficult of diction Brief for the Gov- difficulty ernment, such of enforcement does at 90. The Bills of the House give ground 2220, 272, 273, court either to abro- were H.R. Nos. 131 and qualify gate Congress. 5714, 8436, 8389, 8621, 8861, or to act of exceptions prohibition 8880, 8881, 8902, 8944, 8985, 8986, What to the flat *19 being Therefore, majority hence, shaky foundations —consti- there on the judges interpretative— voting tutional, precedential, five to affirm all convic- tions, being majority by appellant, un- would be but there no initial advanced proposed that our new law either thinkable to write might own three methods congres- acting appeal, of these and undercut some the writer this Judges supported acquiesce in sional MacKinnon and efforts.74 We Robb Judge by affirming elo- in the our Leventhal’s method of Moore’s con- conclusion analysis quent vacating counts, of Con- victions on and exhaustive all the sen- gress’ passing imposed, remanding en- tences intent in the various to resentencing. District and the conse- In so actments discussed above Court doing, quent judicial we need for restraint. intimate no dissatisfaction originally imposed by with the sentences to new law Our reluctance make Judge suggest the District nor do we sug- Judge Wright not, appears to as disposition ultimate Moore’scase. ignorance gest, eyes “to shut our in persist injustice imita- in blind allow past.” of ac- tion of the Our course LEVENTHAL, Judge; Circuit with simply innovations tion is to leave the Judge, McGOWAN, whom con- Circuit body capable mak- this area to a more curs. are we. decisions on them than appeal This is from convictions un- extremely complexquestions difficult and 174, 4704(a), der 21 U.S.C. U.S.C. § problems involved of rehabilita- following police on, raid arrest il- tion of addicts elimination being appellant in, Moore a hotel room by licit traffic are best solved capping operation. used for a heroin investiga- kind of extended debate and permitted The verdict was rest on ev- possible legislature. tion Judicial idence Moore was modesty may not make the and restraint Appellant’s contention is heroin. headlines, they place. but have their improperly precluded prof- he was V. fering Conclusion as a he a heroin defense that addict, power without of self-control Judges The writer and Mac drug. respect concurring Robb, Kinnon and in this opinion, appel simply would affirm both put case was en banc consider lant convictions the sentenc Moore’s matters resolved in our en banc and. However, opinion es view does received. in Albert v. United Watson majority court. not command a States, U.S.App.D.C. 335, 439 F.2d Judges per- McGowan and Leventhal would After consideration convictions, juris- likewise affirm principles Moore’s tinent of common law for the doctrine, remand District Court prudence, constitutional give statutory further consideration of NARA dis including provisions, the 1970 position. Congress passed subsequent by law 9095, 9124, appears Judge Wright with this to be 9184, 9186, 9207, 9210, 9213, 9215, 9216, authority the action statement 9254, 9265, may very Judge Wright urges 10453. The that stifle, well 1174, 1189, encourage, Senate were Bills S. Nos. than the “case rather 1836, 2124, analysis and 2108. case” is called for just Report. Secondly, how House Judge Wright appears place much representative ex- are the sentiments appears reliance on a sentence pressed Report general in the House Congressional Report, H.Rep.No.1444, congressional feeling is no means cer- pt. 1, Cong., Sess., (1970), 91st 2d at 9 Lastly, report nothing tain. does Cong. 1970, p. U.S.Code 4566, & Admin.News judgment contradict point our question which states that oí congressional time enact- “ whether or not narcotics ‘can ments have struck a reasonable balance criminally responsible be held can which we should not interfere. ” courts, decided case case.’ impressed At 1255. We are not as At 1255. *20 Watson, permitting implementing inappropriate a and that is in view of the disposition through problems verifiability rooted the narcotic.

probation treatment, inadequacies knowledge. on we of our conditioned Our juncture judgment conclusion, present of conviction that at the conclude the compels justice should be remand- neither nor warrants affirmed and case ed, justice, judicial see of extension doc- interest of 28 U. kind degree trine, our for consideration of is based critical on S.C. further study disposition steps a Addict detailed of the under the Narcotic successive Congress (NARA). years, by taken Rehabilitation in recent Act heeding expert focusing its voices ponder In Watson to we started diffi- past mistakes, provision its and its posed by rigidity iron culties us and research continued reexamination. of inexorable ad- sentences narcotic context, In that we ultimate think the chargeable only possession dicts problems policy and be ad- law should purchase personal But in Wat- use. by Congress judicial dressed without approach son we did not finalize an intrusion time. at this validity conviction, terms of in view presented, record fo- as we Our conclusion that addiction de- dispositional cused on alternatives— recognized, fense not be even for should NARA. offenses, present at the juncture, does not think mean that we present case, In the we have out- an defense, contrary policy, right is sound conviction, forcefully attack on rather that the are such presented. presented issues question as prob- the ultimate consideration of the nega- a form of mens rea defense that policy require lems atten- of law and responsibility, tives and would legislature. tion a court only way While society proceed require judicial its function of cannot abdicate proceedings. of civil If we been had validity assessing of what the Con- prevailed rigidity faced with the gress intended, the court 1950’s, has done prison with minimum sen- must into uncer- also take account the knowledge, might respite, without we well tences present tain and the recog- state of joined opinion have an salutary Congressional lati- deference defense, nized on common law either finding' way cope tude in with the grounds or constitutional considerations problems of. heroin and addic- addiction or some of these. combination tion-related crimes. opinion parallels our While writ- recognize necessary Judge not Since Wilkey ways, ten some (or dependence) de- addiction insignif- narcotic approach not differences just dispositions in the opinion process— fense to secure icant. Our reflects provisions future, given the 1970 approach pre- of reexamination of an law, compelling to in- no reason we see viously, tentatively, if Wat- indicated in gov- ject into convictions the defense son—in which the doctrinal factors prior way this is erned law. In a cogent not as our examination been way corollary by of, increasing converse—to limi- awareness — Supreme of ret- knowledge modern doctrine in, Court’s con- tations technical say prospectivi- roactivity, or one aspects should cerning crucial of the narcotic ty. Walker, 381 U.S. thicket, Linkletter v. problem. This is a addiction L.Ed.2d 601 impenetrable 85 S.Ct. hope, re- we but one that judicial contem- decisions tough going, The fact that quires some- slow good plate changes future thing sharp scythe for the different from a past are sense, the mistakes judicial pro- brush. doctrine cut past and the administrative depend- left to the posed psychological broad permit- is not of this correction burden require ence defense would not adaptation to lay hand dead judicial ted to doc- extension conventional Con- perceptions needs. point modern out, trine, we but an extension versely, judicial OFFENSE, when intervention is I. FACTS OF AND DIS- necessary justice fu- to assure for the TRICT COURT DISPOSITION *21 ture, against judgment sound cautions Prosecution Evidence any approach judicial of overhaul. police An informant advised the of large, approach permits In the being heroin sales made in the Warren the courts to on each individual’s focus by “Crip '(room 15) Hotel Green” and disposition, condition in terms rather of (room 17), buys “Jumbo” and made on guilt than offense. substantive January police and 26, 25 under approach many strengths. This It has supervision. obtained, Warrants were strengths particular for the future January and executed on Of- When possibilities probation in view of the un- Daly ficer entered room 15 at about legislation. der the 1970 p. m., appellant 7:00 he found Moore junction point There is an awkward per- and in another man circumstances appellant like defendants of- whose mitting by police jury an inference and fenses, prior legislation, under were appellant’s possession of of narcotics on by imposed prior reached sentences also, a bed.1 we The evidence would May 1, questions of fair- Serious think, justified ap- finding have a by unavailability ness are raised of pellant participant capping was a range either an addiction defense or the operation, prosecution contended, as the dispositions possible of by made by appellant but this was denied and the 1970 Act. To some extent a court must put jury case was not ba- be satisfied if a trend im- sees companion Moore and his were ar- sis. provement justice. particu- of As to the searched; capsules rested and 50 case, appropriate dispo- lar we think the mixed heroin found in Moore’s were sition is to remand case for further charged pockets. trouser Moore was dispo- possibility consideration of the two Act counts —under the Jones-Miller appellant sition of within the structure (unlawfully im- § U.S.C. of NARA. ported substance) under the Harri- and path we have found not Act, was originally son enacted clearly marked. We have done much (package 4704(a) U.S.C. tax- searching, soul bed, reexamination of stamped) heroin on —as assumptions. Ideally, should we additional counts on the two preferred opinion to write an half pockets. in his long crisp. and twice as a But this was Theory emerged picture case of Defense where the inas a mosaic, defense, after theory the numerous tiles were referred to present guilt sorted defense, and laid out. We our as his Watson is that can- appreciation views with by proof full established strengths differing by present- non-trafficking addict, views a by colleagues. Congres- ed (a) our would be inconsistent with depth. screen”) Against “cutting (or 1. Room 15 is 10-12 feet a makeshift sieve opposite lady’s stocking the wall the door was a bed which fashioned of a stretched being room, key hanger, was used as a workbench. Two over a wire coat bed; up pistol. chairs were drawn one was and a occupied issue, Beverly, Sherman W. This does not involve case by Raymond encountered, adequacy other Moore. Neither of the sometimes holding anything possession, proof men two was his to establish defendant’s Holland, hands. On the bed front the men see United States U.S. (1971) ; App.D.C. was a mirror and a record album cover on 445 F.2d 701 cf. powder heap Stevens, each of which was a of white R. Con C. Whitebread H. containing heroin. Also on the bed were in Narcotics Cases: structive Possession large empty gelatin capsules, Not, number of To Have and Have Va.L.Rev. capsules containing heroin, mixed unopened package hypodermic needles, resting, re- intention, (b) Before defense counsel constitutional sional pre-trial developed appellant’s particularly the court principles, ferred non-trafficking testimony, California, 660, 82 Robinson v. 870 U.S. buy nar- (1962). The came to the room addict who L.Ed.2d S.Ct. supply supplement rejected Watson cotics to trial court defense, this so-called testimony proffer pocket, denying made a defendant’s first McKinley Gore, indictment, former addict and of motion to dismiss the denying excluding the Dis- counselor of later evidence Treatment requested trict of Columbia Narcotics instructions. (NTA), ad- that some Administration *22 through proffered, Defense counsel daily, capsules more dicts do use than testimony Kaufman, a Dr. Harold capsules in their or more have 50 and psychiatrist Eliza- on the staff St. been possession, appellant had and that Hospital, by out of heard the court beths pro- methadone enrolled the NTA jury, appellant presence that gram 9, his and 1970, since December inject compulsion heroin and had a good.3 were chances for rehabilitation illegally, possess that heroin therefore to gave instructions The court standard addiction, appellant suffered from charge offenses, cover- on narcotic that was not mental disease charged: possession. ing He constructive prof- a “disorder.” but Dr. Kaufman’s ad- a narcotics “It is not a crime to be testimony (see amplified fered below narcotics, dict, stand- nor is the use of suffices, thereto). fn. 11 and text It alone, de- ing court a crime.” The present purposes, was defendant that appellant’s Wat- clined instruction an on claiming under the that he was appel- theory, apparently, son and also pharmacological “withdrawal” duress of requests for “mens rea” instruc- lant’s at the time of the The claim offense.2 defining addic- tion and an instruction psychological rather on com- focused tion. pulsion inject heroin. Sentencing ruled court defense there nowas 24, February 1971, jury found On non-responsibility ground nar- on guilty Moore on Febru- all On counts. addiction, except part cotic of a de- ary court an com- 26 the entered order insanity insanity. fense of defense mitting pur- defendant for examination negatived by was own Kaufman’s Dr. Addict suant to Title II of the Narcotic testimony, proffer and the testi- of his (NARA), 18 Rehabilitation Act of 1966 mony rejected. de- was Defense counsel appeal U.S.C. 4252. A notice of § cided not to introduce evidence. further April 13, filed March 1971.4 On sought point 2. As was at be claimed one situation narcotic addicts universal during stages that Watson, Albert see Watson v. United rehabilitation their will States, supra, U.S.App.D.C. attempt at on occasion use or continue to 439 F.2d note 8. use, narcotics, is a and that part proc- normal of the rehabilitation (Tr. 290-91) 3. Proffer : testify ess. He would further that Mr. testify “Mr. Gore would that Mr. level of Moore’s methadone intake Moore has been on consist- methadone present been that at increased and ently (Dec. ; engaged 9) since that he is shortly, time, or as to it will be such in a considerable amount of counsel- unnecessary make Mr. Moore’s further ling programs, Raymond Moore’s resorting taking any to the narcotics.” rehabilitation chances very good; were con- appeal that he has seen 4. The notice of form an calls for growth during entry siderable judgment Mr. Moore on “Concise statement of the time of his order, giving with the association date, sentence.” programs, treatment guilty and that he be- Defense counsel inserted: “Found beginning get lieves Moore violating Mr. counts of two 26 U.S.C. § * * problem. the root of his 4704(a) addiction violating two counts testify He would is almost 174; committed for examination U.S.C. Danbury appellant the NARA staff Federal The court sentenced to concur- reported years, years.7 Correctional Institution terms rent of 6 and 2-6 “was an ad- District Court that Moore dict, psychologically physically both II. FOR REVERSAL CONTENTIONS dependent likely on heroin” but was not By Appellant A. Counsel for to be rehabilitated treatment.5 appellant representing Counsel in this sentencing proceeding, At held signally court are well-informed8 appeal June after the brief presentation, have made an effective appel-

had been filed in this court follows: appointed May late counsel defense Appellant appears an addict —as Danbury’s trial counsel submitted that testimony from his own was us- appellant conclusion did not is an mean average per day $60 unwilling patient one offense; who does heroin9 at the time of the Of- Daly’s testimony appellant cure, ficer want a reflected the fact addict; report was an 1969 NARA Danbury complete pro- uses a abstinence *23 judge of the then D.C. Court of Gener- gram not and the methadone method Sessions; al April and the treatment, with which Mr. Moore had report judge. NARA of the trial It was cooperating. judge been the trial When proffered that would Kaufman testi- Dr. sought appellant confirmation from con- fy appellant suffers, from not cerning record, his criminal defense trial illness, mental but from a mental disor- long counsel conceded he had a criminal “drug special der of a character called record but submitted that it was “the addiction,” “drug subject that he by record of a man forced his addiction dependence morphine type” as defined to commit these various offenses.”6 by Organization,10 and World Health II, under Title Narcotic Addict Rehabili Beverly, 7. As to co-defendant who had Act, seq.” tation 4251 et U.S.C. pleaded guilty, 4704(a), under 26 U.S.C. § by On docket sheet maintained invoking on a motion discretion appears Olerk of the District the ap- Court McCoy court under United States. notation: “Mar. Notice of 1971. (1966), U.S.App.D.C. 177, 363 F.2d 306 peal committing from order deft for exam 23, 1971, on June sus District Court under NARA.” pended imposition placed of sentence and Beverly years. probation on for two report 5. Govt.Br. 2. The NARA said: “ (cid:127) expeditiously prepared 8. The brief was . . . Mr. Moore no shown original- Hutt, Esq., Peter Barton counsel wanting help motivation whatever ly argument appointed this court. The * * problem. himself with his narcotics presented, notice, was on Patricia short addition, extremely In he detri- Wald, Esq., appointed by M. court pro- mental to the other individuals in the co-counsel, having Mr. Hutt entered gram attempting who are to deal with on service. and Government Mrs. Wald problem.” their narcotics Mr. Hutt were co-chairmen Survey Drug Ford Foundation’s Abuse quit 1946, aged Moore school after Project. Project Report Ford completing grades. That summer published title, Foundation was under the began shooting heroin. Since then his life “Dealing Drug (Praeger Abuse” procession scrapes has consisted of a 1972). law, embracing with the some 15 convic- tions, including felonies, two housebreak- Higher average daily $45 than the cost robbery. Between mid-1946 reported by NTA’s the D.C. January years, 23 and one-half program. of Senate on Staff Committee spent years jail Moore some 13 Columbia, Cong., 91st 2d the District of prison. always Moore returned to the Sess., Study Drug Abuse the Wash- use of narcotics within a few weeks after ington (Comm.Print 1970). Area 15 each ported sup- release. He concedes that he years by shop- his Organization Expert habit over the 10. World Health lifting, pimping, gambling, robbery Addiction-Producing Drugs, Committee on bootlegging. Report, Tech.Rep. Thirteenth WHO * * * appellant addict,” e., While an “old i. the one as other. punish continuously only a it and unusual to one who had not is cruel craving ad- physiological psycho- in his acts inherent but also addict logical diction, certainly compulsion not inject heroin.11 could argued appropriate adequate principles of 2. Basic common law including treatment, rehabilitative responsibility capacity en- heroin, anything withdrawal show that he “so title defendant to ap- preferred the Appellant but humane and habit-forming far addicted to use proach. short, does power have lost the narcotic toas urge has a constitution- that an addict ad- reference to self-control with his legal right purchase al or other rendering drug-related diction” thus injection. possess heroin for “involuntary.” actions charged Neither the statutes By B. Amicus Curiae indictment, nor the Controlled Sub- filed, A leave of reflective brief preclude application stances Act of 1970 Washington court, Area behalf of the principles. of these basic Drug Abuse Alcoholism and Council on jurispruden- preclude supports If do such (WACADA), the statutes counsel, application, Eighth argument appellant’s tial then the Amendment princi —which embodies the same core further submits: ples appellant’s morality con —bars Our enforcement forces are law California, viction, under Robinson v. equipped deal behavior with criminal L.Ed.2d 370 U.S. 82 S.Ct. generated by on the the thousands scale denied, 758, rehearing 371 U.S. *24 addicts, 17,000 officially estimated (1962), and 9 L.Ed.2d 166 S.Ct. (a) District, daily reside in the who are Texas, U.S. 88 S.Ct. Powell (b) violating en- narcotics and the laws denied, rehearing 20 L.Ed.2d gaged sup- activity to in other criminal 21 L.Ed.2d 393 U.S. S.Ct. assign- port The the narcotics habit. responsibility principal deal- ment of for (Br. 102): Appellant concludes drug addiction to with the justice compulsive system, . inher- instead of institutions acts [T]he addiction, has in a better to deal with

ent condition are no more suited disease having expen- produced blameworthy been the disease a failure has than community.12 punish itself. sive and intolerable to the It as barbarous to wbo, by by 9,13 No. That defi- continued use of narcotics one Series 273 at physically addicted, though longer the nition lists the characters of disease no drugs. inject continuing as follows: a obsession to (1) overpowering appellant an desire or need to all the WHO doctor saw taking drug basically characteristics, a continue and to obtain he found the but by any means; drugs compulsion it the can obtain need be satis- to seek and initially by years drug ruling fied taken had his behavior been morphine-like (Tr. general, properties; 199-204). another In doctor with (2) tendency begins “psychic testified, a to increase the dose a addict” such development tolerance; e., owing by taking drugs physical reasons, i. (3) psychic dependence “high” a ef- and later to ward off to attain subjective drug symptoms; period fects of to a related withdrawal after appreciation years, drugs and ef- individual those take of five or ten need to ; acquires and fects and an autonomous characteristic “involuntary physical dependence on the ef- to resist” renders the addict presence drug requiring compulsion inject drugs (Tr. fects of its 202- 203). opinion, appellant, of homeostasis re- maintenance the doctor’s sulting definite, characteristic, being addict, “com- an would be such syndrome pelled” self-limited when in some manner abstinence to obtain drug (Tr. 203-200). is withdrawn. said, particular, appellant 11. In some the doctor The amicus brief states that while pattern heroin, evidenced a characterized character- behavior violent criminals use pre- clogged system is and behavior. the Council judicial While simple exemption, statutory in the study, fer conducted A 1971 distorted. Agency, “the result we seek situation indi- exists Bail official of the D.C. charged come the context of must about within cates that all defendants ‘responsi- principles of Columbia, ap- common law crime in the District of means, bility.’ it. So be We dislike proximately an indication 50% present but we convinced that use, of charged of these were narcotics 40% desperate, conse- offenses, situation solely narcotics unacceptable. quence of its continuation primarily possession. Even the select urge to hold the Court recognizance therefore group We personal released on Raymond similar- and others Moore addicts, show a recidivism rate for may present ly the defense situated 24%, almost twice the rate all other * * * the nec- [as] their addiction However, offenders. addicts released essary process step13 first condition at D.C.’s NTA of treatment system making justice the criminal had a than recidivism rate less half that identifying addicts instrumentality for of other addicts. properly they may treated. so that agrees The WACADA Council consequence of con- . [T]he justice system the criminal should hold inability fessing law’s to the criminal non-drug crimes, who commit drug that the crimi- control addiction though with “treatment rather than sim- ple incarceration,” but submits it should problem, part process nal becomes the solution.” part of than rather possessors drugs, reach mere 23-24). (Brief at public thus burden facilities without benefit in deterrent or ef- rehabilitative power fect. A defense of lack of to con- BE DE- III. THIS CASE SHOULD trol his permit behavior would OF THE CONTEXT CIDED IN under, treatment D.C. CONGRESSION- OF EVOLUTION Hospital Act, Treatment 24 D.C.Code § PREMISED AL LEGISLATION seq. (1967), 601 et institutions devel- USE MAXIMUM BROADLY ON oped designed to deal with ad- NAR- OF OF REHABILITATION diction. COTIC ADDICTS. *25 The paradox, Council sees a in- but no Inquiry Focusing on Our The A. position in consistency, its that addicts the Law should criminally not be responsible held for necessary Harrison satisfy actions and to Act addic- The Jones-Miller tion, possession while prohibit rehabilitation nar- did not centers Act trying provisions to make addicts such, bear under more re- cotics as sponsibility “possession” for their welfare frequently to as and referred behav- others, including ior to to offenses, proof crimes sufficed and

istically passive searching ticularly the heroin user for role models and those typically they engages low-grade criminality accepting group in which to —property theft, Dupont, (num- and minor vice adminis- Robert adhere. Dr. can — running, gambling, pimping) bers Treatment Narcotics trator of the D.C. pattern being typical. in (NTA) Moore’s that Agency estimates young energy area, The addicts’ men lack of and need Model Cities 24% steady supply young perfectly cast them between 15 and 36% dealer, their steady role of addicts. small are heroin and 24 5 to 10 between 20 men programs Rarely study 5,892 retail NTA customers. in does A ages drugs August non-addict deal below retail shows 33% virtually level. It unheard of for an under 68% addict to become involved in the higher level, trade step at a will addict not where sustained since 13. It is first organized entirely. necessary. process effort are But “avoid the criminal phase Widespread system judicial especially bring addiction into has an it will par- young, reality.” deleterious influence on the focusing importation, However, or of the 1970 on on sustain conviction of purchase law. non-stamped package.14 issue, the defense in in a we have come the conclusion that while there are occa- repealed by These laws were the Con- legislative judicial sional statements trolled P.L. 91- Substances Act might have been seized on indi- that as wrought significant 518. That act three cations that the earlier in- were not laws changes. First, expressly prohibited it applicable persons pos- tended to be simple possession of narcotic as sessing purchasing heroin their 404(a), substances, controlled see § use, essentially own insub- these were Second, it made that of- U.S.C. § would, wisps stantial incidental- —which reducing misdemeanor, sharply fense a penalties ly, who have also excluded mere users might applied per- lack- had lost “control.” As to the possession. sons mere evidence of issue, of-eontrol even we conclude that Congress important, repealed Most law, in the 1970 with its more moderate provision, included the Price Daniel Congress approach, did intend to (note 18, infra) ofAct had provide drug dependence for the kind of precluded probations suspended sen- urged. appellants de- defense velopments tences toas most convictions under the out of the 1970 law round Acts, Jones-Miller and see Harrison assuring injec- picture, us 7237(d). U.S.C. Probation now drug dependence tion aof as to defense prohibited only “continuing in case of a prosecutions laws, prior under either enterprise.” U.S.C. § they law, view, as fade from or the 1970 Appellant’s counsel submit that his impermissible judicial would be an in- principles contentions rest on broad terjection. develop subsequent We require disposition the same on parts opinion of this why the reasons we prosecutions the merits under both do not believe that the de- courts should the earlier laws and the 1970 law. velop a defense such as an extension of urged us, effect, Counsel have to con- general jurisprudence provides sider the conviction as if were under it setting prosecutions. for criminal argument They the 1970 law. make no Congressional As issue of contem- particular provisions based or plation, glean con- fact we its history prior earlier statutes. large tours exami- measure from an appropriate broadly We think con- developments nation of current in nar- applicable principles Congres- sider legislation is, broadly considered, cotics light sional intention in the of the 1970 think, approach we taining for ascer- sound short, appellant’s validity law. legislative intent.16 appraised equiva- conviction will be respect lent all material one en- Increasing Severity B. knowing tered under the possession. law Legislation the 1950’s

Understanding Congres- pertinent of by areWe aware that this sional intent re- will be aided first is somewhat unusual, calling particularly Supreme legislation since the Federal narcotics recently held, 1950’s, Bradley Court has laws have been char- States,15 turning pro- United that the acterized 1970 law’s of the screw. permitting vision probation the use of mandatory minimum, proba- The no accompanied by henceforth was another tion, no-parole provisions of the Federal provision precluding its for use offenses original laws were Jones-Mill- prior committed date effective of er and Harrison Acts. These features States, supra, Llewellyn, 14. Watson v. United 141 16. Karl N. The See Common U.S.App.D.C. 344-345, ; F.2d 2 439 Tradition 529 Suther- Law land, J. Statutory 451-452. Construction Statutes (3rd 1943). 4506 ed. § Bradley States, 605, 15. v. United 410 U.S. 1151, 93 S.Ct. 35 L.Ed.2d

H67 penalties vere and marihua- were installed amendment narcotic rising 1956, tide in reaction na law violations.” drug abuse. The Reassessment 1960’s C. 1951, 82-255, Boggs The P.L. Act continuing The 1960’s witnessed two-year 767, placed a minimum 65 Stat. in- reassessment of and an approach, under on convictions sentence creasing acceptance realization and The and Harrison laws. Jones-Miller satisfactorily could not Government Report prevailing deemed sen- Senate drug prob- cope with the narcotic abuse unequal of stem- tences to the task concentrating lem on law enforce- ming appear drug “It would abuse.17 theory deter- ment activities and a punishment . that the which has rence, that there was need for removal been law afforded narcotic violators mandatory terms and reestablishment an not been effective deterrent.”18 authority, probation parole recognition of addiction dis- as beset 1956, The Price Daniel P.L. Act of aspects respond ease that could in some 84-728, Stat. mini- raised the multiple treatment, measure to paths penalty mum for a violation experiment of research and years, law five and in Jones-Miller aspects keeping with the diverse addition, no-probation introduced the problems. provision codified at 26 U.S.C. § 7237(d).19 Report The House stated: on Narcotic 1. White House Conference “Drug addiction not a It disease.” (1962): Emerg- Drug Abuse The optimism evidenced in- considerable Commitment; ence Probation Civil creasing penalties cope Parole drug problem. pen- claimed the 1951 It was the first White watershed traffic,21 alties had reduced narcptic Drug on Narcotic and House Conference Abuse, “problem illicit traffic continues September 27, 1962. convened leniency respect areas where Conference, working paper sentencing of convicted is an traffickers Drug Report Hoc Panel on of an Ad pattern It established in the courts.” drug Abuse, as a indi- identified abuse increasing severity recommended in sen- underlying of an character disor- cation der, justified by tences factual evi- “the manifesting inadequate personal- deterring proving cope ity dence value of se- stresses of with the unable Cong., S.Rep. 17. No. 82d 1st Sess. violations 26 U.S.C. which included (Harrison Act). H.R.Rep. Cong., No. 84th 2d Sess. 18. Id. The Commissioner of Narcotics was Cong. (1956), & Admin. U.S.Code quoted, pre- on the basis information p. News during hearings, inadequacy sented on the average (18-month) Cong. sentences for & Admin.News Id. U.S.Code p. year violators: sentences “Short do not deter. “The 1952 was ** * year postWorld peak There be a should minimum sen- II War years probation period tence of 5 without arrests for narcotic law viola- parole, just dry up I think it would about narcotic law [and tions. dropped. the traffic.” Id. The Committee was . . Your com- arrests] . principal told that abuse was not a serious mittee was advised *27 problem country in those sections of traffic as the cause of the decline narcotic judges reputation by where the had for im- number evidenced the reduced posing long provided penalties sentences. arrests was the severe by of the amend- [1951 the enactment prohibited probation, suspension 19. This or ments.]” sentence, upon (i) conviction of viola- Cong. 22. Id. & Admin. U.S.Code Act, (ii) tion of the Jones-Miller viola- 1956, p. News 3283. 4705(a), 4742(a); tion of 26 U.S.C. §§ (iii) second, subsequent, Cong. offenses Id. U.S.Code & Admin.- punishable 7237(a), p. under 26 U.S.C. News recognized significant do It that we A voice at the normal life. Conference origins Dodd, the of the disor- not understand of Senator Thomas J. addicts, types of ders of the various Chairman the Senate Subcommittee them, posited opposed that even Delinquency, to cure on how Juvenile who rigid imprisonment has been ter- an individual whose abuse of the features support provided law, illusory must be with minated as of value in deter- supervision damaging impact. or he could not survive rence and Without relapse.24 leniency professional without stress for “the criminals racketeering” at the vortex of narcotic particularly ad- The Conference was “excessively there must reform of legislative developments in vised of the primitive and inhumane treatment now ten York. After California and New essentially meted out to those who are increasing prison terms, years the victims of the racket.” He narcotic might legislature realized this California recommended: public panacea mind but seem a effectively prob- cope problem with the could not addiction is es- legislation study, passed sentially problem, psychi- lem. After establishing a medical centers, avail- problem. by rehabilitation It atric cannot be solved prison a court after able certification merciless sentences. I believe provision addict, of an with conviction that the law should be amended to re- supervision peal mandatory after institu- penalties for controlled minimum proba- possibility tional treatment.25 to restore parole tion and nar- rehabilitated force, law, yet in The New York cotic offenders. pro- further, permitting criminal went provision ceedings stayed, responses with stated Dodd Senator facility subject medi- to a inquiries committal showed Committee’s to his out-patient majori- supervision, release to supported cal were these views supervision, probationary officers, and abatement probation Judges, ty of Federal legal proceedings on successful States and United prison wardens completion program.26 attorneys.27 Proceedings, weighted Conference alike, White House down are who futility Drug hopelessness Abuse 293-4 bitter Narcotic seemingly, into (hereinafter “Proceedings”) stretch sentences * ¤ ”* infinity. (Analysis of 25. Id. State Sena- ff. Judge M. James District S. From U. Legisla- Regan, tor Edwin J. California Carter: ture). ago years ninth circuit at a “Several vote unanimous was a there conference (Analysis H. of Richard 26. Id. at 184 ff. mandatory man- against sentences. Kuh). in- datory extreme work sentence can gave these ff. Dodd * *” at 228 Senator * Id. justice. attorney data: Gascli, then U. S. From Oliver Against pro- of Columbia: District for the Against hibition philosophy opposed “I am probation minimum parole sentences mandatory Even in narcotic minima. .... allo- Prison wardens should be some discretion cases 92% 97% judges judge. .... The answer to District cated 86% 73% an ideal officers .. traffic is Probation elimination 86% 83% Attorneys I would recom- ... difficult of realization. U. S. 55% 50% long explanation with “conditional” follows: mend sentences His you representative parole Why? give supervision by authorities.” I will close Eugene Dupuy, Pro- F. Chief S. From U. answers. Orleans, Bennett, Officer, Director of Louisiana: Y. bation New Prom James “Existing emphasize punitive laws Federal Bureau Prisons: Federal, dealing illegal drug “Prisons, aspects both State Presumably, years immediately ahead will be reason for traffic. inevitably problems approach penalties is that faced strict expected offenders, *28 narcotic addict and nonaddict serve a deterrent

1169 drug per- Ad- is a abuser sick President’s 2. Recommendation of They (1963) his crimes to an visory Commission son. attribute compulsion for which he should inner 11076, signed Janu- Executive Order responsible held under our code not be Fed.Reg. 477, 15, 1963, created ary justice. They feel of criminal Advisory on Commission the President’s drug be treated for abuser must Drug Abuse, rec- to submit Narcotic and punished. rather than sickness evaluation on an ommendations based disease is incurable and feel his Some The Com- House Conference. the White on the he be maintained should distinguished by mission, our chaired drug. Judge colleague, E. late and revered report Prettyman, accept its rendered ei- does not Barrett This Commission 1,1963.28 attitudes, extreme November ther of these aspects certain of each. subscribes philosophy Basic ** -x- drug who steals The abuser Philosophy” section drugs The “Basic finance his habit or sells who report Prettyman re- Commission guilty other Like is of a crime. printed House Com- in full in the citizen, conse- face he should Report, stated that mittee held quences. he can be Whether measures, law, previous added criminally responsible de- can be virtually part or in effectuated whole courts, The case. case cided pertinent general made all recommendations cannot assert Commission drug every the Presidential Commissions confirmed abuser rule that (Prettyman Commission) is impelled that he his habit is so Commission).29 (so-called Katzenbach under for his acts not accountable Prettyman This how the Commission is law. Philosophy: stated its Basic penalized, is to If the abuser drugs has aroused two abuse spirit penalized in not be should punitive extreme attitudes —the concept of modern retribution. permissive. penal- apply criminology should —that offenses. as well as fit offenders primari- ties people Some are concerned drug ly with the effects abuse per- designed to Penalties should * * * community. Because wher- rehabilitation mit the offender’s drug return to most serious abusers Although society possible. must ever peo- themselves, if left to these protected offender from the often be ple down the abuser would shut specific time, penalties cases for a long pos- away society for as recognize reforma- the need for should sible. tion. attitude, others to this contrast long sen- effect of The deterrent usually is hold serious abuse vigorously debated. Some tences symptomatic disturbance of mental Cong., H.R.Rep.No.91-1444, prob- 91st greatly reduce the or eliminate 8-10, seq. (1970), valid, 16 et premise Sess. U.S.C.C. manda- lem. Were this 4566, 4574-75, (1970). The tory A.N. for all crimes minimum sentences Report in The Katzenbach Commission I that all would be the solution. believe persons on Law En President’s Commission with of- who worked approach forcement the Administration fenders that such an know Report: Justice, per- Task Force Narcotics . . [The] doomed to failure. . Drug (1967) (hereinafter problems Abuse son with mental emotional Force). support sup- Task who needs will seek irrespective legal port, social con- Report, sequences.” 30. 1963 at 2-4. Report, Advisory 28. Final The President’s Drug Commission on Narcotic and Abuse (hereinafter Report). *29 Specific of recommendations the threat indicates that evidence non-using long deter sentences Prettyman Specifically Commis- the necessarily traffickers, it does the fol- sion included recommendations drug Deterrence abuser. the deter essentially lowing : appeal normal sense to a an parole: (a) probation and As to abuser the reason which of sentences, mandatory That minimum narcotic persistence of The lost. abuse, prohibition probation, suspended and sentences, of penalties despite for severe parole, modified so be and persuasive narcotics, is

possession of sentencing judge dis- have full risk a will the abuser evidence sentencing those whose cretion in the of drug. long for his sentence possession narcotics with- offense is of (and this Com- general philosophy of for marihuana intent to sell all out The offenses).31 parts: in three be stated mission can drugs (b) to civil commitment: illegal As (1) traffic The power full with New York and attacked After discussion of the should be *** programs, Commission government. California federal of a federal civil com- recommended “that be (2) should individual abuser The provide mitment statute be enacted to *** rehabilitated. handling fed- alternative method of Drug the law users who violate erally nar- convicted offender who is a marijuana be purchases or sales should cotic or user.” small society recognize de- what made to Addict 3. Civil Commitment: Narcotic instances, these them. In of mands (NARA) Rehabilitation Act of according applied penalties should be Prettyman proposals Commission present code principles of our to the emerged, with as to civil commitment penalties involve justice. When modification, Ad- some the Narcotic however, rehabilita- imprisonment, dict Rehabilitation Act individual, than re- rather tion of the pro- (NARA). NARA was intended punishment, should be approach, tributive rather vide rehabilitative purely penal was major objective. one.33 NARA than Report, 39-42. there was ment of conviction. Otherwise resumption proceedings provision It also recommended imposition quantities intent with of narcotics of sentence. small subject imprisonment to sell be —but Cong., S.Rep.No.1667, 89th 2d Sess. mandatory minimum —and to without Cong. (1966), & Admin.News U.S.Code probation. parole, but not report 1966, p. based on 4245. This specific testimony hearings recommenda- in the Id. at with authority Prettyman Discretionary including: Re- Commission followed tions exception port. judge, for certain The Senate Committee stated: if the legislation], expert advice, proposed cases, acting upon [the deter- S.2191 represents re- offense is a fundamental mines that the defendant’s “and that innovative reorientation toward to his lated abuse grounds problem for belief addiction and the reasonable there are brief, handling drug addicts. can be rehabilitated the defendant suspend judge upon simple treatment.” that Bill is based historically sentence, that nar- the care of the unassailable fact and commit merely Attorney period General, least a cotic addiction cannot cured imprisoning ; by prosecution months, possibility of return of six community pa- addicts, hence, as a even those who of defendant narcotic offenses, supervision by rolee, have committed criminal should under close federal probation officer, provision in- treated common criminals community Instead, patient spirit retribution. S. wher- services possible. approach ever For event successful 2191 takes the more realistic seeking completion program, to utilize flexible tools there was proposal discharge expunge- psychiatry, and court re-education medicine

H71 *30 phi- drug required personal congruent for which he D.C. law’s with the 1953 seq. use. 601 et losophy, 24 D.C.Code § people, (1967), sick were that addicts requires a determi- Civil commitment per- hand, helping need who a by nation the that the narcotic ad- court of order for confinement a court mitted likely treat- dict be rehabilitated is to “drug However, Act a the user.”34 D.C. to is committed Under Title I he ment. “any expressly inapplicable to was made person Surgeon custody General the charged . . . with a up insti- treatment months—in an to 36 offense,” 603(b). NARA 24 D.C.Code § tution, or on additional release provided com- for civil went further and completes successfully community. If charged persons with mitment even of crimes, program, the criminal treatment re- deemed case of crimes otherwise, pros- charge dismissed, is excep- drug (with certain lated to abuse may Title ecution be resumed. Under tions). person II, committed the convicted custody Attorney who General provisions NARA commitment treatment, provides provi- for his with provisions com- for civil The NARA super- under sion for conditional release sum- mitment narcotic addicts of community, after six vision marized as follows: in- in a treatment months commitment pretrial for treat- Title commitment I— stitution. ment, prosecution, in lieu of of charged U.S.C. Federal crime. 28 with Dis- Rehabilitative Restoration D. of 2901 ff. § Judge: Sentencing cretion of II—commitment for treatment Title Act Substances Controlled crime. 18 addicts convicted of Federal 1970 4251 ff. U.S.C. § pertinent recommendation The other treatment Title III—commitment (1963) Prettyman Commission charged any Federal persons with (1967) for and Katzenbach Commission petition by crime, addict or on a authority discretionary restoration ff. individual. 42 3411 related U.S.C. § sentencing (probation, includ- judge the ing suspension sentence; mandato- no and was Eligibility Titles I II under e.g., minimum) parole, accom- exclusions, ry was subject statutory Act charged plished by Substances person crime the Controlled charged II of as Title person This enacted with sell- of 1970. was violence.35 A Drug Comprehensive Preven- drug Abuse 1970, ing Ti- excluded narcotic 91- I, P.L. if tion Act of II, the sale and Control tle but not' from Title Prettyman This 1236.36 a narcotic Stat. was enable him to obtain neighbor- job family The Act training, to his addiction.” reference hospital— provided supervision to a to cure for commitment in an effort hood society there for rehabilitation” —until him “confined and return the addict (1) cured, drug emotionally prepared physically or user drug temptations benefits. D.C.Code maximum return to received resist 609(a). approach— This § abuse primarily and crime. than rehabilitative rather States held valid United 35. This was every firmly supported penal —was U.S.App.D.C. Fersner, v. before Sub- witness who testified (1972). exclusions were F.2d 605 Other committee. States, v. invalid in Watson United held term 34. 24 Hamilton, D.C.Code § supra; States United “drug defined, 24 user” D.C.Code U.S.App.D.C. F.2d any person 602(a), “who uses to mean any habit-forming drug endanger so as accomplished health, safety, comprehensive public morals, wel- act 36. The mechanisms, fare, control redefinition or who is so far addicted use dangerous habit-forming sub- reclassification of such narcotic broadening provided stances, power and also self control with to have lost (text exculpation, provision Commission recommendation did embrace supra) probation parole. note 31 was reiterated treatment while on En- the President’s Commission Law Attorney Mitchell, outlining General forcement and of Jus- Administration proposal the Administration’s tice,37which stated: hearings, emphasized need for tailor- disposition requirements “to the The Commission recommends: State addict,” violation or the narcotics give and Federal laws should *31 length detention, possi- both in and in enough large measure of discretion to bility of rehabilitation and treatment the and correctional courts authorities probation parole.” “while on or flexibly to enable them to deal with taking violators, approach nature account of the This reflected in the was offense, report seriousness of the the submitted Dodd Senator prior record of the and other in offender behalf Judiciary of the Senate Com- relevant circumstances. mittee and line with Senator presentation Dodd’s the White to message, The President’s 1969 while Report40 House stat- Conference. recommending expansion of rehabilita- ed: recogni- tion and research measures obligation society help tion of to an apparent It had the also become that dependent “genuinely people” severity the penalties including sick the helps drugs, length stated their sickness to that the sentences does not affect explain, excuse, drug- the crimes drug but not extent of abuse and other they However, commit.38 Adminis- related violations. The basic consider- tration made clear that its concern increasingly ation here was that people, extending such longer sick legis- while not sentences had that been scope research, education, Hearings Legislation, and re- 39. See on Narcotics programs. I, Investigate habilitation Title “Reha- before the Subcommittee to Programs Relating Drug Delinquency bilitation Juvenile ciary Committee, of the Senate Judi- Abuse,” provisions appropri- Cong., includes 91st 1st Sess. 216 authorizations, expanded (hereinafter ation an role for Hear- 1969 Senate HEW, programs ings). broader treatment hospitals personally Public Health and more Service I believe sentences scope persons “drug reasonably for treatment of are calculated to be deter- . dependence problems” give in treatment facili- rents to crime and which also will Community judges flexibility ties established under sufficient to tailor the Act, requirements Mental Health Centers 42 U.S.C. sentences 2688(a). drug violator or the narcotics addict. only logical Prison is not the alterna- Challenge 37. The Crime a Free So- cases, tive. some be advis- ciety (1967). pro- able use Federal rehabilitation Danger- 38. See “Control of Narcotics and halfway grams, private houses and medi- Drugs,” Message ous President’s to Con- probation cal treatment while on gress, July 14, 1969, H.Doc.No.91-138, parole. Perhaps promising the most al- Cong., Sess., reprinted 91st Cong.Rec. 1st at 115 approach ternative is to the narcotics 19327-28 Part VIII function; violator in relation to his states: professional trafficker who should be Considering involved, including the risks given possible; as severe a sentence as prosecution, those of arrest and the casual the casual and intermittent user iswho experimenter any kind, must perhaps only experimenting out of curi- very least, be considered at the rash and osity; mentally physically or the ill psychologically dependent foolish. But the addict, help, who without additional can- regular physically users and the addicted not break a confirmed habit. generally people. sick While this also, July 15, See 1969 letter of they sickness cannot commit, Department excuse the crimes submitting of Justice help explain it does them. Administration bill. Id. at 909. Society obligation has both to itself people help S.Rep.No.91-613, Cong., and to these them break 91st 1st Sess. dependency. the chains of their

H73 proval probation past lated in expected had not shown on condition of reduction in law overall treatment: all cial class of violations. The field of hamper The main [*] mandatory position penalty provisions law violations [*] process penology thrust of [*] minimum sentences for professional mandatory except of rehabilitation has to eliminate [*] maintained change criminals. sentences [*] spe- their them will be in need of medical treat- judges, ment these prescribed sions of this & Admin. News many probation (at Committee persons undergo treatment defendants administering judges section, 1970,p. 4617). is confident will U.S.Code coming will some require condition recognize form of before provi- Cong. that equally It offenders. been Statutory provisions penalties in- such maintained *32 The Controlled Substances ofAct 1970 fringe judicial by on the function not place prohibition pen- collects one and allowing judge use his discre- to alty provisions previously scattered; tion individual cases. simplifies determination of conduct what Foreign The House and forbidden; Interstate penalty is and standardizes provisions whereby penal- Rep. pattern Committee, Commerce H.R. No. a ties bear some rational and continuous 91-1444, Cong., 19, 2d 91st U.S. Sess. relationship forbidden to acts. Offenses Cong. 1970, p. Code Admin. News & involving drugs (1) high carry a which (1970), expressly implementing 4585 recognized abuse; (2) potential for no Presidential Commission’s recommenda- danger purposes medical of ad- and sentencing flexibility pro- tions “to consequences, treat- diction or worse greater vide for rehabilita- a incentive ed involv- as more serious than offenses tion,” report: in its stated drugs. ing less-dangerous, more-useful simple possession The misdemeanor of in this Action. As discussed earlier drugs personal (for of controlled one’s report man- all elimination of almost use) subject a maximum made to datory sentences, minimum well as as year $5,000 penalty fine. An of and one prohibition against elimination of the per- $5,000 year fine was additional probation parole of- of narcotic subsequent second and mitted fenders, accomplished by bill. offenses.41 Furthermore, significantly, terms were mandatory minimum No single provided law, by specifically ap- with a the 1970 House Committee voiced Attorney with files an information 41. 21 House 844 The U. S. § U.S.C. 11, stating previous Report Act, convic that on the the court 1970 upon. 1970, p. Cong. Subsection relied & Admin.News would be U.S.Code tions may provides (a) (2) provides that an information “The also states: bill illegal possession in if the this section filed under that controlled be of imposed punishment may by be a creased own use is an individual his years, up unless misdemeanor, a of three a term excess [one] sentence year imprisonment This section indicted. the defendant was and a fine of not more provides is raised $5,000 if an issue also than both.” or prior conviction, Act, issue shall 851: U.S.C. §Cf. jury. by prior “Proceedings a without decided a court convic to establish is, apparently, sim- by The intention filed United tions —Information Attorney.” States misdemeanor, ple possession provides a a This section punishment person by from one increase in of an reason convicted offense years prior element is not considered two conviction shall be sentenced jury) (not re- trial, any punishment, or triable to crime unless increased before quire entry plea guilty, an indictment. or before exception42 power impose The not here conditions is material. governed proba authority one, broad court’s restored to use standard insulating reasonableness, permits provision tion was enhanced simple possession, on the the individual from the conditions that first offense of Whaley complied led him United if the offender into trouble. v. 1963). exceeding States, (9th probation (not 324 F.2d 356 Cir. conditions year duration), one is a humani- Probation Statute “[T]he shall court should, discharge piece legislation person tarian dismiss accordingly, interpreted proceedings, entering liberally without court adjudication States, guilt courts.” Mann v. United the verdict plea (4th 1955). guilty. F.2d intel- Cir. An If the offender is below ligent compassion occurs, when the was the aim Con- offense ob gress appears legislative expunging tain court order from all history relating official reviewed United States records all recordation Murray, indictment, find 48 S.Ct. arrest, trial and U.S. guilt. 72 L.Ed. U.S.C. § By an amendment to 18 U.S.C. § Dispositional options under probation— 91-492, passed Pub.L. No. 84 Stat. including treatment days comprehensive a few before the conception that narcotic addiction law, given authority the court was explains, is a disease which while it does require narcotic addicts to reside at excuse, defendants, the conduct of participate in treatment centers when *33 approval, implied carried the out Attorney General certifies that ade- probation authority, the restoration of quate facilities, personnel programs expressly voiced the House Com- By are available. another amendment to mittee, contemplating probation orders May passed 18 U.S.C. § conditioned on treatment. 92-293, Pub.L. Con- No. Stat. gress require a authorized a Statutory court authority provide proba- person is under who an addict on tion conditions is set forth in the definition,43 provisions NARA 4251(a), Act, U.S.C. § of the Federal Probation participate “to communi- in the codified at 18 U.S.C. 3651. The sus- § ty supervision programs” pension imposition established of or execution of Attorney II of General under Title sentence is authorized when the court is probation NARA44 as a condition of justice “satisfied the ends of part period of for . all public the best interest of the as well as probation.” thereby This the communi- makes the defendant will be served ” ty-based programs per- authorized suspended, for . . . . sentence When available, pro- NARA, under person under placed proba- sons convicted bation, arguably in- for period upon tion addict-offenders “for such such eligible in like treatment, NARA terms and as the deems conditions court supportive adjustment.45 need of best.” mandatory provided, by Bureau Prisons 42. A The role of the minimum is (1970), of non-NARA § rehabilitation § U.S.C. carefully “continuing enterprise.” when the discussed Sub- National Penitentiaries committee on dependent person 43. Or “a within hearings oversight in March held meaning 2(q) of section of the Public anticipates The committee now Health Service Act.” presently in the some of the inmates eligible program for release become 44. 18 U.S.C. year. end current fiscal before the S.Rep.No.92-675, Cong., estimated Bureau of Prisons has 92d 2d Sess. eligible : the first will become present approximately February At there are release in however, prison program, Federal An inmates institutional involved prepare phase fully program. individuals institutional these cannot

H75 probation flexibility, LE- we con- ration of OF AT PRESENT STAGE IV. junc- judicial role, DEVELOPMENTS, clude that the APPRO- GAL general ture, upholding validi- LIES lies PRIATE ROLE JUDICIAL ty possession verdicts THE unlawful IN GENERAL UPHOLDING POS- heroin addicts. VALIDITY OF UNLAWFUL HER- FOR VERDICTS SESSION Congressional In- View A. Overall ADDICTS, TAKING INTO OIN tent THE ACCOUNT AVAILABILITY widespread construction There was TREAT- OF PROBATION AND Acts, as and Jones-Miller Harrison INTENT, MENT, LEGISLATIVE prosecutions evi- permitting based RE- OF JUDICIAL DOCTRINE drugs by narcotic dence of SPONSIBILITY, CONSTITUTION- an use. This an for his own addict FACTORS, MEDICAL AL AND dis- entirely from the different matter DATA AND CLINICAL putes way Act Harrison pre- preclude medical was construed to Taking into consideration scription outside narcotics Congress, contemplation of discernible institution.46 responsibility, pertinent doctrines possession” prohibition in factors, “simple and medical constitutional pattern data, law,47 follows the the resto- clinical the context of family, Sick, job, home, pressures 62 Yale L.J. and the for the ers Despite pre-passage they they assur will face when ff. and associates imprison- complete American in the Journal their sentences of ances purpose Association, parole. After- ment or are released on Medical opiates counseling, individually with sales of to ban care both the law was interposition, improving physician’s groups, after the is essential out following drug- Treas effective the Act became offenders’ chances of Harrison lifestyle they began setting, ury Department and stead when free and crime free addition, broadening, periodic ily au restrictions on are on the street. necessary Regulations thority physicians. for deter- urine surveillance is except opiates prescribing they remaining mine that free of bade *34 prescription drugs. proposed legislation hospital, came to and such The author- by community in AMA unethical izes both treatment and urine be declared 1924, 1923, By adjuncts years necessary of debate. after surveillance opened clinics, supervision already provided by maintenance some 40 U. 1918, probation mainly by were from about cities S. officers. proposed legislation The would also closed. opinions Supreme community-based for the Court authorize treatment As Lindesmith, treatment, see A. who reason or for offenders for one medical Early part in- the Law 5 another have not taken in an The Addict and prescrib- example, pro- precluded program. doctors from stitutional For decisions ing appetite parolees experiment drugs or satis- cater to the bationers or who sup- addict, drugs community fy craving than rather while under attempted the habit. Webb treatment even cure of ervision receive States, 96, though 249 39 S.Ct. their infrac- v. U.S. seriousness of United ; (1919) States tion does not warrant imprisonment. revocation and 63 L.Ed. 497 United Fuey Moy, 189, 41 254 S.Ct. committee finds v. Jim U.S. However, parallel purpose in that the here is to that 65 L.Ed. passed permitting States, legislation v. Linder United U.S. (1925), parolees probationers 69 L.Ed. 819 to be referred 45 S.Ct. (84 dosages, community upheld moderate treatment centers the Court pro- symptoms, 1090). give said Stat. This would withdrawal avoid proper supervise probation- “They are diseased and [addicts] bation officers who subjects parolees (medical) treatment. ers and treatment resources for such they rely bona can on when an offender be- What constitutes fide signs practice gins difficulty. It must be determined to show medical gives upon and át- consideration of the evidence officer treatment alternatives tending other than immediate incarceration. circumstances.” pro- See, g., King, e. Act The Narcotics Bureau The Controlled Substances Jailing 404(a), 21 § the Harrison Act: the Heal- vides U.S.C. widespread running Narcotic ean Uniform be maintained without Drug marginal gap Act48 afoul removes law. On the prior legislation g., contrary, the persons Federal involvement an addict —e. gift, police who received narcotics is almost inevitable. By perhaps pusher.49 ap- definition, from a far as an con- So addict has a pellant’s drugs, obviously stant contention of a of inca- need for defense which pacity purchased dependence possessed or concern- must be be- ed,50 they fore can consumed. Purchase 1970 law marks no shift Con- gressional intent, possession, excep- but rather a contin- with certain Congressional any uance of tions not absence relevant the case of an ad- contemplation dict, of such a defense. are criminal under both offenses sale, Federal and law. State So Report, The 1967 Task Force Narcot- many provide addicts turn to Drug Abuse, supra, ics and ren- support financial their habits. dered to the President’s Crime Commis- added). (Emphasis sion, exemplifies widespread under- standing rulings pertinent support state constant need addict’s drug dependence charge, was no the view that did not defense to a rejecting law, posses- under establish a defense. State Federal claim, purchase drugs. California, sion of or on Robinson v. based narcotic possession prohibition Report supported This is that the the same uniform sentencing inapplicable flexibility addict be- narcotic for the addict of- (text fender supra). cause his reflected at note But it addiction, court contemplate did not disease of the Illinois a defense on the signifies knowing “possession” Report (at 10): held p. merits. The states “voluntary a mere “sta- act” and not Drug Offenses “condition.” tus” or analysis appears Addiction itself is not crime. other It The same State, never law, rulings, been under Federal state Nutter making (1970), a State law it one Md.App. was struck stat- A.2d 80 down as unconstitutional the 1962 of unlawful the victims Supreme decision of criminals, Court Rob- reason traffic “are also but, because, inson v. California. being addicts, It does not fol- . . . low, however, addiction, they notwithstanding that a state addiction their pies abcve, : “It shall be unlawful enunciated which serve person knowingly intentionally pos- qualify statutes, all criminal and not upon any specific Congressional sess a controlled substance” unless intent *35 history.” legislative substance was obtained from a medical derived from While practitioner profes- question in the course of his Watson reserved the whether practice, sional legislative history or as otherwise authorized research into their by the 1970 law. would show that the earlier statutes were apply intended to when the evidence provides: It “Sec. 2. Acts Prohibited. possession showed an addict’s for his any person It shall be unlawful for use, own a counsel have disclaimed such manufacture, possess, have under his con- presentation present ap- purposes and for trol, sell, prescribe, administer, dispense, pellant’s conviction can be treated like compound any drug, except or narcotic as pos- knowing law one under the for 1970 authorized in this Act.” The Uniform session of heroin. approved by Act was the American Bar passed prior People Nettles, 52, Association 1932 and 51. See v. 34 Ill.2d 213 cert, by jurisdictions. Eldridge, (1966), denied, 1970 49 W. N.E.2d 536 386 U.S. 35, 45, Ap- 1350, Narcotics and the Law 18 L.Ed.2d S.Ct. pendices (1962). (1967) ; People Luckey, Ill.App.2d A Band v. (1967). For N.E.2d subse Harling, U.S.App. 49. United States v. quent reiterating Nettles, People cases see (1972). D.C. 463 F.2d Jones, v. 43 Ill.2d 251 N.E.2d 195 “Appellant (1969) ; People Jackson, Ill.App. 50. See Br. 93: re- therefore solely upon princi- lies the common law 2d 253 N.E.2d acts, hearings responsible preceding of their The are for certain the Controlled though stemming from their addic- Substances Act of even 1970 contain a sub- example, tion, crimes, by Rosenthal, for are as mission Professor Michael possession control of a narcotic identified as staff on consultant Drug drug.” 262 A.2d at 86-87. Laws National Commission Laws, speak- on Reform of the Criminal drafting penal practice in modern capacity. pro- in his individual He legislation specify defenses when posed simple possession, even Congress insert intended.52 heroin, (ex- at most a misdemeanor provision the 1970 ed affirmative an cept organized activity) for drug contemplated law, de a if it had felony, subject,to high (maximum) not a Exactly pendence such an af defense. imprisonments, proposed by the Ad- as pro provision was firmative defense ; ministration a feature view became Study posed Draft of a 1824 of the § eventually of the law as enacted. He Code, for released new Federal Criminal suggestions made other that were 1970, by comment, the National June accepted by Congress possession —that of Federal Crim on Reform Commission crime; not be made a Federal alterna- inal Laws.53 tively subject to diminished Although on that Commission’s Staff punishment, acquittal, if defendant “a discussing perti- candidly balance —after proved beyond preponderance a of evi- problems, nent shall note later which we possessed only person- he dence that they (a) pro- defense, —favored al A recommendation for a use.”55 posed legislature, adoption it for drug dependence defense was made (b) it as an affirmative drafted on the voice,56 medical authoritative defense.54 arguable tainly I and Wechsler, Challenge that most Schedule a Model See great potential Code, harm have a II 65 Harv.L.Rev. 1097 Penal pur- enough deterrent warrant —for proposed Study Draft : 53. The simple poses treatment —misdemeanor Offenses; Defense 1824. Possession § particularly He violations. Dependence. pos- philosophy use of criticized the person guilty (1) of an A Offense. reaching a means of offense as session pos- knowingly if ... offense police judgment who, in those users dangerous quantity sesses usable cooperated prosecutors, have not drug. . . . or abusable identifying sources. the authorities de- an affirmative Defense. It is 321-322, testimony Dr. prosecution this sec- Id. at under fense to Chairman, Henry Brill, possessed on drug Committee tion that Dependence Drug personal so who was Alcoholism use defendant dependent Council Medical Association’s lacked American that he on capacity use. Mental Health: to refrain from on substantial offenders, regard handling dependence provision was 54. The defense distinguished drug dependence, dropped National when the from 1824 regarded abuse, as an should be Report Pinal submitted its Commission dependent persons Drug should illness. Hearings January 7, 1971. See patients crim- rather than be treated Laws, the Federal Criminal Reform of particularly concerned inals. We on Criminal Before Subcommittee possible of S. ramifications over Ju- and Procedures of Senate Laws persons respect who those 2637 with *36 Cong., diciary Committee, 1st 92d Sess. possess drugs unlawfully in schedules (hereinafter pt. 1, 129 ff. personal use. IV for their own III and p. Hearings). for See Senate personal possession use of for Mere Report. Pinal having depressant and stimulant usage legitimate supra, not Hearings, should medical note 39 55. 1969 Senate again, the an Here offense. constitute degree at 1050-1055. hazard, and the reasons “questionable of social whether it was He said having taken into should be for a substantial federal interest there is reaching (at 1054) fed- account. users” outside enclaves, is cer- that it eral but conceded ground regarded Untenability impaired concept that it should an as control urged illness; particularly nega- as this was universal and absolute defense tiving amphetamines barbiturates, responsibility criminal legitimate which have a medical use. Appellant’s key concepts defense Congress sug- did not of these enact impairment of behavioral control and gestions. loss self-control. These have been fairly do not think it We can be said fully considered this court most Congress contemplated de- defense, insanity discussion of the pendence charge defense to a Federal philosophy opinions is in those possession based on had not been voked, although appellant disclaims accepted by the courts. State insanity defense as such. In our 1962 57opinion required en banc McDonald we Legislative B. Interlock Intent ingredient as an essential insani Doc- Possession Statute and Judicial ty defense crime evidence that the was Responsibility trines Criminal. product of a or de “mental disease fect”—defined as an condi “abnormal prohibiting “possession” A statute substantially tion of the mind which af not to be taken in a sense “which works processes fects or mental emotional injustice infringes manifest constitu- impairs substantially controls.” behavior safeguards,” tional even if the so opinion In our en banc “intentionally knowingly” words had Brawner,58 adopted test of the we pro- not been inserted in the 1970 law required, ALI’s Model Penal Code and hibiting possession of heroin and other exculpation responsibility from controlled substances the court would ground insanity, criminal conduct on legislative have inferred a intent evidence from the that as a defendant criminality possession avoid “a defect,” result of “mental disease or willing.” conscious McDonald, defined in at the lacked Barnett, 224, 225, Baender v. 255 U.S. capacity time of his conduct “substantial 65 L.Ed. S.Ct. wrongfulness appreciate of his question The broad raised this case conduct or conform his conduct to the is whether or when of heroin requirements of the law.” addict, though in- conscious and tentional, indispensable Appellant’s presentation rests, lacks elements in es- criminality premise sence, under fundamentals of our on the the “mental system justice. Appellant requirement contends disease or defect” Mc- superfluous. that his conduct is for lack of excusable Donald and Brawner is He offending ability behavior, control principle discerns that excuses a broad “long dependence that his responsibility intensive when con- injected heroin on the stands same im- duct results from a condition footing” person “a forced under pairs Appellant’s behavior control. sub- inject prior threat of death to heroin.” mission was made to Brawner but (Brief 4). fairly assume presumably We be modified so that contemplates (Brief 80) that a statute the defense statement jurispru- death, threat as basic appellant’s not contended that controls though expressly dence, totally destroyed even noted. refined were would be However, psychic dependence, and a with a claim that there a lack of incapacity, claim of did not es- capacity psychic to conform conduct substantial judicial under tablish defense settled prohibiting possession. the law Congress may reasonably general doctrine that broad assertion is that contemplated. responsi- be said to have mens element of criminal rea States, U.S.App. v. Brawner, McDonald United U.S. States United *37 App.D.C. 120, 124, (en banc, 1972). 312 F.2d F.2d 969 D.C. (en 1962). banc, will, is the same result follows bility requires havioral controls which freedom impairs by impairment some condition be- negatived when other of behavior- an havior controls. self-control. al and loss of control expresses really negatived re drug dependence law The criminal If only personal rea, quirements of and official dis be a defense not mens By society. cipline protect purchase needed to or the offense of long penal law, ac prohibited tradition of the an actions but other “involuntary” compulsion need tor’s behavior is and there under the taken drug. responsibility, im- no criminal he is If there is an when to obtain force, pairment capacity by to alter overwhelmed as when his arm and lack by way physically conduct, moved someone else.60 there no By long tradition, too, in mens terms so the criminal law line can be drawn rea large only very percentage that are not vol to exclude the reaches acts as untary by support accompanied their but mental must also addicts59 who (Law by engaging sales, element, or, in- in retail a “mens rea” latin habit guilty mind). Although deed, committing in order some modern other crimes drugs. satisfy impose compulsion liability, strict statutes their statutes defining generally offenses criminal are doctrine the courts Under common law rea, require what construed mens recognize applicable to did as defenses aptly referred to Jackson Justice Thus, de- but not all some offenses. “requisite but mental element” elusive applicable not fense of duress was States, of crime. Morissette United originally murder, applicable to not 246, 252, L.Ed. 342 U.S. S.Ct. any capital these not de- crime. But are (1952). However, state mental fenses of lack of the “free will” or mens supplied knowledge, by proof be requi- rea that is an ethical moral neg objective or an standard of even criminality, site of are affirmative subjective ligence dependent justification defenses of and excuse that knowledge of elements the actor.61 The policy are based on assessment requires jurisprudence that our basic control, poli- needs and of social limits voluntary responsibility for criminal —a cy appraisal that has been resolved plainly ful act, state —are and mental legislature for the heroin offenses. knowing posses filled an offense logic Appellant’s surface loses luster prohibited sion of a article.62 analysis. It does follow that legal conception of ca- (mental disease) because one condition pacity of un- cannot limited those yields exculpatory an if it re- defense average pow- or even usual endowment impairment sults in of and lack of be- (Pro- 2.01(1) Model Code § ALI Penal Concededly “many there are addicts” 1962); posed see Official Draft Com- engaged Force, in retail sales. Task (Tent.Draft 1955), ment No. put at 10. Estimates (1960), Tent.Draft No. 10 at 6. range their number in a of 40 to 70% Federal narcotics offenders. D.C. (Pro- Model Penal 2.02 ALI Code Report the President’s Commission 1962) require- posed Official Draft on Crime the District of Columbia requires culpability, action ments of (hereinafter n. “knowingly,” “purposely” done Drug Report). Kolb, D.C. Addiction: “recklessly” “negligently,” re- * (1962) Medical Problem A 173 note fines these terms. (hereinafter recommending Kolb) laws 2.01, See ALI Penal §§ Model Code physicians responsibility that vest 1962). (Proposed Draft 2.02 Official addicts, of treatment over control require- 2.01(4) states Section dispensation, narcotics states: “Most pos- “voluntary act” embraces ment of peddlers opiate today who act, possessor “if session primarily sell small amounts of narcotics thing knowingly procured or received the support ped- habit. These their own possessed aware his control period dlers ad- should be treated law as to have thereof a sufficient possession.” been able to dicts.” terminate *38 recognized may keeps ers. as so far marcation doctrine A few the de- entirely beyond fense within normal as verifiable bounds that do general justice, but tear the fabric of the criminal reach criminal law is a means of social an instrument of social control. criminal law capable potentially control that must be reaching popula- Duress the vast bulk as a result of sult of substantial tion; or to a loss of control of the mind sion pacity due, say, responsibility,63 those below the median line of tion. cept that not those who have a realistic establishes Criminal hate, prejudice an amorous nature or the re- impairment passion, susceptibility but to weakness responsibility extends to the bulk of specifically extends or whether the and lack of ca- vengeance; of intellect problem is a con- sugges- pas- or than ity.” eral is a fense is restrictions and against of duress is available to one illuminated defense of These a limitation his will to principles modifying “subject exception duress.66 by limitations, doctrines to certain circumstance rather perpetrate While social control homicide, defining the defense important compelled capac- crime, gen- de- proper weight

with lesser disabilities is to accord them verifiable, such as the mental disease or defect that sent a ity. The most that it is feasible to do meet the standards norms with the individual’s as an influence to a Only in limited areas have the courts The criminal law cannot depravity disability sentencing.” that is both establish conduct.64 blocks out they prescribe, irresponsibil- “vary capacity conscience gross legal ab- defense to one who shows coercion lesser threats than those there force hension less strict ity. trol as a defense to criminal ken a broad The defense of use original against While is a of, view, death or continuing or principle the ALI has doctrine a threat voiced in person.69 duress does great bodily of lack of self-con- limitation of requiring appre- some use, accepted embraced responsibil- not beto- unlawful cases, harm,68 recognized respon- a defense to criminal The limited thus defense of duress is sibility, on the basis psychic described inapplicable purely to a Indeed, internal psychic incapaci- condition establishes a incapacity. if it is also excluded ty negativing recklessly free will in the consciously placed broader actor sense. These are areas where the courts himself in a it was situation where respond deep have been able to a probable subjected call he would be to exter- justice, on elemental and to duress, ap- discern a de- nal a limitation considered Perkins, (2d 63. by accepting Criminal Law 878 ed. a threat force ment (hereinafter 1969) Perkins). against person another stating the extent of the threat of force Compare 64. Id. at 878-79. United States person one “which a of reasonable firm- Levy, F.Supp. (D.Conn. v. in his have been un- ness situation would 1971). able to resist.” 2.09, 65. ALI Model Penal Code Com- § Perkins, 954; supra, ALI note 63 (Tent.Draft 10, 1960), ment No. at 6. (Tent. Draft Model Penal Code 2.09 66. The defense is sometimes called “com- Coercion, 10, 1960), 4; Annot., No. pulsion,” Perkins, supra, see note 63 compulsion as defense to crim duress Technically, the term “coercion” is ; prosecution, (1955) inal 40 A.L.R.2d 908 reserved influence over a married D’Aquino Toguri Iva Ikuko v. United husband, woman her id. at 909. (9th 1951), States, 192 F.2d Cir. cert, denied, 343 U.S. 72 S.Ct. Id. at 909. ; 96 L.Ed. Gillars cf. (Proposed States, U.S.App.D.C. ALI Model Penal Code §'2.09 United Draft, 1962). Official The ALI would ex- 182 F.2d pand the traditional common law state-

1181 insanity exceptional de- na- diets in context of propriate “in of view the 70 ap- fense. This is accord of defense.” ture g., proach circuits, e. United of other Necessity defense (2d Freeman, F.2d 606 v. States 357 ne- of 1966). Appellant is a common law defense There di- disclaims Cir. cessity of cir- insanity “duress called rect reliance on defense.74 —sometimes agrees rulings for conditions cumstances” —available that heroin He with our involving threat value, not an external dependence probative have citation,71 Supported along force. Biblical with other mental evidence legal discussed disease,75 doctrine is more evidence of is not itself litigated, provides justifi- than and “mental disease defect” sufficient person who pro- is limited insanity cation that issue,76 raise the unless so commits an offense order to avoid in un- tracted and to result extensive as greater evil.72 usual deterioration controls. tend to cases on the doctrine opinion few declined Our Brawner suggestion involve violations undertaken accept the that it “announce” greater (or safety— good evil) lesser exculpating anyone standard whose ca- not to as in the of the master held insubstantial, case pacity control embargo he takes said, violate an law when reason, whatever cause or and dis- port safety of vessel claiming a storm “all-embracing unified field doctrine of and those on board.73 The theory,” ap- that we would discern necessity appellant’s support does not propriate rule “as arise re- the cases contrary, case; gard on the its limitation to other conditions”.77 “greater evil,” avoidance of a illustrates view, In our the rule for addic- the courts common law doctrines tion on the should be modeled rule policy proceeded support for mental of crucial disease because managea- by staking out choices limited distinctions between conditions. all-embracing theory defenses, ble not an subject though disease, of mental sub- psychic incapacity. ject indeterminacy, to some difficul- diagnosis ty of to voli- when extended dis- Crucial between mental differences cognitive drug depend- impairment proposed tional ease as well defense subject ence long incapacity,78 been defenses systematic study, in that frame- past considered decisions have Our manageable to ask it is considered work ad- the “no control” defenses 1061, 961, L.Ed.2d 88 19 (Proposed S.Ct. 390 U.S. 70. Penal Code 2.09 § ALI Model (1968). 1962) ; Draft, 1158 and see Comment Official (Tent. 10, 1960), at 8. Draft No. Collins, 139 U.S. United States v. 76. See 1, (jettison cargo Jonah, 71. 5 save ; v. (1970) C. 392, App.D.C. 550 F.2d 433 lives). U.S.App. States, 121 Heard United 43, 44 F.2d 348 D.C. Perkins, supra, ff; ALI 72. note 63 at 956 patients study found One 2% (Proposed Model Penal Code 3.02 hospitals coming the Federal narcotics Draft, 1962) ; (Tent. Comment Official disease mental for treatment suffered 1958), at 5. Draft No. Vogel, psychosis, & Maurer in the form of Gray, 73. The 29 Fed.Cas. No. William Drug 171 Addiction Narcotics p. 17,694, (C.C.N.Y.1810). 1300 U.S.App.D.C. F.2d 471 appellant’s (appellant Brief at See defect, and exhibited no mental disease or insanity present directed counsel Report Crim- on Consultant’s 78. See defense). (pre- Illness, Responsibility-Mental inal Papers Working U.S.App. Robinson), States, pared I D. Gaskins v. United (1967) ; Reform 288, 290, National Commission D.C. F.2d States, U.S.App.D.C. Green v. Federal Criminal Laws United cert, Papers.) Working denied, (hereinafter (1967), F.2d 199 distinction, subject drug dependence psychiatrists As to to address the law, all-important psychic incapacity to refrain from and crucial be- indisposition,79 Study incapacity narcotics, be- Draft tween even those who can’t and those who of the National Commission tween Staff Laws, won’t, impulse Reform of Federal between the irresistible Criminal *40 drug depend- impulse and the not resisted.80 These favors on a which balance possession, the court has ence defense to the crime of are matters which use,81 analysis accepted medicine, incapacity medi- from the of to refrain recognizes problems symptoms, candidly in- cal and on the the conditions and jail premise they paradox of can be considered a volved. One is “the basis, dangerous possessors (non-ad- dis- verifiable and with reasonable the least patch, recognized experimenters like) de- the courts have a dict and the while go important, fense even in conditions not obvious free.” More present purposes, covered in the caution verifiable as those is the Staff’s capacity first, symptoms physical older and limited of test even right wrong. might successfully feigned,”83 and, know from “be (Tent. Code, exception 79. ALI the Model Penal Comment a standard marks case general to% 4, 1955), pattern. Draft No. at 157-158. (prepared Report Drug Offenses inquiry opinion 80. The asks for an as to Schwartz, Louis B. Staff Professor capacity, the individual’s but the under Director, Professor Michael P. Rosen- and Working predicate lying expert sup is that the will thal), Papers II of the National by testimony port opinion the Reform Federal Commission on Crimi- general described mental has a re disease nal Laws 1061-1062 capacity. sult of disablement of Cf. at 1062. Id. Schwartz, Report, Professor L. B. Statement, Staff Proposed See, Dependence The Federal Penal Note on as a Defense Issues, Accomplishments (from Code: Possession Con- to Unlawful Hearings, supra, Rosenthal), Report Senate note 54 sultant’s of Prof. Papers 1132, Working 109: II 1137: barring Jurgensen, Deputy The Criterion criminal Dr. Chief Warren P. prosecution for an act done while the National Institute of Mental barring prosecution actor for an Health Research at Fort Clinical Center Worth, Texas, explained act done the actor was while ‘insane’ the writer may experienced opiate should be whether defendant suffer- that an user present ed from a mental illness of sort which to the medical examiner a false generally deprives persons suffering very convincing picture verbal power feign from such illness of substantial severe addiction and be able to question. symptoms to conform with the law some The withdrawal. require efforts, stated, This standard does not a deter- of these success likely mination, usually impossible part dependent to make re- to be at least liably, particular experience per- individual on the of the medical power raising person lacked of self-control sonnel who examine put defense, unfortunately, critical moment. I would the number proof psychiatric personnel burden of on the defendant of medical and wrongly experience show that the authorities had who have extensive drug-dependent persons brought great. him into criminal court not Report rather than civil commitment The that neg- Staff offers offset process. feign the motivation to the defense is test, adopted provision While the ALI in our en atived proceedings the Staff’s for civil opinion Browner, banc retains as a result capacity (or approxi- standard of individual lack addict could be committed for thereof), proof existence, lack, mately years. or Id. at 1138-1139. But capacity, may philosophy substantial individual is made broad of treatment encom- by analyzing consequences general- pass programs, out methadone maintenance ly may attendant on the kind of mental illness without confinement. Or involved, taking likely provide program and also into account should for con- any particular features of the individual’s finement ly an institution that is relative- exemplifies by community time, condition that show that he short followed general pattern, perhaps supervision. or that his drug use,” significant broadly, from considerable that there is there are more difficulties, difficulty there claim is need for fur- of verification inquiry: ther to refrain user that he is unable Report states: from use. Staff exempt person In order to such a significant liability prob- necessary Perhaps it is also the most that his respect proposed unduly condition not verify to the de- difficult lem with define, incapacity that this is so is fense is that substantial dangerous entirely Hence, clear. from use of value refrain verify. easy defense be illuminated ad- abusable Difficulty verification, opinions ditional from the National while relat- feigning possibility of Mental Health.85 Institute ed problem. defense, is a broader difficulty the verification According Jurgensen *41 to such a Dr. problem capacity of lack to refrain of present opiate would defense for use taking sharpened on ac- use is into problems. judgment A that several comprehends count ad- that issue ca- the defendant pacity lacked substantial participate dict’s failure treatment to opiates use of to refrain from programs. problems raises This possession is more the time of a his personal knowledge, disposition, addict’s motivation, judgment judgment than a difficult commu- well as extent of as who as- the defendant whether nity programs, may usefully be as- or lacked sub- saulted killed another by pro- considering sessed what someone capacity stantial to conform his con- gram try next, to irre- now but would law, requirements of duct to the tangle trievably trial. a why opiate person used an because is The feature that narcotic addiction particular easily time is not as at a ap- not a condition undercuts stable history per- explained by his life disease, proach patterned on the mental dynamics sonality why he assaulted as projection where is there a reasonable person. per- Even or killed another analysis particular subsequent great experience with son with clinical may as- delineate an over time incidents intelligent could make an addicts guess unrealistic It certainable condition. capaci- that the as to extent supply expect to to the addict himself ty impaired to refrain from use was nature accurate information at the time the use of- extent of addiction at time persons experi- question; less fense, “psychic de- particularly as to accurately.84 guess ence could pendence.” guesswork purposes, For clinical ap- sharpened by difficulty may The inherent “clinical intuition” preciable “addicts” part experimental ap- of narcotic number tolerated permanent- exists, who do their habits proach abandon to a disease whether larger ly, reflect degree, and much number who mode of treat- and which what ceasing use capacity their refrain But differ- to tried first. ment should be varying periods rea- The apply determination of time. ent criteria phenomenon is responsibility. The con- sons are not clear but the indisputable. Staff criminal argu- in the Staff noted are “basic It is cludes that while there by specialists punishment Report, reported voic- exempting from ments approaches addiction dependent user who different for his use the problems.86 capacity to refrain lacks substantial (“Al- Psychiatry 486, Id. at 1137-1138. though persists usually addiction heroin Id. at 1133. every decade, virtually more than spends See, Vaillant, addict absti- some of that time E. Natural G. nent.”) (general percent History Drug Addiction, trend 2 Seminars “for excuse, princi- verifia- for reasonable which contradicts salient There is need ples underlying rejects opening rea, yet bility a de- as a condition to mens society. responsibility. defense claim in the interest of fense criminal universally made, gear plea standards “The criminal its law cannot capacity questions “absent and would lead interminable to the individual’s gross incapable verifia- disability both solution.” needs that is society overriding ble, require subjective or defect disease as the mental such good irresponsibility.”87 legal faith of establish the individual as a remitting position defense, miti- from somatic defenses criminal That gation punishment and executive hinge verifiable on a conditions must clemency.91 predicate law noted has been specialists ready old Reliability legal validity to reexamine most de dogmas88 require pointed out fense and was it can be tested exculpation.89 requisite Brawner criteria as a external actions which it gird under Not dissimilar considerations invoked to excuse.92 And the Mod so maxim, ignorance rejects no el paragraph law is Penal Code’s caveat permanently risk become means substantial “desert- numbers year") ; drugs.” abstinent each ed the use of their (2) Burnham, Traps Heroin *42 88% 87. See fn. 65 and text thereto. Times, Block, Addict York New See, g., Williams, According study e. G. Criminal Law: to one “about one-third (2d The living General Part § ed. of those a his on block with 1961) “peremptorily require tory quit : courts of narcotics addiction tak heroin, considering help generally medical evidence before a without any government thought program.” defense automatism” it is possible hysterical Kolb, fugues, epileptic (3) supra 76: note percent seizures and the occur like without 210 addicts studied —“20 Of supporting number, medical The indications. entire at some time “possibility justice miscarriages during careers, their addiction had vol- accepted untarily drug must be in order to make the abstained from the law breaking workable.” succeeded habit had physicians, without hospitals from assistance U.S.App.D.C. 89. 153 471 F.2d at prisons.” or 995, referring to “other conditions —som- (4) many Dr. Jordan Scher notes that automatism; nambulism or other black- junkies “highs” who lose their use occa- voluntary due, insulin; outs e. to overdose of abstinence, including sional drug addiction. Whether these somatic hospitalization, in order to toler- reduce governed by conditions should be a rule heighten capacity ance and thus later comparable to that herein set forth for euphoria. “Little then that wonder require, mental disease would mini- at a sprints gleefully sup- the addict a judicial mum, determination, a which plier speculates on his He release.” opinion account, takes medical into find- may in some addicts time become unable ing convincing evidence of an ascertain- rejuvenated gain euphoria” through “a by able condition characterized broad ‘a “may such abstinence the eu- lose ” consensus that free will does not exist.’ phorigenic altogether” capacity and then The Brawner list of somatic conditions permanently. posits withdraw He also presumably to be considered would also fiends,” prick- that “needle ing involved g., “pathological include intoxication” euphoria, may engaged in without “grossly or a abnormal reaction to alco- compulsion “ritualistic maneuvers hol,” resulting with violence from small capacity intended to recover amounts, hypoglycemia. due to See ALI euphoria.” Scher, J. and Pro- Patterns 2.01, Model Penal § Code Comment Abuse, Drug files of Addiction (Tent.Draft 9, 1959), No. at 11. (1966), Psychiatry Archives of General People O’Brien, 171, 176, 96 Cal. reprinted Hearings, in 1969 Senate (1892). 31 P. note at 1060 ff. Compare Robertson, (5) Zinberg and Perkins, supra, note 63 at 924-25. (here- Drugs and the Public Wootton, 92. B. Social Science and Social say Zinberg Robertson) inafter who Pathology the decline nar- from one million 100,000 in cotic addicts in 1919 to NARA, 2901(a), 18 abnor 28 U.S.C. U.S.C. insanity on an § § based defense repeated 4251(a), 3411(a) 42 U.S.C. only mality § manifested anti-social con criminal or otherwise Compre- Furthermore, Title I of the approach followed duct. Brawner,93 This Drug hensive Abuse Prevention drug de defense of contains, Control Act of 1970 a charge pendence cannot use to a provision Surgeon custody General circularity. clear hurdle of only but also a an “addict” “drug person,” dependent 42 U.S.C. § verifiability interrelate Problems (1970), defined as: dangers widespread with assertion. person using is a controlled who significant particularly is since This in a substance . . and who . proposed be made defense psychic depend- physical state of or persons satisfy who available not both, arising ence, use of Organization defini- the World Health that substance a continuous basis. phys- addiction, requires tion of which Drug dependence characterized dependence, supra, ical and who responses behavioral and other make the com- a claim of action under strong compulsion to take include pulsion stress, of withdrawal but also to basis substance on a continuous persons “psychic” de- who claim mere experience psychic order to its effects pendence. Such a defense of de- caused to avoid discomfort pendence likely for most would seem its absence. making persons having possession or Surgeon law purchases establishes drugs, of narcotic contrast authority drug de- disease, General’s treat be es- mental which cannot petition, pendent persons voluntary percent- tablished for more than a small prisoner, accordance age or in transfer of A the cases defense affected. probation order put Federal court nominally forward the addict specifying treatment a condition capacity without refrain would natu- *43 probation. rally drug users, 42 U.S.C. 257-259 §§ extend to all habitual given the realities of the administration drug provision Such for treatment justice, of resources limited time and “strong dependent persons (under com- trial, prosecution available for pulsion”) probation reinforces the on difficulty any the extreme effort of contemplation the same con- lack of draw distinctions between addicts. through implied some dition was covered defense. as a criminal osmosis difficulty verifiability The of of “loss Congress side-stepped by of control” was in The Need- Restraint statutes, C. Judicial in its civil which commitment Legislative a Context Balanced

apply to one who far ad- is either “so of Addic- Commitment to the Narcotic dicted . . . as to have lost the tion Problem power of self control reference with any his addiction” or “who uses habit- part policy judicial role Restraint as of forming drug endanger pub- the so as to morals, health, safety, analysis lic or welfare”. Our has revealed that there concept compound principle This used in excul- was the no common law of broad “drug ground control, user,” pation of see 1953 definition of of on lack 602(a) particular defini- D.C.Code and the 1966 rather of defenses a series § I, manageable areas, of of the tion “addict” II and III with Titles staked out responsible seg- 93. See ALI § Model Penal Code 4.01 the concordance (Proposed 1962), professional opinion, Draft, the ment of Official Brawner, U.S.App.D.C. particular [certain characteristics 994, provides application past con- F.2d at constitute actions] criminal room, by court, underlying vincing of the the mental “caveat” with evidence an special “expert impairs substantially be- deviate for the case of disease that testimony, supported showing by a controls.” havioral justice problem, anticipate legislative to the individual confined call or to con- pro’s to ascertainable and verifiable condi- sideration of of a the and con’s tions, by dependence and limited the interest soci- possession. defense to ety in control of conduct. When Senator 1962 for Dodd called recognition “drug compelled by is es- addiction Unless constitutional sentially problem, psychiat- considerations, injection a medical “drug problem” proposal ric depend- to restore courts a new criminal probation defense, subject parole. probation, ence” on a extraordi- With process may provide, nary singularly difficulty, in- would be Judge Belson, present potent appropriate, juncture. words of at the “a beneficial intervention in the life rounding are now a decade We out proba- addict .... on Persons approach when turn-of-the-screw charged tion from offenses such as here been the 1950’s has succeeded [possession para- of heroin and narcotic wide-ranging and flexible attention phernalia, 33-402, D.C.Code 22-3601] legislature. problem frequently required participate Drug Abuse Office and Act Treatment programs; partici- abuse and their recognition continuing marks pation may, in the case individ- of some integrated that law enforcement must be uals, strongly encouraged by di- education, treatment prevention, jail rect threat of a term reflecting programs, and rehabilitation they ensue should if fail to reason- make strong prevention “a consensus that cooperate able efforts treatment and law enforcement are program.” respond Whether addicts enhancing fact interrelated and can have governmental pre- to such intervention counter-productive well as effects sumably depends upon particular their one another.” personalities their at- and disorders and Congress has seen for flexi- the need authority. toward titudes experiment, pro- bility, coordination of grams, Certainly it devotion of All cannot said that resources. agreement experts concerning possi- are in technical evidence eliminates extraordinary complexity prob- compulsion. ble role for detention and lems, changes years pat- Report over the Ad Panel Hoc Drug addiction, Abuse, working diversity paper terns in kind addicts, Conference, of narcotic reasons for addiction House indicates White underlying possible personality inadequacy motivations and methods *44 rehabilitation, persists drug for diversion and after termi- and even abuse is nated, pro- above all the our and limitations knowl- unless individual edge, support and the need for vided itself as research. manifests “When, soon he as encounters stress.97 extirpate process Court cannot criminal however, supervision the dis- firm of lacking as a role in treatment addicts of charged available, particularly addict encouraging arrange- are not to parole We be taken as under civil criminal prosecution drug encouraging of ment, on the basis able addicts an are number possession. present of mere stay But them- and off maintain learning public opinion ap- by employment state and does selves honest pro- preciable not allow us to period foreclose recourse of time. These process part grams depend upon as overall the substitution approach government tangled control, jointly to this external exercised 92-255, (1972). 94. Order, P.L. Stat. forth March randum set Brief, Appendix B to Government’s S.Rep.No.92-486, Cong., 95. 1st 92nd Sess. digested Washington Report- in 99 Law (1971). er 541 Williams, States D. United v. Chester Superior Court, 28001-70, Proceedings, Memo- C. No. note at 294. facilitating officers, personnel, medical variable abstinence” and correctional produces significantly greater workers, for the inner control success and social lacking punishment in the ad- rates when appears to be combined with follow-up parole providing a personality.” close and dict prolonged community supervision,100 and to the lit- made Reference also be program help a work achieve inde- studies, supported erature since 1966 pendence, backdrop prohi- in a of social In- of the National a research award legal against bition and sanction narcot- long- Health, of Mental stitute two ic abuse. group follow-ups patients, one term Kentucky, group from one from New study posits the urban addict York, admitted to the United who were integrated supervision typically lacked Lexing- Hospital at States Public Health control, in childhood and effect seeks Vaillant, study by Dr. ton. The E. G. parole supervision and that meets School, identi- Harvard Medical has been powerful the addict’s need for incen- a “break-through.” study fied work, tive to as a substitute for the sat- securing finds ineffectiveness relative addiction, unescapa- isfaction of and an voluntary either treat- abstinence from nonparental ally up ble to back his im- along pun- model, or ment the medical pulse alone, control, that “external to care he is ishment but finds when appears critical coercion some independent.101 kind honest and model, Id. at 297. Id. at “The medical 497: mobilizing family casework model re- Zinberg Robertson, supra 99. See note legal punish- sources and the model of 86, at 47-48: “His work [Vaillant’s] unambiguous ment are failures break-through constitutes because Nor one treatment of addiction. can following longitudinal study up is a ad- hope help taking away the addict twenty-five years. dicts after Most already little has—at least not what without reports about from so-called something providing in return. experts impressionistic, been have appear There to be three treatment largely generalizations consist from effectively raise the an- methods that cases.” hard per recovery rate and lower ual the cent study per Dr. Vaillant’s articles from cent annual death rate that 86, 101, include those cited in notes seem to be the of the heroin addict. fate Follow-Up parole, and also A 12 Year These three treatments III, Synanon- New Addicts York Some Social methadone-maintenance Psychiatric Characteristics, therapeutic 15 Archives All but like communities. Psychiatry parole history of General too short encompassed by this review. Over the Vaillant, supra See E. G. appear dramatically to fa- all short term 494: abstinence; term the suc- cilitate short principal Rather, for ab- reason predictable three is cess of all among subjects was stinence O’Donnell’s depend history All prohibition natural of addiction. Kentucky narcotics the fact that rural upon backdrop of social Illegal gradually became unavailable. against legal narcotic sanction and of dried medical sources alike sources and depend upon abuse. All close up. sample, where For the New York supervision prolonged supervision, but *45 unthreatened, availability remained community. Only methadone-main- most effective motivation for abstinence require programs fail to the ad- tenance illegal; most was that narcotics were prohibiting to work as well as dict super- potent compulsory treatment was drugs. provide All substi- use of some Thus, is followed vision. if the addict efficacy for narcotics. The relative tute time, kind of some over appears external coercion of these three treatments await scientif- facilitating in a critical variable major comparison. Hopefully ic in contrast to abstinence. This is working now with addicts will centers sociologists like Linde- both of views recognize and such studies conduct profes- smith and Chein and the medical years follow-up inade- or 2 will be 1 quate of who, encountering large, sion superior.” one is to evaluate whicli problem point of addiction at one Twelve-year Vaillant, correctly quite Fol- time, A G. E. —that conclude— low-Up punishment per Narcotic Addicts York is no deterrent. New se probation province parole important to assess the and an It is not our as weapon society’s system probation rein- and effective arsenal value of a against jail by That there And stu- narcotic addiction.105 forced sanctions. vitality, problem support dents of the to its most hostile evidence to some compulsion, through addicts, establishes even civil commit- least for some grounds ment, acknowledge supervision legal not war- prohibition that such necessary product of the inducing ranted as has a substantial effect is, opinion. If medical consensus of compul- approach abstinence.106 The indeed, approaches three main one of supervision through probation sory can- along methadone- with value— rightly be excluded. therapeutic maintenance, communi- and experiment need there is ties—and Significance prior pro- conviction to study, judicial is not interdiction supervision or bation detention warranted. knowledge concerning available increasing to recourse There has been to im- narcotic is not such as addiction developing experience and data —and grounds pel intervene, on the courts to programs about—treatment probationary justice, require g., blocking drugs, e. substitute supervision met civil determina- be cy- (itself “opiate”) methadone commitment, compulsory tion and civil pres- “antagonist”).102 (an At clozocine being preceded and to forbid its being ent, programs are maintenance “conviction”, accompanied by a threat exclusively.104 though not stressed103— prison case of violation. on ef- be focused must also Attention fol- community supervision and fective Prettyman Com- 1. When the styles, supporting life low-up, secure civil a federal mission recommended including performance condi- e. work “provide an alter- statute commitment tions, treatment for both that motivate handling federally native method abstinence. offender,”107 it selected convicted (Califormia describing expert of conviction first model voices There are prose- plan), preferable to deferral supervision form as compulsory enlarge- (1971), I, calls Sess. Treatment to Out- The Relation of effective Am.J.Psychiatry for a more come, for research ment agent. may experience addiction control heroin The described be influenced the circumstance appears that maintenance Id. “It many parole officers in New York though may prolonged either treatment workers, system is trained social medication discontinuation ultimate by psychiatry, significantly influenced may possible.” maintain considerable and the officers Columbia, of- 104. In District of encourage parolees personal contact and Agency su- Treatment ficial Narcotics psychiatric re- seek treatment. Such pro- large pervises maintenance scale inforcements probation should be available supports gram.’ methadone it also generally, But parole officers transition, ad- and motivation training provided are devoted funds and dict abstinence. society’s needs. reports: “Neither 102. An informed voice Rasor, The R. Vaillant and W. 105. G. E. produced personality deterioration Compulsory Supervision Role fearfully predicted, been had Addiction, Fed.Probation Treatment prove useful, both each continue aiding way, in its the rehabilita- own *46 people.” opiate-dependent Bass, Dr. Kramer, tion of E. Bere- A. J. R. 106. J. C. Hearings Kramer, cochea, the before John O. for Addicts: Commitment Civil Crime, Psy- Program, “Narcotics Select Committee Am.J. The California Research, chiatry and Treat- Rehabilitation quoted p. 1971), (June ment” as Report, supra H.R.Rep.No.92-678, 71. Cong., 1st in 92d e avoiding non-coop in event of (New se- detention the plan), in cfiv cution York eration, already on a sentence problems if needed.108 whether trial rious celerity by passed, the a provided for with which as enacted NARA While may Congress previously im required deferred be alternatives, sentence both hearing court, following posed, by engaged a the in sales certain that addicts — delay problems per- other at the their without solely secure narcotics to jury only of the un Ti- on trial a under tendant before sonal use—be committed derlying problem offense. the And tle after conviction. II by Prettyman Commission the identified report A the recent notes that D.C. experience to the actual has contributed Agency’s program Narcotics Treatment NARA, I of Title under-utilization Outpatient Abstinence, a low recorded II preferring the Title prosecutors only performance rate, re- 15% approach undermined.109 lest controls be months, maining whereas in it six signifi- programs present of available the same showed state NTA the Given cantly knowledge, given com when used ab- need for results the better patients reha cooperation in NTA stinence referred to pulsion to reenforce Department treatment, cannot court the of Corrections. bilitation policy analysis “Programs gainsay of a connect- permissibility comments: the system criminal-justice legislature there be the the ed with choice jail usually spur is ordered. to if treatment have the of return before a conviction minimum, fails, establishes, patient a clear course.”110 What the This signal prompt and effe the more to addict need be said? GAO, Department 108. Id. letter to Justice pro- problem is raised the A serious June 1970: may why many ad- York law the New be the vision. reasons [There] civilly Attorney may has been com- offender who not want dict United States prosecuted, example, being if mitted lieu of Title I. For to utilize unresponsive proves to or unco- the is not who he believes individual may likely treatment, program, operative returned benefit from the to prosecution orig- get the into the court for efforts to the individual may futile; additionally, charge. program If he is returned to inal time, lapse charge pending after a held court considerable since the may abeyance behalf of the evidence on his on the individual much conditional program, dissipated, successfully completing no and there is assur- have may frequently as fair trial when the that he will arise ance receive situation charge successfully if been have had does com- would individual Although promptly prosecuted. plete program, under but because plan, time, passage must At- the New York addict the United States procedure try torney consent to this circumstances is unable to individual underlying charge. arise in which could be contended reasons, processed addict, un- were various 48 addicts effectively Inquiries waive his constitu- 21 federal did not der Title I. major rights. It be best avoid indexes of narcotic tional districts with problems by proceeding showing addiction, use or immediate- revealed 14 no these judicially ly guilt only were of Title I. Yet cases innocence one use Attorney outset, reported by at the the United determined under States partly because California law. the District Columbia — (forgeries and of non-violence offenses Report Congress by See theft) elsewhere are tried State Comptroller General “Limited Use of courts, also because United States Programs Federal Commit Narcotic Attorney judges Dis- in that and Federal Addicts for and Rehabilita- Treatment willing offer were more trict Court (No. tion,” B-16403(2), Sept. 1971) of rehabilitation. Id. at chance (hereinafter Report). During the GAO DeLong, years program and Rehabili- V. Treatment first three J. tation, Dealing Drug I, Abuse 198 Title With addicts were committed under Survey Paper Drug compared per (Staff 3,No. Abuse with 900 estimate annum Foundation, 1972). passed. Project Appendix the Act was of Ford before Report, II contains a *47 supervi- Furthermore, community permit expungement 2. or fol conviction extent, rests, lowing in sion to a considerable successful treatment.115 Such legislature expungement any possi police. help the The hands avoid might reasonably that, stigma bility in our attached conclude the social society stands, police might impede more rehabilita are ex-convicts vigilant compli- likely they requiring tion in return be addicts when community.116 parole a can ance with officer who is exact- A result similar ing payment society” accomplished age-eligible misde a “debt to owed for by man, by disposition a doctor than with a meanants under the Fed convicted further, worker,111 and, Act,117 or eral social Youth which Corrections genuine provides help probation more addict will be treat as well as through supervision pro- confinement, obtained ment in has a parole officers, provision they expungement bation and because of convict likely to be ion.118 more “hard-nosed” employment, demanding, requiring with- law, Section 404 the 1970 21 U.S.C. objec- accepting out the evasions and goes (1970), provides further and § tions, unsuitability discomfort, or expungement as to misdemeanor may persuasively presented possession, any “adjudica- without by avowedly person treatment aides a notwithstanding guilt, tion” of a verdict only “sick.” plea guilty, in the case of a first person narcotics offense under 21 foregoing says 8. The there complies who with conditions of place probation be a after conviction. probation order. deny It does not value considerable pre-trial leg diversion,113 problems of other There are 4. difficult relat- conviction,114 stigma. responsibility islative models that avoid supra Rasor, agencies 111. G. E. Vaillant and R. crime be diverted W. to treatment possible point.” note “at the earliest Commit- tee members asked whether he favored a “ officer, parole 112. Ibid: often [The] pre-indictment probation program similar degree work, help in social works to operated Philadelphia. to one “I would punish. However, and not to unlike definitely support that.” doctor, parole officer can often find Special The American Bar Association’s ‘patient’ job; his unlike the social work- program Committee favors a under which keep er he can ‘client’ demand eligible plead guilty addicts would to a ” job . charge then, after six months of suc- Compare Zinberg supra and Robertson treatment, cessful be allowed to withdraw 43, describing play note at note guilty plea. later, their Four months if Daytop Village the inhabitants treatment, the addict remained in his case Island, Staten a residential treatment cen- would be dismissed the court. For the addiction, produced ter for hard-core operating procedures prescribed by the public. acted order to educate the Superior Court, D.C. see fn. 130. “Early play an addict has a g., screaming, writhing syndrome I of E. Title NARA. withdrawal jail. Later, Daytop, after admission to 115. E. II of Title NARA. process. he starts the same The others group it, in his tell him to Ausubel, come off hand Compul- 116. D. P. The Case for broom, him a sory and indicate that he works Closed Ward Treatment of Narcotics Clearly, or leaves. he is Addicts, still uncomfort- (2d 31 F.R.D. Cir. Jud. ; able contrast he Conf.1961). between what experiences Daytop and what ex- § 18 U.S.C. This perienced jail key point is a applicable misdemeanors, in held play.” Har- States, U.S.App.D.C. vin v. United 113. An article William L. Claiborne (en banc, 1971). 445 F.2d 675 Washington May 1, 1972, Post for reports testimony day previous 18 U.S.C. This was DuPont, analog Prettyman of Dr. Robert L. administrator as an cited Com- Judiciary recommendation, Report, NTA to a House subcom- see mission mittee, charged that a heroin user at 72. *48 study. requires responsibility we have cited The references issue consider- any assumption merely ab- to that seem undercut ation in terms not proved blameworthiness, probation techniques have that also but straction of impaired the existence standpoint furtherance of successful are from the prior brief of a even short The Government’s conviction rehabilitation. appendix, presents, a technical confinement.120 reports question- paper119 on a significant dilemma Most is the that addicts, put recovered that naire “degradation” 76% problem, to the extent agreed for cure of them that motivation exists, applica- it that seem most would it would removed if was ruled be relatively young, ble whereas the responsible for heroin were testimony by appellant’s relied on coun- times, and their at material actions 69% support psychic sel to capacity highlights in- the defense always responsi- they were further said special problems times. at material ble for their actions Appellant may of the “old” skeptical be least addict. One with the writer’s issues takes confirmed addicts— whether methodology can- and conclusions. We depressed self-hate, beset with often appeal, not, matters so resolve such perhaps be even suicidal—will affected legislative contemplation override conviction an even of conviction. marginal despair. increment of That they responsibility likely are The role of is noted more to be attentive brief, reha- amicus realities of controls than such nu- WACADA acknowledgment ances, appears depends on an the reactions of ad- bilitation responsibility compulsory Deem- dicts to the addict. the California civil paradox program:121 it Those convict- it an unfortunate commitment (about negative felony responsibility must in order to ed of a violation narcotics 75%) they non-punitive no- a civil obtain feel are better off treatment —and po- program lesser where to sus- commitment does address itself amicus —with time; says pension probation committed tential detention those under —amicus after a conviction would misdemeanor “conviction” of crime is contra-indi- prison, detention sociologists be in with less rather cated call because it is what “degradation” ceremony. time. Its use process intensify the said to criminal may the invocation of It be that long- personality configuration of the process plus value sig- (which term heroin addict involves responsible telling “You are the addict: dependency, qualities irre- nificant doing.” you for what done and insecurity and self-es- sponsibility, low holding dignity in him re- There is teem) dy- effect reinforce ego-building, sponsible. it And namic of addiction. (on too, a choice to offer a treatment as compulsory probation) than a rather forthright in rec- The amicus brief is That mandate of likely it commitment. ognizing “responsibility,” the need for prison preferred does plea problem presents de- and nying negative ego mechanism of choice. “degradation responsibility. Its interesting, ceremony” question contention is Finally, serious there we stigma are not cited evidence whether Justice is avoidable. Drug Phillipson, Dependence Opi- supra, R. text See 99-101 there- *49 stigma practice against social little different balanced the evidence de- that a wrought from possibil- that associated with” label of a terrent effect is ity “crime.”122 And it by penalty. is notable that the of arrest followed Congressional constituting scheme The deterrent consideration is un not possession the crime of a misdemean- as by noting done who were not addicts consequence or avoids collateral deterred, against they weighed must voting the offender will suffer the loss of experimenters the invisible or ghts.123 ri dabblers, who were deterred start Deterrence continuing. It not is decisive Finally, entirely that the cannot overlookthe criminal law did not deter ad we instance, dicts in feature of deterrence. addiction when it could Narcotic first today contagion prevalent peer- not is not as in 1900.124 offset of the group A place noted of humane treatment advocate most the be studies —and recognizes (a) ginning ages heavy for addicts that “Federal of use between the exceedingly 19, and of testifying ef State laws been 17 and often addicts through preventing they got offer, addiction fective of started cases, contagious enthusiasm, and normal and the features coercive of a of laws have forced the cure of friend it.126 The narcotics who tried it and liked hopeful cases”; the more of the curable fact that use was deterred when the not (b) and remote, that a “well-defined fear of criminal law was abstract and why try comparison peer-group law” one reason a is addicts least may pressures, cure.125 Deterrence of addicts not mean it will not be does most for those who best effective can deterred is when criminal law made options arrests, visualize and doctors concrete with even the arrests —like para-medical personnel become med who of The deterrence is intensified others. ical addicts—but it not limited to is when the made con criminal sanction is suspended them. It would be unreasonable to crete not sentence drug dependence only consider that a defense on condition of treatment. Texas, supra, (Federal Narcotics) fig- 122. Powell FBN U.S. at Bureau of 539, 100,000 addicts, at 2157. ure of 88 S.Ct. for 1928 it would 900,000 mean that addicts deserted the disqualification Voting 123. in the District years.” use of their within ten upon of Columbia follows conviction felony, Kolb, 59, supra of and after a amendment See note upon meeting reported by even vote The felons certain same conclusion is oth- completion ers, supra Vaillant, after conditions of their sen- E. G. note 99. probation granted. Wilson, Wheat, (1 tence or See also & when Moore 1-1102(7), Supp. 1972). Heroin, D.C.Code V Problem Interest Public (hereinafter Wilson, al.) (1972) et “high” 200,000 124. Even the estimate of alia, study citing, inter Robert Schasre’s currently lacking criticized users Mexican-American heroin who foundation, Force, supra, solid see Task shooting stopped had heroin. Above half year 1900, note whereas for the (lost sup- involuntarily did so source figure 250,000 is a “conservative ply) ; response the others “did so in estimate,” higher and one that covers a pressure; some social institutional population— percentage of the relevant eases, pressure a third of these Signal “at least See A Marihuana: 1%.” having having arrested or a friend been Misunderstanding, Report First charge.” who was arrested on a narcotics National Commission on Marihuana and Drug (hereinafter al., supra Wilson, Abuse Nat. et. at 9- note Report) “Though every person Comm. not who tries Zinberg person Robertson, it, every it will like who Cf. it, at 115: “Kolb and DuMez cite likes become addicted to will special (perhaps quarter) estimate of the narcotics commit- substantial fraction heavy regular tee of become was one million ad- first users Using (at 9). dicts in the United States. users.” subject phenomenon pre-trial view of remis- diversion is self-abstinence, sion importance take one we must enormous the ad- prospect avoiding into justice, account that the of crimi- ministration of both in punishment may help nal clogging an individual needless courts for the really identify decide that now is the time to remove cases that a social narcotics, problem legal himself from involvement with medical rather than a problem, pro- serious to undertake rehabilitative and for the more effective through society efforts. tection of rehabilitation in those individuals involved cas- aspects prohibition The deterrent However, pre-trial es. diversion is are noted even those fa- *50 justification depend- for a broad sound voring model, a medical but admit that charges, possession ence defense reducing possession the law misde- to a involve the courts redeeming aspects meanor has tangles, applica- trial most but would be precluding extremely prison severe sen- addicts, ble to the older than the rather non-traffickers, making tences for it younger appropriate for di- ones most likely many appro- that will be deemed is a matter version. Pretrial diversion priate probation rather deten- than prosecutorial requires exercise of discouraging tion, while still those who discretion,129 may fairly be con- and deterred criminal sanctions templated will be that such discretion experimenting habit, even en- into a and non-trafficking exercised for couraging give up some addicts to says, who, are not the the Government habit.127 target real of the criminal laws. probation judicial Need role su- that nar- Committee’s conclusion pend- pervision, restraint, and doctrinal be transferred cotics addiction should reappraisal ing on-going legislative non-judicial out of the “to enti- courts problems narcotic addiction ties, centers, nar- such as detoxification approach Our consonant with serv- and social cotics treatment centers report March 1972 of the American Bar legisla- agencies” (at 100) ice a broad Special Association Committee on Crime proposal. projects for the future tive It Prevention and Control.128 justice a limited role for the criminal The Committee lamented under- system. programs pre-trial utilization of di- Report however, the com- Meanwhile, defendants, dependent version of (at 42) approval ments with procedures and recommended de- and 1970 act some substantial “contains veloped sys- justice within including long-awaited provi- reforms,” addicts, tem so that or convicted accused subject probation sion “offenders on possession narcotics of street treatment.” to conditions medical support habit, crimes for of their justice be diverted from the criminal As- The efforts of the American Bar system conjoined Committee, and be referred to treatment. sociation’s with Zinberg Robertson, supra and note civil under this law had commitments at 251. few in maximum was been number —the high 35 in 1964 —and featured Perspectives 128. New Crime Urban rate, 90%, recidivism estimated at due to (hereinafter Perspectives). staffing, meager limited after-care re- pretrial virtually 129. While diversion has non- been habilitation series past, out-patient under-utilized in even Id. under existent facilities. I, supra, NARA’s Title see note 109 571-72. Attorney given by United States for the District As to latitude of discretion agreed prosecutor permit Congress of Columbia some cases “to invoca- drop prosecution NARA, if the addict con- tion of see Watson United States, U.S.App.D.C. sents civil commitment” F.2d under law, Report, 1953 D.C. 1966 D.C. Report at 571. The noted that negotiations possession misdemeanor, At- with the United States put diversion, officials, pre-trial torney under led and court Supe- put pre-trial program those convicted of in the diversion supervision. probation under This court rior of Columbia Court of District charged reject position certain no at this time for first is imperil offenders potential. judgment courts non-violent Sound misdemeanors.130 leg- encourage pro- rightly sponsor such calls courts reinforce the for the using efforts, grams. However, sound- rehabilitation will islature’s the courts probation ly governed by judicial flexibility, to avoid at restraint injection pace juncture doctrine keeps phase of new with the evolution, legislative Injection with on- an area still advances. going depend- reappraisal judicial psychological narcotic addict doctrine of legislature, heavy- problem way by of heroin under ence addicts would be counter-productive concerned. handed and at least and indeed all present knowledge, state * * * * * * problems reality of re- the liability. of critical opinion March On 1973—after time Judicial efforts at this page proof and the others were —the improve- soundly are more oriented to *51 National on Marihuana and Commission disposition ment of within the contours Drug Report: Abuse released Second its system justice the of of criminal rather “Drug Use America: Problem outright negation re- than to of criminal (at 273): Perspective.” It concludes sponsibility for a time addicts. This is many begun programs when have and Commission recommends legislature need assessment. The and any possession the unauthorized integrated contemplate ap- executive an except controlled marihuana substance proach, aspects wherein law enforcement personal prohibited for use remain a prevention, would be coordinated with act. The Commission further recom- rehabilitation, pro- research other and statutory mends that as a matter of grams. suggests The literature policy, or enforcement assertion system justice may criminal a use- control over the consumer should not integrated approach, ful role in this concepts be tied to of criminal ac- reinforcing by charged countability concepts treatment those but rather to Spec- program period. 'a The American Bar Association’s for 10-month signed by ial Prevention and document Committee Crime bbth defendant Attorney Attorney. Control and the After United States United States successfully for dis- the individual District of Columbia had has remained may September through cussions treatment for 6 months he with- July 1972, procedures guilty plea, resulting in draw his for and after 10 months Project prosequied. Narcotics Pre-trial his case is nolle If Diversion he fails sponsored Superior by Court, treatment, with to meet the standards Attorney partici- following meeting some modifications U. S. terminate his pation August pertinent officials, program, in the with diversion and the including representatives of the NTA and defendant will be scheduled for sentenc- ing. Agency, program D.C. Bail Attor- S. The diversion is to offer U. ney. pro- Operating maintenance, These Procedures methadone methadone de- charged programs, vide : First offenders with cer- toxification abstinence (posses- emphasis counseling. tain non-violent misdemeanors on intensive paraphernalia, graduates sion of narcotics violation The defendant who after 10 Drugs Dangerous encouraged Act or Uniform months will be to transfer petit Act, larceny, facility Narcotics unlawful another NTA for treatment as a entry), eligible participation, voluntary patient. community will be Project Attorney Implementation Proj- if the United States of this Diversion partially by Director concur. The conditions of diver- ect has been funded the Law entry guilty plea Administration, sion include: Enforcement Assistance charge; sentencing continuance and awaits additional Government fund- during program (10 ing. diversion months) ; remaining treatment

H95 symptomatic appropriate individu- serious emotional dis- assistance purpose primary en- tress. al case. The laws

forcement of cannot We know the ultimate fate selection detection and should this or other Commission’s by persons who benefit of those recommendations. But this Re- Second prevention services. treatment port, which covers like heroin and part cocaine, is on- of the direction of legal Specifically role by going legislature, reconsideration system drug-dependent issue expert estab- here commission persons, concludes the Commission key assump- statute, lished (at 274): follows opinion. of our tion drug-dependent persons For those consump- apprehended who are D. Constitutional Considerations offenses, including posses- tion-related supra, California, In Robinson v. following sion, dispositions one of the Supreme held a Califor Court constitutionally re- in our view making mere nia statute addiction mandatory: quired and should pun “cruel and unusual crime inflicted (a) pro- to a diversion treatment Eighth ishment” violation gram or Amendments. The Court Fourteenth might said, however, im that “A state pro- (b) to a treatment diversion sanctions, example, pose gram en- but before after conviction manufacture, against the unauthorized judgment try by the court. posses sale, purchase, prescription, comply Failure an individual its borders. sion of narcotics within the conditions of treatment *52 ”131 emphasized, at . The Court return court would result in his to the that, 665-666, in the case 82 S.Ct. sentencing. prosecution In that for event, or it, jury had been instructed before the subject punish- he to should be though they the even that could convict by up year imprisonment, ment to one used narcotics never defendant had up a fine of both. $500 State, the the and overturned within space in this it is not At this time and sta- on an as based addict’s sentence one the dis- Commission’s feasible review standing alone, for the reason tus integrate depth, in much less to cussion punishing a this would be tantamount analysis opinion. It in this it into the disease, and indeed “an illness which generally observe suffices may innocently involun- be contracted large commentary in Commission’s tarily,” at at U.S. S.Ct. congruent entirely, part, if with and stated: opinion. analysis of An index im- state hold that a law We congruence ob- is the Commission’s prisons person as a a thus afflicted (at 275): servation though criminal, never he has even drug any narcotic within proposed touched re- The Commission irregular guilty of or been be- State of offense tention there, un- a inflicts cruel symbolic importance, behavior its cause of its punishment of though violation val- usual practical limited deterrent * * * legitimate Amendment. Fourteenth ue, role as mechanism its a prison day a per- one would be channelling dependent Even punishment for the identify- and unusual cruel and for into treatment sons having cold. a common ‘crime’ use others whose present (em- California was that defendant at 1419 131. 370 U.S. at S.Ct. narcotics, addicted phasis added). while punish- pointed out, authorize which would As Justice Harlan propensity, and in effect 678-679, for a ment 82 S.Ct. at U.S. at act.” a criminal jury solely proof to commit “bare desire could convicted 11% Texas, supra, rea, mens or to Court “some sort of in- In Powell v. define making sanity

upheld public drunken- test terms statute constitutional developing Marshall an- Mr. Justice ness a crime. freeze opinion dialogue productive judgment, in an nounced the between law and psychiatry rigid Chief Justice Warren into concurred constitutional simply yet He Black and Harlan. mold. It is and Justices the time to court not assert could write into the stated that Constitution formulas meaning, categorically of the criminal cast relevance, use in terms whose let alone dealing pub- yet process means is not doc- clear either to drinking problem aspects lawyers.” lacked tors or to lic 88 S.Ct. rationality. to the uncer- He referred identity cause, tainty nature, as to the opinion If this had a ma- been the disease alcohol- and treatment jority, prob- no shred of a constitutional reality that there ism. Faced lem would confront us. The criminal no effective method treat- known recognizes knowing posses- law that a ment, any event in and in view act, supra. sion see note is an text at requirements of facilities and enormous manpower implementation of a uncertain medical authorities are program addiction, “it is difficult rehabilitation say as to the causes narcotic present that the context crim- hypotheses propensity even lacking utterly process in social inal to addition are confronted ever- U.S. 88 S.Ct. at value.” 392 changing popula- nature of the addict Moreover, possibility of de- gen- importantly, tion. Most there is no significance be nullified. terrence cannot erally accepted cure. ABA Commit- Eighth Report, Amendment, supra, places tee hope management main As to the through distinguished programs on the Robinson Court ground punishment use of narcotics—methadone-mainte- there was no replacement status, nance as a mere but for the ac- addiction—to for a Powell consequences being public drunk on cabin the anti-social while tus reus— recog- Report particular heroin addiction. But the occasion. The Court was (at 57) and nizes from the record that methadone mainte- unable conclude range knowledge, might nance be effective in the medical “the current state *53 addicts, small- . suffer of and that “far alcoholics . . that chronic 25-50% by percentages” compulsion to er the can be reached such irresistible from an get public programs other that treatment discussed— and to drunk drink including utterly detoxification, they to control their are unable abstinence programs performance of with coun- either or both these civil commitment of seling input; therapeu- psychiatric at at 88 S.Ct. . . .” acts . antago- (Synanon); and to articu- tic communities And the Court declined general of doctrine nists.132 a constitutional late early side, analysis faces 233. The author low at the 132. Another released loom, slight problems as when and the that like conclusions: 1972 reaches programs. small maintenance moves from methadone the main See success for cure programs, He is con- DeLong, at 230. at to mass V. 198: J. open choice programs an methadone cerned that [detoxification cen- “[T]hese people encourage communities; may ters; therapeutic run the risk to out- they people be- patient help now avoid of that addiction abstinence] a few great people the the of unattractiveness and more to some de- cause deal addict, very life-style gree, at 233. heroin are but the failure rates high”. is beneficial is Methadone maintenancce maintenance ana- Methadone employment “helpful modality, lyzed is reduced that crime treatment by “forcing yet just helpful heroin [the him increased but is not known.” how being a methadone to switch to addict] Id. at The considers that author at 222. that addict.” Government estimates 25-33% helped by will be is methadone feet the constitu- in most context of states.133 Justices overall Warren only problem into ac- must also take Black subscribed not to Robin- tional penal affirming (a) acceptance opinion son to of a also count but compulsory civil Powell’s conviction based on sanction to enforce an actus addicts, reus. not- commitment for narcotic withstanding present at that success Justice White’s statement must be modest; (b) the rates at best read framework of his concerning already developed material uphold votes to the convictions of both possible penal sanction value Powell, Robinson his state- probation conditioned —when used with punishment ment for an offense setting, pro- In this on treatment. can be related the exercise of at will available bation-with-treatment previous some time —at least if the will- sentencing authority, Justice Marshall’s ed acts were not in time.”134 “remote penal opinion supports sanction for punishment This indicates for the knowing possession of ad- narcotics possession justified offense dicts. constitutionally, notwithstanding claima opinion of turn to the Justice present We capacity, lack of control White, the fifth member of Powell not-too-remote choice reference to some particularly pondered court. We of the addict eschew rehabilitation incapacity significant- Robinson’s his statement This is treatment available. (a disease) punish approach ly neces- addiction different the standard sarily incapacity punish insanity defense, means an as ex- of e. rule, possession emplified or use of nar- addict the ALI which fo- punishing cotics, capacity the same as which is at the time cuses on lack offense, “under a name.” for addiction different the conduct. control See U.S. 88 S.Ct. revealing ap- of Justice Also White’s reflected, Watson, court without concluding passage, proach 392 U. resolution, implication po- of that 553-554, de- that a S. S.Ct. sition. by the mere ex- fense is not established noted, degree,” already compulsion As Robinson “to some said ex- istence pressly punish pur- the state could made a defendant where the drug. showing chase avoid a narcotic “unable” to that he was just Court was There doubtless aware made criminal.135 condition possession provision part plain implication such a that defendant would Drug proof. Uniform Narcotic Act in ef- have the burden of Douglas, joined Amendment, Justice I adhere who implicit opinion, concep.t Robinson added a of “condition” concurrence noted, opinion . . . The Robinson. U.S. S.Ct. *54 subject proper inquiry of is whether that the Uniform Act does not punish brought “con- about addiction. volitional acts those are and whether acts dition” said, 134. Justice White at 392 U.S. 550- proximate sufficiently “condi- to the at 2163: 88 S.Ct. impose permissible it to tion” for to be By precluding criminal conviction for penal “condition.” sanctions on [narcotic such a addiction] “status” upheld dealing the conviction White [in the Court was Justice Robinson] assuming brought Powell, he “established a even with of condition about acts application becom- have resisted from that he could not remote time of contemplated, . 1966.” “. on December . the criminal a drunk sanctions nothing perma- relatively that more than showed condition was Powell which degree compelled duration, to he to some nent a condition of was and great significance time magnitude drunk at the that was and drink and he showing that no of arrest. made his He terms of human behavior and values. * * * stay necessary off the streets he to dis- unable If it were night question.” at tinguish on U.S. and “acts” “condi- between Eighth 553-554, purposes 88 S.Ct. at tions” of Taking opinion and sessment Doctrines Justice White’s Pertinent of Responsibility whole, a we conclude that Constitutional votes as approach of undercut Protection does not Justice Mar- per- opinion on the constitutional shall’s that We are aware in Watson it was holding missibility ad- even narcotic process indicated pos- dicts for the intentional action session, might integral- inapplicable to acts as be recognition of a de- without new ly of addiction as related status psychological dependence fense possession, and that issue de- verifiability poses problems difficult presented might fense on the merits be widespread To the extent that use. through during the motions before and contending dependence a de- those trial.136 ready accept un- fense are convictions provision statutes, without der state These references to the merits were defense, plainly their submission such a tentative, most and were intermeshed requirement, even lacks constitutional questions, with non-constitutional though may permeated consti- it pertinent history legislative tutional discussion. might earlier statutes show that Con- gress never intended “the non- to reach doctrine is concerned Constitutional trafficking possessor”137 or addict pertinent general fairness. “non-trafficking possessors personal increasing (a) availa- context combines addicts, signif- use.”138 Even as bility in the com- treatment choices opinion, icant that sustained proba- including munity, “treatment” availability conviction, on focused problems tion, (b) awareness conviction, NARA treatment after as drug dependence defense on a attendant primary consideration, final albeit not a (difficulty required of verification if solvent of the claims merits. distinguished psychic incapacity significant passage, opin- the Watson unwillingness undertake available being identifying treatment, difficulty ion dif- stated sentence was difficulty types addicts, ferences limiting vacated and remanded— to the few rather the defense [appellant] with directions that he etc.). many, combined In this regarded eligible resentencing than context, does not constitutional fairness disposition for non-criminal under probe compulsion the addict's mean Act. Narcotic Rehabilitation Addict determine, alleged compulsion represented Amicus us itself has precisely and on what basis part when . that this action on our depend- ap- for use large made a choice when “would obviate measure” ignored community’s pro- ent, pellant's problem.139 gram Columbia, (in the District Watson did not account—in- take into voluntary commitment, also deed the of—the court was not advised multi-modality programs, includ- NTA’s legislation prospect subsequent maintenance). ing methadone would misdemeanor make permit fol- to be conviction Problems

E. Current Resolution of Watson, As- even NARA Further lowed treatment without Noted U.S.App.D.C. too, aware, 439 F.2d 138. 141 that conscientious We judges sought grapple re- district *55 implications flectively of that with the U.S.App.D.C. 347, at 141 439 F.2d 139. approach. E. States v. Lind- United States, Bailey 454. See also v. United sey, (D.D.C., 1971) F.Supp. 55 324 cert, 1, (5th 1967), de 4 F.2d Cir. 386 Ashton, (Gasch, J.) ; v. United States nied, 20 L.Ed. 88 392 U.S. S.Ct. (Gesell, F.Supp. (D.D.C.1970) (1968), of in 15 Wat cited note 2d J.). provisions indicating son, that NARA’s as required U.S.App.D.C. in extension of F.2d at caution 137. 141 principle of Robinson. 452.

H99 through provision commitment, permitted of for bation and conditions treat- probation. of a condition ment. treatment as probation, flexibility The and sus- put thought The has been that we pended may (a) sentence, serve to rein- enlarge on common law

should defenses for motivation force addict’s rehabil- incapacity psychic reach (b) protect by itation, society, and we In Brawner considered addiction. ensuring against any hiatus between the diametrically proposal, oriented process termination the criminal and abolished, insanity med- be with defense equivalents. civil the institution of disposition for ical reserved overview advisedly; “equivalents” term used guilt. proposal not noted that this We any widespread compulsory recourse journals appeared in had take civil commitment must account in comments of re- but been endorsed increasingly with voices concerned judges. this We concluded that flective portended by liberty threat actual common law doc- from settled turn-about problems are un- confinement.140 The, and will trines on mens rea free based statutes, by derscored civil commitment judicial fiat but for the kind was not for provide law, no maxi- like the D.C. legislative reexamination that could in detention, mum as inheres such a sen- by accomplished devotion of re- be tence, and for detention authorize sources. duration of “treatment.” Nor can the commitment, problems compulsory Similarly, think it we should be aptly detention,141 hybrid fi- termed a be legislature on whether to focus “treatment”; nessed name expand theory insanity de- evading commitment, penal sanction for psychic fense so as add a defense elopement, likelihood, in all extends incapacity from addiction. cooperate.142 Moreover, failure to verifying incapacity difficulties of are pervaded doubt, all field about significantly greater posed than those yet known, is certain is that it is not by insanity And defense. identi- many addicts, how, whether, if not most drug depend- fication the defense of extent, or to what successful treatment concepts ence with of mens and free rea A whole-hearted com- be achieved. by proposed will is undercut its limita- mitment commitment to civil must simple tion to offenses of tempered even now with awareness use. sarily this fiat does That neces- this is “uncivil commitment” sometimes policy. mean it is unsound How- anxiety that overhead hovers the ever, poli- kind of is the choice of meaningful detention unadorned appropriately cies in tension that is treatment.143 here, when, the legislature, at least legislature engaged continuing knowledge The uncertain state of reappraisal addiction, field, flexibility, of narcotic need supported integrated approach “unanticipated underscored find- large ings” survey “ghetto” funds for research rehabilita- of a Bed- tion, significantly, has, pro- ford-Stuyvesant community.144 restored The sur- Kramer, 121; Aronowitz, may, course, 140. “He [the 143. addict] Addicts, protec Civil Commitment of Narcotic confined or for the for treatment (1967). Douglas, society.” 67 Colum.L.Rev. 405 tion of Justice con curring, California, supra, Robinson Packer, H. The Limits of the 370 U.S. at 82 S.Ct. Criminal seq. 256-7, Sanction 333 et Study Research Addiction Team, Cruz, Corporation Cf. In re Evaluation Cal.2d Cal. Treatment Rptr. (en 1965) ; banc, P.2d with the Columbia Univers- association Belton, ity Work, P. J. Nar School of the Vera In- Civil Commitment of Social Justice, A stitute of Harvard Law cotics Addicts California: Case and the History Statutory Construction, Justice, School Center for Criminal reported (No. 8, Hastings in 2 LEAA L.J. Newsletter 2 *56 implement vey use in a civil statute with the heroin found that a lower proba- by respond- priorities of reported same as a violation their was families (one- g., unrelenting grade tion, in enforcement of education school ents with high employment requirement; school whether of those half use education); by respondents way handle the college there is a feasible or hostility occupations person or incomes means whose extreme collar with blue annually (significant pro- dif- in a treatment $6,000 his inclusion that below employed gram capacity in white of limits for treatment those ference with $6,000 ques- Apart occupations income above from such problem slip- or other addicts.145 collar by respondents from bro- annually); of tions there remains than those (slightly inescapable problem page, less ken homes by respondents families); and narcotic user who resists confinement in intact (slight- by jail ground females on that has not headed it been households males). by proved ly beyond headed those doubt that than reasonable less profile findings capacity surprising on he had to conform substantial These against any court past prohibition caution conduct to the law’s of the addict on-going possession, possible into intrusion and then resists extension and assumptions arguing hospital by on appraisals, based confinement in a develop- by jury sufficiently and studies that it undercut has not been be surprising find- proved by to the less As the Government he has ments. study, that power LEAA-financed “lost the self control with ref- this meth- drop-out highest from the rate erence to his addiction.” Since the among program presence, was capacity maintenance or lack odone of control is members, reinforces younger this any difficult of verification as one strong availability time, subject prob- the need for the change, is induce- slippage overcome the that can lem of sanctions not inconsiderable. drug, motivate users ments accept coin, On the other side of far so responsibility strains and the concerned, as criminal sanctions are style. changing life Congress recognized has the mistakes of argued commitment that civil It past in over-domination medical society protection provides by officials, solutions law-enforcement unable of an individual in the ease needs provided prescription and has for HEW nar- use to control his approved techniques.147 medical drugs. ques- This raises serious cotic given maintenance been Methadone has juries commitment will tions whether increasing Congress recognition, has ready of self-control such lack to find permitted expressly treat- methadone involuntary confinement warrant NARA, ment under Titles I crime; II charged whether those not realistically expected appropriate Experts society (cid:127)our cases.148 caution can 1972) (The study engaged trafficking financed con- been LEAA). ventional crime. Hearings generally, H.Rep.No.91-1444, Treatment See Addicts, and Rehabilitation of Narcotics 14-15. the House Before Subcommittee No. 92-420, 148. Public Law 86 Stat. Judiciary Committee, Cong., 92d 1st Sess. bill, (Sept. 16, 1972). reporting (Testimony of Dr. H. Jerome administration, Senate backed Special Jaffe, Consultant to the President noted that the President’s Committee Dangerous Drugs). Narcotics found it 1967 Crime Commission had 602(a) not, fragmentary 146. 24 D.C.Code While could research then theoretically available, judgment civil commitment could be as to reach suitabil- premised person showing ity on a treat- of methadone maintenance public public approach. endanger used a “so as ment or as health health, morals, safety, welfare,” “Subsequent The Committee continued: events, however, difficult to see invoked how this could be have established appropriate hypothesis, when the addict cases methadone is a useful *57 ly supervised has both that maintenance narcotic maintenance.150 methadone policy-making in number of ultimate limits the This is a matter that respond, may by limi- who and intermediate not be will mandated the courts. on rate of transition from tations on-going legislative ap There will be programs. experimental to mass praisal. The provided, 1970 law § duly that were has been noted there It note, non-partisan 21 U.S.C. for a § no criminal in the 19th sanctions centu- Drug Commission on Marihuana and larger ry notwithstanding relatively appointed by Abuse, with members population user narcotic addicts —sol- of Congress (4), President and con sig- addicts; addicts; dier and medical comprehensive study duct a and make nificantly “drug addicts,” predomi- store The recommendations. Commission’s nantly female, class, and white middle Report, First March recom geo- particular and not confined to a mended that the Federal law be revised region graphical that the cities —and prohibitions so to remove criminal legislation criminal ensued against “private” marijua possession of “pleasure” or advent of the “street” use personal na for Commission use.151 drugs by of narcotic ethnic minorities any philosophy, disclaimed absolutist the nation’s There cities.149 are reflec- explicitly recognized and that so-called say tive voices who criminal that “private” prohibited be conduct approach more sanctions recent public health wel furtherance and past, prohibition out-patient and med- utility fare, the le but focused on prescription narcotics, ical com- gal system, need for use of and the provide impetus bined to to crime modifying law, noxious be society dangers that besets particularly havior, when behavior is evil, worse than and that the curse consensual, private invisible, and requires abuse riddance dogmas emphasis not past primary must from whether in, research acceptance of, system agencies then put medical- control.152 other social on rehabilitating liberty rightly tool in the work of in- heroin of an restrict S.Rep.No.92-1071, Cong., (other child) addicts.” 92d own than his dividual (1972), Cong. good. 2d Sess. U.S.Code & Ad- to the The Commission subscribes 1972, p. expressed min.News Professor view moderate 92-420, Law, Liberty Public Law No. amended Title A. Hart H. L. NABA, (1970), II of Morality, U.S.C. re- that the wane of laissez faire treatment, including quires thesis, to redefine serv- Mill’s modification of “designed protect public availability society ices permits to restrict only “by substances, though benefit the addict” not eliminat- even of harmful dependence addicting drugs,” his result- would consent individuals “by dependence controlling rejects also ing harm. While it Lord Devlin’s addicting drugs.” (The thesis Enforcement extreme any society may prohibit Morals) that Nat.Comm.Report, supra note “immoral,” it that conduct deemed 12-13. merit his “moderate thesis” finds g., Perspectives, supra 128; 150. E. note B. “Society laws is entitled reason of its King, Drug Hangup (1972) ; Zin protect dangers, itself whether berg Robertson, supra note 86. from within or without.” Wilson, al., also See et note Report, supra 151. See Nat.Comm. at 26: It also recommended removal of Mill, whose Even John Stuart defense private criminal offense for distribution liberty virtually absolute, personal insignificant of small amounts re argued against allowing a sell man to muneration. slavery, by selling himself into ‘for him- also, report slave, liberty; 152. Id. at ff. See as a self he abdicates his comparable Commission, beyond foregoes Canadian future use itof ** * Dain, Report simple chaired Dean Le Interim act.’ We think Inquiry sufficiently large the Commission of into for a clear num- Drugs seq. persons, Use of Non-Medical 505 et ber heroin is so destructive rejects personality This John Stuart Mill’s of the human it should (On Liberty) society may generally view made available. *58 marijua impact projected by rejection the Con- limited for The Commission’s gress present possession for law —with Con- that a contention na of the traffickers,153 contemplation gressional that the Gov- needed to reach offense is heroin, prose- necessarily ernment would withhold extend to does not addicts, .they consequences cution mere and of that by in differences marked subject pretrial population and diversion would be user, type of user Report, probation authori- and court’s broad Its Second quantum “sales.” of provision ty. together This, of with the criminal sanctions in recommended executive-legislative su for text commission possession heroin. See of for ongoing reappraisal, establish a climate pra, at 1194-1195. judicial conducive to a restraint pres- 1969-1970 Administration’s hobbling of would avoid a constitutional pro- sought Federal offense a entation development. legislative flexibility and possession hibiting of controlled mere large-scale drugs reaching means of as a opinion pan- Watson, In the 1968 of a any intent traffickers,154 and disclaimed Eighth el of court found Amend- possessing for prosecute mere addicts infirmity of ment the excessiveness re- use, on personal reliance instead requirement imposing statutory mini- a for commitment and civil habilitation addict, ten-year mum term on an with- agreed Congress and addicts.155 abusers hope probation parole, and out crime, simple possession a to make regard dire to the offender's without high penalties request declined When the case need for treatment.156 felony classification. and reargued decid- en bane 1969 and July 1970, the court reversed ad- ed possession of narcotics As to invalidating arbitrary limitation personal use, we note take dicts for point view, supra Report, sort of some note enforcement possession 153. Nat.Comm. provision neces- considered is at ff. However, sary must included. Dangerous Hearings on Controlled simple posses- person arrested Drug Substances, Narcotics Control many the narcotic times be sion will Ways and on Before Committee Laws Means, drugs. abuser of addict or casual Cong., 2d 91st Sess. 201 possible, cases rehabilitation both Hearings). (hereinafter House abuser, probable. and, the casual Attorney Mitchell testified General Ingersoll, also, Testimony See of Mr. possession was needed view offense Drug Hearings Amend- Abuse Control on opinions Supreme in- on recent Court Before Subcommittee ments — proof of from ferences available mere Health and Welfare of on Public possession. possession He said: “While Interstate House Committee major are not thrust offenses Cong., Foreign Commerce, 2d 91st Sess. enforcement, they are law Federal (1970): conspiracy necessary concomitant attempts philosophy is one which Our against large-scale traffickers.” cases distinguish the abuser and between See, Hearings, 1969 Senate the trafficker. testimony of Mr. John feel that the abuser the victim We Ingersoll, Director of Bureau is the criminal of the trafficker who Drugs: Dangerous Therefore, Narcotics feel efforts we our case. posses- regard against properly the crime of With the crim- focused use, feel, I from sion for one’s own inal elements. point view, hope Meanwhile, this should Federal we that our major expertise efforts, enforce- not be Federal law and our our research techniques, mere effort. The rationale for ment and rehabilitative would de- point frame- velop within the offenses where abuser penalty deterred, prevented structure work of Federal the victim can be purpose indicating becoming lack for the one from victimized acceptance indiscriminate event hand or rehabilitated non-medical use of these he does become an abuser. provide against the criminal handhold U.S.App.D.C. 439 F.2d be arrested for more serious who cannot seq. et crimes because of insulation the street traffic. For the Federal NARA, on-going Title II legislative benefits thus as- into the development suring the trial court would have discre- the law. provide tion to for treatment of the con- V. REMAND FOR FURTHER CON- victed offender. SIDERATION OF DISPOSITION We un- shelved concerns Our conclusion that this case derling position is, rath- Watson. Our should be remanded for further consid legislature er, increasingly disposi eration the District Court of *59 concerns, itself addressed to like part tion pro arises in from its unusual only permitted addicts, not for but made posture. cedural Under the circum in, probation on condi- clear its interest case, ju stances we exercise our tion of medical treatment. appeal risdiction the from the convic accompanied judg by as was a tion — Congress contemplated fairly that placing appellant ment under confine possession case, involv- trial court a ment, for a Title II NARA consideration sentencing the defend- claim guide disposition sentencing, to after dependent, in- would consider ant was a permit but remand to further considera concerning the nature of formation disposition requested tion of NARA if dependence, before defendant’s by appellant.158 jurispru Our settled passing sentence, possibilities of and the apply dence calls on us to 28 U.S.C. § control under treatment.157 following 2106 so as to order remand a a judi- do not think juncture, At we possibility when sentence there drug dependence interposition of a cial give dispo there was a to NARA failure sound intrusion defense would mark a present sitions full The consideration159 States, 115 U.S. 157. See United Leach v. disposi- total benefits of a NARA 351, (1963), App.D.C. 320 F.2d 670 may tion warrant in re- defendant F.Supp. (D.C.1963), 218 271 remand questing it, assuming even that NARA U.S.App.D.C. cause remanded 118 disposition may permit discharge —which 945 334 F.2d months, after 6 18 U.S.C. 4254—entails § possibility longer than confinement jurisdiction appeal As our to already the sentence quest ordered. a re- Such conviction-plus-commitment, from the any possible would waive claim of States, compare Korematsu v. United 319 prejudice possible in sen- increase 63 L.Ed. 1497 U.S. S.Ct. 87 Compare States, Tatum v. United tence. (appeal probation). (1943) from order U.S.App.D.C. 49, 50, 310 F.2d Subsequent appeal to this court (possibility (1962) of increase in de- besought the District Court defendant time, Youth tention under Corrections disposition, re- NARA Act, outweighed by ability to benefit of jected. We know for certain cannot expungement order). earn The non- appellant whether would continue to punitive setting may of NARA be deemed request disposition but think NARA outweigh punitive con- defendant justice judg- the interest of our period. finement for a shorter Carter ment should not foreclose consideration of States, U.S.App.D.C. v. United request. such a (1962), approval F.2d 283 cited voluntarily A defendant who extends his U.S.App. States, Harvin United gain commitment time to NARA benefits 199, 203, banc, (en D.C. 1971). 445 F.2d off, any sig- would seem no worse may Defendant consider respect, voluntarily nificant than one who disposition NARA even this time applies for civil commitment under Title yield (a) preparing overall benefit NARA, subject III of becomes crime, him for a free of future life possibility of 42 months treatment with- (b) help danger avoid the that he possibility voluntary withdrawal, out addiction, might, if cured of his U.S.C. subject involuntary commitment, civil properly The defendant could limit his dangerous dependent person as a request to an order under Title II of law, beginning under District subse- given operative effect, pro NARA nunc quent of his to the service sentence. tunc, as of the date the sentence. Indeed, disposition might Gaines, U.S.App. NARA 159. United States v. provide any credit, event, such a 402, 406, D.C. 436 F.2d pursue (“this we need the matter. court is unable to determine appropriate such While is considered motivation treatment.”162 case prior Congress contemplated dis- order, remand since in 1966 a position order, judge, this (Titles the trial I and NARA civil commitment argue appointed III) counsel court nar would be limited “selected diligently appeal, legislative history filed and he his brief cotic addicts” the also sought en banc ap on the merits and underscores need “flexible proaches,” embodying on-going ordered. Coun- which we consideration medical appellant and the Govern- knowledge, sel for both and it would seem that Title vel governed by on conviction dispositions thus ment have focused II could be simple non, yet order affirm- objective broad of NARA voiced judicial might preclude further ance Committee as follows: of the NARA issue. consideration provides alternatives which bill [T]he flexibility provide in the law. a needed remand, In such consideration implemen- practical effect free to into take District Court would *60 provided for in the tation of the law pertinent The ma material. all account punishment bill, is can be that strict court indicates to this terial available required hard- meted out where to of the defendant the failure that profit criminal, justice ened while can be prior experience at Danbu from a judgment tempered and fairness with ry itself NARA is not conclusive. it to the best in cases is those where prior on a Ti failure clear that a makes society the individual interest preclude Ti a not tle I commitment does a course followed.163 that such be that And the fact tle II commitment.160 likely to reha person be a is found not widespread that conviction There is Danbury program does under initially bilitated a many be who cannot adjustment negative successful pro- not a the rehabilitation motivated grams pro through Surgeon a methadone-maintenance by General used now gram D.C.’s kind administered successfully crimi- from rescued can be Administration. Treatment per- Narcotic toward work and oriented nality, Department, and the National The HEW relatively life as a normal formance Health, thus have Mental Institute “socially citizen, happy himself in useful pro NARA’s rehabilitation through far limited society,” methadone- a in notwithstanding grams, some variations coupled ef- program maintenance high approach,161 in to "addicts counseling.164 view Indeed fective considered the trial court problem-centered whether device as a described ; NARA) eligible” appellant under actually supervision to be provide will which U.S.App. Collins, period 139 longer United States v. for much and control 399, 550, F.2d D.C. commitment. a short-term time than resentencing,” (“remanding so programs NARA 161. The Government’s possibility Title of a commitment under place. place In addi- to differ free of be can considered II of NARA Danbury, are Government there tion “by appellant’s the confusion introduced Kentucky, Lexington, Fort facilities ambivalence”) ; Wil- v. United States Island, Worth, Cali- Terminal Texas 1969) (4th liams, Cir. F.2d alone, Lexington there At fornia. sufficiently (NARA called not “was communities, therapeutic five different judge] to make the trial [of his attention approach. using Nation- a different each discretion”). him aware of his Lexington, Health, Mental Institute al (HSM) 71-9071 Pub.No. HEW Cong., H.R.Rep. No. 89th 160. See Cong. (1966), & U.S.Code 2d Sess. supra, Report, note 162. GAO p. 4254: Admin.News 35-36. court will *61 being is now used in confine- NARA pellant was convicted that methadone ment, or at used a least transitional programs maintenance became available rigorous adjusting means to a more appellant, to the due efforts of the program. NARA Agency. Narcotic Treatment In Febru- justice ary appellant Our view that the interest of tried the methadone thorough-going program calls for review of NARA available at the Blackman’s De- corollary possibilities ap- velopment is Center, but this consisted proach in help opinion, reflected low detoxification doses and was no questioning refrain from courts should Although appellant to him. Moore’s Congress previous has autho- request convictions when help for for his addic- post- on-going rized liberalization judicial system tion in while was un- premise That availing, changed Sep- conviction alternatives. apparently in lip-service or me- by for more than referred, calls tember 1970 when he was reality of probation chanical consideration of officer, his to the Narcotics Administration, these alternatives. Treatment with sub- its stantial methadone doses. appropriate dis- conclude that the We position of the convic- is an affirmance contemplate pursuant We a remand tion, consider- and remand for further arrange which the District Court will alternatives, post-conviction ation Surgeon for a current by assessment disposition.166 concerning possibilities, General Title II possible one that into takes account consider wheth- The remand could also changes in that official’s administration remanding kind er the defendant Surgeon think We General could February 1973, vacating panel give consideration whether a States, basis exists opinions in Franklin v. United arranging community commitment at ordering sponte a sua No. satisfy treatment centers which would hearing, prior en banc to the Presi- requirements of the Title II NARA message Cong. con- dent’s March finement. The recent amendment of Title (daily ed., 14, 1973). Rec.H. 1731 March II to include methadone indulge maintenance thought We best not supra. is treatment discussed in note 148 inherently speculative analysis opinion might any how our be affected opinion proof 166. The bulk of this inwas permutation long prior legislative of results from the to the issuance the District Appeals proposal prospective ruling. of Columbia Court of its order banc en custody Attorney in thereof execution discovered General on a provided by could with his coat seated Title of NARA Moore II off facing away Attorney one foot chair about with the kind of bed blended parapher custody developed on was laid out all the that has been which General pro- for a her loose mixed heroin in nalia and with work-release connection operation.2 capping vial grams, A contain to communi- oin and with remittance guid- capsules ty centers, full of mixed heroin offer residential pants pocket. persons narcotic addiction also found Moore’s ance problems.167 before he Moore was thus arrested and away he the closet was taken went to Judge: MacKINNON, Circuit put It on his overcoat. Room and permissible was a conclusion Judge My concur decision presence than room was more Wilkey’s opinion and affirm the convic- temporary he and that was ac casual Failing that, I tion and the sentence. trafficking tually aiding in heroin. and re- vote to affirm the conviction is thus no discus There basis of the sen- mand for reconsideration non-trafficking sion And, addict. about a Judge I Leven- tence. also concur full examination since Moore after respect IV thal’s discussion Part ineligible treatment was found responsibility impaired to criminal under the Narcotic Addict Rehabilita possible control defense to crime. Act, tion I affirm the conviction Failing that, the sentence. as stat I above, ed I concur in the remand to con writing Despite about non-traf- all resentencing. sider addicts, ficking introduced the evidence against appellant Moore sufficient very support that, conclusion II abetting aiding least, Moore was Judge Wright’s recog- opinion fails to trafficking ar- when was narcotics nize that the use narcotics guilty Hence, he *62 as a rested. great illegal is the is the use vice. It of principal1 a considered and must be drugs by makes other trafficker. possible. of narcot- crimes Possession January 29, Moore was arrested by the root of the ics the addict is at Hotel. of 1971 in Room 17 the Warren objects evil. And while addicts are of Previously police from had learned judicial pity, justify not that does persons were an informer that certain reordering procedures of our control so selling in 15 and 17 heroin Rooms regular protect persons in as to such corroborated had this information been quantities procurement of unlimited per by purchases from heroin actual illegal satisfy their individ- narcotics to Moore) (other in rooms both sons than change euphoria. If ual desires days Act Moore’s arrest. several before handling of to made in the narcotics be police ob information the on this Congress. must come rooms both

tained a to search warrant programs, we note that foregoing release For work confused The is not to be 167. custody prerequisite community is a “full minimum sim- residential centers Department Justice, cases,” provided pliciter, apparently in all S.U. Prisons, An- parole pre-release “Questions by Bureau the 1970 law for (mimeo- adaptation situations, About AVork Release” swers but rather grapli), custody of NARA. We under Title II note that the Bureau of Prisons further 2(a) (1970). § 1. 18 U.S.C. possibility in of these mind the of use capsules empty capsules, full 67 De- 2. short 174 centers for commitments. U. S. large quantities heroin, of loose partment mixed Pris- of Justice Bureau of the parapher- heroin, ons, and other heroin mixed The Residential Corrections Center: dated). Community, 2, (not nalia. in the 15

1207 an air of scientific literalness It lends III legal accuracy purely defini- to a recognize I the mental con- in the foundation tion without resulting dition from narcotic addiction 30 of life or science.” facts except to crime full con- as a defense the rule announced formance with impulse defense as a Irresistible Brawner, U.S.App. charge rejected v. 153 United States has been crime 1972), (en banc, D.C. 471 F.2d 969 England,31 Canada,32 in a ma- i. e., may not be convicted jority jurisdictions. of our In 1955 found it the American Law Institute conduct, at the time of the if, right-wrong had been added to defendant, mental as a result of ju- states, in fourteen the federal test defect, disease or either lacked sub- army plus one state risdiction and the capacity conform his con- stantial having delusional-impulse test.33 law, requirements duct ap- capacity to or lacked substantial 30. Wertham, The Show of Violence 13- wrongfulness preciate his con- Hall, (1949). In Defense of And see duct. Rules, McNaghten 42 A.B.A.J. (1956). U.S.App.D.C. 918-9 471 F.2d at prove Thus, he would have to 31. Regina Barton, Cox C.C. Cr.App. (1848) ; Kopsch, Rex v. “mental or defect” and a lack disease (1925) ; Flavelle, Rex v. R. 50 capacity conform” and I “substantial pro Cr.App.R. (1926). It was any person would not consider posed accepted England to be capacity “lacked to conform substantial rejected the bill of but requirements of law” his conduct Draft It was recom Code mended the Atkin Committee . would not unless “conduct . . 1923, supported by the British Medical ‘policeman be inhibited even influen Association was blocked of the offender.” essence elbow’ The Royal opposition. tial Commission appellant’s if an accused claim is that Capital Punishment in 1953 rec M’Naghten person ommended that rules abrogated jury “and the left capacity lacks substantial to conform simply ought decide whether accused requirements of the his conduct to the insanity.” irresponsible to be held criminally law held [he] Williams, Law § Criminal responsible for mere And see edition 163 of the second (Judge for his own use. Wright’s 1209) opinion, p. (1953-54). Can.Crim.Code 16§ (tent. dr. Model Penal Code Judge Wright arguing What for is 1955). Alabama, Arkan- states *63 any a defense that would eliminate re- Delaware, sas, Colorado, Connecticut, quirement of a or de- “mental disease Massachusetts, Indiana, Kentucky, Vermont, Michigan, Mexico, Utah, New fect.” Such defense would be the sub- Virginia Wyoming. Georgia and has equivalent allowing stantial defense delusional-impulse test. insanity proof insanity. without Perkins, (2d R. Criminal Law 873 ed. proposes The test he not would even 1969). up requirements measure impulse theory, irresistible of which it States, In Misenheimer v. United 106 said: been U.S.App.D.C. 220, (1959), 271 F.2d 486 Judge Washington that, pointed medico-legal theory out even “The of irresist- impulse lay- Durham,4 only by under a defense of irresistible ible is advocated impulse psychiatrists had men and sci- District Columbia who are entifically to sufficiently be “due to a To- not oriented. mental disorder.” U.S.App. Kunak, States, 3. See Durham v. United United States v. 17 CMR Judge 214 F.2d 357-58 D.C. Washington participating was one of judges in Durham. Brawner, their Un- day, jurisdiction, to conform conduct. it in this refused defense,” repeated requirements der supra, the “addiction forth the that sets to conform one’s to and no need successive for such and I see defenses refusal proof to depart would tantamount there laid conduct be the standards from It adoption unable to conform. rec- was of the defense down. The great Judge mis- Wright’s opinion, cause of to would thus ommended gross favoring my mind, chief besides users destroy order as social “would safety.” narcotics over those less addicted. personal well as summary of paraphrase To Perkins’ Judge (concurring): ROBB, im- Circuit court on the irresistible decisions Judge Wright’s theory pulse “lack to Wilkey’s Judge opinion I and concur capacity propos- substantial conform” add a few words. al: minority espoused by the The doctrine great, difficulty if any to commit would license an addict establishing by insuperable, of satis- including sale criminal act— factory proof ca- whether substantial necessary support —that he considers pacity conduct was to conform his my opinion and In maintain his habit. lacking. day a sad “It will be nor statute neither the Constitution for this when lack of substantial state requires result, and I decline capacity to conform one’s conduct legislation. bring by judicial it about shall our dictate a ‘rule of action’ to vagueness courts.” tainty “The and uncer- Judge, WRIGHT, whom Circuit inquiry would be Judge, TAMM BAZELON, and Chief opened may pause well cause courts join, Judges, ROBINSON, Circuit assenting before to it. Lack of sub- dissenting: capacity stantial con- conform his California, U.S. In Robinson incapable practical duct is too so- L.Ed.2d 82 S.Ct. lution, legal to afford a safe basis for recognized (1962), Supreme Court adjudication. It as a meta- serve addiction, ill like mental that narcotic physical psychological problem, to ness, disease, leprosy and venereal speculative interest amuse the The Court not a crime. illness philosopher, but it must be discarded statute held a California therefore jurist lawgiver making crim of addiction a the “status” practical of life.” affairs unusual inflicted cruel and inal offense supra, (footnotes Perkins, See R. at 872 Eighth punishment in violation omitted). Some Amendments. Fourteenth eight my years later, v. United impractical in Watson view most as- pect F.2d capacity States, U.S.App.D.C. the “lack substantial banc), (en noted this court their conform conduct” test is that in applying practical practical- matter an addict’s test that as a purchase, receipt, possession such would be ly impossible use of separate those who inseparable from capacity lacked substantial to conform narcotics acts suggested, their possessed a result we conduct to disease itself. As law those who *64 deciding,1 capacity merely “if Robinson’s that such who without Mosler, 264, meaningfully respect v. 6 them Commonwealth 4 Pa. to cannot prop- (1846.) record, a and are more Pa.L.J. 90 on such made orderly processes erly of be left to Although beginning adversary litigation suggested at the trial that the court a de fact-finding might level, suf- fense of addition be available to court ficently point non-traffieking possessor, of time to it close in addict question in- to assure its that in the in as concluded since the record trial events States, developed 141 tegrity.” United court not been with these Watson v. had rulings mind, U.S.App.D.C. 439 F.2d theories in “definitive

1209 deployment Eighth as approach drug Amendment this insensitive to addic- making a barrier to California’s tragically addic- tion counter-productive. is anything, Twenty years rigid tion it must a crime means criminal enforce- (1) Congress logic against also in mean all ment laws addicts has expose brought to non- country, either did not intend this not dramat- a trafficking possessor to criminal organized addict ic crime, increase in but a punishment, (2) so effort to do its harvest of street crime in unknown our unavailing constitutionally history. as that See ABA Special Committee legislature.” the California Control, 141 U.S. Crime Prevention New App.D.C. Perspectives F.2d at 452. 439 on Urban Crime hoping Yet presses on, the court still Today rejects the Watson this court day, somehow, some the criminal a rationale holds that non-traffick- bring sanction will relief. due re- ing With pos- addict is a criminal because he spect, suggest I do bet- law can satisfy sesses his addiction. suggest development ter. I my judgment per- stigmatization of such of mens rea the common law has reached criminals, sons as than rather treatment point where it a should embrace new disease, of them for their raises serious principle: who, by addict reason questions constitutionality, con- drugs, of his use of lacks substantial ca- trary to established common law notions pacity to conform his the re- conduct responsibility, of criminal not and is quirements by Congress’ adopt- law be held in mandated intent Moreover, legislation. criminally posses- responsible the relevant for mere (1970) (en banc). Minn., F.Supp. (1968) ; in record United parties F.Supp. Watkins, D.D.C., instant case was both made States fully mind, F) (1971) ; (Form with Watson and therefore 44 F.R.D. 220 presents appropriate (1968) ; Legal an Barkin, vehicle for “defin- Problems rulings” questions Sentencing, itive on the broached 54 F.R.D. 295-296 (1968) ; H.Rep.No.1486, Cong., Watson. 2d 89th here, following Sess., already The court instead at 12 Moore has disposition suggestion, adopts 6-year Watson his served almost half sentence. Judge Consequently, indicated Part ofV Leventhal’s in- an commitment “for concurrence, period which reads: determinate time not to exceed “ * ** years” Under the circumstances of ten would increase sentence case, jurisdiction is, illegal. therefore, serving we exercise our is now appeal States, from the conviction —accom- See Tatum v. United App.D.C. 49, U.S. panied judgment plac- 310 F.2d ing appellant confinement, curiam), (per under there and cases guide legal Title II NARA consideration to cited. Even if this obstacle could disposition sentencing, theory, after but remand on a Moore’s overcome waiver permit unlikely further consideration case to an test extend disposition requested by appel- years application NARA if of NARA. Moore has 2 jurisprudence lant. Our settled calls on and 2 months left serve on his sentence apply (counting good time). us to § 28 U.S.C. 2106 so as The chances of his following 10-year agreeing accept order remand a sentence sen- NARA possibility years when there is a there lieu of and months tence give disposi- possi- was a failure to NARA are remote. Also remote is the ” * * * bility tions full consideration. that on the District reconsideration (Footnotes omitted.) place The commitment will Court Moore NARA provided report program.

under NARA is 18 U.S.C. The NARA received 4253(a) (1970), sentencing judge which states: “Such the time of suitability nega- commitment shall be for indeterminate Moore’s NARA was period years, way any tive, of time to exceed ten and Moore has not sought propriety but in no event shall it exceed the maxi- to raise his re- jection mum sentence that could as an otherwise have from NARA issue on Baughman imposed.” appeal. been See v. United Under all re- the circumstances States, Cir., (1971), here, attempt expand 450 F.2d 1217 cited serious *65 cert, denied, 923, 1791, applicability 406 92 U.S. S.Ct. NARA appropriate should await more (1972), affirming promising 32 L.Ed.2d 123 D. and a more vehicle. 1210 Upon entering, The trial he observed that the his own sion use. give

judge appellant’s request quite room was 10 to 12 refused small—about (Tr. 252.) Directly depth. jury in on this feet an instruction based bed, would, its principle. therefore, I reverse across the door was from long Appel- against the case for side far wall. this conviction and remand Beverly one Sherman a new trial. lant Moore and chairs, one seated in each about were edge Neither from of the bed. foot CASE STATEMENT OF THE I. anything in On the man had his hands. 29, During January prior the week Beverly, bed, a mirror in was front 1970, Daly and Larman of Officers pow- pile there of white on which was a Squad Metropolitan Narcotics Police consisting 1,854.5 milligrams of der investigation narcotics conducted an into right mir- mixed heroin.3 To the ror, trafficking Hotel, located in the Warren appellant’s chair, there in front of Daly Street, 1024 10th N.W. Officer on cover record was a cardboard album man learned from an informant quantity of there was a similar selling Crip heroin known as Green was and mixed heroin. Between the mirror hotel, in Room 15 of the and anoth- cover, new and there were the album “Jumbo,” man, er was identified gelatin empty capsules, and to 81 used January selling heroin in Room On capsules lay the left mirror 25, super- informant, the same under the A woman’s filled with mixed heroin. Larman, Daly purchased vision of and stocking coat over han- stretched a wire capsules Crip heroin in Green containing ger package unopened and an 15, following day Room a simi- and the syringes hypodermic and nee- about ten purchase lar made from “Jumbo” edge of were toward the far dles located Room 17. search Narcotics warrants pis- key Room 15 and a the bed. The Rooms were thereafter obtained for pillow. Both were found near the tol 62-66, (M. 69- and Tr. 17 of the hotel. placed and arrest men were under 71.) These executed warrants were containing capsules A searched. vial January 29. Officer about 7:05 on P.M. appel- of mixed discovered heroin was Daly the door Room knocked on 50-54; (M. pants pocket. Tr. Tr. lant’s identity purpose. and announced his 68, the sei- 136-141.) on 37-42, Based response, There and after wait- was no capsuled heroin zure of the loose ing about 15 he forced seconds capsules on bed and the found (M. open Tr. the door with foot. pocket appellant’s a four- discovered 49-50; 36-37). 12, returned Tr. count indictment4 was transcripts proceedings powdered contained 4 The various mixture 7% 180-182.) (Tr. are referenced District Court heroin. represents the follows: “M. Tr.-” ap charged that both 4. The first count appellant’s transcript hearing on pur Beverly pellant had and Sherman 1970, pretrial motions on October chased, dispensed loose and distributed -” transcript signifies and “Tr. capsuled the bed found on heroin pro- pretrial these of the continuation 4704(a). § U.S.C. violation of 26 February ceedings on 19 and they alleged re had second count itself, trial conducted ceived, conceal and facilitated concealed February 22, 23 and. heroin violation ment of this same third A search warrant for a narcotics Beverly trial, 174. Before § 21 U.S.C. hotel, room in the Room was obtained guilty pleaded indict to Count time at about same Officer Caron thereafter count was ment the second Squad, who been con- of the Narcotics had Only appellant was him. dismissed as to independent ducting investigation remaining charged Un counts. two Daly (M. Larman. Tr. that of 72- charged count, he was the third der 15-16.) Tr. dispensed purchased, having and distrib cap pres- merely contained in the tested uted heroin 3. The chemist quan- pocket heroin, in violation sules in his and not for the exact found ence however, 4704(a). tity estimated, present. count The fourth 26 U.S.C. He *66 April 13, 1970, charging appellant stipulated,8 with Government that at the time Act, the violations of Harrison Narcotics of his he arrest was to addicted heroin. 4704(a) (1964),5 26 U.S.C. and the Indeed, pre- in immediately § the weeks Act, ceding 29, 1970, Jones-Miller January U.S.C. § addiction his (1964).6 ranged capsules day, from 50 to 70 usually price capsule. per at a of a dollar litigation trial The before focused Hotel, Moore did live not at the Warren primarily appellant’s on motion dis to lived with his wife three about authority the miss the under indictment away. blocks He testified further this court’s in Watson v. decision put capsules he had never heroin into supra. Testifying States, United on this himself, and that the he sole reason was motion, explained appellant Moore night in regular question Room the using 15 on he in had on been heroin stated, purchase capsules the basis since 1946. He and to found his received, alleged explains he concealed and conviction unless the defendant possession the heroin facilitated concealment of to the satisfaction of the pocket jury.” 21 U.S.C. § his violation of The Jones-Miller Act has since been re- 4704(a) § : U.S.C. pealed by Comprehensive Drug Abuse any person “It be shall unlawful for and Prevention Control Act of sell, purchase, dispense, or distribute seq. (1970). et § U.S.C. 801 drugs original except narcotic stamped package original Appellant suppress or from also moved stamped package; Hotel, and the absence of evidence obtained at the Warren taxpaid stamps appropriate alleging for, probable from nar- cause insufficient prim particularity improp- shall facie evi- [a] cotic be insufficient of, pur- this subsection dence of violation of er execution search warrant possession person in whose suant was arrested. may be found.” same court denied motion without elabora- this (Tr. appel- 81), has since The Harrison Narcotics Act tion of its reasons Drug repealed Comprehensive pursue been lant has not to elected this issue appeal. addition, appellant Act of Abuse Prevention Control asked seq. (1970). 1970, 21 801 et the trial treat- § U.S.C. to commit him for court ment I under Title of the Narcotic Ad- 6. 21 U.S.C. 174: dict Rehabilitation Act of 28 U.S.C. fraudulently knowingly or “Whoever (1970). Appellant ar- §§ 2901-2906 any imports brings or narcotic into gued prior felony two his convic- territory any un- United States or disqualify him, tions should not since contrary jurisdiction, or der its control court in Watson had declared uncon- conceals, buys, sells, law, receives, or exclusionary similar stitutional rule any or in manner the trans- facilitates under Title II NARA. court portation, concealment, any sale of or request 89), appellant’s (Tr. denied being im- such narcotic after ruling assigned as error. ported brought in, knowing the same or Finally, appellant dispute does not the ad- brought imported to have been into produc- rulings verse motions for contrary law, the United States conspires grand jury tion of the and for minutes such to commit acts identity disclosure informant the United violation the laws of Daly led who Officers Larman States, imprisoned shall be not less than (M. 3-4; 89-91.) Warren Hotel. Tr. Tr. twenty years and, five or more than addition, precisely more than fined not There is some confusion as to $20,000. subsequent For a second or what when it Government intended (as stipulated offense determined under section that Moore was an addict. (c) hearing of the Internal Revenue Code At the on Oct. Govern- 1954), clearly stipulated, im- offender shall be ment counsel without prisoned qualification, not less than or more ten than to the element of addic- forty years and, addition, may (M. 15.) 22, 1971, tion. On Feb. Tr. $20,000. backtracked, however, fined more than the Government stating, willing stipulate on trial “Whenever for a violation of ad- “We are represents this section the defendant shown to diction insofar addiction possession taking quantity have or to have had of a of narcotics over drug, period years.” (Tr. 122.) narcotic such shall be Brief See Appellee deemed sufficient authorize evidence at 6-7 n. 12. *67 prior had come to to the arrest. The informant pocket use. He had for his own appellant’s aas name before never mentioned about 10 or 15 minutes the room Hotel, offi- police arrived, the seller in the the admitted Warren and was pre- B.,” who sold cer did not him the hotel a man as “3. see known nights during in- capsules He vious vestigation. the course him for intend- the 50 $30. night the Moreover, for counsel ed them home that to use although that, morning going stipulated to Government before work. the next transaction, completing “J. B.” had an addict for some Moore been After the years, Metropolitan Depart- to wait the Police and asked Moore left the room being knowledge placed him a traf- After ment had no as until returned. he 53.) (M. 71; 49-50, arrest, police, as told ficker. Tr. Tr. under Moore the you testified, Daly wait a “If Officer question to There also as was a big coming.” while, The of- man is the sell, intended rather whether Moore to however, apparently the ficers, declined capsules use, in his than the 50 found 59; (M. 27-44, 73- Tr. invitation. 76.) Tr. pocket. Daly Officer testified since that wise,” they nor- most are “street addicts cap- mally carry only Relying upon decision a number court's small this argued any he appellant was Watson, that sules at one time in order avoid to non-trafficking posses- felony (rather charge simply addict than a misde- being meanor) should therefore if avoid the court arrested and sor that to Although Daly on the either the indictment robbed other addicts. dismiss ground possess- he under which that the statutes had never encountered an addict charged apply or, ing drugs if him not his own who carried was did for use application they capsules, apply, he admitted that that such more than did punish- non-selling might do so. unusual some addicts would inflict cruel and Eighth Moreover, Amend- ment counsel the Government in violation of the response stipulated was have habits some ment. The that addicts Government’s argued day First, capsules per prosecution excess of 50 that twofold. the day’s supply buy of the addic- some will an entire court’s discussion this carry supply one mere dicta time and tion defense Watson was judge. purchase. immediately binding them upon after and Second, the trial (M. 57-59.) 54-56; 49, 52, 54, Tr. Tr. event contended that it non-trafficking Moore addict. was testimony, At the conclusion of this evidence was Most of the Government’s appellant’s motion to the court denied point. devoted to this ruling dismiss. The was basis however, unclear, Daly, qualifying refused the court Officer after as accepted expert specify whether the Gov- in the conduct addicts of narcotic position despite traffickers, pur- explained ernment’s Watson and pose bed, never available defense of “addiction” is of the materials found on or, de- such including hand, other whether mirror, album the record cover, stocking the evidence of fense does exist but that trafficking over the stretched heroin, such hanger, this case was wire coat the “loose” found, gelatin appellant capsules, pre- at least empty could not was non-trafficking through law, pare a matter heroin for sale 110-111.) (Tr. 83-84, possessor. process cutting capping. addict known opened court trial (M. 45-49, 51-53.) Thus when the was clear Tr. It evidence trafficking operation still not ruled had on whether that a was de- be introduced progress, question addiction could remained on this buyer decision It deferred or the fense. question its whether Moore was could hear testimo- point, Daly until it seller. was less On this psychiatric ny Kaufman, a helpful. questioned by of Dr. Harold counsel When pres- defense; out of the witness for the appellant, Daly that he had admitted prior knowledge jury the start ence no trafficker of Moore as a day’s carry Dr. Kaufman ble such a full Government’s case. Since time, however, supply. Moreover, the defense also elic- was not available at this opinion Daly’s appel- proceed ited with the Officer the court decided 123-125.) (Tr. lant heroin —at in- addicted to least trial. repeated sofar as was a user pretrial proceedings, at the Officer As *68 drug. (Tr. 146-148, 166-169, 235-236.) Daly prosecution principal was the large Daly merely During part, re- the the Govern- course witness.9 presentation, ment’s the court the he earlier when heard iterated what had said testimony testifying Dr. out on to dismiss. Kaufman of the the motion again presence jury.10 he the events of The doctor indi- Thus described night explained question appellant in that cated that he on the and had examined periods ranging paraphernalia several found on bed ordi- occasions for narily cap heroin for from ten is used to cut minutes to two or three hours and (Tr. regard 135-145.) in sale. With duration. He had also examined relationship file, appellant police Moore’s to the Moore’s re- St. Elizabeths Daly bed, port case, on the testified in heroin other materials re- Officer and lating Beverly put appellant’s background. (Tr. both that Moore and had on leaving room, 194-195.) before he coats On basis this informa- tion, they appel- not taken was certain whether had Dr. Kaufman that concluded (Tr. 141, 234); clearly them lant from the closet an addict was within the meaning Organiza- that informant had mentioned Health World appellant Indeed, as a in the Warren tion trafficker definition of addiction.11 (Tr. 157-158); Hotel that he had no Moore’s addiction illustra- was classic knowledge prior components of Moore as traffick- tion of the five basic (Tr. 153); (1) overwhelming er he entered that when disease: desire to appellant nothing drug; room in (2) had his hands use the chronic return to 233) (Tr. ; use; (3) physiological dependence that no were run to de- tests such termine syn- whether there were traces of as evidenced the withdrawal powder (Tr. appellant’s drome; (4) psychological heroin hands dependence; 233); phenomenon that no tests run to deter- were of tolerance. (Tr. appellant’s fingerprints mine 199-201.) whether paraphernalia were on the found on the explained Dr. appellant Kaufman that (Tr. 152); finally, bed that he had years. had been an for over 25 addict register and, not checked the in- hotel (Tr. 196.) No matter what reason deed, had “no idea” whether Moore was may begin originally Moore have had any way (Tr. connected with Room 15 taking drugs, progressed “he in his 151, 224-225). ' addiction controls deteriorated * * * Daley helpless Officer further testified and he felt in the face they (Tr. since most 197.) addicts are “street wise” of his addiction.” rarely carry capsules Gradually, drugs more than 20 need take “be- gins cross-examination, one time. On how- to have an autonomous characteris- * * * ever, Daly admitted some addicts he tic and becomes a disease en- * * tity (Tr. was “aware of” had of 50 to 100 202.) habits itself As capsules per was'possi- day, addict, and that an “old” he so much “after testimony by chemist, night question. 9. There was also events of the His tes- explained piles timony who the two of loose consistent that of Of- 1,824 Daly. (Tr. 248-250.) heroin the bed contained milli- ficer grams 1,854.5 milligrams, respective- qualifications 10. Dr. Kaufman’s eminent ; ly capsules 3,650 the 67 contained milli- stipulated prosecution. (Tr. were ; grams capsules appellant’s and the 50 190-194). pocket 2,274.9 contained a total of milli- grams 1 1. supra. See text at note of mixed heroin. note 3 See infra. Larman Officer also as to testified taking defense, ever, experience counsel order to the kick but complete record, proffered of the in- the testi- become so much McKinley grained mony of part he is com- Mr. the Dis- of his life that Gore seeking up getting, trict of pletely out Columbia Narcotics Treatment bound get them, having hustling proffer, pursu- drugs, Administration.13 The living. invitation, ant to the He court’s was to the, no other reason for is dis- gusted effect that some have habits himself feels is a addicts ** capsules day per 197-198.) excess of (Tr. For failure such more appellant Moore, one have than 50 “there is solu- capsules is, problems, in their time. tion solu- one to all 203.) result, Mr. (Tr. also testified that tion.” Moore Gore would As voluntary appellant helpless enrolled in con- Moore had been “is exert ** program *69 compulsion NTA since Decem- methadone trol over this 9, 1970, (Tr. 197.) consistently forced to ber and that had He “would ob- be drugs drugs been on have to methadone since that time. His tain and since the * * * good, someplace he would chances for were be rehabilitation get there, compelled beginning and to be Moore was he would be at the problem. root of his illness.” addiction He of the nature of his had because increasing intake, been (Tr. 203.) his methadone longer and in the near future would no testimony, this conclusion of At 289-291.) (Tr. need heroin at all. ruled that Dr. Kaufman would court testify permitted not jury, before the Following proffer, the court ground apparently on the that ad jury refused to instruct the that a non- never diction can constitute defense.12 trafficking addict could not be convicted 206-214.) (Tr. Later, the Govern after under the appellant statutes under which ment rested, resumed case and then appellant’s had its charged. (Tr. 287, was 292-294.) court mo denied guilty Moore was then found on all four (Tr. judgment acquittal. tion for Acting counts of upon the indictment. 253.) Appellant then renewed his mo by appellant motion immediately made tion on to dismiss the indictment the ba after announced, the verdict was time, sis of Watson. de This court court committed him to the Federal simply nied the motion because there Danbury, Correctional Institution trafficking was sufficient evidence Connecticut, for determination of his go jury,” “to and added that it suitability for treatment under Title II ruling had reconsidered and its earlier of the Narcotics Addict Rehabilitation permit would now Kaufman to testi Dr. seg. Act of et § U.S.C. fy. (Tr. 267-269.) When trial re April 13, 1971, the On NARA following day, however, sumed the reported appellant staff was an ad position, court reverted to its earlier rul dict, physically psychologically both again once that Dr. Kaufman’s testi dependent heroin, was a suit mony was inadmissible the de able candidate for Thus on treatment. (Tr. fense of addiction unavailable. was 14, 1971, appel June the court sentenced 287.) lant to concurrent terms two to six years Thus, posture, for the violations of 26 the case in this U.S.C. § 4704(a) years and six introduce defense decided not to violations of 21 resting, further U.S.C. 174. Before evidence. how- appellant suggested, however, addition, counsel The court re- permit testify prior testimony court Dr. Kaufman to ferred the (Tr. 206-214, appellant insanity. motion issue of Moore on the to dis- rejected 288.) 218.) (Tr. The defense this alterna- miss. appel- tive, Dr. since Kaufman felt lant's did a men- addiction not constitute (Tr. 206). tal disease defect. II. HISTORICAL PERSPECTIVE plant The Sumerians cultivated the juice they order to extract a contemporary problem “gil” meaning “joy” called “rejoic — complex far-reaching, abuse both ing” primarily 17—and which used touching upon concep- our fundamental religious purposes.18 The medicinal public health, tions commerce and mo- properties “gil” “opium” as it —or rality. origins problem Yet the recog later came to be known —were quite ancient, prehistoric for since nized Egypt in Persia and about 1550 engaged energies man times throughout spread B.C. thereafter drugs search for new to make relentless the Greek and world.19 Roman writ .pleasurable and, life more at the same ings Virgil frequent of Homer and refer time, to alleviate the discomforts which ly “sleep-bringing poppy,” inevitably accompany human existence.14 Hippocrates other sources indicate Throughout quest, the use of opium recommended the use diversity has been associated with a treatment of diseases.20 numerous medical, literary, religious, criminal and patterns has, cultural widespread recent op The first incidence times, often reflected technical and iate occurred in India abuse when Brah priests scientific consumption advances medicine and min forbade of alco pharmacology.15 prob- fight our current citizenry, Thus rather hol and than *70 smoking lem is of all ban, opium reflection that has the switched as gone before, and it can be understood alternative.21 ini an China received its clearly only placed when in exposure opium historical tial from Arab trad perspective. century The ers the tenth A.D.22 therapeutic were virtues of Although origin precise of the use recognized by doctors, and soon Chinese opium past, is forever lost we medicinally it was used be centuries people now know that lower Meso practice opium fore the of recreational kingdom potamia, in the ancient of Su smoking appearance in the 16th made its meria, discovered the somniferous char century.23 largely plant (Papaver to the efforts of poppy Due acteristics of the European interests,24 Somniferum) early as 7000 commercial B.C.16 See, supra 17, See, g., g., Brown, Vogel, 19. e. at 14. e. & note D. Maurer V. Nar T. 6; Lindesmith, 17, 208; (3d supra at cotics and 1967) ; A. note Narcotics Addiction ed. Dai, Chapman, supra Drug 16, B. at 27-33. The note Addiction: Problem, 39, General 20 Fed.Prob. See, g., Terry Pellens, 20. e. M. C. The & (Sept. 1956). (1928) Opium ; Chapman, Problem 53-59 supra 14, at note 40. See, g., Ball, 15. e. Patterns of Nar- Two See, g., Brown, supra 17, Drug 21. e. note at T. cotic Addiction the United 6; H.Rep. 91-1808, Cong., States, J.Crim.L., No. 91st 2d &C. P.S. 203 Sess., (1970). (1965). See, g., Lindesmith, 17, supra 22. e. A. note See, g., Dai, Opium e. B. Addiction 208; Eldridge, at W. and the Narcotics Chicago (1970) ; D. & 27-28 Maurer V. (1962) supra ; Chapman, 14, Law 3 note Vogel, supra 5; Bell, Drug note at 40; H.Rep. 91-1808, Cong., at No. 91st Addiction, Drug 1; Abuse L.Rev. Sess., (1970). 2d Eddy, History Development The of the See, g., Lindesmith, e. The Addict A. Narcotics, Contemp.Prob. 22 Law & (1965) (hereinafter and the Law 189 Law). cited as The Addict and the See, g., Lindesmith, e. A. Addiction and Portuguese 24. The took over the lucrative Opiates ; Brown, T. 207-208 opium trade Arab Indian from the Enigma Drug Addiction merchants, displaced but were themselves by later, and, the Dutch the British. See, g., Vogel, e. D. & V. Maurer See, Law, supra The Addict supra Bell, supra 4; note note 194; Eldridge, note note W. 3; at 1. Chapman, supra at 40. publication time, smoking At the same opium in China swelled level of DeQuincy’s an Thomas rapidly proportions, and in 1729 to crisis Confessions of forbidding English Opium had a far- Eater in 1821 Emperor edict issued reaching stimulating read- interesting its effect opium.25 It is all traffic persons respectable primarily although that, edict decreed to note ers— experi- upper class—to the American strangulation for all retailers death DeQuiney’s opiates. non-trafficking ment with Most drug, users were of the drug orally, gen- disciples Throughout consumed the punishment. exempt from erally liquid “Laudan- form known as China and 19th centuries 18th (tincture opium), um” or sometimes ports sought desperately its to close gum opiate powder.32 Although trade, East opium British but the indulgence gradually became more com- ob- Company, then had India during era, yet mon it did not monopoly, to co- refused tained a virtual present problem propor- eventually of serious operate. led conflict This tions. Opium Wars 1839-42 finally legalized.26 was when trade turning point, however, came enthusiastically hypodermic sy- with the invention of the Opium used was (cid:127) ringe discovery, the American profession in 1840’s. This the medical century.27 throughout which facilitated adminis- the 18th intravenous colonies 19th tration of heightened Then, so as to achieve a in the first decade gave effect, impetus curiosity century, Sertiir- of William added brought chemist, about both medical and non-medical uses of morphine.33 ner, a German recognition result, War, separation As a Civil carnage poor opiate alkaloids.28 Sertür- with its wholesale first agent morphine, aptly battle, medical named the facilities on the field of ner god large-scale Morpheus, morphine of dreams.29 caused the first ad- after considerably problem Although diction the United States. the new *71 opium, physi- Army’s morphine potent The crude reliance on more than as pain-killer widespread reluctant first became so cians were at somewhat 1820’s, During morphine during period adopt addiction this to however, its use.30 increasing rapidly number came to be known as “Soldier’s morphine Indeed, non- persons its Disease.” more un- turned to one of the consequences fortunate of the war was medical characteristics.31 Law, See, g., Lang, See, g., 29. e. and the The President’s Crime e. The Addict 25. Blum, Report supra 23, 194; Mind- Commission Task Force note at Critique Drug Altering Drugs Dangerous Abuse: A Behavior: Narcotics and Drug Apologia, Narcotics, Abuse L. in The President’s Commission 449, the Administra- Rev. Enforcement and 453. Law Justice, Report: Force Task tion See, g., Eddy, supra 16, 30. e. note at 4. Drug 40, 41 Abuse Narcotics and See, g., Lindesmith, supra 17, 31. e. A. (hereinafter Force). note cited as Task ; Dai, supra 16, at 209 B. note at 34. supra 22, See, Eldridge, g., 26. e. note W. g., Lindesmith, supra 17, See, 32. e. A. 3; Law, supra note Addict and the at The Dai, 209; supra 16, 35; 194; 91-1808, at B. at H.Rep. note 23, at No. note Brown, supra 17, Sess., (1970). T. note at Cong., 6-7. 91st 2d See, g., supra Eldridge, 22, e. W. note See, supra g., Vogel, e. D. & V. Maurer 5; Chapman, supra 4; Dai, 16, 35; Chap at B. at note 14, 14, supra note note at man, supra 14, 40; Ball, supra note at at 40. 15, 203; supra Cazalas, note at Bucaro & 28, note at 16. Law, g., See, e. The and the Addict supra Eddy, supra XI; See, Vogel, supra at note note D. Maurer & V. 3-4; Cazalas, 6; Eldridge, at & Metha- Búcaro note W. note 5; Lang, supra 453; done : Treatment Control Narcotic Addiction, Drug King, Tulane L.Rev. Narcotic Laws and Enforce- Policies, Contemp.Prob. ment Law & large into opium of ex-soldier a new alkaloid of a class derivative of the creation —diacetylmorphine, commonly addicts, of addiction estimates referred high Initially, years four to as heroin.40 postwar ran basic char- drug population.35 acteristics of per this new were com- cent pletely ap- misunderstood. Since heroin epi- morphine As the effects of this peared symptoms to relieve the of mor- subside, began gradually newa demic phine withdrawal, it was hailed as a injected the American into element was drug morphine cure for addiction, and heroin large numbers scene rapidly was morphine substituted for immigrants entered who Chinese cough Many medicines and tonics. writ- great country canal to work on the pain-killing ers extolled the qualities of projects the mid-19th railroad century.36 drug assuring while readers that it opium practice of smok- The was free of liability.41 addiction previously ing, been unknown which had myth naive phine that heroin could cure mor- Americans, somewhat soon became exploded addiction soon after among vogue of San the demimonde finally when it was realized that spread rapidly thereafter Francisco and possessed greater heroin itself an even Initially, throughout the nation.37 potential morphine.42 addiction than up- practice primarily to the limited despite urgent, But if somewhat be- opi- per society and, unlike the strata lated, warnings profes- of the medical morphine who um eaters sion, gained heroin had a foothold and generally as victims were viewed stay. was here to vice, typical- opium smokers unfortunate ly “sporting rather were considered Perhaps the chapter most unfortunate 38 Gradually, however, the characters.” early history of American underworld, practice filtered down to practices abuse involved the vicious notoriety at- and the considerable patent medicine business late development caused tached to this early 19th and 20th centuries. These stirrings eventually to first of what was general curatives, which often contained pivotal public become attitudes shift potent narcotic, concentration of some time, a For the first toward addiction. were sold without restraint over the perceived link was abuse between pharmacies counters of and were used criminality.39 indiscriminately everything to treat major development began next simple angina headache scientist, Dresser, 1898 when a German *72 pectoris43 Through such wonder-work- modify morphine devised method to See, g., supra 40. Law, e. The g., Addict and the See, Nyswander, Drug 35. e. M. 23, XI; Cazalas, supra note at & Bucaro (1956). Addict aAs Patient 2 28, Ball, 16; supra 15, note at note at 203; Chapel Taylor, Drugs See, supra 22, Kicks, g., Eldridge, & 36. e. W. note Drug 4; Terry Pellens, 31, 52; Lang, supra 1971 Abuse at L.Rev. C. & M. note supra 29, 20, 72; Lindesmith, supra note at A. 453. at note 17, 214; H.Rep. 91-1808, at No. 91st See, g., Nyswander, supra 41. e. M. note Cong., Sess., (1970). 2d 5 35, 2; Terry Pellens, supra at C. & M. 20, 77-78; Eddy, supra 16, note at note g., supra See, Eldridge, 22, 37. e. W. note 4; 28, Cazalas, supra at Bucaro & note 4; Terry Pellens, supra at & C. M. note at 16. 20, 72; supra Ball, 15, at note at 203. See, g., Eldridge, supra 42. e. 22, W. note See, g., Lindesmith, supra 6—7; 38. e. A. at Rep.No.91 1808, Cong., note 91st H. — Sess., 17, 312; (1970). generally 2d Kane, 5 see at H. Opium Smoker America and China See, g., 43. Nyswander, e. supra M. note (1882). 35, 2; supra Chapman, 41; at 14, note at Clausen, Psychological Social and Factors See, g., Eldridge, supra 22, 39. e. W. note Addiction, in Narcotics 22 Law & Con 9-10; supra Lindesmith, 17, at A. note temp.Prob. 34, (1957) ; supra Lang, at 29, 213. note at 453. problem, Soo- ics incidence addiction as Mrs. Winslow’s medicants early proportions by thing Syrup, Cure reached crisis Dr. Catarrh Cole’s years opium, century.46 Mixture, of the 20th Estimates Perkins’ Diarrhea ranged morphine, were as to the codeine and cocaine number of addicts high although regularly million,47 as well more re spooned into children as two figure although potions placed And these authorities liable as adults. 100,000 symptoms usually for which at somewhere between relieved taken, they physi- 200,000.48 important note, It how they caused also were ever, problem dependence As existed in the user.44 as it then cal “drug facing grew quite public over their was from that concerned different patent today.49 habits,” manufac- limited medicine our nation With exceptions,50 cheap, readily responded nos- le with more these were turers readily anyone gal, addiction. de cures available to offered as trums use,51 “pusher” in reali- were sirous of their of these “cures” Yet most containing pre-World society ty preparations a different War more often I merely gro pharmacist, opiate, substitut- than not was the the user local so another, the result cer or confectioner.52 one ed frequently in- was addiction that his Moreover, addiction was not confined tensified.45 any particular class; it affect- social separate, segments society of these ex- the confluence ed most to some With although related, yet clearly tent, of the narcot most facets was disease 17, Lindesmith, supra supra 20, 536-539; supra See, g., King, A. note note at 44. e. 35, 34, 210; Nyswander, supra M. note note at 116. manufacture at Domestic Eldridge, supra 22, 1890, 2; at 5. note was taxed after Act at W. 1, 1890, 1244, 36, 38, of Oct. c. §§ supra 22, See, g., Eldridge, e. W. note 45. 620, (repealed 1970) ; its Stat. Eddy, supra 16, 5; at 3. at note importation prohibited entirely by 1909, the Jones-Miller Act of Act of eventually adoption urging of what 9, 1909, 100, 2, Feb. c. 35 Stat. 614 1914, Act of the Harrison was to become (repealed 1970). Report noted authors of the House Drugs 1906, In the Food and Act of opium-consuming nation are an “[w]e 30, 1906, 3915, 1-11, Act of June §§ c. Cong., day.” H.Rep.No.23, 63rd to (repealed 1938), 34 Stat. 768-772 Con- S.Rep.No. (1913) ; accord, Sess., 2 1st gress attempted regulate the sale of Cong., Sess., 2d 63rd drugs, adulterated or misbranded foods or Eldridge, See, g., note e. W. patent including the medicines discussed Report 7; Hynson, of the Com n. at 7 regulation earlier. State in this era was Habit, Drug Acquirement mittee on minimal, and that which exist was did (Nov.1902). A.J.Pharm. 547 largely H.Rep.No.23, ineffective. See Cong., Sess., 1, (1913) ; 453; 1st See, Lang, supra 63rd S. g., at note e. Rep.No.258, Sess., 3, 17; Cong., Cazalas, supra 63rd 2d note & Bucaro Criminality, Finestone, Narcotics ; Contemp.Prob. & Law Note, See, Lindesmith, supra A. note Outlook Problem: The Narcotics 210; King, supra 116; *73 605, Reform, 606 12 L.Rev. Buffalo for Ploscowe, Drug Some Basic Problems Cong., H.Rep.No.91-1808, (1963) ; 91st Suggestions Research, Addiction and for Sess., (1970). 5 2d Committee Bar Joint of the American problem Association and as it the American Medical a discussion today, 49. For Drugs, Drug Association Ad- at notes Narcotic *74 211; supra note at note cotics Bureau and the Act: 34, Harrison at 116. Jailing Sick, the Healers and the 62 “Suppression Opium 57. 736, (hereinafter of the Abuse Yale L.J. 737 Drugs Jailing Other Convention and Final cited as the Healers and the Sick). Protocol Between United States

1220 Although Fuey Moy, ed 241 U.S. the Act did not define these States v. Jin 658, (1916), precision, 394, doctors rea- S.Ct. L.Ed. 1061 terms with most sonably they held mere a small could continue to believed personal prescribe drugs amount of use did in order narcotics for these trigger gradual statutory simply presumption to effect withdrawal illegality. to sustain them in their condition.67 Thus as the thousands of addicts who following years immediately In the previously supplies had their obtained Act, however, passage the main of the grocers pharmacists from sud- local not whether addicts could concern was denly extinguished, found these sources rather, punished possession but, they desperation medi- turned in to the any way affected whether the statute profession help. profession cal responded willingly, right physicians prescribe and most drugs administer narcotic in order addicts were under the direct care and patients. previous As treat their addict supervision physicians.68 At ly noted,61 prior to 1914 addiction was time, morphine same free clinics were problem, primarily viewed as medical opened in more than in an ef- 40 cities and addicts could and often did receive fort to treat and control the disease.69 help profession.62 of that members although ap- And parently some of these clinics legislative history Based on of the subject abuse, were the med- suspect statute, there no reason to profession generally ical had taken Congress intended to alter meaningful steps first control- toward Indeed, specifically situation.63 the Act ling problem of addiction.70 provided “[n]othing contained in (a) apply: Unfortunately, however, this section shall dis this situation pensing largely or distribution was short-lived. Due to the ef- patient by physi aforesaid to a forts of the Federal Bureau of Narcot- ics, * * * pro of his passage cian in the course after within a decade only.” por practice profession fessional Other had Act medical been exemp qualified permanently tions of statute driven from the treatment tion, however, by requiring that of addicts. This result was achieved primarily “legitimate practice through treatment a series of court deci- “good “legitimate profession”65 interpreting of his and in sions the terms “good practice” faith.” faith” as used supra. See, g., Nyswander, supra 61. See text at note 67. e. note M. 35, 4; Jailing the Healers at See, g., Nyswander, supra 62. e. M. note Sick, 60, 739; Cantor, supra at note 35, 4; supra Vogel, at D. Maurer & V. Prob- Criminal Law and the Narcotics 51, 14, 7; Ploscowe, supra note at note lem, J.Crim.L., (1961) ; C. & P.S. 69; Sick, Jailing at the Healers and the supra 48, Note, at note supra 60, 737; supra King, note at 34, 116; Note, supra 48, Although figure may note at note be somewhat inflated, reported at 606. of 1919 it was being 240,000 approximately addicts were See, Cong., g., H.Rep.No.23, e. 63rd by physicians. treated for their addiction (1913) ; S.Rep.No.258, 1st Sess. 63rd Terry Pellens, supra See, g., & M. e. C. Cong., (1914) H.Rep.No.1196, ; 2d Sess. supra 34, 31; King, 20, at at note note Cong., (1914) ; 2d 63rd The Ad Sess. n. 44. Law, supra 23, dict and the at note See, Law, su- The Addict and the 3-4; Lindesmith, supra A. at note 136; Nyswander, pra at M. note 217; King, supra 118; note Jail supra 6-8; Terry M. note C. & supra Sick, the Healers and the 90-91; H.Rep. Pellens, note note at 737. No.91-1808, Cong., Sess., 91st 2d (1970). (1914). 64. 38 Stat. 786 70. For an excellent discussion of these 65. 38 Stat. 789 Law, clinics, su- see The and the Addict pra 66. 38 Stat. 789 at 135-161.

1221 cases, the Act. In the first of these The inevitable followed. Armed with States, 96, language agents Behrman, Webb v. United 249 U.S. 39 the broad (1919), 217, 63 L.Ed. 497 S.Ct. Su- Bureau of Narcotics launched preme aptly held ex- “reign Court medical what has been termed a against emption profession’s was unavailable to a doctor who terror” the medical drugs prescriptions had sold indis- treatment of addiction.71 Even those criminately to prescribed drugs addicts with no view to- doctors who these good part therapeutic ward treatment. A similar result was faith as of their Moy subjected Fuey reached States, Jin v. United treatment of the disease were 189, 98, prosecution, L. U.S. S.Ct. and the clinics which had (1920), up- opened hopefully only years Ed. 214 in which Court so a few be abruptly held the conviction a doctor who fore were shut down.72 Within prescriptions morphine span years had issued the short of three the medi persons patients pre- profession “to not his cal was “bullied into submis * * * viously to him known for the sion” and was forced to extricate itself * * * purposes enabling entirely mere almost from the treatment of persons such to continue the use of the addicts.73 * * drug, or to sell it to others prosecuted during One of the doctors 193, 41 Id. at S.Ct. at 100. Neither of era, however, Linder, Dr. Charles O. particularly surpris- these decisions was refused to be bullied. Unlike the de- ing, however, since it was clear both prior the„ Supreme fendants in Court that “good defendants had acted neither in cases, dispensed only Dr. Linder had “legitimate prac- nor faith” drugs single four tablets of to a addict. profession.” tice of [their] addict, informer, had come to his partial withdrawal, office in a state of clincher, however, came some two provided and he her with the tablets to years Behrman, later United States v. be used at her discretion. Since the 303, 280, U.S. S.Ct. 66 L.Ed. 619 drugs prescribed solely were to relieve Behrman, Dr. like Webb and withdrawal distress and to maintain the Fuey Moy flagrant him, Jin ly before had customary usage, addict’s thought without rights physician by abused his as a rehabilitation, Linder was prescription large indiscriminate authority convicted on the of Behrman quantities morphine. But Dr. though good even he had acted faith case, Behrman’s the indictment was according legitimate professional statutory drawn so to exclude the ele standards. “good “legitimate ments of faith” and Supreme When the ease practice.” reached prophetic dissent Over 1925, however, Court Holmes, joined conviction Mr. Justice Mr. Justices emphatically reversed. In a unani- MeReynolds, Bra ndeis opinion, mous the basis for the Court’s conviction, apparent Court affirmed resoundingly decision was made construing proscribing clear: ly the statute as “ * * * per se administration of to an ad says nothing [The Act] regardless dict, purpose of the doctor’s of ‘addicts’ and does not undertake to prescribe intent. methods for their medical See, g., Hentoff, Among supra e. A Doctor 23, 138; Nyswander, M. note at M. (1968) ; supra 35, 6-8; Terry the Addicts 33 Bucaro & Caza note at & M. C. supra las, 28, 21; King, supra Pellens, supra 20, note at 90-91; Jailing note at 34, 122; Note, supra 48, Sick, supra note at note at the Healers and the note States, 608. See also Simmons v. United at 744-745. Cir., (1924) ; 300 F. 321 Hobart v. See, g., Law, e. The Addict and the States, Cir., ; United 299 F. 784 supra 7; Nyswander, supra note at M. Manning States, Cir., v. United F. 6; Jailing note at the Healers Sick, 744-745; note See, Vogel, supra King, supra 122; D. Maurer & V. note Bucaro & 7; Law, Cazalas, supra note The Addict and the at 21. *76 1222 They many treatment. are diseased and which we derive of our

proper subjects treatment, present misconceptions for such the of addict and possibly and Although we cannot conclude that a his affliction. addicts had physician improperly traditionally acted or unwise- been of viewed as victims ly purposes or for illness, campaign other than medical an unfortunate solely dispensed sought, quite because he had to one successfully, attach them, ordinary stigma criminality course and to addiction. The good faith, portrayed degen- four small tablets of mor- addict was as a moral phine erate, myth or cocaine for relief of condi- “dope-crazed and ” * * * perpetrated.76 Grossly tions incident to addiction. sex fiend” was inflated estimates of the number of ad- States, 5, 18, Linder v. United 268 U.S. circulated,77 pub- dicts were and as the 446, 449, 45 S.Ct. 69 L.Ed. 819 “dope swept lic’s alarm over the menace” holdings Fuey of Webb and Jin nation, approaches medical Moy specifically limited to those were problem gradually of addiction fell into situations acted defendant disfavor. faith,74 in bad and Behrman was ex- plained although as Moreover, Under had estab- beyond question right phy- lished alleged “relat[ing] definitely facts

* * sicians to administer narcotics to their quantity *. The enormous patients, “good concepts addict drugs ordered, considered in connec- “legitimate practice” faith” and recipient’s character, tion necessity subject varying interpreta- enough explanation, without seemed tions, given pre-Linder experi- their prohibited show sales and to exclude Narcotics, ences with the Bureau professional idea bona ac- fide slippery most doctors feared to tread so ordinary tion in the course. path. Indeed, the Bureau con- itself opinion accepted cannot be as authori- heavily uncertainty, tributed to this ty holding physician, that a who response not was its to Linder according bona to fair acts fide wholly negative, regulations but its were standards, may give medical never directly contrary to that decision. For addict moderate amounts regula- example, long-standing one of its self-administration in order to relieve tions declares: conditions incident to addiction. En- forcement of the tax no demands such purporting pre- “An order to be rule, if drastic the act had such scription issued to an addict or habit- scope certainly it would encounter narcotics, ual user of not in the course grave constitutional difficulties.”75 professional treatment but for Following might Linder, reasonably one purpose providing the user with expected a sudden and enthusiastic keep narcotics sufficient him com- resurgence of interest medical addic- maintaining customary fortable Unfortunately, tion. such use, prescription within the large-scale case. Soon after Behrman a meaning Act], and intent of [the propaganda initiated, campaign was filling order, person such a [sic] 19-21, 74. 268 at 34, 123-124; Terry U.S. 45 S.Ct. 446. see also note at C. Pellens, supra 20, & M. note 548. Id. at 45 at 450. See also S.Ct. example, In Bureau Boyd States, v. United 46 271 U.S. Narcotics estimated that there were some ; S.Ct. 70 L.Ed. Strader 857 one million the United States. States, Cir., F.2d United Treasury Dept., See U. S. The Traffic (1934) ; States, Cir., Bush v. United Forming Drugs (1923). in Habit Narcotic (1927) ; 16 F.2d 709 United States v. began report When the Bureau its en- Anthony, S.D.Cal., F.Supp. achievements, however, forcement the esti- suddenly 100,000. mate was reduced to See, g., Jailing Jailing Sick, the Healers See Healers Sick, supra 738; King, supra note n. issuing it, years person last shall noted that “for the precisely well through happened, [prosecution].” subject what has physicians prosecution whose Advisory- the President’s *77 drugs prescribing methods of have not Drug on Narcotic Commission opinions to the of conformed prosecutors Federal regulation as not this criticized Abuse * * 82 Thus, due Linder, and concluded “in accord” largely misguided of efforts fed phy practicing that, result, aas “[t]he officials, profession * * * eral the medical for confused as to been sician has century more than half has now been drugs may prescribe narcotic when he forced to abdicate its role the treat prosecu of a fear of for an Out addict. by depriving ment of addiction.83 And many physicians refuse to use nar tion hand, of addicts treatment the one addicts. in the treatment of cotics criminalizing * * * while their illness on the they instances shun In most other, adopted policy to this nation Similarly, patients.”79 the as addicts unique ward addiction the world.84 all For Interstate and House Committee eign Commerce, Equally moreover, dsturbing, man is the report on its the policy ner formulated. which this was Drug “Comprehensive Abuse Prevention capsuled As one scholar the situa 1970,” declared Act and Control of tion: regulation this “[t]here because handling practicing physicians program relatively present “The few today problem nar who treat in the States States United United is, uncertainty legal viewpoint, as remarka- from the cotic addicts because may pre they ble one in that it not established was to the extent by legislative addict enactment or court scribe narcotic 80 situation, remedy interpretation patients.” of such enactments. To Secretary opinion opinion Public and medical specifically directs the the Act nothing to de had next to do with It Health, and Welfare it. Education program which, is a to all intents and appropriate methods termine “the purposes, practice professional in the medical was established deci- * * * addiction sions of officials of the administrative treatment ** although Treasury Department the Commit of the United *.” And “having After crucial decisions expressed about States. tee concern public appropri made, had and medical been officials determine Federal large support sought medicine,” practice and in mea- was ate method 24; Jailing 28, regu- (1971). note at Healers This 78. 26 § C.F.R. 151.392 744-745; Sick, supra 60, repealed. note at Fed. See 36 later lation was Note, supra 48, Reg. note at 609. (1971). 22, See, g., Eldridge, supra Advisory 84. e. W. note 79. The President’s Commission Sick, Jailing Drug at Abuse, the Healers and 118: Final Re- on port Narcotic supra Note, 60, 737; (hereinafter note at Punishment as Ad- cited A visory of Narcotic Commission). Addicts Possession: Punishment, Cruel But Usual 56 Iowa Sess., Cong., H.Rep.No.91-1444, 80. 91st 2d 578, (1971). L.Rev. For a discus- pt. Cong. 1, (1970), & at U.S.Code sion of treatment of addiction 1970, p. 4580. Admin.News nations, see, g., other e. The Addict and Law, supra 162-188; 81. 42 Fed. See 36 note at U.S.C. 257a Special Reg. Committee, supra note at 50- 52; Lindesmith, System The British Sess., H.Rep.No.91-1444, Cong., 91st 2d Control, temp. Narcotics 22 Law & Con pt. (1970), Cong. & at U.S.Code (1957) ; King, Appraisal Prob. 138 An p. Admin.News International, British and Selected See, European Drug Laws, Regula- authorities cited in notes 79 Narcotic supra Special Committee, Policies, su Committee, tions and in Joint pra 35-36; Ploscowe, supra note note 78; Cazalas, supra & Bucaro already During sure the 1920’s and the inci- obtained what 1930's was relatively accomplished fact.” of addiction remained dence stable, periodic with a few bursts break- years consequences of Over the gradual decline.91 an otherwise policy disastrous both have been II, With how- the advent of World War society individual addict ever, rate of addiction nosedived closing narcotics whole. With young arm- men were recruited into the elimination clinics and the sudden smuggling services, ed international mid-1920’s, medical assistance supplies disrupted, and illicit became stranded were left thousands scarce. Most officials believed that any legitimate without source *78 problem an al- had dwindled to narcotics supplies.86 their “Treat to obtain which most minimum.92 irreducible underworld, to the ment” was ceded accepted postwar eagerly explosion invitation.87 Then came the years, drug abuse, greatly a multimillion a few with its increased Within developed, industry young persons.93 and had an dollar involvement of In drugs skyrocketed.88 For price trend, penalties effort to check this time, were com the first addicts were for violations of the narcotics laws mandatory pelled dramatically, to crime as a means turn increased and obtaining support their add funds minimum were introduced— sentences Gradually, years offense, two iction.89 vast for the first five for developed second, distrib infrastructure was and and ten for the third primarily subsequent addition, low ute illicit narcotics offenses. sus- cities, pension probation er in our socio-economic classes of sentence and were prohibited exclu addiction became almost for all but first offenders.94 sively problem poor.90 of the urban The American immedi- Bar Association Law, supra 85. The Addict and the note 90. For a discussion of the socio-economic 23, addicts, at 3. see text and characteristics notes at notes 105-128 infra. See, supra g., Nyswander, e. 86. M. note 35, 6-8, 10-11; Lindesmith, supra g., Law, See, at A. 91. e. The Addict and the 17, 220; Note, supra 48, supra 23, VII; supra Lang, note at note at at note note 29, 454; Chapman, supra 14, 609. at note noting at 42. It is worth there See, g., Lindesmith, supra 87. e. A. note very were few black addicts at time. this 17, 220; Terry Pellens, supra at & M. C. Nyswander, supra 35, See M. note at 88. 20, 91; Ball, supra 15, note at note at Throughout period, morphine was 204. In Watson this court observed that popular drug, although most there was “ [although the Harrison Act succeeded upsurge by young a brief in heroin use goal regulating containing in its early See, g., 1920’s. e. lawfully imported drugs in lawful chan Chapman, supra 14, 42; Ball, note at * * * nels, cope it failed ‘to supra 15, 206; Lang, supra note at smuggled the enormous flow of 29, note at 454. are distributed to addict-consumers with See, g., Lindesmith, supra 92. e. A. note entering regulated out ever channels ” 17, 225-226; Law, The Addict and the U.S.App.D.C. 9, at all.’ at 345 n. supra 23, By note at VIII. 1948 it was 9, supra quoting King, 439 F.2d at 452 n. estimated there were as few as note at 118. 50,000 addicts in the nation. D. See See, g., Terry Pellens, supra Vogel, supra e. C. & M. Maurer & V. note at 8. Indeed, prices note at 91. climbed as See, g., S.Rep.No.1051, Cong., e. 82nd high pre-World as 10 to 50 times their Sess., (1951) ; H.Rep.No.635, 1st 82nd A, Lindesmith, supra IWar level. note Cong., (1951), Sess., 1st 2-3 U.S.Code 17, at 220. 2602; Cong. 1951, p. & Admin.Service Force, supra see also Task note See, Lindesmith, supra A. note 11; Cantor, at 519. 221; Terry Pellens, supra & C. M. (1951), note problem at 91. For discussion of Stat. 767 § U.S.C. addiction, (Supp.1952), (Supp. of crime and see text U.S.C. 1952). and notes at notes 121-128 infra. making of addiction a crim- the “status” ately these amendments criticized they inal and unusual suggested re- offense inflicted cruel vigorously Eighth punishment Congress in- did violation of In 1956 examined.95 and, and Fourteenth Amendments. decision its earlier deed reexamine penalties would harsh convinced that The effects of this dramatic reorienta- effective,96 them still prove increased judici- solely tion were not limited see, belief shall further.97 As we ary. growing Faced awareness eventually proved incorrect. long “that law too had stressed neglected punitive solutions medical During dissident 1950’s a the late measures,”99 and rehabilitative Con- strength gather began movement gress Reha- enacted the Narcotic Addict questions concern- to raise fundamental generally, bilitation Act in 1966. Stated the addict attitudes toward our pro- the Act established a broad-based psychiatric re- disease. Medical and gram for treatment of civil commitment light on new to shed search continued and “non-criminal” “criminal” both thought previously to be what been had ensuing Moreover, addicts.100 inevitable, and, questions as was closed impressive years statutes series of assumption addiction basic authorizing grants adopted federal *79 can extri- the addict an evil from which agencies private public nonprofit suddenly to will cate himself at seemed developing purpose effective for the of enlarged experi- collapse in of the face and communi- for institutional methods knowledge. re- As a ence and increased ty-based treatment of addiction.101 period sult, 1960 we since Then, collect the diverse in order “to our of reorientation a fundamental seen un- control and enforcement laws The first policies toward addiction.98 legislation,”102 piece Con- der one of important step direction was tak- in this Drug gress “Comprehensive Supreme land- enacted Court en California, of su- Prevention Act Abuse and Control of Robinson mark case 103 virtually displaced pra, 1970.” This Act 8 L.Ed. 82 370 U.S. S.Ct. resurrecting legisla- pre-existing Court, all federal narcotics 2d in which including recognized years, once the Harrison and Jones- Linder after 35 tion — Congress addition, repu- again illness and Miller is an Acts. that addiction underlying Specifically, premises diated must be treated such. adopted penalty provisions statute harsh held that California the Court ; imprisonment, See, A.B.A.Rep. (1955) g., in lieu of 18 U.S.C. 95. e. 80 408 viction seq. A.B.A.Rep. (1951). ; (1970) III and Title 411-412 4251 et 76 § permits voluntary commitment civil Cong., See, H.Rep.No.2388, g., 84th 96. e. any charged addicts with Cong. Sess., 8, (1956), 2d 51 U.S.Code seq. (1970). offense, et 42 U.S.C. 3411 § 1956, p. & Admin.News 3274. pro- (1970), 42 260 § See also U.S.C. (1956), viding voluntary § 26 7237 97. 568 U.S.C. 70 Stat. civil for commitment (1958). (1958), hospitals. 21 § 174 U.S.C. of addicts to federal See, Force, g., e. 98. Task 2688k(a) See, § 42 101. U.S.C. Cong., 1; H.Rep.No.1486, 2d 89th development (1970) (funds hos S.Rep.No.1667, Sess., (1966) ; 89th 10 addicts) ; pital post-hospital care of Cong., Sess., (1966), 13 U.S.Code 2d (1970) (funds 2688n-1(a) 42 § U.S.C. 1966, p. Cong. 4245. & Admin.News development detoxification serv Sess., Cong., H.Rep.No.1486, ices, 8 99. 89th 2d and communi institutional services (1966), Cong. services) ; ty-based & Admin.News U.S.Code 42 aftercare U.S.C. 1966, p. (to provide develop (1970) 4249. § 2809 community-based treatment ment of authorizes, 100. I of the Title Act addicts). excepted, certain enumerated offenses prosecution, civil commitment in lieu of Cong., S.Rep.No.91-613, 1st 91st seq. ; (1970) 28 2901 et Title § U.S.C. Sess., (1969). provides, again II certain offenses seq. excepted, et 103. 21 for civil commitment after con- U.S.C. Indeed, nearly Indeed, 1950’s. after rise.107 two decades most reliable authorities experience provisions, with those it place the number at somewhere between abundantly had become that “the clear 200,000 300,000 nationally,108 and at * * * severity penalties does 16,000 about District affect extent abuse average age Moreover, Columbia.109 * * result, just As a more steadily of addicts has declined over sentencing and humane structure was past study decade, and a recent of ad replace rigid policies devised to dicts in York reveals that al New State past. age most one third are under of 21.110 beginning but, Thus a has made been District, In the it is estimated long unfortunately, way we still have per some cent of all are less go. Although virtually impossi it is years age, than 25 and that one of ev ble to estimate with reasonable de ery ages six gree men between 20 and precise of certitude the number of society today,105 Approximately 24 is an addicts in our clear addict.111 that, part war,106 per black,112 due in to the Vietnam cent of all addicts per rate of addiction continued to more than male.113 cent are S.Rep.No.91-613, Cong., Sess., (250.000) ; H.Rep.No.91-1808, Cong., 1st 91st 91st Report Sess., (1970) (200,000); Cong. also of the Presi- See 2d Cong., (1970) the Dis- dent’s Commission Crime Rec. 91st 2d Sess. (herein- (remarks Congressman Podell) trict of Columbia 572 Report (270.000) after cited as of the President’s . Commission). Estimates to the number of addicts Any vary widely, ranging estimate of the of addicts number in the District any particular necessarily pre 10,400, Hearings time is a low of see Before depend upon Crime, carious. It must the obvi the House Select Committee on *80 ous fact the methods of tabulation entitled “Crime America —The Heroin Paraphernalia Trade”, Cong., and documentation of the statistics 91st 2d agencies Sess., (1970), high various Moreover, involved are not uniform. 1 to a of almost 60,000, Report the most since traffic in addic see of the Professional drugs illegal, Advisory tive is addicts seek to avoid on Committee Heroin Addiction possible. Columbia, Hearings detection whenever As a re District sult, compiled by the Federal statistics Before Subcommittee 4 of the No. House Judiciary, of Narcotics as to the number of Committee Bureau entitled reported generally known and addicts and “Treatment of Nar- Rehabilitation regarded Addicts”, Sess., are Cong., woeful underestimates. cotic 92nd 1st 422 complete (1971) (hereinafter For a more discussion of the cited as Professional problem drug see, g., statistics, Advisory e. Man Committee). Advisory The Drug del, adopts widely Problems with Official Statis itself Committee more ; tics, (1969) accepted 16,000. 21 991 see also Stan.L.Rev. estimate of Ibid. Blum, supra 25, 44-45; H.Rep. note at See, g., Note, Heroin, Marijuana 110. e. Sess., No.91-1808, Cong., 91st 2d Socio-Legal Analysis, and A Crime: (1970) . (1970), 119, St. John’s L.Rev. As 1969, 31, compiled by of Dec. See, Special Committee, supra statistics g., 106. e. Bureau Narcotics 56, revealed that note at 30-31. average age reported for known and See, H.Rep.No.91-1444, g., 107. e. 91st years. Dept, addicts was 30.7 See U. S. pt. (1970); Cong., Sess., 1, H. 2d at 6 Commerce, Census, Bureau of the Sta- Rep.No.92-678, Sess., Cong., 92nd 1st States, tistical Abstract of the United (1971) ; Hearings House Before the Se- (hereinafter (1971) Table No. cited Crime, lect Committee entitled “Crime Abstract). as Statistical Importation, in America —Heroin Dis- See, g., Advisory 111. e. Professional Com- Paraphernalia”, tribution, Packaging and mittee, supra 109, note at 422. Cong., Sess., 91st 2d See, g., Abstract, supra e. Statistical Committee, See, Special supra g.; e. 110, Treasury 116; note Table No. U. S. 28-29; Hearings Sub note Before Dept., Opium Traffic and Other Dan- 4 of Com committee No. House gerous Drugs (1967) ; Note, supra Judiciary, mittee on the entitled “Treat note at 121. ment Ad and Rehabilitation of Narcotic See, Abstract, supra g., Sess., dicts”, Cong., e. Statistical 92nd 1st 116; Rodino) Congressman note Table No. S. (testimony U. Treas- result, many of persons As a ad- addicts crime. who become The class of relatively however, persons homogenous, live normal and these dicts is not lives, subjected may to the analysis and divid- few are ever for the it be sake of indignities subgroups. prosecution.117 of a criminal ed into three identifiable group those The consists of first such largest, third, cat- far during addicted individuals who became egory addicts.” consists of the “street treatment of medical course Although longer is addiction no street noted, previously some other illness. As ghetto, solely confined and has primary this was cause addiction spread years in recent to suburban and We the time of the Civil War.114 communities,118 even it rural remains great deal since have learned primarily plague the inner cities although opiates time, however, education, unemployment, unequal where widely painkillers, inci- used still housing high poor delinquency today is rela- dence of addiction medical predominate119 Indeed, within tively Moreover, such addic- when low. Model Cities area of the District of Col- occur, frequently tion does umbia, it more than a is estimated that “complete” is, dependence —that ages third of all men of 20 between physical only, com- without the more quarter and almost a of those plex psychological components.115 between 15 and are addicted to heroin.120 category comprised of The second employed in the those who are It is hard who en these core addicts professions. paramedical gage activity

medical the extensive criminal s among pro- public. these rate of addiction which ha Un so alarmed the appears fortunately, however, times public’s almost fessions greater under general standing many problem is, than that of this re uncertainty population,116 spects, confusion, individuals since these rife with ready example, mor- misconception. such as access to and cording ac For demerol, they phine frequently mythology es- popular the addict cape aggressor pay perceived the need exorbitant as a criminal prices supplies rape other for their that lead driven to and violence the evil ury Dept., supra 55; See, Force, Pro- Task note *81 Advisory Committee, supra fessional note 2-3; Advisory Commission, supra at 109, complete at 422. This reversal 79, 4; Ball, 15, supra note at note at pre-1914 period, from the when 60% 208-209; Lang, supra 29, at note 454. all addicts were women. See note 53 supra. See, Advisory g., e. 120. Professional Com mittee, supra 109, note 422. Heroin at supra. 114. at See text notes 34-35 commonly away is far used most addicting today. g., drug See, Task e. 115. For an excellent discussion medical 25, 2; Force, supra American note at addiction, Blum, supra 25, see note at Medical on Mental Association Council physical psychological 46-47. The Health, Report Addiction, aspects explained Narcotic of addiction are text Association, Narcotic at 129-159 American Medical *82 by still further the fact that addicts must Report See also of the President’s Com- pay, trafficker, mission on Crime in the District of Co- property may “fence” as well. Stolen (Appendix) (1966), lumbia 538 which re- bring as little as of the actual 20% categories veals of offenses— value when sold on the market. black rape, crimes, gambling— other sex and See, g., Force, supra 25, e. Task note there was no indication of addiction 10; Cong., H.Rep.No.91-1808, at 91st among sample a selected of offenders. Sess., (1970) ; S.Rep.No.91-613, 2d Homicide, robbery and offenders UUV Cong., (1969). Sess., 91st 1st a As than show less addiction. The re- 3% result, responsible addicts are for a sub- maining categories were of- narcotics proportion non-violent, stantial of all (86% addiction), larceny/theft fenses property-related (e. shoplifting, g., crime (16%), burglary (8%), (7%), fraud theft, pickpocketing fraud) and commit- (5%). and assault today. See, g., ted in this nation Report e. See, g., Eldridge, supra 22, Commission, e. W. note of the President’s 24-28; Chein, Gerard, supra 104, 564; Force, at I. R. Lee note at Task D. Rosenfeld, supra 25, & E. the Road to H 15-16 note at 10. often, igno- and, conceptions all too total staggering amounting lit- society — longer year.128 is no rance. But addiction erally each billions of dollars mystery was, learned have it once for we section, of this at the outset As noted concerning great years a in recent deal largely existing problem is narcotics our of the dis- and characteristics the nature gone before. that has reflection of all although many aspects of the And ease. past of which Yet there is little pos- problem obscure,130 we remain now policies proud, our have we can be body of information sess sufficient as individuals branded these unfortunate legal sig- appreciate the medical —and — society them and forced the outcasts of nificance addiction. deg- unnecessarily and to lives of crime however, widely accepted years, The authori- we most radation. In recent begun recognize in- tative definition of heroin addiction finally promulgated by policies, Health justice Con- the World and both of these Organization, gress the character- moved dra- which lists the courts have follows; istics of the matically disease as correct the situation. Sub- stigma- stituting for criminal treatment (1) overpowering an desire or need tization, suggest, I not eliminate will drug taking to ob- to continue remaining prob- all or most of the even means; by any the need can tain it step lems, represent fur- one but it does initially by drug satisfied taken hopefully ther will become toward what proper- morphine-like another with enlightenment age in our attitudes ; ties the addict and his disease. toward (2) tendency to increase dose

owing development toler- ance; III. THE OF NATURE

ADDICTION (3) psychic dependence on the ef- subjec- to a fects related is, problem of heroin addiction129 appreciation tive and individual possibly persons, the most most effects; those widely yet is- discussed least understood Indeed, popular physical dependence sue of time. no- our pres- requiring shrouded in tions of addiction are often its effects of the half-truths, mystery laden with mis- ence for of homeostasis maintenance See, g., Special Committee, supra Vogel, See, g., supra e. e. D. Maurer & V. 31; H.Rep.No.92-678, Force, supra 192-121; note at 92nd note at Task Cong., Sess., (1971) ; S.Rep.No. Advisory Commission, 4; 1st su- note 91-613, Cong., Sess., pra 91st 1st narcotic sub- note at 1-2. Other amphetamines, stances, methe- such heroin is used more than Since 99% benzedrine, drine, marijuana, cocaine, addicts, supra, of all see note peyote psilocybin, ap- LSD, do not discussion in this will section focus pear any physical addiction, al- to cause primarily etiological aspects on the though psychological dependence de- recognized, heroin It addiction. should velop. Vogel, See, & D. Maurer V. however, that heroin is no means Force, supra 131-157; Task note only addicting drug. with the 3; Advisory Commis- note greatest potential are, course, addiction sion, supra gener- at 1-2. See opiates synthetic equiva- and their ally U.S.C. opiate in- Narcotics of class lents. opium, morphine, heroin, dionon, important gaps clude 130. The most knowl- our dilaudid, metapon, codeine, eucodal, edge understanding dico- relate to our lack of apomorphine. synthetic precise etiology dide and Their heroin addiction. equivalents demerol, methadone, possible appropri- drom- Since it is neither nor *83 phenazocine oran, and leritine. These ate to enter a of the into discussion varied drugs complex are discussed in D. Maurer & V. and issues which di- theoretical supra Vogel, 14, sociologists psychoanalysts, note at 69-89. Certain vide and sedatives, pharmacologists question such as barbiturates and bro- on of causa- mides, addicting, many tion, my analysis are also of the disease as set generalizations relating gen- to heroin ad- forth in this section will be cast drugs. upon experts agree. diction do not hold true for these eral terms which most resulting definite, and istic, character- administration,134 the manner of the set syn- ting, and self-limited abstinence mood, personality expecta and drug drome when the is withdrawn.131 user, many tions of the other varia Development is, ranging such an addiction bles from the biochemical to the gradual course, process, and it is the Indeed, cultural.135 while some individu purpose explore briefly may of this section to enjoy experience, als others suf process the nature of this the ef- dysphoria, fer headache, dizziness upon fects of the disease the addict. depression, perceive and still others no effects whatever.136 As the user be psychological sociological im- drug, however, comes accustomed to the plications of the initial decision to ex- generally appreciate its ef learns periment drugs high- addicting fects, experimentation and the initial is involving ly complex, such as the factors typically followed been values, what has climate, attitudes, social stresses “honeymoon period.” termed the gratifications Dur current rele- drug stage, primarily subculture, predilec- serves vant the individual function, a recreational used potential user, and, tions of the parties, weekends, at course, drugs or when the availability particularly user depressed.137 feels themselves. But once the basic inhibi- overcome, typical tions have been popular belief, Contrary per- not all drug are, motivations for use stage eventually sons who enter will vices, quite simple most most cases —in Indeed, experts become most addicts. experimentation simply due to cu- is agree repeated now even use of her- riosity, depression group pressure.132 or usually necessarily oin will not or even exposure133 effects this initial per- result addiction unless the user’s may vary greatly depending upon the sonality particularly susceptible is quality drug, dose, the size of the psychological drug.138 effects of Organization Expert 131. World Health Contrary popular belief, 133. the indi- Addiction-Producing Drugs, Committee on invariably vidual almost receives his first Organi- Report, Thirteenth Health World acquaintance, from a dose friend or rather Report 278, zation Technical Series No. proverbial “pusher.” See, than from the (1964). Congress adopted at g., Eldridge, supra 22, 29; e. W. note at addiction, stating similar definition Advisory supra Commission, 79, note at “drug person” dependent one “who 4; Blum, supra 25, 52; Clausen, note at * * * using a controlled substance supra 43, note at 39. psychic physi- and who is in or a state of Many beginners 134. will inhale the arising dependence, both, or from the cal inject initially, although some will it in- use of substance on a continuous travenously, orally, inject take it Drug dependence basis. is characterized subcutaneously. See, g., e. I. et Chein responses behavioral and other al., supra 124, 157; supra Jaffe, note at strong compulsion include a to take 125, note at 283. substance continuous basis order experience psychic See, its effects or g., Lindesmith, supra 135. e. A. note 17, avoid the discomfort ab- 24; Blum, supra caused its 25, at note at 54. 201(q) sence.” § U.S.C. See, g., Vogel, supra e. D. Maurer V.& “any Other statutes define “addict” as 14, 81; al., supra note at et I. Chein note habitually individual uses nar- who 124, 157; Lindesmith, supra at A. note endanger public cotic so as to 17, 24; Blum, supra at note at 42. morals, health, safety, welfare, or who is so far addicted to the use of narcotic See, g., Lindesmith, supra e. A. note power as to have lost of self- 25; supra al., at I. et Chein note control with reference addiction.” 124, at 159. 802(1) (1970) ; see § U.S.C. also 18 4251; 2901; § 28 U.S.C. § U.S.C. phenomenon “addiction-prone- 138. The U.S.C. widely ness” discussed the literature. See, g., supra Vogel, e. D. Maurer & V. See, al., 91; supra Nyswander, et I. Chein note note at M. 149-157; Clausen, supra 63; al., supra note note et I. Chein Drugs 14; DeRopp, at 38-39. R. and the *84 prone makeup particularly hallucinogens, heroin does renders them Unlike “high” Although euphoric precise positive produce to addiction.141 input. Rather, causing sensory nature of the addic- disorders intensified symp- depressant proneness may drug calming, effect tion its vary,142 including general readily identifiable, dulls the sensibilities toms are insecurity oversensitivity feelings pain, allays such as an characteristics “high” inability rejection, es- into heroin to enter The an discomfort.139 difficulty others, sentially escape-oriented, direct and a close associations with inability pleasure identification, in sexual role correlation exists between an tendency cope reality, and the user’s and a one derives from Thus, inadequacy, reality. psychic al- need be overcome a sense to avoid futility though indi- individ- psychologically For the stable despair143 exhibiting symp- may experience enjoy his ual all or some vidual these generally heroin, toms, is not the use heroin seen his satisfaction irresistibly great attempt adjustment. personal him at so as to draw many result, specific his such function in use. As a fulfills a excessive experi- psychological economy, persons heroin are to administer and when able encing pre- ever becom- its effect he finds that an occasional without basis viously anx- frustrations and intolerable addicted.140 mysteriously daily ieties existence different, quite how- The situation is hunger, Feelings pain, ever, psychological users whose those evaporate144 Psychiatric diets, (1954). Ploscowe, supra (1957) ; Q. 113-125 note Mind 146 40, Chapel Taylor, supra 122, supra Bowman, note 51, 51-59; See also & note at Hospital 55; Lowry, supra 25, 1036-1037; Blum, at Treatment of at note at 50; Addict, 42, Bell, 16, 16; 44-45 20 Fed.Prob. supra Narcotic at Chein note (Dee. 1956). Use, Rosenfeld, Narcotics Juvenile & Contemp.Prob. 52, & 59-63 Law See, g., al., supra et note 143. e. I. Chein 14, Nyswander, 124, 193-226; al., su 16, See, g., supra M. at et e. note 139. I. Chein Bell, supra 35, 63; supra pra 229-241; Lindesmith, note 124, note at A. at 19; Blum, supra 25, 51; 26-27; Force, supra 17, note at Clau at sen, supra Task note at 44; 43, supra 16, 25, 2; Bell, at Chein & Rosen note at 15. note at note 60; H.Rep.No. feld, supra 138, at note Lindesmith, See, supra g., 140. e. note A. Sess., 1, 91-1444, Cong., pt. at 91st 2d 17, 47; Rosenfeld, supra note at & Chein might suspect, As one 7-8 14, 54; Chapman, supra 138, at at note breeding grounds psy foremost such 51, 25; 43; Ploscowe, supra note at Bow- cities, lives are center where choses our supra man, 122, at 1036. note early by homes, dis broken are scarred supra. poor education, poverty, hope crimination, 141. See authorities cited note 138 Indeed, Special See, g., it few has been estimated that as e. lessness and alienation. Committee, 56, 33; supra as psyehiatrieally all addicts could be termed I. note at 3.8% according 51-56; al., 124, supra to estab- normal et note at Chein See, Winick, g., supra 25, 50; Clausen, Blum, lished medical criteria. e. su at note Treatment, pra family Narcotics Addiction Its back note at 37. Contemp.Prob. plays 22 Law & ground potential 21 n. 45 user (1957) ; Offenfort, particularly develop Kolb The Treat- & role crucial Drug Lexington ment of Hospital, at See, g., Addicts I. ment of these e. disorders. (1938) ; al., 251-298; supra Note et So.Med.J. Chein note at supra Bell, supra 16; Clausen, note at 606 n. note supra 46; 37-38, & note Chein According study, example, to one supra Rosenfeld, 138, at note 60-62. Of opi- the emotional disorders adolescent course, our are the sole urban slums major categories: ate addicts fall into 4 psychoses, sources these (1) schizophrenia (19%) ; (2) overt in- important note addicts who cipient schizophrenia “borderline” paramedical members of the medical ; (25%) (3) delinquency dominated char- professions symptoms. exhibit similar (44%) ; acter disorders inade- See, g., Blum, e. quate personality (12%). See, Kornetsky, Psy- See, g., Noyes & Kolb, Gerard A Social and e. A. & L. Modern Study Opiate Psychiatry (5th chiatric 1961) ; of Adolescent Ad- Clinical ed. *85 inadequacy extinguished, vary severity and fear are behavior which will experiences depending upon and he sense aloofness the individual and the self-sufficiency length, strength and he is unable which nature of his addic- Indeed, following to attain in the real he world. based tion. account,149 something may upon experimentation he well “has observation discovered searching supervision, for all life.” been medical under process opiate describes detail the during “honeymoon period” Thus withdrawal: prone in- occasional use the addiction psychic finds the effects of dividual approaches “As the time for what and, spurred virtually irresistible would have been the next ad- addict’s security generated * * * a false sense drug, ministration of the drug itself, begins gradually he begins he to move about a rather frequency to increase the of his doses.146 way, failing aimless in one to remain tolerance, * * * development Due to the position long. With this however, same he soon discovers that the restlessness, yawning appears, soon original produce dose eu- fails which more becomes and more violent. * phoric * * effect, continually must He then lie on the floor dosage increase the size in order of his radiator, trying keep close to the Then, to achieve the desired “high.”147 contented, warm. here Even he is not period use, physical after a of excessive pacing and he either resumes his dependence The user about, again throws himself onto develops.148 “hooked”—he needs the now wrapping heavy bed himself under underlying psycho- to alleviate his blankets. At the same time he com- logical instability, but also to avoid the plains bitterly suffering with cold misery of withdrawal. flashes, mostly and then hot chills. syndrome, In the which person cold, withdrawal He like breathes who is usually begins short, jerky, to manifest itself within powerful respirations. eight abstinence, to ten hours of the ad- pi- His skin shows the characteristic * * * pattern dict activity shows an almost schematic lomotor well known al., 14; supra 124, Light, Torrance, et Karr, I. Chein note at 149. A. E. E. W. Winick, supra 20; Bowman, 141, Fry Wolff, Opium note at & W. Addiction 10- supra 122, 1036-1037; (1929), quoted Lindesmith, note at Wikler in A. Psychiatric Rasor, Drug Aspects supra 17, Ad & note at 29-30. also A. See diction, (1953) ; Blum, Noyes Kolb, supra 144, 568; 14 Am.J.Med. 566 & L. note at supra 25, DeRopp, supra 138, 152-154; at note 50. R. note at Vogel, supra 14, D. Maurer & V. note at Bowman, supra 122, at note 95; Blum, supra 25, 54; note at Plos See, g., Lindesmith, supra e. A. cowe, supra note 51, 42-44; Cantor, note at 25; 17, al., supra 124, at I. et supra Chein note 67, 523; Winick, supra note at at 159. 141, 10-11; Bowman, supra note at note 122, at 1039. See, g., Vogel, supra e. D. Maurer & V. produces Abstinence from barbiturates 33; 14, Nyswander, supra note at M. symptoms, its own severe withdrawal in 35, 50-52; Jaffe, 125, supra note at note cluding insomnia, anorexia, convulsions, 285, 287; supra Bowman, 122, at note temporary psychosis, occasionally 1038; Winick, supra 141, at note at 10. See, Noyes g., even death. e. A. & L. precise 148. The mechanisms supra Kolb, 144, 572; at note D. Maurer physical dependence develops present- Vogel, supra 124; & V. note at Ad ly unknown. For discussions of the vari- visory Commission, supra 53; note at Noyes suggested, see, ous theories A. Winick, supra note at 11. Abstin Kolb, supra 565; & L. note at A. symptoms ence are not found in users of Lindesmith, supra 33; Lowry, note cocaine, LSD, peyote, marijuana, benze 44; Jaffe, supra note drine, amphetamines methedrine, 281-282; Wikler, Progress Recent psilocybin, since these do not cause Neurophysiological in Research on the physical dependence. supra. See note 129 Morphine Addiction, Basis of 105 Am.J. Psychiat. as 'cold turkey.’ * * [*] Coincident male orgasm in female frequently feeling chilliness, he com- occur.” with this plains *86 being unable breathe symptoms The acute withdrawal through is secretion his nose. Nasal generally peak reach a between and excessive. 72 hours after the gradually during dose subside last and following week.150 period the at end of “Often this weeks, may Distress continue for how drowsy extremely may addict become ever, phys may and it be months before open. keep eyes If and unable to his iological stability But as is achieved.151 asleep, is often he falls which terrifying experience as the withdrawal case,'he deep into a slumber well falls seem, addiction, may it does not end the * * * ‘yen’ sleep. as the known depend underlying psychological long sleep may last The ence of uncured.152 the addict remains awakening eight or hours. On twelve result, As a to heroin and “[a]ddiction he more Lacri- is restless than ever. opiates, established, other once sneezing, mination, yawning, and relapsing the characteristics of a chronic feeling of chilliness extreme. A are disease.” the back of throat suffocation at Usually frequently psychological is at dependence, mentioned. This which stage, complains initially personal- this the addict derives from the basic locating cramps, frequently ity addict, them most develops disorders of the * * through conditioning. Vomiting process Each the abdomen *. drug injected, tension, pain time is may appear. He vomit and diarrhea reduced, anxiety memo- and are and the large quantities of fluid. bile-stained pana- ry experience * * * as a beckons Perspiration excessive. is daily liv- cea all the frustrations of twitchings commonly Muscular ing. Gradually, complex set of condi- present; may anywhere, they occur responses acquired, tioned is ex- are most violent in lower perpetuate tends continued use. * * * tremities. all He refuses emerges, physical dependence When water, sleep frequently food and drug need use the to avoid withdraw- point. is unknown It is at from this psychic al further reliance, the addict’s reinforces stage beg that he one minute evenually requires her- for a next minute tension, ‘shot’ and the no forms oin relieve all * ** slight.154 Indeed, physical the ad- threaten violence. matter how dependence psychological on the wall, against dict’s He his head will beat generally violently to be the is considered throw himself * * * aspect powerful of the disease.155 most floor. emission Seminal Na- Noyes See, g., Kolb, supra Medical Association 153. American 150. e. A. L.& Academy tional of Sciences —National 144, supra 468; Lindesmith, at note A. Council, Narcotic Use of Research The 17, 30; Bowman, supra 122, note at note Drugs the Medical Medical Practice at 1039. Addicts, Management in Ad- of Narcotic See, g., Committee, Special supra 151. e. visory Commission, supra 79, 83, at note 56, Jasinski, 47; Physi at & Follow-up note Martin 87; Vaillant, A Twelve-Year ological Morphine Parameters De Addicts: York Narcotic New pendence Early Tolerance, History Disease, Ab Natural a Chronic Man — supra N.Eng.J.Med. ; Jaffe, stinence, Abstinence, Protracted 7 J. 125, Psychiat.Res. 9, (1969) Blum, supra note at ; 277. 25, 54; Note, supra 84, at note note at See, supra g., Jaffe, note at e. also authorities cited See 278-279. note 155 infra. See, g., supra Eldridge, e. W. note 2; Advisory Commission, supra al., supra at See, note et note I. Chein 55; supra 524; Cantor, supra 6; Bowman, at note note Sig- Drug Dependence: 1037; Eddy, Winick, Its at 23-24. Thus with these dis- the confluence course of relentless psy- ease.” physical dependence, three factors — chological dependence tolerance —the popular notion that an in- addict’s caught spiralling web of addict life ner is serene and untroubled reality addiction. to face Unable he lives a carefree of her- world ecstasy completely hand, and oin-induced without on the one false. The confirmed addict fact a wor- requiring to avoid the horrors ried, troubled, harried Mis- individual. other, on the he turns re- withdrawal *87 ery, despair, alienation and rather than peatedly relief. to obtain pleasure ecstasy, key and are the fea- dose, Yet each the with- additional tures of his existence. he Since cannot intense, psy- drawal becomes more supply drugs legally, obtain his his chological dependence greater, the toler- up entire life becomes bound a cease- increased, ability escape ance and the quest for less heroin. He loses all desire voluntarily likely. Eventually, he less socially productive food, work,157 control, “[s]truggle loses all as he and sex, companionship, family ties may, process the curious and inexorable poverty because of his recreation,158 him. No outer moral com- overwhelms inability pure drugs, and his to obtain stay it;

pulsion pain, can no authoritarian de- his life is scarred constant dis- and, often, premature ease all too cree can Punishment cut short. misery Yet imprisonment futile, of the addict meaningless, in halt- death.159 purchases purity Characteristics, he on the nificance and 32 Bull. market, poverty, ; black rather 721, (1965) Vogel, than Isbell & WHO 723 See, g., Eldridge, Chapman, to addiction e. itself. W. Ad- Present of Narcotics Status supra 22, 16-18; diction, ; note at A.M.A.J., 1019, (1948) The Addict and 138 1020 supra Law, 23, X; Winick, supra 141, note at Linde- A. note at 23. smith, supra 17, 39-40; Noyes note at A. supra Nyswander, 35, 1; 156. M. note at supra Kolb, 144, 567; & L. note at Task see, g., supra 67, ; Cantor, e. note at 523 Force, supra 25, 2; Ploscowe, note at 587; Winick, Frankel, 125, supra note at supra 51, note at 47-49. supra 141, 9, note at 24. City, In New York narcotic addiction Although greatest single 157. loss is the addiction cause a cause of death of vitality impair persons ages of ability which can the addict’s between the of 15 see, g., 1970, approximately 1,825 productively, In to work e. there were al., 124, 166; supra nationally, et I. Chein note at narcotic-related deaths and 84 g., Winick, supra 141, 14; See, at note District of Columbia. most e. Special perform capacity supra Committee, 56, addicts can in a work note at 31- relatively 32; Hearings in a normal fashion if the Before Subcommittee No. readily See, g., available to e. 4 of the House Committee on the Judi- them. Special Committee, supra ciary, 56, 48; note at Entitled “Treatment and Rehabili- Lindesmith, supra 17, 39-40; Addicts”, Cong., A. note at tation of Narcotic 92nd Nyswander, supra 35, 45; Sess., (1971) (testimony M. note at 1st 110 of Con- Blum, supra 25, 49, 54; gressman Rodino, 23, 1971) ; note at Plos- June H. cowe, supra 51, Rep.No.91-1808, Cong., Sess., note at 46-48. 91st 2d (1970) ; Hearings Before the House See, g., al., supra e. I. et Chein note Crime, Select Committee on entitled 124, 163; Lindesmith, supra at A. note Importation, “Crime in America —Heroin 17, 40-44, Noyes 57; Kolb, at A. & L. Distribution, Packaging Parapher- supra 566-567; Bowman, note nalia”, Cong., Sess., 91st 2d supra 1038-1040; Ausubel, note (testimony Helpern, of Dr. Milton June 66; Winick, supra note 27, 1970). Most overdoses are due at impurity drug injected. On the Contrary popular belief, pro- even market, purchased black the substance longed perma- may range purity heroin use does not cause from about 1% organic damage. nent 30%, Thus the although illnesses is normal. The re- 7% frequently usually most tion, associated with addic- mainder consists of natural im- decay, purities such as severe tooth malnu- lactose, and adulterants such as hepatitis, dextrose, quinine trition and are due to the ad- mannitol. Thus preoccupation drugs, dict’s the im- dosage user never knows what he is actu- incorporated every signifi alone, has been is not his for as into members rights society re- cant common all declaration of modern we share sponsibility history.160 Despite lineage, for the which have conditions its ancient Indeed, however, precise helped to make him what is. of the clause limits he sinks, See, no cannot matter how low he he never been determined. justice; right Utah, (9 Otto) lose his and the lower Wilkerson v. 99 U.S. sinks, greater (1878); 135-136, is his claim to our re L.Ed. 345 - Kemmler, 930, 436, 447, concern. 136 U.S. S.Ct. (1890); 34 L.Ed. United Weems v. CRIMINAL IY. RESPONSIBILITY States, 349, 368, 217 U.S. 30 S.Ct. AND ADDICTION Dulles, (1910); Trop 54 L.Ed. 793 86, 100, L.Ed.2d U.S. S.Ct. implications Recognizing judicial But silence is considerations historical and medical result, oversight, fore but of above, appellant Moore con- discussed long sight, Supreme for the Court has tends the federal narcotics statutes recognized changes, works “[t]ime exposing non- cannot- be- construed brings into existence new conditions and trafficking *88 possessors to addict criminal * * * purposes principle to [and] punishment. Indeed, prosecution and capable be vital must of be [therefore] persons, appellant conviction of such application wider than the mischief argues, questions would raise serious of gave v. which it birth.” United Weems constitutionality, contrary estab- 373, States, supra, 217 at 30 U.S. S.Ct. lished common of law notions criminal Indeed, concept at un basic “[t]he responsibility, and is not mandated Amendment,” Eighth derlying the wrote Congress’ adopting intent in the relevant nothing Warren, Chief less Justice “is legislation. given below, For reasons I dignity than the of man. While arguments compelling. find these power punish, State has the this Amendment to assure stands A power of the limits be within exercised * * * Eighth prohibition The The Amendment’s civilized standards. against meaning punishment cruel and unusual draw its Amendment must Magna decency may evolving be of traced far back as the from the standards Carta, maturing represents principle progress and the of a that mark the ally getting, protection phrase path and he has “cruel no which may adulterants, punishment” come into

from the some- and unusual dangerous principle it times he even more than is well known. our law Magna al., See, g., represents be traced to the itself. et can e. I. Chein phrase 124, 15; Force, supra supra Carta, first used was note at Task and the Rights 25, Hearings English 3; of the House Declaration note at Before part Crime, phrase entitled formed a In Select Committee 1776 Rights, Virginia Heroin Para- Declaration in America —The of the “Crime Sess., phernalia Trade”, Cong., 2 it in the constitu 2d included 91st James Madison Pep- (statement Congressman amendments he drafted tional 1970). addition, incorporated per, 5, the rate into the Constitution In It Oct. Eighth among part appears Amendment to be of suicide addicts 1791 as extremely Bell, supra See, Note, high. See, g., e. Cruel with little debate. 14; Vaillant, Punishment —Conviction note Unusual according Indeed, a re- at 1282-1288. for Public Intoxication Chronic Alcoholic Eighth Amendment, report Vill. Violates the cent of the Center for Studies (1966) Note, ; Prevention, young heroin The Effective Suicide L.Rev. Ap Eighth Amendment: An of the cocaine in the District Colum- ness Punishment, attempt praisal bia at least 15 times more suicide Cruel and Unusual age (1961) ; Note, The in the same N.Y.U.L.Rev. 846 often than non-addicts Washington Post, April Against group. The Prohibition Cruel Constitutional (“Addict B3, Present 1-5 Suicide and Unusual Punishment —Its col. Attempt High”). Significance, Rate Vand.L.Rev. society.” Trop Dulles, supra, unlikely any v. 356 U. “It is State 100-101, history attempt S. at 597-598.161 moment S.Ct. at per- make it a offense for a “evolving These standards of decen mentally ill, leper, son to be or to Eighth Amendment, cy,” and the be afflicted with a venereal disease. problem addiction met head of narcotic * * * light contempo- [I]n California, supra, on in Robinson rary knowledge, human a law which 8 L.Ed.2d U.S. S.Ct. a dis- made a criminal offense such held that a Califor which the Court universally ease would doubtless be made it a criminal of nia statute which thought an infliction of cruel the use of nar fense to “be addicted to punishment and unusual violation pun cotics” inflicted cruel and unusual Eighth Fourteenth Amend- of the Eighth ishment in violation of the * * * ments. Fourteenth Amendments.162 Unfortu consider the statute “We cannot but nately, however, precise basis category. before us as of the same At one decision was somewhat unclear. recog- counsel for the this Court State interpretation, Court was level is an ill- nized that narcotic addiction clearly Rob concerned over the fact that Indeed, apparently ill- an ness. it is simply inson had been convicted contracted inno- ness which “being addict,” though “even he has involuntarily. cently or hold that We any drug within never touched narcotic imprisons person a state law which any irregular guilty or been State criminal, even thus afflicted as a signifi primary there.” If behavior though never touched nar- he has aspect cance attached to or been cotic within State *89 might opinion, quite Robinson be viewed irregular there, guilty any of behavior narrowly prohibiting only prosecution as punish- unusual inflicts a cruel and commit of those “criminals” who have ment in violation of Fourteenth jurisdiction. ted no actus reus within the * * * day Even one Amendment. prison and unusual in would be a cruel The Court’s extensive of discussion having punishment of however, for the ‘crime’ concept addiction, the disease suggests common cold.”164 a a far broader rationale: establishing rule punish Initially, as and state courts cruel and unusual mode of prohibiting as well as excessiveness ment clause was as viewed unconstitutionally may punishment only be brutal inhumane methods Note, physical punishment. and Unusual See, The Cruel g., cruel.” e. Wilker Utah, (9 Otto) 130, and the Substantive Punishment Clause son 99 v. U.S. 135- 635, Law, 640 136, ; Harv.L.Rev. (1878) Criminal 79 25 L.Ed. In 345 re Kemm (1966). See, g., ler, 436, v. Common 446-447, 930, e. Workman 136 10 U.S. S.Ct. (1968) ; wealth, Ky., (1890) ; 429 374 S.W.2d 34 L.Ed. 519 Weems v. United 50, Evans, 245 P.2d Idaho States, 349, 390, v. 73 544, State 217 U.S. 30 S.Ct. (1952). held has also (1910) (White, J., The Court 788 54 L.Ed dissent 793 physical, non-physical, ing). scope gradually as well as Its has been ex punishment however, keep pace be cruel and unusual. panded, with con Trop Dulles, 86, S.Ct. temporary See v. 356 U.S. 78 values. Thus Weems v. 590, (1958). States, supra, 2 L.Ed.2d example, 630 for United Eighth Amend Court declared that noting rep Robinson It is worth only against pun directed, ment “was not resented the first instance in which torture, ishments which inflict ‘but upon relied the cruel and unusual Court against punishments which, all their punishment limit clause order length severity, greatly excessive are ” power See, states’ to define crime. disproportioned charged.’ to the offense Note, Note, 646; at The 551, quoting 217 U.S. 30 S.Ct. at Supreme Court, Term, Harv.L. 1961 76 Vermont, 323, 339-340, O’Neil v. 144 U.S. Rev. 143 (Field, 12 S.Ct. 36 L.Ed. 450 J., dissenting). Although the Court has 163. 370 U.S. at 82 S.Ct. it, not had occasion to Weems “has follow generally accepted 666-667, been both federal 164. Id. S.Ct. at 1420-1421. then, among light disagreement language, of this confusion and might interpreted upon opinion as diffi also courts fell lower whom holding addiction, interpreting like that narcotics task of the decision.167 cult leprosy illness, dis- mental and venereal Indeed, Supreme the need Court ease, illness and such cannot is an apparent, soon clarification became constitutionally punished crime.165 as a Texas, 88 S.Ct. Powell v. 293 U.S. interpretation implications of (1968), the Court 20 L.Ed.2d 1254 far-reaching, punishment if are guidance. offered its having (to common use cold Leroy constitutionally pro- In late December Powell example) Court’s charged hibited, arrested and violation to was little sense make declaring legislature permit punish a Texas statute it unlawful one who “get taking sneezing drunk or state of medi- be found has a cold any public interpretation place.” intoxication At cine. Similarly, logically prohibit the trial evidence not was introduced would seem Powell was afflicted the disease status criminalization alcoholism, addicted,” punishment appearance “being chronic that his but also posses- acts, public while his own such drunk was an addict for those narcotics, volition, that he had convicted sion or use been public approximately symptomatic there- intoxication disease beyond power judge, fore to avoid.166 times since trial sit- Cf. ting jury, following Hinnant, Cir., F.2d without entered the v. Driver findings States, (1966); of fact: Morales United Cir., F.2d 846 “(1) That chronic alcoholism is separate yet “stand destroys two related Thus disease which the afflicted decency” reflected in the ards of were person’s power con- will to resist involving analysis the dis stant, consumption Court’s excessive of alcohol. —one other, concept “(2) of addiction and the ease That a chronic does alcoholic concerning subdued, appear public by more somewhat voliti- his own actus reus. Needless compulsion symptomat- absence on but under a *90 ambiguity say, considerable ic of the disease of chronic alcoholism. caused opinions, Despite dissenting there at at 1419. But 2 U.S. 82 165. 370 S.Ct. dissent, points the White out within as Justice was no articulated division principle imposi- in this list- that failure to include the basic Court’s Court on power punish ing states’ the “use” an addict tion of criminal sanctions on hardly power inad- narcotics could have been self-control con- has lost who Id. at punishment. More- vertent. cruel and 82 S.Ct. stitutes unusual possibly dissenting, over, Clark, use an con- since addict cannot Mr. Thus Justice punish- purchasing, imposing receiv- without also the statute strued narcotics ing only logical yet possessing them, only had not is ment addict who drugs. that in Robinson the use of to assume this dictum lost his self-control possession not intended to he was convinced that Robin- was include And since engaged trafficking. addict, not was such he felt the statute son proper imposed punishment. 370 U.S. Compare, District Easter v. Similarly, 679-685, 82 S.Ct. 1417. Columbia, U.S.App.D.C. F. 124 361 clearly that White Mr. Justice stated (en (1966) banc) ; v. Hin- Driver 2d 50 thoughts about he would “have other ; Cir., (1966) nant, 4 356 F.2d 761 power of if Robinson lost case” had Cir., States, F.2d v. 9 344 Morales United self-control. 370 82 S.Ct. U.S. States, ; Bailey (1965) with v. United 846 at 1430. Cir., (1967) ; 1 United States 386 F.2d 5 true, course, 166. It the Court ; Reincke, Cir., v. 2 F.2d 260 suggested might in dicta that a state con- Margo, A.2d N.J. State stitutionally “impose criminal sanctions Tex.Cr.App., State, (1963) ; Salas v. * * * against the unauthorized manu- 365 S.W.2d 174 facture, prescription, sale, purchase, of narcotics its borders.” S.Ct. at within 392 U.S. “(3) Leroy Powell, Fortas, That Mr. hand, defendant Justice on the other herein, speaking ais chronic alcoholic who is also for four members of Court, interpreta- afflicted the disease of chronic eschewed this narrow tion of Robinson and hold- alcoholism.” construed it as penalties may be that “criminal not findings, judge Despite these rul- upon person being inflicted in a ed that chronic a de- alcoholism was not change.” position powerless he is charge, fense to there- Powell was corollary proposition, As a Jus- to this Supreme appeal, fore convicted. On may person tice Fortas declared that “a Court affirmed There the conviction. [constitutionally] punished not if the be was, however, majority opinion. no condition essential de- to constitute the writing Marshall, Mr. for four Justice pattern part fined crime of his adopted Court, members of the a restric- compul- disease and is occasioned interpretation tive of Robinson. In his symptomatic sion Ad- of the disease.” view, entire thrust of “[t]he Robinson’s mitting “many aspects dis- of the interpretation of the Cruel and Unusual obscure,” ease remain he noted pen- Punishment Clause is that criminal similarly woefully deficient “[w]e alties be inflicted if the accus- medical, diagnostic, our therapeutic * * * ed has committed some actus knowledge of mental disease ques- reus. It thus does deal with the problem insanity; few tion of conduct cannot whether certain urge that, this, because of we should constitutionally punished because it totally reject legal significance is, sense, ‘involuntary’ in some or ‘occas- phenom- what we do know about these ” 170 by compulsion.’ Thus, ioned since 174 Thus, accepting ena.” the trial Powell had been convicted for commissi- judge’s findings power- that Powell was e., get- proscribed (i. certain acts drinking that, less to avoid in- once ting public), drunk in rather than for the toxicated, prevent he could not himself being mere “status” of a chronic alcohol- appearing public places, Justice ic, his conviction did not fall within the Fortas concluded infliction of principle noting espoused. Finally, penalty upon the defendant for disagreement among members being publicly intoxicated would cruel profession precise medical na- as to the punishment pro- and unusual within the disease, ture of con- Marshall Justice Eighth hibition Amendment. yet simply cluded that “[i]t time write into the Constitution for- deciding then, opinion, meaning, mulas cast in let Although terms whose of Mr. Justice White. concur- relevance, yet ring alone either to is not clear in the result reached Justice lawyers.” Marshall, doctors or to analysis White’s Justice *91 521, utterly 169. at Id. 88 S.Ct. at 2148. “the record this case is inade- quate permit to the informed and sort of 533, Id. 170. at 88 at S.Ct. 2154. adjudication responsible can which alone support im- the announcement of an 537, Moreover, 171. Id. at 88 at 2156. S.Ct. portant wide-ranging new constitu- Justice Marshall did not find the charac- principle.” 521, 392 at tional U.S. S. 88 par- terization of alcoholism as a disease Finally, of Ct. at 2149. because the lack ticularly helpful, apparently it since meant for al- of available facilities treatment of only drinking problems that those with lack assurance coholics the of medically. Adverting should be treated to that treatment would be successful variety alcoholism, degrees the of cases, persuaded so- most he was that opinion suggests even that if a defense any clearly preferable ciety has alterna- recognized is it would be available to handling tive to the criminal law inability showing those alcoholics both an disease. drinking abstain from to and a loss of control over amount. And exam- 567, after 172. at 392 U.S. at 88 S.Ct. 2171. ining supporting the evidence the trial 569, 173. Id. at S.Ct. at 2172. 88 judge’s finding compelled that Powell was drink, 559-560, Justice Marshall 174. at concluded Id. at 88 S.Ct.

1239 compelled by his prove more that he was responsibility issue was criminal public.176 be drunk in disease to Fortas: in line with that of Justice Watson, Thus, noted court an to have “If it be a crime cannot majority of of because the absence compulsion to narcot- use irresistible opinion, of this matter “Powell left ics, California, 370 U.S. Robinson v. responsibility, criminal as affected 1417, 660, re- 758] 8 L.Ed.2d [82 S.Ct. Eighth Amendment, posture in a 905, hearing denied, S. [83 U.S. best, is, 141 U.S. at obscure.” which 202, (1962), I do 9 L.Ed.2d 166] Ct. App.D.C. 344, But at F.2d at 451. constitutionally be can not see how it five of ac- insofar as members the Court compulsion. yield to a crime to such a cepted position, Powell the Fortas-White Punishing using an addict for for and Robinson seem stand under a convicts addiction for differ- proposition addict cannot that an Distinguishing ent name. between subjected constitutionally criminal be forbidding criminal two crimes is like engaging process is for in conduct which being with flu conviction for sick addic- itself inherent disease epilepsy punishment permitting course, heroin, is tion. Possession of having running con- for a fever just logically conduct, im- such it Robinson is to be vulsion. Unless possible person be a ad- for a heroin by an abandoned, the use narcotics purchasing, possessing dict without also beyond satisfy using addict must be reach in order being so, Similarly, addiction.177 his This the chronic law. interpretation feder- clear that an punished alcoholic not be should permit al which would narcotics statutes drinking being or for drunk.” prosecution of addicts and conviction con Justice voted affirm the White possess simply for their who ground viction, however, on the narrow least, would, very raise own use at the particular failed constitutionality.178 alcoholic had questions serious (Em- 548-549, single they may 175: Id. at at 88 S.Ct. act phasis position, added.) Eighth This it should Amendment convicted under noted, getting no means inconsistent with at —the act drunk.” 392 U.S. In Justice White’s dissent Robinson. 88 S.Ct. at 2164. voting to in that affirm the conviction See, g., supra Force, e. note Task case, disagree he did not with the basic 59; 10; Ausubel, note proposition punishment infliction Niebel, Implications of Robinson v. Cali- power an addict who has lost the (1963) ; fornia, 1 Houston L.Rev. 5-7 Eighth self-control is violative Note, supra at 578. Rather, Amendment. primarily he was concerned Indeed, split sharp exists with the rec- there Court’s failure to opinion throughout ognize legal profession degrees different of addiction. 370 concerning meaning view, of Powell and U.S. 82 S.Ct. 1417. upon “symp penalizing simply its effect laws Robinson habitual user power toms” of and narcotic addic who had alcoholism not lost the of self-control. Follette, Compare, Thus, ap- although noting tion. Smith v. the Court’s ; Cir., plication punish- v. F.2d 955 Nutter the cruel and unusual State, Md.App. 635, novel, specifically 262 A.2d 80 ment clause was (1970) ; Jones, People Ill.2d stated “if [Robinson] was convicted (1969) ; McKevitt, being pow- N.E.2d an addict who had lost the Addiction, self-control, A.B. “Untouchable” Acts of er of I would have other *92 ; (1969) Note, thoughts 685, Law: A.J. 454 Criminal this case.” about Id. at 82 Demise of “Status” —“Act” Distinction at S.Ct. Symptomatic Addic Crimes Narcotics clear, quite tion, 1053; 176. Justice made it White L. with State 1970 Duke J. however, Fearon, 90, that for those who alcoholics v. 283 Minn. 166 N.W.2d resisting ; (1969) Jones, 44, show could “that drunkenness is re 432 246 720 In Pa. impossible avoiding public places (1968) ; Greenawalt, and that A.2d 356 “Uncon * * * impossible Eighth when drunk is Amend also trollable” Actions and Implications Texas, this statute is in effect a which bans ment: of Powell law v. 1240 long settled, responsibility. however, Indeed,

It has that tions been construed, fairly adopting Marshall, if Mr. Justice a statute must be restric- “[a] issue, possible, so avoid not the con- tive view of constitutional em- as to phasized clusion is unconstitutional that it grave upon score.” also doubts reus, rea, actus mens in- “doctrines of Fuey Moy, supra, United v. Jin States mistake, sanity, justification, du- see, 659; 401, e. 241 at 36 at U.S. S.Ct. provided historically ress have g., 41, Rumely, United States v. 345 U.S. shifting constantly adjust- tools for a (1953); 543, 45, L.Ed. 73 97 770 S.Ct. ment tension between evolv- 22, Benson, 52 62, Crowell U.S. v. 285 ing aims of the criminal law 285, (1932); v. S.Ct. Lucas 76 L.Ed. 598 changing religious, moral, philosophi- 573, 577, Alexander, 49 279 S.Ct. U.S. cal, and medical views of the nature 426, (1929); L.Ed. United 73 851 States ” * * * of man. 366, Co., v. Delaware Hudson & 213 U.S. 408, (1909). 527, 29 53 L.Ed. S.Ct. 836 Thus, 536, 392 U.S. 88 S.Ct. at 2156. Thus, specific indica- unless there is interpretation no matter of Powell what tion in either the statutes themselves eventually adopted, decision must Congress legislative history in- bar, read not as but as an exhorta- “be apply tended these statutes non- experiment tion toward further trafficking possessors, addict should we re- common-law doctrines of criminal reject interpretation such an order States, sponsibility.” v. United Watson duty interpretation fulfill “our 352, supra, U.S.App.D.C. at 439 F.2d 141 federal statutes to reach a conclusion Judge concurring (Chief Bazelon, at 459 avoid will serious their doubts of part dissenting part). constitutionality.” v. Richmond Co. concept responsibility of criminal States, 331, 346, United 275 48 S. U.S. is, by nature, very expression of “an its 198, (1928). Ct. 72 303 L.Ed. community.” the moral sense Cir., Freeman, 357 United States B F.2d western socie- Although ty, concept shaped Powell left unsettled has been two precise relationship punish- judgments between criminal re- dominant value —that sponsibility Constitution, morally legitimate,179 and the no must ment expressed member of unduly the Court even the lib- must not threaten the slightest disagreement dignity with the basic erties and of the individual proposition Eighth society.180 relationship Amendment a re- As provides only sult, historically181 the floor and not the ceil- there has been development strong jurisprudence of common no- law in our conviction (1969) ; Bason, (1961) ; Colum.L.Rev. minism and Freedom 102-103 Hart, Chronic Alcoholism and Public Drunken H. M. The Aims of the Criminal Powell, Quo Law, Contemp.Prob. 401, Vadimus Post ness — 19 Am. 23 Law & 423- (1969) ; Comment, Emerg U.L.Rev. 48 ing Recognition Pharmacological Dubin, Rea Mens Reconsidered: A Duress a Defense to Possession of Nar Concept Plea for Due Process of Crim- States, cotics : Watson v. United Responsibility, inal 18 Stan.L.Rev. ; S.Rep.No.91-1069, Geo.L.J. 761 (1966) ; Frankel, supra note Cong., Sess., (1970) ; 91st 2d address 591; Hart, H. L. A. Attorney Mitchell, General John N. testi 109-112. honoring Brinkley monial dinner R. Smithers, City, 9, 1971, New York Dec. For discussion of the de- historical at 5. velopment conviction, generally of this see See, Hall, Principles Maitland, History J. General F. F. Pollack & 70-75, (2d Criminal English 470-471, 479-480, Law 163-170 ed. Law 490- 1960) ; Legal Hart, Responsibil- H. (2d 1923) ; L. A. Sayre, Rea, ed. Mens *93 ity Excuse, (ed.), 974, S. Hook (1932). Deter- 45 Harv.L.Rev. 975-1016

1241 criminally responsi- postulate of crime, is hold man outside prod- punishment.182 the law of ble his actions must have been the g., See, 4 of a will.” e. W. uct “free Despite general principle, how 20-21, Blackstone, 27 Commentaries system legal ever, clear our it is History (1854); Stephen, 2 J. exculpate persons ca does all whose England 99, 183 Criminal Law of pacity impaired, what for control is pro- (1883). no And this conviction “is Rather, deter ever cause or reason. uni- vincial or It is as transient notion. mining responsibility crime, the law systems persistent in mature versal recognizes assumes “free and then will” hu- of law in freedom of the as belief known there is deviations “where ability consequent man and a will broad will does consensus free duty of choose the normal individual respect particular exist” with con to the good v. Morissette and evil.” between dition at v. United issue. Salzman 246, 250, States, 72 S. 342 U.S. United States, 399, U.S.App.D.C. 393, 405 131 (1952). 243, 240, Thus L.Ed. 288 Ct. 96 358, (1969) (Wright, J., con F.2d 364 responsibility is assessed curring) ; see v. also United States through a man elects “free will” when 1, 27, Brawner, U.S.App.D.C. F. 471 153 agent, evil, or do he is not a free banc). if (en (1972) The 969, 2d 995 voluntarily, to act is unable to choose or amply evolving process is nature gradual develop- conduct which constitutes to avoid demonstrated premised they law on the common the courts are Whether are addressed. Thus rea, liability concept reus, willing mens actus or a com insofar as to allow strict two, requirement the ac- bination of the fact concerned for mistake of is ordinarily voluntary is fundamental to our action statutes cused under such capable justice. See, g., system preventing e. “with of criminal the violation reasonably Columbia, supra society might v. note Easter 167, District more care than no 35, might U.S.App.D.C. expect at F.2d 124 361 than and no more exertion 52; States, reasonably 102 at App.D.C. v. United U.S. who has as- Carter exact from one 235, 606, responsibility.” 227, 252 F.2d 616 v. Morissette sumed Pike, 399, (1957) ; 246, 256, States, State 49 N.H. 72 S.Ct. v. United 342 U.S. gen- (1869) ; Hart, (1952). 240, 246, H. L. A. The See 441-442 Morality L.Ed. 96 288 8, erally supra 179, Hall, Law 27 at 827- Criminal note J. supra 179, (1965) ; Hall, 331; Williams, J. note at Law 215-238 Criminal G. 296; Perkins, ; (2d Part) R. Law Criminal 749- The Wasser- ed. 1961 General 1969) ; Burdick, (2d Liability strom, ed. W. in the Criminal 750 Strict (1946) ; (1960). Law, M. Law of H. Crime Stan.L.Rov. Dubin, Hart, supra 179, 412, 414; different, quite note at how situation supra, 180, 296; Sayre, ability ever, note at to con where the defendant’s 1004; Pound, impaired by note at Introduction some trol his behavior Sayre, disability legally recognized to F. on Criminal Law Cases such as duress, insanity, chronic alcoholism ad Supreme incapable persons It should be noted that are diction. Since these conforming decisions in such cases as Court’s United the law matter what no Dotterweich, 277, they required, States v. 320 U.S. cannot standard of care is 134, (1943) ; responsible S.Ct. 88 L.Ed. 48 United even be held for violations of Balint, 250, “regulatory” See, v. States 258 U.S. S.Ct. Easter statutes. 301, (9122) ; 167, Columbia, supra 66 L.Ed. 604 and Shevlin- v. District of note Carpenter Minnesota, U.S.App.D.C. Co. v. 218 U.S. at at 361 F.2d ; 54; Hinnant, supra 30 S.Ct. 54 L.Ed. 930 Driver note Hall, supra 764; means with the no inconsistent F.2d at J. principle cases, 342; Perkins, supra, 806; set forth. In those R. interpret Lowenstein, Williams, supra, 215; Court refused to statutes creat- G. “regulatory” requiring Addiction, Insanity, “in- crimes as and Due Process Capacity tent” an element of the offense where Law: An Examination of the legislature Defense, Harv.Civ.Rights-Civ.Lib.L. had seen fit not to write requirement (1967) ; Binavince, such a into the statute. Rev. 128-129 regulatory These offenses are intended to Ethical Foundation of Lia The bility, Criminal purpose regard serve instructive 33 Fordham L.Rev. general persons class of to which *94 1242 infancy,183 ering ment of such defenses taking desire need to continue 193 duress,184 insanity,185 drug,” Congress somnambulism and repeat- automatism,186 epilepsy edly other forms of defined addict individual unconsciousness,187 involuntary in- who is “so far addicted to the use of

toxication,188 tremens,189 power delirim narcotic toas have lost the chronic alcoholism.190 with reference to his of self-control 194 longer addiction.” Thus can no se- today A similar consensus exists riously questioned least at area narcotics addiction.191 “overpowering” psycho- some addicts the Columbia, Easter v. District 124 U.S. logical physiological possess need to App.D.C. 36, 33, 50, (1966) 361 F.2d 53 inject narcotics cannot be overcome (en banc), this court held that a “chron- by mere exercise of “free will.” ic alcoholic mens rea cannot have the recognition Moreover, of a defense necessary responsible held crimi- “addiction” posses- for crimes such as nally being public” drunk in since sion of narcotics is consistent not per- such an individual “is in fact a sick with our historic common law notions son who has lost control over his use responsibility and moral ac- beverages.” added.) (Emphasis alcoholic countability, but also with the tradition- supra, Hinnant, See also Driver v. 356 goals penology retribution, al deter- Organ- F.2d at 764. The Health World — rence, isolation and rehabilitation. ization has ranked heroin addiction as drug de- goals most intensive form Unlike other penology, re- pendence, far more severe than alcohol- theory justice tributive of criminal looks Indeed, primary element solely ism.192 past justification, with- widely accepted defini- the most regard out preven- to considerations overpow- opiate tion of addiction “an Although tion or pri- reformation. See, g., States, People, 183. e. Allen v. 150 210, (1910) ; United 49 Colo. 112 P. 220 551, 196, Hall, supra 14 L.Ed. 179, U.S. S.Ct. 37 1179 538-544; J. note at G. Commonwealth, (1893) ; Williams, supra 182, Heilman v. 84 note at 562-563. Ky. 457, (1886). 1 S.W. 731 See, g., 189. McGlue, e. United States v. See, g., Blackstone, C.C.D.Mass., e. 4 184. W. Commen Fed.Cas.No.15,679 26 (1854) ; (1851) ; taries 27-32 v. Gillars United Drew, United States v. C.C.D. States, U.S.App.D.C. 16, 30, Mass., 87 182 F.2d Fed.Cas.No.14,993 (1828). 25 962, (1950) ; State, 976 Martin v. 31 See, g., Fearon, supra 190. e. v. State note Ala.App. 334, (1944). 17 So.2d 427 178; Columbia, Easter v. District of su- See, g., Regina Oxford, Eng. pra 185. e. v. 173 note 167. Rep. 941, (1840) (Lord Denman) ; 950 See, g., Nyswander, e. M. note M’Naghten’s Case, 200, 10 & F. Clark 35, 1; Cantor, supra 523; at note at Eng.Rep. (H.L. ; 1843) 2 718 v. Smith Frankel, supra 587; note Win- States, App.D.C. 144, United 59 F.2d 36 ick, supra gen- note 24. See (1929) ; States, 548 Durham v. United erally text and notes at notes 129-159 U.S.App.D.C. 228, 94 214 F.2d 862 supra. (1954) ; States, McDonald v. 114 United U.S.App.D.C. 120, Organization 192. See World 312 Health F.2d 847 Ex- pert (en banc) ; Alcohol, Brawner, Report, Committee on United States v. 1, First U.S.App.D.C. Tech.Rep.Ser.No.84, WHO 471 F.2d 969 10-11 (1972) (en banc). Organization Expert 193. World See, Health g., Commonwealth, e. Fain v. Addiction-Producing Drugs, Ky. Committee on (1879) ; Williams, supra G. Report, Tech.Rep.Ser. Thirteenth WHO at 482-490. (1964) (emphasis added). No. at 13 See, g., State, Okl.Cr., e. Carter v. 802(1) (emphasis added). 194. 21 § U.S.C. (1962) ; P.2d 351 Smith v. Common 4251; See also 18 U.S.C. § 28 U.S.C. wealth, Ky., ; (1954) 268 S.W.2d 937 2901; 3411; § § U.S.C. D.C. People Freeman, Cal.App.2d 110, v. 602(a) (1967). Code § In an alternative 142 P.2d 435 formulation, Congress has characterized See, Rippy, “strong compulsion.” State 104 N.C. addiction as a (1889) ; (q). 10 S.E. 259 Pribble v. U.S.C. *95 (1873). vengeance Beasley State, an un is v. 50 Ala. 149 mordial desire argument Easter, emotion, a testament answer to a it is similar derstandable evolving supra, constantly of our this court declared that nature to the and moral consciousness social resulting public “chronic alcoholism decades, has, to re in recent come law crim- intoxication cannot be held to be “eye-for-an-eye” philosophy gard theory inal on the that before punishment.195 improper basis there at sickness became chronic jus notion But even this barbaric if voluntary period act or earlier some clearly validity, retained it its tice chronic of acts which led to the series persons inapplicable act be to who those person A sick is sick condition. Revenge, compulsion. if it is under a though exposed person to he himself ” * * * premised legitimate, ever to be must be contagion. blameworthiness, what on moral U.S.App.D.C. 36, 124 at 361 F.2d at 53. segment society its would feel of our today, I to that view would adhere when need for retribution satisfied no matter how the addict came be ad- vengeance upon who are those wreaks stage dicted, once reached he has their disease ? diseased because of clearly sick, desire for is and a bare justify vengeance treatment cannot may It there course true Indeed, need retri- as a criminal. past before the have been a time permitted in civi- “can never bution be made a con- control when he addict lost society degenerate lized into a sadis- drugs.196 im- But scious decision to use revenge.” States v. tic form United position punishment this basis Freeman, supra, F.2d at 615. 357 long-standing rule that would violate the argument employed widely immediate, The most law looks “[t]he punishing for crimes cause; in favor actual not remote to the to the causes, is that of narcotics party, such as state of the and not to the punish- punishment threat of remotely produced such United which it.” C.C.D.Mass., deterrent effect. Drew, Fed. ment has a substantial 25 States v. however, present knowledge, 14,993 (1828). also Given our No. at See Cas. 914 argument appear Cir., States, F. the merits of v. 228 Perkins United presupposes ra- State, (1915); Deterrence Fla. doubtful. Cochran v. assumption proceeds Kidwell, tionality; 91, (1913); on the 61 So. 187 v. State —it detriments which would inure 466, (1907); that the 62 W.Va. 59 S.E. See, g., States, v. See, Robinson addiction. ternal e. Morissette v. United 660, 667, California, stipra 182, 251, 82 S.Ct. 370 U.S. U.S. 72 S.Ct. (1962) ; 1417, 240; York, see also 8 L.Ed.2d 758 Williams v. New 337 U.S. supra. Any 241, 248, 1079, dis- at notes 114-115 text 93 L.Ed. 1337 S.Ct. might 740, (1949) ; Estrada, drawn which be between tinction In re 63 Cal.2d Cal.Rptr. 172, 175, inno- addicted those addicts who became P.2d 40S 48 (1965) ; voluntarily began cently Oliver, People and those who 1 N.Y.2d insuper- virtually course, would, 152, 160, create N.E. 151 N.Y.S.2d proof. problems- dif- A second also J. able See 2d 201-202 ficulty might Wechsler, if a dis- arise such Law Micliael & II. Criminal adopted (1940) ; statute concerns the A. tinction were 9-10 and Its Administration Koestler, Hanging If the initial voluntar- of limitations. 105-106 Reflections on liability, (1957) ; Camus, iness is viewed as basis of the Guil- Reflections on lotine, London, characterized as would addiction then be As Liter- in E. The Law continuing Michael, (1960) ; on which the stat- offense & ature 528 Wechsler Homicide, if does not run? And ute of limitations A Law Rationale of the addict, now first used the 752-761 Colum.L.Rev. age 15, tried ac- would he have to be addicts, however, even the For some cording juvenile All court standards? exposure initial and the sub- problems, course, need of these sequent may wholly involun- addiction be regardless arise, for indeed should not tary. may through This occur either addicted, or, the addict medically prescribed how he came to be use of narcotics cases, sick, in some of ma- and must treated as such. birth because upon apprehen- prospective criminal question There another side deterrence, however, sion can be made so that he will of severe which should undertaking ignored. dissuaded from the crim- be serve The criminal law only through narcotic ad- inal act. In the case as a fear deterrent not however, apprehension dict, prosecution, normal sense of rea- through son, general which is so essential effective also the more educative *96 functioning moralizing deterrence, may is overcome or of the law effect psychological physiological upon society. manner, in the Viewed this result, punishment compulsions expression As a of the disease. of as a concrete widely agreed society’s disapproval particular it the threat of is of con prison helps deter even harsh sentences cannot duct to instill desired moral code using possessing against in citizenry the addict from the the commission drug.197 proscribed Hawkins, See, g., the acts. e. Edu Punishment Deterrence: prevails A similar insofar situation as Moralizing, cative, Ef and Habituative potential deterrence of con- is fects, Andenaes, 550; 1969 Wis.L.Rev. outset, At must noted cerned. the it The General Preventive Pun Effects of nothing opinion in in this ishment, (1966); 114 U.Pa.L.Rev. 949 way responsibili- any affect the Andenaes, General Prevention — Illusion ty they of non-addict users for crimes Reality?, J.Crim.L., C. & P.S. 176 may including illegal posses- commit— (1952). Indeed, history public persons sion of Such narcotics. are not in attitudes exemplifies this nation toward addiction compelled by the of addiction to disease potential impact possess drug, they use and moralizing effect can achieve. But in proper subjects punish- therefore for shape an attitudes, effort these concept Thus ment. of deterrence in policies swept of our architects too only context insofar this punishment is relevant as broadly, perpetrating myths such as the might possessors of addict “dope-crazed condemning sex fiend” and non-addicts, inhibit subject who are themselves only the volitional but abuser punishment, using nar- the confirmed addict as And al well. Simply problem is, cotics. to state the though society may and should indeed course, to answer it. non- Since the disapproval voice its of non-medical use punished pos- fop addict still be his narcotics, highly questionable narcotics, session of consolation whether it should condemn “mor also might exculpation he find in of addict degenerates” pathetic al those individu possessors eventually if he at- who, als because addic disease of of “addict” he tains status must be longer tion, no can control their use of punished. giv- treated rather than But drug. See, g., Propos Rosenthal, e. pitiable en what nowwe know about the Dangerous Drug Legislation, als in addict, an life of this somewhat dubious President’s Commission on En Law hardly likely consolation is to “encour- forcement tice, Administration of Jus age” persons to use narcotics. Cf. Report: Task Force Narcotics and Greenawalt, “Uncontrollable” Actions Drug 80, (1967). Abuse Eighth Implica- and the Amendment: Texas, tions Powell Moreover, 69 Colum.L. discussion of deter- (1969). 927, Rev. recognize rence must we that when an See, Committee, supra Special supra 51, Ploscowe, 19-20; at Can- note 56, 25-26; Advisory Commission, note at tor, supra 523; Chambliss, note at supra 3, 40; Types note New York of Deviance Effectiveness Academy Medicine, Report Drug on Legal Sanctions, Wis.L.Rev. (1955) ; Rosenthal, Propos- 707; Frankel, Addiction 10 note at 587- Dangerous Drug Legislation, 588; Sess., als S.Rep.No.1667, Cong., 89th 2d .Force, supra 103; (1966). Task penalty adopted provisions own punished, not for individual others, Congress 1950’s,200 example good, that “the concluded but set * * * severity penalties done does for what he “suffers not S.Rep. people’s affect abuse.” tenden- extent of other account Platt, Cong., 91-613, The No. 1st cy & 91st Sess. do likewise.” Bittner (1969); Meaning Report Punishment, see also of the Presi Cri- Issues minology In such situa- dent’s Commission the Dis Crime tions, simply And trict of Columbia 572-573 offender serves conclusion, acting upon Congress society, pun- and if in the hands of tool Drug Comprehensive premised enacted Abuse on considerations ishment morally legitimate, 1970,201 Prevention and Control Act of is to be deterrence pos justi- penalties punishment out must which the crimes of meted dramatically. light gravity of- session decreased fiable were culpability of offend- fense and the Shifting goal of *97 our focus the now to Morality Andenaes, See, g., er. e. isolating at offender, we arrive here Deterrence, 649 of 37 U.Chi.L.Rev. justifiable for action not a basis possession of addict’s Since which, least, but one eases some at simply symptom his of a narcotics is society. may of be vital to the interests will,” not an act of “free disease and system law, re- of it must be Under our properly be however, conduct cannot membered, criminal sanctions with- “culpable,” there- and. it would deemed incompetence of of a held cases out society inappropriate to fore seem compassion and under- moral sense of through a vehicle utilize him as mere standing. obviously It would be intoler- which to deter others. suffering however, able, if from a those suggest, course, This not to of is to relieve disease of a nature as such legitimate society in de- no interest has responsibility of to them criminal were terring drug Narcotic addiction abuse. danger pose be to to a set free continue presents danger a to addict both Thus, society. individual as with society society generally, and therefore dangerous or who is a afflicted with right duty has insti- a and indeed a disease, contagious when addict’s reasona- tute those which are measures seriously jeopardize may freedom bly peeessary to curtail its incidence. community, security safety of punishment possessors is But of addict legitimate society re- interest a has necessary neither a nor a reasonable protect straining citi- in order its him goal.198 Indeed, in means to achieve this California, See, g., Robinson v. zens. e. enacting the Addict Rehabilita- Narcotic supra, 664-665, at id. 370 U.S. at recog- 1966,199Congress tion ofAct itself Douglas, (Mr. concur- S.Ct. 1417 Justice ad- nized that the need rehabilitate Columbia, ring) ; of Easter District outweighs generally any deter- dicts U.S.App.D.C. 38, 361 supra, at might impact imprisonment rent their Hinnant, su- 55; F.2d Driver v. Moreover, noted achieve. it should be pra, 356 F.2d question of in some sense entire however, mean, reality may This does deterrence this context goal justifies infliction meaningless. nearly of isolation two For after upon punishment the addict. experience harsh decades of with the may commitment course, the mere threat civil are, available 198. Other means See, e. a inculding serve deterrent function. deterrence, to achieve increased Greenawalt, supra 178, at 958. prosecution note traf users and non-addict pro fickers, more intensive efforts to seq.; et 199. 28 U.S.C. § U.S.C. public information vide accurate seq. seq.; et § 4251 et U.S. C. § concerning dangers abuse at notes 94-97 See and notes text See, g., 21 of addiction. nature supra. ; Rosenthal, seq. (1970) et § U.S.C. addition, seq. et In 201. 21 104-105. U.S.C. longer contrary, may stitution, On the this interest must be no than is rea fully through program sonably necessary.” a vindicated civil commitment with treatment well as This, brings then, us the final by criminal And incarceration. since important goal penology most modern offender, culpable is the addict rehabilitate the —to age offender. clearly preferable treatment alterna enlightened philoso correctional Moreover, imprisonment. tive to mere recognize phy, society now we community's security may be even responsibility to both the individual and protected under better civil commitment community so to treat the offender although for, see, as we shall incarcera may upon function as his release pe tion addict for restrain the productive, law-abiding And citizen. nothing riod of it sentence, his does where, this is all more true as with upon reduce re the likelihood that non-trafficking possessor, addict again turn to he will the streets resort compulsion offender has acted under the Finally, we the use drugs.202 rehabilitating of a disease. The task of that, should make certain the words not, the narcotic addict once the President’s Commission Law thought, hopeless task. Great strides Enforcement and Administration Jus years have been made recent toward tice, when civil utilized commitment development of effective and humane addict, as a means to isolate the techniques treatment at both communi equivalent “must not become the civil *98 ty-based levels, and institutional and the imprisonment. programs of must higher cure rate for addiction is now far possible treatment, fer best includ many than that of other ing techniques they new become illnesses.204 Thus, possible exception available, with the and the duration the com mitment, either those within outside an in addicts who remain incurable,205 States, Synanon (1963) ; Katon, Williams v. United & 102 DuPont De- Cf. U.S.App.D.C. 51, 58, velopment 250 F.2d of a 26 Heroin-Addiction Treat- (1957) ; Douglas States, Program: Crime, v. United 99 ment Effect on Urban U.S.App.D.C. 232, (May 1971) ; Eddy, 240 n. 239 F.2d 216 1320 J.A.M.A. (1956) ; Hearings n. Drug 60 12 Before the Current Trends in the Treatment of Dependence Drug Abuse, Drug Subcommittee Criminal Laws and Pro and 1971 Nyswander 308; cedures Judiciary Dole, of the Senate Committee on the Abuse L.Rev. Warner, & Syn Relating on Bills to Crime Successful Treatment of 750 dicates, Investigation, Addicts, Obstruction Criminal 206 J.A.M.A. 2708 Wiretapping, (June ; Immunity, 1968) Fisher, Drug Narcotic The Rehabilitative Addiction, Admissibility Community and in Evidence Effectiveness of a Correc- Confessions, Cong., Sess., Users, 89th 2d tional Residence J.Crim.L., for Narcotic 56 (1966) (statement Gehrig, (1965) ; Winick, & Leo J. Act C. P.S. 203 ing Surgeon supra General, 141; Lowry, 142; note U.S. Health Public note Service, al.). Note, et See also text and notes Methadone Maintenance for Heroin Addicts, ; at notes 206-207 78 Tale L.J. H. infra. Rep.No.92-678, Cong., Sess., 92nd 1st 5- Force, supra 17; Task (1971) ; note H.Rep.No.91-1808, see Cong., 91st Cameron, also U.S.App.D.C. Rouse v. Sess., 2d 31-45 (1967) ; Wyatt 373 F.2d 451 Stickney, M.D.Ala., Although F.Supp. great progress we have made in our efforts new more discover techniques effective addict, to rehabilitate For may discussion yet, these modern tech- we have not and indeed niques comparison never, point with more tradi- reach where all addicts treatment, see, tional methods of Nevertheless, can be cured. it be should Special Committee, supra non-trafficking posses- 52- clear that addict 61; Developments may Institute New sors—even if jected sub- be incurable — Addict, punishment Rehabilitation of the Narcotic to criminal under Rehabilitating existing legislation. would, course, the Narcotic Addict We (1968) ; hope D. Congress Willner & G. Kassembaum will to ex- continue (eds.), (1965) ; plore possible Narcotics chs. 10-17 D. all avenues of cure in order Casriel, Story provide So Fair a House —The effective rehabilitation for as clearly responsi through society involuntary cannot meet its civil commit confining simply by procedures the addict bilities ment of Title II of the Nar approach Act, cotic without treatment. Such Addict Rehabilitation 18 U.S. nothing relaps legis enacting chronic does to cure the C. 4251 et In seq. this ing disease,206 lation, aspects however, Congress specifically and where imprison applicability confinement form of limited its takes the those ad inevitably charged, prosecuted into dicts who ment the addict is thrust have been arrest, conviction, “revolving door” of convicted of a criminal offense.208 arrest, recognition imprisonment, Thus, release of the de serving period addiction, procedures pre of incarceration fense these stopping sumably longer temporary but a and futile would no be available to point non-trafficking possessors.209 in an interminable addict otherwise cycle.207 mean, may But this does not as some fear, de these addicts would be existing law, course, at least Under cycle prived may escape of treatment or without released addicts some possible. many ave- These are corroborated One such observations addicts as methadone, Maryland may expanded study, use of a only which revealed nue year moderately proven were successful one after release there Raymond virtually paroled such as had been “old” addicts no who even with continuously drug free, last more than and that See Tr. 289-290. Moore. inevitably analysis, however, prison. there will had been returned to See 80% Jaffe, Psy- Off, If cannot be treated. Whatever Turns You addicts who some prospect chology Today (May 1970). of rehabilita- is in fact no In- there deed, appellant provides tion, possible have either Moore’s life that we program example (a) main- of heroin some limited classic punitive approach. of the failure of addicts, years In the 25 since tenance for otherwise incurable system Eng- addicted, age 16, in effect similar Moore first became ; (b) times, re- commitment without he has been arrested 23 convicted land civil treatment; (c) times, spent years on ex- habilitative over 13 depend- Congress, prison. plicit appellant direction of each occasion went On upon interpretation yet through withdrawal, using *99 what of of course returned to eventually adopt- is Robinson and Powell heroin weeks of release. See within his liability ed, 28-36; Appellant fault. without Brief at for criminal for Brief Washington the Area Council on Alcohol- may, course, 206. Mere incarceration of Drug ism and as Amieus Curiae Abuse withdrawal, undergo force the addict to at 2-3. addiction, for end the this does not components underlying psychological NARA, an the 208. II of addict Under Title g., See, involuntarily may treat- remain intact. committed for addiction e. 2; Eldridge, supra 22, Ad note at W. ment he has been “convicted of if 55; visory Commission, supra against note at the States.” offense United 4251(f) ; Na Medical Association and see American 18 also 18 U.S.C. § U.S.C. Academy original 4251(e). a 87; In the Senate ver- § tional Sciences—National Rese Council, supra III, providing at for civil com- rch note sion of Title 277; Cantor, charged Jaffe, supra with a at mitment of addicts not note Rosenthal, supra 524; offense, proposed it was that such note involuntarily may 104; S.Rep.No.1667, 89th committed addicts note “any S.Rep. Sess., (1966). petition Cong., upon 15 individual.” 2d Cong., (1966). No.1667, Sess., 2d 2 89th According Commis- 207. to the President’s adopted, proposal If been “a had Columbia, in the District sion on Crime addict, alleged of an a member of friend long example, “[j]ust threat as the for prison family or a law his enforcement official” the not seem .to deter terms does proceed- could initiate the commitment prison reality addict, neither does the (Emphasis added.) ings. Id. at 23. Reformatory life cure him. Lorton does clearly re- This version of the bill addict, re- little to who rehabilitate jected, however, . III and as enacted Title community enters the after release with provides only “a related individual” problems confronting help no underlying the basic may petition involuntary com- file a for preventing his his addiction or 3412(a) (1970). mitment. 42 § U.S.C. surprising that most readdiction. It is not some, perhaps many, rejoin illegal drug 209. non- traffic and At least addicts possessors may Report trafficking prior addict not re- resume their habit.” Commission, supra II of NARA. ceive treatment under Title President’s initial commit exam- decision to 573. 1248 society.” animation, patient to a committed “prey is to care or confinement physi hospital two D.D.C., for examination Lindsey,

United States v. cians, a must be at least one of whom F.Supp. days psychiatrist.213 these Within five may affirmatively the addict who For report physicians their conclusions must course, are, treatment, there desire may, Attorney, who to the United States including available, many options discretion, present a commitment in his voluntary commitm civil possibility of Superior petition Court Moreover, in the exist there ent.210 If, after of Columbia.214 District proce established District of Columbia patient hearing,215 the court finds involuntary commitment dures for hospi addict, to a he is committed be an they though even known addicts no is for treatment confinement tal until convict charged, prosecuted or not been longer necessary received he has or until Hospital offense. See ed of a criminal re After benefits.”216 “maximum Drug Act Addicts Treatment supervised lease, .patient is Columbia, D.C.Code § District of years period community of two for a Act, seq. Under et to the use return he does not insure that of Colum of the District Commissioner patient drugs.217 Finally, preliminary examina bia must conduct proceedings not be deemed “shall these probable cause he has tion whenever criminal and commitment any person211 within believe that patient deemed not be shall such If evidence an addict.212 is District preliminary ex- conviction.”218 found at addiction drugs any liabit-forming trial narcotic in the discretion of the who uses ination morals, endanger public eligible many judge, addicts so as health, safety, otherwise far be- who is so from treatment either or welfare or be excluded “likely they the use of such be rehabil- addicted to are not cause “adequate power of self-control facilities have lost or because itated” personnel his addiction.” D.C.Code are unavailable.” reference to treatment is, 1971). (Supp. 4251(a). 602(a) This IV § § course, 18 U.S.C. most other the same definition g., seq.; See, et e. § U.S.C. See, to define “addict.” use statutes ; et § 42 seq. (1967). 24 D.C.Code § U.S.C. 4251; 802(1) ; § 18 U.S.C. § 21 U.S.C. 2901; 42 § 28 U.S.C. U.S.C. § 605(a). 603(a), not available to those charged The Act 213. 24 D.C.Code §§ a criminal who are 605(a); 24 D.C.Code 24 D.C.Code § offense, serving sentence, probation 605(b) (Supp. 1971). IV pending appeal. parole, or on bond *100 right patient 603(b). non-trafficking a full evi- The has to If D.C.Code § dentiary hearing, may subject longer intro- possessors at which he addict were no subpoena possession, however, and and cross- duce evidence of mere conviction may pose witnesses. He also demand examine no obstacle to these exclusions would involuntary by jury right has a to counsel. trial and civil commitment of such 24 §§ D.C.Code 604-607. other than addicts unless some offense possession addition, is involved. under hospital 608, 216. 24 D.C.Code 609. The §§ principles announced in similar to those reports at intervals must submit 6-month Harris, U.S.App.D.C. 1, 10- Bolton v. 11, 130 explain patient’s confine- the continued 642, (1968), a de- 395 F.2d 651-652 may petition ment, patient re- and the guilty fendant found year. 608, after one 24 D.C.Code §§ lease drugs for his own use reason of ad- 609(b). may custody in diction be retained or con- appropriate patient tinued on bond under condi- 610(a). 217. 24 § D.C.Code pending proceed- may again tions civil commitment be recommitted if he becomes ings report for treatment. drug user, and failure to the Commissioner also scheduled ; note, 603(a) 212. 24 fol- § D.C.Code see 24 in for examination. result confinement lowing (Supp. 24 D.C.Code IV 602 § 610(b). D.C.Code § 1971). The Act itself the term uses “drug “drug addict, 218. 24 in a user” rather but 611. Treatment § than D.C.Code * * * “any person context, might noted, purely user” is is defined civil

1249 provi- edge Despite developing these existence of social and moral sions, however, do, contends values. the Government What the law if cannot it is rarely that, tradition, been Act remain true since the has to its is to presently utilized,219 availa- stand facilities still while the world is flux. See, e.g., inadequate Holmes, Law, the statute to make The Path of the ble 457, ar- a similar 10 469 effective. Confronted Harv.L.Rev. Draw- supra, gument upon past, held Easter, court must law serve always unequivocally has com- who —as it has served —the needs “[o]ne validly present. sen- no crime cannot be Thus on the basis mitted above, of a lack criminal because considerations discussed I con- tenced as a caretaking imposition clude that facilities.” criminal liabili- rehabilitative and ty non-trafficking posses- 36, U.S.App.D.C. at 53. on the 361 F.2d addict 124 at contrary drunk sor is to our historic common alcoholic who is Like chronic pos- non-trafficking responsibility. public, law traditions of criminal addict being so, ab- no crime. The This it is clear a defense has committed sessor the re- is “addiction” must exist for these indi- facilities sence treatment Congress addict, expressly sponsibility, of so- viduals not of the unless has unequivocally generally, the addict should manifested its intent ciety simply preclude See, e.g., a criminal be- such a defense. treated as not be States, society supra, re- to meet its Morissette v. 342 failed United has cause Congress 246, 240, 288; im- sponsibility. acted to 72 96 L.Ed. U.S. S.Ct. Had necessary Columbia, supra, plement with the Easter District this statute facilities, prob- 43, U.S.App.D.C. 361 F.2d at 60 appropriations (McGowan, J., concurring); today. United The statute not exist lem would cf. books, already States International Minerals & indeed on the v.. 558, 563, Only Corp., im- years. Chemicals U.S. been for almost missing.220 (1971); Dur- plementation L.Ed.2d S.Ct. U.S.App.D.C. States, ham v. United genius law has of the common n.45, n. 874 & 214 F.2d 240 & changing long responsiveness to been its Statutory (1954); Sutherland, ability times, knowl- 45 3 J. to reflect new its likely made available respects to be be more effective staffs increased some effectively NARA, provided more where an effort to deal than that Easter, involuntarily problem Since of alcoholism. committed addict legis- comprehensive degrading Congress has enacted after he has survived rehabilitating prose- chronic dehumanizing process aimed at of a criminal lation See, context. non-criminal know about what we alcoholic Given cution. seq.; g., et U.S.C. 2688e e. § and unstable nature U.S.C. insecure ; (1970) seq. personality, D.C.Code et *101 Moreover, Cong., 92nd 1st Sess. only See 6 in 1961. in a of 1964 to low of these that rehabilitation it seems clear Commission, Report the President’s of require always institu- not addicts does supra note at 571. outpatient care, success of as the tional gaps See are, course, in treatment demonstrates. methadone of certain 220. There supra. Final- existing involuntary pro in note 204 cited authorities commitment my ly, supra. D.C. commitment I am con discussion of note 211 cedures. See any suggest that fident, however, gaps quick to is not meant statute that these will encouraged ly not filled, whether or in this be committed addict be I am Involuntary dangerous society. following regard to he is the events our de any Easter, whose free- individual It commitment of cision 167. danger might present gave not such dom does now clear that decision added constitutionality. questions causing impetus of serious toward new facilities and raise Moreover, responsibility. (3d ed. criminal 6201-6203 Construction §§ language nor Crawford, of statute ; neither 1943) The Construction E. any legislative history indi- there of Statutes 486-492 Congress pre- to cation intended per- recognition C of as a clude “addiction” non-trafficking for the defense missible then, separate apparent, that two It is possessor.223 Indeed, an in- such addict based interpretative presumptions —one incompati- wholly tent been would have upon and the other constitutional prevailing of the mores ble with the law considerations—combine common early years time, cen- of this for in strongly suggest, com if not to case this pel, tury viewed, not as addict was federal narcot of the construction criminal, unfor- as the victim of infliction would avoid statutes which ics illness.224 tunate upon liability the non-traf of criminal although ficking possessor. And' addict Act, which the Jones-Miller Unlike course, may, presumptions of these Clause, predicated Commerce was on the of demonstration a clear rebutted Act of 14 was cast Harrison congressional intent the con specific taxing was form of measure trary, itself admits the Government designed distribution to control domestic is, best, in an intent evidence such legally imported As dis- narcotics. Indeed, after an exhaustive conclusive. prior previously, 1914 such cussed years nar of almost examination drugs legally and at obtained could be agree legislation, I must cotics phar- minimal cost over the counters “Con conclusion that own Government’s gress grocery stores, even macies, expressly provided has not In check an effort to confectioneries.226 de an affirmative addiction shall dispensing practices, a sloppy these charge possessing illicit fense to a regulatory strict scheme was devised * ** narcotics .’221 le- that such the Harrison to ensure Act legislation significant stray gally imported into did first ex- Act certain field the Jones-Miller unauthorized hands. With ceptions, this statute, enacting Con- the Act made unlawful 1909.222 gress any person hoped produce, import, flow manufac- to curtail the constant sell, country. ture, compound, in, dispense, into the of narcotic substances deal prohibited give away any goal, derivative To importation Act achieve this distribute or regis- any opium con- narcotic cocaine had unless he trary pur- tered, law; receipt, paid required taxes, main- concealment, any drug; or facil- transac- chase or sale of such tained records of his careful possession itself itation of these acts. Possession tions. was not Mere being appears in the statute made ply but was to be viewed sim- pro- prima convic- “sufficient evidence authorize evidence facie explains Thus, unless tion the defendant as with the Jones- scribed acts. designed Act, to the satisfaction Miller this statute was jury.” regulatory solely measure, No made to delineate and in effort was aas “explanations” legislative accepta- would be nor neither history statute sug- Congress ble, apparently slightest however, is there even the gestion contrary question Congress intended, courts to resolve left principles public punish opinion, on the basis addict common law Appellee (emphasis Brief at 45 and notes notes 53-56 See text original). supra. 17, 1914, Act c. c. 38 Stat. § Feb. Act of Dec. *102 (repealed 1970). 1970). (repealed 614 Stat. 785 See, H.Rep.No.2003, Cong., supra. g., 223. e. 226. 60th notes at 51-52 *103 implements of used to administer sion Columbia.238 District of drugs in criminal offenses such were provides: preámble of this Act in And the District Columbia. Congress that Federal intends “The drastically Congress amended when enforced laws be criminal shall Act to the effective- Treatment enhance against drug as other as well users provisions, it also enacted ness of its not shall persons, and [this statute] which, Vagrancy Act244 the Narcotics to treatment used substitute be among things, made unlawful it other punishment commit- of crime eases mingle any (a) with others to addict users.”239 ted any public place public “loiter” in or sentence, the Govern- one Based this support means of no lawful if he has specifically Congress argues ment give good account to and is unable punish for all all addicts intended to place any himself; (b) found further, they may and, “crimes” commit drugs kept, are used narcotic where absolutely Congress for- to intended dispensed; (c) “wander about” continuing development of com- bid the night public places he cannot late if at responsi- of criminal mon law doctrines a re- give good As account himself. bility with reference disease and, by necessity sult, became addict agree.240 I The un- cannot addiction. derlying purposes walking indeed, by definition, a legislation this enterprise.245 the Govern- Yet under Miller, Congressman set forth were interpretation the Treatment ment’s Act, manager bill, of the and floor author provisions the rehabilitative during House debate: any to available statute would never be “ * * * addicts narcotic [T]hese engaged in “criminal” addict who activity.246 Thus, They ought people. not to are sick effect, practical dope prosecuted punished. The be peddler have us assume Government to be is the who needs one complex Congress statuto- that ry enacted laws punished, are criminal and there ad- of narcotic scheme treatment Many these of him. to take care uti- be course, intended to which it never dicts helping not hand, need assumption is, Such lized. they punishing whip, if logic only contrary ba- The ad- habit. this vicious cured ig- Moreover, spirit it sic of the Act. go be forced dict should import lan- of its nores the obvious they procedure through a criminal guage. many and suffer this do now States “ad- defines as an Act Treatment stigma get adequate treat- order any person dict” their ment for addiction.” habit-forming narcotic “who uses pos- adopted, At the time Act endanger drugs public as to so posses- session of narcotic supra See, Force, 245. note Task seq. et § 238. 24 D.C.Code Committee, supra 10; note at Joint 59; Ausubel, supra 64; note 24 D.C.Code § Note, supra note at 578. Initially it be noted that should application. It is an act of local might add, interpretation, repre I 246. This questionable whether is even therefore direct reversal sents a sudden and interpretation national relevant to our Act, prior utilization Government’s legislation. United for in minor States eases drop agreed Attorney frequently Cong.Rec. (1953). 241. 99 2240-2241 prosecution if defendant the addict con (1967). 242. See 33 D.C.Code § under the sents civil commitment treat Report (1967). Presi ment statute. See 243. See 22 D.C.Code § Commission, dent’s stat- 244. 33 This D.C.Code 416a ute has since been declared unconstitu- States, 134 tional. Ricks v. United See U.S.App.D.C. 215, F.2d 1111 *104 1253 health, safety, welfare, or morals, This element referred is the law * * * ”249 of use as the criminal so far addicted the who is mind. habit-forming as to have such true, course, It is of unlike the that, power lost the self-control ref Act, of Narcotics Treatment the alcoholic erence to his addiction.”247 express statute contained an authoriza Act, judicial preamble tion to the courts read with to the “to take notice When the clearly that a chronic indicates that fact alcoholic is a this definition intending person punish proper Congress, sick and in ad- need of medi while cal, institutional, advisory, crimes, intended treat- and rehabili dicts for their * * * ,”250 punishment for those tative treatment But this ment rather than may indeed be a “crime” is the use distinction without addicts whose satisfy difference. structure of the their The entire narcotics to geared Treatment Act is toward rehabil addiction. 251 through itating “patient” the addict express Further, that declaration medical care and treatment. And the use of addicts are unable to control their legislative history Act the makes virtually narcotics is identical with “purpose clear that the of this finding248 foremost congressional re this court legislation provide recognize is establish Easter, supra, lied on compulsory for the treatment defense of alcoholism: users in manner similar to the treat “An essential element of criminal re- ment alcoholics in the District sponsibility ability is to avoid the things Thus, Columbia.”252 with all con specified in definition of conduct *' * * certainly sidered, the Treatment Act is crime. In case of bar; indeed, not a it is an invitation Congress has dealt chronic alcoholic approach use a civil rather than criminal ju- with his condition so * * * stigmatization possessors. of addict held risdiction he cannot be being guilty in- crime As we entered decade of because, knowledge understanding toxicated as the 1960’s, [Alcoholic our recognizes, he has grow, Act Rehabilitation] of addiction and it continued to power apparent penal lost self-control soon became solu intoxicating beverages. In his problem drug is, use tion to abuse case an essential element of criminal fact, no in 1966 solution at all.253 Thus * * * lacking. responsibility Congress Addict the Narcotic enacted 602(a) (emphasis S.Rep.No.365, Cong., Sess., 247. 24 D.C.Code § 1st 83rd added). Technically, (1953) (emphasis added) ; H.Rep. the statute uses this accord “drug No.196, Cong., Sess., the term formulation to define 83rd 1st user,” phrase it is clear Lyndon being interchangeably recognized, 253. As President used with the term Johnson supra. “[O “addict.” note 212 continued ]ur See insistence * * * treating drug addicts as crim In the Alcoholic Rehabilitation inals, is neither humane nor effective. It Congress Act defined as a “chronic alco- pre has neither curtailed addiction nor any person chronically and holic” habitually “who H.Rep.No.1486, vented crime.” 89th beverages uses alcoholic Cong., Sess., (1966). Similarly, 2d At power lost the extent that he has of self- torney General Katzenbaeh stated that respect control with to the use such “represents enactment of NARA a funda beverages, or under the influence while problem mental reorientation toward the endangers morals, public of alcohol * * * long of addiction. have too We health, safety, or welfare.” 24 D.C.Code punitive neglected stressed solutions (emphasis added). medical rehabilitative measures.” U.S.App.D.C. Hearings 249. 124 F.2d at Before Subcommittee No. Judiciary, the House Committee en titled “Civil Commitment and Treatment 250. 24 D.C.Code § 501 Addicts”, Cong., of Narcotic 89th 1st & throughout “patient” 251. The term is used Sess., (1965 1966). 2nd & See, the Act. 24 D.C.Code §§ (c), 604-610. provision ei- which, in commitment under as noted Act Rehabilitation indi- Report, ther the addict himself or a related Senate commitment vidual commence the recognition upon “based apparent, then, proceedings.259 It by treating cured cannot be addiction *105 Congress that under the first two titles ordinary criminals, to be addicts as generally at least assumed that addicts might eventually to imprisoned and released they prosecuted be for crimes compulsively addic- to a life of return nothing Act, may in the commit. But Instead, addict tion and crime. remotely legislative history, in the suggests even possible as whenever must treated be Congress deny to intended potentially problem, as a a medical particular who of addicts—those class productive whatever citizen entitled to guilty nothing mere more than are reasonably given he can assistance purchase possession sufficient dependence him to end his to enable satisfy quantity their of narcotics to drugs upon a nor- and return to lead right present a defense disease—the mal, life.”254 useful upon traditional of “addiction” based history Throughout legislative principles of criminal re- common law recognized repeatedly that addiction underlying Indeed, sponsibility. emphasizes disease,255 Act itself spirit readi- of the Act lends itself more that, by definition, lost the addict ly just opposite conclusion. power reference self-control with brings This, then, Compre- us to the his continued use of narcotics.256 Drug hensive Abuse Prevention and effect, practical the Act is divided provided Control Act of separate con- I into titles. Title three grants emphasis on for and increased templates lieu of civil commitment pro- treatment and rehabilitation prosecution addicts for selected grams,260 virtually prior replaced all charged non-traf- non-violent and dangerous drug laws—in- narcotic and ficking law.257 under federal offenses cluding the and Harrison Jones-Miller provides lieu of Title II sentencing for treatment penal- drastically Acts—and reduced prosecuted for certain addicts imposed ties to for federal narcot- all specified federal and convicted of addition, ics offenses.261 In Act purely crimes.258 Title is a civil And III Hearings, Attor- 131. Sess., S.Rep.No.1667, Cong., 254. 89th 2d ney General Katzenbaeli testified that: provisions (1966). The substantive 37 “Strong public support has enabled preceded NARA are declaration conquer many science to of the terrible congressional policy to the that ad- effect past. diseases which afflicted man in the charged dicts convicted of or with certain continuing We all-out effort civilly criminal offenses should be com- against disease, cancer, heart and other for rehabilitation rather than mitted yet maladies as undefeated. criminally punished. 89-793, Pub.L. § “Drug addiction is a fearful disease 80 Stat. 1438 body damaging of the mind and no less deserving and no less attention.” our Report, example, 255. The House char- Id. at 83. acterizes an “acute illness.” addiction as H.Rep.No.1486, Cong., Sess., 89th 2d 13 See, g., 4251(a) ; e. § 18 U.S.C. 28 Testifying legislation on the 2901(a) ; 3411(a). § U.S.C. U.S.C. § eventually NARA, that was to become seg. 257. See et 28 U.S.C. § Department representatives Health, stated: Education Welfare seg. et See 18 U.S.C. § recognize “(1) addicts are We seg. persons; 259. See 42 et § U.S.C. sick “(2) believe should We See, 260; § U.S.C. U.S.C. supervision medical come under 2688k(a) ; ; 2688n-1(a) § § U.S.C. treatment; § U.S.C. “(3) treatment, We believe including adequate increasing aftercare, seg. et 261. 21 U.S.C. numbers of addicts will be returned to * * community in the useful lives “presump- pre-existing simply day too late us shut eliminated ignorance injus- guilt possession” eyes con- our and to allow tion of based sepa- struct, persist in its stead a tice to imitation and enacted blind knowledge past. possession for use.262 continues rate offense of As medical however, decency seen, already use advance and standards of As we have legal evolve, concepts re- no means continue to our .of narcotic change solely addicts,263 punishment there is crime must stricted Congress alarm, in- well. Yet this is not a cause for no indication whatever hope possessors fear, punish addict some mere but a reason tended provision. progresses our that as our civilization under the terms Moreover, con- Act was treatment of conduct will the time this unsocial Congress sistently adopted, become more humane and well aware264 both *106 suggestion more in Watson v. effective. this court’s States, supra, the federal United that might never been narcotics statutes V. THE NATURE THE OF non-trafficking apply ad- to to intended DEFENSE Congress possessors. Thus, dict had Perhaps ques- the most troublesome defense, preclude

wished an addiction to arising recognition tion out of ad- warning ample opportunity to it had suggest it diction defense I whether silent, Instead, do so. to remain it chose only should limited to those acts— be stating simply question whether that possession for such as mere use—which “ criminally such held re- addicts ‘can be are inherent itself. It can disease sponsible only can decided in the be that, hardly in at least some be doubted ” 265 courts, case case.’ instances, may in fact be an addict reasonably “compelled” engage types Thus the most that can be to in other said activity about these that Con- statutes in order to obtain suf- gress position necessary purchase has taken no whatever ficient to funds precise confronting eases, court supply issue com- of narcotics. In such today. conclude, responsi- I principles therefore on the ba- mon of criminal law through- bility clearly applicable. sis of considerations discussed In- be opinion, deed, out this that narcotics addict that it would seem intolerable such may properly addicts, “already crippled by assert defense of “addic- who are prosecution charging igno- tion” in hopeless cycle poverty, him almost receipt posses- purchase, drugs, with mere rance and further bur- should be quantity stigma guilt, sion of a of narcotics which he dened the moral blameworthy, they to use morally intends himself order to satis- because fy merely the demands of The hall- his disease. cannot afford because we legal system is, always mark of our they treat them as if are not.” United been, ability adapt U.S.App.D.C. has Carter, its remarkable States (Chief new ideas new situations. It is 436 F.2d (1970). H.Rep.No.1444, Cong., Sess., 262. See 21 § U.S.C. 844 placed Crimes 91st 2d trafficking separate pt. 1, (1970), Cong. were in a at 9 & Ad- U.S.Code section, 1970, p. 4574, quoting which authorized more severe Advis- min.News penalties. 841(a)(1) ory Commission, supra See U.S.C. at 3. The argues that, Government since Con- also gress consistently re-enacted these stat- 263. See text and notes at notes 138-140 knowledge they utes with had been supra. interpreted non-trafficking applying See, g., Hearings possessors, addict it must have intended Before the House more, Ways Legis- equally, Committee on and Means such a result. It if not Regulate Dangerous likely, however, Congress lation to intended to Controlled question Substances and Amend Narcotics remain neutral on this and to Drug Laws, Cong., Sess., 328, 91st 2d leave its to the courts. See resolution ibid. charged specified concurring) (emphasis Judge Bazelon, types Nevertheless, original). con- of violence or certain I am crimes criminally trafficking Congress be held lia manifested a should vinced that despite For lesser ex- addiction.268 preclude law ble their common clear intent crimes, fraud, shoplifting or civ beyond those such as defense tension possession, which, il commitment made available crimes like act sentencing prosecution only lieu addict cause direct harm offender had been the addict himself. after brought process.269 into the criminal amendments to Jones- Indeed, of NARA entire structure Acts,266 for exam Miller and Harrison congressional specific determi reflects Congress ple, unequivocally that stated generally nation that addicts should no treated addict should be traffickers exempt prosecution. from criminal differently traffickers: than nonaddict earlier,270 course, there Of as indicated testimony was received “Some interpreting flexibility is room for to the effect subcommittee general provisions But of NARA. degree punishment determining the might the Act is not so flexible made between distinction should be interpreted permitting reasonably the ad trafficker the nonaddict court, principles under common law group the latter dict trafficker with responsibility, require of criminal *107 being severely. It dealt with less virtually non-criminal of all treatment your that the view of subcommittee interpreta addict offenders.271 Such an just vicious the addict trafficker as would, necessity,272 tion of render the trafficker, person the as nonaddict provisions commitment of and II Titles I no less heinous his are deeds Congress practically meaningless, addiction, at of his virtue hardly could result. intended such a tempt place such in a individuals separate category with a view to deal When viewed from the constitutional severely only less with them would perspective, however, this “line-draw encourage serve to the addict traffick ing” question is somewhat less settled. society.” er to the detriment of Fortas, writing Mr. Justice four congres- underlying The rationale of Tex members the Court Powell v. judgment must, course, sional of extend as, supra, that, although noted trafficking, logically only of acts Eighth would, view, Amendment in his directly but to all crimes which threaten liability forbid infliction of criminal life, limb, property or of oth- health upon the chronic alcoholic who ers. “guilty” public of no more in than mere Moreover, enacting Titles I and II toxication, NARA, Congress expressly of intended compelled by engage July 18, 1956, their disease to 266. Act of c. § particular activity (repealed 1970). issue. Stat. 568 practical effect, however, it seems H.Rep.No.2388, Cong., Sess., 84th 2d clear that most addict crime is in fact (1956), Cong. U.S.Code & Admin. inseparable Moreover, from the disease. 1956, p. News extremely it would be difficult to differen- tiate between crimes which derive from 4251(b), (f)(1), (f) 268. See 18 U.S.C. § the addiction and crimes which (3); 2901(c), (g)(1), (g) § U.S.C. product independ- viewed as the of some ent antisocial tendencies. And since the seq.; 269. See 18 4251 et U.S.C. 28 U.S. proof burden of on this issue would seq. et §C. presumably Government, lie with the defense would in all See text and notes likelihood serve to at notes 253-260 acquit supra. most, all, least if not of their otherwise criminal acts. 271. Extension of the addiction defense to would, course, exculpate other crimes 272. See text and notes at notes 208-209 only supra. those addict offenders who were —namely such as those which are “[i]t is not foreseeable appellant’s decisive findings being here .involving viction ciety.” a chronic alcoholic for much With reference greater risk to narcotics “crimes to so- part addiction, public intoxicated

Justice Fortas’ discussion ently Similarly, pattern compulsion symptomatic ease —could while case pendent robbery. typically should 27 duct which is not a characteristic chronic herein involuntary part of disease agreed intoxicated, be convicted for offenses syndrome Mr. of his disease and alcoholism. acts or conduct flow from and Such or Justice principle would afflicts offenses prevent such assault, White, as If an alcoholic be made the disease pattern with much of him, nothing driving criminal con require inde are not of that dis and do who theft, due to punishment.” appar- public part car While offered separable like I would limit diction defense Amendment would bar conviction sary “such a construction * use. mitting other criminal acts.” loss punishment only when of a heroin addict would not bar conviction This doctrine or the use of narcotics position mere -x- these comments part simply Beyond -x- purchase, physical acts which are a neces- for addiction, personal dicta, availability and mental Court. disease itself receipt * * * it caused sufficient those acts they the addiction would of the such use,277 Consequently Powell were do indicate as faculties. for com- preclude Eighth and, at simple which, only ad- in- time, intoxication same inflict no direct harm stated issue,274 upon Eighth might other Amendment not bar con- members of society.278 standing alone, 273. 392 at 559 n. “The fact U.S. of addiction S.Ct. *108 Hinnant, permit finding also does not of mental See Driver v. 167, 356 F.2d at Mr. Justice disease or defect. Evidence of that fact, probative Marshall, writing however, 4 also of value members Court, limiting prin- conjunction declared the that this evidence of mental ill- with simply ness, deprivation ciple was fiat.” of a “limitation 392 and the effect 534, 88 S.Ct. 2145. U.S. narcotics on behavioral controls is a recog- relevant circumstance. We. supra. 274. See text at notes 175-176 nized, too, protracted that extensive and 4, 275. 392 U.S. at may 552 88 S.Ct. at 2164. n. addiction so deteriorate such con- produce irresponsibility trols as to with- 4, 276. Id. at n. 552-553 88 S.Ct. at 2164. ” * * * insanity in our test. 277. The defense would be available for also (Footnotes omitted.) See also Green v. presence “illegal acts as in an such mere States, U.S.App.D.C. United 127 drugs establishment” narcotic where ; 383 F.2d 199 Greene United stored, purchase, receipt, pos- or used States, U.S.App.D.C. 150, 122 352 F.2d implements necessary session use of (1965) ; States, 366 Heard v. United 121 administration of narcotics. U.S.App.D.C. 37, (1965) ; F.2d 348 43 States, U.S.App.D.C. Castle v. United 120 however, mean, 278. This does not cert, (1964), denied, F.2d 347 492 381 question prose- of addiction is irrelevant U.S. 14 L.Ed.2d S.Ct. involving cutions those crimes for which (1965) ; States, Brown v. United addiction defense is unavailable. On U.S.App.D.C. 76, F.2d contrary, respects three least Second, possibility, yet there exists presence may highly be addiction undecided, might recog- this court First, relevant. remains clear narcosis, nize defense similar may symptomatic be narcotics addiction defense, require intoxication which would underlying of some mental illness which acquittal of a defendant whose use of responsi- will relieve the addict of criminal negatives at the time the offense bility charged. for the crime Gaskins ability specific to form intent States, U.S.App.D.C. 288, v. United necessary for conviction of certain crimes. (1967), 410 F.2d court Richardson, relationship See United summarized States v. between ad- 148 U.S. insanity: App.D.C. 109, diction and 459 F.2d 1133 problem Perhaps and, the most difficult as- session with intent to distribute applicability offense, posses- sociated with the limited lesser included “mere dis- Here, the addiction defense concerns the sion.” evidence as to both addic- trafficking trafficking tinction non-trafficking between the tion and would be relevant. possessor. posses- addict Fortu- If the defendant convicted Drug Comprehensive nately, distribute, ques- sion Abuse with intent Prevention and Control Act of tion of addiction and the becomes moot applicable should, which is fu- course, of course all lesser included offense provides prosecutions, If, ture a convenient be hand, dismissed. the other may acquitted trafficking construct within which the litigated. be issue individual is on the entirely count, jury The Act creates two should then determine separate possession-related offenses, (a) posses- whether he fact may (a) sion, (b) which possession,” “mere so, be termed if whether he anwas possession (b) “with addict at the time of the offense. manufacture, distribute, intent question respon- The basic of criminal dispense.” any Thus whenever indi- sibility under the addiction defense ais possession vidual is found in narcotics, may illicit purely legal, medical, and not a determi- charged any be under nation. Not all users are “addicts” possible First, one of three indictments. and, degree compulsion, as with likely, might and least charged only accused dependence may among vary different with intent and, indeed, individuals given even in a situation, to distribute. In such a evi- stages individual at different of his ad- clearly dence of addiction would be irrel- diction. Thus what we are concerned evant, since under the defense addiction here not an abstract medical or even an addict be convicted traf- psychiatric definition of addiction which ficking. Second, might the individual sets forth a clinical checklist of relevant charged simply posses- with “mere symptoms but, rather, a behavioral availability sion.” In case, of model, upon legal based traditional dependent solely the defense would be principles, moral ability which tests the upon question of addiction. Since of the defendant to control his behavior. posses- the defendant is accused of inquiry, then, simply essential sion with distribute, intent to evidence whether, at offense, the time of the trafficking (i. e., past) would defendant, repeated as a result of his be inadmissible and could not be used narcotics, use lacked ca- substantial defeat Finally, defense.281 the might the of- pacity to conform his conduct to the re- *109 charged pos- fender be with both quirements of the law.282 Brawner, supra States United v. note Cf. respect, prior trafficking In this acts of 185, U.S.App.D.C. 30-35, at 471 F.2d be manner should viewed same Finally, at 998-1003. those addict any might pre other crimes the defendant eligible always offenders who are there is viously Clearly have the ad committed. possibility the of civil commitment for re diction defense not be would made unavai habilitative treatment under NARA. As simply able because the defendant had l constitutionality to the of the various ex previously or, in been convicted of theft clusionary provisions presently operable deed, Similarly, although even murder. NARA, under I note “[i]f trafficking evidence of is of course admis ** * society demands that individuals prove sible to the accused intended criminally responsible must be held to distribute the narcotics in his found despite they their actions the fact that are possession, if the Government fails to al products addiction, of then the burden is lege prove ques or to an such intent the society every on to make effort to re trafficking tion of irrelevant. becomes persons].” habilitate [such United adapted 282. This test of addiction is Turner, D.D.C., F.Supp. States v. insanity the standard for the defense re- cently by announced this court United 844(a). 279. 21 § U.S.C. Brawner, v. States pertinent part, note 185. 841(a)(1). 280. 21 U.S.C. § This section that decision declares that prohibits manufacture, also actual acquitted dis- a defendant be must on the dispensing ground tribution insanity or of illicit narcotics. of Watson, proper adjudication supra, of a defend the addiction de As noted require jury as an would ful to this issue fense the be ant who seeks raise ly informed at trial should as to both the of the affirmative nature defense going burden forward the in which af of disease manner it bear particular some of addiction.284 If fects defendant. The ex evidence ability prosecution disputes evidence, it tent to which defendant’s to persua avoid of the use of over should then bear the burden narcotics has been beyond physical A psychologi come his sion a reasonable doubt.285 and/or “if, the criminal of addiction could not itself the time con- estab- at of defendant, duct, as a lish defense. result defect, or either lacked mental disease sharp quantitative can be “[T]here no capacity conform his con- substantial qualitative or definition of ‘some evidence.’ requirements law, duct Certainly scintilla, it means more than a capacity appreciate lacked substantial yet, course, the amount need not be so wrongfulness his conduct.” require, substantial verted, as to if uncontro U.S.App.D.C. F.2d at 1008. at acquittal.” a directed verdict of for the modifica The reasons technical States, supra v. McDonald United standard, such as substitu tions of U.S.App.D.C. 312 F.2d repeated “his of narcotics” tion of use guiding principle, however, at 849. aAs place defect,” of “mental disease competent physical dependence evidence of light of the differences between obvious be should sufficient raise the issue insanity. major one addiction addiction. This does mean that such change phrase is the of the “or deletion showing satisfy necessary would be appreciate capacity lacked substantial requirement, the “some evidence” nor does wrongfulness his conduct.” This physical it mean that the existence of de alteration is due to the fact that the ad pendence itself be on conclusive focuses, should, defense diction responsi the ultimate issue of criminal cognitive aspect rather volitional than the bility. See note 286 infra. incapacity. If an addict has suffered impairment cognitive a substantial his premised 285. Watson this allocation faculties, invariably this would be re proof upon analogy burden of an recognized ain “mental disease or flected insanity U.S.App.D.C.. defense. See supra. See defect.” note 278 454; 439 F.2d see also Davis capable Any States, defense “which is deter- v. 160 U.S. United 16 S.Ct. general mination without the trial 40 L.Ed. 499 after Soon decided, Congress be trial mo- issue raised before Watson was however. 12(b)(1), tion.” Rule Fed.R.Crim.P. amended the District Code Columbia charged only provide person Thus if the defendant is so as to that: “No ac possession, acquitted mere the addiction defense cused of an offense shall ground could be raised either as affirmative de- that he was insane at time pretrial trial fense at or as a insanity, motion of its commission unless re gardless dismiss. This issue, is so because the avail- of who raises the af ability defense, firmatively preponderance this situa- established solely dependent upon tion would be of the evidence.” 24 D.C.Code conclusively issue, (Supp. 1971). addiction could Questions IV been requiring determined constitutionality before trial without raised as to the of this “general pos- provision, see, evidence on issue” United States made, Eichberg, *110 motion U.S.App.D.C. session. When such a the 110, 114, 142 judge should (1971). (Chief Judge determine whether the F.2d presented Bazelon, Government has sufficient concurring), ap evi- and as to its go jury question plicability dence to to the the on of to offenses committed in the not, addiction. If the motion should of District of Columbia which are not viola granted. course be If the motion tions of the D.C.Code are violations denied, then the defense be Code, see, could raised as g., of the United States e. Hearings an affirmative Thompson, defense at trial. U.S.App. United States v. could, on such motion in the trial court’s D.C. 452 F.2d 1333 It would discretion, “be inappropriate deferred for determination of course be de us to general questions at the trial of issue.” the Rule cide these at this time. As a 12(b)(4), general matter, however, If Fed.R.Crim.P. the burden of alleged, proof with intent to distribute is the on on the addiction issue be should hand, other the defense could be raised allocated in a manner similar in trial, pretrial insanity. since even find- the area of explored humanism as well dependence cal demonstrate the as should be pragmatism concerning of the common law. his the broad of evidence context They solution processes, fam themselves to the address mental emotional background, grave problem charac- of a social ily, cultural educational and length hope sensitivity. they offer teristic And narcotics the he used of time has addicts, than used, treatment rather type other of the peace bring might stigmatization, will relevant to evidence which be responsi question to our cities. of criminal ultimate emphasized bility. that, as It must be respectfully I dissent. insanity, in ultimate the area of question for the triers should be one Judge BAZELON, (concurring Chief fact, not be resolution should its part dissenting part): opinion simply by expert as to controlled an “ad whether or not the accused is on which I resolve The views See, v. dict.” Brawner, United States issues in this are set forth case Washington supra; v. United my separate opinions in United States v. States, U.S.App.D.C. 29, F.2d U.S.App.D.C. Brawner, 153 471 F.2d States, (1967); v. McDonald United banc) (en at 1022-1034 U.S.App.D.C. F.2d 847 Murdock, United States Alexander & banc). (1962) (en Finally, should be it U.S.App.D.C. 471 F.2d presence nor clear that neither absence guilt 948-951 On the issue “addiction,” any specific symptom innocence, Judge Wright’s views are sense, purely defined in a clinical however, my cannot, closest to I own. question.286 should be on this conclusive accept his view that addic- Rather, jury decide, on the should tion/responsibility defense should be presented, of all basis evidence possession. limited to the offense defendant, whether the repeated a result of his permit jury I would also to consider narcotics, sub lacked use of, charge addiction as a defense to a capacity stantial to conform his conduct robbery example, armed or traffick- requirements law. drugs, whether the determine defendant was under such duress compulsion, addiction, because of his VI. CONCLUSION he unable conform his con- sug- principles I These then are requirements duct to the of the law. gest applied should be where the defense Acceptance Although disagree of addiction is raised. I with the Court’s step principles past underlying responsibility these but a short decision on issue, given principles Supreme decision, announced in views opinions expressed sentencing Court’s and Powell Robinson NARA and on opinions Judge opinion and in our in Easter and Wat- Part ofV Leventhal’s do concept dynamic, developing purpose son. In a seem useful. For the of deci- sion, join therefore, the common mens rea these law of I in Part V of that point principles opinion. way. cases These might effect, then,

286. Thus the defense be available nature. the defense could though physical- by any regardless even the defendant is not be asserted individual ly dependent physically As we have whether ad- narcotics. uses is seen, psychological component dicting. supra. of ad- See As a note 129 practical matter, upon however, depending cases even more diction some physical. drug involved, might considerably than I severe see no reason why, if an more raise individual’s use difficult for the defendant *111 impairment correspondingly led to a substantial of his the defense and easier for ability narcotics, avoid the use Government defeat where simply inapplicable physical dependence defense should be be- is absent. dependence psychological cause his notes — Type, Responsibility, ate and Criminal to. presented Meeting, at 33rd Annual Com- Drug Dependence, Kramer, mittee on Problems of Versus J. C. The State Council, Commitment, National Research National Addict: Bost. Uncivil Academy (Feb. 1971). of Sciences Dr. Dr. Kramer U.L.Rev. 12-13 Phillipson formerly is identified as associate di- the research director operations, program. rector for Division of Narcotic commitment California civil Drug Abuse, Addiction and National In- stitute of Mental Health. compul operate Black and Harlan sory any prohibi- concluded to undercut “carry possession, commitment would tion with it a and that this must be

Notes

notes This committee Cong., H.R.Rep.No.1486, 2d Sess. individuals 89th those also be able to consider Cong. (1966), & Admin.News another did one reason or U.S.Code who for program. 1966, p. complete the civil commitment pro- provisions in II title contained Perspectives, at 54. sentencing commitment vide for treatment, procedure be possible changes seems taken in the of Title II been NARA and also the wrought Report September appellant Staff in Evaluation his more suc- judge experience then trial cessful Court the D.C’s Narcotic Session, “Raymond Agency. assuming of General Treatment Even Danbury likely program Moore is an addict who is would not be suitable through appellant instance, rehabilitated a treatment the first program explore suitability remand could this Institution at this time. programs might possibly He at other be consid- facilities —which are operated by ered either prospect a suitable for a Methadone the Public Health appears Services or to Program, but it which that Service has ac- also that he including hospital cess, need of access the commu- care.” nity opened up treatment centers — proffered testimony of Mr. Gore legislation.165 recent See United States NTA, appellant’s for re- chances Miller, U.S.App.D.C. 110, 476 F. good, properly habilitation are while ex- explore 2d 555 The remand to trial, cluded at would of course be con- possibilities NARA could also consider disposition sidered on a remand. While II, whether under Title after conditional picture completely clear, is not there granted, release U.S.C. reason, appellant to believe that individual can receive methadone proffer (appellant’s least able to community providing treatment center 37) brief, at was not until after aftercare, if so whether methadone January ap- 1970 offense for which

notes see text exists 15, diction: or 69 Disease? Crime 105-128 infra. (1961) (hereinafter cited as Joint Com- regulated drug narcotic 50. The mittee) ; H.Rep.No.23, Cong., 63rd 1st government 19th cen- in the the federal tury Sess., (1913) ; S.Rep.No.258, 63rd opium suitable in a form was Cong., Sess., (1914). 2d drug smoking. 1866, was sub- In See, g., duty, supra high Vogel, prohibitively 52. e. jected mak- D. & Maurer V. ato 14, 7; Lindesmith, supra virtually impossible note at A. note to obtain 210; legal 17, King, through supra 34, smoking purposes at note at 113. Pellens, Terry importation. M.& See C. prominent among middle-aged adopted cotics though southern Act was in 1914.58 Al- upper whites and members of the class.53 formulated revenue generally measure,59 addict of that era the Act was intended to bring had little or no crimi- involvement with domestic traffic narcotics into activity, open frequently federally nal sponsored was able under a li- censing system sloppy lead his life in a fashion.54 normal so that dis- practices day Those addicts who wished avail them- pensing could be apply any Thus, selves of exceptions, medical care could checked. with certain profession any person member of the it was medical made unlawful for treatment, including gradual produce, import, manufacture, withdrawal com- regime.55 “permanent pound, in, sell, or even a comfort” dispense, deal distribute Although give certainly away ap- any opium habit was derivative of proved, regarded registered, paid neither was it as crim- cocaine unless he had required Typically, taxes, inal. addiction was viewed as and maintained care- personal an illness or ful misfortune —much records of his transactions. Al- today.56 though possession as alcoholism is not itself made criminal, prima it was to be treated as As the ranks of the addicted contin- proscribed evidence of the acts. facie neither the swell, however, grad- public ued to language of the statute nor ually grew alarmed and the need for ef- legislative history its is there indi- regulations fective federal to eliminate Congress specifical- cation that intended the indiscriminate sale and distribu- ly. punish possessed addicts who apparent. tion of these became drug solely personal Indeed, use.60 Against backdrop, the United States quite such an intent would have been participated Hague Opium Con- given surprising general regulatory vention purpose of 1912 for the of estab- prevailing nature of the Act and the mo- lishing produc- international controls on res of the time. Thus when the Su- tion, opium sale and use of and coca preme products.57 Court first had occasion to inter- obligations To fulfill our pret “possession” agreement, provisions under in Unit- the Harrison Nar- See, Powers,” g., Lang, supra 23, July 29, 454; 53. Other e. Jan. 1912 and note at 9, 1913, Note, supra (1912). 48, 607; H.Rep.No. note at 38 Stat. 23, Cong., Sess., (1913) ; 63rd 1st S. 17, 1914, 1, 1, 58. Act of Dec. c. Rep.No.258, Cong., Sess., 63rd 2d (repealed 1970). Stat. 785 The consti- (1914). noteworthy approxi- It tutionality upheld of the Act was in Unit- mately of all at time 60% Doremus, 86, ed States U.S. See, g., Lindesmith, were women. e. A. 214, S.Ct. 63 L.Ed. 493 supra 17, 210; Lang, supra note at note 1909, 59. 29, Unlike the Jones-Miller Act of at 453. which was founded on the Commerce See, g., Nyswander, supra e. M. note Clause, the Harrison Act was enacted 35, at 4. See also note 157 infra. taxing as a measure because of fears See, g., King, supra 34, 116; e. statute would be deemed un- note at Note, supra premised 48, 606; Ploscowe, constitutional if note at com- power. supra 51, See, g., merce e. note at 69. Watson v. Unit- States, supra U.S.App. ed note See, D.C. at 345 n. 439 F.2d at 452 n. 9. e. American Bar Association Special Committee on Crime Prevention See, g., H.Rep.No.23, Cong., 63rd Control, Perspectives New on Urban (1913) ; S.Rep.No.258, 1st 63rd Sess. (hereinafter Crime 34 Special cited as Cong., (1914) ; H.Rep.No.1196, 2d Sess. Committee) ; D. Maurer & V. Cong., 63rd 2d A. Vogel, supra Sess. 7; Nyswan- note M. Cf. Lindesmith, supra ; King, der, supra note at 217 4; Lindesmith, note A. supra 118; King, Nar King,

notes infra. the Amer Addiction — Official Actions of See, supra 22, g., Eldridge, 116. e. W. note (1963). ican Medical Association 27; Ausubel, Compul- at The Case compiled known and Statistics sory Ward Treatment Nar- Closed approximate reported reveal addicts ; Addicts, 58, (1961) cotics F.R.D. Morphine, codeine, ly heroin. use 96% Note, 48, supra note at 608. combined account demerol and dilaudid g., See, e. Statistical for another 3%. See, Blum, 25, g., supra 117. 49. e. note at Abstract, 110, supra 116. Table No. note Dept., supra Treasury also See, See S. H.Rep.No.92-678, Cong., U. g., 118. e. 92nd 112, (1971) Sess., ; H.Rep.No.91-1808, No. 12. 1st note at Table Cong., Sess., (1970). 91st 2d depends upon noth- ior of the Yet addict also itself.121 effects truth, legal ing social context which it oc- from could be farther curs, produces tranquil, reality le- and with the realization that crimi- heroin inhibiting ag- thargic user, necessary nal behavior is neither a nor state logical gressive consequence As a even dis- and sexual activities.122 ease, rarely, result, we must fact violence face the undeniable rimes of “[c] never, commit- our of addiction almost criminalization and sexual crimes has, part, self-fulfilling become a ted addicts.” prophecy.125 Having been cut off from although public’s concern And legal supply, many all sources of criminality is over nonviolent addict market, prices resort to the black where unfounded, important ques- no means Indeed, are astronomical. cost remain unanswered. tions of causation may per day, some addicts exceed $150 course, engaged Many addicts, average requires and the addict almost prior activity to their ad- criminal even $13,000 per year simply purchase her- diction, post-ad- and to extent both some satisfy oin sufficient his addiction.126 criminality itself diction and addiction say, Needless to few street addicts can independent manifes- viewed prices supplement- afford such without underlying through tations of some other antiso- their income activity,127 and the cost of such crime to cial tendencies.124 But the social behav- (hereinafter See, g., Ploscowe, supra 51, cited as I. et 121. e. at Ohein note al.) ; Blum, supra 25, 46; Note, supra 110, note at 124. 55-57. note at See, Special g., supra Committee, 125. e. See, Law, g., e. The Addict and the 56, 25; supra Lindesmith, note at A. 23, XI; supra Force, note at Task 17, 43-44, 221; Nyswander, note supra M. important note, note at 2. It 45; Jaffe, Drug note Ad however, that those observations are lim- Drug Abuse, diction and in L. Goodman depressant-type drugs ited to such as Gilman, Pharmacological & A. Basis opiates. drugs, cocaine, Other like Therapeutics 276, (4th 285-286 ed. may stimulate the user to violent crime. 1970) ; Frankel, Addiction, Narcotic See, g., Bowman, e. Narcotic Addiction Responsibility, Criminal Com Civil Responsibility and Criminal Dur- Under mitment, 1966 Utah L.Rev. 584- ham, 53 Geo.L.J. 1041 n. 107 585; Bowman, supra note at 1040- Committee, supra 123. Joint note may range 126. The cost to the addict Similarly, the President’s Commis- per depend- day, to more than $20 $150 sion Law Enforcement and Adminis- ing upon intensity of the addiction. tration of Justice concluded that “[as- average usually habit is estimated at acts, contrary pop- saultive or violent day. per See, H.Rep. about $35 belief, exception ular are the rather than No.91-1808, Cong., Sess., 91st 2d addict, the rule for the heroin whose calming depressant has a ef- Moreover, problem aggravated Force, supra fect.” Task at 10.

see text notes § 4551 addict’s 1971). seq. (Supp. experience A number supra, IV can 521 et such an 141-143 would, Congress presently hardly thought re- before of bills to be conducive availability expand greatly g., Ausubel, adopted, See, if habilitation. involuntary of nar- commitment civil See, e. H.R. cotics addicts. the number of commitments As of ; Cong., H.R. 1st Sess. 92nd high ranged of 35 the Act under

See text and notes (1909). 2d Sess. 1251 drug possess servility a suffi to elimination' of on the “crime” is whose sole drug satisfy part persons quantity of of addicted can best be cient Indeed, only accomplished by of his disease.227 the removal from demands so adopted ciety years of the illicit after Act was trafficker. It is to two recognizing your Court, Supreme the limited this end that tak committee has statute, en purpose held that Con action on amend favorable [these 230 possession gress .” ments] mere had not intended per amount of narcotics a small Thus, although these amendments did statutory pre trigger sonal use provisions not alter substantive sumption illegality. United See existing laws,231 Congress expressly Fuey supra, Moy, 241 U.S. States v. Jin distinguished penalties— terms —in 394, 658, 60 L.Ed. 1061. 36 S.Ct. between “actual traffickers” and those persons simply who convicted were 35 hiatus some After an extended unexplained possession.232 the basis of again Congress its atten years, turned apparently car And distinction drug problem abuse re tion to the ried over to addicts, the treatment in illicit sponse the sudden increase although Congress clear made that ad following War World narcotics traffic punished,233 dict were to be traffickers again 1956, 1951, Con In II.228 there no indication whatever severity markedly gress enhanced the Congress punish also intended non- punishments for viola meted out to be 234 trafficking possessors addict On Harrison tions Jones-Miller Congress recognized contrary, ad Congress doing, however, In Acts.229 so persons,235 and seemed dicts are sick primarily upon the focused its concern generally sympathetic plight of Report noted: House trafficker. As one non-trafficking addicts.236 237 is an es contact with “Because Congress the Hos- In 3 enacted 195 addiction, prerequisite Drug pital sential Act Treatment Addicts prima possession notes at notes 57-60 Nigro 227. text and See be viewed as fade States, supra. Indeed, proscribed v. United evidence of the acts. See 624, (1941), Cir., ; (1951). F.2d 65 Stat. 767 Stat. of Con- that “the omission noted court 1951, Congress penalties In raised the 232. gress of an addict to make the act distinguishing be- for all offenses without satisfy purchasing his crav- narcotics unexplained actual traffickers and tween ings affirma- an offense is evidence of (1951). possessors. See 65 Stat. 767 pur- policy legislative leave the tive penalties 1956, however, for actual * * unpunished chaser ' away exchange giving sale, barter, 93-97 228. at notes See text and notes increased dramatical- narcotic were supra. unexplained ly, penalties for mere while unchanged. possession See remained 229. c. § of Nov. Act (1956). Stat. 568 July 1970) ; (repealed Act of Stat. 767 (re- Cong., 18, 1956, See, g., H.Rep.No.2388, c. e. 84th 70 Stat. 233. pealed 1970). (1956). Sess., 2d Cong., Sess., H.Rep.No.2388, Cong., See, g., S.Rep.No.1997, 2d 230. 84th 234. e. 84th Cong. (1956), (1956) ; H.Rep.No.2388, & Admin.News 8 1956, p. 3281; U.S.Code 2d 84th Sess. S.Rep.No.1997, Cong., (1956). see also 2d Sess. (1956) ; S.Rep. Cong., Sess., 84th 5-6 2d Although going label so far as to Sess., Cong., No. 82nd 1st 3-4 recog- “disease,” Congress addiction ; Cong., (1951) H.Rep.No.635, 1st 82nd symptom mental or nized that it “is a Judge Sess., 4-5 Tamm contin- H.Rep.No.2388, psychiatric disorder.” manda- be of the firm view that a ues to Cong., Sess., (1956), 2d 84th U.S.Code tory be enacted for life sentence should 1956, p. Cong. & Admin.News against traffickers. enforced all Cong., See, H.Rep.No.2388, 84th amendments, enacting Con- 231. In these 2d Sess. 7 gress mere not seek to make did Rather, text and notes This Act is in itself. it retained discussed a crime unexplained supra. statutory presumption that at notes 211-218

Case Details

Case Name: United States v. Raymond Moore
Court Name: Court of Appeals for the D.C. Circuit
Date Published: Oct 23, 1973
Citation: 486 F.2d 1139
Docket Number: 71-1252
Court Abbreviation: D.C. Cir.
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