Dаvid Thornton appeals from the district court’s decision to not re-sentence him after a limited remand pursuant to
*1224
United States v. Ameline,
I.
Over the course of several years, Thornton successfully defrauded friends, family members, and comрlete strangers out of hundreds of thousands of dollars. He used two schemes: The first involved a charitable foundation he established purportedly to raise funds for kidney research for the University of Southern California (“USC”). In return for the funds raised, USC paid Thornton a salary and covered the administrative costs of the fundraising. Although Thornton turned оver to USC some of the funds raised, he kept about $150,000 for his own purposes. He also charged more than $25,000 to credit cards taken out on behalf of his foundation and USC, although USC never authorized any joint credit cards. For about a year after USC terminated its relationship with Thornton and his foundation, Thornton continued fraudulently to sоlicit funds.
In the second scheme, Thornton purported to be working for the United States government on various top secret missions, mostly involving channeling Nigerian money into the United States. Thornton explained to his victims that these transactions required heavy financing but would result in huge returns. Many friends and family members believed the tale, and Thоrnton bilked them out of hundreds of thousands of dollars. He also unsuccessfully attempted to cash a counterfeit check for $25 million, purportedly from the Nigerian government.
Thornton was indicted and pleaded guilty to two counts of mail fraud, two counts of wire fraud, and one count of impersonating a federal officer. The district court sentenced him to 96 months, around the mid-point of the Sentencing Guidelines range. The Guidelines calculation included a 16-level enhancement for amount of loss, USSG § 2Fl.l(b)(l)(Q), 1 which included the unsuccessful attempt to cash the $25 million check as intended loss. The calculation also included a two-level enhancemеnt because the offense involved a misrepresentation that Thornton was acting on behalf of a charity, USSG § 2Fl.l(b)(4)(A), and a two-level enhancement for abuse of trust, USSG § 3B1.3.
Thornton appealed the sentence, challenging,
inter alia,
the loss calculation and the enhancement for abuse of trust. While his appeal was pending, the Supreme Court held the mandatory Guidelines unconstitutionаl and directed that the Guidelines are to be advisory only.
United States v. Booker,
On remand, the parties submitted position papers. Thornton raised the same issues he had raised on appeal, and also claimed that a pre-existing kidney condi *1225 tion had deteriorated to thе point that he needed medical care-a kidney transplant and possible liver transplant-that the Bureau of Prisons (“BOP”) could not provide. The district court’s decision set forth the contentions of the parties and concluded that the sentence would not have been materially different had the Guidelines been advisory at the time of sentencing.
In the current appeal, Thornton argues certain issues raised but not decided on his first appeal, namely, that the district court erred by (1) including the $25 million check in the amount of loss calculation and (2) applying the abuse of trust enhancement. He also argues that the district court did not adequately obtain the views of counsel on remand and that its consideration of the sentencing goals and purposes set forth in 18 U.S.C. § 3553(a) was inadequate.
II.
A.
Thornton raises two issues argued but not decided on his first appeal. The government suggests that it is unclear whether these issues are properly before us or whether, instead, they were implicitly rejected on the first appeal. We hold that they are properly here.
Ameline
directs that where
Booker
issued after a defendant was sentenced but while his appeal was pending and where he raised no challenge to the mandatory Guidelines below, this Court should remand to the district court to determine whether, had the Guidelines bеen advisory at the time of sentencing, the sentence would have been materially different.
Ameline,
Ameline
does not directly address the fate of sentencing issues raised but not decided in the first appeal.
Post-Ameline
cases have treated non
-Booker
sentencing issues raised on appeal in different ways: In some instances, we ruled on these issues before remanding to the district court under
Ameline
on the
Booker
plain error question.
See, e.g., United States v. Fifield,
The latter approach recognized that if the defendant is resentenced on remand, other sentencing issues may become moot or change complexion. For example, here, the district judge could have concluded on the
Ameline
remand that, had she known that the Guidelines were not mandatory, she would have sentenced Thornton more than two levels below the Guidelines. If that had happened, then Thornton would have had little reason to continue to pursue his argument about the two-level abuse of trust enhancement. Indeed, as the Supreme Court has recently explained, in some circumstances district courts have authority under
Booker
to disavow a Guidelines enhancement on policy grounds and refuse to apply it.
Kimbrough v. United States,
- U.S. -,
The failure to address on appeal Thornton’s sentencing issues raised before remanding under
Ameline
was therefore in no way indicative of a rejection of his challenges in the first appeal to the Guidelines calculations.
See United States v. Thrasher,
Although
Ameline
is not explicit on the matter, it gives no indication that this procedure is inconsistent with its directives. Further, a subsequent case discussing the implications of
Ameline
appears to contemplate this procedure. In
Combs,
we held that our review for “reasonableness” after an
Ameline
remand is confined to determining whether “the district judge properly understood the full scope of his discretion in a post
-Booker
world.”
Thus, we now expressly hold that where sentencing issues are raised but not decided in an appeal prior to an Ameline remand, those issues are properly before the Court on any subsequent appeal from the Ameline remand, along with any challenges to the results of the Ameline remand itself.
B.
Thornton challenges the inclusion of the $25 million counterfeit check in the amount of loss enhancement. As he signed a plea agreement expressly agreeing that the total loss was close to $26 million, he affirmatively waived this issue.
See United States v. Olano,
C.
Thornton also challenges the two-level enhancement for abuse of trust. Thornton did challenge this enhancement at the original sentencing and we review its application. 4
The abuse of trust enhancement applies where the abuse of a position of trust “facilitate^ significantly the commission or concealment of a crime.” USSG § 3B1.3, cmt. background. A position of trust is “characterized by professional or managerial discretion.... Persons holding such positions ordinarily are subject to significantly less supervision than employees whose responsibilities are primarily nondiscretionary in nature.”
Id.,
cmt. n. 1 (comparing, i.e., a bank executive to a bank teller). The position need not be that of a fiduciary.
See United States v. Velez,
Thornton does not contest that he held a position of trust with respect to USC by virtue of his position as president of a charitable fоundation paid by USC to raise funds for it. Nor does he deny that his abuse of this position of trust allowed him more easily to commit the offenses. For example, he deposited donations made to the foundation directly into his checking accounts, then used some of those funds for his personal use, a diversion of funds that could not hаve occurred had his financial transactions or those of the foundation been closely supervised.
Thornton does argue that when he solicited funds after USC terminated its relationship with his foundation he was no longer in a position of trust. But most of the fraudulent conduct relating to the purportedly charitable foundation took place
before
USC terminated its relationship with Thornton. The enhancement is thus entirely appropriate. Thornton also contends that the application of both the abuse of trust enhancement and the enhancement for an offense involving a misrepresentation that he was acting on behalf of a chаritable organization, USSG § 2Fl.l(b)(4), was impermissible double counting. Impermissible double counting “occurs where one part of the Guidelines is
*1228
applied to increase a defendant’s punishment on account of a kind of harm that has already been fully accounted for by the application of another part of the Guidеlines.”
United States v. Speelman,
The enhancement for representing falsely that a defendant is working on behalf of a government agency or charitable organization recognizes that “defendants whо exploit victims’ charitable impulses or trust in government create particular social harm.”
United States v. Romero,
Here, Thornton not only represented that he was working on behalf of a charitable foundation and thereby encouraged contributions from members of the public, he also abused the authority USC entrusted in him as the president of the foundation to facilitate the commission and concealment of his fraud. The false representation that he worked for a charity harmed members of the public; the abuse of his position as the foundation’s president harmed USC. As “[t]he two enhancements stemmed from separate concerns,” the abuse of trust enhancement was not impermissible double counting.
See United States v. Christiansen,
III.
Thornton also challenges the district court’s ruling on the
Ameline
remand. We narrowly review a district court’s determination, pursuant to an
Ameline
remand, that the sentence would not have been materially different had the Guidelines been advisory at the time of sentencing. Our rеview asks only “[wjhether the district judge properly understood the full scope of his discretion in a
post-Booker
world.”
Combs,
Thornton argues that the district court did not properly consider his medical condition and the lack of appropriate care available through the BOP. By failing to grant Thornton’s request for an independent medical evаluation, Thornton maintains, the district court did not fully obtain the views of counsel as required by Ame-line.
We disagree. The district court did both obtain and recognize the views of counsel regarding the medical issues.
Ameline
does not require district courts on remand to appoint or consider the evaluation of medical experts when requestеd by counsel; it simply states that the “views of counsel, at least in writing, should be obtained.”
Nor is any othеr matter relating to Thornton’s health properly before us in the present appeal. Thornton did argue at the original sentencing that his physical health was a factor warranting leniency, but did not raise the issue on
*1229
the first appeal, either in his original brief or in his supplemental brief filed after
Booker.
As noted, an appeal from an
Ameline
remand which does not result in rеsentencing is limited to the question whether the district judge properly understood the full scope of his
post-Booker
discretion.
Combs,
IV.
For the foregoing reasons, we AFFIRM.
Notes
. USSG § 2F1.1 was repealed in 2001. Because of ex post facto concerns with applying higher loss adjustments enacted in the 2001 revisions, the parties agreed that the 2000 Guidelines should apply. All citations to the Guidelines herein are to the 2000 Guidelines.
. Plain error is "(1) ‘error,’ (2) that is 'plain,' and (3) that 'affect[s] substantial rights.’ ”
Johnson v. United States,
. Determination that the district court properly calculated the Guidelines range is part of
Booker’s
reasonableness review.
See Gall v. United States,
- U.S. -,
. Before
Booker,
we reviewed the application of the abuse of trust enhancement — a mixed question of law and
fact
— de
novo. See United States v. Brickey,
. Although the district court’s failure to respond to Thornton's allegation that the BOP is unable to treat a serious medical condition is troubling, we note that a current BOP policy statement, of which we take judicial notice, indicates the BOP is able to approve and pay for organ transplants at approved transplant centers. Bureau of Prisons,
Program Statement P6031.01: Patient Care,
at 47 (2005). Moreover, an inmate whose serious medical needs are not being met can sue prison officials for Eighth Amendment violations.
See Estelle
v.
Gamble,
