United States v. Brian Randall

Court of Appeals for the Sixth Circuit·Decided October 2, 2023·No. 23-5144·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 23a0421n.06

Case No. 23-5144

FILED

UNITED STATES COURT OF APPEALS Oct 02, 2023 FOR THE SIXTH CIRCUIT DEBORAH S. HUNT, Clerk

)

UNITED STATES OF AMERICA, )

Plaintiff-Appellee, ) ON APPEAL FROM THE ) UNITED STATES DISTRICT v. ) COURT FOR THE MIDDLE ) DISTRICT OF TENNESSEE BRIAN RANDALL, )

Defendant-Appellant. )

) OPINION

Before: McKEAGUE, READLER, and DAVIS, Circuit Judges.

McKEAGUE, Circuit Judge. Brian Randall is serving a federal sentence while suffering from several serious health conditions. He filed a motion for compassionate release during the COVID-19 pandemic, which the district court denied. Randall then filed a second motion for compassionate release after his health further deteriorated. The district court again denied the

motion. Now, Randall appeals that second denial of relief. He argues that the court abused its discretion by overlooking court filings and failing to demonstrate that it considered his arguments.

We disagree. Having examined the record as a whole, we conclude that the district court adequately addressed Randall’s evidence and arguments. We therefore AFFIRM its order.

I

In 2016, Brian Randall pleaded guilty to several charges arising from a conspiracy to distribute and possess methamphetamine. Randall led local distribution activities and admitted

responsibility for distributing at least four and a half kilograms of the controlled substance. Those charges, combined with Randall’s criminal history, yielded an advisory sentencing guidelines

range of 420 months to life in prison. However, his plea agreement with the government specified a below-guidelines term of 288 months’ imprisonment followed by five years of supervised release.

At the time of his guilty plea, Randall suffered from several serious medical conditions:

type 2 diabetes, hypertension, chronic obstructive pulmonary disease, and severe obesity. Randall argued at sentencing that, given his poor health and other mitigating factors, the agreed-upon 288-month sentence was sufficient punishment for his offense. After a sentencing hearing,

the district court accepted the plea agreement and imposed the parties’ requested 288-month (or 24-year) sentence.

Randall moved for compassionate release in 2020, approximately four and a half years into his sentence. He argued primarily that his chronic medical conditions exposed him to severe risk of complications from COVID-19. The district court found, as a threshold matter, that Randall’s serious health conditions—combined with the limited opportunities for social distancing in prison—arguably qualified as “extraordinary and compelling reasons” that could warrant a sentence reduction under 18 U.S.C. § 3582(c)(1)(A). But after balancing the relevant § 3553(a) factors, the court ultimately concluded that a sentence reduction was inappropriate. It acknowledged the pandemic’s potential effect on Randall’s health. It also commended Randall’s prison record, recounted positive feedback from prison supervisors, and considered the relative drop in recidivism associated with reaching Randall’s age of 55. Those considerations, however, failed to outweigh the seriousness of Randall’s offense, his criminal history, and the fact that he had served only a fraction of his already below-guidelines sentence. Randall did not appeal the court’s decision.

Randall filed a second motion for compassionate release in August 2022. The filing

described how Randall’s physical condition had deteriorated since his previous motion. Among other things, Randall had developed significant infections in his foot and urinary tract, severe

sepsis, stage 4 chronic kidney disease, and an increased body-mass index of 50. Noting that his foot infection had continued for weeks, Randall argued that the Bureau of Prisons (BOP) was providing inadequate treatment. That inadequate treatment, he continued, warranted early release—especially when considered alongside his collection of physical conditions and the ongoing pandemic. Randall supported his motion with detailed medical records, and both parties periodically updated the district court with Randall’s evolving medical information.

In late September 2022, while his second motion was pending, Randall contracted

COVID-19 and was rushed to an outside hospital. Medical staff kept him on a ventilator in the intensive care unit for four days. Randall returned to prison about three weeks later and promptly

informed the court of his recent hospitalization. In that October filing, Randall also stated that he believed he was designated for transfer to a BOP medical facility but did not know when the transfer would occur. The government filed a response acknowledging Randall’s COVID-19 hospitalization and confirming that he had not yet been transferred to a medical facility. The government’s response also argued that Randall was not taking his own health seriously, as evidenced by his eating habits in prison.

Prison officials transferred Randall to a BOP medical facility on October 19, and the government immediately notified the court of the transfer. Even so, Randall required another outside hospitalization in December after experiencing low oxygen levels. He returned to the prison medical facility upon stabilizing.

Randall then hired an expert, Dr. Paul Bryant, to review his medical records and assess his condition. Dr. Bryant’s sworn declaration—which Randall filed with the district court in January 2023—described Randall’s heightened risk of further physical deterioration due to chronic illnesses, his susceptibility to dangerous infections exacerbated by diabetes, and his vulnerability

to COVID-19. Randall added that his two most recent hospitalizations, including one that occurred after his transfer to a BOP medical facility, reinforced the need for relief.

On February 8, 2023, the district court denied Randall’s second motion for compassionate release. The order acknowledged Randall’s claims regarding his deteriorating physical condition, including his foot and urinary tract infections, sepsis, kidney disease, and elevated body-mass index. But even after crediting Randall’s characterization of his deteriorating health, the court concluded that early release was inappropriate “because the time he has served to date does not come close to reflecting the seriousness of his offense, promote respect for the law, serve as a deterrent to him or others, or provide just punishment” under the § 3553(a) sentencing factors.

Order, R.630 at PageID 7339. The court referenced the analysis from its first denial of compassionate release and explained that the “same conclusion applies a mere year and a half

later” when over two thirds of Randall’s sentence remained unserved. Id.

Then, “having read the filings and medical records,” id., the court went on to address two specific additional points. First, it credited the government’s argument that Randall’s prison eating habits undercut the claim that his medical conditions limited his ability to provide self-care in prison. Second, the order briefly addressed Randall’s earlier concern—raised in an October 2022 filing—that the government had not yet transferred him to a BOP medical facility. The court noted that this was no longer the case given Randall’s current confinement in a medical facility. The order cited the “inmate locator” feature on the BOP’s website; it did not specifically reference the court filings documenting Randall’s transfer. See id. at PageID 7340. Nor did it discuss Dr. Bryant’s assessment or any specific medical records.

Now, Randall appeals that order.

II

We review a district court’s denial of compassionate release under 18 U.S.C.

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