United States v. George Neville, Juliet S. Dumlao, and Betty Sanchez

82 F.3d 750, 1996 U.S. App. LEXIS 10166
CourtCourt of Appeals for the Seventh Circuit
DecidedMay 2, 1996
Docket94-1026, 94-1027 and 94-1035
StatusPublished
Cited by46 cases

This text of 82 F.3d 750 (United States v. George Neville, Juliet S. Dumlao, and Betty Sanchez) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. George Neville, Juliet S. Dumlao, and Betty Sanchez, 82 F.3d 750, 1996 U.S. App. LEXIS 10166 (7th Cir. 1996).

Opinion

HARLINGTON WOOD, Jr., Circuit Judge.

These consolidated cases provide an illustration of the elaborate schemes and risks some individuals — including a physician with hard-earned professional credentials — are willing to undertake to attain the dubious benefits of the drug trade. Defendants-appellants Betty Sanchez, George Neville, and Juliet S. Dumlao were convicted of conspiring over a four year period to possess and distribute over 60,000 Dilaudid tablets in violation of 21 U.S.C. § 846. 1 Neville and Sanchez were each also found guilty on several counts of distributing Dilaudid and acquiring Dilaudid by fraud in violation of 21 U.S.C. §§ 841(a)(1) and 843(a)(3), and of one count of using a minor to violate the same statute. Dumlao was also convicted on thirteen counts of acquiring Dilaudid by fraud. Sanchez and Neville each were sentenced to life imprisonment, while Dumlao received 235 months, to be followed by three years of supervised release.

On appeal various issues are raised by one or more of the appellants. These arguments include sufficiency of the evidence, the omission and inclusion of certain instructions, the trial court’s refusal to allow a public authority defense, whether the Speedy Trial Act was violated, and whether the amount of drugs was calculated correctly for sentencing purposes. After presenting the background of the case, we address each of these arguments in turn.

I. BACKGROUND

The offenses at issue stem from a scheme to obtain a substance known to the pharmaceutical trade as Dilaudid. To a chemist, Dilaudid is a tablet containing hydromor-phone, a highly addictive narcotic. To a physician, Dilaudid is a useful drug in legitimate efforts to manage a patient’s severe pain. On the streets, however, where it is frequently abused by illegitimate users, Dilaudid is known by a simpler name: “drugstore heroin.”

As a synthetic narcotic of consistent quality, Dilaudid is much sought after as a street drug; users typically crush the pill into water, heat the mixture, and inject it. Dilaudid tablets are available in one, two, three, and four milligram dosages, but the more potent four milligram tablet is the most desired on the underground market. The legitimate price for Dilaudid at a pharmacy is between 29 cents and $1 per pill, but the same single pill on the streets of Chicago fetches between $25 and $45, and even more elsewhere.

Betty Sanchez and George Neville were familiar with these realities and became experts in Chicago’s underground Dilaudid business. At least since the early 1980s, each developed and maintained extensive arrangements to obtain and resell Dilaudid, at least at the wholesale level. These arrangements were detailed, for obtaining Dilaudid once, let alone securing a steady supply, is no easy task. Dilaudid is available only by prescription, and even then is generally reserved for patients who are terminally ill or who have been hospitalized with severe trauma. Furthermore, in Illinois, a physician who wishes to prescribe a Schedule II narcotic 2 like Dilaudid must use a triplicate pre *754 scription form provided by the Illinois Department of Alcohol and Substance Abuse (IDASA). Once this form is filled out, the prescribing physician keeps one copy, the pharmacy filling the prescription retains another, and the third is forwarded to IDASA for its work in tracking the use and illegal diversion of narcotics. Prescriptions written on such forms must be filled within two days of their date of issue.

To evade these restrictions and safeguards, Sanchez and Neville each identified and trained a group of “professional patients.” These individuals, often indigent and/or illiterate, usually had serious past or present medical conditions. As a result, with some coaching in how to complain of severe pain and how to prevent a doctor from prescribing a lesser medication (by claiming an allergy to aspirin or codeine, for example) these “patients” were often able to obtain prescriptions for Dilaudid.

For Neville, obtaining the drug through professional patients was a fairly straightforward process. He typically had four or five professional patients make appointments, have prescriptions filled, and bring him the Dilaudid, all for a flat fee. Sanchez’s efforts were more involved. Instead of relying on the patients, Sanchez made the appointments for her group, often obtaining a doctor’s name from the yellow pages or by purchasing names of certain doctors from Neville or others. She then enlisted various friends and relatives to transport the patients to the doctor’s office and to the pharmacy. Some of the patients were unable to talk, so Sanchez, posing as a concerned friend or relative, wrote letters for them to give to their doctor. These letters described some terrible chain of events often involving foreign travel and lost medications, and invariably suggested that the solution to the problem was a Dilau-did prescription. Otherwise Sanchez accompanied the patient and told the story herself. Still at other times she simply found a doctor, displayed her own scars, and complained of pain to obtain a prescription on her own.

These various ruses were somewhat successful; between the summer of 1987 and early 1988, for example, Sanchez obtained sixty-four prescriptions for Dilaudid. While false IDs were used to circumvent the triplicate prescription form system, gaining the help of the other necessary party — the doctor — was apparently more difficult. Sanchez’s frequent search for new doctors indicates that many were suspicious; others apparently either got smart, got scared, or just got out. Meanwhile Sanchez, Neville, and others discussed and “traded” names of doctors they found helpful. This was done until they concluded that one way or another the doctor was “burned out”; they then moved on to another.

The government alleged that sometime in 1988 the Sanchez and Neville group discovered Dr. Juliet Dumlao, who then joined their conspiracy. Dumlao, a native of the Philippines, was engaged in the private practice of internal medicine in Oak Park, Illinois. She was fifty-two years old at the time of trial, and had practiced for several years. Her practice was rather notable in that she emphasized the religious and spiritual aspects of health; she described her medical philosophy to the jury somewhat ambiguously as the “pioneer holistic approach.” Unfortunately, her practice was also notable for its lack of financial success. Dumlao had little or no net income and a negative financial worth. Her tax returns for the years 1986-1992 were admitted into evidence; only once in that seven-year period did she report net income more than $3,500, and three other years show a net loss.

Nearly all of Dumlao’s patients during the period of the alleged conspiracy were individuals connected with the Sanchez and Neville group. Sanchez acted as a gatekeeper, controlling access for approximately thirty-five professional patients. During the alleged four-year conspiracy, these thirty-five patients received more than 600 prescriptions for over 63,000 tablets of Dilaudid.

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Bluebook (online)
82 F.3d 750, 1996 U.S. App. LEXIS 10166, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-george-neville-juliet-s-dumlao-and-betty-sanchez-ca7-1996.