United States v. James M. Millen, M.D.

594 F.2d 1085
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 4, 1979
Docket78-5231
StatusPublished
Cited by15 cases

This text of 594 F.2d 1085 (United States v. James M. Millen, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth 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. James M. Millen, M.D., 594 F.2d 1085 (6th Cir. 1979).

Opinions

EDWARDS, Chief Judge.

Defendant Millen, a 61-year-old medical doctor, appeals from convictions on 20 counts of unlawful distribution of Demerol, a controlled substance, in violation of 21 U.S.C. § 841 (1976), and one count of involuntary manslaughter, in violation of 18 U.S.C. § 1112 (1976). The trial was before a jury in the United States District Court for the Western District of Kentucky. After verdicts described above had been entered, the District Judge entered sentences of five years on each of the distribution counts, all to run concurrently, and three years on the count of involuntary manslaughter, likewise to run concurrently with the distribution sentences. Finding overwhelming evidence to support the convictions for distribution of Demerol, we affirm the convictions and sentences on the 20 counts for violation of 21 U.S.C. § 841 (1976), in spite of a number of instances of prosecutorial overkill.

As to the involuntary manslaughter count, we vacate the conviction and remand for new trial because we are by no means sure that the prosecution would have prevailed as to this count without resort to measures which exceed the standards of fairness and due process exemplified by the holding in Berger v. United States, 295 U.S. 78, 55 S.Ct. 629, 79 L.Ed. 1314 (1935). We cannot apparently remind government counsel too often of the Berger standard:

The United States Attorney is the representative not of an ordinary party to a controversy, but of a sovereignty whose obligation to govern impartially is as compelling as its obligation to govern at all; and whose interest, therefore, in a criminal prosecution is not that it shall win a case, but that justice shall be done. As such, he is in a peculiar and very definite sense the servant of the law, the twofold aim of which is that guilt shall not escape or innocence suffer. He may prosecute with earnestness and vigor — indeed, he should do so. But, while he may strike hard blows, he is not at liberty to strike foul ones. It is as much his duty to refrain from improper methods calculated to produce a wrongful conviction as it is to use every legitimate means to bring about a just one.
Id. at 88, 55 S.Ct. at 633.

THE DRUG COUNTS

Appellant was tried on an indictment encompassing 24 counts of unlawful distribution of the drug Demerol. The government offered proofs that defendant had written 23 prescriptions for Demerol for an army private named Bruce Howell prior to his death as a result of an overdose of Demerol on the Fort Knox Military Reservation. Government proofs in relation to this matter include testimony of a handwriting expert who testified that Dr. Millen wrote 23 of the prescriptions. It also included Dr. Millen’s admission at trial that he had written some of the prescriptions introduced in evidence, although he testified that he had not known of Howell’s employment of them for drug abuse purposes and that the prescriptions had been given for the treatment of headaches suffered by Howell. Testifying at the trial, Dr. Millen conceded that it would be against accepted medical practice for a physician to write a prescription for Demerol for a person whom he knew to be a drug addict. Dr. Millen also testified that Howell was a close friend and that he had employed him around his house and let him have access to his house where he kept prescription blanks.

The government also presented as a witness at trial Howell’s wife, Dawn Howell. She testified that her husband was a drug addict; that he employed Demerol tablets for drug abuse purposes by crushing the tablets, mixing them with water, and injecting them in his veins; that she had seen Dr. Millen in her husband’s company while her husband crushed Demerol tablets, made them into a solution and injected the solution in his veins, and that she had likewise seen Dr. Millen crush Demerol tablets, make them into a solution and inject them in his own veins.

[1087]*1087Similar testimony was presented by the government by a male witness named Taylor Linkfield. The detailed testimony of these two witnesses, plus the condition of Howell’s body, as testified to by the pathologist who did the postmortem, furnished strong evidence from which the jury could have found that Dr. Millen had, indeed, violated the statute by making Demerol prescriptions available to Howell for drug abuse rather than medical purposes.

We have reviewed with care appellant’s claims that the Assistant United States Attorney in charge of this case had failed to comply with the District Court’s order calling for discovery of documents and physical objects intended as exhibits at the trial. In a number of instances it is clear that the government did not furnish these exhibits until the eve of trial or after it had actually begun. In each such instance, there was an objection, and in each such instance the District Judge, while refusing continuance of the trial or mistrial, did grant a delay in the admission of the withheld evidence until, in his judgment, defense counsel had had an opportunity adequately to prepare for cross-examination on the issue concerned. We note the government’s argument that its failures were related to the difficulty of accumulating all of these materials in advance of trial. On the entire record of this case, we are inclined to view the government’s assurances in this regard with some skepticism. We are not, however, prepared to say that, as to the issues directly bearing upon the drug convictions, the District Judge’s remedial measures were completely inadequate or that they were beyond his discretion as a trial judge to employ.

We recognize that appellant argued before the District Court, and argues before us, that the drug charges should have been dismissed because the indictment charged appellant with unlawful and knowing distribution of Demerol, and relies on United States v. Leigh, 487 F.2d 206 (5th Cir. 1973), for his authority in this regard. This court has, however, decided that a charge of “distributing” rather than “dispensing” made against a physician who was a defendant was a lawful and appropriate indictment. United States v. Ellzey, M.D., 527 F.2d 1306 (6th Cir. 1976). We decline to overrule the Ellzey case.

Under these circumstances, we affirm the convictions of the drug counts.

INVOLUNTARY MANSLAUGHTER

As indicated above, appellant was also convicted on a charge of involuntary manslaughter. Count I of the actual indictment in this case, however, was an indictment for murder, with malice aforethought. It read:

COUNT 1
On or about the 16th day of August, 1977, at the Fort Knox Military Reservation, in the Western District of Kentucky, within the special territorial jurisdiction of the United States, JAMES • M. MIL-LEN, M.D. did, with malice aforethought, murder Bruce Howell by causing a quantity of demerol to be injected into his body.

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United States v. James M. Millen, M.D.
594 F.2d 1085 (Sixth Circuit, 1979)

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Bluebook (online)
594 F.2d 1085, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-james-m-millen-md-ca6-1979.