Source: https://www.mjpetro.com/press-releases/enhancement-for/
Timestamp: 2019-04-19 22:34:36+00:00

Document:
USA v. Bronson L. Webster, 06-4430. Bronson Webster punched Leah Tourtillott in the face five times and, after she collapsed, kicked her in the face five times. The attack broke her nose and the bone around her right eye; it also caused lacerations that a physician concluded would leave prominent facial scars. Because the attack occurred on an Indian reservation, it came within federal jurisdiction. 18 U.S.C. §1153. Webster pleaded guilty to an assault that caused serious bodily injury. 18 U.S.C. §113(a)(6). The district judge imposed a sentence of 68 months.
Webster maintains that the offense level should have been 16 rather than 18. The range corresponding to an offense level of 16 would have been 46 to 57 months’ imprisonment. The two-level difference depends on the application of U.S.S.G. §2A2.2(b)(3), which prescribes seven offense levels for battery that produces "permanent or life-threatening bodily injury" but only five levels for an attack that causes "serious bodily injury". According to Webster, Tourtillott’s injuries were "serious" but not "permanent or life-threatening".
They aren’t "life-threatening", but they are "permanent", the district court found. The district judge concluded that Tourtillott’s scars are "obvious disfigurement" even if her eye and nose bones will mend without degrading her appearance.
Enhancement for a permanent disfigurement is appropriate, Webster maintains, only if the prosecution can prove that the condition cannot be corrected by plastic surgery. No evidence in the record would allow a judge to find this; the most that any of the surgeons whose evaluations are in this record would venture is that correction "may" be possible. These physicians opined that the prospects for cosmetic surgery could not be evaluated until Tourtillott’s condition had stabilized in a year or so.
Like the district judge, we think that this line of argument misunderstands U.S.S.G. §2A2.2(b)(3)(C) and the application note. Uncertainty does not preclude a finding of permanence. Instead of asking whether a victim’s future might be brighter, a district court should act on the basis of the victim’s current condition and current medical information. If an impairment has not been corrected by the time of sentencing, and will last for life unless surgically corrected in the future, then it should be treated as "permanent" under the Guidelines unless future correction would be a straightforward procedure.
This understanding makes the physical-injury rules parallel to the financial-injury rules. An amount taken from a victim counts as "loss" even if an offender promises to repay in the future.
The date on which the wrongdoer is sentenced represents the end of predictions; only what has happened by then need be taken into account. Talk is cheap, and it is easy to foresee (or purport to foresee) that victims will be repaid, or their bodily injuries repaired. A judge should rely on what is known at the time of sentencing rather than on predictions of doubtful accuracy.
Prominent facial scars are a form of "obvious disfigurement." See United States v. Phillips, 239 F.3d 829, 848 (7th Cir. 2001); United States v. Cree, 166 F.3d 1270, 1271–72 (8th Cir. 1999). The physician who treated Tourtillott at the emergency room testified that the scarring will be permanent. Webster does not deny that her scars, if permanent, are obvious disfigurement. Correction by plastic surgery is not a sure thing. No more is required to support an enhancement under U.S.S.G. §2A2.2(b)(3)(C).

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