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- SUPREME COURT OF THE UNITED STATES
- --------
- No. 90-8370
- --------
- TEOFILO MEDINA, Jr., PETITIONER v. CALIFORNIA
- on writ of certiorari to the supreme court
- of california
- [June 22, 1992]
-
- Justice Blackmun, with whom Justice Stevens joins,
- dissenting.
- Teofilo Medina, Jr., may have been mentally incompetent
- when the State of California convicted him and sentenced
- him to death. One psychiatrist testified he was incompe-
- tent. Another psychiatrist and a psychologist testified he
- was not. Several other experts testified but did not express
- an opinion on competence. Instructed to presume that
- petitioner Medina was competent, the jury returned a
- finding of competence. For all we know, the jury was
- entirely undecided. I do not believe a Constitution that
- forbids the trial and conviction of an incompetent person
- tolerates the trial and conviction of a person about whom
- the evidence of competency is so equivocal and unclear. I
- dissent.
-
- I
- The right of a criminal defendant to be tried only if
- competent is -fundamental to an adversary system of
- justice,- Drope v. Missouri, 420 U. S. 162, 172 (1975). The
- Due Process Clause forbids the trial and conviction of
- persons incapable of defending themselves-persons lacking
- the capacity to understand the nature and object of the
- proceedings against them, to consult with counsel, and to
- assist in preparing their defense. Id., at 171. See also
- Pate v. Robinson, 383 U. S. 375, 378 (1966).
- The right to be tried while competent is the foundational
- right for the effective exercise of a defendant's other rights
- in a criminal trial. -Competence to stand trial is rudimen-
- tary, for upon it depends the main part of those rights
- deemed essential to a fair trial, including the right to
- effective assistance of counsel, the rights to summon, to
- confront, and to cross examine witnesses, and the right to
- testify on one's own behalf or to remain silent without
- penalty for doing so.- Riggins v. Nevada, 504 U. S. ___, ___
- (1992) (slip op. 2) (Kennedy, J., concurring in the judg-
- ment). In the words of Professor Morris, one of the world's
- leading criminologists, incompetent persons -are not really
- present at trial; they may not be able properly to play the
- role of an accused person, to recall relevant events, to
- produce evidence and witnesses, to testify effectively on
- their own behalf, to help confront hostile witnesses, and to
- project to the trier of facts a sense of their innocence.- N.
- Morris, Madness and the Criminal Law 37 (1982).
- This Court's cases are clear that the right to be tried
- while competent is so critical a prerequisite to the criminal
- process that -state procedures must be adequate to protect
- this right.- (Emphasis added.) Pate, 383 U. S., at 378.
- -[T]he failure to observe procedures adequate to protect a
- defendant's right not to be tried or convicted while incompe-
- tent to stand trial deprives him of his due process right to
- a fair trial.- Drope, 420 U. S., at 172. In other words, the
- Due Process Clause does not simply forbid the State from
- trying and convicting a person who is incompetent. It also
- demands adequate anticipatory, protective procedures to
- minimize the risk that an incompetent person will be
- convicted. Justice Frankfurter recognized this in a related
- context: -If the deeply rooted principle in our society against
- killing an insane man is to be respected, at least the
- minimum provision for assuring a fair application of that
- principle is inherent in the principle itself.- Solesbee v.
- Balkcom, 339 U. S. 9, 23 (1950) (dissenting opinion).
- Anticipatory protective procedures are necessary as well
- because -we have previously emphasized the difficulty of
- retrospectively determining an accused's competence to
- stand trial.- Pate, 383 U. S., at 387. See also Drope, 420
- U. S., at 183; Dusky, 362 U. S., at 403. See generally Miller
- & Germain, The Retrospective Evaluation of Competency to
- Stand Trial, 11 Int'l J. Law and Psych. 113 (1988).
- This Court expressly has recognized that one of the
- required procedural protections is -further inquiry- or a
- hearing when there is a sufficient doubt raised about a
- defendant's competency. Drope, 420 U. S., at 180; Pate, 383
- U. S., at 385-386. In my view, then, the only question
- before the Court in this case is whether-as with the right
- to a hearing-placing the burden of proving competence on
- the State is necessary to protect adequately the underlying
- due process right. I part company with the Court today,
- because I believe the answer to that question is in the
- affirmative.
- II
- As an initial matter, I believe the Court's approach to this
- case effectively asks and answers the wrong doctrinal
- question. Following the lead of the parties, the Court
- mistakenly frames its inquiry in terms of whether to apply
- a standard it takes to be derived from language in
- Patterson v. New York, 432 U. S. 197 (1977), or a standard
- based on the functional balancing approach of Mathews v.
- Eldridge, 424 U. S. 319 (1976). Ante, at 4-7. The Court is
- not put to such a choice. Under Drope and Pate, it need
- decide only whether a procedure imposing the burden of
- proof upon the defendant is -adequate- to protect the
- constitutional prohibition against trial of incompetent
- persons.
- The Court, however, chooses the Patterson path, an-
- nouncing that there is no violation of due process unless
- placing the burden of proof of incompetency upon the
- defendant -`offends some principle of justice so rooted in the
- traditions and conscience of our people as to be ranked as
- fundamental.'- Ante, at 7 (quoting Patterson, 432 U. S., at
- 202). Separating the primary right (the right not to be
- tried while incompetent) from the subsidiary right (the
- right not to bear the burden of proof of incompetency), the
- Court acknowledges the primary right to be fundamental in
- -our common-law heritage,- but determines the subsidiary
- right to be without a -settled tradition- deserving of
- constitutional protection. Ante, at 8. This approach is
- mistaken, because it severs two integrally related procedur-
- al rights that cannot be examined meaningfully in isolation.
- The protections of the Due Process Clause, to borrow the
- second Justice Harlan's words, are simply not -a series of
- isolated points pricked- out in terms of their most specific
- level of historic generality. Poe v. Ullman, 367 U. S. 497,
- 543 (1961) (dissenting opinion). Had the Court taken the
- same historical-categorical approach in Pate and Drope, it
- would not have recognized that a defendant has a right to
- a competency hearing, for in neither of those cases was
- there any showing that the mere denial of a hearing where
- there is doubt about competency offended any deeply rooted
- traditions of the American people.
- In all events, I do not interpret the Court's reliance on
- Patterson to undermine the basic balancing of the govern-
- ment's interests against the individual's interest that is
- germane to any due process inquiry. While unwilling to
- discount the force of tradition and history, the Court in
- Patterson did not adopt an exclusively tradition-based
- approach to due process analysis. Relying on Morrison v.
- California, 291 U. S. 82 (1934), the Court in Patterson
- looked to the -convenience- to the government and -hard-
- ship or oppression- to the defendant in forming its alloca-
- tion of the burden of proof. 432 U. S., at 203, n. 9, and 210.
- -`The decisions are manifold that within limits of
- reason and fairness the burden of proof may be lifted
- from the state in criminal prosecutions and cast on a
- defendant. The limits are in substance these, that the
- state shall have proved enough to make it just for the
- defendant to be required to repel what has been proved
- with excuse or explanation, or at least that upon a
- balancing of convenience or of the opportunities for
- knowledge the shifting of the burden will be found to be
- an aid to the accuser without subjecting the accused to
- hardship or oppression. Cf. Wigmore, Evidence, Vol. 5,
- 2486, 2512, and cases cited.'- Id., at 203, n. 9,
- quoting Morrison v. California, 291 U. S., at 88-89
- (emphasis added).
-
- See also Speiser v. Randall, 357 U. S. 513, 524 (1958)
- (same).
- In Morrison v. California, the historical cornerstone of
- this Court's decisions in the area of due process and
- allocation of the burden of proof, the Court considered the
- constitutionality of a California criminal statute forbidding
- aliens not eligible for naturalization to farm. The statute
- provided that, once the State proved the defendant used or
- occupied farm land, the burden of proving citizenship or
- eligibility for naturalization rested upon the defendant. See
- 291 U. S., at 84. At the time, persons of Asian ancestry
- were generally not eligible for naturalization. See id., at
- 85-86. The Court observed that in the -vast majority of
- cases,- there would be no unfairness to the distribution of
- the burden, because a defendant's Asian ancestry could
- plainly be observed. Id., at 94. But, where the evidence is
- in equipoise-as when the defendant is of mixed blood and
- his outward appearance does not readily reveal his Asian
- ancestry--the promotion of convenience from the point of
- view of the prosecution will be outweighed by the probabili-
- ty of injustice to the accused.- Ibid. Thus, the Court
- concluded: -There can be no escape from hardship and
- injustice, outweighing many times any procedural conve-
- nience, unless the burden of persuasion in respect of racial
- origin is cast upon the People.- Id., at 96.
- Consistent with Morrison, I read the Court's opinion
- today to acknowledge that Patterson does not relieve the
- Court from evaluating the underlying fairness of imposing
- the burden of proof of incompetency upon the defendant.
- That is why the Court not only looks to -the historical
- treatment of the burden of proof in competency proceedings-
- but also to -the operation of the challenged rule, and our
- precedents.- Ante, at 8. That is why the Court eventually
- turns to determining -whether the rule [placing upon the
- defendant the burden of proof of incompetency] transgresses
- any recognized principle of `fundamental fairness' in
- operation.- Ante, at 10.
- Carrying out this inquiry, the Court points out that the
- defendant is already entitled to the assistance of counsel
- and to a psychiatric evaluation. Ante, at 12. It suggests as
- well that defense counsel will have -the best-informed view-
- of the defendant's ability to assist in his defense. Ibid.
- Accordingly, the Court concludes: -[I]t is enough that the
- State affords the criminal defendant on whose behalf a plea
- of incompetence is asserted a reasonable opportunity to
- demonstrate that he is not competent to stand trial.- Ante,
- at 13. While I am unable to agree with the Court's conclu-
- sion, it is clear that the Court ends up engaging in a
- balancing inquiry not meaningfully distinguishable from
- that of the Mathews v. Eldridge test it earlier appears to
- forswear.
- I am perplexed that the Court, while recognizing -the
- careful balance that the Constitution strikes between
- liberty and order,- ante, at 5 (emphasis added), intimates
- that the apparent -expertise- of the States in criminal
- procedure and the -centuries of common-law tradition- of
- the -criminal process- warrant less than careful balancing
- in favor of -substantial deference to legislative judgments.-
- Ante, at 7. Because the Due Process Clause is not the Some
- Process Clause, I remain convinced that it requires careful
- balancing of the individual and governmental interests at
- stake to determine what process is due.
- III
- I believe that requiring a possibly incompetent person to
- carry the burden of proving that he is incompetent cannot
- be called -adequate,- within the meaning of the decisions in
- Pate and Drope, to protect a defendant's right to be tried
- only while competent. In a variety of other contexts, the
- Court has allocated the burden of proof to the prosecution
- as part of the protective procedures designed to ensure the
- integrity of specific underlying rights. In Lego v. Twomey,
- 404 U. S. 477 (1972), for example, the Court determined
- that when the prosecution seeks to use at trial a confession
- challenged as involuntary, -the prosecution must prove at
- least by a preponderance of the evidence that the confession
- was voluntary,- because the defendant is -entitled to a
- reliable and clear-cut determination that the confession was
- in fact voluntarily rendered.- Id., at 489. See also Colora-
- do v. Connelly, 479 U. S. 157, 167-169 (1986) (burden on
- prosecution to show defendant waived Miranda rights); Nix
- v. Williams, 467 U. S. 431, 444, and n. 5 (1984) (burden on
- prosecution to show inevitable discovery of evidence
- obtained by unlawful means); United States v. Matlock, 415
- U. S. 164, 177-178, n. 14 (1974) (burden on prosecution to
- show voluntariness of consent to search). Equally weighty
- concerns warrant imposing the burden of proof upon the
- State here.
- The Court suggests these cases are distinguishable
- because they shift the burden of proof in order to deter
- lawless conduct by law enforcement and prosecutorial
- authorities, while in this case deterrence is irrelevant.
- Ante, at 13-14. If anything, this distinction cuts against
- the Court's point of view. Deterrence of official misconduct
- during the investigatory stage of the criminal process has
- less to do with the fairness of the trial and an accurate
- determination of the defendant's guilt than does the
- defendant's ability to understand and participate in the
- trial itself. Accordingly, there is greater reason here to
- impose a trial-related cost upon the government-in the
- form of the burden of proof-to ensure the fairness and
- accuracy of the trial. Compare United States v. Alvarez-
- Machain, ___ U.S. ___, ___ (1992) (slip op. 5-6) (official
- misconduct in the form of forcible kidnaping of defendant
- for trial does not violate defendant's due process rights at
- trial). Moreover, given the Court's consideration of non-
- trial-related interests, I wonder whether the Court owes
- any consideration to the public interest in the appearance
- of fairness in the criminal justice system. The trial of
- persons about whose competence the evidence is inconclu-
- sive unquestionably -undermine[s] the very foundation of
- our system of justice-our citizens' confidence in it.-
- Georgia v. McCollum, ___ U.S. ___, ___ (1992) (slip op. 7).
- -In all kinds of litigation it is plain that where the burden
- of proof lies may be decisive of the outcome.- Speiser v.
- Randall, 357 U. S., at 525. To be sure, the requirement of
- a hearing (once there is a threshold doubt as to competency)
- and the provision for a psychiatric evaluation, see Ake v.
- Oklahoma, 470 U. S. 68, 81 (1985), do ensure at least some
- protection against the trial of incompetent persons. Yet in
- cases where the evidence is inconclusive, a defendant
- bearing the burden of proof of his own incompetency now
- will still be subjected to trial. In my view, this introduces
- a systematic and unacceptably high risk that persons will
- be tried and convicted who are unable to follow or partici-
- pate in the proceedings determining their fate. I, therefore,
- cannot agree with the Court that -reasonable minds may
- differ as to the wisdom of placing the burden of proof- on
- likely incompetent defendants. Ante, at 12.
- The Court suggests that -defense counsel will often have
- the best-informed view of the defendant's ability to partici-
- pate in his defense.- Ibid. There are at least three good
- reasons, however, to doubt the Court's confidence. First,
- while the defendant is in custody, the State itself obviously
- has the most direct, unfettered access to him and is in the
- best position to observe his behavior. In the present case,
- Medina was held before trial in the Orange County jail
- system for more than a year and a half prior to his compe-
- tency hearing. Tr. Vol. 3, pp. 677-684. During the months
- immediately preceding the competency hearing, he was
- placed several times for extended periods in a padded cell
- for treatment and observation by prison psychiatric person-
- nel. Id., at 226, 682-684. While Medina was in the padded
- cell, prison personnel observed his behavior every 15
- minutes. Id., at 226.
- Second, a competency determination is primarily a
- medical and psychiatric determination. Competency
- determinations by and large turn on the testimony of
- psychiatric experts, not lawyers. -Although competency is
- a legal issue ultimately determined by the courts, recom-
- mendations by mental health professionals exert tremen-
- dous influence on judicial determinations, with rates of
- agreement typically exceeding 90%.- Nicholson & Johnson,
- Prediction of Competency to Stand Trial: Contribution of
- Demographics, Type of Offense, Clinical Characteristics,
- and Psycholegal Ability, 14 Int'l J. Law and Psych. 287, 287
- (1991) (citations omitted). See also S. Brakel, J. Parry, &
- B. Weiner, The Mentally Disabled and the Law 703 (3d ed.
- 1985) (same). While the testimony of psychiatric experts
- may be far from infallible, see Barefoot v. Estelle, 463 U. S.
- 880, 916 (1983) (Blackmun, J., dissenting), it is the experts
- and not the lawyers who are credited as the -best-in-
- formed,- and most able to gauge a defendant's ability to
- understand and participate in the legal proceedings
- affecting him.
- Third, even assuming that defense counsel has the -best-
- informed view- of the defendant's competency, the lawyer's
- view will likely have no outlet in, or effect on, the compe-
- tency determination. Unlike the testimony of medical
- specialists or lay witnesses, the testimony of defense
- counsel is far more likely to be discounted by the factfinder
- as self-interested and biased. Defense counsel may also be
- discouraged in the first place from testifying for fear of
- abrogating an ethical responsibility or the attorney-client
- privilege. See, e.g., ABA Criminal Justice Mental Health
- Standards 7-4.8(b), Commentary Introduction, p 209, and
- Commentary, pp. 212-213 (1989). By way of example from
- the case at hand, it should come as little surprise that
- neither of Medina's two attorneys was among the dozens of
- persons testifying during the six days of competency
- proceedings in this case. Tr. Vol. 1, pp. 1-5 (Witness List).
- Like many psychological inquiries, competency evalua-
- tions are -in the present state of the mental sciences . . . at
- best a hazardous guess however conscientious.- Solesbee v.
- Balkcom, 339 U. S., at 23 (Frankfurter, J., dissenting). See
- also Ake v. Oklahoma, 470 U. S., at 81; Addington v. Texas,
- 441 U. S. 418, 430 (1979); Drope, 420 U. S., at 176. This
- unavoidable uncertainty expands the range of cases where
- the factfinder will conclude the evidence is in equipoise.
- The Court, however, dismisses this concern on grounds that
- -`[d]ue process does not require that every conceivable step
- be taken, at whatever cost, to eliminate the possibility of
- convicting an innocent person.'- Ante, at 13 (quoting
- Patterson, 432 U. S., at 208). Yet surely the Due Process
- Clause requires some conceivable steps be taken to elimi-
- nate the risk of erroneous convictions. I search in vain for
- any guiding principle in the Court's analysis that deter-
- mines when the risk of a wrongful conviction happens to be
- acceptable and when it does not.
- The allocation of the burden of proof reflects a societal
- judgment about how the risk of error should be distributed
- between litigants. Cf. Santosky v. Kramer, 455 U. S. 745,
- 755 (1982) (standard of proof). This Court has said it well
- before: -The individual should not be asked to share equally
- with society the risk of error when the possible injury to the
- individual is significantly greater than any possible harm
- to the state.- Addington v. Texas, 441 U. S., at 427. The
- costs to the State of bearing the burden of proof of compe-
- tency are not at all prohibitive. The Court acknowledges
- that several States already bear the burden, ante, at 9-10,
- and that the allocation of the burden of proof will make a
- difference -only in a narrow class of cases where the
- evidence is in equipoise.- Ante, at 11. In those few difficult
- cases, the State should bear the burden of remitting the
- defendant for further psychological observation to ensure
- that he is competent to defend himself. See, e.g., Cal.
- Penal Code Ann. 1370(a)(1) (West Supp. 1992) (defendant
- found incompetent shall be -delivered- to state hospital or
- treatment facility -which will promote the defendant's
- speedy restoration to mental competence-). See also
- Jackson v. Indiana, 406 U. S. 715, 738 (1972) (Due Process
- Clause allows State to hold incompetent defendant -for
- reasonable period of time necessary to determine whether
- there is a substantial probability- of return to competency).
- In the narrow class of cases where the evidence is in
- equipoise, the State can reasonably expect that it will
- speedily be able to return the defendant for trial.
- IV
- Just this Term the Court reaffirmed that the Due Process
- Clause prevents the States from taking measures that
- undermine the defendant's right to be tried while fully
- aware and able to defend himself. In Riggins v. Nevada,
- supra, the Court reversed on due process grounds the
- conviction of a defendant subjected to the forcible adminis-
- tration of antipsychotic drugs during his trial. Rejecting
- the dissent's insistence that actual prejudice be shown, the
- Court found it to be -clearly possible- that the medications
- affected the defendant's -ability to follow the proceedings,
- or the substance of his communication with counsel.- Slip
- op. 9 (emphasis added). See also id., at ___ (slip op. 3)
- (Kennedy, J., concurring in the judgment) (prosecution
- must show -no significant risk that the medication will
- impair or alter in any material way the defendant's capacity
- or willingness to react to the testimony at trial or to assist
- his counsel-) (emphasis added).
- I consider it no less likely that petitioner Medina was
- tried and sentenced to death while effectively unable to
- defend himself. That is why I do not share the Court's
- remarkable confidence that -[n]othing in today's decision is
- inconsistent with our longstanding recognition that the
- criminal trial of an incompetent defendant violates due
- process.- Ante, at 14. I do not believe the constitutional
- prohibition against convicting incompetent persons remains
- -fundamental- if the State is at liberty to go forward with
- a trial when the evidence of competency is inconclusive.
- Accordingly, I dissent.
-