United States v. Jong Kim ( 2023 )


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  • USCA4 Appeal: 22-4221      Doc: 49         Filed: 06/20/2023     Pg: 1 of 19
    PUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 22-4221
    UNITED STATES OF AMERICA,
    Plaintiff - Appellee,
    v.
    JONG WHAN KIM,
    Defendant - Appellant.
    Appeal from the United States District Court for the Eastern District of North Carolina, at
    Wilmington. Louise W. Flanagan, District Judge. (7:18-cr-00200-FL-1)
    Argued: May 5, 2023                                               Decided: June 20, 2023
    Before AGEE, Circuit Judge, TRAXLER, Senior Circuit Judge, and Henry E. HUDSON,
    Senior United States District Judge for the Eastern District of Virginia, sitting by
    designation.
    Affirmed by published opinion. Senior Judge Traxler wrote in the opinion, in which Judge
    Agee and Judge Hudson joined.
    ARGUED: Michelle Ann Liguori, ELLIS & WINTERS, LLP, Raleigh, North Carolina,
    for Appellant. Andrew Kasper, OFFICE OF THE UNITED STATES ATTORNEY,
    Raleigh, North Carolina, for Appellee. ON BRIEF: Scottie F. Lee, ELLIS & WINTERS
    LLP, Greensboro, North Carolina, for Appellant. Michael F. Easley, Jr., United States
    Attorney, David A. Bragdon, Assistant United States Attorney, Kristine L. Fritz, Assistant
    United States Attorney, OFFICE OF THE UNITED STATES ATTORNEY, Raleigh,
    North Carolina, for Appellee.
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    TRAXLER, Senior Circuit Judge:
    Federal law prohibits the knowing or intentional distribution of a controlled
    substance “[e]xcept as authorized.” 
    21 U.S.C. § 841
    (a). Jong Whan Kim, a medical doctor,
    pleaded guilty to multiple charges under § 841 for prescribing oxycodone and other
    controlled substances outside the usual course of professional practice and without a
    legitimate medical need. See 
    21 C.F.R. § 1306.04
    (a) (“A prescription for a controlled
    substance to be effective must be issued for a legitimate medical purpose by an individual
    practitioner acting in the usual course of his professional practice. . . .”). After Kim was
    sentenced, the Supreme Court issued its decision in Ruan v. United States, 
    142 S. Ct. 2370 (2022)
    , which held that the statutory knowing-or-intentional mens rea applies not only to
    the distribution-related elements of the crime, but also to the question of authorization.
    Accordingly, if a defendant charged under § 841 “produces evidence that he or she was
    authorized to dispense controlled substances, the Government must prove beyond a
    reasonable doubt that the defendant knew that he or she was acting in an unauthorized
    manner, or intended to do so.” Id. at 2375.
    Before Ruan was decided, this circuit (and others) had held that whether a doctor’s
    actions were authorized was an objective inquiry. See, e.g., United States v. Hurwitz, 
    459 F.3d 463
    , 479 (4th Cir. 2006). Because Ruan changed the law in this circuit, Kim contends
    that his guilty plea must be set aside because the district court did not inform him that the
    government would be required to prove that he knew he was acting in an unauthorized
    manner when issuing the challenged prescriptions. Kim also contends that the district court
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    failed to afford him an adequate opportunity to allocute before imposing sentence. Finding
    no reversible error, we affirm.
    I.
    Kim was born in South Korea in 1949. He joined the Korean military and fought
    alongside American forces in the Vietnam war. He immigrated to the United States when
    he was 27. In Wisconsin, Kim got married and had three children. He worked in a factory
    and as a gardener to support his family. Kim obtained a bachelor’s degree from the
    University of Wisconsin in 1991 and received his medical degree in 1995.
    After working for several years in a hospital in Pennsylvania, Kim was hired in 2002
    as a hospitalist in Elizabethtown, North Carolina. The hospital eventually became
    concerned about Kim’s practices for prescribing controlled substances. Hospital officials
    met with Kim in December 2016 and informed him that his treatment notes did not justify
    the prescriptions he was issuing. Kim was given the option of complying with the hospital’s
    requirements or resigning; he chose to resign in March 2017.
    After leaving the hospital, Kim began seeing patients at his home in Bladenboro,
    North Carolina. In the summer of 2017, the still-married Kim started dating Tammy
    Thompson, who then began helping Kim run his home-based medical practice. 1 In
    1
    Kim met Thompson in the early 2000s, when he was the primary care
    physician for Thompson’s then-husband. Thompson’s husband had been in an accident,
    and Kim prescribed him opiates in such large quantities that Thompson’s son became
    concerned.
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    September 2017, Kim opened a medical clinic in Tabor City, North Carolina. Thompson
    was Kim’s business partner and served as the clinic’s office manager.
    The information in the record shows that the clinic operated as a classic pill mill.
    Beyond a scale, blood-pressure cuffs, and a stethoscope, there was no medical equipment
    at the clinic. Kim issued prescriptions for strong pain medication without reviewing the
    patient’s prior medical records and without performing a proper examination to determine
    if medication was required. Although the clinic did perform drug tests on new patients,
    the results were not properly documented in the patients’ files, and Kim issued
    prescriptions even if the patient failed the drug test.
    The clinic saw between 35 and 40 patients a day, and those patients frequently
    reeked of marijuana. Thompson and her daughter, who also worked at the clinic, would
    sometimes let a particular person (who was not a patient) bring a group of prospective
    patients to the clinic, and Kim would issue prescriptions to the group. Patients who brought
    other prospective patients would be seen more quickly. All patients paid in cash (usually
    $200), regardless of insurance status, and clinic employees were also paid in cash. The cash
    paid by the patients was placed by clinic employees in one of two lock boxes. At the end
    of each day, Thompson would gather the money from the lock boxes and deposit it at one
    of two banks. An employee of one of the banks told law enforcement that Thompson
    usually made deposits ranging between $5,000 and $8,000 twice a week.
    The clinic was located next to Tabor City Elementary School. The clinic parking lot
    was often filled with patients waiting to be seen, which created safety concerns for the
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    school. The school frequently cancelled recess because of activity at the clinic, and it was
    forced to lock down more than once.
    In 2018, law enforcement had a confidential informant pose as a clinic patient. The
    CI saw Kim twelve times. Kim conducted a drug screen on the first visit, but not thereafter.
    At each appointment, the CI paid $200 in cash and Kim issued prescriptions after minimal
    or no medical examination. At several appointments, the CI also purchased marijuana from
    Thompson. On one occasion when the CI was in the examination room with Kim,
    Thompson brought the marijuana into the room and sold it to the CI in front of Kim. In
    Kim’s presence, she told the CI that Kim was willing to trade work for prescriptions.
    In May 2018, the CI asked Kim to prescribe stronger medication, and Kim complied
    with no examination and no questions asked. At the CI’s last clinic visit in June 2018, the
    CI asked Kim for a higher dosage of the medication so he could sell more pills on the street.
    The CI and Kim also discussed which pharmacy the CI should use to ensure that the
    prescription would not be recorded. At the CI’s request, Kim also issued a prescription for
    the CI’s father, who was not present at the appointment and had never been seen by Kim.
    The CI paid Kim $200 for the prescription issued in his name and $300 for the prescription
    issued in his father’s name.
    The day after his last clinic visit, the CI conducted a final controlled purchase from
    Kim and Thompson at Kim’s residence, paying $700 for 81 hydrocodone pills and a
    quantity of marijuana. At this visit, Kim and the CI discussed the possibility of the CI
    lending Kim money to buy a house. Kim offered to pay the interest through prescriptions
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    to the CI. The next day, law enforcement officials arrested Kim and Thompson on state
    charges and executed search warrants for the clinic and Kim’s residence.
    In December 2018, Kim and Thompson were indicted on federal charges, including
    a charge of conspiracy to distribute controlled substances and multiple individual counts
    of drug distribution. The case proceeded slowly through the system, as dates for trial were
    set and then later extended. In July 2020, the government filed a superseding indictment
    including additional counts against Kim and Thompson. A 34-count second superseding
    indictment was filed on July 7, 2021. In addition to the conspiracy charge asserted against
    Kim and Thompson, the second superseding indictment included twenty-five substantive
    counts involving Kim alone; six substantive counts involving Thompson alone 2; and two
    substantive counts involving both Kim and Thompson. Less than a week after the second
    superseding indictment was filed, Thompson pleaded guilty to conspiracy and five of the
    individual counts.
    In November 2021, Kim signed a written agreement whereby he agreed to plead
    guilty to conspiracy and eight substantive counts in exchange for the dismissal of the
    remaining counts. At the plea hearing conducted on November 30, 2021, Kim testified that
    he had read the second superseding indictment, understood the charges, and was prepared
    to plead guilty. When the court listed the relevant counts and asked Kim how he pleaded,
    Kim responded, “I plead guilty to those charges, Your Honor.” J.A. 68.
    2
    The individual counts against Thompson were based on her selling
    marijuana to patients.
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    After the government spelled out the penalties Kim faced on each charge, Kim
    repeated that he was pleading guilty to the charges outlined in the plea agreement. The
    court explained the elements of each offense, asked the government to present the factual
    basis, and then asked Kim if he committed the offenses listed in the plea agreement. Kim
    responded, “Your Honor, nothing I was doing willfully. I’m not guilty of any of this, Your
    Honor. I was just advised by my counsel that this is the only way I can alleviate – mitigate
    my sentence.” J.A. 86. After speaking with his client, counsel for Kim informed the court
    that he was “not in a position today to enter a guilty plea,” J.A. 87, and requested a
    continuance “to give me some more time with Dr. Kim to try to answer and clarify
    questions he’s raised.” J.A. 87. The court granted the continuance and struck the existing
    plea agreement from the record.
    The parties returned to court on December 28, 2021, with a freshly executed plea
    agreement. 3 The court explained that the hearing was a continuation of the prior hearing,
    and Kim declined the court’s offer to repeat any of the information from the first hearing
    about the charges, penalties, and the rights he was giving up. After the government spelled
    out the factual bases for the charges, the court reiterated to Kim that if the court accepted
    the plea agreement, “you can’t take it back. You’re bound by it.” J.A. 104. Kim stated that
    he understood. The district court then asked Kim if he was in fact guilty of the charges
    spelled out in the plea agreement, to which he responded, “Yes, your Honor.” J.A. 104.
    3
    Under the revised agreement, the government agreed to dismiss Count 34,
    one of the counts to which Kim had originally agreed to plead guilty.
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    The court determined that Kim knowingly and voluntarily pleaded guilty, and the court
    accepted the plea agreement. At a subsequent hearing, the court sentenced Kim to a total
    term of 78 months’ imprisonment. This appeal followed. 4
    II.
    We turn first to the Ruan question. “A plea of guilty is constitutionally valid only to
    the extent it is voluntary and intelligent. We have long held that a plea does not qualify as
    intelligent unless a criminal defendant first receives real notice of the true nature of the
    charge against him, the first and most universally recognized requirement of due process.”
    Bousley v. United States, 
    523 U.S. 614
    , 618 (1998) (cleaned up). To ensure that defendants
    plead guilty knowingly and voluntarily, the Federal Rules of Criminal Procedure require a
    district court, before accepting a guilty plea, to “inform the defendant of, and determine
    that the defendant understands, . . . the nature of each charge to which the defendant is
    pleading.” Fed. R. Crim. P. 11(b)(1)(G).
    Kim contends his plea was not valid because the district court did not inform him
    that, if he went to trial, the government would be required to prove beyond a reasonable
    doubt that Kim subjectively knew or intended that his conduct was unauthorized, as
    required by Ruan. Because Kim raised no objections below, we review for plain error only.
    Under plain error review, Kim is entitled to relief only if he can
    4
    Although Kim’s plea agreement includes an appeal waiver, we nevertheless
    proceed because the government has not sought to enforce the waiver. See United States v.
    Jones, 
    667 F.3d 477
    , 486 (4th Cir. 2012) (“[T]he government does not seek to enforce the
    waiver, and we will not sua sponte enforce it.”).
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    satisfy three threshold requirements. First, there must be an error. Second,
    the error must be plain. Third, the error must affect substantial rights, which
    generally means that there must be a reasonable probability that, but for the
    error, the outcome of the proceeding would have been different. If those three
    requirements are met, an appellate court may grant relief if it concludes that
    the error had a serious effect on the fairness, integrity or public reputation of
    judicial proceedings.
    Greer v. United States, 
    141 S. Ct. 2090
    , 2096 (2021) (cleaned up). Kim bears the burden
    of persuasion at each step of the inquiry; “[s]atisfying all four prongs of the plain-error test
    is difficult.” 
    Id. at 2097
     (cleaned up).
    Kim contends that the district court plainly erred because it never expressly
    informed Kim that the government at trial would be required to prove that Kim knew or
    intended that his prescriptions were not authorized and that he would not have pleaded
    guilty if he had understood the government’s burden of proof. While the government
    acknowledges that Ruan changed the law in this circuit, it disagrees with Kim at every
    step of the plain-error path. In the government’s view, there was no error at all, let alone
    plain error. In any event, the government contends that Kim cannot show his substantial
    rights were affected.
    A.
    We first consider whether there was error, and, if so, whether the error was plain.
    “Deviation from a legal rule is ‘error’ unless the rule has been waived.” United States v.
    Olano, 
    507 U.S. 725
    , 732–33 (1993). An error is “plain” if the error is “clear” or “obvious.”
    
    Id. at 733
    .
    In the plea colloquy, the district court explained that for the conspiracy count, the
    government was required to prove that Kim “formed an agreement to distribute, prescribe,
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    and dispense and possess with the intent to distribute [specified controlled substances], and
    that you knew the purpose of this agreement or conspiracy, and that you knowingly and
    willfully participated in or became a part of it.” J.A. 72-73. As to the substantive counts,
    the court explained that the government bore “the burden of showing beyond a reasonable
    doubt that you prescribed, dispensed, or distributed [a specified controlled substance]; you
    acted knowingly, intentionally; and you did that outside the usual course of professional
    practice and for other than a legitimate medical purpose.” J.A. 73.
    Kim argues that because the district court did not expressly state that the government
    would be required to prove that he knew or intended that his prescriptions were
    unauthorized, as required by Ruan, the court failed to inform him of the true nature of the
    charges against him and therefore committed plain error. See Johnson v. United States, 
    520 U.S. 461
    , 468 (1997) (“[W]here the law at the time of trial was settled and clearly contrary
    to the law at the time of appeal[,] it is sufficient that the error be plain at the time of
    appellate consideration.”).
    The government, however, insists that the district court’s explanation was entirely
    consistent with Ruan. The government contends that when the district court stated “‘you
    did that outside the usual course of professional practice,’ the court incorporated the mens
    rea requirement that it had just read.” Br. of Appellee at 21.
    We need not decide whether the district court’s explanations should be understood
    in the manner suggested by the government. While the Constitution requires that the
    defendant understand the true nature of the charges he faces, that does not mean that a
    recitation of all elements is always required in a Rule 11 proceeding. This court “has
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    repeatedly refused to script the Rule 11 colloquy . . . to require the district courts to recite
    the elements of the offense in every circumstance.” United States v. Wilson, 
    81 F.3d 1300
    ,
    1307 (4th Cir. 1996). Moreover, there is no requirement that the defendant receive all of
    the information about the nature of the charges from the court “at the plea hearing itself.”
    United States v. DeFusco, 
    949 F.2d 114
    , 117 (4th Cir. 1991) (cleaned up). Instead, the
    district court may rely on “detailed information received [by the defendant] on occasions
    before the plea hearing” when determining whether a guilty plea is knowing and voluntary.
    
    Id.
     (cleaned up).
    In this case, even if the district court’s explanation of the charges alone did not
    properly reflect the mens rea required by Ruan, the language of the indictment does reflect
    Ruan’s holding. This court has made it clear that when explaining the nature of the charges,
    a district court may rely on the defendant’s sworn statement that he has read the indictment
    and discussed it with his attorney. See Wilson, 
    81 F.3d at 1307
     (“We again refuse to require
    the district courts to recite the elements of the offense in every circumstance. In many cases,
    such a procedure would be a formality and a needless repetition of the indictment, which
    often tracks the essential elements of the offense.”) (emphasis added).
    In each count of the second superseding indictment that involved Kim, the
    government, apparently anticipating what Ruan would hold, alleged that Kim conspired
    and issued the challenged prescriptions “while acting and intending to act outside the usual
    course of professional practice and not for a legitimate medical purpose.” J.A. 39, 40, 41,
    43 (emphasis added). Ruan requires the government to prove that the defendant knew or
    intended to issue unauthorized prescriptions. Because a prescription issued outside the
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    usual course of medical practice and not for a legitimate medical purpose is an unauthorized
    prescription, see 
    21 C.F.R. § 1306.04
    (a), the indictment is consistent with the requirements
    of Ruan.
    Kim argues that the language of the second superseding indictment is irrelevant
    because governing Fourth Circuit law at the time of his plea was not consistent with Ruan,
    which, in Kim’s view, means that he did not plead guilty to any Ruan-compliant offense.
    We disagree. Kim did not plead guilty to generic charges under § 841; he pleaded guilty to
    the offenses spelled out in the second superseding indictment. In every count of that
    indictment, the government alleged that Kim intended to act outside the usual course of
    professional practice and not for a legitimate medical purpose. While Fourth Circuit
    precedent did not then require the government to prove the defendant’s subjective intent,
    the government nonetheless would have been bound by those allegations at trial. See
    United States v. Pinson, 
    860 F.3d 152
    , 171 (4th Cir. 2017) (“Importantly,
    the government is bound by the phrasing it uses in the indictment, even if it chooses to use
    more specific language than necessary.”).
    Kim also contends that the language of the indictment is not sufficient under Ruan
    because it does not make clear that the government bears the burden of proving that Kim
    intended to issue unauthorized prescriptions. While the indictment does not mention (and
    would not be expected to mention) the burden of proof, the district court in the plea
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    colloquy repeatedly informed Kim that the government bore the burden of proof at trial. 5
    We believe that those repeated explanations, combined with the mens rea allegations
    actually contained in the indictment, were sufficient.
    As we explained in DeFusco, the question is not simply whether the court recited
    each element of each charge at the plea hearing, but whether the district court ensured that
    Kim understood the true nature of the charges. See DeFusco, 
    949 F.2d at 117
     (“[T]he
    defendant must receive notice of the true nature of the charge rather than a rote recitation
    of the elements of the offense. . . .”). When determining whether a plea hearing complies
    with the requirements of Rule 11, we are obligated to “accord deference to the trial court’s
    decision as to how best to conduct the mandated colloquy with the defendant. The manner
    of ensuring that the defendant is properly informed is committed to the good judgment of
    the district court, to its calculation of the relative difficulty of comprehension of the charges
    and of the defendant’s sophistication and intelligence.” 
    Id. at 116
     (cleaned up).
    In this case, the district court was presented with a mature, well-educated,
    financially successful defendant who had no mental health conditions or substance abuse
    5
    See J.A. 63 (explaining to Kim that if he went to trial, “there would be no
    burden on you. The burden rests on the shoulders of the government to prove you guilty
    beyond a reasonable doubt.”); J.A. 64 (“[Y]ou are and would be presumed innocent. Again,
    you don’t have to prove anything.”); J.A. 72 (After Kim stated that he was pleading guilty,
    the district court explained, “Dr. Kim, you still have the right to plead not guilty. . . . The
    government still has the burden on its back to prove you guilty beyond a reasonable doubt.
    You are presumed innocent. You remain presumed innocent. And the government’s
    burden, as I said, remains with it.”); J.A. 91 (explaining at the beginning of the second plea
    hearing that “[t]he burden remains on the government to prove you guilty beyond a
    reasonable doubt. And you are presumed innocent.”).
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    problems. See 
    id. at 117
     (“In explaining the nature of the charges to the defendant, . . . the
    trial court is given a wide degree of discretion in deciding the best method to inform and
    ensure the defendant’s understanding. The trial court may look at the availability of
    counsel, and the defendant’s personal characteristics, such as age, education, and
    intelligence.”) (cleaned up). Kim told the district court during the first plea colloquy that
    he understood and could communicate with his attorney and that he was satisfied with his
    attorney. He confirmed that he had read the second superseding indictment and that his
    attorney had explained it to him. As noted, the indictment’s mens rea allegations were
    consistent with the requirement of Ruan, and the district court repeatedly informed Kim
    that the burden of proof was on the government. When the parties reconvened a month
    after the aborted plea hearing, Kim informed the court that he did not need the indictment
    to be read to him. He confirmed that he had read and signed the revised plea agreement,
    which spelled out the facts underlying the charges against him, and he confirmed that he
    was in fact guilty of the charges listed in the plea agreement. Under these circumstances,
    we find no error, plain or otherwise, in the manner in which the district court ensured Kim’s
    understanding of the true nature of the charges he faced.
    B.
    Moreover, even if we could find error in the district court’s approach, we agree with
    the government that Kim cannot show that his substantial rights were affected.
    Because Kim pleaded guilty, the substantial-rights inquiry requires him to “show[]
    that, if the District Court had correctly advised him of the mens rea element of the offense,
    there is a reasonable probability that he would not have pled guilty.” Greer, 141 S. Ct. at
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    2097 (cleaned up). “Although the reasonable probability standard is a demanding one, a
    defendant need not prove by a preponderance of the evidence that but for error things would
    have been different.” United States v. Lockhart, 
    947 F.3d 187
    , 192–93 (4th Cir. 2020) (en
    banc) (cleaned up). “Instead, a defendant must satisfy the judgment of the reviewing court,
    informed by the entire record, that the probability of a different result is sufficient to
    undermine confidence in the outcome of the proceeding.” 
    Id.
     (cleaned up).
    In support of his claim that he would not have pleaded guilty if he had understood
    that the government would be required to prove that he knew he was issuing prescriptions
    outside the usual course of professional practice and not for a legitimate medical purpose,
    Kim points to his initial hesitancy to plead guilty and his assertion in the first hearing that
    he did nothing willfully and was “not guilty of any of this.” J.A. 86. He also points to the
    government’s statements of the factual bases for the charges, which Kim contends did not
    include evidence of Kim’s subjective intent for each prescription at issue. We are not
    persuaded.
    Although Kim expressed hesitancy in the first plea hearing, an isolated hiccup in
    the course of a plea proceeding does not automatically satisfy the substantial-rights prong
    of the plain-error inquiry. Kim expressed no further hesitancy when court reconvened
    several weeks after the initial hearing. He responded in the negative when the district court
    asked if he needed any other information from the court or had questions for his attorney,
    and he confirmed that he was in fact guilty of the charges listed in the plea agreement.
    Under these circumstances, the mere fact that Kim was briefly hesitant to plead guilty is
    insufficient to carry Kim’s burden under plain-error review.
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    When determining whether a plain-error defendant has established that he would
    have gone to trial but for the error, we are entitled to consider the strength of the
    government’s evidence and to ask “what [the defendant] might ever have thought he could
    gain by going to trial.” United States v. Dominguez Benitez, 
    542 U.S. 74
    , 85 (2004).
    The point of the question is not to second-guess a defendant’s actual
    decision; if it is reasonably probable he would have gone to trial absent the
    error, it is no matter that the choice may have been foolish. The point, rather,
    is to enquire whether the omitted [explanation] would have made the
    difference required by the standard of reasonable probability. . . .
    
    Id.
    Although the record reveals no statement from Kim directly stating his subjective
    intention to violate the law, the mountain of circumstantial evidence leaves little doubt. For
    example, the record shows that Kim complied when the CI asked Kim to prescribe a higher
    strength of medication so he could sell more pills on the street. Kim likewise complied
    when the CI asked for a prescription for his father, who was not a patient of Kim’s and was
    not present at the appointment. Kim did not correct Thompson when she told the CI, in
    Kim’s presence, that Kim would trade work for prescriptions, and Kim asked the CI about
    a possible loan and offered to write prescriptions to pay the interest. In the face of this
    evidence, a jury would be highly unlikely to conclude that Kim subjectively believed he
    was issuing authorized, medically necessary prescriptions, which in turn makes it unlikely
    that Kim’s plead-or-trial calculation would turn on the precise contours of the statutory
    mens rea requirements.
    Moreover, counsel for Kim told the court at sentencing that once he got involved in
    the case and explained the government’s evidence, Kim and his children “pretty quickly
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    acknowledged that he, in fact, was guilty.” J.A. 120-21. Counsel explained that Kim’s
    difficulty came from “his deep shame for this conduct” for bringing “dishonor to his
    family.” J.A. 121.
    [I]t was very difficult for Dr. Kim to overcome that sense of absolute shame
    and dishonoring in his family. Part of what helped us in that are his own
    children telling him that he’s a grandfather, and their father, and they didn’t
    want him to die in prison, Your Honor. They wanted him to have time with
    his family.
    And so ultimately he came before the Court and pled guilty.
    J.A. 121.
    In our view, these statements undermine Kim’s claim that he would not have
    pleaded guilty if he had understood the government’s obligation to prove he knew his
    prescriptions were not authorized. While pleading guilty would not eliminate the dishonor
    that Kim perceived, proceeding to trial would invite even more public attention on the
    specifics of Kim’s actions, including details about his extra-marital relationship with
    Thompson. Given the slim likelihood that a jury would agree that Kim believed he was
    writing proper prescriptions, we have difficulty seeing how a more fulsome explanation of
    the government’s burden to prove mens rea “could have had an effect on [Kim’s]
    assessment of his strategic position.” Dominguez Benitez, 
    542 U.S. at 85
    .
    After reviewing the record as a whole, we agree with the government that Kim has
    not established a reasonable possibility that he would not have pleaded guilty if the charges
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    against him had been more fully explained. Because Kim cannot show that his substantial
    rights were affected, he is not entitled to relief under plain-error review. 6
    III.
    Finally, we turn briefly to Kim’s claim that the district court violated his right to
    address the court before sentence is imposed. Because Kim did not object below, this issue
    is likewise reviewed for plain error. See United States v. Muhammad, 
    478 F.3d 247
    , 249
    (4th Cir. 2007).
    The Rules of Criminal Procedure provide that, “[b]efore imposing sentence, the
    [district] court must . . . address the defendant personally in order to permit the defendant
    to speak or present any information to mitigate the sentence.” Fed. R. Crim. P.
    32(i)(4)(A)(ii). “This rule is not satisfied by merely affording the Defendant’s counsel the
    opportunity to speak.” Muhammad, 
    478 F.3d at 249
     (cleaned up).
    Kim concedes that while the district court did “eventually” give him an opportunity
    to speak, that opportunity was insufficient because the district court by then had already
    “express[ed] its views on the extent of Mr. Kim’s moral culpability.” Br. of Appellant at
    40.
    6
    Because conspiracy involves “an agreement with the specific intent that the
    underlying crime be committed by some member of the conspiracy,” Ocasio v. United
    States, 
    578 U.S. 282
    , 288 (2016) (cleaned up), the government also contends that Kim’s
    admission of guilt to the conspiracy count renders harmless any error in the explanation of
    the substantive counts. Given our conclusion that Kim failed to establish a reasonable
    probability that he would not have pleaded guilty if the charges had been properly
    described, we need not consider this argument.
    18
    USCA4 Appeal: 22-4221       Doc: 49         Filed: 06/20/2023       Pg: 19 of 19
    Kim’s argument is functionally identical to an argument this court has already
    rejected. In United States v. Engle, 
    676 F.3d 405
     (4th Cir. 2012), the defendant argued that
    his opportunity to allocute was meaningless because it came after the district court had
    announced its intention to impose an upward variance. We disagreed:
    Rule 32 only requires the district court to address the defendant
    personally and permit him to speak or present any information to mitigate
    the sentence before sentence is imposed; apart from that requirement, the rule
    does not create a right of allocution at any specific point in the sentencing
    proceeding. Moreover, when a judge announces a sentence before hearing
    an allocution, it is fair to assume that such a sentence is tentative and that the
    judge will consider the defendant’s statements before imposing a final
    sentence.
    
    Id. at 425
     (cleaned up) (emphasis added).
    There was nothing improper in Engle about the court expressing preliminary views
    as to the appropriate sentence before hearing from the defendant, and there was nothing
    improper here about the court expressing its views about the costs and societal harms of
    Kim’s conduct before hearing from him. Because the district court afforded Kim the
    opportunity to address the court before the court imposed sentence, Kim cannot establish
    the existence of error, much less plain error.
    IV.
    Accordingly, for the foregoing reasons, we hereby affirm Kim’s conviction and
    sentence.
    AFFIRMED
    19