United States v. Huey Carter , 795 F.3d 947 ( 2015 )


Menu:
  •                      FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    UNITED STATES OF AMERICA,                        No. 13-50164
    Plaintiff-Appellee,
    D.C. No.
    v.                          2:11-cr-00358-
    MMM-1
    HUEY JACQUE CARTER, AKA Baby
    Huey, AKA Reesio,
    Defendant-Appellant.                  OPINION
    Appeal from the United States District Court
    for the Central District of California
    Margaret M. Morrow, District Judge, Presiding
    Argued and Submitted
    February 4, 2015—Pasadena, California
    Filed July 28, 2015
    Before: Michael J. Melloy,* Jay S. Bybee,
    and Sandra S. Ikuta, Circuit Judges.
    Opinion by Judge Melloy
    *
    The Honorable Michael J. Melloy, Senior Circuit Judge for the U.S.
    Court of Appeals for the Eighth Circuit, sitting by designation.
    2                  UNITED STATES V. CARTER
    SUMMARY**
    Criminal Law
    The panel affirmed a criminal judgment in a case in which
    the defendant, who asserts he was under the influence of
    prescription drugs at the time he entered his guilty plea,
    contends that the district court, by insufficiently inquiring as
    to the effect of those drugs at the plea hearing, failed to fulfill
    its duty under Fed. R. Crim. P. 11(b) to ensure the defendant
    entered the plea knowingly and voluntarily.
    The panel held that the scope of the district court’s
    inquiry was sufficient to ensure that the defendant entered his
    plea knowingly and voluntarily, and it therefore did not
    commit a constitutional or procedural error.
    COUNSEL
    Michael Tanaka (argued), Deputy Federal Public Defender;
    Sean K. Kennedy, Federal Public Defender, Los Angeles,
    California, for Defendant-Appellant.
    Max B. Shiner (argued), Assistant United States Attorney,
    Violent & Organized Crime Section; Robert E. Dugdale,
    Assistant United States Attorney, Chief, Criminal Division;
    André Birotte Jr., United States Attorney, Los Angeles,
    California, for Plaintiff-Appellee.
    **
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    UNITED STATES V. CARTER                        3
    OPINION
    MELLOY, Circuit Judge:
    Defendant Huey Carter timely filed a direct appeal
    following a guilty plea. He asserts he was under the influence
    of prescription drugs at the time he entered his plea. Carter
    asks us to vacate the plea because he contends the district
    court insufficiently inquired as to the effect of those drugs at
    his plea hearing. Without a more searching inquiry, Carter
    argues, the district court failed to fulfill its duty under Federal
    Rule of Criminal Procedure 11(b) to ensure he entered the
    plea knowingly and voluntarily. Because the scope of the
    district court’s inquiry was constitutionally and procedurally
    sufficient, we affirm.
    I
    Huey Carter sold crack cocaine to a confidential
    informant in December 2010. A grand jury returned an
    indictment in April 2011, charging Carter with distributing
    crack cocaine. Carter was arrested and arraigned in February
    2012. He pleaded not guilty, and the court appointed a public
    defender to represent him.
    A few weeks later, Carter asked the court to allow him to
    represent himself. A hearing on self-representation was set
    for March, but the parties stipulated to postponing the hearing
    date to April. At the April hearing, Carter explained he had
    attended school through the twelfth grade, represented
    himself in another case, and researched the law about self-
    representation. He specifically mentioned he wanted to
    4                       UNITED STATES V. CARTER
    “exercise [his] Faretta1 rights.” To ensure that Carter was
    competent to represent himself, the district court asked him
    about an allegation that his hearing had been postponed
    because he had been placed on suicide watch. Carter denied
    the allegation. Carter’s public defender expressed no
    concerns about Carter’s ability to carry out the basic tasks of
    representing himself. The district court granted Carter’s
    request to represent himself. The district court nevertheless
    expressed concern about the suicide-watch issue and asked
    the government to look into it.
    The government filed a report in May explaining Carter
    was insubordinate while in custody.          It was that
    insubordination, not suicide watch, that forced Carter to
    postpone the hearing.
    Carter and the government eventually signed a plea
    agreement in August 2012. In exchange for pleading guilty,
    the government agreed to dismiss an information regarding a
    prior drug conviction, effectively taking a ten-year
    mandatory-minimum sentence off the table. In the plea
    agreement, the government explained the penalties, the
    elements of the offense, and the constitutional rights that
    Carter was waiving. The agreement also included an appeal
    waiver, allowing Carter to appeal based only on the
    voluntariness of the guilty plea.
    The district court held a plea hearing in September 2012.
    The district court asked about Carter’s mental state. Before
    administering the oath, the district court instructed Carter to
    tell the court if there was anything he did not understand.
    The district court asked Carter for his name, whether he
    1
    Faretta v. California, 
    422 U.S. 806
     (1975).
    UNITED STATES V. CARTER                    5
    wanted to withdraw his initial plea, and for his new plea. It
    then administered the oath.
    The district court asked Carter about his age and
    education. He responded, “Forty-two” and “Twelfth Grade,”
    respectively. Carter stated he did not have a high school
    diploma and confirmed he was a United States citizen. The
    following exchange then took place regarding Carter’s mental
    illness and medications:
    THE COURT:         Have you recently been
    treated for any kind of
    mental illness or addiction
    to narcotics, Mr. Carter?
    MR. CARTER:        Yes; mental illness.
    THE COURT:         And are you taking any
    medication for that right
    now?
    MR. CARTER:        Yes, ma’am.
    THE COURT:         Can you tell me what
    kinds of medication you’re
    taking?
    MR. CARTER:        Seroquel and some
    depression pills.
    THE COURT:         Are those affecting you in
    any way so it’s hard for
    you to understand the
    6                UNITED STATES V. CARTER
    things that I’m saying or
    the lawyer is saying?
    MR. CARTER:         No, ma’am.
    THE COURT:          Do you believe that you
    understand the purpose of
    the hearing we’re having
    today?
    MR. CARTER:         Yes, ma’am.
    THE COURT:          What are you going to do
    today, sir?
    MR. CARTER:         Pleading guilty.
    THE COURT:          Okay. The Court finds
    that Mr. Carter
    understands both the
    nature of the proceeding as
    well as the statements
    being made in the
    courtroom, and that he is
    in full possession of his
    faculties.
    There was no objection to the district court’s finding, and
    the district court continued with a normal plea colloquy. The
    district court explained to Carter the rights he was waiving,
    discussed the potential penalties, asked about the plea
    agreement, and provided details about sentencing. Carter
    appropriately responded to questions with either “Yes,
    ma’am” or “No, ma’am.” The government explained the
    UNITED STATES V. CARTER                       7
    elements of the crime and laid out the factual basis for the
    plea. The prosecutor explained that Carter agreed to sell
    drugs to an confidential informant, purchased drugs from a
    supplier, and then sold the informant over 50 grams of crack
    cocaine. The district court finished the colloquy, throughout
    which Carter continued to respond with either “Yes, ma’am”
    or “No, ma’am.” At no point did Carter answer contrary to
    what was expected or indicate there was anything he did not
    understand. When the district court asked him whether he
    was “guilty or not guilty,” Carter responded, “Guilty.” The
    district court accepted the plea.
    The district court sentenced Carter in March 2013. Carter
    neither moved to withdraw his guilty plea nor suggested to
    the court that he entered his plea involuntarily or
    unknowingly.
    In April 2013, however, Carter filed a direct appeal,
    claiming that the district court failed to ensure that he entered
    his plea knowingly and voluntarily.
    II
    Carter contends the district court did not sufficiently
    inquire about the effects of medications on his mental state.
    Carter suggests that the alleged failure amounts to a Rule
    11(b) violation and requires reversal. See Godinez v. Moran,
    
    509 U.S. 389
    , 400 (1993) (explaining that before a district
    court can accept a defendant’s plea, it must ensure that the
    defendant is entering the plea knowingly and voluntarily).
    Although we review de novo whether a defendant entered
    a plea knowingly and voluntarily, United States v. Timbana,
    
    222 F.3d 688
    , 701 (9th Cir. 2000), we apply only plain error
    8                   UNITED STATES V. CARTER
    review when a defendant appeals based on an unobjected-to
    Rule 11 procedural violation, United States v. Dominguez
    Benitez, 
    542 U.S. 74
    , 76 (2004).
    Carter fails to argue, in either his opening or reply brief,
    that he actually entered his plea involuntarily or
    unknowingly. He fails to point to any evidence to
    demonstrate the alleged involuntariness of his plea. Further,
    he does not explain how the medications at issue would have
    impacted his ability to enter a plea knowingly and voluntarily.
    Rather, the fighting issue is simply whether the district court
    erred by failing to undertake a sufficient inquiry “to ensure
    that the constitutional requisites [of voluntariness and
    knowingness] were met.” At its core, the appeal presents a
    Rule 11 procedural question. And because Carter did not
    object, plain error review is appropriate.2
    Under the plain error standard, we grant relief only if we
    find (1) there was error, (2) the error was plain, and (3) the
    error affected substantial rights. United States v. Cotton,
    
    535 U.S. 625
    , 631 (2002). Because we hold that the district
    court’s inquiry here was constitutionally and procedurally
    sufficient, “there was no error, plain or otherwise.” See
    United States v. Covian-Sandoval, 
    462 F.3d 1090
    , 1095 (9th
    Cir. 2006). Accordingly, we need not reach the second and
    third prongs of the plain error analysis.
    Under Federal Rule of Criminal Procedure 11(b), a
    district court has the duty to ensure “the defendant
    2
    This conclusion also finds support in cases cited by Carter. See, e.g.,
    United States v. Yang Chia Tien, 
    720 F.3d 464
    , 469 (2d Cir. 2013)
    (applying plain error review to an unobjected-to Rule 11 claim); United
    States v. Savinon-Acosta, 
    232 F.3d 265
    , 268 (1st Cir. 2000) (same).
    UNITED STATES V. CARTER                      9
    understands” the rights that he is giving up, the nature of the
    charge, the applicable penalty range, and the contours of the
    plea agreement. Rule 11 has two main purposes. First, it
    helps ensure a defendant is pleading guilty voluntarily.
    McCarthy v. United States, 
    394 U.S. 459
    , 465 (1969).
    Second, it helps the district court produce a complete record.
    
    Id.
     Carter alleges the district court erred by failing to ask
    more than just a few questions about his medications. No
    case from this court or Supreme Court is directly on point.
    In a similar situation, however, this court addressed the
    requisite mental-state inquiry when a defendant with a known
    mental issue attempted to plead guilty. Timbana, 
    222 F.3d at
    702–07. On the heels of a competency hearing where the
    district court found the defendant competent to stand trial, the
    defendant sought to enter a guilty plea. 
    Id.
     at 692–93. A plea
    hearing occurred roughly a month and a half after the
    competency hearing, and the district court began by ensuring
    that the defendant remained competent. 
    Id. at 693
    . The
    district court asked the defendant about his education, about
    any potentially mind-altering substances, and whether he
    understood the purpose of the plea hearing. 
    Id.
     The district
    court asked both parties whether they had any additional
    qualms about the defendant’s ability to understand the
    proceedings, and both parties responded that there were no
    new developments since the defendant’s competency hearing.
    
    Id.
    On appeal, the defendant contended that even if he had
    been competent to plead, his plea should nonetheless be
    vacated because the district court failed under Rule 11 to
    ensure that the defendant understood the factual basis for his
    plea. 
    Id. at 704
    . He argued that the district court should have
    asked him “to state in his own words” what he had done,
    10               UNITED STATES V. CARTER
    pointing to several cases from our sister circuits supporting
    the proposition that the Rule 11 colloquy must be “broadened
    under certain circumstances.” 
    Id.
     at 704–05. The Timbana
    majority concluded that the inquiry conducted in this case
    satisfied the inquiry demanded by the cases cited, observing
    that the district court had not “ignore[d] evidence” that the
    defendant lacked understanding and had “conducted a
    searching inquiry.” 
    Id. at 707
    . It thus found no Rule 11
    violation. 
    Id.
    Although Timbana considered the Rule 11 colloquy
    standard, that case did not deal with the precise question at
    issue here: whether a defendant’s statement that he presently
    is or may be under the influence of medication triggers an
    expanded Rule 11 colloquy to ensure that the defendant is
    “knowingly and voluntarily” entering a guilty plea. We, like
    the majority in Timbana, look outside the Circuit for
    guidance. The First, Second, Third, Fourth, Seventh, Eighth,
    and Tenth Circuits have all addressed the issue before us.
    Every circuit that has considered the issue agrees the district
    court has some additional duty to follow up with the
    defendant upon learning the defendant is under the influence
    of some medication or substance.
    But the depth of that inquiry is unclear. Surveying case
    law across the circuits, a few commonalities emerge. District
    courts should ask about the types of drugs and whether the
    medications are affecting the defendant’s mental state. They
    need not (but are nonetheless encouraged to) inquire about
    the exact names or dosages of the medications. And, when
    determining whether defendants are competent, district courts
    are entitled to rely on their own observations of defendants,
    the defendants’ answers throughout the proceeding (not just
    when discussing competency), and the defendants’ medical
    UNITED STATES V. CARTER                    11
    histories (or lack thereof). In general, appellate courts have
    vacated pleas only when the district court failed completely
    to engage in any meaningful follow-up with a defendant.
    The Third Circuit first took up the question in 1987.
    United States v. Cole, 
    813 F.2d 43
    , 46 (3d Cir. 1987). The
    Third Circuit held that when a district court is alerted to the
    possibility that a medication or other drug may cloud a
    defendant’s judgment, the district court must inquire further
    to determine whether the defendant is entering his plea
    voluntarily and knowingly. 
    Id.
     But the case failed to define
    the contours of the inquiry. See 
    id.
     at 46–47. It held only
    that, after learning that the defendant had ingested drugs the
    previous evening, asking, “Do you understand what I have
    said to you?” is insufficient. 
    Id.
     at 45–47. In 2007, the Third
    Circuit revisited the issue in a case where the defendant
    disclosed that he was presently seeing three mental-health
    professionals and he had taken “[t]wo Ativan” the morning of
    the plea hearing. United States v. Lessner, 
    498 F.3d 185
    , 193
    (3d Cir. 2007). The district court asked if the medication
    “affect[ed the defendant’s] ability to understand and
    appreciate what is taking place.” 
    Id.
     The defendant
    explained that he understood what was happening in the
    courtroom. 
    Id.
     He further explained that the medication
    “puts [him] in perspective” and “calms [him] down” so he
    can “deal with the circumstances.” 
    Id.
     The court concluded
    that the district court “sufficiently discharged its duty under
    Rule 11 to inquire into [defendant’s] capacity to enter a
    knowing and voluntary plea and, in fact, found she did just
    that.” 
    Id. at 196
    .
    In 1988, the Second Circuit adopted Cole’s holding.
    United States v. Rossillo, 
    853 F.2d 1062
    , 1066–67 (2d Cir.
    1988). The Second Circuit vacated a guilty plea where the
    12               UNITED STATES V. CARTER
    district court made no inquiry into the defendant’s state of
    mind despite the defendant admitting he was on medication.
    
    Id.
     In 2013, the Second Circuit reaffirmed its holding in
    Rosillo. It vacated a guilty plea after the district court learned
    the defendant was on medication but failed “to ascertain
    whether [the medications] could impact his ability to
    proceed.” United States v. Yang Chia Tien, 
    720 F.3d 464
    ,
    470 (2d Cir. 2013). “[O]nce the district court learned that
    [the defendant] was on a series of medications, there should
    have been further inquiry into the specific medicines and their
    side effects.” 
    Id.
     The Second Circuit explained that, at a
    minimum, the district court must “ask about the effects of
    [the] medications, and [] conduct an inquiry into the
    defendant’s state of mind.” 
    Id. at 471
    .
    In 1991, the First Circuit suggested the best practice
    would be to ask about the types, effects, and dosages of
    medications. See United States v. Parra-Ibanez, 
    936 F.2d 588
    , 596 (1st Cir. 1991). Then, in 1999, the First Circuit
    affirmed a plea where the defendant disclosed he had taken
    Xanax and Ativan and where the district court asked why the
    defendant took the medications, when the defendant last took
    the medications, and whether the medications “in any way
    affected [the defendant’s] capability or ability to understand
    today’s proceedings.” Miranda-Gonzalez v. United States,
    
    181 F.3d 164
    , 166 (1st Cir. 1999). The First Circuit found
    this inquiry as well as the absence of any “warning flags” in
    the defendant’s answers or behavior during the colloquy was
    sufficient to affirm the plea. 
    Id. at 167
    .
    In 2000, the First Circuit reaffirmed what it considered
    the best practice—“to identify which drugs a defendant is
    taking, how recently they have been taken and in what
    quantity, and (so far as possible) the purpose and
    UNITED STATES V. CARTER                      13
    consequences of the drugs in question.” United States v.
    Savinon-Acosta, 
    232 F.3d 265
    , 268 (1st Cir. 2000). It
    clarified, however, that “there is certainly no settled rule that
    a hearing cannot proceed unless precise names and quantities
    of drugs have been identified,” and the district court can rely
    on “practical judgments” to determine the likely or actual
    effects of a particular drug on the voluntariness of the plea.
    
    Id.
     at 268–69. And it also stated that above all, “[t]he critical
    question is whether the drugs—if they have a capacity to
    impair the defendant’s ability to plead—have in fact done so
    on this occasion.” 
    Id. at 268
    . To conclude that the plea is
    voluntary, district courts may rely on the defendant’s own
    assurances, the defendant’s performance during the plea
    hearing, and any prior medical history. 
    Id. at 269
    .
    Since Savinon-Acosta, the First Circuit has distinguished
    Parra-Ibanez from other cases because the district court in
    Parra-Ibanez “failed to follow up with any question
    whatsoever about whether the defendant’s medication
    affected his competence,” and the Circuit has held that the
    district court is not required to seek out the name and dosage
    of every medication. See United States v. Kenney, 
    756 F.3d 36
    , 46–47 (1st Cir. 2014) (finding guilty plea proper when the
    district court received assurances that the defendant could
    understand the proceeding despite the court not asking “the
    name and dosage of each medication”).
    The Fourth Circuit has held that “when an answer raises
    questions about the defendant’s state of mind, the court must
    broaden its inquiry to satisfy itself that the plea is being made
    knowingly and voluntarily.” United States v. Damon,
    
    191 F.3d 561
    , 565 (4th Cir. 1999). In Damon, the Fourth
    Circuit vacated a plea when the district court learned that the
    defendant was under the influence of medication but failed to
    14               UNITED STATES V. CARTER
    determine what, if any, effect the medication had on the
    defendant. 
    Id.
     It remanded the case to allow the district court
    to determine whether the medication’s potential effects could
    have affected the defendant’s plea. 
    Id. at 566
    .
    The Tenth Circuit has not expressly held that a district
    court must ask follow-up questions when a defendant reveals
    that he is under the influence of medication. See United
    States v. Browning, 
    61 F.3d 752
    , 753–54 (10th Cir. 1995). In
    Browning, however, the Court found no Rule 11 violation
    after the district court “inquired as to whether the medication
    had in any way affected [the defendant’s] ability to think or
    comprehend” and the defendant “assured the court [the
    medication] had not [affected his ability to think or
    comprehend],” the district court questioned the defendant’s
    counsel if he had any qualms about the defendant’s mental
    state, the district court clarified the purposes of the
    medication, and the district court noted that the defendant had
    not previously been treated for mental illness. 
    Id. at 754
    .
    This information along with the district court’s “own
    observations” led the district court to find the defendant
    competent. 
    Id.
     The Tenth Circuit also put some onus on the
    defendant to demonstrate the alleged intoxicating effects of
    the medication. It held that, even if the district court “’did
    not probe deep enough,’” the defendant was not entitled to
    reversal because “the complete absence of evidence that his
    ability to enter a knowing and voluntary plea was affected by
    the medications renders any deficiency harmless.” 
    Id.
    The Eighth Circuit applies a somewhat more relaxed
    requirement. In United States v. Dalman, the district court
    asked the defendant if he was under the influence of any
    medication, to which the defendant responded he was taking
    four different types of medications but could not remember
    UNITED STATES V. CARTER                    15
    the specific names of the drugs. 
    994 F.2d 537
    , 538 (8th Cir.
    1993). When asked whether he could understand what was
    going on “right now,” the defendant responded, “Yes.” 
    Id.
    At no time during the change of plea hearing did the
    defendant demonstrate that he might have been confused or
    that his mental condition was otherwise affected. 
    Id.
     The
    Eighth Circuit found this inquiry, along with the defendant’s
    “performance during the plea hearing,” was sufficient to
    uphold the plea. 
    Id.
     at 538–39. The Court noted that Dalman
    “simply . . . made no showing that the medications so affected
    him at the time of his plea hearing as to make him incapable
    of knowingly and intelligently entering his plea of guilty” and
    that his plea performance was inconsistent with his “after-the-
    fact claim that he did not understand the proceedings.” 
    Id. at 539
    .
    The Seventh Circuit specifically rejected the necessity to
    inquire “how much of each drug” the defendant ingested and
    “what effects the medications . . . might have [had] on [the
    defendant’s] clear-headedness.” United States v. Hardimon,
    
    700 F.3d 940
    , 942 (7th Cir. 2012) (internal quotation marks
    omitted). It explained that a district court’s questions
    regarding whether the defendant could think clearly during
    the plea hearing were sufficient. 
    Id.
     The Court recognized
    that mere coherence may not be conclusive, but it also
    recognized that “[a] combination of deeply confused or
    clouded thinking with coherent speech and a normal
    demeanor is rare.” Id. at 943. It cautioned district courts not
    to assume simply because a defendant is taking a medication
    that he cannot “think straight.” Id. at 944. It also placed the
    onus on the defendant to show a debilitating effect from the
    medication; if a defendant wants to withdraw his plea, “the
    defendant needs to present the affidavit of a qualified
    psychiatrist” in the absence of clear incoherence. Id.
    16               UNITED STATES V. CARTER
    These cases all suggest the same conclusion—if a district
    court learns that a defendant is under the influence of some
    medication, it has a duty to determine, at a minimum, what
    type of drug the defendant has taken and whether the drug is
    affecting the defendant’s mental state. When determining
    whether there is any effect on defendants, district courts may
    rely on defendants’ answers to their inquiries as well as their
    observations of defendants during the hearing. See Miranda-
    Gonzalez, 
    181 F.3d at 167
    ; Savinon-Acosta, 
    232 F.3d at 269
    ;
    Browning, 
    61 F.3d at
    753–54; Dalman, 
    994 F.2d at 539
    .
    District courts may also consider a defendant’s medical
    history, including the defendant’s history of mental illness.
    See Savinon-Acosta, 
    232 F.3d at 269
    ; Browning, 
    61 F.3d at
    753–54; Parra-Ibanez, 
    936 F.2d at
    596 n.16. And while it
    may be helpful to look at the dosage and specific names of
    medications, this is not required. See Kenney, 756 F.3d at
    46–47; Savinon-Acosta, 
    232 F.3d at 269
    .
    Indeed, the complete failure to undertake any additional
    inquiry into the mental state of the defendant, after the
    defendant has alerted the court of medication, will not satisfy
    Rule 11’s demands. See Cole, 
    813 F.2d at
    46–47 (reversing
    when, after learning the defendant had taken drugs the
    previous evening, the district court asked only, “Do you
    understand what I have said to you?” and did not ask about
    the effect of the drugs); Rosillo, 
    853 F.2d at 1066
     (reversing
    where there was no on-the-record determination whether the
    defendant’s ability to understand the proceeding was affected
    by the influence of any medication); Parra-Ibanez, 
    936 F.2d at
    595–96 (reversing where the defendant revealed he took
    three medications and the district court posed no questions as
    to whether those medications affected the defendant’s
    comprehension); Damon, 
    191 F.3d at 565
     (remanding for
    harmless-error analysis where district court failed to ask
    UNITED STATES V. CARTER                       17
    about any potential effect of medication after it was “put on
    direct notice that [defendant] could be under the influence of
    a drug while entering his plea”).
    These cases are persuasive and lead us to find that the
    district court in the present case did not err. Here, the district
    court asked Carter mental-state-related questions after Carter
    revealed he was under the influence of medication. It asked
    Carter the type of medication. Carter responded, “Seroquel
    and some depression pills.” It asked if those drugs were
    “affecting [Carter] in any way so it’s hard for [him] to
    understand the things that [the court] or the lawyer is saying,”
    and Carter responded, “No, ma’am.” The district court
    continued its inquiry, asking whether Carter “underst[ood] the
    purpose of the hearing.” Carter responded affirmatively. To
    ensure that Carter understood, the district court then asked
    Carter to tell it what was the purpose of the hearing. Carter
    responded, “Pleading guilty.”
    It was only after this inquiry that the district court
    declared Carter competent to proceed with the guilty plea.
    Carter’s performance during the rest of the plea hearing also
    supports the conclusion of competency. Carter responded
    appropriately to the questions posed by the district court.
    Although Carter’s responses generally consisted simply of
    “Yes, ma’am” or “No, ma’am,” Carter’s answers were
    responsive to the questions asked and were consistent with
    affirming understanding or indicating he had no questions for
    the court. To the extent Carter now argues that the alleged
    suicide watch should have forced the district court to
    undertake a more thorough inquiry, the record belies the
    argument. Carter disavowed any threat of suicide, and the
    government submitted evidence showing that the reason for
    18                  UNITED STATES V. CARTER
    postponing the hearing date was Carter’s insubordination, not
    an alleged placement on suicide watch.
    Accordingly, we conclude that the district court’s inquiry
    was sufficient to ensure that Carter entered his plea
    knowingly and voluntarily, and it therefore did not commit a
    constitutional or procedural error.       In reaching this
    conclusion, we join the majority of circuits that have
    considered this issue.3
    AFFIRMED.
    3
    Indeed, the closest Carter comes to pointing to contrary authority is in
    suggesting that the district court’s inquiry would fail under the First
    Circuit’s best practices—that a district court should determine the name
    and dosage of any medications. See Savinon-Acosta, 
    232 F.3d at 268
    . But
    as the First Circuit has subsequently held, this is not required. Kenney,
    756 F.3d at 46–47.