Commonwealth v. Bohigian ( 2020 )


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    SJC-12858
    COMMONWEALTH    vs.   CHARLES F. BOHIGIAN.
    Worcester.        February 10, 2020. - November 13, 2020.
    Present:   Gants, C.J., Gaziano, Lowy, Budd, Cypher,
    & Kafker, JJ.1
    Motor Vehicle, Operating under the influence. Constitutional
    Law, Blood test. Due Process of Law, Blood alcohol test.
    Evidence, Blood alcohol test, Voluntariness of statement.
    Consent.
    Complaint received and sworn to in the Westborough Division
    of the District Court Department on March 24, 2014.
    Following transfer to the Worcester Division of the
    District Court Department, the case was tried before Andrew M.
    D'Angelo, J.
    The Supreme Judicial Court granted an application for
    direct appellate review.
    Erin R. Opperman for the defendant.
    Donna-Marie Haran, Assistant District Attorney, for the
    Commonwealth.
    Jin-Ho King, for Committee for Public Counsel Services &
    another, amici curiae, submitted a brief.
    1 Chief Justice Gants participated in the deliberation on
    this case prior to his death.
    2
    BUDD, J.   The defendant, Charles Bohigian, was convicted of
    operating a motor vehicle while under the influence of alcohol
    (OUI), pursuant to G. L. c. 90, § 24 (1) (a) (1); operating a
    motor vehicle negligently so as to endanger, pursuant to G. L.
    c. 90, § 24 (2) (a); and OUI causing serious bodily injury,
    pursuant to G. L. c. 90, § 24L (2), in connection with an
    automobile accident.2   The defendant also was convicted of
    misleading an investigator pursuant to G. L. c. 268, § 13B, for
    statements he made at the scene.     He appealed from his
    convictions, and we subsequently granted his application for
    direct appellate review.   He argues that the evidence of his
    blood alcohol level was admitted improperly, as were the
    statements that formed the basis of the charge of misleading an
    investigator.
    We agree and conclude that the errors require that the
    defendant's convictions be vacated and the matter remanded to
    the District Court for a retrial.3
    Background.   We summarize the relevant facts from the
    record.   At around midnight on March 23, 2014, Katrina McCarty
    2 Count one, operating a motor vehicle while under the
    influence of alcohol (OUI), merged with count three, OUI causing
    serious bodily injury.
    3 We acknowledge the amicus brief submitted jointly by the
    Committee for Public Counsel Services and the Massachusetts
    Association of Criminal Defense Lawyers.
    3
    lost control of her sport utility vehicle (SUV) as she traveled
    on a highway on-ramp, crashing into the guardrail of the ramp
    such that her SUV came to rest perpendicular to the roadway,
    blocking approximately two-thirds of it.   Soon thereafter, the
    defendant crashed into the stationary SUV, rotating it and
    causing it to hit McCarty, who had been standing on the side of
    the road next to her vehicle.   McCarty sustained serious
    injuries after being thrown into the path of the defendant's
    vehicle, and then being dragged underneath the vehicle for over
    200 feet as the defendant continued driving.
    When State police troopers arrived at the scene, they noted
    that the defendant had an injury to his forehead and was
    unsteady on his feet.    In addition, his eyes appeared glassy and
    bloodshot, his speech was slurred, and he had a heavy smell of
    alcohol on his breath.   The defendant told the troopers that
    "another vehicle had come out of nowhere and run that lady
    over," and that the operator of that other vehicle told him to
    "keep his mouth shut."
    At the hospital, the treating nurse observed that the
    defendant exhibited symptoms of a concussion.   After the
    defendant refused to consent to a blood draw, one of the
    troopers who had responded to the scene applied for, and
    procured, a search warrant to obtain a blood sample from the
    4
    defendant as part of the trooper's investigation into whether
    the defendant was driving while under the influence of alcohol.
    Upon being presented with the signed warrant, the defendant
    repeated his objection to the blood draw.    Subsequently, the
    defendant's arms and legs were restrained by troopers as the
    nurse drew two vials of his blood at the direction of one of the
    troopers.    The blood was analyzed, and it was determined that
    the alcohol content was .135 percent at the time the blood was
    drawn.   A chemist determined that the defendant's blood alcohol
    level would have been between .16 and .26 at the time of the
    accident.4
    Discussion.   1.   Blood alcohol content evidence.   a.
    Statutory framework.    It is constitutional to draw a person's
    blood without consent as long as the law enforcement officer has
    procured a warrant or exigent circumstances make a warrant
    impracticable.    See Missouri v. McNeely, 
    569 U.S. 141
    , 148
    (2013), citing Schmerber v. California, 
    384 U.S. 757
    , 770
    (1966); Commonwealth v. Angivoni, 
    383 Mass. 30
    , 32 (1981).
    However, the Legislature has created a statutory scheme
    specifically to address the testing of blood alcohol content
    4 A blood alcohol content (BAC) of .08 percent or above is
    over the legal limit. See G. L. c. 90, § 24 (1) (a) (1); G. L.
    c. 90, § 24L (1).
    5
    (BAC) in connection with prosecutions for OUI, including the
    drawing of blood.
    General Laws c. 90, § 24 (1) (e), works in tandem with
    G. L. c. 90, § 24 (1) (f) (1).    Section 24 (1) (e) requires that
    where a test of a defendant's breath or blood to determine
    alcohol content is made by or at the direction of a police
    officer, it must be done with the defendant's consent in order
    for the results to be admissible in a prosecution for OUI under
    G. L. c. 90, § 24 (1) (a).5    Section 24 (1) (f) (1), known as the
    "implied consent" statute, provides that, by driving on public
    roads, all drivers give consent to submit to a BAC test if
    arrested for OUI.    However, the paragraph goes on to state th at
    "[i]f the person arrested refuses to submit to such test or
    analysis . . . no such test or analysis shall be made ."6   G. L.
    5   General Laws c. 90, § 24 (1) (e), states in pertinent
    part:
    "In any prosecution for a violation of paragraph ( a),
    evidence of the percentage, by weight, of alcohol in the
    defendant's blood at the time of the alleged offense . . .
    shall be admissible and deemed relevant to the
    determination of the question of whether such defendant was
    at such time under the influence of intoxicating liquor;
    provided, however, that if such test or analysis was made
    by or at the direction of a police officer, it was made
    with the consent of the defendant . . . ."
    6   General Laws c. 90, § 24 (1) (f) (1), states in pertinent
    part:
    6
    c. 90, § 24 (1) (f) (1).   That is, the implied consent that
    attaches when a driver uses public roadways may be withdrawn,
    and without actual consent no test is to be done.    If the driver
    refuses the test, he or she is subject to losing his or her
    license for at least 180 days.7   Id.   Together the two
    subsections provide that, if an arrestee consents to a BAC test,
    the results are presumptively admissible at trial for a charge
    "Whoever operates a motor vehicle upon any way or in any
    place to which the public has right to access, or upon any
    way or in any place to which the public has access as
    invitees or licensees, shall be deemed to have consented to
    submit to a chemical test or analysis of his breath or
    blood in the event that he is arrested for operating a
    motor vehicle while under the influence of intoxicating
    liquor; provided, however, that no such person shall be
    deemed to have consented to a blood test unless such person
    has been brought for treatment to a medical facility
    licensed under the provisions of [G. L. c. 111, § 51]; and
    provided, further, that no person who is afflicted with
    hemophilia, diabetes or any other condition requiring the
    use of anticoagulants shall be deemed to have consented to
    a withdrawal of blood. Such test shall be administered at
    the direction of a police officer, as defined in [G. L.
    c. 90C, § 1], having reasonable grounds to believe that the
    person arrested has been operating a motor vehicle upon
    such way or place while under the influence of intoxicating
    liquor. If the person arrested refuses to submit to such
    test or analysis, after having been informed that his
    license or permit to operate motor vehicles or right to
    operate motor vehicles in the commonwealth shall be
    suspended for a period of at least 180 days and up to a
    lifetime loss, for such refusal, no such test or analysis
    shall be made and he shall have his license or right to
    operate suspended in accordance with this paragraph for a
    period of 180 days . . . ."
    7 Longer periods of revocation may apply depending upon the
    arrestee's driving record. See G. L. c. 90, § 24 (1) (f) (1).
    7
    of OUI under § 24 (1) (a).     If the arrestee does not consent,
    however, no test is performed, and the arrestee's license is
    suspended for at least six months.
    The defendant claims that because he was not afforded these
    statutory protections, the blood draw was unlawful and the BAC
    test results were inadmissible at trial.    The Commonwealth
    argues that the blood test results properly were admitted
    because obtaining a warrant for the blood is an alternative to
    obtaining consent and, thus, neither § 24 (1) (e) nor
    § 24 (1) (f) (1) applies.     We agree with the defendant.
    The Commonwealth's suggested interpretation, endorsed by
    the dissent, ignores the plain statutory language that creates a
    blanket prohibition against blood draws without consent in the
    context of OUI prosecutions.     See Commonwealth v. Dalton, 
    467 Mass. 555
    , 557 (2014), quoting Commonwealth v. Boe, 
    456 Mass. 337
    , 347 (2010) ("[t]he meaning of a statute must, in the first
    instance, be sought in language in which the act is framed, and
    if that is plain, . . . the sole function of the courts is to
    enforce it according to its terms").     Both subsections require
    consent for OUI blood draws, and neither makes an exception for,
    or even mentions, warrants.
    8
    Pointing to two particular phrases in the provisions, the
    dissent asserts that we have misread the statutory language. 8
    First, § 24 (1) (e) allows for the admission of BAC evidence in
    an OUI prosecution unless the test was performed without the
    consent of the defendant "at the direction of a police officer."
    The dissent concludes, as did the motion judge, that the BAC
    evidence was admissible because the defendant's blood was drawn
    pursuant to a warrant issued by a judge rather than "at the
    direction of a police officer."   Contrary to the view of the
    dissent, we believe that the limited protection provided by
    § 24 (1) (e) was available to the defendant; however, in his
    case, it made no difference.   Section 24 (1) (e) applies only to
    prosecutions under § 24 (1) (a), which prohibits simple OUI.
    Had the defendant only been charged under § 24 (1) (a), he would
    have been able to argue that the BAC evidence was inadmissible
    because his blood was taken without his consent "at the
    8 We note that although the dissent contends that our
    interpretation of § 24 (1) (e) and (1) (f) (1) is inconsistent
    with the plain language of the provisions, it is the dissent
    that seeks to read into the consent requirements of those
    provisions an exception for search warrants. See Commonwealth
    v. Palmer, 
    464 Mass. 773
    , 778 (2013), quoting Commonwealth v.
    Callahan, 
    440 Mass. 436
    , 443 (2003) ("In interpreting a statute,
    '[w]e will not add words to a statute that the Legislature did
    not put there, either by inadvertent omission or by design'").
    9
    direction of a police officer."9   G. L. c. 90, § 24 (1) (e).
    However, as the defendant additionally was charged with a
    violation of § 24L (OUI causing serious bodily injury),
    § 24 (1) (e) had no bearing at all on the admissibility of the
    BAC evidence with regard to this more serious charge. 10
    It is instead § 24 (1) (f) (1) that is operative here.11
    Quite apart from § 24 (1) (e), § 24 (1) (f) (1) flatly and
    9 The Appeals Court long ago interpreted § 24 (1) (e) to
    apply not only to police officers but to State actors generally:
    "We read the statutory exclusion of evidence in G. L. c. 90,
    § 24 (1) (e), to be limited to a defendant's refusal to take
    tests to determine the alcohol level of his blood when requested
    by the police or other State actors -- in essence incorporating
    the State action requirement and protections of art. 12 of the
    Massachusetts Declaration of Rights" (emphasis added).
    Commonwealth v. Arruda, 
    73 Mass. App. Ct. 901
    , 903 (2008). This
    makes sense, as the statutory and regulatory scheme
    distinguishes between blood tests performed for medical purposes
    and those conducted for investigatory purposes. 
    Id.
     Here,
    there is no question that a judge or clerk-magistrate is a State
    actor and that the warrant was issued for investigatory
    purposes.
    Even if we were to adopt the dissent's interpretation of
    the statutory language, in applying it to the uncontested facts
    of this case, the blood draw indeed was performed "at the
    direction of a police officer." The investigating officer made
    the decision to request, obtain, and execute the warrant. It
    seems somewhat disingenuous to maintain that the blood draw was
    performed "at the direction of" the judge who signed the warrant
    rather than the police officer who sought the warrant and
    instructed that hospital personnel perform the draw.
    10The same can be said for any defendant facing an OUI -
    related prosecution that is more serious than simple OUI.
    11Like § 24 (1) (e), § 24 (1) (f) (1) also contains the
    phrase "at the direction of a police officer"; however, the
    10
    unambiguously prohibits blood draws without consent for the
    purposes of analyzing BAC, regardless of who directs it. 12   See
    G. L. c. 90, § 24 (1) (f) (1).
    The Appeals Court has analyzed the consent requirements of
    these subsections on multiple occasions and, as recently as last
    year, reiterated that "in this Commonwealth, a requirement of
    consent is imposed by statute even when, because there is
    probable cause and exigent circumstances, one is not imposed by
    the Federal Constitution."    Commonwealth v. Dennis, 
    96 Mass. App. Ct. 528
    , 532 (2019).    Decades prior to Dennis's
    phrase is used in a different context. In § 24 (1) (e), the
    phrase describes the conditions under which BAC evidence is
    admissible for OUI prosecutions under § 24 (1) (a). In
    contrast, in § 24 (1) (f) (1), the phrase explains how the blood
    or breath test is to be performed, i.e., "[s]uch test shall be
    administered at the direction of a police officer, as defined in
    [G. L. c. 90C, § 1], having reasonable grounds to believe that
    the person arrested has been operating a motor vehicle upo n such
    way or place while under the influence of intoxicating liquor ."
    G. L. c. 90, § 24 (1) (f) (1). In this case, because the
    defendant did not consent, no test should have been performed
    based on the plain language of the subsection. See id. ("If the
    person arrested refuses to submit to such test or analysis . . .
    no such test or analysis shall be made . . .").
    12The dissent contends that the reference to "such test"
    within the phrase "no such test or analysis shall be made"
    narrowly refers to those tests made at the direction of an
    officer. We disagree. Instead, because the phrase "such test"
    is used earlier in the provision to refer to the type of test as
    initially described in the subsection, i.e., a "chemical test or
    analysis of his breath or blood," we interpret the second
    reference to "such test" similarly to refer back to the first
    mention of the test. See G. L. c. 90, § 24 (1) (f) (1).
    11
    publication, the Appeals Court concluded, correctly in our view,
    that although an individual in the defendant's position has no
    constitutional right to refuse a BAC or breathalyzer test,
    "[t]he right of refusal he does have stems from
    [§ 24 (1) (f) (1)], which requires that a test not be conducted
    without his consent" (emphasis added).13    Commonwealth v.
    Davidson, 
    27 Mass. App. Ct. 846
    , 848 (1989).    Thus, the Appeals
    Court has made clear that, although it may be constitutional to
    obtain a blood sample from an unwilling participant with a
    warrant and probable cause, here in the Commonwealth an
    involuntary blood draw is statutorily prohibited if it is sought
    for the purposes of an OUI investigation.    This court similarly
    has adopted this view.   See Opinion of the Justices, 
    412 Mass. 1201
    , 1208 n.6 (1992), citing Davidson, supra at 849 (actual
    13Notably, § 24 (1) (f) (1), requiring actual consent for
    blood draws for the purposes of determining BAC, was passed one
    year after the United States Supreme Court decided Schmerber v.
    California, 
    384 U.S. 757
    , 770-771 (1966), which established that
    blood draws performed without consent are constitutionally
    permissible with either a search warrant or an exigency
    exception. As of 2013, Massachusetts was one of eighteen States
    that require consent for OUI-related blood draws. See Missouri
    v. McNeely, 
    569 U.S. 141
    , 161-162 & nn.9 & 10 (2013) (collecting
    statutes). In McNeely, the Supreme Court noted that "widespread
    state restrictions on nonconsensual blood testing provide
    further support for [the Court's] recognition that compelled
    blood draws implicate a significant privacy interest." 
    Id. at 162-163
    .
    12
    consent requirement in § 24 [1] [e] and [1] [f] [1] "reflects a
    legislative intent to avoid forced testing"). 14
    Following the Appeals Court's holding in Davidson, the
    Legislature amended § 24 (1) (e) and (1) (f) (1) on seven
    separate occasions, in 1994, 1995, 1996, 2002, 2003, 2005, and
    2012.     Each time, the language requiring consent -- i.e.,
    "provided . . . that if such test was made by or at the
    direction of a police officer, it was made with the consent of
    the defendant" in § 24 (1) (e), and "[i]f the person arrested
    refuses to submit to such test or analysis . . . no such test or
    analysis shall be made" in § 24 (1) (f) (1) -- remained
    unchanged.    This is a strong indication that the Legislature
    approved of the court's statutory construction of these
    provisions.15    See Commonwealth v. Colturi, 
    448 Mass. 809
    , 812
    14 The dissent acknowledges the Appeals Court holdings of
    both Dennis and Davidson, referenced supra, but then states:
    "Neither Dennis nor any other appellate precedent expressly
    holds that the implied consent statute prohibits a neutral and
    detached magistrate from issuing a search warrant to obtain
    evidence of a defendant's blood alcohol test." Post at note 5.
    This statement is nearly impossible to square with the
    conclusion reached by the Appeals Court, which we endorsed in
    1992. See Opinion of the Justices, 
    412 Mass. 1201
    , 1208 n.6
    (1992).
    15We do not share the dissent's view that the Legislature's
    decision to amend the subsections without altering the language
    at issue after Davidson was decided is "of no interpretive
    significance." Post at     .
    13
    (2007) (because we presume Legislature is aware of our prior
    decisions, "reenact[ment of] statutory language without material
    change" implies adoption of prior construction).
    It is well within the Legislature's authority to provide
    additional privacy protections over and above those granted by
    the Federal Constitution and the Massachusetts Declaration of
    Rights.16    See Virginia v. Moore, 
    553 U.S. 164
    , 171 (2008)
    ("States [may] choos[e] to protect privacy beyond the level that
    the Fourth Amendment [to the United States Constitution]
    requires"); Diatchenko v. District Attorney for the Suffolk
    Dist., 
    466 Mass. 655
    , 668 (2013), S.C., 
    471 Mass. 12
     (2015).
    There are valid reasons for doing so, including avoiding the
    confrontation that occurred during the blood draw conducted in
    this case.    See Birchfield v. North Dakota, 
    136 S. Ct. 2160
    ,
    2167 (2016), quoting South Dakota v. Neville, 
    459 U.S. 553
    , 559
    (1983) ("Although it is possible for a subject to be forcibly
    immobilized so that a sample may be drawn, many States prohibit
    drawing blood from a driver who resists since this practice
    helps 'to avoid violent confrontations'").    See also Rochin v.
    16We are mindful of the concern expressed by the dissent
    that our interpretation of these subsections may frustrate the
    over-all purpose of the statute to keep the roadways safe.
    However, our conclusion is based on the plain language of the
    statute, and as discussed infra, there are valid reasons for
    seeking to strike a balance between public safety and the right
    of a defendant not to be subjected to invasive procedures
    without his or her consent.
    14
    California, 
    342 U.S. 165
    , 166, 172 (1952) (due process violation
    where officers forced tube containing solution into defendant's
    stomach against his will, causing him to vomit; "the struggle to
    open his mouth and remove what was there, the forcible
    extraction of his stomach's contents -- this course of
    proceeding by agents of government to obtain evidence is bound
    to offend even hardened sensibilities").
    Requiring actual consent for blood draws is also a safety
    measure.   According to the National Center for Biotechnology
    Information, blood draws involve a variety of risks to the
    patient, including "pain or bruising at the site of puncture,
    . . . fainting, nerve damage and haematoma."   U.V. Reid, World
    Health Organization, WHO Best Practices for Injections and
    Related Procedures Toolkit § 3.1 (Mar. 2010), https://www.ncbi
    .nlm.nih.gov/books/NBK138496 [https://perma.cc/CR5N-YQWM].
    Risks to health care workers and those, like the police officers
    here who must restrain a patient during the procedure, include
    exposure to bloodborne pathogens, such as hepatitis B virus,
    hepatitis C virus, human immunodeficiency virus, syphilis, and
    malaria.   Id.   Health care workers and others participating in
    the procedure also must worry about "sharps injuries" caused
    during the use and disposal of the needle.   Id.   These risks are
    only amplified where the patient does not consent to the blood
    draw.   Notably, § 24 (1) (f) (1) specifically states that "no
    15
    person who is afflicted with hemophilia, diabetes or any other
    condition requiring the use of anticoagulants shall be deemed to
    have consented to a withdrawal of blood," no doubt in an effort
    to ensure that the health of such persons in not endangered by a
    blood draw.
    Finally, Massachusetts is not alone in having crafted such
    a statutory scheme.    In McNeely, the Supreme Court noted that "a
    majority of States either place significant restrictions on when
    police officers may obtain a blood sample despite a suspect's
    refusal . . . or prohibit nonconsensual blood tests altogether."
    McNeely, 
    569 U.S. at
    161 & n.9.    Courts in States with statutes
    nearly identical to ours similarly have interpreted them to bar
    blood draws absent consent, regardless of whether police have
    obtained a warrant.
    For example, the Rhode Island Supreme Court interpreted the
    following language in the State's implied consent statute:
    "[i]f a person having been placed under arrest refuses upon the
    request of a law enforcement officer to submit to the tests,
    . . . none shall be given" (emphasis in original).    State v.
    DiStefano, 
    764 A.2d 1156
    , 1161 (R.I. 2000), quoting R.I. Gen.
    Laws § 31–27–2.1(b).    The court "conclude[d] that the language
    'none shall be given' is plain and unambiguous . . . , and that,
    upon such a refusal, a test shall not be given, with or without
    a warrant."   DiStefano, 
    supra at 1163
    .
    16
    The Alaska Supreme Court addressed this issue in Pena v.
    State, 
    684 P.2d 864
    , 866 (Alaska 1984).   The Alaska statute at
    the time provided:    "If a person under arrest refuses the
    request of a law enforcement officer to submit to a chemical
    test of his breath . . . a chemical test shall not be given."
    
    Id.,
     quoting 
    Alaska Stat. § 28.35.032
    .    The court stated:   "The
    statute clearly provides that after a driver refuses to submit
    to a chemical sobriety test the driver shall be penalized by
    [license suspension] but that no test shall be given."     Pena,
    supra at 867.    Therefore, the court held that the statute
    "preclude[s] chemical sobriety tests performed pursuant to
    search warrants."    Id.
    And the Georgia Supreme Court interpreted a statute that
    provided that "[i]f a person under arrest . . . refuses, upon
    the request of a law enforcement officer, to submit to a
    chemical test . . . , no test shall be given" (emphasis in
    original).    State v. Collier, 
    279 Ga. 316
    , 317 (2005), quoting
    
    Ga. Code Ann. § 40-5-67.1
    (d).   The court held that the statute
    "clearly prohibits the giving of any chemical test once the
    suspect refuses to submit to the requested one.   It makes no
    provision for the police to then attempt to obtain a search
    warrant."    Collier, 
    supra at 318
    .
    Thus, just as in DiStefano, Pena, and Collier, the plain
    language of our statutory scheme makes clear that testing shall
    17
    not be done absent consent, and that any nonconsensual testing
    done at the direction of the police is inadmissible. 17
    b.    Application.   Here, it is clear that the blood draw was
    performed without the defendant's actual consent (and, in fact,
    against his will).   The defendant repeatedly objected to the
    blood draw, and in the end, several officers pinned him down and
    handcuffed him, while a nurse extracted his blood.    The blood
    draw thus was impermissible under § 24 (1) (f) (1), and
    consequently, the BAC test results were admitted improperly at
    trial.18   See Commonwealth v. Tyree, 
    455 Mass. 676
    , 700 (2010).
    17We note that the Legislatures in Rhode Island and Georgia
    subsequently amended their statutes to permit nonconsensual
    blood draws pursuant to a search warrant. See R.I. Gen. Laws
    § 31–27–2.9(a), inserted by R.I. St. 2009, c. 09-210, § 2;
    McAllister v. State, 
    325 Ga. App. 583
    , 585 (2014), citing 
    Ga. Code Ann. § 40-5-67.1
    (d.1). Alaska enacted a new statute
    allowing for chemical testing absent consent if a defendant were
    arrested for OUI after an accident resulting in death or
    physical injury to another. See Pena v. State, 
    684 P.2d 864
    ,
    867 (Alaska 1984), citing 
    Alaska Stat. § 28.35.035
    .
    The dissent argues that the statutory amendments that were
    enacted following these State courts' interpretations of their
    respective implied consent statutes are proof that those courts
    incorrectly interpreted the statutes in the first place. We
    take the opposite view. Those courts based the interpretation
    of their respective statutes on the plain statutory language.
    The State Legislatures that subsequently amended the statutes
    did so because they were not satisfied with the consequences
    resulting from the enforcement of the statutes they enacted.
    18As discussed supra, § 24 (1) (e) applies only to
    prosecutions under § 24 (1) (a), i.e., OUI. Because the
    defendant additionally was charged under § 24L (OUI causing
    serious bodily injury), the defendant did not benefit from the
    limited protection of § 24 (1) (e).
    18
    As the defendant raised this issue by way of a motion in
    limine, we review for prejudicial error.    Commonwealth v. Grady,
    
    474 Mass. 715
    , 718-719 (2016).    That is, "we must now determine
    whether the erroneous admission of that evidence was 'harmless
    beyond a reasonable doubt.'"     Tyree, 455 Mass. at 701-702,
    quoting Chapman v. California, 
    386 U.S. 18
    , 24 (1967).     The
    Commonwealth highlighted the blood draw and results during the
    trial and, in closing arguments, relied exclusively on the blood
    draw to prove that the defendant was under the influence .      The
    BAC results introduced by the Commonwealth provided the
    strongest proof that the defendant was intoxicated at the time
    of the accident.   Proof of intoxication was central to proving
    the defendant's guilt of both OUI causing serious bodily injury
    (§ 24L) and negligent operation (§ 24 [2] [a]).    See
    Commonwealth v. Zagwyn, 
    482 Mass. 1020
    , 1022 (2019) ("evidence
    of an operator's intoxication is relevant to a charge of
    negligent operation").   We therefore cannot say that the tainted
    evidence was harmless beyond a reasonable doubt.19
    19In the alternative, the defendant argues that prior to
    his blood being drawn without consent, he was entitled to a
    hearing before a judge pursuant to Matter of Lavigne, 
    418 Mass. 831
    , 835-836 (1994). In that case, the Commonwealth sought a
    sample of the defendant's blood to compare it to blood found at
    a crime scene. 
    Id. at 833
    . Because consent is required for
    blood draws in connection with OUI investigations by statute, a
    Lavigne hearing would not be necessary in such cases. Instead,
    as discussed supra, no blood draw shall take place.
    19
    2.   Voluntariness of statements.    The defendant was
    convicted of misleading an investigator pursuant to G. L.
    c. 268, § 13B, based on the statements he made to the responding
    officers at the accident scene suggesting that the driver who
    caused the accident had fled the scene.    He argues that the
    conviction should be vacated because, given the head injury he
    sustained in the accident, an inquiry into the voluntariness of
    his statements should have been made even without a request from
    trial counsel.   We review the claim for a substantial risk of a
    miscarriage of justice.   Commonwealth v. Randolph, 
    438 Mass. 290
    , 294-295 (2002).
    In order to use a defendant's statements against him or her
    at trial, they must have been made voluntarily.     See
    Commonwealth v. Brown, 
    449 Mass. 747
    , 765 (2007), citing
    Commonwealth v. Sheriff, 
    425 Mass. 186
    , 192 (1997).       "If the
    defendant does not raise the issue of voluntariness, the judge
    has a sua sponte obligation to conduct a voir dire only if the
    voluntariness of the statements is a live issue such that there
    is evidence of a substantial claim of involuntariness"
    (quotation and citation omitted).   Brown, supra.    See
    Commonwealth v. Gallett, 
    481 Mass. 662
    , 686 (2019), quoting
    Commonwealth v. Kirwan, 
    448 Mass. 304
    , 318 (2007) (for question
    of voluntariness to be considered live issue, "substantial
    evidence of involuntariness [must be] produced").     Further, a
    20
    judge must provide a humane practice instruction to the jury,
    i.e., that they must find that the defendant's statements wer e
    voluntary beyond a reasonable doubt before considering them.
    Commonwealth v. Rosario, 
    477 Mass. 69
    , 72 n.7 (2017).
    Given the relationship between the defendant's head
    injuries and his mental condition, the voluntariness of his
    statements was a live issue at trial.   Trial counsel discussed
    the head injuries that the defendant sustained in both the
    opening statement and closing argument, noting in the closing
    that the defendant "wasn't fine" when he responded to officers'
    questions at the accident scene.   Trial counsel questioned the
    responding officers as well as the treating nurse about the
    defendant's head wounds.   The nurse testified that the
    defendant, who had glass imbedded in his head from the accident,
    showed signs of having sustained a concussive head trauma,
    including repeating himself "quite often" and being lethargic.
    The judge erred by failing to make an independent
    determination regarding voluntariness and by failing to give a
    humane practice instruction to the jury.   Because the statements
    the defendant made were offered by the Commonwealth and formed
    the basis for the charge of misleading an investigator, th e
    error created a substantial risk of a miscarriage of justice.
    We therefore vacate the defendant's conviction under G. L.
    c. 268, § 13B.
    21
    Conclusion.   In conclusion, we vacate the defendant's
    convictions of OUI causing serious bodily injury and misleading
    an investigator and remand the case to the trial court for
    proceedings consistent with this ruling.
    So ordered.
    LOWY, J. (dissenting, with whom Kafker, J., joins).      The
    court observes that "[t]he [blood test] results introduced by
    the Commonwealth provided the strongest proof that the defendant
    was intoxicated at the time of the accident."    Ante at      .     I
    agree.   Indeed, this was the Legislature's precise intent when
    it reframed the preexisting statutory scheme for controlling
    substance-impaired driving in objective terms of blood alcohol
    content.   See St. 1961, c. 340, and discussion infra.     Chemical
    analysis of blood alcohol content, although hardly foolproof, is
    not subject to testimonial infirmities such as failure of
    memory, misperception, ambiguity in communicating observations
    to the trier of fact, and lack of sincerity.    By placing n ew
    emphasis on collecting blood alcohol content evidence from
    suspected offenders, the Legislature both reduced exclusive
    reliance on witness perception and testimony to determine the
    extent of a defendant's intoxication and afforded protection to
    suspects whose symptoms of impairment were not a result of
    alcohol consumption.   Yet the court holds that the Legislature
    intended to exclude blood alcohol content evidence from a
    prosecution for operating a motor vehicle while under the
    influence of alcohol (OUI) if police obtained it pursuant to a
    search warrant absent consent, because the provisions of G. L.
    c. 90, § 24 (1) (e) and (f) (1) (subsections [e] and [f] [1]),
    require the defendant's consent to perform or admit the results
    2
    of any blood alcohol test made "at the direction of a police
    officer."   Ante at   .
    This interpretation is inconsistent with the plain language
    and purpose of subsections (e) and (f) (1).     The ordinary
    meaning of the words composing these provisions confines their
    scope to blood alcohol tests performed "at the direction of a
    police officer."   See ante at note 5 (text of subsection [e]),
    and note 6 (text of subsection [f] [1]).     Properly construed,
    those provisions do not require consent for blood drawn pursuant
    to a search warrant issued by a neutral and detached magistrate,
    upon a finding of probable cause.   The magistrate's decision to
    issue a warrant bears no relation to a suspected offender's
    consent, nor does it implicate the regulatory apparatus of
    implied consent or its effects on evidentiary admissibility.
    Moreover, the court's holding frustrates the overriding
    purpose of G. L. c. 90, § 24, to enhance the safety of the
    Commonwealth's roadways by deterring substance-impaired driving.
    See Commonwealth v. Colturi, 
    448 Mass. 809
    , 812-813 (2007)
    (public safety purpose of statutory scheme well established).
    Collection and use of blood alcohol content evidence is the
    statute's principal engine of enforcement:    The Legislature
    crafted subsections (e) and (f) (1) to fuel that engine by
    imposing an efficient, consent-based procedure for warrantless,
    police-directed testing.   The Legislature's consistent efforts
    3
    to encourage and to promote the collection of blood alcohol
    content evidence within constitutional bounds belies any
    suggestion of legislative intent to enable a defendant to
    prohibit an alternative, constitutionally compliant procedure by
    withholding his or her consent.
    This is especially true where prohibiting that alternative
    procedure would allow repeat offenders to shield themselves from
    conviction at a disturbing rate by declining to submit to
    forensic testing.1    See, e.g., Senate Committee on Post Audit and
    Oversight, Current Drunk Driving Deterrence, foreword (Oct.
    1987) (noting distressing fifty percent increase in breath test
    refusals over past year, depriving prosecutors of vital
    evidence).   Repeat offenders, due to their previous arrest, are
    typically aware of the inadmissibility of a refusal to take a
    breathalyzer test.    Thus, repeat offenders may avoid conviction,
    in part, because the prosecutor or judge cannot explain to the
    jury why there was no forensic evidence of blood alcohol content
    presented at trial.    The privilege against furnishing evidence
    1 In a case where a defendant refuses to submit to a test
    establishing blood alcohol content, it is often difficult for
    the prosecution to carry its burden of proof on the element of
    impairment. Only approximately thirty-one percent of all jury
    trials of OUI charges disposed of in the District Court and
    Boston Municipal Court Departments of the Trial Court over the
    past three calendar years (2017-2019) resulted in conviction.
    Harsh statutory penalties for subsequent convictions have little
    deterrent effect where the likelihood of conviction is
    significantly diminished upon refusing to submit to testing.
    4
    of one's own guilt under art. 12 of the Massachusetts
    Declaration of Rights precludes the admission of evidence that a
    defendant refused a test given at the direction of the police.
    Opinion of the Justices, 
    412 Mass. 1201
    , 1211 (1992).    The
    confluence of these factors thus impedes the Legislature's
    consistent efforts both to promote the use of blood alcohol
    content evidence at trial to deter substance-impaired driving in
    general, and to ensure effective sanctions for repeat offenses
    in particular.   Because I discern neither a constitutional nor a
    statutory obstacle to admitting evidence of the defendant's
    blood alcohol content obtained pursuant to a search warrant
    issued upon probable cause, I respectfully dissent.
    1.   "Plain" meaning of statutory language.   "[T]he primary
    source of insight into the intent of the Legislature is the
    language of the statute."   International Fid. Ins. Co. v.
    Wilson, 
    387 Mass. 841
    , 853 (1983).   The plain language of
    subsections (e) and (f) (1) neither prohibits a neutral and
    detached magistrate from issuing a search warrant to draw and
    test a defendant's blood to determine its alcohol content, nor
    forbids police from reasonably executing one.   See Plymouth
    Retirement Bd. v. Contributory Retirement Bd., 
    483 Mass. 600
    ,
    605 (2019) ("Even clear statutory language is not read in
    isolation").
    5
    a.   "[A]t the direction of a police officer."   The
    admissibility, consent, and refusal provisions of subsections
    (e) and (f) (1) each regulate only postarrest blood alcohol
    content tests made "at the direction of a police officer."      In
    denying this defendant's motion in limine to exclude the blood
    alcohol content evidence, the trial judge explained that a
    search pursuant to a "properly executed search warrant i s not a
    search that requires the consent of the [defendant] or that is
    'made by or at the direction of a police officer.'"   I agree.
    This is not mere semantics.   The language of the search
    warrant issued by the magistrate in this case could not more
    plainly reflect that it is an order of the court, expressl y
    directed to law enforcement:
    "I find that there is PROBABLE CAUSE to believe that the
    property described below . . . is evidence of a crime or is
    evidence of criminal activity. YOU ARE THEREFORE COMMA NDED
    within a reasonable time . . . to search for the . . .
    blood of [the defendant] . . . which is . . . on the person
    or in the possession of [the defendant]."
    When a defendant's blood is drawn and tested pursuant to such a
    warrant, issued by order of "a neutral and detached magistrate
    instead of being judged [appropriate] by the officer engaged in
    the often competitive enterprise of ferreting out crime"
    (citation omitted), Schmerber v. California, 
    384 U.S. 757
    , 770
    (1966), the defendant's consent is immaterial, see Commonwealth
    6
    v. Delaney, 
    442 Mass. 604
    , 611 (2004) ("suspect has no lawful
    option but to comply with the warrant").
    "The Legislature's silence on [a] subject cannot be
    ignored," Commonwealth v. Nascimento, 
    479 Mass. 681
    , 684-685
    (2018), quoting Roberts v. Enterprise Rent-A-Car Co. of Boston,
    
    438 Mass. 187
    , 193 (2002), and neither subsection ( e) nor
    subsection (f) (1) proscribes or, as the court concedes, ante at
    , "even mentions" warrants.   The law affords suspected offenders
    a statutory means to check officers' discretion, dispensing with
    any opportunity for unwarranted State infringement of bodily
    security, as in Rochin v. California, 
    342 U.S. 165
    , 172 (1952).
    Absent express prohibition of a magistrate's issuance of a
    search warrant for an arrestee's blood alcohol content, I
    decline to read one into the statutory silence.   In a closely
    related context, this court recently acknowledged the
    substantial difference between the summary action of an officer
    in the field and the officer's action following the deliberate
    decision of an impartial court, and then reasoned that this
    procedural discrepancy constituted a reasonable basis for the
    Legislature to impose distinct statutory consequences flowing
    from each.   See Nascimento, supra at 684 (declining to expand
    application of mandatory imprisonment provision where
    Legislature was silent, and differentiating between suspension
    for failing breath test effected by officer's summary
    7
    confiscation under G. L. c. 90, § 24 [f] [2], and suspension
    according to judicial determination following arraignment in
    open court under G. L. c. 90, § 24N).   Here, since a
    magistrate's "informed, detached and deliberate [probable cause]
    determination[]" to issue a warrant for a blood test, Schmerber,
    
    384 U.S. at 770
    , and the requirement that police execute it in a
    reasonable manner already each protect a defendant's individual
    interest against unreasonable government intrusions, including
    against intrusions upon bodily security, there was no need for
    the Legislature to create additional statutory limits on or
    otherwise acknowledge the default availability of traditional
    warrant procedure.
    The court nonetheless attempts to dismiss the limiting
    effect of the phrase "at the direction of a police officer" in
    subsection (e) by broadly construing "police officer" to
    encompass "any State actor," including a magistrate. 2   Ante at
    2 The court states that the dissent is "somewhat
    disingenuous to maintain that the blood draw was performed 'at
    the direction of' the judge who signed the warrant rather than
    the police officer who sought the warrant and instructed that
    hospital personnel perform the draw." Ante at note 9. To the
    contrary, the critical importance of this distinction is, in
    part, what inspired John Adams's authorship of art. 14 of the
    Massachusetts Declaration of Rights, and shaped the Fourth
    Amendment to the United States Constitution. See gen erally T.K.
    Clancy, The Framers' Intent: John Adams, His Era, and the
    Fourth Amendment, 
    86 Ind. L.J. 979
     (2011) (discussing Adams's
    part in drafting art. 14 and its influence on Fourth Amendment,
    with particular attention to over-all goal of establishing
    8
    note 9, citing the Appeals Court rescript opinion in
    Commonwealth v. Arruda, 
    73 Mass. App. Ct. 901
    , 903 (2008).     That
    reasoning only makes sense in the context of the evidentiary
    admissibility of a defendant's refusal to submit to a blood
    alcohol test under subsections (e) and (f) (1), since art. 12
    precludes any State actor from compelling a defendant to furnish
    testimonial evidence of his or her own guilt.   That
    constitutional concern is not implicated here, however, because
    the issue is the admissibility of the defendant's blood alcohol
    objective criteria to justify governmental intrusion upon
    individuals' security). Although colonial Massachusetts lacked
    organized police forces, its inhabitants were intimately
    familiar with the intrusive customs searches authorized by
    Parliament and the Crown. See id. at 989-991. In 1761, James
    Otis famously denounced the general warrants, or "Writs of
    Assistance," granted in furtherance of customs inspections as
    "the worst instrument of arbitrary power . . . that places the
    liberty of every man in the hands of every petty officer." J.
    Adams, Abstract of the Argument for and against the Writts of
    Assistance (circa Apr. 1761), in 2 Legal Papers of John Adams,
    at 140, 142 (L.K. Wroth & H.B. Zobel, eds., 1965). The
    uncontrolled discretion afforded to customs officials under such
    writs was the chief complaint. See Clancy, supra at 991-922.
    John Adams and the other founders thus recognized the importance
    of enshrining a right to be free from discretionary searches,
    and they understood that they could best protect liberty by
    establishing objective criteria to govern when a search should
    be legally authorized in a specific case, as "determin'd by
    adequate and proper judges" as opposed to "petty tyrants"
    (citations omitted). Id. at 994. While both a search "at the
    direction of the police" and a search authorized by a valid
    search warrant constitute State power, the former resembles the
    untrammeled discretion granted to searching customs officers,
    against which our constitutions protect, and the latter
    represents the preferred procedure to ensure that discretionary
    police actions do not trample individual security.
    9
    content, obtained pursuant to a valid search warrant, and not
    the defendant's refusal to submit to blood alcohol cont ent
    testing.    Article 12 and its doctrinal tests are not implicated
    where real or physical evidence is concerned. 3    See Commonwealth
    v. Brennan, 
    386 Mass. 772
    , 783 (1982) (neither breathalyzer test
    nor field sobriety tests communicative to extent necessary to
    evoke art. 12 privilege).
    b.    "[No] such test . . . shall be made."   The court's
    conclusion that subsections (e) and (f) (1) "create[] a blanket
    prohibition against blood draws without consent in the context
    of OUI prosecutions," ante at      , hinges upon two critical
    errors.    The first is its inaccurate reading of "a test [made or
    administered] at the direction of a police officer," as it
    appears in subsections (e) and (f) (1), to encompass blood
    alcohol evidence collected pursuant to a warrant, discu ssed
    above.    The second is an overly broad construction of what
    3 The court's citation to Commonwealth v. Arruda, 
    73 Mass. App. Ct. 901
    , 903 (2008), is not dispositive, since it involved
    admissibility of testimonial refusal evidence, not bodily
    fluids. Although, in that context, it made some sense for the
    Appeals Court to interpret the subsection (e) provision
    excluding evidence that a defendant refused a test administered
    "at the direction of a police officer" to encompass a test at
    the direction of any State actor, that reading makes no sense
    here. The concept of "State action" also applies to determining
    violations of the Fourteenth Amendment to the United States
    Constitution, but that doctrine is irrelevant here as well,
    since no Federal constitutional claims are at issue.
    10
    constitutes a "test or analysis" in the following provision of
    subsection (f) (1):
    "If the person arrested refuses to submit to such test or
    analysis, after having been informed [that such ref usal
    will result in license suspension of at least 180 days], no
    such test or analysis shall be made" (emphasis added).
    G. L. c. 90, § 24 (1) (f) (1).     In this portion of subsection
    (f) (1), "such test or analysis" means the breath or blood test
    "administered at the direction of a police officer" to which
    "[w]hoever operates a motor vehicle upon any [public] way . . .
    shall be deemed to have consented to submit . . . in the event
    that he is arrested for [OUI]."4    Id.   Confined as they are to
    tests "at the direction of a police officer," the implied
    consent and refusal provisions in subsection (f) (1) simply have
    no application to the collection of blood alcohol content
    4 The court's reading of "such test" as referring to any
    breath or blood test for purposes of determining blood alcohol
    content, rather than one specifically administered "at the
    direction of a police officer" is unworkable, both grammatically
    and substantively. See ante at note 11. A generally accepted
    rule of English syntax dictates that a demonstrative adjective
    generally refers to the nearest reasonable antecedent. See A.
    Scalia & B.A. Garner, Reading Law: The Interpretation of Legal
    Texts 144-146 (2012) (discussing "last antecedent" canon of
    interpretation). Here, "no such test . . . shall be made"
    refers back to "such test" as the arrestee "refuses to submit,"
    which in turn refers to the test that "shall" be administered by
    a police officer. More fundamentally, the only test
    contemplated by subsection (f) (1) is the one that "shall" be
    administered at police direction, because the very purpose of
    the implied consent law is to encourage cooperation with police
    requests to submit to testing. It is the refusal to submit to
    that police request that triggers the license suspension and
    means no test is administered at police direction.
    11
    evidence pursuant to a warrant.   In other words, the court is
    correct when it observes that neither subsection ( e) nor
    subsection (f) (1) "even mentions warrants."    Ante at     .   As
    such, the statute neither implies a driver's consent to a blood
    draw pursuant to a warrant nor affords any attendant possibility
    of refusal.   Neither is there any express prohibition of a
    magistrate issuing a warrant to draw and test blood of a person
    under arrest for OUI.   Indeed, no express exception is
    necessary, since obtaining a warrant is the default p rocedure
    for complying with the reasonableness requirement imposed by the
    Fourth Amendment to the United States Constitution and art. 14
    of the Massachusetts Declaration of Rights.    See, e.g.,
    Commonwealth v. Tyree, 
    455 Mass. 676
    , 683 (2010) ("presumption
    against warrantless searches reflects the importance of the
    warrant requirement to our democratic society").
    Moreover, since neither the statutory language nor prior
    appellate construction5 expressly precludes the use of warrant
    5 The Appeals Court recently acknowledged that, "in this
    Commonwealth, a requirement of consent [to a warrantless blood
    draw] is imposed by statute even when . . . one is not imposed
    by the Federal Constitution." Commonwealth v. Dennis, 
    96 Mass. App. Ct. 528
    , 532 (2019), citing Commonwealth v. Davidson, 
    27 Mass. App. Ct. 846
    , 848-849 (1989) (recognizing statutory
    "right" to refuse test precluding warrantless compulsion of test
    despite presence of probable cause and exigent circumstances).
    Neither Dennis nor any other appellate precedent expressly holds
    that the implied consent statute prohibits a neutral and
    12
    procedure to recover admissible evidence of a defendant's blood
    alcohol content, the Legislature's repeated amendment of
    subsections (e) and (f) (1) without change to their fundamental
    admissibility, consent, and refusal provisions is of no
    interpretive significance.   See ante at     , quoting Colturi,
    448 Mass. at 812.   See also Commonwealth v. Dayton, 
    477 Mass. 224
    , 227 (2017) ("It is one thing to infer the Legislature's
    intent based on an implied awareness of our express holdings; it
    is quite another to infer it based on dictum in our opinions").6
    2.   Frustration of purpose.   The court's interpretation of
    subsections (e) and (f) (1) impermissibly frustrates the public
    detached magistrate from issuing a search warrant to obtain
    evidence of a defendant's blood alcohol test.
    6 The same principle applies to the Appeals Court's aside in
    Davidson, 27 Mass. App. Ct. at 849, postulating that at the time
    the Legislature added subsection (e) in 1961, "[t]he purpose of
    the provisions regarding actual consent (as opposed to the
    implied consent established by the first sentence of
    § 24 [1] [f]) seems to have been to avoid forced testing --
    i.e., testing by means of physical compulsion -- that was
    thought after Rochin v. California, 
    342 U.S. 165
     (1952), to be
    of dubious constitutional validity." This court later restated
    that observation in a footnote. See Opinion of the Justices,
    
    412 Mass. 1201
    , 1208 n.6 (1992) (responding to Senate's reported
    question regarding constitutionality of proposal to make refusal
    evidence admissible as additional inducement to submit to test).
    More fundamentally, intent to prevent police from physically
    compelling submission to testing in the absence of a warrant,
    and to deter the type of egregious, warrantless police abuse
    that occurred in Rochin, need not preclude use of reasonable
    force in police execution of a valid search warrant, issued upon
    a magistrate's finding of probable cause.
    13
    safety purpose of the larger statutory scheme laid out in G. L.
    c. 90, §§ 24-24X.   See Saccone v. State Ethics Comm'n, 
    395 Mass. 326
    , 334 (1985) (where "literal import of any particular clause
    or section" is inconsistent with "the general meaning and object
    of the statute," court must interpret "according to the spirit
    of the act" [citation omitted]).   This court has held that the
    general purpose of that statutory scheme is to "protect the
    public from drivers whose judgment, alertness, and ability to
    respond promptly and effectively to unexpected emergencies are
    diminished because of the consumption of alcohol.'" 7   Colturi,
    7 The present case concerns precisely this type of impaired
    ability to respond to the unexpected -- here, the disabled
    vehicle of another substance-impaired motorist who had crashed
    her sport utility vehicle (SUV) into the guardrail of a highway
    onramp, coming to a stop in the middle of the ramp, almost
    perpendicular to the road. In the expert opinion of the State
    trooper who performed the accident reconstruction analysis in
    this case, ninety-five percent of the population, traveling at
    the advisory speed limit of 30 miles per hour on the same road
    and at the same time of night (i) could have seen the stopped
    SUV from in excess of 200 feet away (and certainly no less than
    149 feet away), and (ii) reacted in time to brake and come to a
    complete stop within a distance of 142 feet, avoiding collision.
    The expert also opined that, alternatively, there was 8.75 feet
    of open road between the SUV and curb, and a further 6.50 feet
    from the curb to the guardrail, to allow a driver to maneuver
    around the disabled vehicle. Unable to engage in the requisite
    type of split-second decision-making and action necessary to
    avoid collision, the impaired defendant instead initiated a
    chain of events that ended with the victim trapped beneath the
    defendant's car, which dragged the victim along the road beneath
    it for some 257 feet before dislodging her, alive but critically
    injured.
    14
    448 Mass. at 812-813, quoting Commonwealth v. Connolly, 
    394 Mass. 169
    , 172-173 (1985).
    Since the 1906 enactment of its statutory predecessor, St.
    1906, c. 412, § 4 (mandating punishment for motor vehicle
    operation "while under the influence of intoxicating liquor" by
    maximum fine of one hundred dollars or imprisonment for up to
    six months), the Legislature frequently has amended G. L. c. 90,
    § 24, seeking to enhance the statute's public safety purpose
    through increasingly effective mechanisms to deter substance-
    impaired driving.   See, e.g., St. 1909, c. 534, § 22 (doubling
    maximum fine for first offense; mandatory prison term of at
    least one year, not to exceed two years, upon conviction of
    second offense); St. 1913, c. 123, § 1 (increased punishment for
    first offense, to include imprisonment for at least two weeks
    but not to exceed two years, maximum fine of $200, or both);
    Commonwealth v. Lyseth, 
    250 Mass. 555
    , 558 (1925) (interpreting
    statute punishing driving "while under the influence of
    intoxicating liquor" in accordance with plain language and
    "purpose . . . to regulate the use of motor vehicles on the
    public ways, in the interests of the public welfare"); St. 2003,
    c. 28, § 1 (adding new "per se" violation to G. L. c. 90,
    § 24 [1] [a] [1], operating motor vehicle "with a percentage, by
    weight, of alcohol in [the] blood of eight one-hundredths or
    greater," as alternative to operating "while under the influence
    15
    of intoxicating liquor"); Colturi, 448 Mass. at 813 ("It is
    beyond reasonable dispute that, in adding a per se violation to
    the OUI statute, the Legislature intended to strengthen the
    protections afforded the public from drivers who might be
    impaired by the consumption of alcohol").   Since 1961, m any of
    these amendments have promoted the Legislature's intent to
    encourage OUI arrestees to take a blood alcohol test, to
    "provid[e] the most reliable form of evidence of intoxication
    for use in subsequent proceedings," and thereby assist the
    Commonwealth in carrying its burden of proof beyond a reasonable
    doubt, or otherwise exculpating the defendant.    Mackey v.
    Montrym, 
    443 U.S. 1
    , 19 (1979).
    In 1961, the Legislature first enacted a statutory
    presumption that a person was under the influence when his or
    her blood alcohol content exceeded a set limit.     G. L. c. 90,
    § 24 (1) (e), inserted by St. 1961, c. 340.   That amendment
    yoked enforcement of G. L. c. 90, § 24, to an accurate
    determination of a defendant's blood alcohol content and to
    introducing that evidence to establish impairment at a criminal
    trial for OUI.   See id. (blood alcohol content as measured by
    chemical test "deemed relevant" to establishing "under the
    influence" element of offense).   Absent a defendant's consent,
    however, results of a blood alcohol test performed "by or at the
    direction of a police officer" were inadmissible.     Id.   In 1967,
    16
    the Legislature added subsection (f), incorporating a remedial
    sanction into the existing deterrence scheme by mandating an
    automatic ninety-day license suspension for any driver arrested
    for OUI who refused to take a breath test despite notice of the
    consequence.   G. L. c. 90, § 24 (1) (f), inserted by St. 1967,
    c. 773.   The court's theory that the Legislature intended those
    amendments to create an absolute individual statutory right to
    refuse submission to a blood alcohol content test, ante at       ,
    is not supported by the historical record.   There is no basis to
    suggest that any legislative concern to guard against potential
    police abuse or afford arrestees due process extended to tests
    conducted under the authority of a valid warrant.
    Contrary to the court's suggestion, ante at note 12, it is
    unlikely that the enactment of Massachusetts's implied consent
    law in December of 1967 had much, if any, connection to the June
    1966 release of the United States Supreme Court's decision in
    Schmerber, 
    384 U.S. at 770-771
     (upholding warrantless blood test
    of unconscious driver performed by doctors at police request,
    due to exigent circumstances and probable cause).   The
    conventional wisdom attributes States' adoption of implied
    consent laws to "the intent of the statutory draftsmen to
    17
    obviate the element of physical coercion."8   Rosenberg,
    Compulsory Intoxication Tests:   A Suggestion for Massachusetts,
    50 Mass. L.Q. 145, 156 (1965).   See Bruns, Driving While
    Intoxicated and the Right to Counsel:    The Case Against Implied
    Consent, 
    58 Tex. L. Rev. 935
    , 941-942 (1980).    Yet both the
    timing and the content of the Massachusetts implied consent law
    more likely resulted from the influence of familiar, court -
    approved formulations in widely adopted model statutes and
    powerful Federal financial incentives.    See Bruns, supra at 959
    (concluding that States' implied consent laws are "as much a
    result of historical snowballing as of a considered choice by
    legislatures").
    Most of the language comprising Massachusetts's implied
    consent law had been operative in many other States' statutes
    for more than a decade before the 1967 Legislature added them to
    8 Despite the express intent of the Supreme Court majority
    that its opinion in Rochin, 
    342 U.S. at 174
    , not implicate the
    "use of modern methods and devices for discovering wrongdoers
    and bringing them to book," Rochin does appear to have raised
    certain lingering doubts about the constitutionality of
    compelled testing, less due to the majority's opinion that
    police use of "force so brutal and so offensive to human dignity
    in securing evidence from a suspect" offended due process and
    rendered such evidence inadmissible, 
    id.,
     and rather more due to
    Justice Douglas's concurring opinion that "words taken from [a
    defendant's] lips, capsules taken from his stomach, blood taken
    from his veins are inadmissible provided they are taken from him
    without his consent" based upon the privilege against self -
    incrimination under the Fifth Amendment to the United States
    Constitution. 
    Id. at 179
     (Douglas, J., concurring).
    18
    G. L. c. 90, § 24.    In 1953, New York's Legislature enacted the
    nation's first implied consent statute.   See 
    N.Y. Veh. & Traf. Law § 71
    -a, inserted by 1953 N.Y. Laws c. 854.    That enactment
    followed the recommendation of a joint legislative committee
    appointed to study "the apparent inability of our police and
    courts to effectively enforce laws forbidding driving while
    under the influence of intoxicating beverages."   Interim Report
    of the New York State Joint Legislative Committee on Motor
    Vehicle Problems:    Chemical Tests for Intoxication, N.Y. Leg.
    Doc. No. 25, at 9 (Jan. 1953) (Interim Report).    See Schutt v.
    Macduff, 
    205 Misc. 43
    , 46 (N.Y. Sup. Ct. 1954) (law responded to
    "urgent need" to promote "procurement of chemical tests for the
    purpose of definitely determining whether or not an accused
    driver was intoxicated to the extent of impairing his driving
    ability").   In its comprehensive report, the New York committee
    explained that, despite its own legal conclusion that compelled
    submission to testing would not violate any constitutional
    right, the proposed statute entirely avoided any question of a
    constitutional right to resist the test by providing "the
    accused . . . the choice of waiving his [constitutional right] -
    - assuming such a right exists -- or losing the privilege to
    continue driving on our highways."   Interim Report, supra at 26.
    By February of 1957, it was clear that the United States
    Constitution posed no obstacle to "so slight an intrusion as is
    19
    involved in applying a blood test of the kind to which millions
    of Americans submit as a matter of course nearly every day ."
    Breithaupt v. Abram, 
    352 U.S. 432
    , 439 (1957).   Still, the
    National Conference of Commissioners on Uniform State Laws
    adopted the Uniform Chemical Tests for Intoxication Act, modeled
    on the New York language, as amended by 1954 N.Y. Laws c. 320,
    in July of that same year.   See Handbook of the National
    Conference of Commissioners on Uniform State Laws and
    Proceedings of the Annual Conference, at 129, 216-229 (1957).
    "Thus [implied consent] legislation conceived to overcome a
    constitutional obstacle gained institutional momentum at the
    very time that the United States Supreme Court removed the
    obstacle."   State v. Newton, 
    291 Or. 788
    , 796 (1981).   This
    "institutional momentum" continued to build with the inclusion
    of the Uniform Chemical Tests for Intoxication Act as § 6-205.1
    of the 1962 Uniform Vehicle Code, which encouraged additional
    States' enactment of implied consent provisions, 9 and ultimately
    9 Some other State Legislatures, including those of Idaho,
    Kansas, and Utah, enacted their own implied consent statutes
    after the New York model even prior to the inception of the
    Uniform Chemical Tests for Intoxication Act in 1957. See
    Handbook of the National Conference of Commissioners on Uniform
    State Laws and Proceedings of the Annual Conference , at 218
    (1957). Nebraska, North Dakota, South Dakota, Vermont, and
    Minnesota joined their ranks by the time implied consent
    appeared as § 6-205.1 of the Uniform Vehicle Code, in 1962.
    National Committee on Uniform Traffic Laws and Ordinances,
    Recent Developments in Chemical Test and Implied Consent Laws,
    20
    shaped Federal standards.   See, e.g., Report of the Legislative
    Research Council Relative to Massachusetts Implementation of the
    National Highway Safety Act of 1966 (Jan. 30, 1968), 1968 Senate
    Doc. No. 980, at 48 (Massachusetts Implementation of the
    National Highway Safety Act) (standard promulgated under Federal
    Highway Act of 1966 and requiring implied consent provision was
    "based on provisions of the Uniform Vehicle Code").
    Notably, Massachusetts lagged far behind most other States
    in its initial embrace of blood alcohol testing as evidence of a
    driver's level of intoxication,10 and trailed many others in its
    at 7 (Apr. 24, 1963). Before year end of 1963, Virginia, North
    Carolina, Minnesota, and Connecticut all followed suit. See
    Comment, Implied Consent to a Chemical Test for Intoxication:
    Doubts about Section 6-205 of the Uniform Vehicle Code, 31 U.
    Chicago L. Rev. 603, 604 & n.11 (1964). Throughout this period,
    State courts consistently rejected challenges to the
    constitutionality of these statutes. Id. at 605 & n.13 (citing
    cases and early exception of Schutt v. Macduff, 
    205 Misc. 43
    , 46
    [N.Y. Sup. Ct. 1954], prompting 1954 amendment of New York
    model, which withstood subsequent challenges once altered).
    10As of 1952, the only other States, apart from
    Massachusetts, that had not yet recognized chemical testing to
    determine operator sobriety were Arkansas, Louisiana, Georgia,
    Kentucky, and Wyoming. See Brooks, Chemical Tests for Driving
    Under the Influence, 37 Mass. L.Q. 10, 17 (1952). Nearly
    another decade would pass until the Commonwealth amended G. L.
    c. 90, § 24, to add subsection (e), setting a blood alcohol
    content limit and accompanying presumption of "under the
    influence," and establishing the admissibility of breath or
    blood test results as evidence thereof. St. 1961, c. 340. In
    1952, the Legislature apparently remained wary as to the
    accuracy of the proposed scale correlating blood alcohol content
    with extent of intoxication, and the accuracy of tests to
    measure blood alcohol content. See Brooks, supra.
    21
    later adoption of implied consent provisions. 11   There can be
    little doubt as to why the bill that finally succeeded in making
    implied consent Commonwealth law was the one Governor John Volpe
    dispatched to the Legislature in March of 1967, see 1967 House
    J. 926, 928:   Massachusetts stood to lose the opportunity to
    access up to $7 million in new Federal highway funding along
    with ten percent of its present Federal highway aid, unless it
    complied with standards promulgated by the Secretary of
    Transportation under the Federal Highway Act of 1966.    See Pub.
    L. No. 89-564, Title I, § 101, inserting 
    23 U.S.C. §§ 401-404
    ,
    
    80 Stat. 731
     (Sept. 9, 1966).   By the time the Supreme Court
    decided Schmerber, 
    384 U.S. 757
    , in June of 1966, the Federal
    legislative process that would culminate with President Lyndon
    Johnson signing the Federal Highway Act in September was already
    well under way, negating any suggestion that it was reactive to
    the Court's decision.
    11This was despite Governor John Volpe's efforts to
    implement license suspension measures to "correct" the evident
    "weakness" of the 1961 amendment providing for testing yet
    allowing "[d]rinking drivers . . . to refuse with impunity to
    take [them]." 1966 House Doc. No. 3131, at 7. The Legislature
    consigned the Governor's first such attempt, 1962 Senate Doc.
    No. 764, and many related, subsequent bills to languish in
    committee "study" over the next five years. See, e.g., 1963
    House Doc. No. 2476; 1964 House Doc. No. 1125; 1964 House Doc.
    No. 1319; 1965 House Doc. No. 1127; 1965 House Doc. No. 1729;
    1965 Senate Doc. No. 839.
    22
    The Secretary of Transportation included a requirement for
    implied consent authority as part of Highway Safety Program
    Standard No. Eight, "Alcohol in Relation to Highway Safety,"
    despite the Schmerber Court's recognition that where police
    obtained a warrant or satisfied the exigent circumstances
    exception to the warrant rule, the United States Constitution
    did not prevent compelled blood tests, so long as performed in a
    reasonable manner.12   See Massachusetts Implementation of the
    National Highway Safety Act, supra at 69; Bruns, 58 Tex. L. Rev.
    at 943-944.   Of course, absent refusal, the implied consent
    approach still provided a more efficient means of collecting
    evidence than compelled testing, but there could no longer be
    12In Schmerber, the Court reaffirmed its holding in
    Breithaupt (which predated the Court's extension of the Fourth
    Amendment exclusionary rule to bind the States) that a blood
    alcohol content test performed on an unconscious driver upon
    warrantless police request was constitutional, and its results
    were admissible at trial for OUI. Notably, the Schmerber Court
    emphasized that, in that case, "the test was performed in a
    reasonable manner. Petitioner's blood was taken by a physician
    in a hospital environment according to accepted medical
    practices." Schmerber, 
    384 U.S. at 771
    . The ruling expressly
    did not extend to any test "made by other than medical personnel
    or in other than a medical environment," which "might be to
    invite an unjustified element of personal risk of infection and
    pain." 
    Id. at 772
    . Moreover, the Schmerber Court explicitly
    recognized that "[i]t would be a different case if the police
    initiated . . . violence, . . . or responded to resistance with
    inappropriate force," and further acknowledged "[t]he integrity
    of an individual's person [as] a cherished value of our
    society." 
    Id.
     at 760 n.4, 772.
    23
    any doubt that consent was unnecessary for a blood test to pass
    constitutional muster.
    If the absence of blood testing from the implied consent
    provisions the Legislature enacted in 1967 indicates any
    continuing reservations about compelled testing, those
    reservations had disappeared by 1980, when the Legislature
    amended subsection (f) (1) such that refusing to consent to a
    blood test carried the same remedial license suspension
    consequences as refusing a breathalyzer test, enhancing th e
    arrestee's incentives to submit to testing.   See Memorandum from
    Secretary of Public Safety to Governor's Assistant Legislative
    Secretary regarding House Bill No. 2046 (June 27, 1980) (on file
    at the Massachusetts Archives).   The 1980 amendment was enacted13
    in response to an emergency physicians' group report noting the
    typical absence of breath test equipment at hospitals, a lack of
    sanction for refusing a blood test, and no routine practice of
    testing blood alcohol content for medical purposes, which me ant
    that injured drivers taken from a crash site to the hospital
    often were not tested.   
    Id.
    13The 1980 amendment, like many other amendments to the
    G. L. c. 90, § 24, scheme, was implemented with an emergency
    executive preamble, proclaiming its immediate effect in the
    public's interest "in order that the tests and analyses provided
    for may be used in determining the operation of motor vehicles
    by persons under the influence of intoxicating liquor." Letter
    from the Governor to the Secretary of the Commonwealth ( July 2,
    1980).
    24
    Subsequent amendments to G. L. c. 90, § 24, further
    enhanced incentives to submit to blood alcohol content tests,
    some specifically aiming to deter repeat offenders' refusal to
    submit to testing as a strategy to reduce the likelihood of
    conviction.   For example, a 1990 Senate committee report
    suggested, based upon "increasing evidence . . . [of] the
    importance that these [blood alcohol content] tests play in
    obtaining a drunk driving conviction, [that] the state should
    make every effort to have test results from every person
    arrested for drunk driving."   Report of the Senate Committee on
    Post Audit and Oversight Relative to Controlling the Drunk
    Driver:   The 1980s in Review, at 30 (Dec. 26, 1990), 1990 Senate
    Doc. No. 1900.   That report also recommended increasing the
    license suspension period for refusing to take a breath or blood
    test to be twice as strong as the sanction for taking the test
    and failing it, as well as increasing penalties for subsequent
    offenders' refusals.14   See Letter from the Governor to the
    14The affidavit submitted with the search warrant
    application in this case reported that a background check of the
    defendant revealed three prior arraignments on OUI charges, and
    one prior conviction. His registry of motor vehicles history
    revealed multiple prior license suspensions for refusal to
    consent to testing. If the conviction of OUI causing serious
    bodily injury were upheld, the defendant would face a ten-year
    license suspension in the event that he refused a blood alcohol
    test upon any subsequent arrest for OUI. See G. L. c. 90,
    § 24 (1) (f) (1) (penalty for refusal after having been
    convicted of violation of § 24L).
    25
    Senate and House (May 27, 2005), 2005 House Doc. No. 4099
    (transmitting draft legislation, later enacted as St. 2005 ,
    c. 122, and expressly stating intent to "increase the [license]
    suspension period for people who refuse the breathalyzer or
    field sobriety tests . . .      to create an increased incentive to
    submit to such tests as required by law").
    The court raises a concern over of the dangers of blood
    draws, ante at        , highlighting language from the subsection
    regarding the lack of implied consent for hemophiliacs and
    diabetics.    See G. L. c. 90, § 24 (1) (f) (1).    However, the
    statute anticipates such dangers by requiring that these blood
    tests be performed by medical professionals at a medical
    facility.    Id.   The police here provided the defendant with
    multiple opportunities to comply with the warrant, and officers
    handcuffed the defendant to the stretcher in an effort to
    prevent the type of harm presented by "sharps" that the majority
    raises.     Ante at    .   At the time of the blood draw, the nurse
    testified, the defendant cooperated with the procedure, and the
    nurse exercised care by following all standard procedures of the
    hospital, including the nurse's use of a vacuum system to reduce
    the "sharps" danger to the nurse.      Medical professionals
    typically identify a condition like hemophilia or diabetes in
    taking a patient's medical history, not to mention that persons
    26
    afflicted by those conditions often wear or carry specific
    identification.
    The court points out that "actual consent for blood draws
    is also a safety measure."   Ante at    .   And it is.   But for
    every hemophiliac, diabetic, or person on anticoagulant
    medication who is arrested for OUI, or for every medical worker
    who is injured by a sharp needle when blood is drawn --
    contingencies that as a matter of course are addressed by the
    medical profession without incident -- immeasurably more danger
    results from permitting repeat OUI offenders to get behind the
    wheel.   If the concern is "safety measures," the best response
    is to provide jurors with the best evidence of sobriety, or lack
    thereof, so as to help deter repeat offenders from getting
    behind the wheel of a motor vehicle while intoxicated.    By not
    precluding the use of warrants to collect blood alcohol content
    evidence from a defendant's blood, and consistently legislating
    to encourage arrestees to submit to blood alcohol content tests,
    I believe that this course is the one our Legislature intended
    to follow.
    Far from intending to grant defendants an absolute
    statutory right to deprive juries of the most probative evidence
    of driver impairment, the Legislature intended the provisions of
    subsections (e) and (f) (1) to facilitate, within the confines
    of the Declaration of Rights and the United States Constitution,
    27
    the efficient collection of reliable evidence by encouraging
    defendants to consent to testing, and to facilitate justice by
    providing the trier of fact with the most probative evidence of
    guilt or innocence.   Common sense and the canons of statutory
    construction clearly demonstrate that the Legislature did not
    intend to prohibit the admissibility of blood alcohol content
    evidence obtained pursuant to a search warrant based upon
    probable cause.15
    3.   Persuasive constructions in other jurisdictions.     Other
    States have enacted implied consent laws that include a
    directive that "no such test . . . shall be made," following a
    defendant's refusal, while remaining silent regarding tests
    performed pursuant to a warrant.   Appellate courts in those
    States have construed these cognate provisions to encompass only
    tests pursuant to warrantless officer requests. 16   Notably, and
    15Proscribing the use of a warrant to obtain evidence of
    driver impairment "would be to place allegedly drunken drivers
    in an exalted class of criminal defendants, protect ed by the law
    from every means of obtaining the most important evidence
    against them." Pena v. State, 
    684 P.2d 864
    , 869 (Alaska 1984)
    (Compton, J., dissenting).
    16I would join with those courts construing the "no such
    test" language so as not to exclude test results obtained
    pursuant to a valid warrant. See, e.g., Britton v. State, 
    631 So. 2d 1073
    , 1076-1077 (Ala. Crim. App. 1993); Metzner v. State,
    
    2015 Ark. 222
    , at 10; State v. Smith, 
    134 S.W.3d 35
    , 40 (Mo. Ct.
    App. 2003); Beeman v. State, 
    86 S.W.3d 613
    , 616-617 (Tex. Crim.
    App. 2002); State v. Stone, 
    229 W. Va. 271
    , 284 (2012). See
    also Brown v. State, 
    774 N.E.2d 1001
    , 1007 (Ind. Ct. App. 2002)
    28
    without coincidence, State appellate decisions interpreting
    similar "no test" language to prohibit police from obtaining
    blood alcohol content evidence under a warrant, including those
    cited ante at      , were subsequently superseded by statutory
    amendment:   These Legislatures' responsive amendments each carry
    a "for the avoidance of doubt" connotation suggesting that the
    court misconstrued the statute as initially written.    See State
    v. Evans, 
    378 P.3d 413
    , 416 (Alaska Ct. App. 2016) (quoting
    revised statute:    "Nothing in this section shall be construed to
    restrict searches or seizures under a warrant issued by a
    judicial officer, in addition to a test permitted under this
    section"); McAllister v. State, 
    754 S.E.2d 376
    , 379 (Ga. App.
    Ct. 2014) (noting similar legislative amendment); R.I. Gen. Laws
    § 31–27–2.9(a), inserted by R.I. St. 2009, c. 210, § 2
    ("Notwithstanding any provision of § 31-27-2.1, . . . a chemical
    test may be administered without the consent of that individual
    provided that the peace officer first obtains a search warrant
    authorizing administration of the chemical test").   See also
    State v. Stanley, 
    217 Ariz. 253
    , 257 (Ct. App. 2007) ("the
    legislature's amendments [including 'or pursuant to a search
    (noting statutory silence on question and concluding that
    "provisions of the implied consent law do not act either
    individually or collectively to prevent a law enforcement
    officer from obtaining a blood sample pursuant to a search
    warrant").
    29
    warrant'] were 'obviously . . . a response' to Collins v.
    Superior Court, [
    158 Ariz. 145
     (1988)]"); State v. Garnenez,
    
    2015-NMCA-022
    , 
    344 P.3d 1054
    , 1058 (N.M. Ct. App. 2014), quoting
    
    N.M. Stat. Ann. § 66-8-111
    (A) (noting amendment that added
    "except when a municipal judge, magistrate or district judge
    issues a search warrant" after "none shall be administered").
    4.     Conclusion.   It is now well established that the
    alcohol content of an individual's blood is not testimonial
    evidence, and its admission in evidence does not implicate self -
    incrimination concerns.     See Schmerber, 
    384 U.S. at 764
    ;
    Brennan, 
    386 Mass. at 783
    .     As the court acknowledges, obtaining
    or admitting such evidence, subject to a valid warrant, does not
    otherwise violate the United States Constitution or the
    Declaration of Rights.     See ante at    .   The admissibility,
    consent, and refusal provisions of subsections (e) and (f) (1)
    pose no roadblock either to the issuance and execution of a
    valid warrant to collect evidence of a defendant's blood alcohol
    content, or to admitting that probative evidence of impairment
    at trial.    The Legislature assuredly did not enact the implied
    consent statute to render inadmissible the result of a blood
    alcohol content obtained pursuant to a search warrant issued by
    a neutral and detached magistrate upon an informed finding of
    probable cause, and subject to the requirement of reasonable
    execution.
    30
    And why would they?   The Legislature has exercised its
    police power to regulate the use of motor vehicles and promote
    public safety for more than a century:   "No one has a right to
    use the streets . . . as he chooses, without regard to the
    safety of other persons who are rightly there."    Commonwealth v.
    Kingsbury, 
    199 Mass. 542
    , 545 (1908).    When a person operates a
    motor vehicle while under the influence of intoxicating liquor,
    that person endangers the lives and safety of every other driver
    and passenger on the road.   There is no reason why prosecutors
    should have to try OUI charges with both arms tied behind their
    backs, especially when the jury do not and cannot know the
    prosecutor's arms are thus bound by law.17   When "jurors find
    facts, not from a fair consideration of the evidence, but rather
    based upon bewilderment as to why no evidence of a breathalyzer
    17Where blood alcohol content evidence is absent, jury
    inquiries like, "Why would a [b]reathalyzer test be or not be
    administered?" are common. Commonwealth v. Gibson, 
    82 Mass. App. Ct. 834
    , 835-836 (2012). See Commonwealth v. Wolfe, 
    478 Mass. 142
    , 152 (2017) (Lowy, J., dissenting) (jury at
    defendant's first trial, which resulted in mistrial, asked , "Are
    we allowed to ask: 'Why there are no tests?' [e.g.,]
    Breathalyzer or blood test?"); Commonwealth v. Palka, 
    97 Mass. App. Ct. 1111
     (2020) (trial judge gave instruction pursuant to
    Commonwealth v. Downs, 
    53 Mass. App. Ct. 195
    , 197-201 [2001],
    after explaining, "Every time I don't give it, they ask it as a
    question"); Commonwealth v. Klegraefe, 
    97 Mass. App. Ct. 1106
    (2020) (jury asked whether breathalyzer test was performed);
    Commonwealth v. Miller, 
    97 Mass. App. Ct. 1104
     (2020) (jury
    asked: "Did he have a breath test? Was it offered or
    refused?"). I predict that the court's interpretation of the
    implied consent statute to preclude an alternative legal means
    to obtain that evidence will only exacerbate this problem.
    31
    test was introduced," Commonwealth v. Wolfe, 
    478 Mass. 142
    , 151
    (2017) (Lowy, J., dissenting), and without explanation as to why
    they lack such evidence, the trial's truth-seeking function is
    impaired, and the rate of acquittals and recidivism
    proliferates.
    When it comes to evidence that the defendant refused to
    submit to testing under the implied consent law, the
    inadmissibility of that evidence is a price I embrace as the
    cost of our precious liberty and the sanctity of the right
    against self-incrimination.   But when the Commonwealth has
    obtained evidence of a defendant's blood alcohol conten t by
    constitutional means, pursuant to a validly issued and
    reasonably executed search warrant, there is no reason to
    exclude that evidence, especially in light of the Legislature's
    clear intent to promote its collection and use as the most
    efficient means of enforcing the laws and deterring substance-
    impaired driving.   Contorting subsections (e) and (f) (1)
    otherwise unnecessarily endangers human life and provides
    unwarranted protection to dangerous repeat offenders.    I would
    uphold the trial judge's admission of the blood test results in
    evidence at the defendant's trial and affirm the defendant's
    conviction under G. L. c. 90, § 24L (2), for OUI causing serious
    bodily injury.