Commonwealth v. Bell, T., Aplt. , 211 A.3d 761 ( 2019 )


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  •                                    [J-103-2018]
    IN THE SUPREME COURT OF PENNSYLVANIA
    MIDDLE DISTRICT
    SAYLOR, C.J., BAER, TODD, DONOHUE, DOUGHERTY, WECHT, MUNDY, JJ.
    COMMONWEALTH OF PENNSYLVANIA,               :   No. 11 MAP 2018
    :
    Appellee                  :   Appeal from the Order of the Superior
    :   Court at No. 1490 MDA 2016, dated
    :   July 19, 2017, Reconsideration
    v.                               :   Denied September 26, 2017,
    :   Reversing the Order of the Court of
    :   Common Pleas of Lycoming County,
    THOMAS S. BELL,                             :   Criminal Division, at No. CP-41-CR-
    :   0001098-2015, dated August 19, 2016
    Appellant                 :   and Remanding for Sentencing.
    :
    :   SUBMITTED: November 30, 2018
    OPINION
    JUSTICE DOUGHERTY                                                DECIDED: July 17, 2019
    We granted discretionary review to determine whether Section 1547(e) of the
    Vehicle Code, 75 Pa.C.S. §1547(e),1 which expressly allows the Commonwealth to
    introduce evidence at trial that a defendant charged with Driving Under the Influence
    (DUI) refused to submit to chemical testing, violates the Fourth Amendment to the United
    1 Section 1547(e) provides, “[i]n any summary proceeding or criminal proceeding in which
    the defendant is charged with a violation of [75 Pa.C.S. §3802 (Driving Under the
    Influence)] or any other violation of this title arising out of the same action, the fact that
    the defendant refused to submit to chemical testing as required by [75 Pa.C.S. §1547(a)
    (deeming drivers to have given consent to chemical testing)] may be introduced in
    evidence along with other testimony concerning the circumstances of the refusal. No
    presumptions shall arise from this evidence but it may be considered along with other
    factors concerning the charge.” 75 Pa.C.S. §1547(e).
    States Constitution2 or Article I, Section 8 of the Pennsylvania Constitution.3 We conclude
    the evidentiary consequence authorized by Section 1547(e) is constitutional.
    Accordingly, we affirm the order of the Superior Court.
    Following his arrest on suspicion of DUI on May 16, 2015, appellant Thomas Bell
    was transported to the Lycoming County DUI Center. N.T. 4/28/16 at 37. At the DUI
    Center, Detective Douglas Litwhiler read the PennDOT DL-26 form to appellant and he
    refused to submit to a blood test. 
    Id. at 38.
    Appellant was subsequently charged with
    DUI — general impairment, 75 Pa.C.S. §3802(a)(1), and a summary traffic offense for
    failing to use required lighting, 75 Pa.C.S. §4302(a)(1).
    Appellant filed a pre-trial motion to dismiss arguing he had a constitutional right to
    refuse to submit to a warrantless blood test and thus evidence of his refusal should be
    suppressed and the DUI charge dismissed. See Appellant’s Motion to Dismiss, 3/8/16 at
    5. The trial court denied the motion on April 28, 2016, and appellant proceeded to a
    nonjury trial that same day. N.T. 4/28/16 at 6. During trial, Detective Litwhiler testified
    regarding appellant’s refusal to submit to blood testing and his assertion he did not want
    a needle in his arm because he had previously contracted hepatitis from a hospital needle.
    
    Id. at 38.
    At the conclusion of trial, appellant was found guilty of all charges.
    2 The Fourth Amendment to the United States Constitution states as follows: “The right
    of the people to be secure in their persons, houses, papers, and effects, against
    unreasonable searches and seizures, shall not be violated, and no Warrants shall issue,
    but upon probable cause, supported by Oath or affirmation, and particularly describing
    the place to be searched, and the persons or things to be seized.” U.S. CONST. amend.
    IV.
    3 Article I, Section 8 of the Pennsylvania Constitution states as follows: “The people shall
    be secure in their persons, houses, papers and possessions from unreasonable searches
    and seizures, and no warrant to search any place or to seize any person or things shall
    issue without describing them as nearly as may be, nor without probable cause,
    supported by oath or affirmation subscribed to by the affiant.” PA. CONST. art. I, §8.
    [J-103-2018] - 2
    Appellant filed a motion for reconsideration. Appellant specifically argued the
    United States Supreme Court’s decision in Birchfield v. North Dakota, __ U.S.__, 
    136 S. Ct. 2160
    (2016),4 precludes states from penalizing DUI defendants for refusing to
    submit to warrantless blood testing and, because he was convicted of DUI based on his
    refusal, his DUI charge should have been dismissed or, alternatively, he should be
    granted a new trial at which evidence of his refusal would be inadmissible.              See
    Appellant’s Motion for Reconsideration, 7/1/16 at 2. The trial court ruled the matter was
    “clearly controlled [by] Birchfield’s main point: a warrantless blood test violates a
    defendant’s right to be free from unreasonable searches and he thus has a constitutional
    right to refuse it, which refusal cannot provide the basis for him to be convicted of a crime
    or otherwise penalized.” Trial Court Op., 8/19/16 at 5 (emphasis omitted). The trial court
    ultimately determined appellant was entitled to a new trial because the court had relied
    on his refusal as a basis for the DUI conviction. 
    Id. The Commonwealth
    filed an interlocutory appeal to the Superior Court pursuant to
    Pa.R.A.P. 311(a)(6) (new trial awarded and Commonwealth claims trial court committed
    error of law). The Commonwealth argued Birchfield did not alter the admissibility of
    refusal evidence to show consciousness of guilt. The Commonwealth noted the Birchfield
    Court explicitly stated it had previously approved of “‘implied-consent laws that impose
    civil penalties and evidentiary consequences on motorists who refuse to comply . . . and
    nothing we say here should be read to cast doubt on them.’” Commonwealth’s Superior
    Court Brief at 11 (emphasis omitted), quoting 
    Birchfield, 136 S. Ct. at 2185
    .             The
    Commonwealth       further   contended    scenarios      involving   implied   consent   are
    distinguishable from other situations, such as an individual’s refusal to consent to a
    4Birchfield was decided on June 23, 2016, after appellant’s April 2016 trial and his March
    2016 pre-trial motion to dismiss.
    [J-103-2018] - 3
    warrantless search of his home, where such refusal would be inadmissible at trial. 
    Id. at 13.
      Appellant responded that Birchfield created a constitutional right to refuse a
    warrantless blood test and the admission of his refusal was improper as it penalized him
    for exercising this constitutional right. Appellant’s Superior Court Brief at 4.
    A three-judge panel of the Superior Court reversed the trial court’s order granting
    appellant a new trial and remanded the case for sentencing. Commonwealth v. Bell, 
    167 A.3d 744
    , 750 (Pa. Super. 2017). The panel reviewed Pennsylvania’s implied consent
    statute, 75 Pa.C.S. §1547, as well as case law in which both the United States Supreme
    Court and the Superior Court stated motorists suspected of drunk driving have no
    constitutional right to refuse chemical testing. 
    Bell, 167 A.3d at 748-49
    , discussing South
    Dakota v. Neville, 
    459 U.S. 553
    (1983) and Commonwealth v. Graham, 
    703 A.2d 510
    (Pa. Super. 1997).      Based on this precedent, the panel held appellant had no
    constitutional right to refuse a blood test and it was constitutionally permissible for the
    Commonwealth to introduce evidence of such refusal at his trial. 
    Id. at 749.
    The panel further held the trial court’s reliance on Birchfield for the opposite
    conclusion was misplaced, finding the decision did not support the assertion appellant
    had a constitutional right to refuse chemical testing and thus did not change the analysis
    applied by the courts in Neville and Graham.          Instead, the panel agreed with the
    Commonwealth, concluding although the Birchfield Court ultimately held it was
    unreasonable for implied consent laws to impose criminal penalties for refusals, the Court
    “express[ed] approval of the imposition of civil penalties and evidentiary consequences
    on motorists who refuse to comply with chemical testing upon their arrest[.]” 
    Id. at 750,
    citing 
    Birchfield, 136 S. Ct. at 2185
    . Based on the Supreme Court’s approval of evidentiary
    consequences set forth in implied consent laws such as Pennsylvania’s statute, the
    [J-103-2018] - 4
    Superior Court held appellant’s refusal was properly admitted into evidence and thus he
    was not entitled to a new trial. 
    Id. We accepted
    review to consider the following question raised by appellant:
    “Whether §1547(e) of the Vehicle Code, 75 Pa.C.S. §1547(e), is violative of Article 1
    Section 8 of the Pennsylvania Constitution and the Fourth Amendment to the United
    States Constitution to the extent that it permits evidence of an arrestee's refusal to submit
    a sample of blood for testing without a search warrant as proof of consciousness of guilt
    at the arrestee’s trial on a charge of DUI?” Commonwealth v. Bell, 
    183 A.3d 978
    (Pa.
    2018) (per curiam). As we are presented with a question of law, our scope of review is
    plenary and non-deferential. Commonwealth v. Ali, 
    149 A.3d 29
    , 34 (Pa. 2016).
    Appellant contends Missouri v. McNealy, 
    569 U.S. 141
    (2013), which rejected a
    per se exigent circumstances exception to the warrant requirement for blood testing
    based on dissipation of blood alcohol content (BAC), and Birchfield, which rejected a
    search incident to arrest exception to the warrant requirement for blood testing, make
    clear that DUI suspects have a Fourth Amendment right to refuse warrantless blood
    testing. Appellant’s Brief at 7-8. Appellant submits the cases relied on by the Superior
    Court, Neville and Graham, are inapposite as those decisions were based on a Fifth
    Amendment5 analysis and were decided when it was still viewed as constitutionally
    permissible to conduct blood testing without first securing a warrant. 
    Id. at 8-9.
    According
    to appellant, since Birchfield declared a Fourth Amendment right to be free from
    warrantless blood testing, we must follow the law as stated in Commonwealth v. Welch,
    
    585 A.2d 517
    (Pa. Super. 1991), which held a defendant’s refusal of a warrantless search
    of her bedroom could not be used as evidence of consciousness of guilt. Appellant’s Brief
    5 The Fifth Amendment to the United States Constitution states, in relevant part, as
    follows: “No person shall . . . be compelled in any criminal case to be a witness against
    himself[.]” U.S. CONST. amend. V.
    [J-103-2018] - 5
    at 9, citing 
    Welch, 585 A.2d at 520
    . In further support of this proposition, appellant cites
    Commonwealth v. Chapman, 
    136 A.3d 126
    (Pa. 2016), in which this Court held a
    defendant’s refusal to submit to a warrantless blood test for DNA purposes was
    inadmissible to demonstrate consciousness of guilt.        Appellant’s Brief at 15, citing
    
    Chapman, 136 A.3d at 131
    .
    Appellant further argues the language in Birchfield pertaining to evidentiary
    consequences was dicta and does not require a different result here. 
    Id. at 10,
    citing Trial
    Court Op., 8/19/16 at 4. Appellant contends the issue in Birchfield was whether DUI
    defendants may be “‘convicted of a crime or otherwise penalized’” for their refusal and it
    is clear that allowing the Commonwealth to introduce his refusal into evidence penalized
    him by providing a basis for his conviction. 
    Id. (emphasis omitted),
    quoting 
    Birchfield, 136 S. Ct. at 2172
    . Additionally, appellant argues our decision in Commonwealth v. Myers,
    
    164 A.3d 1162
    (Pa. 2017) (plurality) held the Pennsylvania implied consent statute does
    not establish an exception to the warrant requirement and the Commonwealth is required
    to prove there was voluntary consent given prior to the extraction of blood. 
    Id. at 11.
    Appellant requests we expand the holding in Myers — which involved an unconscious
    DUI suspect — to conscious individuals and hold there is a Fourth Amendment right to
    refuse warrantless blood testing. 
    Id. Appellant alternatively
    requests we hold there is an independent right to refuse a
    warrantless blood test under Article I, Section 8 of the Pennsylvania Constitution, and that
    Section 1547(e) violates it. 
    Id. at 12-14,
    citing Commonwealth v. Edmunds, 
    586 A.2d 887
    (Pa. 1991). Appellant contends although the text of Article I, Section 8 is very similar to
    that of the Fourth Amendment, this Court has held Article I, Section 8 to be more
    protective. 
    Id. at 12,
    citing, e.g., Commonwealth v. Brion, 
    652 A.2d 287
    (Pa. 1994).
    Relative to his claim herein, appellant maintains this Court has continuously held the
    [J-103-2018] - 6
    search of a person involves greater intrusion upon privacy interests than the search of a
    thing. 
    Id. at 13,
    citing Theodore v. Delaware Valley Sch. Dist., 
    836 A.2d 76
    , 89 (Pa. 2003).
    Appellant observes no other jurisdiction has addressed the admissibility of refusal
    evidence utilizing a state constitutional analysis. 
    Id. Appellant argues
    this Court should
    hold, as a matter of public policy, the severity of the drunk driving problem does not
    outweigh individual privacy rights, and police may use breath tests or their own
    observations to prove DUI cases without violating those rights. 
    Id. at 13-14.6
    In response, the Commonwealth asserts the United States Supreme Court has
    consistently     approved   of   implied   consent   laws    like   Pennsylvania’s    statute.
    Commonwealth’s Brief at 6-8, citing Schmerber v. California, 
    384 U.S. 757
    (1966)
    (holding admission of blood test evidence does not violate Fifth Amendment) and 
    Neville, supra
    (holding admission of refusal evidence does not violate Fifth Amendment). The
    Commonwealth further asserts Pennsylvania courts have consistently upheld Section
    1547. 
    Id. at 8-9,
    citing Commonwealth v. Stair, 
    699 A.2d 1250
    (Pa. 1997) (Opinion in
    Support of Affirmance) (holding no constitutional right to refuse chemical testing) and
    
    Graham, supra
    (holding admission of refusal evidence does not violate United States
    Constitution).    Based on this precedent, the Commonwealth argues there is no
    constitutional right to refuse blood testing in the DUI context and the general rule proffered
    in Welch regarding a completely separate situation — i.e., evidence of a refusal to consent
    to a warrantless search of a bedroom is inadmissible for purposes of demonstrating
    consciousness of guilt — does not apply here. 
    Id. at 9.
    To bolster this argument, the
    Commonwealth points to Chapman, where this Court specifically stated “‘the admission
    of evidence of a refusal to consent to a warrantless search to demonstrate consciousness
    6 The Defender Association of Philadelphia and the Pennsylvania Association of Criminal
    Defense Lawyers filed an amicus curiae brief in which they present arguments similar to
    those presented by appellant.
    [J-103-2018] - 7
    of guilt is problematic, as most jurisdictions hold (outside the context of implied-
    consent scenarios) that such admission unacceptably burdens an accused’s right to
    refuse consent.’” 
    Id. at 9-10
    (emphasis in original), quoting 
    Chapman, 136 A.3d at 131
    .
    The Commonwealth contends the implied consent law is the distinguishing factor
    between Welch and the case at hand, observing “Welch had not agreed (by undertaking
    to engage in a civil privilege such as operating a motor vehicle) to accept an ultimatum
    pursuant to which she would either consent to a search or accept non-criminal
    consequences of a refusal to so consent.” 
    Id. at 10.
    The Commonwealth explains “[a]
    motorist asked to consent to a blood test is not in the same position as Welch, and is not
    being penalized for exercising a constitutional right. Rather . . . the motorist is subjected
    to evidentiary consequences for exercising his statutory choice to refuse a chemical test,
    the non-criminal consequences of which he has already agreed to[.]” 
    Id. (emphasis in
    original). The Commonwealth further asserts our recent decision in Myers supports this
    distinction as the lead opinion stated “Pennsylvania’s implied consent statute ‘imposes
    an ultimatum upon the arrestee, who must choose either to submit to a requested
    chemical test or to face the consequences that follow from the refusal to do so.’” 
    Id. at 11,
    quoting 
    Myers, 164 A.3d at 1177
    (plurality).
    The Commonwealth additionally contends the decisions in McNeely and Birchfield
    support the continued validity of Section 1547(e). The Commonwealth observes the
    McNeely Court, in rejecting a per se exigency rule, recognized “‘[s]tates have a broad
    range of legal tools to enforce their drunk-driving laws and to secure BAC evidence,’
    including ‘allow[ing] the motorist’s refusal to take a BAC test to be used as evidence
    against him[.]’” 
    Id. at 12,
    quoting 
    McNeely, 569 U.S. at 160-61
    . And, the Commonwealth
    notes the Birchfield Court “confirmed its approval of non-criminal consequences related
    to implied consent laws” by stating “‘[o]ur prior opinions have referred approvingly to the
    [J-103-2018] - 8
    general concept of implied-consent laws that impose civil penalties and evidentiary
    consequences on motorists who refuse to comply . . . and nothing we say here should be
    read to cast doubt on them.’” 
    Id. at 13-14
    (emphasis omitted), quoting 
    Birchfield, 136 S. Ct. at 2185
    . Accordingly, the Commonwealth asserts the evidentiary consequences for
    a refusal to submit to blood testing remain permissible under the Fourth Amendment post-
    Birchfield. 
    Id. at 14.
    With regard to appellant’s alternative Article I, Section 8 argument, the
    Commonwealth contends it is waived because appellant never raised it in the lower
    courts. 
    Id. at 15-19.
    The Commonwealth also argues appellant’s Article I, Section 8 claim
    should be deemed waived because he failed to adequately develop the issue in his brief
    to this Court. 
    Id. at 19-21.
    The Commonwealth nevertheless presents an Edmunds analysis and asks this
    Court to conclude Article I, Section 8 provides no greater protections than the Fourth
    Amendment in the context of this case. The Commonwealth agrees the text of Article I,
    Section 8 is similar to that of the Fourth Amendment and that this Court has found
    independent rights guaranteed by Article I, Section 8 on privacy grounds. 
    Id. at 22-24,
    citing 
    Theodore, 836 A.2d at 88
    . However, the Commonwealth maintains Pennsylvania
    courts have had numerous opportunities to consider implied consent in the search and
    seizure context and have consistently aligned with the High Court’s decisions. 
    Id. at 24-
    25. In fact, the Commonwealth contends, in no case has a Pennsylvania court suggested
    Article I, Section 8 provides greater protections in the implied consent context, and our
    courts have instead referred to “‘the Fourth Amendment to the United States Constitution
    and Article I, Section 8 of the Pennsylvania Constitution’ together[,]” which suggests they
    are coterminous in this context. 
    Id. at 25,
    quoting 
    Myers, 164 A.3d at 1167
    .
    [J-103-2018] - 9
    The Commonwealth recognizes that no state court has ruled upon the admissibility
    of refusal evidence in the implied consent context using a state constitutional analysis,
    but points to several state court decisions that have applied a post-Birchfield Fourth
    Amendment analysis to hold “a defendant’s refusal to submit to a chemical test of blood
    in the implied consent context may be constitutionally admitted into evidence at trial.” 
    Id. at 26.
    Specifically, the Commonwealth cites to an en banc Colorado Supreme Court
    decision concluding Birchfield was distinguishable from cases involving the admissibility
    of refusal evidence, 
    id. at 26-27,
    citing Fitzgerald v. People, 
    394 P.3d 671
    , 675-76 (Colo.
    2017), and a Vermont Supreme Court decision holding “‘criminalizing the revocation of
    implied consent crosses the line in terms of impermissibly burdening the Fourth
    Amendment . . . [b]ut allowing evidence of a refusal to submit to a blood test in the context
    of a DUI prosecution does not warrant the same constitutional protection.’” 
    Id. at 28,
    quoting State v. Rajda, 
    196 A.3d 1108
    , 1121 (Vt. 2018).
    Regarding public policy, the Commonwealth argues Section 1547(e) does not
    infringe upon privacy rights as the subsection applies only when a motorist invokes his
    statutory right to refuse a blood test. 
    Id. at 30.
    Where no blood test takes place, the
    Commonwealth maintains, the motorist’s privacy has not been invaded.               
    Id. The Commonwealth
    further argues the inability to present refusal evidence at trial would
    prejudice DUI prosecutions because the jury will expect evidence of BAC or an
    explanation for its absence. 
    Id. at 31-32.
    Lastly, the Commonwealth contends it is vital
    for it to possess non-criminal means, such as the admissibility of refusal evidence, to
    encourage motorists to comply with requests for chemical testing. 
    Id. at 32-34.7
    7The Pennsylvania District Attorney’s Association filed an amicus curiae brief in which it
    presents arguments similar to those presented by the Commonwealth.
    [J-103-2018] - 10
    Preliminarily, we agree with the Commonwealth that appellant’s current claim
    Section 1547(e) violates Article I, Section 8 is waived. Although appellant stated in his
    pre-trial motion to dismiss “Pennsylvania’s Implied Consent Law violates Article 1, Section
    8 of the Pennsylvania Constitution and the Fourth Amendment to the United States
    Constitution[,]” Appellant’s Motion to Dismiss, 3/8/16 at 2, he failed at that time to develop
    an argument that the Pennsylvania Constitution provided any independent grounds for
    relief. Furthermore, in his post-trial motion for reconsideration, appellant did not reference
    Article I, Section 8 at all, but only stated Birchfield provided him with a “constitutional right
    to refuse testing of blood[.]” Appellant’s Motion for Reconsideration, 7/1/16 at 2. Although
    appellant includes a brief and cursory Edmunds analysis in his brief to this Court, it is the
    first time he has suggested that Article I, Section 8 provides an independent basis for
    relief. See Appellant’s Brief at 12-14. As appellant failed to preserve his Article I, Section
    8 claim we decline to consider it. See Commonwealth v. Chamberlain, 
    30 A.3d 381
    , 405
    (Pa. 2011) (declining to consider whether state constitution departed from federal
    counterpart where argument was not directly advanced in lower courts); Pa.R.A.P. 302(a)
    (“Issues not raised in the lower court are waived and cannot be raised for the first time on
    appeal”). We therefore limit our review to appellant’s argument Section 1547(e) violates
    his rights under the Fourth Amendment.8
    8 Neither appellant’s failure to develop an Edmunds analysis in the trial court nor his failure
    to reference Article I, Section 8 in his motion for reconsideration is the basis upon which
    we find waiver. Instead, we find waiver on the same basis as did the Court in Chamberlain
    — appellant “did not claim before the trial court that the Pennsylvania Constitution
    provided an independent basis for relief.” 
    Chamberlain, 30 A.3d at 405
    ; see also 
    id. at 406
    (“We decline to consider whether state due process should depart from federal due
    process with regard to missing evidence where this argument was not directly
    advanced in the court below.”) (emphasis added). Although we recognize appellant
    stated in his motion to dismiss that “Pennsylvania’s Implied Consent Law violates Article
    1, Section 8 of the Pennsylvania Constitution and the Fourth Amendment to the United
    States Constitution[,]” see Appellant’s Motion to Dismiss, 3/8/16 at 2, appellant failed to
    directly advance any argument regarding whether the clauses differed. We find the
    [J-103-2018] - 11
    The Fourth Amendment to the United States Constitution provides, in relevant part,
    “[t]he right of the people to be secure in their persons, houses, papers, and effects,
    against unreasonable searches and seizures, shall not be violated[.]”         U.S. CONST.
    amend. IV. It has long been established that a blood draw for purposes of determining
    BAC constitutes a search under the Fourth Amendment. 
    Schmerber, 384 U.S. at 767
    .
    As such, the pertinent question under a Fourth Amendment analysis is whether such a
    search is reasonable. 
    Birchfield, 136 S. Ct. at 2173
    . Generally, in order for a search to
    be reasonable, the Fourth Amendment requires that police obtain a warrant, supported
    by probable cause and issued by a neutral magistrate, prior to searching an individual or
    his property. Commonwealth v. Arter, 
    151 A.3d 149
    , 153 (Pa. 2016). Although searches
    conducted without a warrant are presumed to be unreasonable, there are exceptions to
    this rule, including searches conducted with the consent of the individual whose person
    or property is being searched. Commonwealth v. Wilmer, 
    194 A.3d 564
    , 567-68 (Pa.
    2018).
    In order to combat the dangers of drunk driving, states, including Pennsylvania,
    have enacted laws which criminalize driving with a BAC that exceeds a certain level.
    
    Birchfield, 136 S. Ct. at 2166
    . Blood testing is necessary to determine a motorist’s BAC
    but those suspected of DUI routinely decline to submit to testing when given the option.
    
    Id. Accordingly, states
    have also enacted implied consent laws, which impose penalties
    on motorists who refuse to undergo BAC testing. 
    Id. These laws
    are based on the notion
    current situation to be akin to cases where this Court has repeatedly stated general claims
    under the state and federal constitutions do not present independent questions of state
    constitutional law. See e.g., Commonwealth v. Lagenella, 
    83 A.3d 94
    , 99 n.3 (Pa. 2013);
    Commonwealth v. Galvin, 
    985 A.2d 783
    , 793 n.15 (Pa. 2009); Commonwealth v. Starr,
    
    664 A.2d 1326
    , 1334 n.6 (Pa. 1995). Lastly, the fact that the question granted for review
    in this case included appellant’s claim under Article I, Section 8, see Commonwealth v.
    Bell, 
    183 A.3d 978
    (Pa. 2018) (per curiam), does not preclude us from ultimately finding
    the claim waived. See Commonwealth v. Metz, 
    633 A.2d 125
    , 126 (Pa. 1993) (declining
    to address an issue upon which allocatur was granted due to waiver).
    [J-103-2018] - 12
    that driving is a privilege rather than a fundamental right. PennDOT v. Scott, 
    684 A.2d 539
    , 544 (Pa. 1996). When partaking in the privilege of driving on Pennsylvania’s roads,
    motorists must comply with Pennsylvania’s implied consent statute, 75 Pa.C.S. §1547.
    The version of the implied consent statute in effect at the time of appellant’s arrest
    provided, in relevant part, as follows:
    Any person who drives, operates or is in actual physical control of the
    movement of a vehicle in this Commonwealth shall be deemed to have
    given consent to one or more chemical tests of breath, blood or urine for the
    purpose of determining the alcoholic content of blood or the presence of a
    controlled substance if a police officer has reasonable grounds to believe
    the person to have been driving, operating or in actual physical control of
    the movement of a vehicle:
    (1) in violation of . . . [75 Pa.C.S. §] 3802 (relating to driving
    under influence of alcohol or controlled substance)[.]
    Former 75 Pa.C.S. §1547(a)(1).9
    Section 1547 also sets forth penalties for motorists who were arrested on suspicion
    of DUI and refused to submit to chemical testing. These penalties include requiring
    PennDOT to suspend the motorist’s license for at least one year, see 75 Pa.C.S.
    §1547(b)(1),10 and the penalty at issue here: expressly allowing evidence of the motorist’s
    9 We refer in this opinion to the version of Section 1547(a) in effect at the time of
    appellant’s arrest as former 75 Pa.C.S. §1547(a). The full citation for this version is as
    follows: Act of June 17, 1976, P.L. 162, No. 81, §1, amended December 15, 1982, P.L.
    1268, No. 289, §5, amended February 12, 1984, P.L. 53, No. 12, §2, amended May 30,
    1990, P.L. 173, No. 42, §5, amended December 18, 1992, P.L. 1411, No. 174, §6,
    amended July 2, 1996, P.L. 535, No. 93, §1, amended July 11, 1996, P.L. 660, No. 115,
    §8, amended December 21, 1998, P.L. 1126, No. 151, §18, amended October 4, 2002,
    P.L. 845, No. 123, §3, amended September 30, 2003, P.L. 120, No. 24, §9.1, 10,
    amended November 29, 2004, P.L. 1369, No. 177, §2, amended May 11, 2006, P.L. 164,
    No. 40, §2, former 75 Pa.C.S. §1547(a). Subsection (a) was amended in the wake of the
    Birchfield decision. However, subsections (b) and (e) remained unchanged following the
    amendments.
    10Section 1547(b) also requires police officers to inform motorists that their refusal would
    subject them to enhanced criminal penalties if convicted of DUI. See 75 Pa.C.S.
    §1547(b)(2)(ii). Such penalties were held to be unconstitutional in Birchfield. In this case,
    appellant challenges the constitutionality of Section 1547(e) only and, in any event, the
    [J-103-2018] - 13
    refusal to be admitted at his subsequent criminal trial on DUI charges. See 75 Pa.C.S.
    §1547(e). Section 1547(e) provides as follows:
    In any summary proceeding or criminal proceeding in which the defendant
    is charged with a violation of [75 Pa.C.S. §]3802 or any other violation of
    this title arising out of the same action, the fact that the defendant refused
    to submit to chemical testing as required by subsection (a) may be
    introduced in evidence along with other testimony concerning the
    circumstances of the refusal. No presumptions shall arise from this
    evidence but it may be considered along with other factors concerning the
    charge.
    75 Pa.C.S. §1547(e).
    With this statutory framework in mind, we now review the relevant jurisprudence
    surrounding warrantless blood testing in the context of DUI arrests. In Schmerber, the
    United States Supreme Court considered whether use of the results of a DUI defendant’s
    warrantless blood test as evidence at his trial violated, inter alia, the Fourth and Fifth
    
    Amendments. 384 U.S. at 759
    . The High Court reasoned the results of the blood test
    were not testimonial in nature and thus did not constitute compelled self-incrimination in
    violation of the Fifth Amendment. 
    Id. at 760-65.
    The Court also denied the defendant’s
    Fourth Amendment claim, concluding it was reasonable for the officer to conduct a
    warrantless blood test based on exigent circumstances, namely that the defendant was
    rushed to the hospital, the officer had to investigate the scene of the accident before
    arriving at the hospital to make the blood draw, and the amount of alcohol in the
    defendant’s blood would have begun to dissipate had the officer first sought a warrant.
    
    Id. at 766-72.
    The Court later decided Neville, which presented the question of whether the trial
    court’s admission of a DUI defendant’s refusal to submit to a warrantless blood test
    Commonwealth has previously conceded that appellant cannot be subject to enhanced
    criminal penalties based on his refusal when this case proceeds to sentencing. See Trial
    Court Op., 8/19/16 at 2.
    [J-103-2018] - 14
    violated his rights under the Fifth 
    Amendment. 459 U.S. at 554
    . The defendant’s refusal
    was admitted into evidence by way of a South Dakota implied consent statute which
    permitted motorists to refuse the test, but penalized such refusal by revoking their driving
    licenses for one year and allowing evidence of their refusal to be used against them at
    trial. 
    Id. at 559-60.
    The Neville Court ultimately held the admission of refusal evidence
    did not violate the Fifth Amendment because the defendant had not been coerced into
    refusing the test, but instead was given a choice between submitting to the test or
    accepting the consequences of refusing the test. 
    Id. at 562-63.
    In doing so, the Court
    recognized the state would prefer the defendant choose to submit to the test as actual
    BAC evidence which exceeds lawful limits is far stronger evidence of guilt than refusal
    evidence. 
    Id. at 564.
    As the refusal was not coerced, the Court held its admission into
    evidence was not barred by the Fifth Amendment right against self-incrimination. 
    Id. The Court
    additionally held the officer’s failure to warn the defendant that his refusal could be
    used against him at trial did not violate his due process rights. 
    Id. at 564-66.
    The legal landscape regarding warrantless blood tests changed with McNeely, in
    which a DUI defendant challenged the admission of his BAC results where he had refused
    to submit to a breath test and was then transported to a hospital where a warrantless
    blood draw was performed without his 
    consent. 569 U.S. at 145-47
    . The Court held
    suppression of the blood test results was proper because the warrantless blood test
    violated the defendant’s Fourth Amendment rights. 
    Id. at 164-65.
    The Court rejected
    Missouri’s argument there should be a per se rule allowing warrantless blood tests in all
    DUI cases, based on the alleged automatic exigency arising from the natural dissipation
    of alcohol in the bloodstream. 
    Id. at 151-56.
    Instead, the Court continued to follow
    Schmerber and held whether a warrantless blood test is reasonable based on exigent
    circumstances must be determined by viewing the totality of the circumstances of each
    [J-103-2018] - 15
    particular case. 
    Id. at 156.
    In support of this conclusion, a plurality of the Court noted
    states have other tools to enforce drunk driving laws and to secure BAC evidence, that
    presumably do not implicate Fourth Amendment concerns. 
    Id. at 160-61
    (plurality).
    Included in these tools, the plurality expressly recognized, are “implied consent laws that
    require motorists, as a condition of operating a motor vehicle within the State, to consent
    to BAC testing if they are arrested . . . on suspicion of a drunk-driving offense” and “[s]uch
    laws impose significant consequences when a motorist withdraws consent[,]” including
    “allow[ing] the motorist’s refusal to take a BAC test to be used as evidence against him in
    a subsequent criminal prosecution.” 
    Id. at 161
    (plurality).
    The Court then decided Birchfield. In the introduction to its opinion, the Court noted
    the penalties for refusing chemical testing in early implied consent laws were suspension
    or revocation of a motorist’s license and allowing evidence of a motorist’s refusal to be
    admitted in a subsequent 
    trial. 136 S. Ct. at 2169
    . The Court also observed that, more
    recently, in an effort to further strengthen drunk driving laws, states began imposing
    criminal penalties on motorists who refuse to submit to chemical testing. 
    Id. Birchfield squarely
    presented the question of whether compelling motorists to submit to warrantless
    breath or blood tests on pain of criminal consequences violates the Fourth Amendment.
    
    Id. at 2172.
    In deciding this question, the High Court first considered whether the search of a
    DUI suspect’s blood or breath was exempted from the warrant requirement as a search
    incident to arrest. 
    Id. at 2174-84.
    After an assessment of “the effect of BAC tests on
    privacy interests and the need for such tests,” the Court concluded “the Fourth
    Amendment permits warrantless breath tests incident to arrests for drunk driving”
    because “[t]he impact of breath tests on privacy is slight, and the need for BAC testing is
    great.” 
    Id. at 2184.
    However, the Court reached “a different conclusion with respect to
    [J-103-2018] - 16
    blood tests[,]” concluding “[b]lood tests are significantly more intrusive,” “their
    reasonableness must be judged in light of the availability of the less invasive alternative
    of a breath test[,]” and there is no “justification for demanding the more intrusive
    alternative without a warrant.” 
    Id. The Court
    next considered whether the implied consent statute at issue satisfied
    the consent exception to the warrant requirement. 
    Id. at 2185-87.
    The Court recognized
    its “prior opinions have referred approvingly to the general concept of implied-consent
    laws that impose civil penalties and evidentiary consequences on motorists who refuse
    to comply . . . and nothing we say here should be read to cast doubt on them.” 
    Id. at 2185,
    citing 
    McNeely, 569 U.S. at 160-62
    ; 
    Neville, 459 U.S. at 560
    . However, the High
    Court held “[t]here must be a limit to the consequences to which motorists may be deemed
    to have consented by virtue of a decision to drive on public roads” and “motorists cannot
    be deemed to have consented to submit to a blood test on pain of committing a criminal
    offense.” 
    Id. at 2185-86.
    Following Birchfield, this Court decided Myers. In Myers, police officers arrested
    a motorist for DUI and transported him to the hospital as they believed he was so severely
    intoxicated he required medical 
    attention. 164 A.3d at 1165
    . Notwithstanding the fact
    that medical treatment at the hospital rendered the DUI suspect unconscious, a police
    officer read out the PennDOT DL-26 form in his presence and instructed hospital
    personnel to draw blood from him for purposes of securing BAC evidence. 
    Id. This Court
    affirmed suppression of the blood test results, holding a blood draw from an unconscious
    DUI suspect violates the dictates of Pennsylvania’s implied consent law as Section
    1547(b)(1) provides an absolute right to refuse chemical testing, and an unconscious
    individual is unable to exercise that right. 
    Id. at 1172.
    A majority of the Court also held,
    albeit without complete agreement as to reasoning, that a warrantless blood draw from
    [J-103-2018] - 17
    an unconscious DUI suspect violates the Fourth Amendment. 
    Id. at 1173-82
    (plurality);
    1183-84 (Saylor, C.J., concurring).
    The United States Supreme Court’s decisions in McNeely and Birchfield and this
    Court’s decision in Myers indicate a warrantless blood test, which is conducted when no
    exceptions to the warrant requirement apply, violates the Fourth Amendment rights of a
    motorist suspected of DUI. Outside the implied consent context, such a violation would
    trigger the application of Welch and a refusal to submit to the warrantless blood test would
    be inadmissible at any subsequent trial on the DUI charges. See 
    Welch, 585 A.2d at 520
    (defendant’s refusal of a warrantless search of her bedroom could not be used as
    evidence of consciousness of guilt). However, we agree with the Commonwealth that the
    Pennsylvania implied consent statute is the distinguishing factor between Welch and the
    case at hand. See 
    Chapman, 136 A.3d at 131
    (“the admission of evidence of a refusal
    to consent to a warrantless search to demonstrate consciousness of guilt is problematic,
    as most jurisdictions hold (outside the context of implied-consent scenarios) that such
    admission unacceptably burdens an accused’s right to refuse consent”) (emphasis
    added). As the Commonwealth aptly states, unlike the defendant in Welch, appellant
    “agreed (by undertaking to engage in a civil privilege such as operating a motor vehicle)
    to accept an ultimatum pursuant to which [he] would either consent to a search or accept
    non-criminal consequences of a refusal to so consent.” Commonwealth’s Brief at 10.
    Indeed, as the Myers plurality recognized, implied consent laws “authorize a police
    officer to request a motorist’s submission to a chemical test, at which point the motorist
    must choose either (a) to comply with the test or (b) to refuse and accept the
    consequences that accompany 
    refusal.” 164 A.3d at 1174
    (plurality). The choice may
    well be a difficult one, but this alone does not invalidate the “implied consent” created by
    the statute. See Jenkins v. Anderson, 
    447 U.S. 231
    , 236 (1980) (“the Constitution does
    [J-103-2018] - 18
    not forbid ‘every government-imposed choice in the criminal process that has the effect
    of discouraging the exercise of constitutional rights’”), quoting Chaffin v. Stynchcombe,
    
    412 U.S. 17
    , 30 (1973). As implied by Birchfield, the pertinent question in determining
    the constitutionality of a statute demanding this particular choice is whether the
    consequence for refusing a warrantless blood test undermines the inference that the
    motorist implicitly consented to it, and suggests instead that the “search” was coerced.11,12
    11 This question fully encompasses the threshold issue in Jenkins and Chaffin and our
    analysis below answers it. 
    Jenkins, 447 U.S. at 236
    (“The ‘threshold question is whether
    compelling the election impairs to an appreciable extent any of the policies behind the
    rights involved.’”), quoting 
    Chaffin, 412 U.S. at 32
    . As seen infra, we disagree with the
    dissent’s assertion that “[t]he sole purpose of the implied consent law’s consequences of
    refusal is to induce a motorist’s compliance with chemical testing.” Dissenting Opinion,
    slip op. at 21 n.6. See also 
    id. at 29
    (“the ‘only objective’ of this practice is to ‘discourage
    the assertion’ of that constitutional right”), quoting 
    Chaffin, 412 U.S. at 32
    n.20. Indeed,
    the consequence at issue here — allowing evidence of a motorist’s refusal at his
    subsequent trial for DUI — does not solely punish a defendant but also has a legitimate
    purpose, just as the consequence at issue in Jenkins. See 
    Jenkins, 447 U.S. at 238
    (impeachment evidence has the legitimate purpose of “advanc[ing] the truth-finding
    function of the criminal trial”). As stated below, the admission of refusal evidence “furthers
    the reliability of the criminal process and its truth-seeking function by allowing the jurors
    to understand why the State is not submitting an evidentiary test in a DUI prosecution.”
    
    Rajda, 196 A.3d at 1120
    . Surely, it cannot be said that the sole purpose of the admission
    of refusal evidence “is to induce a motorist’s compliance with chemical testing.”
    Dissenting Opinion, slip op. at 21 n.6.
    12 The dissent criticizes our decision not to address the High Court’s jurisprudence
    regarding the unconstitutional conditions doctrine and the penalization of the exercise of
    constitutional rights. See Dissenting Opinion, slip op. at 14-15 n.4, 19 & n.5, 20. Although
    appellant may have raised the unconstitutional conditions doctrine in his motion to dismiss
    before the trial court, see Appellant’s Motion to Dismiss, 3/8/16 at 2 (“Pennsylvania’s
    Implied Consent Law violates Article 1, Section 8 of the Pennsylvania Constitution and
    the Fourth Amendment to the United States Constitution under the Unconstitutional
    Conditions Doctrine”), we decline to address the doctrine here because appellant himself,
    in his brief to this Court, does not discuss the doctrine or its potential application to his
    case, nor does he cite to any of the High Court’s cases discussing the penalization of
    constitutional rights, but instead cites solely to the distinguishable cases of Chapman and
    Welch. Furthermore, we take considerable issue with Justice Wecht’s spurious assertion
    that we prefer “to set a dangerous and unfounded precedent suggesting that the universe
    [J-103-2018] - 19
    Our view on this point is substantially aligned with that of the Supreme Court of
    Vermont. When deciding an issue identical to the one at hand, the court opined:
    As the [Birchfield] Court suggested . . . the admission of evidence of a
    refusal to submit to a blood draw is a qualitatively different consequence
    with respect to its burden on the Fourth Amendment. Criminalizing refusal
    places far more pressure on defendants to submit to the blood test —
    thereby impermissibly burdening the constitutionally protected right not to
    submit to the test — than merely allowing evidence of the refusal at a
    criminal DUI trial, where a defendant can explain the basis for the refusal
    and the jury can consider the defendant’s explanation for doing so.
    Moreover, the admission of refusal evidence in the context of a DUI
    proceeding, without directly burdening the privacy interest protected by the
    Fourth Amendment, furthers the reliability of the criminal process and its
    truth-seeking function by allowing the jurors to understand why the State is
    not submitting an evidentiary test in a DUI prosecution.
    of applicable law is limited to the Table of Citations section of an appellant’s brief.” See
    Dissenting Opinion, slip op. at 20. Of course we are not limiting our review. Instead, we
    apply the longstanding principle that courts should not act as advocates at the risk of
    depriving the parties the opportunity to be heard. Yount v. DOC, 
    966 A.2d 1115
    , 1119
    (Pa. 2009), citing Luitweiler v. Northchester Corp., 
    319 A.2d 899
    , 901 n.5 (Pa. 1974).
    Indeed, the Commonwealth here had no opportunity to present advocacy to this Court as
    to whether the unconstitutional conditions doctrine is implicated because the words
    “unconstitutional conditions doctrine” do not even appear in appellant’s brief.
    In any event, we find the unconstitutional conditions doctrine is inapplicable here as the
    implied consent law does not condition the privilege of driving upon a motorist’s
    submission to future warrantless blood testing. Indeed, as stated previously, Section
    1547(b)(2) provides an absolute right to refuse all chemical testing. See 
    Myers, 164 A.3d at 1172
    . The fact that certain consequences arise from a motorist’s refusal to submit to
    chemical testing, including the evidentiary consequence presently at issue, does not
    render the implied consent statute unconstitutional. The lead opinion in Myers, authored
    by Justice Wecht, who takes a dissenting position here, recognized as much by stating:
    “[t]he statute does not authorize police officers to seize bodily fluids without an arrestee’s
    permission. Instead, it imposes an ultimatum upon the arrestee, who must choose either
    to submit to a requested chemical test or to face the consequences that follow from the
    refusal to do so.” 
    Id. at 1177;
    see also 
    Jenkins, 447 U.S. at 236
    (“the Constitution does
    not forbid ‘every government-imposed choice in the criminal process that has the effect
    of discouraging the exercise of constitutional rights’”), quoting 
    Chaffin, 412 U.S. at 30
    .
    [J-103-2018] - 20
    The implied consent statute establishes a bargain in which, in exchange for
    the privilege of engaging in the potentially dangerous activity of operating a
    motor vehicle on the highway, motorists impliedly consent to testing for
    impaired driving to protect the public. The critical question is whether civil
    or criminal sanctions resulting from motorists’ revocation of their implied
    consent unconstitutionally coerce them to submit to testing. In Birchfield,
    the U.S. Supreme Court has ruled, with respect to the more invasive blood
    test, that only criminalizing the revocation of implied consent crosses the
    line in terms of impermissibly burdening the Fourth Amendment.
    But allowing evidence of a refusal to submit to a blood test in the context of
    a DUI prosecution does not warrant the same constitutional protection. The
    speculative conclusion that a citizen will consent to a search that he or she
    would otherwise resist solely to avoid evidentiary implications at a possible
    future trial seems too attenuated to meet the U.S. Supreme Court’s test in
    practice. Indeed, as the Court in Birchfield pointed out, states began
    criminalizing refusals because the other civil and evidentiary consequences
    provided an insufficient incentive for motorists — most particularly repeat
    DUI offenders — to submit to testing.
    
    Rajda, 196 A.3d at 1120
    -21 (internal footnotes, quotations, brackets, and citations
    omitted).   Like the Vermont Supreme Court, and following Birchfield, we focus our
    analysis on the nature of the consequences permitted by Pennsylvania’s implied consent
    statute.
    Undeniably, the Birchfield Court rejected criminal prosecution as a valid
    consequence for refusing a warrantless blood test by stating “motorists cannot be
    deemed to have consented to submit to a blood test on pain of committing a criminal
    
    offense.” 136 S. Ct. at 2186
    . At the same time, the Court did not back away from its prior
    approval of other kinds of consequences for refusal, such as “evidentiary consequences.”
    
    Id. at 2185
    (“Our prior opinions have referred approvingly to the general concept of
    implied-consent laws that impose civil penalties and evidentiary consequences on
    motorists who refuse to comply. Petitioners do not question the constitutionality of those
    laws, and nothing we say here should be read to cast doubt on them.”) (internal citations
    omitted).13 Moreover, the Birchfield Court cited to the McNeely plurality which provided
    13The Supreme Court of the United States recently decided the Birchfield-related case of
    Mitchell v. Wisconsin, ___ U.S. ___, 
    139 S. Ct. 2525
    (2019) (plurality), in which the
    [J-103-2018] - 21
    a general endorsement of the evidentiary consequence at issue in this case — evidence
    of a refusal being admitted at a DUI suspect’s trial. 
    Id. at 2185,
    citing 
    McNeely, 569 U.S. at 161
    (implied consent laws “impose significant consequences when a motorist
    withdraws consent; typically the motorist’s driver’s license is immediately suspended or
    revoked, and most [s]tates allow the motorist’s refusal to take a BAC test to be used as
    evidence against him in a subsequent criminal prosecution”). Finally, the Birchfield Court
    also cited Neville, which approved of admitting refusal evidence in a DUI trial, albeit in the
    context of a Fifth Amendment challenge. Id., citing 
    Neville, 459 U.S. at 560
    . Based on
    the above, we find ample support to conclude the High Court would approve this particular
    evidentiary consequence in the context of a Fourth Amendment challenge. 14
    plurality determined a warrantless blood test is generally valid under the 4th Amendment
    based on exigent circumstances where a motorist suspected of DUI is unconscious.
    Although Mitchell is not directly relevant here, the opinion signals general approval of
    implied consent laws and evidentiary consequences for failing to comply with such laws.
    See 
    Mitchell, 139 S. Ct. at 2532
    (“‘Our prior opinions referred approvingly to the general
    concept of implied-consent laws that impose civil penalties and evidentiary consequences
    on motorists who refuse to comply.’”), quoting 
    Birchfield, 136 S. Ct. at 2185
    .
    14 Our learned colleague in dissent is deliberate in his attempt to dispute this conclusion.
    In doing so, Justice Wecht relies on dicta from Birchfield which he finds useful, see
    Dissenting Opinion, slip op. at 10-11 (quoting dicta from Birchfield regarding the seeking
    of warrants), while simultaneously criticizing our reliance on the High Court’s expressed
    intention not to cast doubt on implied consent laws that impose civil penalties and
    evidentiary consequences. Compare 
    id. at 23
    (“As I read Birchfield’s caveat, the Court
    merely declined to opine concerning matters outside the scope of the issue upon which
    certiorari was granted”) with 
    Birchfield, 136 S. Ct. at 2185
    (“Our prior opinions have
    referred approvingly to the general concept of implied-consent laws that impose civil
    penalties and evidentiary consequences on motorists who refuse to comply . . . and
    nothing we say here should be read to cast doubt on them.”). The dissent also
    manufactures an illusory circularity problem where one does not exist in order to reach a
    conclusion — invalidating all implied consent laws with respect to blood testing — that no
    other court has reached. Cf. 
    Rajda, 196 A.3d at 1121
    (“[t]he case law interpreting implied
    consent laws demonstrates that the judiciary overwhelmingly sanctions the use of civil
    penalties and evidentiary consequences against DUI suspects who refuse to comply”)
    [J-103-2018] - 22
    Accordingly, we conclude the “evidentiary consequence” provided by Section
    1547(e) for refusing to submit to a warrantless blood test — the admission of that refusal
    at a subsequent trial for DUI — remains constitutionally permissible post-Birchfield. We
    therefore affirm the order of the Superior Court.
    Jurisdiction relinquished.
    Chief Justice Saylor and Justices Baer, Todd and Mundy join the opinion.
    Justice Mundy files a concurring opinion in which Justice Todd joins.
    Justice Wecht files a dissenting opinion in which Justice Donohue joins.
    (citation omitted); 
    Fitzgerald, 394 P.3d at 676
    (“the Supreme Court has all but said that
    anything short of criminalizing refusal does not impermissibly burden or penalize a
    defendant’s Fourth Amendment right to be free from an unreasonable warrantless
    search”). Rather than engaging in a discussion of the dissent’s perceived “paradox,” we
    need only answer one question: is the evidentiary consequence at issue so coercive that
    it renders a motorist’s prospective consent to blood testing involuntary? As detailed
    above, the answer to that question is no.
    [J-103-2018] - 23