1. Chief Judge John A. Woodcock, Jr. United States District Court District of Maine

2. Pharmaceutical overdose deaths outnumber motor vehicle deaths 23.6% of high school seniors have used someone else’s prescription drugs Over 500 babies suffer opiate withdrawal after birth Today in Maine

3. Type of OffenseIncarcerationMaximum FineSupervised Release First Offense Up to 20 years$1,000,0003 years to life Second Offense Up to 30 years$2,000,0006 years to life Death or Serious Bodily Injury 20 years to life Death or Serious Bodily Injury (if prior felony drug offense) Mandatory life sentence Federal Sentences

6. Maine Federal Drug Prosecutions

7. Percentage of Drug Trafficking Defendants Cooperating with Law Enforcement

8. Defendants by Gender, Nationally Powder CocaineMeth & Other Drugs

9. Defendants Sentenced in 2010 for Prescription Drug Crimes Southern Maine v. Northern Maine

10. Drug trafficking prosecutions for prescription drugs ONLY: Aroostook Hancock Kennebec Piscataquis Washington

11. Crack Cocaine Prosecutions August 2009 – September 2011 Southern Maine = 46

12. Crack Cocaine Prosecutions August 2009 – September 2011 Southern Maine = 1 = 46 Northern Maine

13. Violations of Supervised Release for Prescription Drug Abuse 20.6% 38.2%

15. Age-old human desire to get high…

16. Efficacy of opioid agonists… Age-old human desire to get high

17. Legal substance… Age-old human desire to get high Efficacy of opiod agonists

18. Age-old human desire to get high Legitimate source… Legal substance Efficacy of opiod agonists

19. Age-old human desire to get high Legitimate source Legal substance Money…

20. Efficacy of opiod agonists Age-old human desire to get high Legitimate source Legal substance Out-of-state sources… Money

22. Criminalization…

23. Criminalization Treatment…

24. Treatment Drug Court… Criminalization

26. Changes in the formula…

27. Changes in the formula Advances in neurobiology…

28. Advances in neurobiology While we wait… Changes in the formula

29. Advances in neurobiology While we wait: Changes in the formula State and federal cooperation…

30. Advances in neurobiology While we wait: Changes in the formula Education… State and federal cooperation

31. Advances in neurobiology While we wait: Women and drugs… Changes in the formula State and federal cooperation Education

32. Advances in neurobiology While we wait: Users and dealers… Changes in the formula State and federal cooperation Education Women and drugs

33. Advances in neurobiology While we wait: Other tools… State and federal cooperation Education Women and drugs Users and dealers Changes in the formula

34. Far-reaching impact Sentencing in Maine Crime meets punishment Defendants often speak Reasons to hope… Balancing individual fairness with societal justice