More than 125 women have filed police reports against Nassar, most of whom accused him of sexually assaulting them when they went to him for medical attention. The first-degree sexual assault charges even occurred on some children who were younger than 13 years old, but to all, he claimed his actions were part of a medical procedure. He admitted in court last month that this was in fact not the case.

Additionally, statements written by many of the doctor’s victims were taken into account as well, including those written by Olympians McKayla Maroney and Aly Raisman. These Victim Impact Statements were initially set to be read aloud in person to the court, but when there were too many to be taken into consideration, Judge Neff ruled that she would read them all to herself in private instead.

When convicted, Nassar continued to play the sickness card, claiming he’s “been battling with this disease for a considerable period of time,” comparing his actions to the likes of drug or alcohol addiction. “I really did try to be a good person,” he said. “I really tried to help people.”

But Judge Neff was not having it, concluding that the satisfaction Nassar got from both the sexual assault and child pornography resulted in the same degree of nefarious intent.

“You have to wonder whether he felt omnipotent,” Neff said. “Whether he felt he was getting away with something so cleverly.”

Nassar has been ordered to serve each of the child pornography charges in succession, meaning that all three 20-year sentences will be served consecutively. He will have two weeks to appeal, but still more than 140 women have filed lawsuits against him, USA gymnastics, Michigan State, and other officials who may have been involved in some sort of way.

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