The judge ruled on Cosby's sex-offender status after a defense psychologist, Timothy Foley, testified that the chances of the comedian committing another sex offense are "extraordinarily low" because he is old, legally blind and needs help getting around.
Cosby's lawyers are nearly certain to raise issues his defense has brought up repeatedly since his 2015 arrest and believe should shape how he is punished: his compliance with bail conditions, his age, and failing health. Each count represents a different crime - penetrating Constand without her consent, drugging her and assaulting her while she was drugged - but the judge could roll the sentences into one.
In a two-minute victim-impact statement, Constand told O'Neill that she wants "justice as the court sees fit".
Cosby, convicted in April of aggravated indecent assault, declined to speak to the court prior to the sentence.
Cosby could begin serving time as soon as Tuesday night, or he could be allowed to wear an ankle bracelet under house arrest while he appeals.
Cosby's bail was revoked and he was escorted from the courthouse in handcuffs.
"We ask this because of who is his behind the mask, behind the act that he perpetrated for all the years that he did and that he used - used - to victimize", Steele said.
About a half-dozen of Cosby's accusers showed up for the hearing, greeting each other with hugs.
Her sister described Constand as "frail", "timid" and "nervous" after the assault, the opposite of her customary vibrant personality.
The five other women that testified alongside Constand, Heidi Thomas, Chelan Lasha, Janice Baker Kinney, Janice Dickinson, and Maud Lise-Lotte Lublin, will not make statements. On Friday, Cosby's wife announced that she had hired a Harrisburg-based lawyer to investigate O'Neill. He spoke of Cosby's childhood in North Philadelphia and a legendary career in which he sought to unite people of different races.
Steele said Cosby could be sent to Laurel Highlands, a state prison for lower-risk inmates on the other side of the state, about 70 miles southeast of Pittsburgh.
"Mr. Cosby is not unsafe", Green said.
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"[The movement] may have influenced the judge's willingness to allow more witnesses", Orenstein said. Still, Cosby was smiling as he walked into the courthouse, and even gave a small wave while one person shouted encouragement to the disgraced comedian. Green appeared to shoo his client away.
The jury of seven men and five women deliberated a little over 12 hours before reaching a unanimous verdict in the case. "The jury heard me".
"I do think you can draw a line between the Cosby case and where we are now", she said.
Cosby was convicted of knocking Constand out with pills and violating her at his suburban mansion in 2004.
Steele quoted Constand in her statement as saying that Cosby took "my handsome, healthy, young spirit and crushed it".
Constand tweeted a Bible verse earlier Monday.
Constand stood at Steele's side but shook her head to say she had no comment.
"The victims can not be un-raped".
She said the one-time star of the "Cosby Show" had "protected himself at the cost of ruining many lives".
Some 60 women accuse the former "Cosby Show" star of sexual assault, though Constand's case is the only one that went to trial.
Green suggested an alternative punishment program would be more appropriate.