Culture Wars
Killing in Secret: Death by Lethal Injection | Killing in Secret: Death by Lethal Injection |
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By John W. Whitehead In our post-9/11 world, government secrecy has become an accepted norm, whether the topic is national security, government spending or constitutional protocols for executions. (Consider that Americans barely protested at the news that President Bush had authorized government agents to secretly listen in on our phone calls and read our emails.) Yet transparency in government is critical to maintaining a democracy. Meaningful public review enables citizens to hold their elected officials accountable, which ensures an open and free government. Without transparency in government, those in power fall prey to corruption and general incompetence. The present controversy over lethal injection protocols is a prime example of this. For three decades, prison employees in states across the nation have implemented virtually every aspect of lethal injection executions, largely outside of public view and without legislative or executive oversight. Unfortunately, the U.S. Supreme Court dodged the issue of government secrecy and its impact on lethal injection procedures and executions when it recently handed down its ruling in Baze v. Rees. The case challenged Kentucky’s lethal injection protocol, which uses a three-drug injection sequence that has been shown to carry an unnecessary risk of inflicting pain on the condemned. Currently, 36 of the 37 states that have the death penalty use lethal injections and have protocols similar to Kentucky’s. This method of execution was first used in Oklahoma and then adopted by other states with no scientific study as to its effects on those executed. However, studies have since indicated that the risks of torturous death are real and significant. In fact, the possibility exists than an inmate executed by lethal injection could remain conscious, experiencing severe pain as he slowly dies. For example, Angel Diaz took more than twice the usual time to die and had to be given a rare second dose of deadly chemicals. Consequently, a medical examiner reported that Diaz had chemical burns on both arms. “It really sounds like he was tortured to death,” said Dr. Jonathan Groner of the Ohio State Medical School. Diaz’s botched execution led Florida Governor Jeb Bush to suspend all executions. Regrettably, incompetence resulting in botched executions has become a hallmark of many state and federal executions. Even so, states continue to cloak their lethal injection protocols and executions in secrecy. For example, some of the most closely guarded secrets relate to the qualifications and training (or lack thereof) of those administering lethal injections, often to the detriment of death row prisoners. In Missouri, for example, when the media uncovered the identity of the state’s lethal injection supervisor, they also learned that he had confused dosages during executions and had lost his privileges to practice in two hospitals. Incredibly, after a federal court barred him from participating in Missouri executions, he was hired as part of the federal government’s execution team. Incredibly, the responsibility for creating lethal injection procedures is often delegated to prison employees without discussion, meaningful study or oversight by elected representatives. In California, in response to a federal court order, corrections officials agreed to reexamine their policies but then sought to keep the review process secret. Although the judge denied that request, the construction of a new death chamber began without the public, their elected representatives or even the governor knowing anything about it. Many states even refuse to disclose information about their execution procedures to lawyers whose clients will be subjected to lethal injections. The shroud of secrecy remains even after an inmate’s death, preventing a final assessment of the lethal injection procedure. All but two states maintain complete secrecy regarding post-execution records and autopsies. These records contain data that is critical to evaluating whether inmates were conscious during execution, but government officials refuse to release this information. However, scientists who have studied post-execution materials in the two states where they are available, North Carolina and California, have concluded that lethal injection is not working the way states claim. The manner in which capital punishment is meted out in this country is nothing less than a travesty of justice. And lethal injections, with their shroud of secrecy, are just one part of the problem. We must hold our government accountable, especially when it comes to the state executing citizens. If we are going to allow the government to kill us, then we certainly need to know all the facts beforehand. Clearly, we are in need of a nationwide moratorium on executions until these matters are sorted out and opened up to public review.
As Supreme Court Justice Louis Brandeis once observed, “Sunlight is the best disinfectant.”
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![]() written by Dudley sharp, April 29, 2008
I am aware of two cases where pain may have been present during a lethal injection execution.
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written by Dudley sharp, April 29, 2008
PROPER TRAINING
In every state, there are hundreds or thousands of people trained for IV application of drugs or the taking of blood. Even many hard core drug addicts are proficient in IV application. There are very few errors in lethal injections which can be attributed to personnel error. The simple fact is that, if necessary, non medical personnel can be properly trained to mix and administer the chemicals used in lethal injection. But, it isn't necessary. It appears that some 500-1000 innocent patients die, every year, in the US, due to some type of medical misadventure, with anesthesia. (1) I am unaware of evidence that shows criminal justice professionals are more likely to commit critical errors in the lethal injection process than are medical professionals in IV application. Furthermore, even with errors in lethal injection, those cases resulted in the death of the inmate - the intended outcome for the guilty murderer. In the errors of medical professionals, we are speaking of a large number of deaths and injuries to innocent patients - the opposite of the intended outcome. 1) see "Deaths from Medical Misadventure"at www(dot)wrongdiagnosis.com/m/medical_misadventure/deaths.htm and "Health Grades Quality Study: Patient Safety in American Hospitals, July 2004" www.(dot)healthgrades.com/media/english/pdf/HG_Patient_Safety_Study_Final.pdf report abuse
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written by Dudley sharp, April 28, 2008
Skip the speculation: Some Reality
From Hartford Courant, "Ross Autopsy Stirs Execution Debate----Results Cited To Counter Talk Of Pre-Death Pain", August 11, 2005 The below is a paraphrase of parts of that article, including some exact quotes. Results of the autopsy done on serial killer Michael Ross are being cited by several prominent doctors to refute a highly publicized article that appeared in The Lancet, the British medical journal, in April, 2005. Critics of the Lancet article say it does not account for postmortem redistribution of the anesthetic - thiopental. The redistribution, the critics say, accounts for the lower levels of thiopental on which Dr. Koniaris based his Lancet article conclusions that the levels of anesthetic were inadequate. The Ross autopsy results document this redistribution, bolstering the critics' assertions. Dr. H. Wayne Carver II, Connecticut's chief medical examiner, was aware of the controversial Lancet article before performing the Ross autopsy. As a result, he took the additional step of drawing a sample of Ross's blood 20 minutes after he was pronounced dead at 2:25 a.m. May 13. Carver took a subsequent sample during the autopsy, which began about 7 hours later, at 9:40 a.m. The 1st sample showed a concentration of 29.6 milligrams per liter of thiopental; the second sample showed a concentration of 9.4 milligrams per liter. The 1st sample was drawn from Ross' right femoral artery, and the second from his heart, which can account for some of the discrepancy. But Dr. Mark Heath, a New York anesthesiologist and one of the numerous doctors who have signed letters to The Lancet challenging the Koniaris article, said it clearly substantiates the postmortem redistribution of the thiopental. Dr. Jonathan Groner, a pediatric surgeon from Ohio said he interviewed a number of forensic toxicologists before adopting the view that thiopental in a corpse leaves the blood and is absorbed by the fat, causing blood samples taken hours after death to be an unreliable marker of the levels of thiopental in the body at the time of death. Groner described the Ross autopsy results as "a powerful refutation" of the Lancet-Koniaris study. Dr. Ashraf Mozayani, a forensic toxicologist with the Harris County Medical Examiner's Office in Texas, said the level of thiopental "drops quite a bit" after death. Even in the living, Mozayani said, thiopental levels decline rapidly after administration of the drug. She cited one study in which a patient was administered 400 milligrams of thiopental intravenously. After two minutes the concentration in the blood was measured at 28 milligrams, but dropped to 3 milligrams concentration 19 minutes after the anesthetic was injected. Mozayani said the declining concentration of thiopental cited in the Ross autopsy report "make sense." On The Lancet article, she said, "I don't think they have the whole story - the postmortem redistribution and all the other things they have to consider for postmortem testing." NOTE: I think they had and knew the whole story. They just didn't include it in their report(s) report abuse
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written by Dudley sharp, April 28, 2008
The three drug protocol for executons is hardly secret. The three drugs used are well known, as are their effects. The are injected with an IV, a process that has been well known and used for decades.
As is also well known, the autopsy resuilts from some executed murderers were investigated by a team of researchers. Hardly a secret. Mr. Whitehead writes: "These records contain data that is critical to evaluating whether inmates were conscious during execution". That is, very likely, untrue, simply because the first drug is absorbed so rapidly into the body. You know, the Supreme Cour t just did a pretty thorough review. The British Medical Journal, The Lancet, published an article critical of lethal injection (Volume 365, 4/16/05). A follow up article, by essential the same group of researchers, published a similar report in PLoS Medicine on 4/24/07. The articles did not/could not identify one case where evidence existed than an inmate was conscious during execution. The Lancet article identified 21 cases of execution where the level of "post mortem" (after death) sodium thiopental was below that used in surgery and, therefore, may suggest consciousness was possible. A more accurate description would be all but impossible. A "long after execution" post mortem measurement of sodium thiopental is very different from a moment of death measurement. The science is well known. Sodium thiopental is absorbed rapidly into the body. Long after execution blood testing of those levels means absolutely nothing with regard to the levels at the time of execution. Nothing. Unconsciousness occurs within the first 30 seconds of the injection/execution process. The injection of the three drugs takes from 4-5 minutes. Death usually occurs within 6-7 minutes and is pronounced within 8-10 minutes. Despite the Lancet article's presumptions and omissions, there is no scientific evidence that consciousness with pain has occurred with the amounts and methods of injecting those three chemicals within the execution period. The unchallenged reality is that medical professionals have both reviewed and implemented injection procedures for decades. The same procedures are used in executions. Criminal justice professionals have been trained in this application. The chemicals used in lethal injection, as well as their individual and collective results, at the dosages used, are also well known by medical and pharmacology professionals. The follow up research/article is "Lethal Injection for Execution: Chemical Asphyxiation?"(Public Library of Science (PLoS) Medicine, 4/24/07). Dr. Koniaris was an author in both this and the Lancet article. The question mark from the title says it all. From the Conclusion: " . . . our findings suggest that current lethal injection protocols "MAY" not reliably effect death through the mechanisms intended, indicating a failure of design and implementation. "IF" thiopental and potassium chloride fail to cause anesthesia and cardiac arrest, potentially aware inmates "COULD" die through pancuronium-induced asphyxiation." (Underline, quote , caps and color change are mine, for emphasis) In other words, the authors tell us they cannot prove this has ever happened. They are speculating. NOTE: That said, it would be much easier to have only a one drug - anesthesia - execution and I am not sure why it isn't being done, with the possible exceptions that I have read that may result in 1) much longer execution time and d 2) a deep coma, not death may occur. Maybe that's why In Belgium and the Netherlands, Pancuronium is recommended in the protocol for euthanasia. After administering sodium thiopental to induce coma, Pancuronium is delivered in order to stop breathing. You know, like the first two drugs in the lethal injection procedure. report abuse
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