Saturday, May 31, 2014

An 18th Century Solution To The Modern Dilemmas Posed By Executions By Lethal Injection


By Ian Wallach

Ian Wallach
Partner, Feldman & Wallach
www.wallechlegal.com
Criminal Justice Reform Blog
Last month’s problematic execution in Oklahoma made it clear that we must come up with a more humane way to kill people.  I propose the guillotine. 

Hear me out. 

Clayton D. Lockett had to be tasered when he resisted shackling for his pre-execution X-rays.  He had slashed his arm, but sutures weren’t provided.  Hours later, he was fastened to a gurney in an execution chamber where it took the doctor over 50 minutes to find a suitable vein for the lethal injection before deeming the groin area the best option.  A sheet was draped over Mr. Lockett's groin for privacy, but the execution continued to go poorly.  Instead of simply dying, Mr. Lockett spent 43 minutes breathing heavily, writhing, clenching teeth, straining to lift his head, and screaming “My body is burning.”  The execution was finally halted, but Mr. Lockett still died shortly afterwards.[i]

Monday, Harvard Medical School doctors published an article in JAMA recommending that doctors who perform executions lose their licenses.[ii]  The American Medical Association already has a policy barring doctors from participating in inmate executions, and doing so is grounds for the American Board of Anesthesiology to revoke certification.  To protect the jobs of doctors who perform executions, states have passed laws concealing their identities.[iii]

Evidently, there is a substantial conflict between the need for doctors to perform executions, and the qualms that other doctors have with any doctors performing them. So why not remove the doctors from the procedure, and bring back that quick, swift, almost-romantic relic  -- the guillotine.  Its benefits over lethal injection are obvious.

No Doctors.  Forget the medical degree.  One doesn’t even need a high-school diploma to know how to pull a lever.  And there is not an “American Guillotine-Operators Association” that is going to get all up-in-arms and threaten that the operator will lose his or her day-job every time a decapitation occurs.  Guillotine operators, by definition, are supposed to kill people, as opposed to doctors and anesthesiologists, who are supposed to try to keep them alive.

It’s Efficient.  Lethal injections are difficult.  A recent study by professors at Amherst College found that at least 3% are mishandled and don’t go as planned.[iv]  But while the number of deaths by guillotine during the French Revolution alone is estimated to be between 15,000 and 40,000[v], I could only find a few recorded incidences of botched beheadings[vi], and those seemed to be rectified by quick, subsequent (successful) attempts.

It’s Simpler.  And Smarter. 

The process of execution by lethal injection usually involves the use of three medicines – one to render the inmate unconscious, another to paralyze, and a third to stop the heart.  Most problems arise with the difficulty in finding a sufficient vein[vii], but the medications themselves are expensive and dangerous.  Hospira, which was effective, is no longer available due to a European Union ban on its export, so states like Oklahoma have been forced to come up with their own execution cocktail, which, for reasons that should be clear, are often untested.  On the other hand, a guillotine’s design is flawless.  A subject’s head is locked between two boards, in a “lunette” (meaning “telescope”, but sounding like “nightlight” – both sound nicer than “injection”).  The machine has a blade mounted to a weight on tracked rollers.  One lifts the “declic”, or release handle, and the head falls cleanly into a basket.  It’s over.  In less than a second.

It’s Less Expensive.  The cost of materials for one lethal injection is around $1300[viii] (this doesn’t include the cost of medical examinations, staff, etc.).  But a half-decent guillotine could probably be made for a few hundred bucks by eager kids in an woodshop class.*  And it is reusable.  Melons and other testing products are widely available for under $10.  *Disclaimer -- author assumes no liability arising out of negligent guillotine-building projects. 

It’s Profitable.  Our prison system is a tremendous drain our economy, the annual cost likely being in excess of 50 billion dollars of state taxpayer money alone.[ix] But the use of the guillotine could actually generate income for the prison system.  It has been argued that the general public doesn’t really want to see -- or even think about -- the fact that we are killing people, even people who are criminals.  But perhaps the issue is not one of conscience, but boredom.  No one would pay much to watch someone die quietly underneath a sheet after receiving a powerful sedative or paralysis-inducing agent, but if we allow at-home viewership of a guillotine-execution on pay-per-view for $40 a pop, people will gather by the thousands.  Millions, perhaps.  Bars might even hold special viewings and name drinks after the machine or inmate (perhaps a beer with the head removed?).

It’s European.  Several NGOs, including the UN General Assembly and the European Union, have condemned the use of lethal injections in executions, leaving only the USA, alongside China, Saudi Arabia, and Iran, to account for the large majority of its use (94% in 2005).[x]  Amnesty International has condemned the USA’s continued use of the practice.[xi]  But if we switch from lethal injection to the Guillotine, we could actually be viewed as open-minded (I mean, what is more French than the Guillotine?).

Inmates Are Likely On-Board. I am not aware of any studies on how death-row inmates would prefer to die (but encourage it).  But if given the choice between, (a) being strapped to a gurney, injected with a needle or catheter, covered, numbed, paralyzed, and then killed (possibly experiencing the symptoms of drowning, burning, or a heart-attack), or (b) getting your head instantly lopped off, you’d go French.

It’s Honest.  There is no humane way to kill someone.  Making it seem like an outpatient procedure doesn’t diminish that.  



[i]  Erik Eckholm and John Schwartz, “Timeline Describes Frantic Scene at Oklahoma Execution”. NY Times, May 1, 2014 (http://www.nytimes.com/2014/05/02/us/oklahoma-official-calls-for-outside-review-of-botched-execution.html?_r=0). 
[iii] Molly Hennessy-Fiske, Seth Klamann, “Doctors Assist In Executions Despite Ethics Rules”, LA Times, May 21, 2014, (http://www.latimes.com/nation/nationnow/la-na-missouri-execution-20140520-story.html - page=1. ) 
[viii] Khadeeja Safdar,“Legally Killing People Has Gotten A Lot More Expensive”, Huffington Post, May 20, 2012 (http://www.huffingtonpost.com/2012/03/30/lethal-injection_n_1391408.html).
[x] The PLoS Medicine Editors (2007) Lethal Injection Is Not Humane. PLoS Med 4(4): e171.
[xi]  See http://www.amnestyusa.org/our-work/issues/death-penalty/lethal-injection (stating “The search for a "humane" way of killing people should be seen for what it is -- a search to make executions more palatable to those carrying out and witnessing the killing. This includes the governments that wish to appear humane and the public in whose name the killing is carried out.  Lethal injection can cause excruciating pain. …  Some executions have lasted between 20 minutes to over an hour and prisoners have been seen gasping for air, grimacing and convulsing during executions. Autopsies have shown severe, foot long chemical burns to the skin and needles have been found in soft tissue”).

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