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Lethal injection seems too intellectually difficult for your average corrections officer/agent/ government official.

Unless you can get a physician involved states shouldn't even bother with lethal injection. Too many variables at play for low IQ individuals.

Gas chamber
Hanging
Electric chair
Firing squad

All effective and easier to carry out.

Heck, the guillotine is simple and effective.


In the eyewitness accounts that I’ve read electric chair and gas chamber are not that quick or effective.
 
He lays out good reasons why execution should be demedicalized. Even a quasi-medical execution requires some medical expertise and the state cannot provide it. The dog and pony show fails too often.



“Some states have already turned to nitrogen gas and firing squads. Christa Pike asked to be hanged. I do not endorse those methods. But they, at least, do not pretend to be medicine.

The deeper question is whether a state that executes its citizens is willing to look at what it is doing. Lethal injection was designed so that it would not have to. It puts the violence behind a sheet and a saline drip, and behind curtains that close the moment something goes wrong. After the pentobarbital failed to stop Ms. Pike’s heart, prison staff closed the curtains separating the execution chamber from witnesses for nearly an hour. The blinds could not conceal what had happened. A woman left the death chamber in an ambulance, and the only people who could help her were doctors.“
 
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Telling that the only “physician” they could get was the guy who f***’d up the last one. Unsurprisingly he’s a right wing nutjob.



But Carruthers’ lawyers say that what they witnessed was alarming. Maria DeLiberato, present in the chamber, was struck that from the moment Fowler entered the room, he took charge.

“Once he came in, it was clear that he was taking over the direction of everything. He was very assertive. ‘Take his socks off,’ he said.”

Fowler began jabbing Carruthers in his left foot, seeking a vein. After about 15 minutes he admitted defeat and refocused his efforts on the much more difficult challenge of securing a central line under the prisoner’s clavicle.

At this point, alarm bells began ringing for DeLiberato and her attorney colleagues. In his deposition, Fowler had said that the last time he had attempted a central line was back in his ER days, about 13 years previously.

The procedure is complicated and fraught with potential mishaps. To be adroit at setting a central line you have to refresh your abilities regularly.

“Nobody should be doing a dangerous procedure such as a central line unless they do it routinely and frequently, so that their skills are maintained,” said John Greer, a retired physician. Greer was among 50 medical experts who wrote a joint letter to Tennessee’s Republican governor, Bill Lee, lamenting the involvement of medical professionals in state executions.

Kit Thomas, the deputy chief of Nashville’s capital habeas unit, was present at the deposition when Fowler revealed the long hiatus in him placing central lines. She was also on hand to give real-time legal advice as the Carruthers execution was proceeding.

When she received a call from DeLiberato saying that Fowler was about to attempt a central line, she went into instant overdrive. “We knew the last time he had set a central line was 13 years ago, so we said, ‘Object! He’s not qualified!’”

DeLiberato did just that. She rushed back into the death chamber, where Fowler was crouched over Carruthers, and objected to the warden that the doctor was unqualified for the job.

“Yes, I am qualified,” Fowler snapped back.

At which point the warden said: “Doctor, do your job.”

Fowler went ahead and cut Carruthers’ skin. DeLiberato is still haunted by what she witnessed next.

“Tony was moaning and groaning in a guttural way that I can still hear. It sounded like agony, and I could see blood slowly seeping out of the puncture.”

Despite the terrible scene, Fowler remained preternaturally calm. DeLiberato said: “He was dispassionate. He didn’t say anything. He didn’t try to reassure anyone.”

The doctor struggled to set up a central line for 16 minutes, as “the patient” groaned “it hurts, it hurts”.

Not able to do what he had been hired to do, he had to concede defeat a second time.”
 
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