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Study: Inmates suffer during lethal injections
Houston Chronicle ^ | April 14, 2005 | ERIC BERGER

Posted on 04/14/2005 12:58:28 AM PDT by Cincinatus' Wife

As many as four of every 10 prisoners put to death in the United States might receive inadequate anesthesia, causing them to remain conscious and experience blistering pain during a lethal injection.

Researchers in Florida and Virginia drew this conclusion after reviewing levels of anesthetic in the blood of 49 inmates after they were executed.

"I approached this as a physician," said the study's lead author, Dr. Leonidas Koniaris, chairman of surgical oncology at the University of Miami. "We were asking: Is there a possibility of awareness during an execution? Is there a large degree of pain and suffering associated with it? And I think the answer we found is yes."

Of the inmates studied in a report published by the British journal The Lancet, 43 percent had concentrations of anesthetic in their blood — as measured by medical examiners during autopsies — that would indicate consciousness rather than sedation during an execution.

Koniaris, who says he does not oppose the death penalty, thinks the study warrants a moratorium on executions until a publicly appointed panel can review whether some inmates remain conscious during lethal injection.

"If that's the case, as a society we need to step back and ask whether we want to torture these people or not," he said.

Death penalty supporters dismissed the suggestion of a moratorium.

"Lethal injection represents the most humane possible means of punishing a brutal, heinous murderer," said Andy Kahan, Mayor Bill White's advocate for crime victims "Whether or not it is painful, one thing is for sure, it is certainly less painful than the excruciating and horrific death that the victim suffered at the hand of the defendant."

And Mike Viesca, a spokesman for the Texas Department of Criminal Justice, said his medical staff has assured him the combination of drugs used in a lethal injection renders a person incapable of feeling pain.

The anesthetic, sodium thiopental, is the first of three drugs given in the execution protocol used by Texas and most other death penalty states. The amount typically administered through an IV, 2 to 3 grams, is far more than the amount used to sedate surgical patients and, doctors say, should prove fatal by itself.

Yet, some death penalty critics say poorly trained executioners — most have no formal anesthesia training — could miss a vein or otherwise err in administering a dose. The anesthetic also could wear off during a prolonged execution, which typically last at least 8 minutes.

If the anesthetic somehow fails and an inmate regains consciousness, the second step of a lethal injection, administration of a muscle relaxant, paralyzes the muscles and lungs. The third drug given is potassium chloride, a toxic agent that stops the heart.

The implications of an ineffective anesthetic are, in the words of a Lancet editorial accompanying the article, troubling: "It would be a cruel way to die: awake, paralyzed, unable to move, to breathe, while potassium burned through your veins."

Argument for a stay The potential inhumanity of lethal injection is sometimes raised by lawyers trying to win a last-minute reprieve for their death-row clients.

In December 2003, Texas killer Kevin Lee Zimmerman had his execution stayed after his lawyers argued that the lethal-injection procedure masked severe pain and thus constituted cruel and unusual punishment.

The U.S. Supreme Court soon lifted its stay, and Zimmerman was executed six weeks later. Still, death penalty lawyers say courts may reconsider the issue if more evidence, such as that in the new study, is presented to suggest that executions are extremely painful.

The study reviews the blood records of inmates from Arizona, Georgia, North Carolina and South Carolina. Texas, the national leader in executions, refused to provide data for the study.

A critical question, the study authors admit, is whether measurements of the levels of sodium thiopental in the blood minutes or hours after death correlate with levels in the blood at the time of execution. However, they note that sodium thiopental levels remain stable in stored human blood.

A local anesthesiologist, Dr. Lydia Conlay, said the extrapolation of postmortem sodium thiopental levels in the blood to those at the time of execution is by no means a proven method.

"It's an interesting and thought-provoking study," said Conlay who chairs the department of anesthesiology at Baylor College of Medicine. "I just don't think we can draw any conclusions from it, one way or the other. I just can't be sure what the numbers mean."

Some opponents of the death penalty say the public accepts lethal injection as a painless medical procedure because, with the IVs, it appears to be one.

"The bottom line is that the there's a real problem with the perception of how lethal injection goes down in the public, and what we believe really goes on," said Gary Clements, deputy director of the Capital Post-Conviction Project of Louisiana, a group that represents death row inmates.

Lack of data and records The study's authors said this question of whether an inmate can feel pain ultimately can't be answered because of the unwillingness of states to maintain or share their execution data and records.

In addition to asserting that the TDCJ had no autopsy or toxicology reports for inmates executed by lethal injection, Texas officials told the researchers it did not even have records of how it created the protocol it uses for injections.

Another of the study's authors, University of Miami anesthesiologist Dr. David Lubarsky, said the research team would have greatly preferred to use blood data from inmates at the time of executions. But the data doesn't exist, or it wasn't provided, Lubarsky said.

"What we do have is data to suggest the process might be critically flawed," Lubarsky said. "It's now up to the corrections systems to show that, at the time of death, inmates are asleep. We should accept no less when we're killing people."

eric.berger@chron.com


TOPICS: Constitution/Conservatism; Crime/Corruption; Front Page News; Miscellaneous; News/Current Events; Politics/Elections
KEYWORDS: capitalpunishment; deathpenalty; deathrow; execution; hangbytheneck; lethalinjection
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"What we do have is data to suggest the process might be critically flawed," Lubarsky said. "It's now up to the corrections systems to show that, at the time of death, inmates are asleep. We should accept no less when we're killing people."

Then put them to sleep and execute them with a bullet.

1 posted on 04/14/2005 12:58:29 AM PDT by Cincinatus' Wife
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To: Cincinatus' Wife

Clearly, we need to starve them to death. No suffering; just euphoria.


2 posted on 04/14/2005 1:04:24 AM PDT by M. Thatcher
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To: Cincinatus' Wife

bring back the Chopping Block


3 posted on 04/14/2005 1:05:48 AM PDT by ambrose (....)
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To: Cincinatus' Wife
"What we do have is data to suggest the process might be critically flawed," Lubarsky said. "It's now up to the corrections systems to show that, at the time of death, inmates are asleep. We should accept no less when we're killing people."


Why was there no concern - in Florida - when they starved
and dehydrated Terri Schiavo?
4 posted on 04/14/2005 1:05:53 AM PDT by AnimalLover ( ((Are there special rules and regulations for the big guys?)))
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To: Cincinatus' Wife

Has any former death row inmate returned to complain? I don't think so!!!


5 posted on 04/14/2005 1:08:06 AM PDT by politicalwit (Import Poverty...Hire an Illegal Alien)
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To: Cincinatus' Wife

There's always saline, curretage or starvation/dehydration. After all, if it's good enough for unborn babies and disabled people, it's good enough for death row inmates. /sarc


6 posted on 04/14/2005 1:10:04 AM PDT by skr (May God bless those in harm's way and confound those who would do the harming)
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To: Cincinatus' Wife

Quite frankly, if they did a crime where the criminal deserved death (murder, rape, child molestation, etc.), then they deserve the absolute maximum amount of suffering as they exit this world.

No sympathy. Zero. Zilch. Nada.


7 posted on 04/14/2005 1:10:16 AM PDT by hoagy62 (The reason for the Second Amendment is in case all the others fail.)
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To: Cincinatus' Wife
Starve 'em to death. Liberals assure us its a humane method of execution - people look beautiful as they die.

(Denny Crane: "Sometimes you can only look for answers from God and failing that... and Fox News".)
8 posted on 04/14/2005 1:10:52 AM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives On In My Heart Forever)
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To: Cincinatus' Wife
"The anesthetic, sodium thiopental, is the first of three drugs given in the execution protocol used by Texas and most other death penalty states. The amount typically administered through an IV, 2 to 3 grams, is far more than the amount used to sedate surgical patients and, doctors say, should prove fatal by itself."

If it's going to be done - why not just triple, or quadruple the dose of the sedative then and kill them by overdose? Isn't that what they do for pets (or something like it)?
9 posted on 04/14/2005 1:13:42 AM PDT by LibertyRocks
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To: Cincinatus' Wife

Aw, gee, IF accurate, this is a real shame, isn't it?


10 posted on 04/14/2005 1:13:49 AM PDT by onyx (Pope John Paul II - May 18, 1920 - April 2, 2005 = SANTO SUBITO!)
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To: Cincinatus' Wife

Well, I was going to say we need to swithch to the painless, peaceful, euphoric, dehydration/starvation method of execution, but I see everybody beat me to it- LOL


11 posted on 04/14/2005 1:14:32 AM PDT by Pajamajan ("Where there's life there's hope"- Terri Schindler's message to the world. Never Forget.)
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To: M. Thatcher
Clearly, we need to starve them to death. No suffering; just euphoria.

Well said. Tell the big guy that a new Florida self-defense law would've allowed Terri Schiavo to defend herself with a gun under the new criteria of meeting "force with force".

Now that's good irony.

12 posted on 04/14/2005 1:15:24 AM PDT by nunya bidness (Remember, they hated Him first.)
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To: politicalwit
Has any former death row inmate returned to complain?

If they do; give 'em one the next one free.

13 posted on 04/14/2005 1:15:43 AM PDT by dread78645 (Sarcasm tags are for wusses.)
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To: onyx
Aw, gee, IF accurate, this is a real shame, isn't it?

Is that a "Tisk, tisk" I hear?

14 posted on 04/14/2005 1:25:35 AM PDT by Pajamajan ("Where there's life there's hope"- Terri Schindler's message to the world. Never Forget.)
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To: thompsonsjkc; odoso; animoveritas; St. Johann Tetzel; DaveTesla; mercygrace; ...

Moral Absolutes Ping.

I couldn't stand to read the whole article. This is a perfect example of false compassion, based on ignorance of real wisdom, real justice, and real compassion.

The real just and compassionate (for everyone) thing to do is as soon as the sentence is issued, take the criminal out to a field, tie him up, and either hang him (or her, as the case may be) or shoot him (or her etc). That's justice, and compassion.

To worry that the person who has caused terrible pain and harm and likely death to another person or persons may feel a teensy bit of pain during the execution of a death sentence is so egregiously stupid, asinine, wrongly directed compassion that I can hardly keep my dinner down.

It probably is just a ploy to eradicate any executions.

Let me know if you want on/off this pinglist.

Note: Plus, executions should be public so anyone who is thinking about committing similar crimes will have food for thought.


15 posted on 04/14/2005 1:32:56 AM PDT by little jeremiah (Resisting evil is our duty or we are as responsible as those promoting it.)
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To: Cincinatus' Wife

We should just bonk them on the head when they aren't looking and save the price of a bullet.


16 posted on 04/14/2005 1:33:50 AM PDT by flying Elvis
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To: Cincinatus' Wife
QUESTION: "Does it constitute cruel and unusual punishment?"

ANSWER: "Nope, that's how we usually kill 'em!"

17 posted on 04/14/2005 1:35:48 AM PDT by The Duke
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To: M. Thatcher
Starving... a beautiful thing..especially after two freaking weeks, just ask Mr. wonderful's LAWYA!
18 posted on 04/14/2005 1:37:55 AM PDT by blaze (Welcome to the Hotel Mexifornia (WWW.AMERICANPATROL.COM) Go to links and have a cry!)
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To: Cincinatus' Wife

Terri Shindler wasn't asleep when she was dehydrated to death. No mercy at all was shown to her.


19 posted on 04/14/2005 1:38:12 AM PDT by Lovergirl (Proud member of the Pajama Brigade.)
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To: Lovergirl
Come to think of it, Keeping these lousy killers alive for twenty years, is cruel and unusual punisment to me! Quick someone get me a LAWYA!
20 posted on 04/14/2005 1:40:55 AM PDT by blaze (Welcome to the Hotel Mexifornia (WWW.AMERICANPATROL.COM) Go to links and have a cry!)
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To: Cincinatus' Wife
As many as four of every 10 prisoners put to death in the United States might receive inadequate anesthesia, causing them to remain conscious and experience blistering pain during a lethal injection.

They say that like it's a bad thing.

21 posted on 04/14/2005 1:42:56 AM PDT by Redcloak (But what do I know? I'm just a right-wing nut in his PJs whackin' on a keyboard..)
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To: Cincinatus' Wife; All
"Then put them to sleep and execute them with a bullet."

I have always felt that a 'firing squad' was the most humane. . .and most 'fitting' punishment. . .but they must be standing. . .no 'sleepers'. . .

The reality seems to be. ..the more we 'try to be humane'. ..the further from that truth; we become. Think lethal injections. . .up close and personal; damages the 'executioner'. . .ie. . .our own humanity, as well.

22 posted on 04/14/2005 1:56:17 AM PDT by cricket (Just say - NO U.N.)
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To: cricket

Yes. We should have left well enough alone.


23 posted on 04/14/2005 2:01:37 AM PDT by Cincinatus' Wife
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To: AnimalLover
"Why was there no concern - in Florida - when they starved and dehydrated Terri Schiavo?"

The perps excused themselves from the pain issue by insisting she was in a 'vegetative state'. . .damaged cortex. . .could not POSSIBLY feel pain.

All contrary to reported observations by those other than her husband. But hey. . .they did not want to 'go there' and they didn't.

24 posted on 04/14/2005 2:02:41 AM PDT by cricket (Just say - NO U.N.)
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To: Cincinatus' Wife

Kill them with kindness


25 posted on 04/14/2005 2:03:10 AM PDT by eclectic (Liberalism is a mental disorder)
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To: little jeremiah
"This is a perfect example of false compassion"

Looks to me like the first deliberate step in having some black robed autocrat or another declare lethal injection "unconstitutional" because it's "cruel and unusual".

26 posted on 04/14/2005 2:17:00 AM PDT by Stormcrow ("It's not that liberals are ignorant. It's just that they know so much that isn't so.")
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To: Cincinatus' Wife

I wonder if the good doctor will recommend a similar moratorium on abortions, pending further studies on levels of suffering?


27 posted on 04/14/2005 2:20:52 AM PDT by Larry Lucido
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To: Stormcrow

Executions are so scarce that they are certainly becoming unusual...

They need to become a lot more usual.

People erroneously think it is cruel to kill heartless murderers. Nothing could be further from the truth. This was from another article:

"Ancient Jewish wisdom warns that if you apply compassion when you should be applying justice, one day you will apply justice when you should be applying compassion, which is one definition of tyranny."

What We Can Learn From Three Wife Killings
http://www.freerepublic.com/focus/f-news/1383302/posts?page=22#22


28 posted on 04/14/2005 2:23:02 AM PDT by little jeremiah (Resisting evil is our duty or we are as responsible as those promoting it.)
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To: Cincinatus' Wife
"Yes. We should have left well enough alone."

Restore sanitiy. . .BAN Liberalism. . .

29 posted on 04/14/2005 2:24:40 AM PDT by cricket (Just say - NO U.N.)
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To: little jeremiah
"Ancient Jewish wisdom warns that if you apply compassion when you should be applying justice, one day you will apply justice when you should be applying compassion, which is one definition of tyranny."

Should have known that Jewish Wisdom had this covered. . . ;^) . . .and explains why this truth escapes Liberals. . .

That 'truth' surely speaks to the Terry fiasco as well. . .

30 posted on 04/14/2005 2:30:09 AM PDT by cricket (Just say - NO U.N.)
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To: little jeremiah

Thanks for the LINK:


***...Many repeatedly ask me this question: why should decent and well-intentioned people need Judaism or Christianity? My answer: decency as a moral guide tends to allow compassion to trump justice. Good intentions alone almost guarantee the triumph of heart over head. Civilization’s survival ultimately depends upon balancing the competing demands of thought and feeling. Religious faith alone offers a blueprint to balancing intellect and emotion. Biblical culture provides balance between head and heart. This is the secret of our past and the hope of our future as individuals, as parents, and as citizens....***


31 posted on 04/14/2005 2:31:47 AM PDT by Cincinatus' Wife
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To: Cincinatus' Wife
"It would be a cruel way to die: awake, paralyzed, unable to move, to breathe, while potassium burned through your veins."

A good opportunity for some long-overdue introspection, or perhaps just well deserved pure terror and misery.

32 posted on 04/14/2005 2:34:24 AM PDT by NYpeanut (gulping for air, I started crying and yelling at him, "Why did you lie to me?")
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To: Cincinatus' Wife

Without the basic moral absolutes which are essentially the same in every monotheist religion, human society is nothing better, and indeed, in many ways worse than, animal existence.


33 posted on 04/14/2005 2:35:53 AM PDT by little jeremiah (Resisting evil is our duty or we are as responsible as those promoting it.)
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To: NYpeanut
A good opportunity for some long-overdue introspection, or perhaps just well deserved pure terror and misery.

A prayer or two for deliverance from evil and to repent and ask forgiveness might be in order.

34 posted on 04/14/2005 2:39:20 AM PDT by Cincinatus' Wife
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To: Cincinatus' Wife

"Whether or not it is painful, one thing is for sure, it is certainly less painful than the excruciating and horrific death that the victim suffered at the hand of the defendant."

This kind of puts it in perspective.


35 posted on 04/14/2005 2:44:33 AM PDT by RobertP
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To: ambrose
bring back the Chopping Block

LOL and bring back the stocks too! (for lesser crimes!

36 posted on 04/14/2005 2:45:22 AM PDT by Queen Jadis
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To: M. Thatcher

Exactly. Starvation, dehydration. We have it on good authority (Felos, et the Liberal MSM), that inmates would look peaceful, even beautiful as they 'pass on'.


37 posted on 04/14/2005 2:50:11 AM PDT by hershey
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To: M. Thatcher

Darn you're quick, I was gonna say the same thing.


38 posted on 04/14/2005 2:52:49 AM PDT by Robert Lomax
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To: Queen Jadis
LOL and bring back the stocks too! (for lesser crimes!

An excellent suggestion. Humiliation is a good deterrent. These days our youth imitate prisoners. It would be better for them to express disdain and ridicule (and see others do likewise) toward a criminal in stocks. That would make an impression about bad behavior.

39 posted on 04/14/2005 2:54:47 AM PDT by Cincinatus' Wife
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To: Cincinatus' Wife

"It would be a cruel way to die: awake, paralyzed, unable to move, to breathe, while potassium burned through your veins."

Some call it cruel, I call it justice.

Cruel? Should it be more merciful than the victims death?
Where is the justice in that?

If it were up to me, it would be a mix of LSD and Meth
first, and the executioners would all be wearing masks
of the face of the victim.


40 posted on 04/14/2005 2:55:59 AM PDT by tet68 ( " We would not die in that man's company, that fears his fellowship to die with us...." Henry V.)
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To: Cincinatus' Wife

Okay, let's get rid of lethal injection. Killers should be executed in the fashion that they killed their victims. Works for me!


41 posted on 04/14/2005 2:59:52 AM PDT by GodBlessRonaldReagan (Count Petofi will not be denied!)
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To: LibertyRocks

"If it's going to be done - why not just triple, or quadruple the dose of the sedative then and kill them by overdose? Isn't that what they do for pets (or something like it)?"

As the rednecks say," that would be too damn simple".


42 posted on 04/14/2005 3:32:52 AM PDT by RipSawyer ("Embed" Michael Moore with the 82nd airborne.)
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To: Cincinatus' Wife

Just strap the condemned in a chair and drop a big rock on his head from twenty feet up.

Or a bullet to back of head when not expecting it- even more humane...


43 posted on 04/14/2005 3:37:19 AM PDT by ladyrustic
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To: cricket
Think lethal injections. . .up close and personal; damages the 'executioner'. . .ie. . .our own humanity, as well.

Yes, by mimicry of a medical procedure, i.e., one meant to help, it perverts the skills of the executioners.

During debates on doctors and capital punishment, I've always said that I would pull the switch, or pull the trigger, but I would NEVER use my special skills to cannulate a vein and administer a lethal injection.

Execution should be done by a method that any of us could do, because the executioner is acting symbolically on behalf of all of us.

44 posted on 04/14/2005 3:38:38 AM PDT by Jim Noble (Resistance to tyrants is obedience to God)
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To: Cincinatus' Wife

AMEN! ...and if I'm not mistaken the changes in what was and was not allowed for execution means was driven by the same issue in question on this post, what is and isn't cruel and unusual. Now you talk about cruel and unusual. I always thought the gas chamber was a good one. Do I breath or don't I , how long can I hold my breath? Meanwhile that cyanide is pouring out of the pot.

Then again the threat of "The Chair" maybe caused some people to contemplate before they did violence on their fellow man. Who knows, who cares, Each state must have the right to execute theirs as they see fit in any way they like including the so recently recognized and approved by the State of FL, "way to Euphoria".


45 posted on 04/14/2005 3:46:38 AM PDT by wita
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To: wita

Bump!


46 posted on 04/14/2005 3:47:57 AM PDT by Cincinatus' Wife
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To: M. Thatcher
Clearly, we need to starve them to death. No suffering; just euphoria.

I really wish a conservative would submit a bill suggesting the same thing. After all they would die such a serene and peacefull death.
47 posted on 04/14/2005 3:53:34 AM PDT by demkicker (Support DeLay, the Hammer, and the fillibuster ban on judicial nominations!)
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To: Cincinatus' Wife
Yet, some death penalty critics say poorly trained executioners — most have no formal anesthesia training — could miss a vein or otherwise err in administering a dose. The anesthetic also could wear off during a prolonged execution, which typically last at least 8 minutes.

OK, clearly the reporter didn't do their research here. First off, I grew up in the '60's man, so I'm a drug expert. Ever heard of "skin popping"? It reduces the efficacy and immediacy of the drug effect, but it DOES still work. Secondly, a lethal or even near lethal dose of any kind of barbiturate (sodium pentothial) won't wear off in just eight minutes. No medicine that I am aware of wears off in just eight minutes.

Can you say agenda, boys and girls? Or shall we just pronounce it "ignorance"? Take your pick.

48 posted on 04/14/2005 3:54:31 AM PDT by Hardastarboard
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To: Cincinatus' Wife
Koniaris, who says he does not oppose the death penalty, thinks the study warrants a moratorium on executions until a publicly appointed panel can review whether some inmates remain conscious during lethal injection.

Why don't they just increase the dosage of anesthetic? They certainly can't be concerned about giving them a lethal dose.

49 posted on 04/14/2005 3:56:37 AM PDT by ContraryMary
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To: LibertyRocks

That's my understanding of it...massive overdose of anasthetic. I've also never seen anything but them simply slumping over dead after a few seconds at most, and I've been with several pets when they were put to sleep. That's entirely too kind for rapists, murderers, etc. I'm thinking strap em down, give em the potassium, and let em spend their last few minutes howling.


50 posted on 04/14/2005 3:58:13 AM PDT by Fire_on_High (I am so proud of what we were...)
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