Lethal injection

Lethal injection is the practice of injecting one or more drugs into a person (typically a barbiturate, paralytic, and potassium chloride) for the express purpose of causing death. The main application for this procedure is capital punishment, but the term may also be applied in a broader sense to include euthanasia and other forms of suicide. The drugs cause the person to become unconscious, stop breathing, and develop a heart arrhythmia, in that order. First developed in the United States, the method has become a legal means of execution in China, Thailand, Guatemala, Taiwan, the Maldives, Nigeria, and Vietnam, though Guatemala abolished the death penalty for civilian cases in 2017 and has not conducted an execution since 2000, and the Maldives has never carried out an execution since its independence. Although Taiwan permits lethal injection as an execution method, no executions have been carried out in this manner; the same is true for Nigeria. Lethal injection was also used in the Philippines until the country re-abolished the death penalty in 2006. Although primarily introduced as a more "humane" method of execution, lethal injection has been subject to criticism, being described by some as cruel and unusual. Opponents particularly critique the operation of lethal injections by untrained corrections officers and the lack of guarantee that the victim will be unconscious in every individual case. There have been instances in which condemned individuals were injected with paralytics and then with a cardiac arrest-inducing agent while still conscious; this technique has been compared to torture. Proponents often say that there is no reasonable or less cruel alternative.

History Lethal injection gained popularity in the late 20th century as a form of execution intended to supplant electrocution, gas inhalation, hanging and firing squad, which were considered less humane. It has become the most common form of legal execution in the United States. Lethal injection was proposed on January 17, 1888, by Julius Mount Bleyer, a New York doctor who praised it as being cheaper than hanging. Bleyer's idea would not be revived until the mid-1970s, when Texas and Oklahoma adopted the modern version of the method; a series of botched executions led to an eventual rise of public disapproval of electrocutions in the 1980s. Lethal injections were first used by Nazi Germany to execute prisoners during World War II. Nazi Germany developed the Aktion T4 euthanasia program led by Karl Brandt as one method to terminate Lebensunwertes Leben ("life unworthy of life"). During the war, lethal injections were also administered to children detained at the Sisak concentration camp by the camp's commander, the physician Antun Najžer. The Royal Commission on Capital Punishment 1949–1953 considered lethal injection but eventually ruled it out after pressure from the British Medical Association (BMA).

Implementation On May 10, 1977, Oklahoma became the first U.S. state to approve lethal injection when Governor David Boren signed a bill into law. Episcopal Reverend Bill Wiseman had introduced it into the Oklahoma legislature, where it passed and was quickly sent to the Governor's desk (Title 22, Section 1014(A)). The next day, Texas became the second U.S. state to approve a lethal injection law. Since then, until 2004, 37 of the 38 states using capital punishment introduced lethal injection statutes (the last state, Nebraska, maintained electrocution as its sole method until adopting injection in 2009, after its Supreme Court deemed the electric chair unconstitutional). On May 11, 1977, the day after the new method had become state law, Oklahoma's state medical examiner, Jay Chapman, proposed a new, less painful method of execution known as Chapman's protocol: "An intravenous (IV) saline drip shall be started in the prisoner's arm, into which shall be introduced a lethal injection consisting of an ultrashort-acting barbiturate in combination with a chemical paralytic." The Chapman protocol was approved by anesthesiologist Stanley Deutsch, formerly Head of the Department of Anesthesiology of the Oklahoma University Medical School. On August 29, 1977, Texas adopted the new method of execution, switching from electrocution. On December 7, 1982, Texas became the first U.S. state or territory in the world to use lethal injection to carry out capital punishment, for the execution of Charles Brooks, Jr. China began using it in 1997, Guatemala in 1996, the Philippines in 1999, Thailand in 2003, Taiwan in 2005, and Vietnam first used this method in 2013. The Philippines abolished the death penalty in 2006, with their last execution being in 2000. All seven executions made from 1999 to 2000 were carried out using lethal injection. Guatemalan law still allows for the death penalty and lethal injection is the sole method allowed, but none have been carried out since 2000 when the country televised the live double executions of Amílcar Cetino Pérez and Tomás Cerrate Hernández.

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