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Culture War Roundup for the week of January 22, 2024

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Over a decade ago, the BBC came out with a documentary titled How to Kill a Human Being that went into what the director believed to be the most humane and painless way to execute someone if you really wish to do so. Towards the end of the documentary, they interview someone who believes that death row criminals don’t deserve the most humane death possible because those criminals hardly offered their own victims a humane death. The documentary gives it an air of “Look, we’ve found a humane way to actually do executions, and these barbaric Americans don’t want to do that because to them, bloodthirsty cruelty is the point.”

Well, what do you know, Alabama has now actually implemented this “most humane” form of execution for the first time, and news coverage from the BBC and others have been almost exclusively negative. There’s little to no nuance, just statements that the UN and EU condemns this “particularly cruel and unusual punishment.” Where now is the context that the US is merely doing what it was previously criticized for not doing?

To be sure, the scene of thrashing does seem to be more violent than the documentary insinuated such an execution would be, but that itself appears to be because the inmate tried to forcibly hold their breath for as long as possible instead of allowing themselves to pass out from hypoxia. I wouldn’t pin the blame for voluntary thrashing on the method of execution.

What do you think? Am I wrong in reading this as just another case of “Americans can do nothing right”?

Why don't they just make the OD on opiates? You just fall asleep and stop breathing.

Probably because finding a doctor who will assist in this request is both necessary and difficult.

Doesn't a doctor (or a nurse) need only to put needle in convict and actual dose injected by executioner?

The immediate, sarcastic, rejoinder that leaps to mind is "just re-brand this as an abortion, no problems then!"

But I think that if you have rights of conscientious objection to participating in or assisting abortions (and you should have such rights), then you should also have rights of conscientious objection to participating in or assisting executions.

The AMA prevents even reading an ECG to make sure the heart is stopping for executions because that is a violation of the duty of a medical practitioner and so they impose this on their members even if there were doctors willing to assist at executions, but if you don't want to read an ECG to make sure the heart is stopping during an abortion you are a monster who must be forced to do your duty (to be fair, the AMA doesn't go this far and will respect conscientious objection).

But is there anyone doing papers and studies like the below for executions, rather than abortions?

We argue that, in certain circumstances, doctors might be professionally justified to provide abortions even in those jurisdictions where abortion is illegal. That it is at least professionally permissible does not mean that they have an all-things-considered ethical justification or obligation to provide illegal abortions or that professional obligations or professional permissibility trump legal obligations. It rather means that professional organisations should respect and indeed protect doctors’ positive claims of conscience to provide abortions if they plausibly track what is in the best medical interests of their patients. It is the responsibility of state authorities to enforce the law, but it is the responsibility of professional organisations to uphold the highest standards of medical ethics, even when they conflict with the law. Whatever the legal sanctions in place, healthcare professionals should not be sanctioned by the professional bodies for providing abortions according to professional standards, even if illegally. Indeed, professional organisation should lobby to offer protection to such professionals. Our arguments have practical implications for what healthcare professionals and healthcare professional organisations may or should do in those jurisdictions that legally prohibit abortion, such as some US States after the reversal of Roe v Wade.

Try swapping in "execution" for "abortion" there and see if you think the argument still holds good. Even if execution is illegal in some jurisdictions, doctors might be professionally justified to assist at them. Professional organisations like the AMA have a responsibility to uphold the highest standards of medical ethics even when they conflict with the law.