baze et al rees commissioner kentucky department corrections et argued january decided april lethal injection used capital punishment federal government least including kentucky use combination three drugs first sodium thiopental induces unconsciousness given specified amounts thereby ensures prisoner experience pain associated paralysis cardiac arrest caused second third drugs pancuronium bromide potassium chloride among things kentucky lethal injection protocol reserves qualified personnel least one year professional experience responsibility inserting intravenous iv catheters prisoner leaving others mix drugs load syringes specifies warden deputy warden remain execution chamber observe prisoner watch iv problems execution team administers drugs another room mandates determined warden deputy prisoner unconscious within seconds sodium thiopental delivery new dose given secondary injection site second third drugs administered petitioners convicted murderers sentenced death kentucky state filed suit asserting commonwealth lethal injection protocol violates eighth amendment ban cruel unusual punishments state trial held extensive hearings entered detailed factfindings conclusions law ruling minimal risk various petitioners claims improper administration protocol upholding constitutional kentucky affirmed holding protocol violate eighth amendment create substantial risk wanton unnecessary infliction pain torture lingering death held judgment affirmed affirmed chief justice roberts joined justice kennedy justice alito concluded kentucky lethal injection protocol satisfies eighth amendment pp constitute cruel unusual punishment execution method must present substantial objectively intolerable risk serious harm state refusal adopt proffered alternative procedures may violate eighth amendment alternative procedure feasible readily implemented fact significantly reduces substantial risk severe pain pp upheld capital punishment constitutional see gregg georgia risk pain inherent even humane execution method prospect error following required procedure constitution demand avoidance risk pain petitioners contend eighth amendment prohibits procedures create unnecessary risk pain kentucky urges approve test used pp held eighth amendment forbids punishments torture others line unnecessary cruelty wilkerson utah disemboweling beheading quartering dissecting burning alive share deliberate infliction pain sake pain observing also unishments cruel involve torture lingering death something inhuman barbarous mere extinguishment life emphasized electrocution statute upholding passed effort devise humane method reaching result kemmler pp although conceding execution kentucky procedures humane constitutional performed properly petitioners claim significant risk procedures properly followed particularly sodium thiopental properly administered achieve intended effect resulting severe pain chemicals administered subjecting individuals substantial risk future harm cruel unusual punishment conditions presenting risk sure likely cause serious illness needless suffering give rise sufficiently imminent dangers helling mckinney prevail claim must present substantial risk serious harm objectively intolerable risk harm farmer brennan example held isolated mishap alone violate eighth amendment louisiana ex rel francis resweber event regrettable suggest cruelty substantial risk serious harm pp petitioners primary contention risks identified eliminated adopting certain alternative procedures allowing condemned prisoner challenge state execution method merely showing slightly marginally safer alternative finds support cases embroil courts ongoing scientific controversies beyond expertise substantially intrude role state legislatures implementing execution procedures petitioners proposed unnecessary risk standard rejected favor farmer substantial risk serious harm test effectively address substantial risk proffered alternative procedure must feasible readily implemented fact significantly reduce substantial risk severe pain state refusal adopt alternative face documented advantages without legitimate penological justification current execution method viewed cruel unusual pp petitioners carried burden showing risk pain maladministration concededly humane lethal injection protocol failure adopt untried untested alternatives constitute cruel unusual punishment pp uncontested failing proper dose sodium thiopental render prisoner unconscious substantial constitutionally unacceptable risk suffocation administration pancuronium bromide pain potassium chloride however difficult regard practice objectively intolerable fact widely tolerated probative conclusive regard consensus among federal government adopted lethal injection specific combination kentucky uses pp light safeguards kentucky protocol puts place risks administering inadequate sodium thiopental dose identified petitioners substantial imminent amount eighth amendment violation charge kentucky employs untrained personnel unqualified calculate mix adequate dose answered state trial finding substantiated expert testimony minimal risk improper mixing manufacturers thiopental package insert instructions followed likewise iv line problems alleged petitioners establish sufficiently substantial risk iv team members must least one year relevant professional experience presence warden deputy warden execution chamber allows watch iv problems insufficient dose initially administered primary iv site additional dose given secondary site last two drugs injected pp kentucky failure adopt petitioners proposed alternatives demonstrate state execution procedure cruel unusual kentucky continued use protocol viewed posing objectively intolerable risk state adopted method petitioners proffered study showing equally effective manner imposing death sentence petitioners contend kentucky omit pancuronium bromide serves therapeutic purpose suppressing muscle movements reveal inadequate administration sodium thiopental state trial specifically found thiopental serves two purposes preventing involuntary convulsions seizures unconsciousness thereby preserving procedure dignity hastening death petitioners assert protocol used routinely veterinarians putting animals sleep bar veterinarians using neuromuscular paralytic agent like pancuronium bromide arguments overlook legitimate interest providing quick certain death event veterinary practice animals appropriate guide humane practices humans petitioners charge kentucky protocol lacks systematic mechanism bispectral index monitor blood pressure cuff electrocardiogram monitoring prisoner anesthetic depth expert testimony shows proper thiopental obviates concern prisoner sufficiently sedated proposed alternatives presents concerns pp justice stevens concluded instead ending controversy case generate debate constitutionality protocol specifically justification use pancuronium bromide also justification death penalty wishing decrease risk future litigation delay executions invalidate protocol well reconsider continued use pancuronium bromide moreover although experience demonstrates imposing penalty constitutes pointless needless extinction life negligible social public returns conclusion justify refusal respect precedents upholding death penalty establishing framework evaluating constitutionality particular execution methods petitioners evidence fails prove kentucky protocol violates eighth amendment pp justice thomas joined justice scalia concluded plurality formulation governing standard finds support original understanding cruel unusual punishments clause previous cases casts constitutional doubt methods execution injects matters institutional capacity resolve historical practices leading clause inclusion bill rights views early commentators constitution cases see wilkerson utah demonstrate execution method violates eighth amendment deliberately designed inflict pain judged standard easy case undisputed kentucky adopted lethal injection protocol effort make capital punishment humane add elements terror pain disgrace death penalty petitioners challenge must fail pp justice breyer concluded found either record readily available literature sufficient grounds believe kentucky lethal injection method creates significant risk unnecessary suffering although death penalty serious risks wrong person may executed unwarranted animus victims race example may play role convicted find death row many years penalty lawfulness petitioners proof evidence giving rise legitimate concern show kentucky execution method amounts cruel unusual punishmen pp roberts announced judgment delivered opinion kennedy alito joined alito filed concurring opinion stevens filed opinion concurring judgment scalia filed opinion concurring judgment thomas joined thomas filed opinion concurring judgment scalia joined breyer filed opinion concurring judgment ginsburg filed dissenting opinion souter joined ralph baze thomas bowling tioners john rees commissioner kentucky department corrections et al writ certiorari kentucky april chief justice roberts announced judgment delivered opinion justice kennedy justice alito join like federal government kentucky chosen impose capital punishment certain crimes true respect federal government kentucky altered method execution time humane means carrying sentence progress led use lethal injection every jurisdiction imposes death penalty petitioners case convicted double homicide acknowledge lethal injection procedure applied intended result humane death nevertheless contend lethal injection protocol unconstitutional eighth amendment ban cruel unusual punishments risk protocol terms might properly followed resulting significant pain propose alternative protocol one concede adopted state never tried trial held extensive hearings entered detailed findings fact conclusions law recognized methods legal execution satisfactory oppose death penalty moral religious societal grounds concluded kentucky procedure complies constitutional requirements cruel unusual punishment app state affirmed agree petitioners carried burden showing risk pain maladministration concededly humane lethal injection protocol failure adopt untried untested alternatives constitute cruel unusual punishment judgment affirmed middle century hanging universal form execution campbell wood blackmun dissenting denial certiorari quoting state frampton denno getting death executions constitutional iowa rev counting territories employed hanging method execution following recommendation commission empaneled governor find humane practical method known modern science carrying effect sentence death new york became first state authorize electrocution form capital punishment glass louisiana brennan dissenting denial certiorari denno supra followed suit motivated belief electrocution less painful humane hanging malloy south carolina electrocution remained predominant mode execution nearly century although several methods including hanging firing squad lethal gas use one time brief fordham university school law et al amici curiae hereinafter fordham brief following hiatus executions ended decision gregg georgia however state legislatures began responding public calls reexamine electrocution means assuring humane death see banner death penalty american history legislators oklahoma consulting head anesthesiology department university oklahoma college medicine introduced first bill proposing lethal injection state method execution see brief petitioners fordham brief total adopted lethal injection exclusive primary means implementing death penalty making far prevalent method execution also method used federal government see et seq ed supp app brief amicus curiae lethal injection protocol used federal bureau prisons least including kentucky use combination three drugs lethal injection protocols see workman bredesen first drug sodium thiopental also known pentathol barbiturate sedative induces deep comalike unconsciousness given amounts used lethal injection app second drug pancuronium bromide also known pavulon paralytic agent inhibits movements paralyzing diaphragm stops respiration potassium chloride third drug interferes electrical signals stimulate contractions heart inducing cardiac arrest ibid proper administration first drug ensures prisoner experience pain associated paralysis cardiac arrest caused second third drugs kentucky replaced electrocution lethal injection acts ch kentucky statute specify drugs categories drugs used execution instead mandating every death sentence shall executed continuous intravenous injection substance combination substances sufficient cause death rev stat ann west prisoners sentenced option electing either electrocution lethal injection lethal injection default case petitioners prisoner refuses make choice least days scheduled execution invalidates kentucky lethal injection method kentucky law provides method execution revert electrocution shortly adoption lethal injection officials working kentucky department corrections set developing written protocol comply requirements kentucky protocol called injection grams sodium thiopental milligrams pancuronium bromide milliequivalents potassium chloride result litigation department chose increase amount sodium thiopental grams grams app injections members execution team flush intravenous iv lines milligrams saline prevent clogging lines precipitates may form residual sodium thiopental comes contact pancuronium bromide protocol reserves responsibility inserting iv catheters qualified personnel least one year professional experience currently kentucky uses certified phlebotomist emergency medical technician emt perform venipunctures necessary catheters one hour establish primary secondary peripheral intravenous sites arm hand leg foot inmate personnel responsible mixing solutions containing three drugs loading syringes kentucky execution facilities consist execution chamber control room separated window witness room warden deputy warden remain execution chamber prisoner strapped gurney execution team administers drugs remotely control room five feet iv tubing determined warden deputy warden visual inspection prisoner unconscious within seconds following delivery sodium thiopental primary iv site new dose thiopental administered secondary site injecting pancuronium potassium chloride addition assuring first dose thiopental successfully administered warden deputy warden also watch problems iv catheters tubing physician present assist effort revive prisoner event stay execution statute however physician prohibited participating conduct execution except certify cause death rev stat ann electrocardiogram ekg verifies death prisoner app one kentucky prisoner eddie lee harper executed since commonwealth adopted lethal injection reported problems harper execution petitioners ralph baze thomas bowling convicted two counts capital murder sentenced death kentucky upheld convictions sentences direct appeal see baze commonwealth cert denied bowling commonwealth cert denied exhausting state federal collateral remedies baze bowling sued three state officials franklin circuit commonwealth kentucky seeking kentucky lethal injection protocol declared unconstitutional bench trial trial received testimony approximately witnesses including numerous experts upheld protocol finding minimal risk various claims improper administration protocol app appeal kentucky stated method execution violates eighth amendment creates substantial risk wanton unnecessary infliction pain torture lingering death applying standard affirmed granted certiorari determine whether kentucky lethal injection protocol satisfies eighth amendment hold ii eighth amendment constitution applicable due process clause fourteenth amendment see robinson california provides xcessive bail shall required excessive fines imposed cruel unusual punishments inflicted begin principle settled gregg capital punishment constitutional see joint opinion stewart powell stevens necessarily follows must means carrying risk pain inherent method execution matter humane prospect error following required procedure clear constitution demand avoidance risk pain carrying executions petitioners claim rather contend eighth amendment prohibits procedures create unnecessary risk pain brief petitioners specifically argue courts must evaluate severity pain risked likelihood pain occurring extent alternative means feasible either modifying existing execution procedures adopting alternative procedures ibid petitioners envision quantum risk necessary make eighth amendment claim vary according severity pain availability alternatives reply brief petitioners risk must significant trigger eighth amendment scrutiny see brief petitioners reply brief petitioners kentucky responds unnecessary risk standard tantamount requirement adopt alternative carrying execution standard commonwealth contends cast recurring constitutional doubt procedure adopted brief respondents instead kentucky urges approve test used courts never invalidated state chosen procedure carrying sentence death infliction cruel unusual punishment wilkerson utah upheld sentence death firing squad imposed territorial rejecting argument sentence constituted cruel unusual punishment noted difficulty defin ing exactness extent constitutional provision provides cruel unusual punishments shall inflicted rather undertake effort wilkerson simply noted safe affirm punishments torture others line unnecessary cruelty forbidden eighth amendment way example cited cases england terror pain disgrace sometimes superadded sentence condemned embowelled alive beheaded quartered instances public dissection murder burning alive contrast observed firing squad routinely used method execution military officers forbidden punishments common deliberate infliction pain sake pain superadd ing pain death sentence torture like carried principles kemmler rejected opportunity incorporate eighth amendment challenge first execution electrocution carried state new york passing question however observed unishments cruel involve torture lingering death punishment death cruel within meaning word used constitution implies something inhuman barbarous something mere extinguishment life noted new york statute adopting electrocution method execution passed effort devise humane method reaching result ibid petitioners claim lethal injection proper administration particular protocol adopted kentucky constitute cruel wanton infliction pain quite contrary concede performed properly execution carried kentucky procedures humane constitutional brief petitioners counsel petitioners admitted oral argument proper administration first drug sodium thiopental eliminates meaningful risk prisoner experience pain subsequent injections pancuronium potassium chloride see tr oral arg app testimony petitioners expert sodium thiopental properly administered protocol virtually every case humane death instead petitioners claim significant risk procedures properly followed particular sodium thiopental properly administered achieve intended effect resulting severe pain chemicals administered cases recognize subjecting individuals risk future harm simply actually inflicting pain qualify cruel unusual punishment establish exposure violates eighth amendment however conditions presenting risk must sure likely cause serious illness needless suffering give rise sufficiently imminent dangers helling mckinney emphasis added explained prevail claim must substantial risk serious harm objectively intolerable risk harm prevents prison officials pleading subjectively blameless purposes eighth amendment farmer brennan simply execution method may result pain either accident inescapable consequence death establish sort objectively intolerable risk harm qualifies cruel unusual louisiana ex rel francis resweber plurality upheld second attempt executing prisoner electrocution mechanical malfunction interfered first attempt principal opinion noted ccidents happen man blame concluded accident suggestion malevolence give rise eighth amendment violation justice frankfurter noted separate opinion based due process clause however hypothetical situation involving series abortive attempts electrocution present different case concurring opinion terms present eighth amendment analysis situation unlike innocent misadventure demonstrate objectively intolerable risk harm officials may ignore see farmer words isolated mishap alone give rise eighth amendment violation precisely event regrettable suggest cruelty procedure issue gives rise substantial risk serious harm much petitioners case rests contention identified significant risk harm eliminated adopting alternative procedures protocol dispenses use pancuronium potassium chloride additional monitoring trained personnel ensure first dose sodium thiopental adequately delivered given cases said nature risk harm actionable eighth amendment condemned prisoner successfully challenge state method execution merely showing slightly marginally safer alternative permitting eighth amendment violation established showing threaten transform courts boards inquiry charged determining best practices executions ruling supplanted another round litigation touting new improved methodology approach finds support cases embroil courts ongoing scientific controversies beyond expertise substantially intrude role state legislatures implementing execution procedures role accounts fulfilled earnest desire provide progressively humane manner death see bell wolfish wide range calls meet constitutional statutory requirements confided officials outside judicial branch government accordingly reject petitioners proposed unnecessary risk standard well dissent untoward risk variation see post opinion ginsburg instead proffered alternatives must effectively address substantial risk serious harm farmer supra qualify alternative procedure must feasible readily implemented fact significantly reduce substantial risk severe pain state refuses adopt alternative face documented advantages without legitimate penological justification adhering current method execution state refusal change method viewed cruel unusual eighth iii applying standards facts case note outset difficult regard practice objectively intolerable fact widely tolerated sanction capital punishment adopted lethal injection preferred method execution federal government uses lethal injection well see supra broad consensus goes method execution also specific combination used kentucky thirty well federal government use series sodium thiopental pancuronium bromide potassium chloride varying amounts see supra state uses ever used alternative protocol belatedly urged petitioners consensus probative conclusive respect aspect alternatives proposed petitioners order meet heavy burden showing kentucky procedure cruelly inhumane gregg joint opinion stewart powell stevens jj petitioners point numerous aspects protocol contend create opportunities error claim hinges improper administration first drug sodium thiopental uncontested failing proper dose sodium thiopental render prisoner unconscious substantial constitutionally unacceptable risk suffocation administration pancuronium bromide pain injection potassium chloride see tr oral arg agree state trial state however petitioners shown risk inadequate dose first drug substantial reject argument eighth amendment requires kentucky adopt untested alternative procedures petitioners identified petitioners contend risk improper administration thiopental doses difficult mix solution form load syringes protocol fails establish rate injection lead failure iv possible iv catheters infiltrate surrounding tissue causing inadequate dose delivered vein inadequate facilities training kentucky reliable means monitoring anesthetic depth prisoner sodium thiopental administered brief petitioners risk sodium thiopental improperly prepared petitioners contend kentucky employs untrained personnel unqualified calculate mix adequate dose especially light omission volume concentration amounts written protocol state trial however specifically found manufacturers instructions reconstitution sodium thiopental followed minimal risk improper mixing despite converse testimony layperson difficulty performing task app say finding clearly erroneous see hernandez new york plurality opinion particularly finding substantiated expert testimony describing task reconstituting powder sodium thiopental solution form ot difficult take liquid inject vial powder shake powder dissolves done instructions package insert tr apr likewise asserted problems related iv lines establish sufficiently substantial risk harm meet requirements eighth amendment kentucky put place several important safeguards ensure adequate dose sodium thiopental delivered condemned prisoner significant written protocol requirement members iv team must least one year professional experience certified medical assistant phlebotomist emt paramedic military corpsman app kentucky currently uses phlebotomist emt personnel daily experience establishing iv catheters inmates kentucky prison population tr oral arg moreover iv team members along rest execution team participate least practice sessions per year app sessions required written protocol encompass complete execution procedures including siting iv catheters volunteers ibid addition protocol calls iv team establish primary backup lines prepare two sets lethal injection drugs execution commences redundant measures ensure insufficient dose sodium thiopental initially administered primary line additional dose given backup line last two drugs injected iv team one hour establish primary backup ivs length time trial found excessive rather necessary contrary petitioners claim using iv inserted ten fifteen minutes unsuccessful attempts dangerous iv almost certain unreliable brief petitioners event merely protocol gives iv team one hour establish intravenous access mean team members required spend entire hour futile attempt qualifications iv team also substantially reduce risk iv infiltration addition presence warden deputy warden execution chamber prisoner allows watch signs iv problems including infiltration three commonwealth medical experts testified identifying signs infiltration obvious even average person swelling result app see kentucky protocol specifically requires warden redirect flow chemicals backup iv site prisoner lose consciousness within seconds light safeguards say risks identified petitioners substantial imminent amount eighth amendment violation kentucky failure adopt petitioners proposed alternatives demonstrate commonwealth execution procedure cruel unusual first petitioners contend kentucky switch protocol protocol using single dose sodium thiopental barbiturate brief petitioners alternative proposed state courts result left without findings effectiveness petitioners protocol despite scattered references trial testimony sole use sodium thiopental pentobarbital preferred method execution see reply brief petitioners event commonwealth continued use protocol viewed posing objectively intolerable risk state adopted method petitioners proffered study showing equally effective manner imposing death sentence see app plaintiffs presented scientific study indicating better method execution lethal injection indeed state tennessee reviewing execution procedures rejected proposal adopt protocol using sodium thiopental state concluded alternative take longer method required dosage sodium thiopental less predictable variable used sole mechanism producing death workman appendix need endorse accuracy conclusions note simply comparative efficacy method execution well established kentucky failure adopt constitutes violation eighth amendment petitioners also contend kentucky omit second drug pancuronium bromide serves therapeutic purpose suppressing muscle movements reveal inadequate administration first drug state trial however specifically found pancuronium serves two purposes first prevents involuntary physical movements unconsciousness may accompany injection potassium chloride app commonwealth interest preserving dignity procedure especially convulsions seizures misperceived signs consciousness distress second pancuronium stops respiration hastening death ibid kentucky decision include drug offend eighth petitioners protocol contend untested used routinely veterinarians putting animals sleep moreover including kentucky bar veterinarians using neuromuscular paralytic agent like pancuronium bromide either expressly like kentucky specifically directing use drug like sodium pentobarbital see brief kevin concannon et al amici curiae pancuronium cruel animals argument goes must cruel condemned inmate whatever rhetorical force argument carries see workman supra describing comparison animal euthanasia debater point overlooks legitimate interest providing quick certain death netherlands example euthanasia permitted royal dutch society advancement pharmacy recommends use muscle relaxant pancuronium dibromide addition thiopental order prevent prolonged undignified death see kimsma euthanasia euthanizing drugs netherlands reprinted drug use assisted suicide euthanasia battin lipman eds concern may less compelling veterinary context event methods approved veterinarians stunning animal severing spinal cord see tr apr make clear veterinary practice animals appropriate guide humane practices humans petitioners also fault kentucky protocol lacking systematic mechanism monitoring anesthetic depth prisoner petitioners scheme qualified personnel employ monitoring equipment bispectral index bis monitor blood pressure cuff ekg verify prisoner achieved sufficient unconsciousness injecting final two drugs visual inspection performed warden deputy warden maintain inadequate substitute sophisticated procedures envision brief petitioners outset important reemphasize proper dose thiopental obviates concern prisoner sufficiently sedated experts testified trial agreed point risks failing adopt additional monitoring procedures thus even remote attenuated risks posed alleged inadequacies kentucky procedures designed ensure delivery thiopental see hamilton jones per curiam taylor crawford kentucky expert testified blood pressure cuff utility assessing level prisoner unconsciousness following introduction sodium thiopental depresses circulation app furthermore medical community yet endorse use bis monitor measures brain function indication anesthetic awareness american society anesthesiologists practice advisory intraoperative awareness brain function monitoring anesthesiology apr see brown beck michael dissenting asserted need professional anesthesiologist interpret bis monitor readings nothing argument entire procedure given kentucky law see rev stat ann american society anesthesiologists ethical guidelines see brief american society anesthesiologists amicus curiae prohibit anesthesiologists participating capital punishment pertinent use blood pressure cuff ekg standard care surgery requiring anesthesia dissent points post petitioners shown supplementary procedures drawn different context necessary avoid substantial risk suffering dissent believes tests checking consciousness calling inmate name brushing eyelashes presenting strong noxious odors materially decrease risk administering second third drugs sodium thiopental taken effect see ibid risk issue already attenuated given steps kentucky taken ensure proper administration first drug moreover scenario dissent posits involves level unconsciousness allegedly sufficient avoid detection improper administration anesthesia kentucky procedure sufficient prevent pain see post indication basic tests dissent advocates make fine distinctions tests effective determining whether sodium thiopental entered inmate bloodstream see post record confirms visual inspection iv site kentucky procedure achieves objective see supra dissent continue stay executions presumably many others held abeyance pending decision case send case back lower courts determine whether added measures redress untoward risk pain post inmate succeed eighth amendment claim simply showing one step state take failsafe independently adequate measures approach serve meaningful purpose frustrate state legitimate interest carrying sentence death timely manner see baze parker petitioner baze sentenced death bowling parker supp ed petitioner bowling sentenced death justice stevens suggests opinion leaves disposition cases uncertain see post standard set forth resolves challenges acknowledges stay execution may granted grounds asserted unless condemned prisoner establishes state lethal injection protocol creates demonstrated risk severe pain must show risk substantial compared known available alternatives state lethal injection protocol substantially similar protocol uphold today create risk meets standard reasonable people good faith disagree morality efficacy capital punishment many oppose method execution ever acceptable justice frankfurter stressed resweber ne must guard finding personal disapproval reflection less prevailing condemnation concurring opinion ruled capital punishment prohibited constitution may enact laws specifying sanction power state pass laws means little state enforce mccleskey zant state efforts implement capital punishment must certainly comply eighth amendment amendment prohibits wanton exposure objectively intolerable risk farmer simply possibility pain kentucky adopted method execution believed humane available one shares petitioners agree administered intended procedure result painless death risks maladministration suggested improper mixing chemicals improper setting ivs trained experienced personnel remotely characterized objectively intolerable kentucky decision adhere protocol despite asserted risks adopting safeguards protect viewed probative wanton infliction pain eighth amendment finally alternative petitioners belatedly propose problems never tried single state throughout history whenever method execution challenged cruel unusual rejected challenge society nonetheless steadily moved humane methods carrying capital punishment firing squad hanging electric chair gas chamber turn given way humane methods culminating today consensus lethal injection gomez dist northern dist stevens dissenting app broad framework eighth amendment accommodated progress toward humane methods execution approval particular method past precluded legislatures taking steps deem appropriate light new developments ensure humane capital punishment reason suppose today decision judgment concluding kentucky procedure consistent eighth amendment accordingly affirmed ordered ralph baze thomas bowling petitioners john rees commissioner kentucky department corrections et al writ certiorari kentucky april justice alito concurring join plurality opinion write separately explain view holding implemented opinion concludes state refusal change method execution viewed unusual eighth amendment state without legitimate penological justification rejects alternative method feasible readily available significantly reduce substantial risk severe pain ante properly understood standard justice thomas predicts lead litigation enables seeking abolish death penalty embroil litigation concerning adequacy execution procedures post opinion concurring judgment plurality opinion notes constitutionality capital punishment us case therefore proceed assumption death penalty constitutional ante assumption follows must constitutional means carrying death sentence also proceed case assumption lethal injection constitutional means execution see gregg georgia joint opinion stewart powell stevens jj assessing punishment selected democratically elected legislature constitutional measure presume validity lethal injection adopted federal government thought humane method execution petitioners contend lethal injection abandoned favor methods replaced execution electric chair gas chamber hanging firing squad since assume present purposes lethal injection constitutional use method federal government must blocked procedural requirements practicably satisfied prominent among practical constraints must taken account considering feasibility availability suggested modification lethal injection protocol ethical restrictions applicable medical professionals first step lethal injection protocols currently use anesthetization prisoner step carried properly agreed prisoner experience pain remainder procedure every day general anesthetics administered surgical patients country medical professionals participate surgeries also participated anesthetization prisoners facing execution lethal injection risk pain minimized ethics rules medical professionals reasons certainly question prohibit participation executions guidelines issued american medical association ama state individual opinion capital punishment personal moral decision individual physician member profession dedicated preserving life hope participant legally authorized execution ama code medical ethics policy capital punishment online http internet materials visited apr available clerk case file guidelines explain physician participation execution includes limited following actions prescribing administering tranquilizers psychotropic agents medications part execution procedure monitoring vital signs site remotely including monitoring electrocardiograms attending observing execution physician rendering technical advice regarding execution ibid head ethics ama reportedly opined ven helping design humane protocol disregard ama code harris medics qualms kill death penalty nature may american nurses association ana takes position participation execution breach ethical traditions nursing code nurses ana position statement nurses participation capital punishment online http menucategories means ana explains nurse must take part assessment supervision monitoring procedure prisoner procuring prescribing preparing medications solutions inserting intravenous catheter injecting lethal solution attending witnessing execution nurse ibid national association emergency medical technicians naemt holds articipation capital punishment inconsistent ethical precepts goals emergency medical services profession naemt position statement emt paramedic participation capital punishment june online http naemt position statement advises emergency medical technicians paramedics refrain activities outlined ana statement ibid recent litigation california demonstrated effect ethics rules michael morales convicted sentenced death murder filed federal civil rights action challenging california lethal injection protocol like kentucky calls sequential administration three drugs sodium pentothal pancuronium bromide potassium chloride district enjoined state proceeding execution unless either used sodium pentothal another barbiturate ensured anesthesiologist present ensure morales remained unconscious throughout process morales hickman supp nd cal ninth circuit affirmed district order morales hickman state arranged two anesthesiologists present execution however subsequently concluded proceed reasons medical ethics morales tilton supp nd cal neither morales prisoner california since executed see denno lethal injection quandary medicine dismantled death penalty ford rev objections features lethal injection protocol must considered backdrop ethics rules medical professionals related practical constraints assuming previously discussed lethal injection unconstitutional per se follows suggested modification lethal injection protocol regarded feasible readily available modification require participation either carrying execution training carry execution persons whose professional ethics rules traditions impede participation ii order show modification lethal injection protocol required eighth amendment prisoner must demonstrate modification significantly reduce substantial risk severe pain ante emphasis added showing merely modification result reduction risk insufficient moreover inmate required simply offer testimony experts studies instead inmate challenging method execution point scientific consensus state refused change method face evidence state conduct comparable circumstances previously held violation eighth amendment see farmer brennan present case well illustrates need type evidence although proliferation litigation challenging current lethal injection protocols evidence regarding alleged defects protocols supposed advantages alternatives strikingly haphazard unreliable chief justice justice breyer note lancet article koniaris zimmers lubarsky sheldon inadequate anaesthesia lethal injection execution lancet apr prompted criticism protocol questioned see groner inadequate anaesthesia lethal injection execution lancet lack clear guidance currently available scientific literature dramatically illustrated conclusions reached petitioners justice stevens regarding view superior alternatives protocol petitioners chief argument kentucky procedure violates eighth amendment employ protocol involving lethal dose anesthetic relying lethal dose anesthetic petitioners contend kentucky virtually eliminate risk pain brief petitioners petitioners point expert testimony trial dose thiopental cause death within three minutes fifteen minutes accuracy testimony universally accepted indeed medical authorities netherlands assisted suicide legal recommended use lethal dose barbiturate amicus supporting petitioners robert truog professor medical ethics anesthesiology harvard medical school made following comments use lethal dose barbiturate number experts said rams pentothal absolutely going lethal fact least country none us experience go holland euthanasia legal look study cases euthanasia cases used paralytic agent know figured yet think know actually difficult kill someone big dose barbiturate fact report cases problems completion think five person actually woke came back coma perspective roundtable physicians execution highlights discussion lethal injection new england med justice stevens advocate protocol argues wishing decrease risk future litigation delay executions invalidate protocols well reconsider continued use pancuronium bromide second step protocol post opinion concurring judgment drug pancuronium bromide recommended royal dutch society advancement pharmacy second two drugs used cases euthanasia see kimsma euthanasia euthanizing drugs netherlands reprinted drug use assisted suicide euthanasia battin lipman eds point citing dutch study protocol fact better protocol advisable use pancuronium bromide rather point public policy death penalty issue stirs deep emotions dictated testimony expert two judicial findings fact based testimony iii seemingly endless proceedings characterized capital litigation years following gregg well documented report judicial conference ad hoc committee federal habeas corpus capital cases chaired justice powell noted lengthy delays produced collateral litigation death penalty cases see committee report proposal antiterrorism effective death penalty act aedpa designed address problem see woodford garceau congress enacted aedpa reduce delays execution state federal criminal sentences particularly capital cases citing williams taylor opinion stevens stating aedpa designed curb abuse habeas corpus process particularly address problem delay repetitive litigation capital cases misinterpretation standard set plurality opinion adoption standard favored dissent justice breyer create grave danger extended delay dissenters justice breyer hold protocol used carrying execution lethal injection violates eighth amendment creates untoward readily avoidable risk inflicting severe unnecessary pain see post ginsburg dissenting emphasis added post breyer concurring judgment determining whether risk untoward told requires weighing three factors severity pain may occur likelihood pain availability alternative methods post ginsburg dissenting informed three factors interrelated strong showing one reduces importance others ibid untoward risk presumably risk unfortunate marked causing trouble unhappiness webster third new international dictionary random house dictionary english language vague malleable standard open gates flood litigation go long way toward bringing end death penalty practical matter certainly suggest intent justices favor test likely consequences predictable issue presented case constitutionality method execution kept separate controversial issue death penalty wishes reexamine latter issue directly justice stevens suggests post produce de facto ban capital punishment adopting rules lead litigation gridlock ralph baze thomas bowling petitioners john rees commissioner kentucky department corrections et al writ certiorari kentucky april justice stevens concurring judgment granted certiorari case assumed decision bring debate lethal injection method execution close seems clear question whether similar protocol may used remains open may well answered differently future case basis complete record instead ending controversy convinced case generate debate constitutionality protocol specifically justification use paralytic agent pancuronium bromide also justification death penalty masks outward sign distress pancuronium bromide creates risk inmate suffer excruciating pain death occurs general understanding among veterinarians risk pain sufficiently serious use drug proscribed animal life result understanding among knowledgeable professionals several including kentucky enacted legislation prohibiting use drug animal euthanasia see admin tit ch unseemly say least kentucky may well kill petitioners using drug permit used pets use pancuronium bromide particularly disturbing trial specifically found case serves therapeutic purpose app drug primary use prevent involuntary muscle movements secondary use stop respiration view neither purposes sufficient justify risk inherent use drug plurality believes preventing involuntary movement legitimate justification using pancuronium bromide commonwealth interest preserving dignity procedure especially convulsions seizures misperceived signs consciousness distress ante woefully inadequate justification whatever minimal interest may ensuring condemned inmate dies dignified death witnesses execution made uncomfortable incorrect belief easily corrected inmate pain vastly outweighed risk inmate actually experiencing excruciating pain one necessity pancuronium bromide included cocktail inhibit respiration immediately followed potassium chloride causes death quickly stopping inmate heart moreover nationwide endorsement use pancuronium bromide merits special presumption respect state legislatures approved lethal injection humane method execution majority enacted legislation specifically approving use pancuronium bromide given combination colorado legislature focused issue specified protocol consisting solely sodium thiopental see rev stat ann majority use protocol drugs selected unelected department correction officials specialized medical knowledge without benefit expert assistance guidance drug selections entitled kind deference afforded legislative decisions failure state legislatures congress outlaw use drug condemned prisoners viewed nationwide endorsement unnecessarily dangerous practice even legislature specifically approved use paralytic agent review decisions led adoption protocol persuaded product stereotyped reaction issue rather careful analysis relevant considerations favoring disfavoring conclusion see mathews lucas stevens dissenting indeed trial found various simply fell line behind oklahoma adopting protocol without critical analysis whether best available app see also post ginsburg dissenting new jersey experience creation lethal injection protocol illustrative new jersey restored death penalty legislature fell line enacted statute called inmates executed continuous intravenous administration person dead lethal quantity barbiturate combination chemical paralytic agent quantity sufficient cause death stat ann west new jersey department corrections doc officials including doctors administrators immediately expressed concern capital sentencing unit chief doctor example warned assistant commissioner regard chemical substance classes lethal substances may selected edwards new jersey long waltz death based concerns former doc commissioner lobbied legislature amend lethal injection statute provide doc discretion select humane drugs wanted generic statement like drugs determined identified commissioner attorney general department health knew future going bring ibid concerns likely motivated doc decision adopt protocol omitted pancuronium bromide despite legislature failure act proposed amendment see denno legislatures delegate death troubling paradox behind state uses electrocution lethal injection says us ohio explaining new jersey protocol effect called use cocktail consisting sodium thiopental potassium chloride indeed doc officials seemed harbor concerns undertook revise new jersey lethal injection protocol public hearing proposed amendment doc supervisor legal legislative affairs told attendees drugs used lethal injection protocol undetermined substances determined point execution scheduled doc research determining drugs point time made decision specific drugs several months know somebody going executed give us opportunity point decide humane things change understand changing daily say going use something today something may humane becomes known later make sense us tr public hearing proposed amendments new jersey lethal injection protocol striking state agency specialized medical knowledge benefit expert assistance guidance focused issue disagreed legislature stereotyped reaction mathews stevens dissenting specified protocol omitted pancuronium view therefore wishing decrease risk future litigation delay executions invalidate protocols well reconsider continued use pancuronium ii thoughtful opinions written chief justice justice ginsburg persuaded current decisions state legislatures congress retain death penalty part law product habit inattention rather acceptable deliberative process weighs costs risks administering penalty identifiable benefits rest part faulty assumption retributive force death penalty gregg georgia explained unless criminal sanction serves legitimate penological function constitutes gratuitous infliction suffering violation eighth amendment identified three societal purposes death sanction incapacitation deterrence retribution see joint opinion stewart powell stevens past three decades however rationales called question incapacitation may legitimate rationale recent rise statutes providing life imprisonment without possibility parole demonstrates incapacitation neither necessary sufficient justification death moreover recent poll indicates support death penalty drops significantly life without possibility parole presented alternative available sociological evidence suggests juries less likely impose death penalty life without parole available legitimacy deterrence acceptable justification death penalty also questionable best despite years empirical research area remains reliable statistical evidence capital punishment fact deters potential absence evidence deterrence serve sufficient penological justification uniquely severe irrevocable punishment left retribution primary rationale imposing death penalty indeed retribution rationale animates much remaining enthusiasm death lord justice denning argued crimes outrageous society insists adequate punishment deserves irrespective whether deterrent see gregg eighth amendment jurisprudence narrowed class offenders eligible death penalty include committed outrageous crimes defined specific aggravating factors cruel treatment victims provides persuasive arguments prosecutors seeking death penalty natural response heinous crimes thirst time however thoughtful opinions chief justice justice ginsburg make pellucidly clear society moved away public painful retribution towards ever humane forms punishment killing therefore becoming anachronistic attempt bring executions line evolving standards decency adopted increasingly less painful methods execution declared previous methods barbaric archaic requiring execution relatively painless necessarily protect inmate enduring punishment comparable suffering inflicted trend appropriate required eighth amendment prohibition cruel unusual punishment actually undermines premise public approval retribution rationale based see regulating death capital punishment late liberal state yale explaining tension desire realize claims retribution killing kill method execution seems harm killing satisfy intuitive sense equivalence informs conception justice sarat state kills capital punishment american condition full recognition diminishing force principal rationales retaining death penalty lead legislatures reexamine question recently posed professor salinas former texas prosecutor judge time kill death penalty see salinas crim time dispassionate impartial comparison enormous costs death penalty litigation imposes society benefits produces surely iii penalty may cruel unusual excessive serves valid legislative purpose furman georgia marshall concurring see also entire thrust eighth amendment short cases holding certain sanctions excessive therefore prohibited eighth amendment relied heavily objective criteria legislative enactments see solem helm harmelin michigan bajakajian recent decision atkins virginia holding death excessive sanction mentally retarded defendant also relied heavily opinions written justice white holding death penalty excessive punishment crime raping woman coker georgia murderer intend kill enmund florida opinions acknowledged objective evidence though great importance determine controversy constitution contemplates end judgment brought bear question acceptability death penalty eighth amendment atkins quoting coker plurality opinion justice white exercising judgment provided decisive vote furman case led nationwide reexamination death penalty conclusion death amounted cruel unusual punishment constitutional sense well dictionary sense rested uncontroversial legal premise factual premise admittedly prove basis objective criteria concurring opinion matter law correctly stated needless extinction life marginal contributions discernible social public purposes patently excessive violative eighth amendment matter fact stated like brethren must arrive judgment state conclusion based years almost daily exposure facts circumstances hundreds hundreds federal state criminal cases involving crimes death authorized penalty agree justice white occasions member duty make judgments basis data falls short absolute proof decisions upholding constitutionality death penalty relied heavily belief adequate procedures place avoid danger discriminatory application identified justice douglas opinion furman concurring opinion arbitrary application identified justice stewart excessiveness identified justices brennan marshall subsequent years number decisions relied premise death different every form punishment justify rules minimizing risk error capital cases see gardner florida plurality opinion ironically however recent cases endorsed procedures provide less protections capital defendants ordinary offenders special concern rules deprive defendant trial jurors representing fair cross section community litigation involving challenges cause peremptory challenges persuaded process obtaining death qualified jury really procedure purpose effect obtaining jury biased favor conviction prosecutorial concern death verdicts rarely returned randomly selected jurors viewed objective evidence supporting conclusion penalty another serious concern risk error capital cases may greater cases facts often disturbing interest making sure crime go unpunished may overcome residual doubt concerning identity offender former emphasis importance ensuring decisions death cases adequately supported reason rather emotion gardner undercut recent decisions placing thumb prosecutor side scales thus kansas marsh upheld state statute requires imposition death penalty jury finds aggravating mitigating factors equipoise payne tennessee overruled earlier cases held victim impact evidence relating personal characteristics victim emotional impact crime victim family admissible despite fact sheds light question guilt innocence moral culpability defendant thus serves purpose encourage jurors make life death decisions basis emotion rather reason third significant concern risk discriminatory application death penalty risk dramatically reduced allowed continue play unacceptable role capital cases thus mccleskey kemp upheld death sentence despite strong probability defendant sentencing jury influenced fact black victim white stevens dissenting see also evans state md cert denied affirming death sentence despite existence study showing death penalty statistically likely pursued black person murders white victim defendant racial combination finally given real risk error class cases irrevocable nature consequences decisive importance whether innocent defendants actually executed abundant evidence accumulated recent years resulted exoneration unacceptable number defendants found guilty capital offenses see garrett judging innocence colum rev risinger innocents convicted empirically justified factual wrongful conviction rate crim risk executing innocent defendants entirely eliminated treating penalty severe life imprisonment without possibility parole constitutionally excessive sum justice white ultimately based conclusion furman extensive exposure countless cases death authorized penalty relied experience reaching conclusion imposition death penalty represents pointless needless extinction life marginal contributions discernible social public purposes penalty negligible returns state patently excessive cruel unusual punishment violative eighth amendment furman white concurring iv conclusion reached regard constitutionality death penalty makes decision case particularly difficult however justify refusal respect precedents remain part law held death penalty constitutional established framework evaluating constitutionality particular methods execution precedents whether interpreted chief justice justice ginsburg persuaded evidence adduced petitioners fails prove kentucky lethal injection protocol violates eighth amendment accordingly join judgment ralph baze thomas bowling petitioners john rees commissioner kentucky department corrections et al writ certiorari kentucky april justice scalia justice thomas joins concurring judgment join opinion justice thomas concurring judgment write separately provide think needed response justice stevens separate opinion justice stevens concludes follows imposition death penalty represents pointless needless extinction life marginal contributions discernible social public purposes penalty negligible returns state patently excessive cruel unusual punishment violative eighth amendment ante opinion concurring judgment internal quotation marks omitted second bracket original conclusion insupportable interpretation constitution generally leaves democratically elected legislatures rather courts decide makes significant contribution social public purposes besides general proposition text document recognizes death penalty permissible legislative choice fifth amendment expressly requires presentment indictment grand jury hold person answer capital otherwise infamous crime prohibits deprivation life without due process law amdt congress proposed eighth amendment also enacted act april made several offenses punishable death stat sess see also gregg georgia joint opinion stewart powell stevens writing professor hugo bedau friend death penalty observed ntil fifteen years ago save mavericks one gave credence possibility ending death penalty judicial interpretation constitutional law courts constitution capital punishment simply legal authority proposition imposition death criminal penalty unconstitutional opinions furman georgia established nationwide moratorium capital punishment justice stevens hand ending four years later gregg ii prompts justice stevens repudiate prior view adopt astounding position criminal sanction expressly mentioned constitution violates constitution analysis begins believes uncontroversial legal premise life marginal contributions discernible social public purposes patently excessive violative eighth amendment ante quoting part furman supra white concurring see also ante citing gregg supra even uncontroversial abstract certainly occurs meaning cruel unusual punishments assuredly controversial indeed wrong applied mode punishment explicitly sanctioned constitution people determined whether adequate contribution social public purposes business unelected judges set judgment aside even grant justice stevens uncontroversial premise application premise current practice capital punishment meet heavy burden rests attack judgment representatives people gregg supra joint opinion stewart powell stevens say justice stevens policy analysis constitutionality capital punishment fails terms according justice stevens death penalty promotes none purposes criminal punishment neither prevents crimes alternative measures serves retributive purpose ante argues recent rise statutes providing life imprisonment without possibility parole means ready alternative death penalty ibid moreover espite years empirical research area remains reliable statistical evidence capital punishment fact deters potential offenders ante taking points together justice stevens concludes availability alternatives describes unavailability reliable statistical evidence renders capital punishment unconstitutional view benefits capital punishment compared forms punishment life imprisonment outweighed costs conclusions supported available data justice stevens analysis barely acknowledges significant body recent evidence capital punishment may well deterrent effect possibly quite powerful one sunstein vermeule capital punishment morally required acts omissions tradeoffs stan rev see also listing approximately half dozen studies supporting conclusion according leading national study execution prevents eighteen murders average current evidence even roughly correct refusal impose capital punishment effectively condemn numerous innocent people death ibid course may well empirical studies establishing death penalty powerful deterrent effect incorrect scholars disputed deterrent value see ante point simply place choose one set responsible empirical studies another interpreting constitution place demand state legislatures support criminal sanctions foolproof empirical studies rather commonsense predictions human behavior value capital punishment deterrent crime complex factual issue resolution properly rests legislatures evaluate results statistical studies terms local conditions flexibility approach available courts gregg supra joint opinion stewart powell stevens justice stevens current view constitutional test even preferred criminal sanction life imprisonment without possibility parole may fail constitutional scrutiny entirely unclear enough empirical evidence supports sanction compared alternatives life possibility parole even justice stevens assertion deterrent value death penalty correct death penalty yet constitutional concedes served appropriate purpose retribution think difficult indeed prove criminal sanction fails serve retributive purpose judgment strikes inherently subjective insusceptible judicial review justice stevens however concludes eighth amendment protect inmate enduring punishment comparable suffering inflicted victim capital punishment serves retributive purpose ante infliction pain according justice stevens violates eighth amendment prohibition cruel unusual punishments imposition capital punishment without pain criminal penalty lacks retributive purpose unless inflicts pain commensurate pain criminal caused words punishment retributive enough retributive state proposition refute justice stevens understood decision capital punishment may appropriate sanction extreme cases expression community belief certain crimes grievous affront humanity adequate response may penalty death gregg joint opinion stewart powell stevens justice stevens final refuge analysis familiar one risk innocent person might convicted sentenced death though risk justice stevens quantify lacks single example person executed crime commit current american system see ante analysis risk thus series sweeping condemnations taken seriously prevent punishment criminal justice system according prosecutorial concern death verdicts rarely returned randomly selected jurors viewed objective evidence supporting conclusion penalty excessive ante prosecutors undoubtedly similar concern unanimous conviction rarely returned randomly selected jurors like defense counsel permitted use challenges cause peremptory challenges justice stevens finds troubling order arrive jury sides believe likely justice particular case justice stevens concern prosecutors inclined challenge jurors find person guilty supports conclusion separate equally erroneous conclusion peremptory challenges challenges cause unconstitutional according justice stevens risk error capital cases may greater cases facts often disturbing interest making sure crime go unpunished may overcome residual doubt concerning identity offender ibid rationale however supports justice stevens conclusion death penalty unconstitutional sweeping proposition conviction case facts disturbing suspect including course convictions resulting life without parole capital punishment true justice stevens claim risk discriminatory application death penalty ante said criminal penalty including life without parole proof regard death penalty distinctive justice stevens criticisms death penalty hardest take bemoaning enormous costs death penalty litigation imposes society including burden courts lack finality victim families ante costs burdens lack finality large measure creation justice stevens justices opposed death penalty encumber ed unwarranted restrictions neither contained text constitution reflected two centuries practice product policy views shared vast majority american people kansas marsh scalia concurring iii actually none really matters justice stevens explains evidence though great importance wholly determine controversy constitution contemplates end judgment brought bear question acceptability death penalty eighth amendment ante quoting atkins virginia emphasis added internal quotation marks omitted relied experience reaching conclusion imposition death penalty unconstitutional ante emphasis added purer expression found principle rule judicial fiat face justice stevens experience experience others appears little consequence experience state legislatures congress retain death penalty form punishment dismissed product habit inattention rather acceptable deliberative process ante experience social scientists whose studies indicate death penalty deters crime relegated ante experience fellow citizens support death penalty described thinly veiled condemnation stemming thirst vengeance ante justice stevens experience reigns take position desirability death penalty except say value eminently debatable subject deeply indeed passionately held views means preeminently matter resolved especially explicitly permitted constitution ralph baze thomas bowling petitioners john rees commissioner kentucky department corrections et al writ certiorari kentucky april justice thomas justice scalia joins concurring judgment although agree petitioners failed establish kentucky lethal injection protocol violates eighth amendment write separately subscribe plurality opinion formulation governing standard understand opinion hold method execution violates eighth amendment poses substantial risk severe pain significantly reduced adopting readily available alternative procedures ante standard along petitioners proposed unnecessary risk standard dissent untoward risk standard post finds support original understanding cruel unusual punishments clause previous cases casts constitutional doubt methods execution injects matters institutional capacity resolve view method execution violates eighth amendment deliberately designed inflict pain concur judgment eighth amendment prohibition inflict ion cruel unusual punishments must understood light historical practices led framers include bill rights justice stevens ruminations notwithstanding see ante opinion concurring judgment clear eighth amendment prohibit death penalty evident ubiquity death penalty founding era see banner death penalty american history hereinafter banner noting late century death penalty standard penalty serious crimes constitution express provision capital punishment see amdt requiring indictment presentment grand jury hold person capital otherwise infamous crime prohibiting deprivation life without due process law constitution permits capital punishment principle course mean methods execution constitutional english early colonial practice death penalty uniform punishment rather range punishments framers likely regarded cruel unusual death hanging common mode execution doubt remained permissible punishment enactment eighth amendment ordinary death hanging however harshest penalty disposal state banner addition hanging intended often result quick painless death fficials also wielded set tools capable intensifying death sentence ways producing punishment worse death one tool burning stake burning unlike hanging always painful destroyed body considered form punishment worse death reserved offenders whose crimes thought pose especially grave threat social order slaves killed masters women killed husbands burning person alive dreadful punishment sheriffs sometimes hanged offender first act charity methods intensifying death sentence included gibbeting hanging condemned iron cage body decompose public view see public dissection punishment blackstone associated murder blackstone commentaries hereinafter blackstone none worst fate criminal meet reserved dangerous reprobate offenders traitors punishment high treason blackstone wrote solemn terrible involved embowelling alive beheading quartering thus following death sentence pronounced seven men convicted high treason england taken place whence came thence drawn hurdle place execution shall hanged necks till dead severally taken yet alive bowels taken burnt faces heads cut bodies cut four quarters king disposal god almighty mercy souls scott history capital punishment principal object aggravated forms capital punishment terrorize criminal thereby effectively deter crime defining characteristic purposely designed inflict pain suffering beyond necessary cause death blackstone put atrocious crimes circumstances terror pain disgrace superadded blackstone superadded circumstances carefully handed apply terror thought needed designed ensure death slow painful thus frightening contemplate banner although eighth amendment subject extensive discussion debates bill rights good reason believe framers viewed enhancements death penalty falling within prohibition cruel unusual punishments clause late century violent modes execution dwindled away reason unusual sense longer regularly customarily employed harmelin michigan opinion scalia see also weems white dissenting noting prior formation constitution necessity protection afforded cruel unusual punishment guarantee english bill rights ceased matter concern rule cruel bodily punishments former times longer imposed embellishments upon death penalty designed inflict pain pain sake also fallen comfortably within ordinary meaning word cruel see johnson dictionary english language defining cruel mean leased hurting others inhuman void pity wanting compassion savage barbarous unrelenting webster american dictionary english language defining cruel isposed give pain others body mind willing pleased torment vex afflict inhuman destitute pity compassion kindness moreover evidence debates constitution confirms eighth amendment intended disable congress imposing torturous punishments absence restriction congress power constitution drafted philadelphia led one delegate massachusetts ratifying convention complain congress nowhere restrained inventing cruel punishments annexing crimes constitutional check racks gibbets may amongst mild instruments discipline elliot debates several state conventions adoption federal constitution ed similarly ratification debate virginia patrick henry objected lack bill rights part nothing prevent congress inflicting tortures cruel barbarous punishment early commentators constitution likewise interpreted cruel unusual punishments clause referring torturous punishments one commentator viewed eighth amendment prohibiting horrid modes torture prohibition cruel unusual punishments marks improved spirit age tolerate use rack stake horrid modes torture devised human ingenuity gratification fiendish passion bayard brief exposition constitution ed similarly another commentator found sufficient reasons eighth amendment barbarous cruel punishments inflicted less enlightened countries eighth amendment infliction cruel unusual punishments also prohibited various barbarous cruel punishments inflicted laws countries profess behind enlightened nations earth civilization refinement furnish sufficient reasons express prohibition breaking wheel flaying alive rending asunder horses various species horrible tortures inflicted inquisition maiming mutilating scourging death wholly alien spirit humane general constitution oliver rights american citizen reprint barbaric punishments prohibited eighth amendment joseph story thought provision wholly unnecessary free government since scarcely possible department government authorize justify atrocious conduct story commentaries constitution ii consistent original understanding cruel unusual punishments clause cases repeatedly taken view framers intended prohibit torturous modes punishment akin formed historical backdrop eighth amendment see estelle gamble primary concern drafters proscribe ous methods punishment weems white dissenting may doubted indeed questioned one cruel punishments bill rights provided atrocious sanguinary inhuman punishments inflicted past upon persons criminals view permeated cases thrice considered challenge modern method execution thrice rejected challenge time emphasizing eighth amendment aimed methods execution purposely designed inflict pain first case wilkerson utah rejected contention death firing squad cruel unusual reviewed various modes execution catalogued blackstone repeating observation atrocious crimes circumstances terror pain disgrace sometimes superadded found safe affirm punishments torture mentioned blackstone others line unnecessary cruelty forbidden eighth amendment unanimous difficulty concluding death firing squad fal within category ibid similarly kemmler unanimously rejected challenge electrocution interpreted eighth amendment prohibit punishments manifestly cruel unusual burning stake crucifixion breaking wheel like punishments cruel involve torture lingering death punishment death cruel within meaning word used constitution implies something inhuman barbarous something mere extinguishment life finally louisiana ex rel francis resweber rejected petitioner contention eighth amendment prohibited louisiana subjecting second attempt electrocution first attempt failed executioner threw switch presumably mechanical difficulty death result plurality opinion characterizing abortive attempt accident suggestion malevolence plurality opinion concluded fact petitioner ha already subjected current electricity make subsequent execution cruel constitutional sense execution cruelty constitution protects convicted man cruelty inherent method punishment necessary suffering involved method employed extinguish life humanely fact unforeseeable accident prevented prompt consummation sentence seems us add element cruelty subsequent execution purpose inflict unnecessary pain unnecessary pain involved proposed execution iii light consistent understanding cruel unusual punishments clause forbidding purposely torturous punishments surprising even ardent abolitionist constrained acknowledge unbroken line interpreters held original understanding intent framers eighth amendment proscribe unusual modes execution compound simple infliction death added cruelties indignities bedau courts constitution capital punishment surprising plurality willingness discard unbroken line authority favor standard finds support original understanding eighth amendment cases disclaimers notwithstanding threaten transform courts boards inquiry charged determining practices executions ruling supplanted another round litigation touting new improved methodology ante never suggested method execution cruel unusual within meaning eighth amendment simply involves risk pain whether substantial unnecessary untoward reduced adopting alternative procedures good reason strains credulity suggest defining characteristic burning stake disemboweling drawing quartering beheading like involved risks pain eliminated using alternative methods execution quite plainly defined punishments designed inflict torture way enhancing death sentence intended produce penalty worse death accomplish something mere extinguishment life kemmler supra evil eighth amendment targets intentional infliction gratuitous pain standard cases explicitly implicitly invoked thus find necessary wilkerson conduct comparative analysis death firing squad opposed hanging method execution inquire precise procedures used execute individual firing squad order determine whether involved risks pain alleviated adopting different procedures enough death firing squad well established military practice plainly fall within line unnecessary cruelty punishments described blackstone true kemmler one searches opinion vain comparative analysis electrocution versus methods execution observed new york legislature adopted electrocution order replace hanging humane practical method known modern science carrying effect sentence death capital cases suggestion thought necessary sift voluminous mass evidence taken courts effect electricity agent death order confirm electrocution fact involved less substantial risks pain lingering death hanging rejected challenge act passed effort devise humane method reaching result courts bound presume legislature possessed facts upon took action treating lower decision involving adjudication statute repugnant federal constitution found conclusion plainly right hesitation denying writ error likewise resweber confronted dramatic fashion reality electric chair involved risks error malfunction result excruciating pain see burton dissenting quoting affidavits petitioner brief recounting unsuccessful first attempt electrocution petitioner puffed body squirmed tensed jumped chair rocked absent malevolence purpose inflict unnecessary pain concluded constitution prohibit louisiana subjecting petitioner risks second time order carry death sentence plurality opinion frankfurter concurring see also furman georgia marshall concurring describing resweber holding legislature adopted electrocution humane purpose thwarted desire reduce pain suffering cases may inadvertently increased suffering one particular case one suggested louisiana required implement additional safeguards alternative procedures order reduce risk second malfunction dissenters resweber insisted absence intent inflict pain irrelevant burton dissenting intent executioner lessen torture excuse result iv aside lacking support history precedent various standards proposed case suffer flaws least cast substantial doubt every method execution lethal injection may well methods execution hanging firing squad electrocution lethal gas involve risks pain eliminated switching lethal injection indeed attacked unconstitutional reason see gomez dist northern dist stevens dissenting arguing lethal gas violates eighth amendment availability humane less violent methods execution namely lethal injection glass louisiana brennan dissenting denial certiorari arguing electrocution violates eighth amendment poses risks pain alleviated currently available means execution lethal injection campbell wood reinhardt concurring dissenting arguing hanging violates eighth amendment involves risks pain mutilation presented lethal injection notion eighth amendment permits one mode execution requires anesthetized death squared history constitution little ironic telling lethal injection hailed years ago humane alternative light every method execution deemed unconstitutional relic past subject today challenge appears constitution evolving even faster suspected obvious oppose capital punishment policy grounds acceptable end point evolution exercise raw judicial power unsupported text history constitution even contemporary moral consensus strike death penalty cruel unusual circumstances meantime though next best option seeking abolish death penalty embroil litigation concerning adequacy execution procedures far putting end abusive litigation area thereby vindicating small measure significant interest meting sentence death timely fashion nelson campbell today decision sure engender litigation point risk become substantial alternative procedures feasible readily implemented reduction risk significant penological justifications legitimate questions lower courts grapple wake today decision needless say left nothing resembling rule brings yet problem standards require courts resolve medical scientific controversies largely beyond judicial ken little need said refer various opinions filed colleagues today competing risk standards advanced plurality opinion dissent example difference lethal injection procedure satisfies eighth amendment one may well come one judgment respect something hairsplitting whether eyelash stroke necessary ensure inmate unconscious whether instead measures already provided sufficient assurance unconsciousness compare post ginsburg dissenting criticizing kentucky protocol one calls inmate name shakes brushes eyelashes test reflex applies noxious stimulus gauge response ante rejecting dissent criticisms inmate succeed eighth amendment claim simply showing one step state take failsafe independently adequate measures neither authority expertise micromanage administration death penalty manner simply reason believe unelected judges without scientific medical penological training better suited resolve delicate issues surrounding administration death penalty state administrative personnel specifically charged task cf ante stevens concurring judgment criticizing use protocol majority use protocol drugs selected unelected department correction officials specialized medical knowledge without benefit expert assistance guidance short reject unprecedented unworkable standard require courts weigh relative advantages disadvantages different methods execution different procedures implementing given method execution extent comparative element inquiry limited whether challenged method inherently inflicts significantly pain traditional modes execution hanging firing squad see gray lucas burger concurring denial certiorari rejecting eighth amendment challenge lethal gas petitioner shown pain terror resulting death cyanide gas different degree nature resulting traditional modes execution implicate eighth amendment quoting gray lucas hernandez state fact lethal gas less painful humane hanging required refute completely charge constitutes cruel unusual punishment within meaning expression used eighth amendment judged proper standard easy case undisputed kentucky adopted lethal injection protocol effort make capital punishment humane add elements terror pain disgrace death penalty undisputed administered properly kentucky lethal injection protocol result swift painless death sixth circuit observed rejecting similar challenge tennessee lethal injection protocol situation state intent anything approaching intent inflict unnecessary pain complaint state procedure may fail executioners may make mistake implementing workman bredesen risk negligence implementing procedure establish cognizable eighth amendment claim kentucky lethal injection protocol designed eliminate pain rather inflict petitioners challenge must fail accordingly concur judgment affirming decision ralph baze thomas bowling petitioners john rees commissioner kentucky department corrections et al writ certiorari kentucky april justice breyer concurring judgment assuming lawfulness death penalty petitioners argue kentucky method execution lethal injection nonetheless constitutes constitutionally forbidden cruel usual punishmen amdt respect review claim agree justice ginsburg highlights relevant question whether method creates untoward readily avoidable risk inflicting severe unnecessary suffering post dissenting opinion agree relevant factors degree risk magnitude pain availability alternatives interrelated must considered post time believe legal merits kind claim presented must inevitably turn much upon wording intermediate standard review upon facts evidence find either record case literature subject sufficient evidence kentucky execution method poses significant unnecessary risk inflicting severe pain petitioners assert brief petitioners respect literature examined periodical article seems first brought widespread legal attention claim lethal injection might bring unnecessary suffering see ante plurality opinion denno lethal injection quandary medicine dismantled death penalty ford rev collecting cases condemned inmates cited lancet study article leonidas koniaris teresa zimmers university miami school medicine others appeared april issue lancet eminent medical journal see koniaris zimmers lubarsky sheldon inadequate anaesthesia lethal injection execution lancet hereinafter lancet study authors examined autopsy toxicology results executions arizona georgia north carolina south carolina study noted lethal injection usually consists sequential administration barbiturate sodium thiopental followed injection paralyzing agent pancuronium bromide drug potassium chloride study focused effectiveness first drug anaesthetizing inmate see noted four used grams thiopental kentucky follows similar system currently uses grams sodium thiopental see ante plurality opinion although sodium thiopental dose say grams several times dose used ordinary surgical operations authors found level barbiturate present bloodstream several hours death lower level one might expect find operation lancet study certain qualifications state examined instances thiopental concentrations consistent consciousness fact create considerable concern given related likelihood unexpressed suffering authors suggest among things inadequate training may help explain results lancet study however may seriously flawed september issue lancet published three responses first one initial referees jonathan groner children hospital columbus ohio claimed low level thiopental bloodstream necessarily mean inadequate dose given circumstances likely common lethal injections thiopental simply diffuse bloodstream surrounding tissues see inadequate anaesthesia lethal injection execution lancet long pause death measurement means kind diffusion likely occurred see ibid reason others groner said initially expressed strong support article become concerned key finding may erroneous lack equipoise study ibid second correspondents mark heath petitioners expert trial donald stanski derrick pounder respectively department anesthesiology columbia university stanford university school medicine university dundee kingdom concluded koniaris colleagues present scientifically convincing data justify conclusion large proportion inmates experienced awareness lethal injection ibid researchers noted blood samples taken several hours days inmates deaths postmortem concentrations thiopental lipophilic drug diffuses blood tissue relied accurate indicators concentrations blood stream life ibid see also ante plurality opinion third correspondents robyn weisman jeffrey bernstein richard weisman university miami school medicine florida poison information center said drug concentrations extremely difficult interpret substantial variability results depending timing anatomical origin specimen physical chemical properties drug lancet believed original finding requires assessment ibid authors original study replied defending accuracy findings see yet neither petition certiorari briefs filed including seven amici curiae briefs supporting petitioners make mention lancet study published petitioners trial light fact responses original study judge nonexpert matters give lancet study significant weight literature also contains detailed article subject appeared ohio state law journal author professor deborah denno examined executions lethal injection thiopental used see legislatures delegate death troubling paradox behind state uses electrocution lethal injection says us ohio table author lists botched lethal injection executions time decision gregg georgia see denno ohio involved problem locating suitable vein administer chemicals ibid eleven remaining apparently involved strong readily apparent physical reactions ibid one taking place illinois described involving indication appearing calm outside due paralyzing drugs inmate suffered excruciating pain author adds reports faulty equipment inexperienced personnel ibid article professor denno testified petitioners trial petitioners rely may well provide cause concern administration lethal injection materially aid petitioners far record reveals kentucky courts found kentucky use trained phlebotomists presence observers prevent kind botched executions denno table documents literature also casts shadow uncertainty upon ready availability alternatives lethal execution methods petitioners argued trial example kentucky eliminate use paralytic agent pancuronium bromide preventing outcry mask suffering inmate might experiencing inadequate administration anesthetic see brief petitioners reply brief petitioners point use pancuronium bromide euthanize animals contrary veterinary standards see citing brief kevin concannon et al amici curiae see also concannon brief noting kentucky like prohibits use neuromuscular blocking agents euthanizing animals netherlands however use pancuronium bromide recommended purposes lawful assisted suicide see ante plurality opinion discussing royal dutch society advancement pharmacy recommendation use muscle relaxant pancuronium addition thiopental see also kimsma euthanasia euthanizing drugs netherlands reprinted drug use assisted suicide euthanasia battin lipman eds discussing use neuromuscular relaxants one might ask use pancuronium bromide undesirable netherlands interested practices designed bring humane death recommend use similar drugs petitioners pointed netherlands physicians trained anesthesiology involved assisted suicide case kentucky see tr oral arg important difference resolve apparently conflicting views inherent propriety impropriety use drug extinguish human life humanely similarly petitioners argue better trained personnel clear american medical association ama american nursing association ana rules ethics strongly oppose members participation executions see brief american society anesthesiologists amicus curiae citing ama code medical ethics policy capital punishment online http internet materials visited apr available clerk case file ana position statement nurses participation capital punishment http noting nurses participation executions viewed contrary fundamental goals ethical traditions profession cf rev stat ann west kentucky prohibiting physician participating conduct execution except certify cause death facts suggest finding better trained personnel may difficult might first blush appear find record case stronger evidence petitioners favor literature provides untoward readily avoidable risk severe pain indeed justice ginsburg accepted believe petitioners strongest claim namely kentucky require thorough testing unconsciousness see post respect matter however must agree plurality justice stevens record provides little reason believe measures adopted kentucky make significant difference upshot find either record readily available literature seen sufficient grounds believe kentucky method lethal injection creates significant risk unnecessary suffering death penalty course brings serious risks example risks executing wrong person see ante stevens concurring judgment risks unwarranted animus respect race victims may play role see ante risks convicted find death row many years perhaps decades come see smith arizona breyer dissenting denial certiorari risks part explain penalty controversial lawfulness death penalty us petitioners proof evidence giving rise legitimate concern show kentucky method applying death penalty amounts cruel unusual punishmen reasons concur judgment ralph baze thomas bowling petitioners john rees commissioner kentucky department corrections et al writ certiorari kentucky april justice ginsburg justice souter joins dissenting undisputed second third drugs used kentucky lethal injection protocol pancuronium bromide potassium chloride cause conscious inmate suffer excruciating pain pancuronium bromide paralyzes lung muscles results slow asphyxiation app potassium chloride causes burning intense pain circulates throughout body use pancuronium bromide potassium chloride conscious inmate plurality recognizes constitutionally unacceptable ante constitutionality kentucky protocol therefore turns whether inmates adequately anesthetized first drug protocol sodium thiopental kentucky system constitutional plurality petitioners shown risk inadequate dose first drug substantial ante dispose case swiftly given character risk stake kentucky protocol lacks basic safeguards used confirm inmate unconscious injection second third drugs vacate remand instructions consider whether kentucky omission safeguards poses untoward readily avoidable risk inflicting severe unnecessary pain considered constitutionality specific method execution three prior occasions cases decisions cited parties amici provide little guidance standard govern petitioners challenge kentucky lethal injection protocol wilkerson utah held death firing squad rank among cruel unusual punishments banned eighth amendment ruling endeavor define exactness extent constitutional provision provides cruel unusual punishments shall inflicted safe affirm stated punishments torture others line unnecessary cruelty forbidden next kemmler death electrocution assailed method reiterated eighth amendment prohibits torture lingering death word cruel observed implies something inhuman something mere extinguishment life ibid statements however made en passant kemmler actual holding eighth amendment apply proposition since repudiated see robinson california finally louisiana ex rel francis resweber rejected eighth fourteenth amendment challenges reelectrocution following earlier attempt failed cause death plurality opinion case first stated traditional humanity modern law forbids infliction unnecessary pain execution death sentence next sentence varied formulation referred rohibition wanton infliction pain ibid clear standard determining constitutionality method execution emerges decisions moreover age opinions limits utility aid resolution present controversy eighth amendment held draw meaning evolving standards decency mark progress maturing society atkins virginia quoting trop dulles plurality opinion wilkerson decided years ago kemmler years ago resweber years ago whatever little light prior cases might shed thus dimmed passage time phrases tests drawn recent decisions example gregg georgia speaking capital punishment abstract lead opinion said eighth amendment prohibits unnecessary wanton infliction pain joint opinion stewart powell stevens jj opinion also cautioned death sentence imposed sentencing procedures creat substantial risk inflicted arbitrary capricious manner relying gregg earlier decisions kentucky stated execution procedure violates eighth amendment creates substantial risk wanton unnecessary infliction pain torture lingering death petitioners respond courts consider severity pain risked likelihood pain occurring extent alternative means feasible brief petitioners emphasis added plurality settles somewhere requiring substantial risk serious harm considering whether feasible readily implemented alternative significantly reduce risk ante internal quotation marks omitted agree petitioners plurality degree risk magnitude pain availability alternatives must considered part ways plurality however extent substantial risk test sets fixed threshold first factor three factors interrelated strong showing one reduces importance others lethal injection mode execution expected instances result painless death rare though errors may consequences mistake condemned inmate consciousness horrendous effectively undetectable injection second drug given opposing tugs degree risk magnitude pain critical question see whether feasible alternative exists proof slightly marginally safer alternative plurality notes insufficient ante readily available measures materially increase likelihood protocol cause pain state fails adhere contemporary standards decency declines employ measures ii kentucky legislature adopted lethal injection method execution see acts ch rev stat ann west lawmakers left development lethal injection protocol officials department corrections officials trial found given task without benefit scientific aid policy oversight app kentucky protocol observed copied accepted without challenge ibid kentucky conduct independent scientific medical studies consult medical professionals concerning drugs dosage amounts injected condemned instead trial noted kentucky followed path taken simply fell line behind protocol first developed oklahoma see also ante plurality opinion kentucky protocol begins careful measure medical professionals may perform venipunctures establish intravenous iv access members iv team must least one year experience certified medical assistant phlebotomist emergency medical technician emt paramedic military corpsman app ante plurality opinion kentucky iv team currently two members phlebotomist years experience emt years experience app members practice siting catheters ten lethal injection training sessions held annually using qualified trained personnel establish iv access however kentucky little ensure inmate receives effective dose sodium thiopental siting catheters iv team leaves execution chamber point forward warden deputy warden remain inmate neither warden deputy warden medical training warden relies visual observation determine whether inmate appears unconscious kentucky previous execution lethal injection warden position allowed see inmate best waist peripheral view inmate face see check consciousness occurs injection pancuronium bromide kentucky protocol include automatic pause rapid flow drugs basic tests determine whether sodium thiopental worked one calls inmate name shakes brushes eyelashes test reflex applies noxious stimulus gauge response kentucky monitor effectiveness sodium thiopental using readily available equipment even though inmate already connected electrocardiogram ekg drop blood pressure heart rate injection sodium thiopental prove inmate unconscious see ante plurality opinion signal drug entered inmate bloodstream see app tr may kentucky expert testified sodium thiopental cause inmate blood pressure become low app precipitous drop blood pressure confir drug expected effect use blood pressure cuff ekg record shows standard care surgery requiring anesthesia consciousness check supplementing warden visual observation injection second drug easily implemented reduce risk dreadful pain pancuronium bromide powerful paralytic prevents voluntary muscle movement injected monitoring inmate consciousness becomes impractical without sophisticated equipment training even inmate conscious excruciating pain visible recognizing importance window first second drugs adopted safeguards contained kentucky protocol see brief criminal justice legal foundation amicus curiae florida pauses injection first second drugs warden determine consultation inmate indeed unconscious lightbourne mccollum per curiam internal quotation marks omitted warden touching inmate eyelashes calling name shaking inmate consciousness remains doubt florida medical team members come chemical room consult assessment inmate ibid entire execution person inserted iv line monitors iv access point inmate face closed circuit television ibid missouri medical personnel must examine prisoner physically confirm unconscious using standard clinical techniques must inspect catheter site taylor crawford second third chemicals injected confirmation prisoner unconscious period least three minutes elapsed first injection thiopental ibid california member iv team brushes inmate eyelashes speaks shakes halfway point completion sodium thiopental injection see state california san quentin operational procedure execution lethal injection online http alabama member execution team begin saying condemned inmate name response team member gently stroke condemned inmate eyelashes response team member pinch condemned inmate arm respondents opposition callahan application stay execution callahan allen internal quotation marks omitted indiana officials inspect injection site administration sodium thiopental say inmate name touch use ammonia tablets test response noxious nasal stimulus see tr preliminary injunction hearing sd ind pp online http hereinafter timberlake hearing checks provide degree assurance missing kentucky protocol first drug properly administered simple essentially costless employ yet work lower risk inmate subjected agony conscious suffocation caused pancuronium bromide searing pain caused potassium chloride record contains explanation kentucky take elementary measures risk error administering sodium thiopental go undetected minimal kentucky urges drug mistakenly injected inmate tissue vein awake screaming tr oral arg see also brief respondents brief state texas et al amici curiae argument ignores aspects kentucky protocol render passive reliance obvious signs consciousness screaming inadequate determine whether inmate experiencing pain first kentucky use pancuronium bromide paralyze inmate means able scream second drug injected matter much pain experiencing kentucky argument therefore appears rest assertion sodium thiopental painful injected tissue rather vein see app trial made finding point kentucky cites supporting evidence executions known sodium thiopental injected inmate soft tissue see lightbourne describing execution angel diaz second inmate may receive enough sodium thiopental mask obvious signs consciousness without receiving dose sufficient achieve surgical plane anesthesia see tr apr drug injected quickly increase blood pressure cause inmate veins burst small amount sodium thiopental administered cf app describing risk blowout kentucky protocol specify rate sodium thiopental injected executioner medical training pushes drug feel five feet tubing practice sessions unlike actual execution resistance catheter see thus executioner training may lead push drugs fast easiest obvious way ensure inmate unconscious execution petitioners argued kentucky check consciousness prior injecting pancuronium bromide brief appellants see also app complaint alleging kentucky protocol require execution team determine condemned inmate unconscious prior administering second third chemicals address petitioners argument therefore remand instructions consider whether failure include readily available safeguards confirm inmate unconscious injection sodium thiopental combination elements kentucky protocol creates untoward readily avoidable risk inflicting severe unnecessary pain footnotes currently provide capital punishment require execution lethal injection sole method see rev stat ann west ark code ann rev stat ann stat del code tit supp code ann comp ch west ind code west stat ann cum supp rev stat ann west la stat ann west md crim law code ann lexis supp miss code ann mont code ann rev stat stat ann west repealed stat ann stat ann lexis correc law ann west held unconstitutional people lavalle ohio rev code ann lexis okla tit west rev stat stat tit purdon codified laws supp code ann tex code crim proc art vernon supp pamphlet utah code ann lexis supp wyo stat ann nine allow lethal injection addition alternative method electrocution see code supp stat code ann code ann lexis supp hanging see rev stat ann rev code lethal gas see cal penal code ann west mo rev stat cum supp firing squad see idaho code lexis nebraska state whose statutes specify electrocution sole method execution see neb rev stat nebraska recently struck method nebraska constitution see state mata wl although undisputed using lethal injection adopted protocol first developed oklahoma without significant independent review procedure equally undisputed moving lethal injection motivated desire find humane alternative methods see fordham brief regard kentucky different see quoting statement state representative sponsored bill replace electrocution lethal injection kentucky going capital punishment needs done humane manner internal quotation marks omitted difficulties inherent approaches exemplified controversy surrounding study lethal injection published april edition british medical journal lancet examining thiopental concentrations toxicology reports based blood samples drawn executed inmates study concluded executed inmates concentrations expected produce surgical plane anaesthesia concentrations consistent consciousness koniaris zimmers lubarsky sheldon inadequate anaesthesia lethal injection execution lancet study widely cited around country motions stay executions briefs merits see denno lethal injection quandary medicine dismantled death penalty ford rev collecting cases claimants cited lancet study shortly lancet study appeared peer responses seven medical researchers criticized methodology supporting original conclusions see groner inadequate anaesthesia lethal injection execution lancet researchers noted blood samples taken several hours days inmates deaths postmortem concentrations thiopental compound passively diffuses blood tissue relied accurate indicators concentrations life authors original study responded defend methodology see also post breyer concurring judgment purport take sides dispute cite confirm best practices approach calling weighing relative risks without measure deference state choice execution procedures involve courts debatable matters far exceeding expertise justice thomas agrees courts neither authority expertise function boards inquiry determining best practices executions see post opinion concurring judgment quoting opinion post contends standard adopt inevitably poses concerns view concerns effectively addressed threshold requirement reflected cases risk serious intolerable risk harm see supra substantive requirements articulated standard petitioners allude alternative chemical combination chemicals replace kentucky protocol brief see app based arguments presented clear intended refer allegedly less painful drugs substitute potassium chloride agent see likewise alternatives protocol presented kentucky replaced potassium chloride drugs inducing cardiac arrest omitted pancuronium bromide added analgesic relieve pain see brief appellants pp justice stevens conclusion risk addressed pancuronium bromide vastly outweighed risk pain issue see post opinion concurring judgment depends course magnitude risk pain explained risk insignificant light safeguards kentucky adopted resisting point dissent rejects expert testimony problems intravenous administration sodium thiopental obvious see post testimony based pain result injecting first drug tissue rather vein see app also swelling occur see see also neither expert conclusions disputed agree justice stevens anything opinion undermines remotely addresses validity capital punishment see post fact society moved progressively humane methods execution suggest capital punishment longer serves valid purposes supposed case capital punishment stronger imposed predominantly hanging electrocution footnotes making recommendation general understanding among veterinarians risk pain sufficiently serious use drug proscribed animal life terminated post american veterinary medical association avma guidelines take pains point association guidelines interpreted commenting execution humans lethal injection avma guidelines euthanasia june online http footnotes report american veterinary medical association avma panel euthanasia stated combination pentobarbital neuromuscular blocking agent acceptable euthanasia agent veterinary med assn supplemental statement however avma clarified statement intended recommendation mixing barbiturate neuromuscular blocking agent syringe since practice creates possibility paralytic take effect barbiturate rendering animal paralyzed still conscious avma guidelines euthanasia plainly state application barbiturate paralyzing agent potassium chloride delivered separate syringes stages discussed report several veterinarians however filed amici brief case arguing cocktail fails measure veterinary standards use pancuronium bromide prohibited see brief kevin concannon et al amici curiae humane society also declared inhumane use combination sodium pentobarbital neuromuscular blocking agent rhoades humane society euthanasia training manual see also alper anesthetizing public conscience lethal injection animal euthanasia fordham urb forthcoming online http materials visited apr available clerk case file concluding based comprehensive study animal euthanasia laws regulations field animal euthanasia reached unanimous consensus neuromuscular blocking agents like pancuronium legitimate place execution process see also stat ny substance acts neuromuscular blocking agent may used dog cat purpose stat ann west whenever dog cat domestic animal destroyed use succinylcholine chloride curare curariform drugs substance acts neuromuscular blocking agent prohibited agric mkts law ann west person shall euthanize dog cat curare curariform drug blocking agent paralyzing drug code ann succinylcholine chloride curare curariform mixtures substance acts neuromuscular blocking agent may used animal purpose euthanasia according recent study single state sanctions use paralytic agent administration animal euthanasia explicitly ban use drugs others ban implication mandating use nonparalytic drugs arguably ban reference avma guidelines others express strong preference use nonparalytic drugs anesthetizing public conscience supra indeed decision prison administrators use drug humans aesthetic reasons supported consensus medical professionals contrary medical community considered rejected aesthetic rationale administering neuromuscular blocking agents care terminally ill patients whose families may disturbed involuntary movements misperceived signs pain discomfort explained amici curiae brief submitted critical care providers clinical ethicists medical medical ethics communities rejected rationale danger drugs mask signs patient actually pain see brief critical care providers et al amici curiae state statutes providing execution lethal injection approximately specifically approve use chemical paralytic agent see ark code ann idaho code lexis comp ch west md crim law code ann lexis supp miss code ann mont code ann rev stat ann stat ann stat ann lexis okla tit west rev stat stat tit purdon wyo stat ann twenty remaining specify particular drugs see rev stat ann west cal penal code ann west stat del code tit supp stat code ann ind code west stat ann cum supp rev stat ann west la stat ann west mo rev stat cum supp rev stat ohio rev code ann lexis code ann codified laws supp code ann tex code crim proc art vernon supp pamphlet utah code ann lexis supp code ann lexis supp rev code colorado statute provides continuous intravenous injection lethal quantity sodium thiopental equally effective substance sufficient cause death despite fact statute specifies sodium thiopental appears colorado uses three drugs see denno lethal injection quandary medicine dismantled death penalty ford rev notably oklahoma medical examiner devised protocol disavowed use pancuronium bromide asked recent interview included formula responded good question probably eliminate cohen lethal injection creator maybe time change formula http officials doc advisory paper submitted group new york doctors recommending sodium thiopental addition drugs supervisor health services unit informed memo colleague pancuronium bromide cause paralysis vocal chords stop breathing hence cause death asphyxiation edwards concerns issue may played role new jersey subsequent decisions create new jersey death penalty study commission ultimately abolish death penalty similar reasons may also well advised reconsider sufficiency procedures checking inmate consciousness see post ginsburg dissenting justice alito correctly points royal dutch society advancement pharmacy recommends pancuronium bromide second two drugs used cases euthanasia ante concurring opinion netherlands however physicians training anesthesiology involved assisted suicide reasons justice alito details see ante physicians similar role american executions trained medical personnel administer anesthesia monitor individual anesthetic depth serious risks concern presented form life imprisonment without parole majority statutes enacted within last two decades see note matter life death effect statutes capital punishment harv rev see dieter sentencing life americans embrace alternatives death penalty apr http one study potential capital jurors virginia stated knowing existence statutes providing life without possibility parole significantly influence sentencing decision another study significant majority potential capital jurors georgia said likely select life sentence death sentence knew defendant ineligible parole least years see note harv indeed insight drove decision simmons south carolina capital defendants due process right require sentencing juries informed ineligibility parole admittedly recent surge scholarship asserting deterrent effect death penalty see mocan gittings getting death row commuted sentences deterrent effect capital punishment law econ adler summers capital punishment works wall street journal equal greater amount scholarship criticizing methodologies studies questioning results see fagan death deterrence redux science law causal reasoning capital punishment ohio crim donohue wolfers uses abuses empirical evidence death penalty debate stan rev retribution common basis support death penalty recent study found death penalty supporters cited eye took crime reason supporting capital punishment another cited deserve next common reasons sav ing taxpayers associated prison deterrence cited supporters see dept justice bureau justice statistics sourcebook criminal justice statistics table online http example family members victims oklahoma city bombing called government timothy mcveigh inside bomb blow walsh one arraigned two undergo questioning washington post apr pp commentators time noted overwhelming percentage americans felt executing mcveigh enough linder political verdict mcveigh death enough times june example one survivor oklahoma city bombing expressed belief lethal injection good mcveigh sarat state kills capital punishment american condition similarly one mother told child killer die lethal injection asked feel anything hurt pain humane compared done children torture put kids think sometimes easy feel something fire burning way body whatever little sense pain emphasis deleted discussion financial costs well less tangible costs death penalty see kozinski gallagher death ultimate sentence case res rev discussing inter alia burden courts lack finality victim families although lack finality death cases may seem counterintuitive kozinski gallagher explain death cases raise many issues far complex issues criminal cases attacked gusto reviewed vigor courts means strong possibility conviction sentence reconsidered seriously reconsidered five ten twenty years trial one wonder worry effect families victims live possibility often reality retrials evidentiary hearings stays execution decades crime footnotes omitted thus conclude left limbo machinery immensely expensive chokes legal institutions impeded things society expects courts visits repeated trauma victims families see also block slow death times mar discussing enormous costs burdens judicial system resulting death penalty argue costs consequence judicial insistence unnecessarily elaborate lengthy appellate procedures contrary result large part failure apply constitutionally sufficient procedures time initial conviction sentencing knight florida breyer dissenting denial certiorari may also result general reluctance put large numbers defendants death even sentence death imposed cf tempest death row often means long life california condemns many murderers ever executed times mar noting california death row inmates account nation total death row population state accounts nation executions event certainly fault judges nothing ensure compliance constitutional guarantees prior imposing irrevocable punishment death see uttecht brown slip stevens dissenting explaining illions americans oppose death penalty cross section virtually every community country includes citizens firmly believe death penalty unjust nevertheless qualified serve jurors capital cases single justice furman concluded mention deprivation life fifth fourteenth amendments insulated death penalty constitutional challenge five justices concurred judgment necessarily rejected argument even four dissenters explicitly acknowledged death penalty considered impermissibly cruel time framing proceeded evaluate whether anything changed intervening years nevertheless rendered capital punishment unconstitutional furman burger joined blackmun powell rehnquist dissenting see also unusual punishments process law static concepts whose meaning scope sealed time writing powell joined burger blackmun rehnquist dissenting indeed guarantees procedural fairness contained fifth fourteenth amendments resolve substantive questions relating separate limitations imposed eighth amendment footnotes gruesome methods execution worst punishments framers acquainted surveying various superadd itions death penalty english law well lesser punishments mutilation dismembering cutting hand ears stigmatizing offender slitting nostrils branding hand cheek blackstone able congratulate countrymen refinement contrast barbarism continent disgusting catalogue may seem afford pleasure english reader honor english law compare shocking apparatus death torment met criminal codes almost every nation europe blackstone footnotes hanging state prior mode execution electrocution considered less barbarous indeed humane way administer death penalty believed time result instantaneous consequently painless death kemmler internal quotation marks omitted also ruled kemmler state election carry death penalty electrocution lieu hanging encountered fourteenth amendment shoal privilege immunity citizenship entailed discern deprivation due process plurality deems medical standards irrelevant part drawn different context ante medical professionals monitor blood pressure heart rate however save lives also reduce risk consciousness otherwise painful procedures considering constitutionality kentucky protocol depends guarding risk see supra ante plurality opinion plurality reluctance consider medical practice puzzling one advocating wholesale incorporation medical standards eighth amendment kentucky easily monitor inmate blood pressure heart rate without physician involvement medical professionals consider monitoring important enough make standard care medical practice remain persuaded highly instructive petitioners expert testified layperson tell visual observation paralyzed inmate conscious difficult even professional app kentucky warden candidly admitted honestly know look keep protocols secret comprehensive survey practices available see brief american civil liberties union et al amici curiae florida expert lightbourne mccollum per curiam also served kentucky expert case testified eyelash test probably common first assessment use operating room determine patient might crossed line conscious unconscious tr florida lightbourne cir marion cty online http internet materials visited apr clerk case file conscious person touch eyelashes lightly blink unconscious person typically ibid shaking tests testified similar taught basic life support courses see indiana physician also examines inmate injection first drug timberlake hearing length tubing contributes risk inmate receive inadequate dose sodium thiopental warden deputy warden watch obvious leaks execution chamber see ante plurality opinion line also snakes neighboring control room small hole wall app