Supreme Court justices sparred along ideological lines during oral arguments Wednesday as they openly questioned a knotty hypothetical: If certain lethal injections feel like “being burned alive from the inside,” then what standards of drug cocktails must be met — if any — to ensure that death row inmates don’t suffer cruel and unusual punishment when being put to death?
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After a series of botched executions in the last year brought increased scrutiny to how the U.S. carries out capital punishment, the Supreme Court on Wednesday heard a challenge to a potential source of the problem: a sedative called midazolam, the first in a three-drug cocktail used in several executions that went horribly awry. The challenge, brought by three convicted killers in Oklahoma, argues that midazolam does not effectively guarantee that an inmate is unconscious for the remainder of the execution. Attorneys for the prisoners say this creates a substantial risk of causing severe pain to the point of violating the Eighth Amendment.
Liberal members of the court — namely Justice Elena Kagan and Justice Sonia Sotomayor — appeared to strongly support the prisoners’ arguments in questioning the science and known effects of the lethal doses.
“Suppose we said we’re going to burn you at the stake, but before we do, we give you an anesthetic with unknown effects,” said Kagan, adding that the heart-stopping drug potassium chloride used in lethal injections amounted to “being burned alive from the inside.”
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The conservative justices on the bench appeared skeptical that it was up to the court in this case to abolish methods of carrying out capital punishment in light of a shortage of lethal drugs and manufacturer boycotts in Europe that have forced states to find new drugs to satisfy the demand. Justice Samuel Alito called efforts to further limit a state’s ability to obtain lethal drugs as amounting to a “guerrilla war against the death penalty.”
“And so the states are reduced to using drugs like this one which give rise to disputes about whether, in fact, every possibility of pain is eliminated,” Alito continued.
Robin Konrad, an attorney arguing on behalf of the Oklahoma prisoners, said the availability of alternative drugs, or lack thereof, should not be a factor in determining whether midazolam causes severe pain. “The fact that the state chooses a certain method should not have bearing on whether that method is constitutional,” Konrad said.
Wednesday’s hearing marked the first time the Supreme Court has taken a case on lethal injection since 2008, when it upheld the use of a three-drug cocktail, finding that it did not violate a death row inmate’s Eighth Amendment rights. But in the last year, a string of botched executions, sharply worded court opinions and 11th-hour appeals from death row inmates has repeatedly called into question the efficacy of lethal injection and sparked a national conversation on how the U.S. kills its condemned.
Originally, there had been a fourth Oklahoma prisoner signed onto the case. Charles Warner, convicted of the 1997 rape and murder of his girlfriend’s 11-month-old baby, also sought to combat the state’s execution protocols. He was put to death in January, with his final words being “my body is on fire” as the lethal drugs were administered.
A little over a week later, the Supreme Court took up the case.
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Warner’s execution appeared to be the final straw for the justices. Falling just one justice short of the number needed to halt the execution, Justice Sotomayor wrote in a scathing dissent in Warner’s stay denial that she was “deeply troubled” by the evidence that midazolam could not constitutionally be used in the three-drug cocktail. Sotomayor unleashed her wrath on the state’s key expert witness who appeared to draw conclusions in his testimony after simply reading about the sedative on Drugs.com.
Sotomayor came out swinging once again, saying she was “substantially disturbed” by the factual statements made in the state’s brief that did not appear to be supported by medical literature.








