Tuesday, May 21, 2019

What’s Cruel for the Incarcerated is Cruel for the Terminally Ill: The Connection between Lethal Injection and Assisted Suicide

This article was originally published on May 21 by Consistent Life.

by Jacqueline H. Abernathy, Ph.D., MSSW

Jacqueline Abernathy
In a recent episode of HBO’s Last Week Tonight, comedian and host John Oliver offered a scathing (albeit profane) rebuke of lethal injection as a means of execution in U.S. states with capital punishment. He detailed the issues with the drugs employed and how ineffective they are at killing: essentially torturing the condemned with a prolonged death intended to make the process appear more palatable for everyone else. With each point he made, he always came back to his premise: the lethal means are irrelevant because capital punishment is simply wrong.

I agree completely.

But then he said something quite disturbing: He claimed that assisted suicide is somehow different because terminally ill people are easier to kill.

I’ll give you a moment to try to reconcile that with his larger point. That moment is over, because it doesn’t matter how much time you have. One simply cannot reconcile the two.

Lethal injection supplies the same class of drugs as assisted suicide does. It uses the same means toward the same end: premature and imposed death. How then is killing an ill person any different from killing anyone else?

Since he brought it up, let’s clear up the confusion about how assisted suicide works. He detailed how lethal injections are inhumane, but what distinguishes assisted suicide from traditional euthanasia is that traditional euthanasia is a lethal injection whereas assisted suicide is self-administered oral ingestion of these same drugs. Hence the drugs used in assisted suicide — which have included pentobarbital, the same one that has been used in lethal injection — are an okay option when self-administered by someone who’s dying; just not for those sentenced to death. Because it’s faster or more effective at killing, says Oliver. Only there is one big problem: it’s not.

Oliver mentioned assisted suicide only to demonstrate that it supposedly offers a more humane alternative to lethal injection, which he decried as barbaric and cruel. The show presented harrowing details about how the condemned may remain conscious during their executions since the drug responsible for inducing a coma can often fail. He explained how limited availability of certain lethal drugs can inspire the use of creative alternatives with horrific consequences. Finally, he lamented how long and torturous the process was, lasting not just a few minutes as intended but in one case, nearly two hours.

What Oliver apparently does not know is that every one of his points also apply to assisted suicide.

John Oliver
I can concede the logic that ill people are more fragile than healthy ones, but it doesn’t take a medical degree to know that intravenous delivery of any drug is more effective than oral intake.

Reports indicate that some people who choose assisted suicide vomit their bitter lethal dose before it can be absorbed, which is why anti-nausea drugs often accompany the barbiturate overdose. People do sometimes regain consciousness just like during an execution. Just as drug makers don’t want to be involved in executions, many of them have also inflated their prices to discourage use in assisted suicide. This practice leads many people to choose cheaper drugs with consequences akin to those experienced when the state looks for more readily-available drugs for lethal injections. In both cases, death takes far longer. And while I cringe that executions have taken up to 2 hours, assisted suicide can take up to 4 days.

Oliver mentioned assisted suicide only to make his point, while failing to recognize assisted suicide’s own inhumanity. He also mentioned alternatives to lethal injection like opioid overdose and the problems associated with that. His goal was not to defend any means of killing in executions, as he always circled back to his premise: there is no right way to do a wrong thing. So how then is assisted suicide not also a very wrong thing?

Oliver’s obliviousness is typical of the mental gymnastics required for justifying other forms of legal violence: that the violence he supports is not comparable to what he condemns. So let’s make it comparable. Would he withdraw his opposition to lethal injection if the death row inmates were as ill as those who choose assisted suicide?

The answer is clearly no. It doesn’t become okay to kill a person simply because they’re sick and therefore easier to kill. This suggests a double standard between ill people and inmates, when we actually have mechanisms to treat terminally ill inmates with dignity. This is called compassionate release, and exists at the federal level and in most U.S. states.

There’s hope that the horror stories Oliver highlighted will result in judges ruling that lethal injection is unconstitutional on the grounds that it is cruel and unusual punishment. But explain this: how is what deemed to be inhumane for convicted murderers somehow acceptable for the ill and dying? It clearly isn’t. Oliver was right when he said humane society doesn’t purposefully kill. Yet medical fragility is an exception? If anything, a humane society treats those more vulnerable with greater care rather than using their illness to justify their violent and unnatural end.

Oliver said it best when he concluded: “there is no perfect way for the government to kill people.” What he fails to mention is that there’s also no perfect way for people to kill themselves. I hope John Oliver will rethink his defense of violence toward the terminally ill and extend to them the same concern he has for human beings sentenced to die by execution. Assisted suicide is just as macabre as lethal injection, but less effective at killing. Just as in capital punishment, the means are irrelevant. Killing humans is wrong even if the human is terminally ill. Even if that human is yourself.

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