Skip to main content

US: Fentanyl and the Death Penalty

Electric chair
Even as law enforcement tries to reduce the number of deaths attributed to the super-opioid fentanyl, some states are trying to increase them through their use for capital punishment.

In the United States, capital punishment is mostly a matter of state law, so long as it doesn’t violate the Constitution’s ban on “cruel and unusual punishment.”

There is no accepted legal definition of what “cruel and unusual” means, but that doesn’t seem to be the real concern.

We don’t seem to care much about whether the convict suffers, but whether he (or she) appears to have suffered. We appear to be more concerned with whether the officials conducting the execution and the witnesses are so disturbed by what they see that they suffer post-traumatic stress disorder or, worse, start to advocate for the abolition of the death penalty.

Most nations of the world already have abolished capital punishment—including Canada, most of Latin America and Europe—and that has created a problem in the U.S.

Lethal injection—a cocktail of different drugs—is the most common means of execution in the U.S., but many of the drugs used in that cocktail come from pharmaceutical companies based outside the country, and/or who do not wish for their products to be used to kill.

Recently, Nebraska got around this problem by replacing one of the hard-to-get drugs with fentanyl. The notorious opioid—reputedly 50 times or more stronger than heroin and even maybe (maybe not) deadly to the touch—has been implicated in many accidental overdose deaths, including Tom Petty and Prince.

If it can kill you when you’re not trying, it must be pretty damn lethal.

While Nebraska was the first state to use fentanyl in an execution, Nevada sought that distinction in July. (It was blocked by concerns about one of the other drugs in the cocktail.)

One of the first proponents of lethal injection as a more humane method of execution was Ronald Reagan while he was governor of California. In 1973, with the death penalty temporarily ruled unconstitutional—the Supreme Court deemed the gas chamber cruel and unusual—Reagan speculated that an execution could be conducted with a hypodermic needle, like a veterinarian putting down a horse with a broken leg: “the vet gives it a shot, and the horse goes to sleep—that’s it.”

Except it was never administered that way.

Instead, states have adopted a “cocktail” approach that combines three or more types of drugs: an anesthetic so the condemned goes to sleep; then a paralytic, so the criminal can’t move (or maybe breathe); followed by poison to stop the heart. In Nebraska’s execution, fentanyl was one of four drugs.

Fentanyl
Fentanyl was responsible for up to 40 percent of the deaths by drug overdose in 2017—deaths that could have been prevented if people with a heroin addiction had gotten into an inpatient heroin rehab before they tried fentanyl.

The idea of using that drug for official executions seems wrong, and maintaining legal capital punishment in this politically correct nation largely depends upon keeping up appearances.

We have a lot of purported reasons for the death penalty but they don’t hold up under scrutiny:

- Justice? Not when those being executed are most often from the poor and/or minority populations who couldn’t afford a better attorney and might even be innocent (as later DNA exonerations have demonstrated).

- Deterrence? No. One study found that nine out of 10 criminologists don’t believe executions deter murderers. A 2017 analysis published by The Huffington Post found that 80 percent of the 25 states with the highest murder rates also had the death penalty, while 56 percent of the 25 states with the lowest murder rates had no death penalty. That doesn’t prove a correlation, but if there is one, then it is that the death penalty increases the murder rate.

- Cost? It is more expensive—four to 10 times as much—to execute a criminal than to lock him or her up for life.

The only reason that holds up under the facts is vengeance (a less praiseworthy motive than justice): the belief that for some crimes, you should pay with your life and maybe be seen paying with your life.

Public execution used to be the norm and was even a spectator sport and an occasion for a social gathering. Take along a picnic, buy a program or a souvenir. Seating was available, with better views for those who could pay for them.

Today, the crowds are smaller and more squeamish.

We want our executions (if we want executions at all) to be quick, painless and antiseptic. Most people can’t bear to see chickens or cattle slaughtered. Execution is that much less palatable:

- Hanging. The problem, by modern standards, is that unless the knot is placed just right and the drop is just the right height, instead of a quick snap of the neck the condemned may slowly strangle or have his head detached as quickly as by a guillotine.

- The electric chair. Not as fool-proof as often thought. Too little current and the criminal doesn’t die the first time. Too much, and the criminal catches on fire.

- Gas chamber. The method most widely in use when the Supreme Court ruled capital punishment cruel and unusual. (It also recalled the gas chambers in Nazi death camps.) The condemned were instructed to “take a whiff” to speed up death, but self-preservation means they would likely try to hold their breath and prolong the suffering.

Nevada's death chamberA 1992 study published in the journal Perception concluded that “All of the methods used for executing people, with the possible exception of intravenous injection, are likely to cause pain,” but that the evidence of such pain is concealed by the procedure or the condemned individual’s restraints.

“Therefore, the absence of signs of severe pain does not provide sufficient evidence for us to decide whether or not it occurs,” the study concluded.

Since then, a 2014 execution by lethal injection in Oklahoma was botched so badly that the condemned took 43 minutes to die, apparently in great pain, on the gurney. The question then is why do we still use lethal injections? It isn’t a better method. It fails—in the sense that it takes longer or puts the condemned through more pain—more often than any other method.

More than seven percent of all lethal injections since 1980 were thus “botched,” a rate higher than hanging, electrocution or gas. (Firing squads had the lowest number and percentage of botches with zero, but there were far fewer of them.)

The answer seems to be because it looks like a routine medical procedure, not the brutal taking of somebody’s life. The trouble with botches isn’t that the condemned doesn’t die—they do, eventually—but that they die in a way that some observers find disturbing.

(Victims’ families and some death penalty supporters actually would like to see more pain.)

Even supporters of capital punishment may find watching an execution traumatic. A study of journalists who observed an execution as part of their job experienced “dissociative symptoms,” primarily a feeling of detachment. Viewing a film of an execution caused a decrease in support for capital punishment.

Florida's death chamberOn the other hand, there no doubt is no method of execution that opponents of the death penalty wouldn’t oppose. If it was as fast and painless as turning off a light, they would still object. The expressed concern over whether it is cruel and unusual seems beside the point.

While humanitarians would agree that “If it were done when ’tis done, then ’twere well it were done quickly,” and that it is desirable that the condemned not feel pain, why a paralytic? It doesn’t reduce the suffering of the condemned or hasten death, but rather prevents them from doing anything that will upset the observers.

In fact, if the anesthetic didn’t work due to incompetence or other reason, the paralytic keeps them from alerting the executioners to the fact. They could be dying slowly and painfully.

How likely is such incompetence? The answer: higher than it would otherwise would be since physicians usually don’t conduct the executions, because it is a violation of most medical societies’ ethics. It violates the Hippocratic Oath’s injunction to “never do harm to anyone.” (Some do anyway because they are unaware of the ethics violation or just choose not to comply with it.)

How hard is it to administer an anesthetic? Well, anesthesiology is a specialty that takes years of training, and not everyone reacts the same to the same dose of a drug. What is a numbing quantity for one person might be fatal to another and have no discernible effect on a third.

In the face of these problems, some states are looking at another alternative: nitrogen gas. Alabama has started offering death-row inmates a choice between lethal injection and nitrogen gas. Since nitrogen has never been used on inmates before, the American Civil Liberties Union of Alabama says this is simply “experimenting on human beings.”

Worldwide, the death penalty is facing abolition.

Pope Francis changed the Catholic Church’s position on capital punishment in August, declaring it “inadmissible” and the Church’s previous acceptance of it as “more legalistic than Christian.” All these attempts to make execution more humane are an attempt to hold on to the death penalty despite such opprobrium.

Americans are rebels, proud to go their own way. When everybody else we respect is going in the other direction, maybe it’s time to change course.

Source: thecrimereport.org, Stephen Bitsoli, September 25, 2018. Stephen Bitsoli, a Michigan-based freelancer, writes about addiction, politics and related matters for several blogs. He welcomes readers' comments.


⚑ | Report an error, an omission, a typo; suggest a story or a new angle to an existing story; submit a piece, a comment; recommend a resource; contact the webmaster, contact us: deathpenaltynews@gmail.com.


Opposed to Capital Punishment? Help us keep this blog up and running! DONATE!



"One is absolutely sickened, not by the crimes that the wicked have committed,
but by the punishments that the good have inflicted." -- Oscar Wilde

Most viewed (Last 7 days)

Tennessee executes Harold Wayne Nichols

Thirty-seven years after confessing to a series of rapes and the murder of Karen Pulley, Nichols expressed remorse in final words Strapped to a gurney in the execution chamber at Riverbend Maximum Security Institution Thursday morning, Harold Wayne Nichols made a final statement.  “To the people I’ve harmed, I’m sorry,” he said, according to prison officials and media witnesses. “To my family, know that I love you. I know where I’m going to. I’m ready to go home.”

China | Former Chinese senior banker Bai Tianhui executed for taking US$155 million in bribes

Bai is the second senior figure from Huarong to be put to death for corruption following the execution of Lai Xiaomin in 2021 China has executed a former senior banker who was found guilty of taking more than 1.1 billion yuan (US$155 million) in bribes. Bai Tianhui, the former general manager of the asset management firm China Huarong International Holdings, was executed on Tuesday after the Supreme People’s Court approved the sentence, state broadcaster CCTV reported.

Burkina Faso to bring back death penalty

Burkina Faso's military rulers will bring back the death penalty, which was abolished in 2018, the country's Council of Ministers announced on Thursday. "This draft penal code reinstates the death penalty for a number of offences, including high treason, acts of terrorism, acts of espionage, among others," stated the information service of the Burkinabe government. Burkina Faso last carried out an execution in 1988.

Oklahoma board recommends clemency for inmate set to be executed next week

A voting board in Oklahoma decided Wednesday to recommend clemency for Tremane Wood, a death row inmate who is scheduled to receive a lethal injection next week at the state penitentiary in McAlester.  Wood, 46, faces execution for his conviction in the 2001 murder of Ronnie Wipf, a migrant farmworker, at an Oklahoma City hotel on New Year's Eve, court records show. The recommendation was decided in a 3-2 vote by the Oklahoma Pardon and Parole Board, consisting of five members appointed by either the governor or the state's top judicial official, according to CBS News affiliate KWTV. Oklahoma Gov. Kevin Sitt will consider the recommendation as he weighs whether to grant or deny Wood's clemency request, which would mean sparing him from execution and reducing his sentence to life in prison without the possibility of parole.

Iran | Child Bride Saved from the Gallows After Blood Money Raised Through Donations, Charities

Iran Human Rights (IHRNGO); December 9, 2025: Goli Kouhkan, a 25-year-old undocumented Baluch child bride who was scheduled to be executed within weeks, has been saved from the gallows after the diya (blood money) was raised in time. According to the judiciary’s Mizan News Agency , the plaintiffs in the case of Goli Kouhkan, have agreed to forgo their right to execution as retribution. In a video, the victim’s parents are seen signing the relevant documents. Goli’s lawyer, Parand Gharahdaghi, confirmed in a social media post that the original 10 billion (approx. 100,000 euros) toman diya was reduced to 8 billion tomans (approx. 80,000 euros) and had been raised through donations and charities.

Who Gets Hanged in Singapore?

Singapore’s death penalty has been in the news again.  Enshrined in law in 1975, a decade after the island split from Malaysia and became an independent state, the penalty can see people sentenced to hang for drug trafficking, murder or firearms offenses, among other crimes. Executions have often involved trafficking under the Misuse of Drugs Act, with offenses measured in grams.  Those executed have included people from low-income backgrounds and foreign nationals who are sometimes not fluent in English, according to human rights advocates such as Amnesty International and the International Drug Policy Consortium. 

Afghanistan's Taliban rulers carry out public execution in sports stadium

The man had been convicted of killing 13 members of a family, including children, and was executed by one of their relatives, according to police. Afghanistan's Taliban authorities carried out the public execution of a man on Tuesday convicted of killing 13 members of a family, including several children, earlier this year. Tens of thousands of people attended the execution at a sports stadium in the eastern city of Khost, which the Supreme Court said was the eleventh since the Taliban seized power in 2021 in the wake of the chaotic withdrawal of US and NATO forces.

Afghanistan | Two Sons Of Executed Man Also Face Death Penalty, Says Taliban

The Taliban governor’s spokesperson in Khost said on Tuesday that two sons of a man executed earlier that day have also been sentenced to death. Their executions, he said, have been postponed because the heir of the victims is not currently in Afghanistan. Mostaghfer Gurbaz, spokesperson for the Taliban governor in Khost, also released details of the charges against the man executed on Tuesday, identified as Mangal. He said Mangal was accused of killing members of a family.

Utah | Ralph Menzies dies on death row less than 3 months after his execution was called off

Judge was set to consider arguments in December about Menzies’ mental fitness  Ralph Menzies, who spent more than 3 decades on Utah’s death row for the 1986 murder of Maurine Hunsaker, has died.  Menzies, 67, died of “presumed natural causes at a local hospital” Wednesday afternoon, according to the Utah Department of Corrections.  Matt Hunsaker, Maurine Hunsaker’s son, said Menzies’ death “was a complete surprise.”  “First off, I’d say that I’m numb. And second off, I would say, grateful,” Hunsaker told Utah News Dispatch. “I’m grateful that my family does not have to endure this for the holidays.” 

USA | Should Medical Research Regulations and Informed Consent Principles Apply to States’ Use of Experimental Execution Methods?

New drugs and med­ical treat­ments under­go rig­or­ous test­ing to ensure they are safe and effec­tive for pub­lic use. Under fed­er­al and state reg­u­la­tions, this test­ing typ­i­cal­ly involves clin­i­cal tri­als with human sub­jects, who face sig­nif­i­cant health and safe­ty risks as the first peo­ple exposed to exper­i­men­tal treat­ments. That is why the law requires them to be ful­ly informed of the poten­tial effects and give their vol­un­tary con­sent to par­tic­i­pate in trials. Yet these reg­u­la­tions have not been fol­lowed when states seek to use nov­el and untest­ed exe­cu­tion meth­ods — sub­ject­ing pris­on­ers to poten­tial­ly tor­tur­ous and uncon­sti­tu­tion­al­ly painful deaths. Some experts and advo­cates argue that states must be bound by the eth­i­cal and human rights prin­ci­ples of bio­med­ical research before using these meth­ods on prisoners.