June 2 TEXAS: Feds investigate Austin police----Justice Department to review use of force The U.S. Department of Justice is launching an investigation into the use of force by Austin police officers, city officials announced late Friday. The investigation will include a review of how officers are trained, how incidents are documented and meetings with community leaders, Austin city officials said. City Manager Toby Futrell, Acting Police Chief Cathy Ellison and other city leaders announced the inquiry which comes nearly three years after the Austin chapter of the National Association for the Advancement of Colored People and the Texas Civil Rights Project filed a federal complaint in an evening news conference and said they would cooperate fully. A letter to the city from the Justice Department said, "In conducting the investigation, we are obliged to determine whether APD is systemically violating the Constitution of the United States." City officials said the investigation could begin next month and take 1 to 3 years to complete. Officials are expected to meet with federal investigators in coming days to learn more about the specifics of the inquiry. "We welcome an outside, objective review of our department," Futrell said. Ellison said: "Bring it on. We have nothing to hide. We are an open department, and we are one of the best police departments in this country." Futrell said the first phase will include a review of policies and practices, but not particular use-of-force incidents. Investigators will determine whether they want to review specific arrests. The Justice Department letter said that if the agency finds civil rights violations, it will recommend remedial measures and provide assistance in making improvements. The inquiry is not criminal in nature. Nelson Linder, president of the Austin NAACP, said he fears the inquiry is too late. "These were very serious cases back then involving the use of force," Linder said. "I suppose it's better late than never, but a federal review would have been more relevant at that time. Today, it might not have the same impact." Linder said taking three years to launch the investigation and possibly 3 more years to complete it is "unacceptable," and federal authorities need to move faster to assure victims' rights. The inquiry will likely reinvigorate a years-long debate about how Austin police officers use force against minorities. The NAACP and Texas Civil Rights Project complaint was triggered, in part, by a series of American-Statesman articles in 2004 revealing that from 1998 to 2003, police were twice as likely to use force against blacks as against whites and 25 percent more likely to use force against Hispanics than against whites. During that time, all but one of the 11 people who were killed by police officers were minorities. The groups added to their complaint in February 2005 after several officers and dispatchers exchanged computer messages that included "burn baby, burn" during a fire at the Midtown Live nightclub, which catered to African American patrons. Futrell and former Police Chief Stan Knee co-signed a letter to the justice department a month later saying they also welcome an outside review. Futrell said she is unsure why the agency has decided to investigate now. The investigation comes as the city is working to hire a new police chief, who is expected to be named by the end of the month. Ellison is 1 of 5 finalists. Futrell said she doesn't think the investigation will impact the search, and said if any of the candidates are discouraged by the review, "then they probably aren't the candidate we need right now." Futrell said city and department leaders in recent years have been working to improve the department and to restore community trust. They expanded the time that rookie officers must ride with more veteran officers from 8 to 12 weeks and hired an executive research team to evaluate the department's training programs, she said. Officials also have installed video cameras in all patrol cars and updated a policy that now requires that all traffic and pedestrian stops be recorded. "We've done everything to innovate and change in our department," Futrell said. Ellison and Austin Police Sgt. Jim Beck, president of the Austin Police Association, said officers will continue to combat crime and meet with the community during the investigation. "Officers are used to audits and task forces," Beck said. "They are used to scrutiny and see the value of it." (source: Austin American-Statesman) **************** Investigator saw the unusual and infamous----Larry Dehnert recalls highlights from nearly 34 years in DA's office It was one of the more unusual assignments Larry Dehnert was ever handed by a Harris County prosecutor. "Go find me some Pixy Stix so we can use them in court," Dehnert, 57, recalled earlier this week, while closing out his almost 34-year career as an investigator in the District Attorney's Office. They needed the plastic tubes filled with powdered candy to show jurors in the 1974 case against Ronald Clark O'Bryan, who was accused of fatally feeding his 8-year-old son cyanide-laced Halloween treats in an insurance scheme. The city was in a panic after young Timothy O'Bryan's death at the hands of the mysterious Candy Man. Supermarkets were yanking candy off the shelves. "When this thing first broke, they didn't know it was the father that did it," Dehnert said. "I got a lot of strange looks walking into stores, saying, 'You got any Pixy Stix?' You could just see the blood start draining out of their faces." He eventually tracked down some Pixy Stix at a store in Bellaire, near the optometrist shop where O'Bryan worked. "I found them probably in the same place where he bought them," Dehnert said. The jurors were stunned, Dehnert said, when the prosecutor dramatically pulled the plastic tube from his trousers to show how easily O'Bryan could have sneaked the candy into his Deer Park home without being detected. "You could hear their jaws dropping," Dehnert said. "It worked very well." The jury took about an hour to convict O'Bryan and only slightly longer to hand down a death sentence. Dehnert joined the District Attorney's Office in March 1974 and eventually became an assistant chief investigator. Called irreplaceable The final 7 to 8 years of his career were spent in the juvenile division, where he was known for his streetwise investigating instincts. He had so many contacts in law enforcement and the general community, he could find witnesses while sitting at his desk faster than others working the streets for hours, said Harris County Assistant District Attorney Bill Hawkins, chief of the juvenile division. Dehnert will be hard to replace, Hawkins added. "He was an old-school cop who was full of common sense and experience," Hawkins said. "He was a real treasure. It didn't matter what kind of case you were on, Larry was always a big plus to have on it." District attorney investigators are licensed law enforcement officers. Much of their work consists of following up on cases initiated by police detectives. They help prosecutors prepare their cases everything from securing crime scene photographs and autopsy reports to rounding up witnesses. "Every time the rent comes due, our witnesses are moving and we've got to go find them," said Dehnert, who has worked under three Harris County district attorneys. 'Unknown investigator' When his bosses became worried that someone might try to harm a star witness in what was arguably the most notorious murder in modern Houston Dr. John Hill's slaying in 1972 they put Dehnert in charge of protecting her. Dehnert kept the witness in a room, under an assumed name, at a downtown high-rise hotel. Among those keen on talking to her was the late author Thomas Thompson, who chronicled the story in his book Blood and Money. Dehnert turned down the author's interview request. "I'm sitting in a hotel room with a 12-gauge shotgun across my lap, watching the door and expecting somebody to kick it in at any minute," he said. "I'm not going to let someone come in there and interview her. ... That's probably the reason why I'm the 'unknown investigator' in that book." (source: Houston Chronicle) GEORGIA: Georgia on My Mind William Mayo has been wrongfully imprisoned in Georgia for 15 years now, having received two life sentences plus 40 years (I guess that was just in case he is reincarnated) for a crime he did not commit, a crime committed by 2 young men who have since told the courts that William had nothing to do with the crime. One of the two has been released, having done the "short" time he was given for committing the crime of, hold on to your hat, ROBBERY! That's right, robbery. No one was hurt, stolen articles were recovered, and William, implicated by intimidation of the 2 young men by the prosecutor, is paying dearly for it. As Ray Charles said, "Georgia, Oh Georgia!" It didn't matter that Mayo had never been in trouble before; it didn't matter that he was just a few hours from getting his degree from Morehouse; it didn't matter that William Mayo was a positive role model and mentor for young men, in the act of helping the 2 young men who did the crime; and it didn't matter that he was a church-going, law-abiding citizen prior to being dragged into the abyss in which he now finds himself. In June 2005 I attended Mayo's court hearing. At least that's what they called it. And I wrote an article titled, 'New Jack Slavery', after watching a racist judge make very short work of Mayo's attempt to present evidence to prove his innocence. He was not even allowed to speak at his own hearing. Talk about a travesty of justice, that Georgia Judge displayed it that day. So Georgia has been on my mind lately, not only because of William Mayo, but also because of other cases I have seen. The vegan parents whose child died of malnutrition were given life sentences for murder. LIFE? C'mon, Georgia. Sure they should be punished, but LIFE? What kind of state do you Georgians live in? Or is this the kind of punishment reserved strictly for Black folks, like the 7 years given to Shaquanda Cotton in Paris, Texas, for shoving a hall monitor? Georgia is on my mind because of its lack of fairness and its blatant disregard for even a modicum of compassion for William Mayo, Jade Sanders, and Lamont Thomas. Even if William did commit robbery, don't you think 15 years is enough? He can't even get a fair hearing to review his case. Sanders and Thomas loved their child, I am sure, and although they were misguided and uninformed in the diet they fed the child, I don't believe they intended to murder the baby. Someone ought to get their sentence reduced. Is there no common sense in Georgia courtrooms? The state that boasts the likes of MLK, Maynard Jackson, Cynthia McKinney, John Lewis, Joseph Lowery, and many more strong Black folks cannot seem to get it right and fair when it comes to its Black population, which is the 1st or 2nd largest Black population of all the states. 2 life sentences for robbery, and life for the unintentional death of a baby by his parents. That's why Georgia is on my mind. Here are the questions: If a Black man can get double-life plus 40 years for robbery and a couple can get life for the unintentional death of their baby, what is the penalty for premeditated murder? What's the penalty for shooting a 92 year-old Black woman? What's the penalty for a cop murdering Kenneth Walker? What's the penalty for beating Paul Johnson to death in a police holding cell? What is the penalty for mass murder in Georgia? Triple-life plus 50 years? Yes, Georgia is definitely on my mind; so much so that I would love to find out why a state with so many Black political figures and influential "leaders" such as Andrew Young, who defends Paul Wolfowitz but utters not a word on behalf of William Mayo, can not effect change in Georgia's ridiculous criminal "injustice system." What good does it do for Black folks to occupy high political offices in Georgia, especially in its Capital, Atlanta, and have such glowing historical claim to being "civil rights" fighters and change agents? What good is it if these folks do not assert themselves to bring justice and fairness to a court system under which they and their children must live? There is no way anyone can look objectively at the Georgia system of punishment and say it is equitable. That's not to say the same issues do not exist in most other cities across this country, but right now, I have Georgia on my mind. About 45 years ago, Georgia was a place where only those Blacks who were from there would travel. I didn't make my first trip to Georgia until 1970, scared of what I would encounter as I stopped at a gas station on the outskirts of town. It was the only time in my entire life that I carried a firearm (borrowed) with me on a trip - or anywhere else for that matter. I was pleasantly surprised when I pulled up to the gas pump and the White attendant said, "May I help you, sir?" I exhaled at that point and have been to Georgia too many times to count since then. But even today, despite some Black people referring to Atlanta as the Black "Mecca" and despite the positive changes in other parts of the state, the criminal justice system imposed in Georgia is straight out of the Dark Age, and Black folks must stand up against it and demand real justice - for the innocent as well as for the guilty. Meanwhile, I pray I never get accused of anything in Georgia. With my editorial reputation, they would probably give me quadruple-life for speeding. Free William Mayo, Georgia. Somebody do something for this young man, please! (source: Commentary; Chicago Defender----James E. Clingman, an adjunct professor at the University of Cincinnati's African American Studies department, is former editor of the Cincinnati Herald newspaper and founder of the Greater Cincinnati African American Chamber of Commerce) ************************ Public defender argues for funding increase Colquitt County is growing and so is its crime, but the question now before Colquitt County Board of Commissioners is whether to shoulder an increase of more than $72,000 to fund the public defender's office, above last year's funding of $268,178. Public defenders are saying that the state is shirking its duty to fund the indigent defense program and leaving it up to the good graces of county governments to pick up the slack. Of course, there is another alternative being considered: Not fulfilling the request. "I understand what youre saying, but you're not going to make me feel bad about us not spending enough money for law enforcement. We've spent $8,709,908 last year for the enforcement of the law. Thats 44 percent of our total budget. All of y'all are getting your fair share," County Chairman Benny Alderman told Southern Circuit Public Defender J. Kent Edwards. "Mr. Chairman, I know that every tax dollar is important," Edwards said. "Our problem is we have no control over the number of cases that are made, so we just have to take the cases as they come in the door. ... If you don't handle the cases, they just backlog into your county jail and just sit there. And then the county is forced to build a bigger jail like weve done in Lowndes County or you have to keep the cases moving, and it takes staff ... to move the cases. With three attorneys, roughly that means each attorney will be handling 500 cases. Theres no attorney in private practice who handles 500 cases." Of course, that's if Edwards gets enough funding to staff three assistant public defenders. Currently, the Moultrie office has 1 full-time defender and a defender who comes in half-time. The district attorney's office wants 3 as well. The Moultrie DA's office now has 2 prosecutors, one fresh from passing the Georgia bar. "It's the fastest growing caseload we have in the whole 5-county circuit," Edwards said. The number of indigent cases rose from 782 in 2005 to 1,033 in 2006. Estimates from the first 4 months of 2007 suggest that 1,478 criminal defendants will receive indigent representation by the end of the year, he said. The state set up a funding scheme to fund indigent defense to take the expense off of county governments, Nolan Martin, deputy director of the Georgia Public Defender Standards Council, explained to commissioners. Funding was set up to come from the criminal defendants through fines and criminal forfeitures a user fee system to shift the burden off taxpayers. Locally, Superior Court judges have attached a $500 fee for Southern Circuit felony probationers represented through the public defender's office. Misdemeanor probationers pay $250. That money flows directly back into the county. Over time, that will build, Edwards said, and that will help keep the expense off taxpayers. At the state level, the picture isn't so rosy. The state fund is set to collect $43 million this year, but state legislators funded the public defender system the least its been funded since it began in 2005, $35 million, Martin said. "What the legislators did with the other $8 million we can only guess," he said, urging the commissioners to contact their legislators. "... This isn't about money for us. It's about politics. Theres enough money there." Funding has backslid from $47 million to $37 million to $35 million for 2008, he said. 2 weeks ago, 41 full-time jobs were cut from the Georgia's public defender system, 14 of which were attorneys. The conflict office in Valdosta had to be closed down along with others around the state. Representation for indigents facing death penalty charges have been revamped to take on more in-house rather than hiring attorneys in private practice. Still with these drastic cuts, Martin said, the public defender system will go over-budget. Martin said the Senate is particularly tough on public defense. Sen. John Bulloch, R-Ochlocknee, told The Observer that fines and forfeitures collected from defendants arent exclusively funneled into the public defender's system. "There's other costs associated besides just a public defender," he said. (source: Moultrie Observer) ************************ Judge says media can't even cover hearing? In Tifton, Superior Court Judge Gary McCorvey banned all media Friday from covering the pre-trial hearings of a man accused of murdering 6 Hispanic men and assaulting 4 others in 2005. McCorvey wouldn't allow our camera or even our reporter inside the hearing and he banned all people involved with Jamie Deamtrive Underwood's case from talking to the media about any of the pre-trial hearings. The judge also ordered all court transcripts remain sealed until after the trial which is set to begin in August. Underwood is facing the death penalty. His family gathered at the Tift County Law Enforcement Center Friday. Underwood and Stacey Sims are charged with brutal attacks that left 6 people dead in Tift County back in September 2005 and other crimes on a Hispanic family in Colquitt county. Underwood's attorney is asking for a change of venue and to restrict some statements he made to police from appearing as evidence in court. (source: WALB News) ************************* A Murder Trial Gone Wrong: The Cruel Story of one Man's Destroyed Life A conversation with author David Rose about a murder trial gone wrong and what it tells us about the racial and economic bias in America's criminal justice system today. In 1986, Carlton Gary, a black man, was convicted of the 1979 rape and strangulation murders of 7 elderly white women in the small but prosperous (for some) town of Columbus, Ga. Some of these women had ties to an exclusive group of wealthy and influential white families called The Big Eddy Club. Since then, Gary has been sitting on death row. He now waits for his final appeal. Those initial crimes were horrific. But, the criminal justice system failings that followed were equally deplorable: Forced to produce and convict a killer, a frustrated and increasingly embarrassed set of local law enforcers, detectives and prosecutors subjugated crucial defense funds and evidence. Also eviscerated was the "due process" clause of the 14th Amendment that states, "nor shall any State deprive any person of life, liberty, or property, without due process of law." With elegant prose and striking narrative, award-winning journalist David Rose investigates the deprivation of that due process and recounts the human and systemic toll of this crime within a crime in his book "The Big Eddy Club: The Stocking Stranglings and Southern Justice." The book is a vivid and thoroughly captivating exploration of the American criminal justice system. It is also impossible to put down. "The Big Eddy Club" is as much about Gary's clash with the Southern justice system as it is a condemnation of the system's racial and economic bias -- a particularly cruel reality when it's not merely one's liberty, but one's life, at risk. Early in the book, British citizen Rose, points out that, unlike America, his country abolished the death penalty, as did the rest of Europe. And what started as a piece for the British newspaper the Observer on why parts of America still find the death penalty so attractive became a decade-long investigation of the stocking strangler case and the American criminal justice system. Rose doesn't come out and say whether he believes Gary is innocent or guilty, but he lets a conglomeration of suppressed information, faulty investigative methods, and the actions of seemingly biased law officials tell its own story. Rose presents a glimpse into the heart of the American capital punishment that is profoundly enraging and disturbing. Against a backdrop of post-Civil War Southern history and with poetic language and intricate details, Rose has penned a book as compelling as any John Grisham novel or his nonfiction work "An Innocent Man," with the haunting imagery of Truman Capote's "In Cold Blood." Carlton Gary is by no means presented as a pillar of virtue. But, it's about time we held our justice system to a higher virtue than Rose's gripping book reveals. Recently, I had an opportunity to sit down with Rose over coffee in New York City and ask him questions about his amazing work and dedication to it: Nomi Prins: You mention in "The Big Eddy Club" that everyone asks you whether you believe Carlton Gary is innocent or guilty, and you don't answer them directly. Why? David Rose: I look at the matter in terms of different question, and that is, was Gary given a fair trial? The answer to that is no. Were there times during this decade of investigation that you wanted to just say, I can't do this anymore? What made you keep going? After 9/11 nobody seemed interested in these issues. I know in England they didn't like the death penalty -- but what mattered to me was getting America to see this, particularly the people in Columbus, Ga. They had to know. So the timing of publication is extraordinary. As we speak, it is more fortuitous; Judge Land must decide whether to allow a new trial. Since the book was written, Judge Land has already granted an evidentiary hearing on Feb. 14, 2007. I think the bite cast (taken at one of the crime scenes) and its comparison to Gary, excludes him to certainty beyond a reasonable doubt. The bite cast taken from the victim showed small and crooked teeth. Gary's are straight and always have been. He used to be a model; his smile was part of his attractiveness. They compared the original bite cast and Gary's impression last summer -- there were significant differences between the two. The state hasn't challenge the evidence, but they have said it's too late. The defense has argued that if you consider the bite cast and other evidence, Gary should get a new trial. The prosecution is arguing that the defense didn't exercise due diligence at the time of the original trial in pressing the bite cast issue (though, at the time of trial, defense counsel was not granted the funds to conduct an independent examination. The state's trying to say that if the prosecution was lying, the defense should have commented at the time. Will this new trial happen in your opinion? I couldn't say, but now even if the judge doesn't go for it, and as a Land, it would be an amazing act of courage on his part if he did, Gary's got his best chance now. The judge could decide this week, or month. Now, Gary has 2 good lawyers and more federal funding. Now he's well represented and in a good place. How has it been received in Columbus -- what was it like going back there after having published "The Big Eddy Club"? I knew I had to face Columbus, Ga., tell them why I wrote the book, and hope they would listen. During my first evening there, 250 people showed up at a reading I did at the public library. They showed respect. Enthusiasm. Then, at the Barnes and Noble in Columbus, they had to give out tickets; there were so many people in line. Before that reading, I had been warned that there might be people there who would harass me, but they kept their mouths shut. The audience was very fair. Maybe that will be enough to show the judge that he won't suffer in the public opinion arena if he decides to grant a new trial. Maybe, it will encourage him to do the right thing. When did you last see Carlton Gary? I saw him last fall, over a year ago. But the prison guards really screwed around with me. It was October. A really hot day. They had me sit there for two hours, no shade, nothing to drink. When I finally got into the prison, it was after 3 p.m. (visitations end at 4 p.m.). Gary had just had hemorrhoid surgery. He was moving slowly. There was barely enough time to get to his cell. He was very disappointed. Was that kind of hostile treatment indicative of other visits you made to Gary over the course of the seven years you were investigating this case? At one of my past prison visits, a guard came out and told me, "Gary doesn't want to see you." I said, "I'm sure he does, can you just check?" Then, this man towered in front of me, nose to nose and said, "I think you should go now." It turns out Gary was never even notified of my visit. How did you deal with that kind of intimidation throughout your visits? Coping with intimidation was not a problem. I'd spent time investigating stories in prisons in the U.K. Smuggling out Gary's semen was a bit nerve-wracking, though. I went in with all the appropriate materials. As I'm leaving, I'm trying to look as calm as possible. My heart's beating. I'm exiting through all eight security checks, thinking what if they caught me. But I finally made it to my car, got on the Interstate and drove off. And, as you mention in your book, Assistant Attorney General Susan Boleyn decided not to allow this new evidence, despite the fact that the sample you took would have indicated an inconclusive match to the original sample taken from the crime scene? For 20 years, Susan Boleyn (who represented the state) has done nothing but try to put men to death. She's a part of a group referred to as the "death squad." Her argument, as with other pieces of evidences, was that even if the serology conclusively proved that someone else raped the victims, Carlton Gary would still be guilty of murder. It's a hard situation. Under current laws, once the state rejects evidence, the federal courts can't readdress it. This is because of Bill Clinton's Anti-Terrorism and Effective Death Penalty Act of 1996. That act is the single most unjust measure enacted in the field of death penalty evidence in the United States. Why this obsession to suppress new evidence that could lead to exoneration? It goes to the top of the system. Chief Justice Roberts in the Supreme Court, for example, has shown himself to be unwilling to accept the fact that the system has convicted innocent people. They tie themselves into mutual knots to justify wrong convictions here. The court of appeals in the U.K., though not perfect, is not that bad. The procedural restrictions are much less restrictive. There, under a clause of "if justice requires," it is easier to introduce new evidence that could point toward a different decision. Here, it is much harder, particularly because of that 1996 act. What did you find to be the most overwhelming reason for the continued existence of the death penalty in America? The most significant fact is regional. Although other states like California have death rows, they don't have as many executions, yet 80 percent of all executions take place in the former Confederacy, Texas being far ahead of the rest. There's at a deep level, this sense of the death penalty as a way of dealing with issues of race in the South being played out. There, the death penalty serves the same functions as lynching once did. It supposedly helps give the community in which the murder took place a sense of "closure." Plus, in a kind of white supremacist mentality, an egregious crime must invoke an egregious form of punishment. The death penalty has been one of a set of accommodations for the South since the Civil War. The federal government ignored the Jim Crow segregations rulings as did the Supreme Court. It's as if it has decided that the region is too tricky -- one should let them do what they want. One of the major requests from original defense counsel, Bud Siemon, was for more funding with which to engage in appropriate investigations of his own, a request that was repeatedly denied by the judge. Can you discuss how that impacted this case, and more generally, similar cases? If you're a poor defendant, black or white, charged with a capital crime, justice is like a closing steel trap. They (the prosecuting side) just don't go away. In the U.K., the prosecutors looked at new evidence in the case of the Guildford Four, experienced a sense of horror and decided to let them go. Here, judges and district attorneys are elected or appointed. Some are partisan and concerned about keeping their positions, hence the conflict of interest between the individual in front of them versus the collective that votes for them, particularly in the South. Yet, the overall cost of death penalty appeal, the average legal costs from conviction to execution is approximately $2.5 million. Do you think American will ever abolish the death penalty? The due process and evidentiary clause in America went backwards with the Clinton Act, but there's been some progress on the evolving standards of decency component of the Eighth Amendment. The Supreme Court amended the execution of juveniles and the mentally retarded. One justice even cited a Human Rights Watch report on mentally retarded prisoners at the time. It's encouraging that international human rights opinions are finding their way into the U.S. criminal justice system. Also, there's growing concern over the use of the method of death by lethal injection, based on questions of whether it causes pain. There's a greater degree of humanity in play, even though procedural restrictions are still overly restrictive. Thirty-eight states have the death penalty. But, New York has effectively abolished it (the New York death statute was declared unconstitutional in 2004), and states like New Jersey are leading towards abolishing it, so there's hope. (source: Nomi Prins is a senior fellow at the public policy center Demos and author of "Other People's Money" and "Jacked: How "Conservatives" Are Picking Your Pocket (Whether You Voted for Them or Not; AlterNet)" USA: Lethal care ---- Capital punishment in the US these days is invariably carried out by injection, often administered by a medical professional. But what makes doctors and nurses, trained to save lives, get involved? Atul Gawande, an American surgeon, asked them Doctor A and his family have lived in their small town for 30 years. He is well respected. Almost everyone of local standing comes to see him as their primary-care physician - the bankers, his fellow doctors, the mayor. Among his patients is the warden of the maximum-security prison that happens to be in his town. One day, several years ago, the two of them got talking during an appointment. The warden complained of difficulties staffing the prison clinic and asked Dr A if he would be willing to see prisoners there occasionally. Dr A said he would. Then, a year or 2 later, the warden asked him for help with a different problem. The state had the death penalty, and the legislature had voted to use lethal injection exclusively. The executions were to be carried out in the warden's prison. He needed doctors, he said. Would Dr A help? He would not have to deliver the lethal injection. He would just help with cardiac monitoring. 'My wife didn't like it,' Dr A told me. But he felt torn. 'I knew something about the past of these killers.' One of them had killed a mother of three during a convenience-store robbery and then, while getting away, shot a man who was standing at his car pumping gas. Another convict had kidnapped, raped and strangled to death an 11-year-old girl. 'I do not have a very strong conviction about the death penalty, but I don't feel anything negative about it for such people either. The execution order was given legally by the court. And morally, if you think about the animal behaviour of some of these people...' Ultimately, he decided to participate, he said, because he was only helping with monitoring, because he was needed by the warden and his community, because the sentence was society's order and because the punishment did not seem wrong. At the first execution, he was instructed to stand behind a curtain watching the inmate's heart rhythm on a cardiac monitor. Neither the witnesses on the other side of the glass nor the prisoner could see him. A technician placed two IV lines. Someone he could not see pushed the three drugs, one right after another. Watching the monitor, he saw the normal rhythm slow, then the waveforms widen. He recognised the tall peaks of potassium toxicity, followed by the fine spikes of ventricular fibrillation and finally the flat, unwavering line of an asystolic cardiac arrest. He waited half a minute, then signalled to another physician, who went out before the witnesses to place his stethoscope on the prisoner's chest. The doctor listened for 30 seconds and then told the warden the inmate was dead. Half an hour later, Dr A was released. He made his way through a side door, past the crowd gathered outside, to his parked car and headed home. In three subsequent executions there were difficulties, though, all with finding a vein for an IV. The prisoners were either obese or past intravenous drug users, or both. The technicians would stick and stick and, after half an hour, give up. This was a possibility the warden had not prepared for. Dr A had placed numerous lines. Could he give it a try? OK, Dr A decided. Let me take a look. This was a turning point, though he didn't recognise it at the time. He was there to help, they had a problem and so he would help. It did not occur to him to do otherwise. In two of the prisoners, he told me, he found a good vein and placed the IV. In one, however, he could not find a vein. All eyes were on him. He felt responsible for the situation. The prisoner was calm. Dr A remembered the prisoner saying to him, almost to comfort him, 'No, they can never get the vein.' The doctor decided to place a central line, an intravenous line that goes directly into the chest. People scrambled to find a kit. He opened the kit for the triple-lumen catheter and explained to the prisoner everything he was going to do. I asked him if he was afraid of the prisoner. 'No,' he said. The man was perfectly co-operative. Dr A put on sterile gloves, gown and mask. He swabbed the man's skin with antiseptic. Why? I asked. 'Habit,' he said. He injected local anaesthetic. He punctured the vein with one stick. He checked to make sure he had a good, non-pulsatile flow of venous blood coming out. He threaded a guide wire through the needle, a dilator over the guide wire and finally slid the catheter in. All went smoothly. He flushed the lines with saline, secured the catheter to the skin and put a clean dressing on, just as he always does. Then he went back behind the curtain to monitor the lethal injection. Certainly, all boundary lines had been crossed. He had agreed to take part in the executions simply to watch a monitor, but just by being present, by having expertise, he had opened himself to being called on to do steadily more, to take responsibility for the execution itself. Perhaps he was not the executioner. But he was damn close to it. Execution has become a medical procedure in the US. That fact has forced a few doctors and nurses, asked to participate in executions, to have to choose between the ethical codes of their professions and the desires of broader society. There are vital but sometimes murky differences between acting skilfully, acting lawfully and acting ethically. On February 14, 2006, a United States district court issued an unprecedented ruling concerning the California execution by lethal injection of the murderer Michael Morales. The ruling ordered the state to have a physician, specifically an anaesthetist, personally supervise the execution or else to drastically change the standard protocol for lethal injections. Under that protocol, the anaesthetic sodium thiopental is given in massive doses that are expected to stop breathing and extinguish consciousness within one minute of administration; then the paralytic agent pancuronium is given, followed by a fatal dose of potassium chloride. The judge found, however, that evidence from execution logs showed that six of the previous eight prisoners executed in California had not stopped breathing before technicians gave the paralytic agent; the findings raised a serious possibility that the prisoners had experienced suffocation from the paralytic, a feeling much like being buried alive, and felt intense pain from the potassium bolus. This experience would be unacceptable under the US constitution's Eighth Amendment protections against cruel and unusual punishment. So the judge ordered the state to have an anaesthetist present in the death chamber to determine when the prisoner was unconscious enough for the2nd and 3rd injections to be given - or to have a general physician supervise an execution performed with sodium thiopental alone. The California Medical Association, the American Medical Association (AMA) and the American Society of Anesthesiologists (ASA) immediately opposed such physician participation as a clear violation of their medical ethics codes. 'Physicians are healers, not executioners,' the ASA's president said. The execution was then postponed (Morales remains on death row), but federal courts have since continued to require that medical professionals assist with the administration of any execution by lethal injection. The Morales ruling is the culmination of a steady evolution in methods of execution in the United States. On July 2, 1976, in deciding the case of Gregg v Georgia, the Supreme Court legalised capital punishment after a decade-long moratorium on executions. Executions resumed six months later, on January 17, 1977, in Utah, with the death by firing squad of Gary Gilmore for the killing of Ben Bushnell, a motel manager. Death by firing squad, however, came to be regarded as a method too bloody and uncontrolled. (Gilmore's heart, for example, did not stop until two minutes after he was shot, and shooters have sometimes weakened at the trigger, as famously happened in 1951 in Utah when the five riflemen fired away from the target over Elisio Mares's heart, only to hit his right chest and cause him to bleed slowly to death.) Hanging came to be regarded as even more inhumane. Under the best of circumstances, the cervical spine is broken at the 2nd vertebra, the diaphragm is paralysed and the prisoner suffocates to death, a minutes-long process. Gas chambers proved no better: asphyxiation from cyanide gas, which prevents cells from using oxygen by inactivating a vital enzyme known as cytochrome oxidase, took even longer than death by hanging, and the public revolted at the vision of suffocating prisoners fighting for air and then seizing as the ability to use oxygen shut down. In Arizona in 1992, for example, the asphyxiation of triple murderer Donald Harding took 11 minutes, and the sight was so horrifying that reporters began crying, the attorney general vomited and the prison warden announced he would resign if forced to conduct another such execution. Since 1976, only two prisoners have been executed by firing squad, three by hanging and 11 by gas chamber. Many more executions, 74 of the first 100 after Gregg and 153 in all, were by electrocution, which was thought to cause a swifter death. But the electrical flow frequently arced, cooking flesh and sometimes igniting prisoners - postmortem examinations often had to be delayed for the bodies to cool - and yet in the case of some prisoners, it took repeated jolts to kill them. In Alabama in 1979, John Louis Evans III was still alive after 2 cycles of 2,600 volts; the warden called Governor George Wallace, who told him to keep going, and only after a 3rd cycle, with witnesses screaming in the gallery, and almost 20 minutes of suffering, did Evans finally die. Only Florida, Virginia and Alabama persisted with electrocutions with any frequency, and under threat of Supreme Court review they too abandoned the method. Lethal injection now appears to be the sole method of execution accepted by courts as humane enough to satisfy Eighth Amendment requirements - largely because it medicalises the process. The prisoner is laid supine on a hospital gurney. A white bedsheet is drawn to his chest. An intravenous line flows into his arm. Under the protocol devised in 1977 by Dr Stanley Deutsch, the chairman of anaesthetics at the University of Oklahoma, prisoners are first given 2,500 to 5,000mg of sodium thiopental (5 to 10 times the recommended maximum for therapeutic use), which can produce death all by itself by causing complete cessation of the brain's electrical activity, followed by respiratory arrest and circulatory collapse. Death, however, can take 15 minutes or longer with thiopental alone, and the prisoner may appear to gasp, struggle or convulse. So 60 to 100mg of pancuronium (10 times the usual dose) is injected one minute or so after the thiopental to paralyse the muscles. Finally 120 to 240 milliequivalents of potassium is given to produce rapid cardiac arrest. Officials liked this method. Because it borrowed from established anaesthesia techniques, it made execution more like familiar medical procedures than the grisly, backlash-inducing spectacle it had become. (In Missouri executions were even moved to a prison-hospital procedure room.) The drugs were cheap and routinely available. (Cyanide gas and 30,000-watt electrical generators, by comparison, were awfully hard to find.) And officials could turn to doctors and nurses to help with technical difficulties, attest to the painlessness and trustworthiness of the technique and lend a more professional air to the proceedings. But in 1980, when the 1st execution was planned using Deutsch's technique, the AMA passed a -resolution against physician participation as a violation of core medical ethics. The resolution was quite general. It did not address, for example, whether pronouncing death at the scene - something doctors had done at previous executions - was acceptable or not. So the AMA further clarified the ban in its 1992 Code of Medical Ethics. Article 2.06 states, 'A physician, as a member of a profession dedicated to preserving life when there is hope of doing so, should not be a participant in a legally authorised execution,' although a physician's opinion about capital punishment remains 'the personal moral decision of the individual'. advertisementIt stipulates that unacceptable participation includes prescribing or administering medications as part of the execution procedure, monitoring vital signs, rendering technical advice, selecting injection sites, starting or supervising placement of intravenous lines or simply being present as a physician. Pronouncing death is also considered unaccept-able, because the physician is not permitted to revive the prisoner if he is found to be alive. Only 2 actions are acceptable: provision at the prisoner's request of a sedative to calm anxiety beforehand and signing a death certificate after another person has pronounced death. Today all 38 death-penalty states rely on lethal injection. Of 1,045 murderers executed since 1976, 876 were executed by injection. Against vigorous opposition from the AMA and state medical societies, 35 of the 38 states allow physician participation in executions. Indeed, 17 require it. To protect participating physicians from licence challenges for violating ethics codes, states commonly promise anonymity and provide legal immunity from such challenges. None the less, despite the promised anonymity, several states have produced the physicians in court to vouch publicly for the legitimacy and painlessness of the procedure. And despite the immunity, several physicians have faced licence challenges, though none has lost as yet. [MY NOTE----Nebraska's only method of execution is via electrocution, not lethal injection] States have affirmed that physicians and nurses - including those who are prison employees - have a right to refuse to participate in any way in executions. Yet they have found physicians and nurses who are willing to participate. Why do these -people do it? It is not easy to find answers. Among the 15 medical professionals I was able to locate who have helped with executions, only five agreed to speak with me. None was a zealot for the death penalty, and none had a simple explanation for why they did this work. Dr A has helped with about eight executions in his state. I asked him whether he had known that his actions violated the AMA's ethics code. 'I never had any inkling,' he said. The humaneness of a lethal injection Dr A was involved in was challenged in court, however. The state summoned him for a public deposition on the process, including the particulars of the execution in which the prisoner required a central line. His local newspaper printed the story. Word spread through his town. Not long after, he arrived at work to find a sign pasted to his clinic door reading 'the killer doctor'. A challenge to his medical licence was filed with the state. If he wasn't aware earlier that there was an ethical issue at stake, he was now. Ninety per cent of his patients supported him, he said, and the state medical board upheld his licence under a law that defined participation in executions as acceptable activity for a physician. But he decided that he wanted no part of the controversy any more and quit. He still defends what he did. Had he known of the AMA's position, though, 'I never would have gotten involved,' he said. Dr B spoke to me between clinic appointments. He is a family physician, and he has participated in some 30 executions. He became involved long ago, when electrocution was the primary method, and then continued through the transition to lethal injections. He remains a participant to this day. Dr B, too, had first been approached by a patient. 'One of my patients was a prison investigator,' he said. 'I never quite understood his role, but he was an intermediary between the state and the inmates. He was hired to monitor whether the state was taking care of them. They had the first 2 executions after the death penalty was reinstated, and there was a problem with the 2nd one, where the physicians were going in a minute or so after the event and still hearing heartbeats. The 2 physicians were doing this out of courtesy, because the facility was in their area. But the case unnerved them to the point that they quit. The officials had a lot of trouble finding another doctor after that. So that was when my patient talked to me.' Dr B did not really want to get involved. He was in his forties. He'd gone to a top medical school. He'd protested the Vietnam War in the 1960s. 'I've gone from radical hippie to middle-class American over the years,' he said. 'I wasn't on any band-wagons any more.' But his patient said the team needed a physician only to pronounce death. Dr B had no personal objection to capital punishment. So in the moment - 'it was a quick judgement' - he agreed, 'but only to do the pronouncement'. The execution was a few days later by electric chair. It was an awful sight, he said. 'They say an electrocution is not an issue. But when someone comes up out of that chair 6 inches, it's not for nothing.' He waited a long while before going out to the prisoner. When he did, he performed a systematic examination. He checked for a carotid pulse. He listened to the man's heart 3 times. He looked for a pupil response with his penlight. Only then did he pronounce the man dead. He thought harder about whether to stay involved after that, and drew thicker boundaries around his participation. During the first lethal injections, he and another physician 'were in the room when they were giving the drugs,' he said. 'We could see the telemetry [the cardiac monitor]. We could see a lot of things. But I had them remove us from that area. I said, I do not want any access to the monitor or the EKGs [electrocardiograms]... A couple of times they asked me about recommendations in cases in which there were venous access problems. I said, "No. I'm not going to assist in any way." They would ask about amounts of medicines. They had problems getting the medicines. But I said I had no interest in getting involved in any of that.' Dr B kept himself at some remove from the execution process, but he would be the first to admit that his is not an ethically pristine position. When he refused to provide additional assistance, the execution team simply found others who would. 'I agonise over the ethics of this every time they call me to go down there,' he said. His wife knew about his involvement from early on, but he could not bring himself to tell his children until they were grown. He has let almost no one else know. Even his medical staff is unaware. The trouble is not that the lethal injections seem cruel to him. 'Mostly, they are very peaceful,' he said. The agonising comes instead from his doubts about whether anything is accomplished. 'The whole system doesn't seem right,' he told me. 'I see more and more executions, and I really wonder... It just seems like the justice system is going down a dead-end street. I can't say that [lethal injection] lessens the incidence of anything. The real depressing thing is that if you don't get to these people before the age of three or four or five, it's not going to make any difference in what they do. I don't see [executions] as saying anything about that.' The medical people most wary of speaking to me were those who worked as full-time employees in state prison systems. None the less, a nurse, who had worked in a prison out west, agreed to talk. Nurse C had fought as a marine in Vietnam. As an army reservist, he served with a surgical unit in Bosnia and in Iraq. He worked for many years on critical-care units and, for almost a decade, as nurse manager for a busy emergency department. He then took a job as the nurse in charge for his state penitentiary, where he helped with one execution by lethal injection. It was the state's first execution by this method, and 'at the time, there was great naivety about it,' he said. 'No one in that state had any idea what was involved.' The warden had a protocol from Texas and thought it looked pretty simple. What did he need medical personnel for? The warden told the nurse that he would start the IVs himself, though he had never started one before. 'Are you, as a doctor, going to let this person stab the inmate for half an hour because of his inexperience?' Nurse C asked me. 'I wasn't.' He said, 'I had no qualms. If this is to be done correctly, if it is to be done at all, then I am the person to do it.' This is not to say that he felt easy about it, - however. 'As a marine and as a nurse, I hope I will never become someone who has no problem taking another person's life.' But society had decided the punishment and had done so carefully with multiple judicial reviews, he said. The convict had killed 4 people even while in prison. He had arranged for an accomplice to blow up the home of a county attorney he was angry with while the attorney, his wife and their child were inside. The nurse did not disagree with the final judgment that this man should be put to death, and took his involvement seriously. 'As the leader of the healthcare team,' he said, 'it was my responsibility to make sure that everything was done in a way that was professional and respectful to the inmate as a human being.' He spoke to an official at the state nursing board about the process, and although involvement is against nursing's ethics code, the board said that under state law he was permitted to do everything except push the drugs. On the day of the execution, the nurse dressed as if for an operation, in scrubs, mask, hat, gown and gloves. He explained to the prisoner exactly what was going to happen. He placed two IVs and taped them down. The warden read the final order to the prisoner and allowed him his last words. 'He didn't say anything about his guilt or his innocence,' the nurse said. 'He just said that the execution made all of us involved killers just like him.' I have personally been in favour of the death penalty. I was a senior official in the 1992 Clinton presidential campaign and in the administration, and in that role I defended the president's stance in support of capital punishment. I have no illusions that the death penalty deters anyone from murder. I also have great concern about the ability of our justice system to avoid putting someone innocent to death. However, I believe there are some human beings who do such evil as to deserve to die. I am not troubled that Timothy McVeigh was executed for the 168 people he killed in the Oklahoma City bombing or that John Wayne Gacy was for committing 33 murders. Still, I hadn't thought much about exactly how the executions are done. And I have always instinctively regarded involvement in executions by physicians and nurses as wrong. The public has granted us extraordinary and exclusive dispensation to administer drugs to people, to cut them open, to do what would otherwise be considered assault, because we do so on their behalf - to save their lives and provide them comfort. To have the state take control of these skills for its purposes against a human being - for punishment - seems a dangerous perversion. My conversations with the physicians and the nurse I tracked down, however, rattled both these views - and no conversation more so than one I had with the final doctor I spoke to. Dr D is a 45-year-old emergency physician. He is also a volunteer medical director for a shelter for abused children. He opposes the death penalty because he regards it as inhumane, immoral and pointless. And he has participated in six executions so far. About a decade ago a new jail was built down the street from the hospital where he worked, and it had a large infirmary, 'the size of our whole emergency room'. The jail needed a doctor. So, out of curiosity as much as anything, Dr D began working there. 'I found that I loved it,' he said. 'Jails are an under-served niche of healthcare.' Jails, he pointed out, are different from prisons in that they house people who are arrested and awaiting trial. Most are housed only a few hours to days and then released. 'The substance abuse and noncompliance is high. The people have a wide variety of medical needs. It is a fascinating population. The setting is very similar to the ER. You can make a tremendous impact on people and on public health.' Over time, he shifted more and more of his work to the jail system. He built a medical group for the jails in his area and soon became an advocate for correctional medicine. Three years ago the doctors who had been involved in executions in his state pulled out. Officials asked Dr D if he would take the contract. Before answering he went to observe an execution. 'It was a very emotional experience for me,' he said. 'I was shocked to witness something like this.' He had opposed the death penalty since college, and nothing he saw made him feel any differently. But at the same time he felt there were needs that he as a correctional physician could serve. He read about the ethics of participating. He knew about the AMA's stance against it. Yet he also felt an obligation not to abandon inmates in their dying moments. 'We, as doctors, are not the ones deciding the fate of this individual,' he said. 'The way I saw it, this is an end-of-life issue, just as with any other terminal disease. It just happens that it involves a legal process instead of a medical process. When we have a patient who can no longer survive his illness, we as physicians must ensure he has comfort. [A death-penalty] patient is no different from a patient dying of cancer - except his cancer is a court order.' Dr D said he has 'the cure for this cancer' - abolition of the death penalty - but 'if the people and the government won't let you provide it, and a patient then dies, are you not going to comfort him?' His group took the contract, and he has been part of the medical team for each execution since. The doctors are available to help if there are difficulties with IV access, and Dr D considers it their task to ensure that the prisoner is without pain or suffering through the process. He himself provides the cardiac monitoring and the final determination of death. Watching the changes on the two-line EKG tracing, 'I keep having that reflex as an ER doctor, wanting to treat that rhythm,' he said. Aside from that, his main reaction is to be sad for everyone involved - the prisoner whose life has led to this, the victims, the prison officials, the doctors. The team's payment is substantial - $18,000 - but he donates his portion to the children's shelter where he volunteers. Three weeks after speaking to me, he told me to go ahead and use his name. It is Carlo Musso. He helps with executions in Georgia. He didn't want to seem as if he were hiding anything, he said. He didn't want to invite trouble either. But activists have already challenged his licence and his membership in the AMA, and he is resigned to the fight. 'It just seems wrong for us to walk away, to abdicate our responsibility to the patients,' he said. There is little doubt that lethal injection can be painless and peaceful, but as the courts have -recognised, ensuring that it is requires significant medical assistance and judgement - for placement of intravenous lines, monitoring of consciousness and adjustments in medication timing and dosage. How, then, to reconcile the conflict between government efforts to provide a medical presence and our ethical principles forbidding it? Are our ethics what should change? The doctors' and nurse's arguments for competence and comfort in the execution process certainly have force and they gave me pause. But however much these practitioners may wish to comfort a patient, it ultimately seems clear that the inmate is not really their patient. Unlike genuine patients, an inmate has no ability to refuse the physician's 'care' - indeed, the inmate and his family are not even permitted to know the physician's identity. And the medical assistance provided primarily serves the government's purposes - not the inmate's needs as a patient. Medicine is being made an instrument of punishment. The hand of comfort that more gently places the IV, more carefully times the bolus of potassium, is also the hand of death. We cannot escape this truth. This truth is what convinces me that we should stand with the ethics code and legally ban the participation of physicians and nurses in executions. And if it turns out that executions cannot then be performed without, as the courts put it, 'unconstitutional pain and cruelty', the death penalty should be abolished. (source: This is an edited extract from 'Better: A Surgeon's Notes on Performance' by Atul Gawande (Profile Books), available for $11.99 plus 1.25 p&p from Telegraph Books (0870-428 4112; books.telegraph.co.uk; The (UK) Telegraph) OHIO: Decision could affect Biros execution Local prosecutors and the family of Tami Engstrom are hopeful that a ruling Friday from a federal appellate court in Cincinnati could help pave the way for the execution of Kenneth Biros, who was convicted of Engstrom's murder. Judges with the 6th U.S. Circuit Court of Appeals declined to given an review of how long death row inmates have to file appeals that challenge Ohios use of lethal injection. The federal appellate judges let stand an earlier ruling by a 3-judge panel of the court that said an inmates appeal was filed too late. The lawsuit was filed in 2004 by Richard Cooey, who was sentenced to die for raping and killing 2 University of Akron students in 1986. It did not seek to reverse Cooeys conviction or sentence, but argued the state's use of lethal injection is inhumane. Biros, who first was sentenced to die of lethal injection in January and then given a 2nd execution date in March, joined the Cooey suit later. Other death row inmates also had joined the Cooey suit. "Hopefully Biros gets dismissed from this suit and it allows something that should have happened in January and then in March to go forward," said LuWayne Annos, assistant Trumbull County prosecutor who handles appellate cases. Engstrom's sister, Debbie Heiss of Hubbard, called it another good sign. "TGIF. It will make for a great weekend," Heiss said, pointing out that she spoke with prosecutors who had worked against Biros in the federal courts. "They pointed out that (if Biros is excluded from the suit), he still has a chance to appeal to the U.S. Supreme Court, and they're due to be on vacation until October, so there will be a wait," Heiss said. The latest ruling is not expected to have an immediate effect on executions in Ohio. The Ohio Public Defender's Office said it will now seek an appeal to the U.S. Supreme Court. "We believe these issues are strong enough to merit the U.S. Supreme Court's time and attention," said Greg Meyers, the chief counsel to the Ohio Public Defender. Meyers said an appeal would be filed as soon as possible. If the U.S. Supreme Court allowed a challenge to the statute of limitations in filing appeals, it would open the door to an evidentiary hearing on the merits of the inmates' claim that Ohio's method of lethal injection is cruel and unusual punishment that amounts to torture. The Ohio Attorney Generals Office contends that Cooey did not file his motion within the 2-year statute of limitations. Defense attorneys argued the state miscalculated the start date for triggering an appeal. Biros joined the suit only after he was given an execution date. Biros, 48, was convicted in the 1991 slaying, mutilation and dismemberment of 22-year-old Engstrom of Brookfield after he had offered to drive her home from a bar. Parts of Engstrom's body were found scattered across 2 Pennsylvania counties and in the trunk of Biros' car. A parole board Jan. 4 unanimously recommended the death penalty for Biros after Trumbull Prosecutor Dennis Watkins argued against clemency at a hearing. Heiss and other family members waited more than 6 hours March 20 until the U.S. Supreme Court made it clear it wouldn't lift a stay that was in place on the execution. (source: Tribune-Chronicle)
[Deathpenalty] death penalty news----TEXAS, GA., USA, OHIO
Rick Halperin Sat, 2 Jun 2007 15:53:33 -0500 (Central Daylight Time)