USA - Republican-led states secretly spending huge sums on execution drugs

April 9, 2021:

Republican-led states secretly spending huge sums on execution drugs----Documents obtained by the Guardian show three states paying astronomical amounts to skirt – almost certainly illegally – a ban on pharmaceuticals for lethal injections
Documents show that Republican leaders are not only willing to run roughshod over their own state and federal laws, but are also prepared to spend lavishly in the process.
The most jaw-dropping outlay has been made by Arizona, a state in which Republicans hold both chambers of the legislature and the governor’s mansion. A single-page heavily redacted document obtained by the Guardian records that last October the department of corrections ordered 1,000 vials of pentobarbital sodium salt, each containing 1g, to be shipped in “unmarked jars and boxes”.
At the bottom of the document, the record states: “Amount paid: $1,500,000.”
It is a felony under Arizona and federal law to dispense pentobarbital without a valid prescription. Medical practitioners are not allowed to issue prescriptions for the drug for use in executions as taking the life of a prisoner serves no therapeutic or medical purpose.
The Guardian asked Arizona’s department of corrections to explain its costly and apparently unlawful purchase of pentobarbital. The department said that it does not discuss how it obtains execution drugs.
It also stressed that the information the Guardian was requesting was “statutorily confidential” – meaning that it is secret under court order.
Other documents obtained by the Guardian relate to Tennessee and Missouri. In Tennessee, the department of corrections splashed out $190,000 from 2017 to 2020 to acquire midazolam, vecuronium bromide and potassium chloride – the 3 drugs in its lethal injection protocol.
During that period, the state executed two prisoners – Billy Irick and Donnie Johnson – using those chemicals. That suggests a cost per execution of almost $100,000.
In Missouri, the prison service invested over $160,000 on lethal injection executions, the documents reveal. That expenditure was incurred between 2015 and 2020, when Missouri put to death 10 inmates, producing an average cost to taxpayers of $16,000 per execution.
These hefty sums are a far cry from how lethal injections were initially envisaged. The use of medical drugs to kill prisoners was pioneered in 1977 in Oklahoma where officials were convinced it would be both humane and cheap – they predicted it would cost only $10 per execution.
Neither aspiration has proven to be true. The supposed humanity of lethal injections has been belied by a series of botched procedures that have shocked the nation.
The last time that Arizona put to death an inmate was in 2014, when executioners took almost two hours to inject a gasping and groaning Joseph Wood 15 times while he was strapped to the gurney.
Behind the states’ extravagant spending is the blanket refusal of pharmaceutical manufacturers and distributors to allow their products to be used in US executions. Medical drugs are made to save lives, they argue, not to end them.
As a result, death penalty states have been forced to enter into increasingly dubious – and often unlawful – deals with suppliers at home and abroad. In 2010, five American states illegally purchased execution drugs without federal Food and Drug Administration approval from Dream Pharma, a wholesaler operating out of a driving school in London.
Since then, states have been pushing at legal boundaries in their scramble to evade the boycott of pharmaceutical supplies. “States have switched from one drug to another, crossed state lines to get drugs, paid cash and failed to record the payments to keep the purchases secret,” said Deborah Denno, a professor at Fordham law school.
Denno added: “All of those actions are violations of state or federal laws, and all of them have ended up jacking up the price of the drugs.”
In recent years, 19 states as well as the federal government have moved to shroud their execution practices in secrecy – working especially hard to obscure the source of their lethal injection drugs. That too allows unscrupulous producers and dealers to hike up their prices.
“Any time a government retreats into secrecy you know there’s a problem. If you don’t have accountability then it opens the door to favoritism, to graft and to dealing with a lot of shady characters who don’t have the public’s interest in mind,” said Robert Dunham, executive director of the Death Penalty Information Center.
Prashant Yadav, a lecturer at Harvard medical school, said that prices were often marked up by 1,000% or more over the rate charged in regular pharmaceutical markets. “These drugs are being traded in a zone of unclear regulatory apparatus, and so they typically charge a higher price,” he said.
Another cause of inflated drug prices is the cost of legal disputes. Between 2018 and 2020, Nevada spent over $100,000 defending itself in a lawsuit brought by a pharmaceutical manufacturer who objected to its drugs being obtained fraudulently for use in executions.
One of the paradoxes of the current scramble to acquire lethal injection drugs illicitly and at such high prices is that the efforts are exclusively being made by Republicans who frequently claim to be the party of fiscal conservatism and small government. Hannah Cox, national manager of Conservatives Concerned About the Death Penalty, said that the spending revealed by the Guardian was shocking.
“You can’t run around and say you are a fiscal conservative Republican, or that you are pro-limited government and for the free market, and then behave like this. It’s completely contradictory to every conservative value,” she said.

https://www.theguardian.com/world/2021/apr/09/revealed-republican-led-states-secretly-spending-huge-sums-on-execution-drugs