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In article , Cub Driver
wrote: A researcher, with full condemnation of the Nazi work, asserted that using the results of certain experiments (e.g., anoxia and hypothermia) for legitimate treatment-oriented research was at least some ethical recompense that the victims hadn't died completely in vain. That certainly makes sense to me. How can we possibly justify throwing away knowledge because we don't like the way in which it was attained? While some of the argument against it is pure condemnation of the physicians involved -- we cast you out of our consideration (indeed, a later Nuremburg trial cast several by the neck until dead, while others committed suicide), a more mainstream argument is that they don't ever want to leave a loophole by which some future researcher might do work with involuntary subjects, and damage them. It's not a simple situation, with many ramifications beyond what I've described. Some researchers feel it is totally impossible to get truly independent consent from prisoners. An unfortunate reality, however, is that prison medical care can be very bad outside research trials -- which have separate funding and personnel. I recently went through some expert testimony in a suit regarding close to 100 deaths, relatively recently, in a US state prison. Most of these -- not associated with a research trial -- could either have been prevented with proper care, or at least have been much more comfortable and dignified deaths than lying on the floor outside the prison infirmary. When we start making judgment calls like this, we could, for example, demand that the U.S. dismantle its nuclear plants on the ground that they would not exist if the Manhattan Engineer District hadn't set out to build the bomb that killed the residents of Hiroshima and Nagasaki. I can't really give you a reasoned reply to that other than a gut feeling that such an argument is farther from the specifics than of the research studies. There's no question that the research subjects of Siegfried Rascher and his ilk (especially known for anoxia, but also hypothermia experiments) were not in any sense licit volunteers. The problem in the other argument is that the residents of Hiroshima and Nagasaki may have been licit collateral victims of a lawful attack. There's a lot of professional nervousness about "medicalizing" things that don't have a pure medical quality. These range from forcibly treating a psychotic criminal [1] with medications to render them sane, to some of the truly bizarre features of an execution by lethal injection [2]. There are questions about whether it is constitutional to rely on psychiatric testimony to confine a prisoner who completed the court-ordered sentence. I have no simple answers. [1] My gut reaction here is that it can be reasonable to medicate a prisoner so they are not a danger to themselves or others. It can be reasonable to medicate them so they can participate in their defense, although if it's necessary to medicate them for that purpose, it seems you've made the case for hospitalization rather than prison. It gets very messy if the mental illness developed after the crime, so you can't really use an insanity defense. Medicating someone simply to let them understand they are being executed, however, strikes me as cruel and unusual punishment. [2] The apparently universal protocol used for lethal injection simply doesn't make much sense. It uses three drugs in succession, the only rationale for this is that it essentially duplicates the procedure used for stopping the heart for open heart surgery -- which I have had. In the lethal injection protocols I've first drug injected, an ultrashort acting barbiturate, differs in the quantity that would be given in surgery. The protocols note that a lethal dose is given. Short and ultrashort acting barbiturates are the drugs used in veterinary and legal human (Dutch, for example) euthanasia. That drug would suffice, unless someone has a bizarre desire to make it more of a standard medical procedure. Using an alcohol swab, ostensibly to prevent infection, on someone who will be dead in an hour seems to speak for itself. Ironically, European practice is generally not to use alcohol rubs for normal injection. At best, in normal practice, a quick rub does some cleaning, but clearly does not disinfect. Alcohol must be in continuous contact with the surface for at least 2 minutes for even low-level disinfection, and 10 minutes for greater surety. |
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