Excerpts:
- ASA does not have a detailed position on anesthesiologist participation in lethal injection but the 2001 House of Delegates “Approved a recommendation that ASA support the American Medical Association’s position regarding physician nonparticipation in executions.” Opinions on Social Policy Issues are part of the AMA’s Code of Ethics. One of these, E-2.06, addresses capital punishment. It begins by saying, “An individual's opinion on capital punishment is the personal moral decision of the individual. 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 authorized execution.” It is very specific in defining what constitutes involvement in lethal injection by saying, “In the case where the method of execution is lethal injection, the following actions by the physician would also constitute physician participation in execution: selecting injection sites; starting intravenous lines as a port for a lethal injection device; prescribing, preparing, administering, or supervising injection drugs or their doses or types; inspecting, testing, or maintaining lethal injection devices; and consulting with or supervising lethal injection personnel.”
Clearly an anesthesiologist complying with the Missouri ruling – and despite this court’s position on ethical obligations - would be violating the AMA position which ASA has adopted. It is my belief that the court cannot modify physicians’ ethical principles to meet its needs.
- ...Lethal injection was not anesthesiology’s idea. American society decided to have capital punishment as part of our legal system and to carry it out with lethal injection. The fact that problems are surfacing is not our dilemma. The legal system has painted itself into this corner and it is not our obligation to get it out.

