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Dickens v. Brewer
2011 U.S. App. LEXIS 2543
| 9th Cir. | 2011
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Background

  • Arizona uses a three-drug lethal injection protocol (sodium thiopental, pancuronium bromide, potassium chloride) with safeguards to ensure proper anesthesia.
  • Dickens filed a 42 U.S.C. § 1983 action asserting the protocol presents substantial risk of inadequate anesthesia and extreme pain, despite safeguards.
  • The district court granted summary judgment for Arizona, applying the Baze plurality standard that safeguards reduce risk below constitutional threshold.
  • Arizona amended the November 1, 2007 protocol through a Joint Report, adding background checks, training, and experience requirements for Medical Team Members (MTMs).
  • The protocol provides two teams (Special Operations Team and Medical Team), with monitoring via video, microphone, and direct unconsciousness verification.
  • Dickens argued questions of fact remained about future compliance with the protocol; the district court and Ninth Circuit analyzed under the controlling Baze standard.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
What standard governs constitutionality of the protocol? Dickens argues the evidence raises genuine issues about future compliance with safeguards. Arizona contends Baze plurality standard controls and facial safeguards suffice. Baze standard controls; safeguards suffice to avoid substantial risk.
Does evidence of past noncompliance create a material factual issue under Baze? Dickens presents past hiring/training issues and execution missteps to show future risk. Isolated past failures do not prove ongoing substantial risk; protocol amended creates adequate safeguards. No material factual dispute; past issues do not establish substantial risk under current protocol.
Are the protocol’s safeguards, including MTM qualifications and verification steps, constitutionally adequate? Current safeguards may be insufficient to prevent improper anesthesia. Safeguards exceed Kentucky’s and are sufficient under Baze. Safeguards are constitutionally adequate; no substantial risk identified.
Should Dickens be allowed to compel a one-drug protocol as a constitutional remedy? One-drug protocol would guarantee death without pain. Baze does not require adopting a safer alternative where current protocol is not shown to create substantial risk. Not required; one-drug protocol rejected as non-mandatory absent substantial risk.
Did the district court err by not remanding for further development regarding future compliance? More discovery is needed to assess future adherence to safeguards. Baze permits evaluating current safeguards without extensive remand for speculative future conduct. No remand; current record shows adequate safeguards and compliance.

Key Cases Cited

  • Baze v. Rees, 553 U.S. 35 (Supreme Court 2008) (plurality upholds constitutionality where safeguards prevent substantial risk of harm)
  • Marks v. United States, 430 U.S. 188 (Supreme Court 1977) (guides stability of holding in fragmented decisions)
  • Raby v. Livingston, 600 F.3d 552 (5th Cir. 2010) (evidence of past problems does not alone create substantial risk)
  • Nooner v. Norris, 594 F.3d 592 (8th Cir. 2010) (current protocol safeguards enough despite past issues)
  • Jackson v. Danberg, 594 F.3d 210 (3d Cir. 2010) (procedural safeguards and training reduce risk; isolated errors not enough)
  • Cooey v. Strickland, 589 F.3d 210 (6th Cir. 2009) (past procedural failures do not prove ongoing substantial risk)
  • Clemons v. Crawford, 585 F.3d 1119 (8th Cir. 2009) (hiring/qualification concerns weighed against safeguards)
  • Harbison v. Little, 571 F.3d 531 (6th Cir. 2009) (additional safeguards not required when existing safeguards are sufficient)
  • Emmett v. Johnson, 532 F.3d 291 (4th Cir. 2008) (evidence of dosing issues; safeguards evaluated under protocol)
  • Morales v. Cate, 623 F.3d 828 (9th Cir. 2010) (context of evaluating California's protocol under safe-harbor standard)
Read the full case

Case Details

Case Name: Dickens v. Brewer
Court Name: Court of Appeals for the Ninth Circuit
Date Published: Feb 9, 2011
Citation: 2011 U.S. App. LEXIS 2543
Docket Number: 09-16539
Court Abbreviation: 9th Cir.