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This is precisely it. The reason lethal injection is so commonly fucked up in the US is because there is no standardized cocktail of drugs used. It varies literally prison by prison, and doesn't even need a physician's approval. I can't remember where I read it, but I recall reading about one state where the drugs chosen were chosen by the prison warden solely by vibes
Never gonna get a physicians approval since physicians take an oath not to kill people. That problem comes up a lot, as soon as the people giving you the drugs find out you’re using it for lethal injection they go “What the fuck what’s wrong with you no you can’t have more”