Kelly Gissendaner v. Commissioner, GA DOC , 803 F.3d 565 ( 2015 )


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  •            Case: 15-14335   Date Filed: 09/29/2015   Page: 1 of 34
    [PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 15-14335
    Non-Argument Calendar
    ________________________
    D.C. Docket No. 1:15-cv-00689-TWT
    KELLY RENEE GISSENDANER,
    Plaintiff-Appellant,
    versus
    COMMISSIONER, GEORGIA DEPARTMENT OF CORRECTIONS,
    WARDEN, GEORGIA DIAGNOSTIC PRISON,
    OTHER UNKNOWN EMPLOYEES AND AGENTS,
    Georgia Department of Corrections,
    Defendants-Appellees.
    ________________________
    Appeal from the United States District Court
    for the Northern District of Georgia
    ________________________
    (September 29, 2015)
    Before ED CARNES, Chief Judge, TJOFLAT and JORDAN, Circuit Judges.
    PER CURIAM:
    Case: 15-14335     Date Filed: 09/29/2015   Page: 2 of 34
    Kelly Gissendaner filed in the United States District Court a 42 U.S.C.
    § 1983 complaint seeking to prevent the State of Georgia from executing her for
    the murder of Douglas Gissendaner in 1997. She claims that the execution, which
    is scheduled for later today, will violate the Cruel and Unusual Punishment Clause
    of the Eighth Amendment for a number of reasons. Earlier this year, we affirmed
    the dismissal of a similar complaint by her. Gissendaner v. Comm’r, 
    779 F.3d 1275
    , 1284 (11th Cir. 2015).
    Gissendaner’s most recent complaint, filed on March 9, 2015, does contain
    some variations to her continuing attack on Georgia’s lethal injection protocol.
    Those variations and her claim were addressed by the district court in an order and
    opinion filed on August 10, 2015. We agree with the reasoning of that order and
    opinion and attach a copy of it as part of this opinion. See Appendix A. We also
    agree with the district court’s denial of Gissendaner’s motion for reconsideration
    and motion for a temporary restraining order and a stay of execution.
    We add a few comments of our own to what the district court wrote. First,
    Gissendaner’s attorneys ignored the requirements of Federal Rule of Civil
    Procedure 8. Instead of filing a complaint that contains “a short and plain
    statement of the claim showing that the pleader is entitled to relief,” as Rule
    8(b)(2) requires, they filed a document styled “Complaint and Memorandum of
    Law.” The rules do not permit combining a memorandum of law with a complaint.
    2
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    The result of their ignoring Rule 8 is a document that is anything but a short and
    plain statement of a claim. It quotes Camus, numerous newspaper and magazine
    articles as well as internet postings, and resorts to hyperbolic language (e.g.,
    “There is a name for such a proceeding: a star chamber.”). The district court
    would have been well within its discretion to strike the document.
    Second, Gissendaner’s position that her Eighth Amendment rights have been
    or will be violated cannot be squared with Glossip v. Gross, 
    135 S. Ct. 2726
    (2015). As the district court explained:
    The Supreme Court has specifically “outlined what a prisoner must
    establish to succeed on an Eighth Amendment method-of-execution
    claim.” A plaintiff “cannot successfully challenge a method of
    execution unless [she] establish[es] that the method presents a risk
    that is sure or very likely to cause serious illness and needless
    suffering, and give rise to sufficiently imminent dangers.” Thus, “[t]o
    prevail on such a claim, there must be a substantial risk of serious
    harm, an objectively intolerable risk of harm that prevents prison
    officials from pleading that they were subjectively blameless for
    purposes of the Eighth Amendment.” In addition, the plaintiff “must
    identify an alternative that is feasible, readily implemented, and in fact
    significantly reduce[s] a substantial risk of severe pain.”
    Appendix A at 18-19 (citations to Glossip omitted).
    The Supreme Court has held that “some risk of pain is inherent in any
    method of execution,” and that the Constitution does not require the avoidance of
    all risk of pain.” 
    Glossip, 135 S. Ct. at 2733
    . What the Constitution requires is
    avoidance of “a substantial risk of serious harm, an objectively intolerable risk of
    3
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    harm.” 
    Id. at 2737
    (quotation marks omitted). An “objectively intolerable” risk, in
    this context, means that “prisoners must identify an alternative that is feasible,
    readily implemented, and in fact significantly reduces a substantial risk of severe
    pain.” 
    Id. (quotation marks
    omitted). The allegations Gissendaner has pleaded
    concerning the events of March 2, 2015, which is the basis of her complaint, do not
    evidence, much less establish, that she faces “a substantial risk of serious harm.”
    To the contrary, the allegations that those charged with carrying out her previously
    scheduled execution stopped it out of a concern that there might be a problem with
    the lethal injection drug, evidences exactly the opposite. The allegations show that
    the defendants were cautious and took steps to avoid a substantial risk of serious
    harm.
    To put it in Iqbal and Twombly terms, Gissendaner has failed to plead
    “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp.
    v. Twombly, 
    550 U.S. 544
    , 570, 
    127 S. Ct. 1955
    , 1974 (2007). Although it is not a
    “probability requirement,” Iqbal and Twombly’s plausibility standard nonetheless
    “asks for more than a sheer possibility” that the plaintiff’s allegations are true.
    Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678, 
    129 S. Ct. 1937
    , 1949 (2009). “[A] plaintiff
    cannot rely on ‘naked assertions devoid of further factual enhancement.’” Franklin
    v. Curry, 
    738 F.3d 1246
    , 1251 (11th Cir. 2013) (quoting 
    Iqbal, 556 U.S. at 678
    ,
    129 S. Ct. at 1949).
    4
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    Third, the document Gissendaner filed as a complaint does not allege the
    other element of an Eighth Amendment execution protocol claim, which is “an
    alternative that is feasible, readily implemented, and in fact significantly reduces a
    substantial risk of severe pain.” 
    Glossip, 135 S. Ct. at 2733
    (quotation marks
    omitted). The document does not even mention an alternative method or protocol
    or acknowledge the requirement that there be one.
    We respectfully disagree with our dissenting colleague’s view that the
    readily available alternative requirement of Baze v. Rees, 
    553 U.S. 35
    , 
    128 S. Ct. 1520
    (2008) and Glossip does not apply to Gissendaner’s claim on the ground that
    this is an as-applied challenge instead of a facial challenge. To begin with, there is
    no real difference between the nature of the challenges in Baze and Glossip and the
    challenge here. The plaintiffs in Baze, for example, did not contend that lethal
    injection in general or the three-drug protocol used by Kentucky in particular was
    facially unconstitutional. As the Supreme Court explained in that case:
    Petitioners do not claim that lethal injection or the proper
    administration of the particular protocol adopted by Kentucky by
    themselves constitute the cruel or wanton infliction of pain. Quite the
    contrary, they concede that “if performed properly,” an execution
    carried out under Kentucky's procedures would be “humane and
    constitutional.” Brief for Petitioners 31. That is because, as counsel
    for petitioners admitted at oral argument, proper administration of the
    first drug, sodium thiopental, eliminates any meaningful risk that a
    prisoner would experience pain from the subsequent injections of
    pancuronium and potassium chloride. See Tr. of Oral Arg. 5; App.
    5
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    493–494 (testimony of petitioners’ expert that, if sodium thiopental is
    “properly administered” under the protocol, “[i]n virtually every case,
    then that would be a humane death”).
    Instead, petitioners claim that there is a significant risk that the
    procedures will not be properly followed—in particular, that the
    sodium thiopental will not be properly administered to achieve its
    intended effect—resulting in severe pain when the other chemicals are
    administered.
    Baze v. 
    Rees, 553 U.S. at 49
    , 128 S. Ct. at 1530 (emphasis added).
    Similarly, in the present case, Gissendaner does not claim that when the
    proper procedures for obtaining, storing, and using pentobarbital are followed, it
    will be ineffective and cause cruel or wanton infliction of pain. Instead, she
    challenges the way that Georgia obtains, stores, and uses pentobarbital, which is
    similar to the challenges that Baze mounted against Kentucky’s protocol. In that
    case the allegations were that there was a risk of improper administration of the
    drug because of the difficulty of compounding the solution, the possibility of an
    improper placement of catheters, and the possibility of an improper rate of
    injection. 
    Baze, 553 U.S. at 54
    , 
    128 S. Ct. 1533
    . If the challenge in this case to
    Georgia’s protocol is an as applied one, so was the one in Baze, and it was in Baze
    that the Supreme Court announced the readily available alternative requirement.
    What Gissendaner is ultimately seeking is to force Georgia to change its
    procedures for obtaining, storing, and using pentobarbital which will, as a practical
    matter, force it to change its lethal injection protocols, and that is the same type of
    6
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    relief that the plaintiffs sought in Baze and Glossip. Not only that, but there is no
    logical reason why there should be a readily available alternative requirement in
    facial challenges to lethal injection protocols but not to as-applied challenges to
    them. 1
    Finally, it is noteworthy that the lethal injection drug that Georgia uses in its
    single-drug protocol is pentobarbital, which, the Supreme Court has recognized,
    opponents to capital punishment have made largely unavailable through open
    channels. 
    Glossip, 135 S. Ct. at 2733
    . To require, as Gissendaner is seeking, that
    Georgia open up about its source of pentobarbital would result in the drug
    becoming completely unavailable for use in executions, even though its use does
    not violate the Eighth Amendment. See 
    id. The judgment
    dismissing the complaint and all attendant orders, including
    the denial of the motion for a restraining order and stay of execution, are
    AFFIRMED.
    1
    The decision in Siebert v. Allen, 
    506 F.3d 1047
    (11th Cir. 2007), does not serve as an
    authoritative interpretation of the requirements announced in Baze and Glossip because it
    preceded both of those decisions. In addition, the facts of Siebert involved not a challenge to
    how the protocol was applied generally but a claim that the plaintiff’s unique medical condition
    would enhance the likelihood and severity of a painful death. The case of Bucklew v. Lombardi,
    
    783 F.3d 1120
    (8th Cir. 2014), while post-Baze, although pre-Glossip, also involved a plaintiff
    with a unique medical condition that could result in severe pain even if the protocol was properly
    applied. It might be said that in Siebert and Bucklew the challenge was to the protocols or drugs
    as applied to one death row plaintiff, not as applied to all death row inmates in the state, which is
    what we have here and what the Supreme Court had in Baze and Glossip.
    7
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    APPENDIX A
    IN THE UNITED STATES DISTRICT COURT
    FOR THE NORTHERN DISTRICT OF GEORGIA
    ATLANTA DIVISION
    KELLY RENEE GISSENDANER,
    Plaintiff,
    v.                                      CIVIL ACTION FILE
    NO. 1:15-CV-689-TWT
    HOMER BRYSON
    Commissioner, Georgia Department of
    Corrections, et al.,
    Defendants.
    OPINION AND ORDER
    The Plaintiff Kelly Renee Gissendaner was scheduled to be executed on March
    2, 2015. However, prior to the scheduled execution, a doctor inspected the lethal
    injection drugs that were to be used and concluded that there may be safety concerns.
    Consequently, the State of Georgia did not proceed with the Plaintiff’s execution. The
    Plaintiff contends that this incident has given rise to several Eighth Amendment
    claims. It is before the Court on the Defendants’ Motion to Dismiss [Doc. 9]. For the
    reasons set forth below, the Motion to Dismiss [Doc. 9] is GRANTED.
    8
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    I. Background
    The facts of this case have already been explained in detail on multiple
    occasions.1 Thus, the Court will provide only the facts that are material to this Order.
    In 1998, the Plaintiff Kelly Renee Gissendaner was convicted of murder and
    sentenced to death.2 On February 9, 2015, the Superior Court of Gwinnett County
    issued an order directing the Georgia Department of Corrections to execute
    Gissendaner.3 Ultimately, the Plaintiff’s execution was scheduled for March 2, 2015.4
    This sparked an initial wave of litigation. In one of these cases, the Plaintiff
    argued that Georgia’s lethal injection protocol – the details of which are kept
    confidential from the public – violated the Eighth Amendment of the United States
    Constitution. Due to applicable and binding Eleventh Circuit authority, the Court
    dismissed the Plaintiff’s claim and denied her request for a stay of execution, and the
    Eleventh Circuit subsequently affirmed.5
    1
    See, e.g., Gissendaner v. Seaboldt, 
    735 F.3d 1311
    (11th Cir. 2013);
    Gissendaner v. State, 
    272 Ga. 704
    (2000).
    2
    Compl., at 5.
    3
    Compl., at 6.
    4
    
    Id. 5 See
    Gissendaner v. Commissioner, Georgia Department of Corrections,
    
    779 F.3d 1275
    , 1279 (11th Cir. 2015).
    9
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    On March 2, 2015, the Plaintiff was transported to the Georgia Diagnostic and
    Classification Prison in Jackson, Georgia for her execution.6 However, during an
    inspection of the lethal injection drugs that were to be used on the Plaintiff, the State
    of Georgia’s “doctor and . . . pharmacist were concerned about the cloudiness of the
    drugs and believed that they were not appropriate for medical use.”7 After roughly
    thirteen hours of deliberation, the Defendants – Homer Bryson (the Commissioner for
    the Georgia Department of Corrections) and Bruce Chatman (Warden for the Georgia
    Diagnostic and Classification Prison) – chose not to move forward with the
    execution.8 On March 3, the Defendants’ “counsel . . . informed [the Plaintiff’s
    counsel] that [the Defendants] had decided that her execution would not proceed
    before her warrant window closed.”9 The Defendants are now conducting an
    investigation into the March 2 incident.10 However, the details regarding this
    investigation, along with any results, will not be disclosed.11
    6
    Compl., at 7.
    7
    Compl., at 9.
    8
    Compl., at 2.
    9
    Compl., at 10.
    10
    Compl., at 2.
    11
    Compl., at 2, 13.
    10
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    The Plaintiff brought suit, asserting Eighth Amendment claims based upon the
    March 2 incident. The Plaintiff appears to advance two legal theories. First, she argues
    that the Defendants violated the Eighth Amendment when they left her in a state of
    “uncertainty” for nearly thirteen hours while they decided how to move forward after
    being apprised of the “cloudy” drugs.12 Second, the Plaintiff renews an argument that
    she made in a previous lawsuit: that Georgia’s lethal injection protocol is
    unconstitutional. Even though the Defendants inspected the drugs and ultimately
    chose not to have them injected into the Plaintiff, the Plaintiff argues that the March
    2 incident shows that the State of Georgia’s “current lethal injection practices are
    inadequate to prevent violations of Eighth Amendment rights.”13 The Defendants now
    move to dismiss.
    II. Legal Standard
    A plaintiff may survive a motion to dismiss under Fed. R. Civ. P. 12(b)(6) if the
    factual allegations in the Complaint give rise to a plausible claim for relief.14 For a
    12
    Compl., at 3 (The Plaintiff claims that she “endured hours of
    unconstitutional torment and uncertainty – to which she had not been sentenced –
    while Defendants dithered about whether they could execute her.”).
    13
    Compl., at 2-3.
    14
    See Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678 (2009); Bell Atl. Corp. v.
    Twombly, 
    550 U.S. 544
    , 555 (2007) (“Factual allegations must be enough to raise a
    right to relief above the speculative level . . . on the assumption that all the allegations
    in the complaint are true (even if doubtful in fact).”).
    11
    Case: 15-14335       Date Filed: 09/29/2015     Page: 12 of 34
    claim to be plausible, the supporting factual matter must establish more than a mere
    possibility that the plaintiff is entitled to relief.15 In determining whether a plaintiff has
    met this burden, the Court must assume all of the factual allegations in the Complaint
    to be true. The Court, however, need not accept as true any legal conclusions found
    in the Complaint.16
    III. Discussion
    A. March 2, 2015 Incident
    The Plaintiff claims that the incident that occurred on her scheduled execution
    date, March 2, 2015, caused her “immense fear and anxiety.”17 In particular, the
    Plaintiff claims that she was placed under a cloud of uncertainty while state officials
    determined how to proceed after being notified that the drugs were “cloudy.” She
    claims that for hours she was unsure of whether she would be executed on that date
    and which drugs they would use. Thus, according to the Plaintiff, the incident
    constituted “cruel and unusual punishment” under the Eighth Amendment. The Eighth
    Amendment “which applies to the States through the Due Process Clause of the
    15
    See 
    Iqbal, 556 U.S. at 678
    .
    16
    See id.; 
    Twombly, 550 U.S. at 555
    (A “plaintiff’s obligation to provide
    the grounds of his entitle[ment] to relief requires more than labels and conclusions,
    and a formulaic recitation of the elements of a cause of action will not do.”) (internal
    quotation marks omitted).
    17
    Pl.’s Resp. Br., at 37.
    12
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    Fourteenth Amendment . . . prohibits the infliction of ‘cruel and unusual punishments’
    on those convicted of crimes.”18 For those already incarcerated, “only the unnecessary
    and wanton infliction of pain . . . constitutes cruel and unusual punishment forbidden
    by the Eighth Amendment.”19 This has an objective and subjective component. A
    “prison official violates the Eighth Amendment only when . . . the deprivation alleged
    . . . [is] objectively, ‘sufficiently serious.’”20 And “Eighth Amendment claims based
    on official conduct that does not purport to be the penalty formally imposed for a
    crime require inquiry into state of mind . . . the offending conduct must be wanton.”21
    This is because the “Eighth Amendment . . . bans only cruel and unusual punishment”
    and so “[i]f the pain inflicted is not formally meted out as punishment . . . some mental
    element must be attributed to the inflicting officer before it can qualify.”22 And to be
    clear, the Eighth Amendment “proscribes more than physically barbarous
    
    18 Wilson v
    . Seiter, 
    501 U.S. 294
    , 296-97 (1991).
    19
    Ingraham v. Wright, 
    430 U.S. 651
    , 670 (1977) (internal quotation marks
    omitted) (emphasis added).
    20
    Farmer v. Brennan, 
    511 U.S. 825
    , 834 (1994).
    21
    
    Wilson, 501 U.S. at 302
    (emphasis in original).
    22
    
    Id. at 300.
    13
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    punishments.”23 However, “[n]ot every governmental action affecting the interests or
    well-being of a prisoner is subject to Eighth Amendment scrutiny.”24
    Based on the allegations in the Complaint, the March 2 incident did not
    constitute “cruel and unusual punishment.” The Plaintiff does not allege that the state
    officials were intending to inflict pain upon her. The Plaintiff appears to acknowledge
    that the incident was inadvertent; caused by unforeseen events. And the Supreme
    Court has already found that “[a]n accident, although it may produce added anguish,
    is not on that basis alone to be characterized as wanton infliction of unnecessary
    pain.”25 Indeed, in State of Louisiana ex rel. Francis v. Resweber,26 the Supreme Court
    was faced with similar facts. There, the plaintiff “was . . . convicted of murder and .
    . . sentenced to be electrocuted.”27 He was “prepared for execution and on May 3,
    1946 . . . was placed in the official electric chair.”28 However, presumably because of
    23
    Estelle v. Gamble, 
    429 U.S. 97
    , 102 (1976).
    24
    Whitley v. Albers, 
    475 U.S. 312
    , 319 (1986).
    25
    
    Estelle, 429 U.S. at 105
    ; see also Baze v. Rees, 
    553 U.S. 35
    , 50 (2008)
    (“[A]n accident, with no suggestion of malevolence . . . d[oes] not give rise to an
    Eighth Amendment violation.”).
    26
    
    329 U.S. 459
    (1947).
    27
    
    Id. at 460.
          28
    
    Id. 14 Case:
    15-14335     Date Filed: 09/29/2015     Page: 15 of 34
    a mechanical problem, when the “executioner threw the switch . . . death did not
    result.”29 The plaintiff was then “removed from the chair and returned to prison” and
    “[a] new death warrant was issued . . . fixing the execution for May 9, 1946.”30 The
    plaintiff asserted an Eighth Amendment claim, which the Supreme Court rejected.31
    As part of its analysis, the Supreme Court stated that “[t]he situation of the unfortunate
    victim of this accident is just as though he had suffered the identical amount of mental
    anguish and physical pain in any other occurrence, such as, for example, a fire in the
    cell block.”32 And when recounting Resweber in a subsequent case, the Supreme Court
    reiterated that “[b]ecause the first attempt had been thwarted by an ‘unforeseeable
    accident,’ the officials lacked the culpable state of mind necessary for the punishment
    to be regarded as ‘cruel,’ regardless of the actual suffering inflicted.”33
    In response, the Plaintiff first argues that the March 2 incident is “attributable
    to negligence, and not an accident.”34 But to “show an Eighth Amendment violation
    29
    
    Id. 30 Id.
    at 460-61.
    31
    See 
    id. at 464.
          32
    
    Id. 33 Wilson
    , 501 U.S. at 297.
    34
    Pl.’s Resp. Br., at 41.
    15
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    a prisoner must typically show that a defendant acted, not just negligently, but with
    ‘deliberate indifference.’”35 Thus, the Plaintiff’s admission – that she has alleged only
    that the Defendants were negligent – undermines her claim.
    The Plaintiff then cites to the case of In re Medley36 for the proposition that
    uncertainty regarding one’s execution may amount to “cruel and unusual punishment”
    in violation of the Eighth Amendment.37 This is patently false. The issue in In re
    Medley had nothing to do with the Eighth Amendment. In that case, the petitioner was
    convicted for a murder that “took place on the 13th day of May of [1889].”38
    However, he was then sentenced “under [a] statute of Colorado . . . which went into
    effect July 19, 1889,” even though “the crime on account of which the sentence was
    passed was . . . committed on the 13th day of May of the same year.”39 Thus, “the only
    question . . . before [the Court] was whether the act . . . which . . . became operative
    on the 19th day of July . . . and under which the sentence complained of was imposed
    . . . [was] an ex post facto law, so as to be void under the . . . constitution of the United
    35
    Minneci v. Pollard, 
    132 S. Ct. 617
    , 625 (2012) (emphasis added).
    36
    
    134 U.S. 160
    (1890).
    37
    Pl.’s Resp. Br., at 37-39.
    38
    
    Id. at 161.
           39
    
    Id. at 162
    (emphasis added).
    16
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    States.”40 The Supreme Court stated “that any law which [is] passed after the
    commission of [an] offense for which the party is being tried is an ex post facto law
    when it inflicts a greater punishment than the law annexed to the crime at the time it
    was committed.”41 The new statute that the petitioner was sentenced under included
    a provision not found in its predecessor. In particular, the new statute stated that “the
    warden is charged with the power of fixing the precise day and hour when the prisoner
    shall be executed; that he is forbidden to communicate that time to the prisoner . . . in
    fact, the prisoner is to be kept in utter ignorance of the day and hour when his mortal
    life shall be terminated by hanging, until the moment arrives when this act is to be
    done.”42 The petitioner simply objected “to this provision as being a departure from
    the law as it stood before, and as being an additional punishment to the prisoner, and
    therefore ex post facto.”43 The Supreme Court agreed, and found that the “secrecy
    must be accompanied by an immense mental anxiety amounting to a great increase of
    the offender’s punishment.”44 However, although the Supreme Court found that this
    40
    
    Id. at 162
    -63 (emphasis added).
    41
    
    Id. at 171.
          42
    
    Id. at 172.
          43
    
    Id. 44 Id.
    17
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    uncertainty constituted an additional “punishment,” it did not find that this punishment
    was “cruel and unusual” under the Eighth Amendment. In fact, to the contrary, it
    acknowledged that “under all former systems of administering capital punishment the
    officer appointed to execute it had a right to select the time of the day when it should
    be done.”45 But even putting that to one side, In re Medley is distinguishable for
    another reason: the uncertainty that the petitioner was placed under was deliberate,
    and was intended to be a punishment. Indeed, that very uncertainty was mandated by
    the statute itself. Thus, the subjective component of the Eighth Amendment test could
    have more easily been satisfied. By contrast, the Defendants here did not intentionally
    subject the Plaintiff to uncertainty for the sake of inflicting more pain upon her.
    Accordingly, the Plaintiff’s Eighth Amendment claim based upon the mental anguish
    she suffered as a result of the March 2 incident should be dismissed.
    B. Method of Execution
    The Plaintiff argues that the State’s execution procedure violates the Eighth
    Amendment. Thus, the Plaintiff seeks injunctive relief. The Supreme Court has
    specifically “outlined what a prisoner must establish to succeed on an Eighth
    Amendmentmethod-of-executionclaim.”46 Aplaintiff“cannotsuccessfullychallenge
    45
    
    Id. 46 Glossip
    v. Gross, 
    135 S. Ct. 2726
    , 2737 (2015).
    18
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    a method of execution unless [she] establish[es] that the method presents a risk that
    is sure or very likely to cause serious illness and needless suffering, and give rise to
    sufficiently imminent dangers.”47 Thus, “[t]o prevail on such a claim, there must be
    a substantial risk of serious harm, an objectively intolerable risk of harm that prevents
    prison officials from pleading that they were subjectively blameless for purposes of
    the Eighth Amendment.”48 In addition, the plaintiff “must identify an alternative that
    is feasible, readily implemented, and in fact significantly reduce[s] a substantial risk
    of severe pain.”49
    Here, the Plaintiff made a similar argument in a previous lawsuit where she
    sought to enjoin her execution. As noted earlier, the Court rejected this argument, and
    the Eleventh Circuit affirmed in a binding opinion.50 The difference in this lawsuit,
    however, is that the Plaintiff is arguing that the March 2 incident establishes that the
    47
    
    Id. (internal quotation
    marks and citations omitted).
    48
    
    Id. (internal quotation
    marks and citations omitted).
    49
    
    Id. (internal quotation
    marks omitted).
    50
    See Gissendaner v. Commissioner, Georgia Department of Corrections,
    
    779 F.3d 1275
    , 1283 (11th Cir. 2015) (“None of Gissendaner’s factual allegations or
    evidence present facts that establish a high level of likelihood that she will suffer
    serious illness or needless suffering during her execution.”).
    19
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    procedure the State will use on her execution date51 will be cruel and unusual.52 The
    Court rejects this argument as well.
    First, it is not enough to show that the State may obtain defective lethal
    injection drugs. To establish that the entire method of execution – which includes all
    safeguards – violates the Eighth Amendment, the Plaintiff must show that there is a
    substantial risk that the defective drugs will be used on the Plaintiff, and that the drugs
    will then cause “serious illness and needless suffering.” Even assuming that the March
    2 incident supports the former, it undermines the latter. If anything, the March 2
    incident shows that the State is unlikely to use defective drugs on the Plaintiff. Indeed,
    according to the Complaint, the Defendants had a doctor inspect the drugs prior to any
    use.53 The doctor then consulted a pharmacist, who agreed that the drugs appeared
    51
    As of the filing of the Complaint, the Plaintiff’s next execution date has
    not been decided.
    52
    Pl.’s Resp. Br., at 42-43 (“[The Plaintiff] . . . asserts that the events of
    March 2-3 demonstrate that Defendants’ protocols and procedures present a
    ‘substantial risk of significant harm,’ and that they must not be allowed to again place
    her at risk.”).
    53
    Compl., at 9.
    20
    Case: 15-14335      Date Filed: 09/29/2015    Page: 21 of 34
    “cloudy.”54 Once the Defendants were made aware of the safety concerns, they elected
    not to proceed with the execution.55
    Second, the Plaintiff has also failed to adequately allege that there is a
    substantial risk that the drugs obtained for her future execution will be defective. To
    be sure, the Plaintiff does not allege that the drugs obtained for the March 2 execution
    were necessarily defective, or that they certainly would have caused “serious illness
    and needless suffering.” Indeed, she acknowledges that it is currently “unclear why
    the drugs were cloudy.”56 According to the Plaintiff, all that is known “about the drugs
    . . . [is] that Defendants’ own doctor and pharmacist deemed them ‘inappropriate’ for
    medical use.”57 But even assuming the drugs were defective, that alone does not
    necessarily mean that it is significantly likely that defective drugs will be obtained
    again.58 The Plaintiff’s claim still amounts to speculation, and the Eleventh Circuit has
    held that “speculation that a drug . . . will lead to severe pain or suffering cannot
    54
    
    Id. 55 Compl.,
    at 11.
    56
    Compl., at 14.
    57
    
    Id. 58 See
    Baze v. Rees, 
    553 U.S. 35
    , 50 (2008) (“ [A]n isolated mishap alone
    does not give rise to an Eighth Amendment violation, precisely because such an event,
    while regrettable, does not suggest cruelty, or that the procedure at issue gives rise to
    a ‘substantial risk of serious harm.’”).
    21
    Case: 15-14335      Date Filed: 09/29/2015   Page: 22 of 34
    substitute for” a showing “that the use of the drug is sure or very likely to cause
    serious illness and needless suffering.”59
    In response, the Plaintiff points out that the Defendants have refused to disclose
    the details regarding their investigation into the March 2 incident. This secrecy, the
    Plaintiff argues, inhibits her from accessing facts that may bolster her Eighth
    Amendment claim. A similar argument was made in Wellons v. Commissioner,
    Georgia Department of Corrections.60 There, the plaintiff argued “that the Eighth
    Amendment entitles him to the information required to determine whether Georgia’s
    lethal injection procedure is cruel and unusual.”61 Ultimately, the Eleventh Circuit
    rejected this argument.62 However, in his concurring opinion in Wellons, Judge
    Wilson made note of the “disturbing circularity problem created by Georgia’s secrecy
    law regarding methods of execution.”63 He acknowledged that it was “due to his lack
    of information” that the plaintiff failed to establish the level of risk necessary to
    59
    Wellonsv. Commissioner, Georgia Departmentof Corrections, 
    754 F.3d 1260
    , 1265 (11th Cir. 2014) (internal quotation marks omitted).
    60
    
    754 F.3d 1260
    (11th Cir. 2014).
    61
    
    Id. at 1264.
          62
    See 
    id. at 1267.
          63
    
    Id. at 1267
    (Wilson, J. concurring).
    22
    Case: 15-14335      Date Filed: 09/29/2015    Page: 23 of 34
    prevail on his Eighth Amendment claim.64 But Judge Wilson nonetheless concurred.
    Although the plaintiff failed to establish an Eighth Amendment claim due to the
    State’s secrecy, he nonetheless failed to establish an Eighth Amendment claim. The
    applicable Eighth Amendment standard does not fluctuate based upon the information
    a plaintiff has in his possession.65 Here, similarly, it may be true that the Defendants’
    secrecy is the reason the Plaintiff cannot utilize the March 2 incident to establish an
    Eighth Amendment claim. But like in Wellons, this allegation of secrecy does not
    relieve her of the burden of coming forward with facts that are sufficient to state a
    plausible claim for relief. Accordingly, the Plaintiff’s Eighth Amendment claim
    regarding the State of Georgia’s lethal injection protocol should be dismissed.
    64
    
    Id. 65 Cf.
    Wilson v. Seiter, 
    501 U.S. 294
    , 302 (1991) (Eighth Amendment
    requirements may not be “ignored as policy considerations might dictate.”).
    23
    Case: 15-14335   Date Filed: 09/29/2015   Page: 24 of 34
    IV. Conclusion
    For these reasons, the Court GRANTS the Defendants’ Motion to Dismiss
    [Doc. 9].
    SO ORDERED, this 10 day of August, 2015.
    /s/Thomas W. Thrash
    THOMAS W. THRASH, JR.
    United States District Judge
    24
    Case:
    JORDAN, Circuit   15-14335
    Judge,        Date Filed: 09/29/2015
    dissenting:                                 Page: 25 of 34
    In my view, the district court erred in dismissing one of the two Eighth
    Amendment claims pled by Ms. Gissendaner, i.e., the claim that Georgia is using
    compounded pentobarbital in an adulterated form in a way that creates a serious risk
    that she will be subjected to needless suffering during her upcoming execution. And
    this error, I think, resulted in the improper denial of her motion for stay of execution.
    As I see it, Ms. Gissendaner alleged enough to mount an as-applied challenge to
    Georgia’s execution protocol and to obtain a stay. With respect, I dissent.1
    I
    On March 2, 2015, the day Georgia was scheduled to put Ms. Gissendaner to
    death, we issued an opinion rejecting her facial Eighth Amendment challenge to
    Georgia’s lethal-injection protocol. We held that her challenge was untimely, and
    that, in any event, it failed on the merits. See Gissendaner v. Comm’r, 
    779 F.3d 1275
    , 1280–83 (11th Cir. 2015) (Gissendaner I). With respect to the merits of the
    Eighth Amendment claim, we ruled that “[n]one of [Ms.] Gissendaner’s factual
    allegations or evidence present facts that establish a high level of likelihood that she
    will suffer serious illness or needless suffering during her execution.” 
    Id. at 1283
    (alteration added). But just hours after we issued our ruling, things changed, and
    they changed in a material way.
    A
    1
    I agree with the majority that the district court properly dismissed the claim that Georgia
    officials violated the Eighth Amendment by leaving Ms. Gissendaner in a “state of uncertainty” for
    nearly 13 hours while it decided what to do after discovering the cloudy compounded
    pentobarbital.
    25
    Case:
    According to 15-14335   Date Filed:
    Ms. Gissendaner’s     09/29/2015
    complaint       Page:
    in this    26Georgia
    case, of 34  did not go
    through with the scheduled execution on the night of March 2, 2015, because the
    state’s doctor and pharmacist each concluded that the compounded pentobarbital
    which was to be injected into her—the only drug now used by Georgia to carry out
    executions—was “visibly cloudy” and “not appropriate for medical use.” Compl. at
    6, 8–9. Although it is not known why the pentobarbital was cloudy, Georgia’s
    counsel indicated that night that there was no problem with the state’s supplier of the
    compounded drug, and said that “this batch [of drugs] just did not come out like it
    was supposed to.” 
    Id. at 9,
    14 (alteration added). Georgia’s counsel also said that
    the state would conduct an investigation. By the time Ms. Gissendaner filed her
    complaint, however, Georgia had not disclosed what it had done to investigate the
    cloudy pentobarbital or what, if anything, its investigation had revealed.       And,
    according to the complaint, Georgia would not disclose such information due to its
    state secrecy law. See Ga. Code Ann. § 42-5-36(d) (classifying as a “confidential
    state secret” any identifying information concerning any person or entity
    participating in an execution).
    Ms. Gissendaner alleged in her complaint that, according to her medical expert
    (whose declaration was attached), there is a foreseeable risk that the use of
    compounded drugs in lethal injections in Georgia would be substandard “in a manner
    that would cause severe pain upon or shortly after injection.” Compl. at 14. That
    expert further opined that “[w]henever a solution that is supposed to be clear turns
    cloudy, it indicates one of a number of serious problems that make the drug unusable
    and dangerous.”      
    Id. at 15–16
    (internal quotation marks omitted) (emphasis
    26
    Case: the
    original). Finally,  15-14335   Date Filed:
    expert opined  that 09/29/2015
    the possible Page: 27 of 34for the cloudy
    explanations
    pentobarbital included that the compounding pharmacy lacks the expertise or ability
    to properly manufacture the drug, or that Georgia officials lack the equipment and
    training to properly store the drugs, and that either problem could create the risk of
    severe pain. 
    Id. at 16–20.
    Had Ms. Gissendaner been injected with cloudy compounded pentobarbital
    containing particulate matter, she would have suffered “terrible pain,” and if she had
    been injected with cloudy compounded pentobarbital with an improper pH she would
    have felt “intense, burning pain” upon injection. 
    Id. at 17–18.
    The complaint also
    alleged that there had been three botched executions with compounded pentobarbital
    in Oklahoma, Texas, and South Dakota. 
    Id. at 19–20.
    In addition, Ms. Gissendaner noted that Georgia ran afoul of the Food and
    Drug Administration by illegally importing sodium thiopental. 
    Id. at 25–26.
    And
    since June of 2013, Georgia had been paying an unidentified doctor the sum of
    $5,000 to write prescriptions “for” condemned prisoners so that a pharmacy can then
    compound the pentobarbital that will be used at executions. 
    Id. at 28.
    Citing § 42-5-
    36(d), Georgia has recently refused to provide any documents which shed light on
    how the pentobarbital is compounded, stored, or used, or on the qualifications of
    those who compound, obtain, or administer the pentobarbital. 
    Id. at 28–32.
    Finally, Ms. Gissendaner alleged that many of the representations made by
    Georgia to the district court in Gissendaner I have been proven demonstrably false
    or are incapable of confirmation due to Georgia’s penchant for secrecy. These
    include claims that the compounded pentobarbital is exactly the same as the previous
    27
    FDA-approvedCase: 15-14335 pentobarbital
    pentobarbital; Date Filed: 09/29/2015    Page:to28compound;
    is not difficult      of 34    the state
    will not try to carry out executions if it does not have properly compounded
    pentobarbital; the prison team which carries out executions is qualified and
    experienced. 
    Id. at 34–36.
    B
    The district court dismissed Ms. Gissendaner’s as-applied Eighth Amendment
    claim for two reasons.       First, although it recognized that there was a factual
    difference—the cloudy compounded pentobarbital on March 2—between this case
    and Gissendaner I, the district court concluded that the March 2 incident “shows that
    the state is unlikely to use defective drugs” on Ms. Gissendaner. D.E. 29 at 13
    (emphasis original). Because a doctor and pharmacist agreed on March 2 that the
    compounded pentobarbital was cloudy, Georgia officials decided not to go forward
    with the execution. See 
    id. at 13–14.
    Second, the district court ruled that Ms.
    Gissendaner “failed to adequately allege that there is a substantial risk that the drugs
    obtained for future execution will be defective.”       
    Id. at 14.
      The district court
    explained that Ms. Gissendaner had not alleged that the compounded pentobarbital
    was “necessarily defective,” nor had she alleged that it would have “caused ‘serious
    illness and needless suffering.’” 
    Id. According to
    the district court, “even assuming
    that the drugs were defective, that alone does not necessarily mean that it is
    significantly likely that defective drugs will be obtained again. [Ms. Gissendaner’s]
    claim still amounts to speculation[.]” 
    Id. (alteration added).
    II
    28
    Case:court’s
    The district 15-14335
    Rule Date Filed:dismissal
    12(b)(6)    09/29/2015   Page:
    of Mr.    29 of 34
    Gissendaner’s complaint
    generates plenary review. See Lopez v. First Union Nat. Bank of Florida, 
    129 F.3d 1186
    , 1189 (11th Cir. 1997). This standard requires that we accept all factual
    allegations in the complaint as true and that we construe them in the “light most
    favorable” to Mr. Gissendaner. See, e.g., Christopher v. Harbury, 
    536 U.S. 403
    , 406
    (2002); Timson v. Sampson, 
    518 F.3d 870
    , 872 (11th Cir. 2008).
    To survive a Rule 12(b)(6) motion, a complaint must contain sufficient factual
    allegations to make a claim “plausible on its face.” Bell Atlantic Corp. v. Twombly,
    
    544 U.S. 550
    , 570 (2007). A “claim has facial plausibility when the plaintiff pleads
    factual content that allows the court to draw the reasonable inference that the
    defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678
    (2009). Significantly, the Court in Iqbal emphasized that “the plausibility standard is
    not akin to a ‘probability requirement[.]’” 
    Id. A The
    district court did not accept as true all of the allegations in the complaint,
    and it did not construe the allegations in the light most favorable to Ms. Gissendaner.
    I would therefore reverse the dismissal of the complaint and remand for further
    proceedings.
    It may be that, as the district court theorized, even if Georgia once again
    obtains “cloudy” compounded pentobarbital it is possible that such a defective drug
    will not be used on Ms. Gissendaner. After all, the state’s doctor and pharmacist
    may again detect the problem and, as a result, Georgia officials might once again call
    off the execution. But that possible scenario does not construe the allegations in the
    29
    Case: 15-14335
    light most favorable            Date Filed: It
    to Ms. Gissendaner.     09/29/2015
    is certainly Page:
    fair to30 of 34
    infer that if there is a
    problem with the supply of defective compounded pentobarbital (which Georgia’s
    doctor and pharmacist agreed was “not appropriate for medical use”) and Georgia
    has not been able to figure out what caused that problem, the problem is likely to
    recur. There is also no guarantee that a doctor or pharmacist will recognize the
    problem the next time, particularly if the compounded pentobarbital has an incorrect
    pH or is, despite its adulteration, only slightly cloudy. Ms. Gissendaner only had to
    allege enough to show the “substantive plausibility” of her Eighth Amendment
    claim, Johnson v. City of Shelby, 
    135 S. Ct. 346
    , 346 (2014), and I think she did that
    here.
    Similarly, the district court erred by ruling that Ms. Gissendaner had not
    alleged sufficient facts to show that Georgia would once again obtain defective
    compounded pentobarbital. Let me explain why.
    For starters, the district court’s subsidiary rulings—that Ms. Gissendaner had
    not alleged that the pentobarbital on March 2 was necessarily defective or that its use
    on her would have caused needless suffering—are simply wrong. As to the first
    point, Ms. Gissendaner alleged that the compounded pentobarbital was cloudy, that
    the state’s doctor and pharmacist each concluded that it was “not appropriate for
    medical use,” that a lawyer for the state indicated that there was a problem with the
    batch that the dose came from, and that Georgia officials decided to stop the
    execution. If that is not enough to allege that the compounded pentobarbital on
    March 2 was defective, then I’ve completely misunderstood Twombly and Iqbal. As
    for the second point, Ms. Gissendaner quoted her medical expert, who opined that if
    30
    the defective Case: 15-14335pentobarbital
    compounded       Date Filed: had
    09/29/2015 Page: 31 of 34
    been administered, she would have
    suffered severe and terrible pain. I cannot understand how or why that is insufficient
    to allege needless suffering.
    Turning to the question of Georgia once again obtaining defective drugs, Ms.
    Gissendaner alleged that Georgia had not figured out what caused the problem on
    March 2, and that the state was not revealing the relevant documents which might
    explain exactly what had happened. It is certainly plausible to conclude, at the Rule
    12(b)(6) stage, that if a state has received defective compounded drugs for use in an
    execution, does not know what caused the problem, and is choosing not to disclose
    what happened and how, the problem is likely to recur (at least until the problem is
    diagnosed or solved). Again, plausibility is not probability. See 
    Iqbal, 556 U.S. at 678
    . Cf. O’Shea v. Littleton, 
    414 U.S. 488
    , 496 (1974) (“Of course, past wrongs are
    evidence bearing on whether there is a real and immediate threat of repeated
    injury.”).
    Georgia can certainly choose, as a matter of state law, to keep much of its
    execution protocol secret, but it cannot hide behind that veil of secrecy once
    something has gone demonstrably wrong with the compounded pentobarbital it has
    procured.     See Wellons v. Comm’r, 
    754 F.3d 1260
    , 1267–68 (11th Cir. 2014)
    (Wilson, J., concurring). It is not asking too much to require Georgia to put on some
    evidence that will provide some level of confidence that its compounded
    pentobarbital is no longer a problem. 2
    2
    I recognize that, in response to the complaint, Georgia filed a number of affidavits and
    exhibits concerning its investigation into the events of March 2, but the district court made it clear
    at the hearing on September 28, 2015, that it was not considering any of those filings under Rule
    31
    Case: 15-14335     Date Filed:B09/29/2015      Page: 32 of 34
    To obtain a stay of execution, Ms. Gissendaner must show that she has a
    substantial likelihood of success on the merits, that she will suffer irreparable injury
    in the absence of a stay, that Georgia will not be substantially harmed from the grant
    of a stay, and that the stay would not be adverse to the public interest. See Valle v.
    Singer, 
    655 F.3d 1223
    , 1228 (11th Cir. 2011). Our review of the district court’s
    denial of Ms. Gissendaner’s motion for stay of execution is of course deferential, see
    Powell v. Thomas, 
    641 F.3d 1255
    , 1257 (11th Cir. 2011) (holding that denial of
    motion for stay of execution is reviewed for abuse of discretion), but an abuse of
    discretion can occur when a court uses the wrong legal standard or misapplies the
    correct legal standard. See, e.g., Glock v. Glock, Inc., 
    797 F.3d 1002
    , 1006 (11th Cir.
    2015). Here, as explained above, the district court failed to accept the complaint’s
    factual allegations as true and failed to take them in the light most favorable to Ms.
    Gissendaner. That misapplication of the Rule 12(b)(6) standard constituted an abuse
    of discretion.
    That abuse of discretion, moreover, affected the district court’s denial of Ms.
    Gissendaner’s motion for stay of execution. The first reason the district court gave
    for denying the stay was that it had dismissed the complaint, and as a result of that
    dismissal, Ms. Gissendaner could not show a substantial likelihood of success on the
    merits. See D.E. 41 at 3. At the very least, we should remand the matter to the
    12(b)(6). I do not consider them either, and express no view on what they might or might not show
    concerning the current state of affairs.
    32
    Case:
    district court for it to15-14335   Date
    consider the   Filed:for
    motion   09/29/2015
    stay anew Page:
    based 33
    onofMs.
    34 Gissendaner’s
    sufficient Eighth Amendment claim. 3
    The second reason the district court provided for denying the stay was that Ms.
    Gissendaner’s Eighth Amendment challenge was foreclosed by two Eleventh Circuit
    cases—Wellons and Gissendaner I. 
    Id. at 4.
    I think the district court was mistaken
    in this respect, as these two decisions do not concern an as-applied challenge to
    Georgia’s one-drug execution protocol. In Wellons, where the challenge, a facial
    one, was to Georgia’s use of compounded pentobarbital, we held that “Wellon’s
    argument that the compounded pentobarbital may be defective or the personnel
    administering the execution may be untrained is insufficient to establish a substantial
    likelihood of success on the merits of his Eighth Amendment 
    claim.” 754 F.3d at 1265
    . And in Gissendaner I we ruled that a similar facial claim was 
    insufficient. 779 F.3d at 1283
    .      Importantly, there were no allegations in Wellons or Gissendaner I
    that Georgia had in fact obtained a defective/adulterated sample of compounded
    pentobarbital for use in an execution (as it did on March 2), or that Georgia did not
    know what led to the problem with the compounded pentobarbital, or that Georgia
    was refusing to disclose what it had learned in its investigation of the problem.
    Those, of course, are the additional and critical allegations Ms. Gissendaner now
    makes based on the events (and aftermath) of March 2.
    I offer one final thought. A death-row prisoner who is mounting a facial
    challenge to a state’s execution protocol must show not only that the protocol is sure
    3
    On remand, the district court could of course consider the affidavits and exhibits
    submitted by Georgia, as well as any other documents filed by Ms. Gissendaner, in evaluating the
    motion for stay of execution. The district court could also hold an evidentiary hearing and consider
    additional evidence presented by the parties on the issue of the compounded pentobarbital.
    33
    Case:
    to cause, or very    15-14335
    likely to cause,Date Filed:illness
    serious     09/29/2015   Page:suffering,
    and needless 34 of 34 but also that
    “any risk of harm is substantial when compared to a known and alternative method
    of execution.” Glossip v. Gross, 
    135 S. Ct. 2726
    , 2737–38 (2015).          But where a
    prisoner like Ms. Gissendaner alleges that, based on recent experiences, a facially
    constitutional execution protocol is being carried out in an unconstitutional manner
    (e.g., that the state’s electric chair is malfunctioning, or that the state is getting
    defective compounded drugs for lethal injections), I do not think she is required to
    “identify an alternative method of execution.” See Bucklew v. Lombardi, 
    783 F.3d 1120
    , 1129 (8th Cir. 2015) (en banc) (Bye, J., concurring in the result). We have
    differentiated between facial and as-applied challenges to execution protocols, see
    Siebert v. Allen, 
    506 F.3d 1047
    , 1049–50 & n. 3 (11th Cir. 2007) (reversing denial of
    motion for stay of execution with respect to as-applied challenge, but affirming
    denial with respect to facial challenge), and that makes sense to me. If a state merely
    has to fix a correctable problem to eliminate an as-applied challenge, there is no need
    for a prisoner to allege (or show) that a different alternative method of execution is
    available to the state.
    III
    As I read her complaint, Ms. Gissendaner has stated a sufficient and viable as-
    applied Eighth Amendment claim. I would therefore reverse the dismissal of the
    complaint and remand for the district court to reconsider Ms. Gissendaner’s motion
    for stay of execution.
    34