Juan Chavez v. Florida SP Warden, etal , 742 F.3d 1267 ( 2014 )


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  •            Case: 14-10561   Date Filed: 02/12/2014   Page: 1 of 26
    [PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 14-10561
    Non-Argument Calendar
    ________________________
    D.C. Docket No. 3:14-cv-00110-BJD-JBT
    JUAN CARLOS CHAVEZ,
    Plaintiff-Appellant,
    versus
    FLORIDA SP WARDEN,
    SECRETARY, FLORIDA DEPARTMENT OF CORRECTIONS,
    JOHN DOES,
    Defendants-Appellees.
    ________________________
    Appeal from the United States District Court
    for the Middle District of Florida
    ________________________
    (February 12, 2014)
    Before CARNES, Chief Judge, WILSON and MARTIN, Circuit Judges.
    CARNES, Chief Judge:
    Case: 14-10561       Date Filed: 02/12/2014       Page: 2 of 26
    Juan Carlos Chavez kidnapped a nine-year-old boy at gunpoint, anally raped
    him, verbally taunted and terrorized him, shot him to death, dismembered his body,
    discarded his body parts in three planters, and then filled those planters with
    concrete. See Chavez v. State, 
    832 So. 2d 730
    , 738–41 (Fla. 2002). Facing
    imminent execution, Chavez has filed a lawsuit claiming that he may experience
    unnecessary pain when the State of Florida executes him by lethal injection. After
    conducting an evidentiary hearing, the district court denied Chavez’s request for a
    temporary restraining order, preliminary injunction, or stay of execution. This is
    his appeal.1
    I. BACKGROUND
    On January 2, 2013, Florida Governor Rick Scott signed Chavez’s death
    warrant and his execution was set for 6:00 p.m. on February 12, 2014. After the
    death warrant was signed, Chavez filed a 42 U.S.C. § 1983 lawsuit in district court
    challenging the constitutionality of Florida’s recently revised lethal injection
    protocol, which substituted midazolam hydrochloride, a sedative in the
    1
    Chavez’s unsuccessful attempts to have his conviction and death sentence set aside are
    reflected in Chavez v. Secretary, Florida Department of Corrections, No. 14-10486, — F.3d —,
    
    2014 WL 504720
    (11th Cir. Feb. 10, 2014); Chavez v. State, No. SC14–35, 
    2014 WL 346026
    (Fla. Jan. 31, 2014); Chavez v. State, No. SC12–1470, 
    2013 WL 5629607
    (Fla. Oct. 11, 2013);
    Chavez v. Secretary Florida Department of Corrections, 
    647 F.3d 1057
    (11th Cir. 2011); Chavez
    v. State, 
    12 So. 3d 199
    (Fla. 2009); and Chavez v. State, 
    832 So. 2d 730
    (Fla. 2002).
    2
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    benzodiazepine family of drugs, for pentobarbital, a barbiturate, as the first drug in
    the three-drug protocol.
    Florida’s revised lethal injection protocol, adopted on September 9, 2013
    (2013 Protocol), calls for the sequential intravenous administration of three drugs:
    (1) 500 milligrams of midazolam hydrochloride, which is meant to serve as an
    anesthetic; (2) 100 milligrams of vecuronium bromide, a neuromuscular blocking
    agent that paralyzes voluntary muscles, including the diaphragm, and stops
    respiration; and (3) 240 milliequivalents of potassium chloride, a naturally
    occurring salt that induces cardiac arrest by interfering with the heart’s electrical
    activity. Chavez also filed a motion for a temporary restraining order, preliminary
    injunction, or stay of execution (omnibus motion).
    Although Chavez’s amended § 1983 complaint raised a number of claims for
    relief from his impending execution, only one of those claims merits extended
    discussion. 2 Chavez’s principal claim is that the use of midazolam hydrochloride
    2
    We do, however, pause to note our agreement with the district court’s reasoning
    concerning Chavez’s claim that the forcible administration of vecuronium bromide would violate
    his due process rights under Sell v. United States, 
    539 U.S. 166
    , 
    123 S. Ct. 2174
    (2003), because
    it serves no medical purpose in the execution process. As the district court explained, the liberty
    interest in avoiding involuntary medical treatment that Sell identified does not apply in the
    context of capital punishment because “by its nature, the execution process is not a medical
    procedure, and by design, it is not medically appropriate for the condemned.” Doc. 50 at 39.
    And “[u]sing drugs for the purpose of carrying out the death penalty does not constitute medical
    treatment.” 
    Id. at 42.
                                                    3
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    in the 2013 Protocol violates the Eighth Amendment’s ban on cruel and unusual
    punishment because it creates a substantial risk of serious harm. In both his
    amended complaint and omnibus motion, Chavez alleged that when used by itself
    midazolam is not effective in inducing “a surgical plane of anesthesia,” which is a
    state of complete unconsciousness and insensitivity to pain or other “noxious
    stimuli” that would prevent a condemned inmate from experiencing the
    asphyxiation and searing pain caused by the remaining two drugs in the lethal
    injection protocol.
    Relying on the declaration of his retained expert, anesthesiologist Dr. David
    Lubarsky, Chavez asserted that midazolam is not typically used in clinical settings,
    nor FDA-approved for use, as a standalone anesthetic in major surgical procedures
    because it has no analgesic (pain-relieving) properties; that it can trigger
    “paradoxical reactions” which would prevent its sedative properties from taking
    effect, particularly in those, like himself, who suffer from extreme anxiety or
    certain other mental disorders; that there is no scientific evidence that 500
    milligrams of midazolam would produce a state of complete unconsciousness; and
    that the 2013 Protocol is not properly suited to addressing these concerns because
    it does not require the assistance of trained medical personnel and its mandated
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    consciousness check does not adequately ensure that an inmate is unconscious
    before the final two drugs in the protocol are administered.
    Chavez also pointed to published news reports of three recent executions —
    the Florida executions of William Happ and Askari Abdullah Muhammad, and the
    Ohio execution of Dennis McGuire — each of which is said to have involved
    varying degrees of movement after the administration of midazolam. Chavez took
    these reported movements — a momentary head movement in case of Happ, the
    opening of an eye in the case of Muhammad, and McGuire appearing to gasp for
    air — as indicating that midazolam is not effective in rendering an inmate
    unconscious and insensate to pain. As a proffered alternative to the use of
    midazolam, Chavez advocated the use of a barbiturate, either in combination with
    other drugs or in a single fatal dose, as a more humane method of execution that
    “would significantly reduce the substantial risk of excruciating pain” allegedly
    created by the 2013 Protocol. But the only specific barbiturates named anywhere
    in his amended complaint or omnibus motion were pentobarbital and sodium
    thiopental, both of which Florida had previously used as the first drug in its lethal
    injection protocol. Florida initially used sodium thiopental, but as Chavez
    explained in an appendix to his amended complaint, “international pressure against
    the death penalty resulted in a shortage of sodium thiopental” that forced states
    5
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    with capital punishment “to scramble for an alternative drug.” Florida then
    selected pentobarbital, but as Chavez conceded in his amended complaint,
    pentobarbital is no longer available and the “2013 Protocol was created in response
    to [its] unavailability.”
    After an evidentiary hearing marked by sharply conflicting testimony from
    Chavez’s expert, Dr. Lubarsky, and the State’s expert, Dr. Roswell Lee Evans, the
    district court denied Chavez’s omnibus motion for a temporary restraining order,
    preliminary injunction, or stay of execution because he had not shown a substantial
    likelihood of success on the merits of his claims, both on the merits themselves and
    as to the statute of limitations defense the State had asserted. The court rejected
    Dr. Lubarsky’s testimony as “essentially speculative and insufficient to meet
    [Chavez’s] burden,” and instead credited Dr. Evans’ testimony that 500 milligrams
    of midazolam — forty times the dosage typically used in clinical settings — would
    not only induce a deep anesthetic state in which an inmate would be rendered
    insensate, unconscious, and incapable of feeling pain, but would ultimately result
    in respiratory arrest, cardiac arrest, and death. Doc. 50 at 22–25, 33, 35. Based on
    Dr. Evans’ testimony, the court concluded that the “massive dose [of midazolam]
    required by the Florida protocol . . . will render the individual insensate to noxious
    stimuli by placing the individual in an anesthetic state, unable to discern pain,” that
    6
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    its effects would be “quite similar to that of sodium thiopental or pentobarbital on
    consciousness,” and that it “would result in a cascade effect with the whole body
    rapidly starting to shut down” until an inmate’s “ultimate[] death.” 
    Id. at 25,
    35.
    The court, again crediting Dr. Evans’ testimony, also rejected Chavez’s
    contention that midazolam, in the massive dose stipulated in the 2013 Protocol,
    carries a substantial risk of paradoxical reactions, and his contention that the bodily
    movements reported in the executions of Happ, Muhammad, and McGuire
    demonstrated a significant likelihood of consciousness when midazolam is used in
    an execution protocol. Dr. Evans testified during the evidentiary hearing that the
    incidence of paradoxical reactions in normal therapeutic settings was “less than 1
    percent,” and that a massive dose of midazolam would avoid any potential
    paradoxical reactions and directly render a person unconscious. The district court
    credited all of that testimony and discredited Dr. Lubarsky’s contrary testimony.
    Dr. Evans also testified that body movement does not necessarily indicate
    consciousness. Crediting that testimony, the court found that “Happ’s movement
    (and Muhammad’s, if his eye opened) does not necessarily equate to pain or with
    consciousness,” that the two-drug protocol used in Ohio to execute McGuire was
    not “sufficiently similar to Florida’s execution protocol” to call Florida’s protocol
    into question, and that Chavez “may have only a 1 percent risk of a paradoxical
    7
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    reaction.” Doc. 50 at 25 n.24, 26–27, 30. Because Chavez had failed to show that
    Florida’s current lethal injection protocol creates a substantial risk of severe pain,
    the district court found that he could not successfully challenge the protocol “by
    contending that the one-drug protocol may be a better execution protocol for
    Florida to adopt.” 
    Id. at 37.
    Chavez timely appealed to us the district court’s denial of his omnibus
    motion.3 We have jurisdiction under 28 U.S.C. § 1292(a)(1). He has also filed in
    this Court an application for a stay of execution.
    II. DISCUSSION
    A preliminary injunction is appropriate if the movant demonstrates all of
    these elements: (1) a substantial likelihood of success on the merits; (2) that the
    preliminary injunction is necessary to prevent irreparable injury; (3) that the
    threatened injury outweighs the harm the preliminary injunction would cause the
    3
    Chavez’s notice of appeal states that he appeals from “the decision” of the district court
    on February 10, 2014. The decision of the court on that date was to deny his omnibus motion
    seeking a preliminary injunction, a temporary restraining order, and a stay of execution. Because
    notice was given to the party opposing the motion for a restraining order and an evidentiary
    hearing has been held, the motion for a restraining order is moot or, if one prefers, the issues
    involving it are merged into the motion for a preliminary injunction. Likewise, any attempted
    appeal of the district court’s denial of a stay of execution is subsumed in Chavez’s motion for a
    stay of execution in this Court. We would not hold that the district court abused its discretion in
    deciding not to stay the execution unless, at a minimum, we ourselves were going to stay the
    execution, which would in turn moot an appeal of the district court’s denial of a stay. For those
    reasons, and for the sake of brevity and clarity, we will treat Chavez’s appeal as challenging the
    denial of his request for a preliminary injunction.
    8
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    other litigant; and (4) that the preliminary injunction would not be averse to the
    public interest. Parker v. State Bd. of Pardons & Paroles, 
    275 F.3d 1032
    , 1034–35
    (11th Cir. 2001). We review a district court’s denial of a motion for a preliminary
    injunction only for an abuse of discretion. See Valle v. Singer, 
    655 F.3d 1223
    ,
    1225 (11th Cir. 2011).
    Capital punishment, including capital punishment by lethal injection,
    generally is constitutional. See Baze v. Rees, 
    553 U.S. 35
    , 47, 
    128 S. Ct. 1520
    ,
    1529 (2008) (plurality opinion).4 Because “[s]ome risk of pain is inherent in any
    method of execution,” the Eighth Amendment “does not demand the avoidance of
    all risk of pain in carrying out executions,” particularly where the pain results “by
    accident or as an inescapable consequence of death.” 
    Id. at 47,
    50, 128 S. Ct. at
    1529
    , 1531. Nor does the Eighth Amendment prohibit procedures that create an
    4
    The plurality opinion in Baze was joined by only three Justices, but it contains the
    holdings of the Court in that case. See Marks v. United States, 
    430 U.S. 188
    , 193, 
    97 S. Ct. 990
    ,
    993 (1977) (explaining that with a fractured decision the holding of the Court is the “position
    taken by those Members who concurred in the judgments on the narrowest grounds”) (internal
    marks and quotation marks omitted). Chief Justice Roberts’ plurality opinion denied relief on a
    narrower ground than the concurring opinion of Justice Thomas, which was joined by Justice
    Scalia. See 
    Baze, 553 U.S. at 39
    , 
    47–52, 128 S. Ct. at 1525
    , 1529–32 (plurality opinion); 
    id. at 94–107,
    128 S.Ct. at 1556–63 (Thomas, J., concurring in the judgment, joined by Scalia, J.).
    Two circuits have explicitly recognized that Chief Justice Roberts’ plurality opinion contains the
    holdings in Baze. See Dickens v. Brewer, 
    631 F.3d 1139
    , 1145–46 (9th Cir. 2011); Jackson v.
    Danberg, 
    594 F.3d 210
    , 222–23 (3d Cir. 2010). We have implicitly done so. See 
    Valle, 655 F.3d at 1231
    –32; DeYoung v. Owens, 
    646 F.3d 1319
    , 1325 (11th Cir. 2011); Powell v. Thomas,
    
    641 F.3d 1255
    , 1257 (11th Cir. 2011).
    9
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    “unnecessary risk” of pain without more. 
    Id. at 47,
    51, 128 S. Ct. at 1529
    , 1532
    (rejecting the petitioners’ contention that the “the Eighth Amendment prohibits
    procedures that create an ‘unnecessary risk’ of pain”). Instead, to prevail on an
    Eighth Amendment challenge to a lethal injection protocol, a condemned inmate
    must establish “an objectively intolerable risk of harm that prevents prison officials
    from pleading that they were subjectively blameless for purposes of the Eighth
    Amendment.” 
    Id. at 50,
    128 S.Ct. at 1531 (quotation marks omitted). To
    demonstrate that, an inmate must show two things: (1) the lethal injection protocol
    in question creates “a substantial risk of serious harm,” and (2) there are “known
    and available alternatives” that are “feasible, readily implemented,” and that will
    “in fact significantly reduce [the] substantial risk of severe pain.” 
    Id. at 50,
    52, 
    61, 128 S. Ct. at 1531
    –32, 1537; see also 
    id. at 52
    n.3, 128 S. Ct. at 1532 
    n.3 (noting
    that a showing of a “substantial risk of serious harm” is a “threshold requirement”
    for asserting a viable Eighth Amendment challenge).
    Chavez has not established a substantial likelihood of success on the merits
    of his Eighth Amendment claim that the use of midazolam hydrochloride in
    Florida’s current lethal injection protocol amounts to cruel and unusual
    punishment. In light of the district court’s thorough and detailed credibility
    determinations and the extensive factual findings that flowed from them, including
    10
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    the court’s finding that the “massive dose [of midazolam] required by the Florida
    protocol . . . will render the individual insensate to noxious stimuli by placing the
    individual in an anesthetic state, unable to discern pain,” Chavez has not
    demonstrated that the use of midazolam in the 2013 Protocol creates a substantial
    risk of serious harm. The district court’s findings, none of which are clearly
    erroneous, negate any contention that Chavez’s evidence shows that midazolam is
    not effective as an anesthetic. See Anderson v. City of Bessemer City, N.C., 
    470 U.S. 564
    , 574–575, 
    105 S. Ct. 1504
    , 1511–12 (1985) (explaining that factual
    findings may not be set aside on appeal unless clearly erroneous, and that “when a
    trial judge’s finding is based on his decision to credit the testimony of one of two
    or more witnesses, each of whom has told a coherent and facially plausible story
    that is not contradicted by extrinsic evidence, that finding, if not internally
    inconsistent, can virtually never be clear error”); United States v. Lebowitz, 
    676 F.3d 1000
    , 1009 (11th Cir. 2012) (“Appellate courts reviewing a cold record give
    particular deference to credibility determinations of a fact-finder who had the
    opportunity to see live testimony.”) (quotation marks omitted). As a result, Chavez
    cannot show that the use of midazolam would allow him to feel sensations of
    suffocation and searing pain caused by the other two drugs in the 2013 Protocol,
    vecuronium bromide and potassium chloride. This ground is a sufficient basis to
    11
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    find that the district court did not abuse its discretion in finding that Chavez failed
    to demonstrate a substantial likelihood of success on the merits.5
    III. THE MOTION FOR A STAY OF EXECUTION
    The standard for granting a motion for a stay of execution mirrors that for
    granting a preliminary injunction which, in this specific context, is a stay of
    execution. A stay should not be granted unless the inmate establishes a substantial
    likelihood of success on the merits. 
    Valle, 655 F.3d at 1225
    . For the reasons we
    have already discussed, Chavez has failed to show a substantial likelihood of
    success on the merits of his claims. For that reason, his motion for a stay of
    execution is due to be denied without regard to the other three requirements for
    issuance of one. 
    Id. IV. CONCLUSION
    The district court’s order denying a preliminary injunction is AFFIRMED.
    The motion for a stay of execution is DENIED.
    5
    In light of our conclusion that Chavez has not established a substantial likelihood of
    success on the merits of any of his claims, we do not address and imply no view about the State’s
    asserted defenses based on the statute of limitations, exhaustion of administrative remedies, and
    res judicata.
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    CARNES, Chief Judge, concurring:
    I concur in all of the Court’s opinion and write separately to discuss an
    independently adequate alternative reason why Chavez has failed to show a
    substantial likelihood of success on his claim that Florida’s use of midazolam
    hydrochloride in its 2013 Protocol violates the Eighth Amendment’s ban on cruel
    and unusual punishment.
    The Supreme Court held in Baze v. Rees, 
    553 U.S. 35
    , 
    128 S. Ct. 1520
    (2008) (plurality opinion), that to establish an Eighth Amendment violation in the
    use of a lethal injection protocol, an inmate must show “an objectively intolerable
    risk of harm that prevents prison officials from pleading that they were
    subjectively blameless.” 
    Id. at 50,
    128 S.Ct. at 1531 (quotation marks omitted).
    To establish that in regard to the use of a particular drug, the inmate must prove not
    only that the drug being used creates “a substantial risk of serious harm,” but also
    that there is a “known and available alternative[]” drug that is “feasible, readily
    implemented,” and that will “in fact significantly reduce [the] substantial risk of
    severe pain.” 
    Id. at 50,
    52, 
    61, 128 S. Ct. at 1531
    –32, 1537. The Court could not
    have been clearer about that:
    [T]he proffered alternatives must effectively address a “substantial
    risk of serious harm.” To qualify, the alternative procedure must be
    feasible, readily implemented, and in fact significantly reduce a
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    substantial risk of severe pain. If a State refuses to adopt such an
    alternative in the face of these documented advantages, without a
    legitimate penological justification for adhering to its current method
    of execution, then a State’s refusal to change its method can be
    viewed as “cruel and unusual” under the Eighth Amendment.
    
    Id. at 52,
    128 S.Ct. at 1532 (citation omitted). As is true with every other element
    of a claim, the burden of proof on all aspects of the alternative drug requirement is
    on the plaintiff inmate.
    The Supreme Court explained that it is not enough for an inmate merely to
    show that “a slightly or marginally safer alternative” is available. 
    Id. at 51,
    128
    S.Ct. at 1531. Letting that showing suffice “would embroil the courts in ongoing
    scientific controversies beyond their expertise,” “threaten to transform [them] into
    boards of inquiry charged with determining ‘best practices’ for executions,” and
    “substantially intrude on the role of state legislatures in implementing their
    execution procedures.” 
    Id. An inmate
    obviously cannot begin to prove that there is an “available,”
    “feasible,” and “readily implemented” alternative drug that will “in fact
    significantly reduce a substantial risk of severe pain,” 
    id. at 52
    , 
    61, 128 S. Ct. at 1532
    , 1537, without identifying a specific drug that meets those requirements.
    Chavez has failed to do that. While he attacks the use of midazolam in Florida’s
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    three-drug lethal injection protocol, and broadly advocates for the adoption of a
    single-drug protocol consisting of a fatal dose of a barbiturate, he has not
    specifically identified any particular barbiturate that is even allegedly “available,”
    “feasible,” and can be “readily implemented” by the State of Florida.
    Chavez’s filings in the district court did not contend that there is any specific
    alternative drug that is actually available for use by the State of Florida. In his
    amended complaint, the appendices to that complaint, and his omnibus motion,
    Chavez mentioned two barbiturates — pentobarbital and sodium thiopental — that
    could be used in place of midazolam, but he admitted that neither drug was
    available for use in executions. Chavez conceded in his complaint that Florida’s
    “2013 Protocol was created in response to the unavailability of pentobarbital.”1
    Doc.15 at 6 (emphasis added). And in an appendix to his amended complaint,
    Chavez admitted that sodium thiopental is not available for use in lethal injections
    either. The appendix contains a “Request for Additional Public Records from the
    1
    Even in the absence of Chavez’s concessions, it is clear that sodium thiopental and
    pentobarbital are not available and feasible alternatives to Florida’s 2013 Protocol. Both drugs
    were once widely used in lethal injection protocols across the country, but they became
    unavailable for that use after their manufacturers, because of opposition to the death penalty,
    refused to let the drugs be used in executions. See Molly Hennessy-Fiske, Prolonged Execution
    Raises Debate on Lethal Injections, Balt. Sun, Jan. 19, 2014, at 20A; Eric Eckholm & Katie
    Zezima, States Face Shortage of Key Lethal Injection Drug, N.Y. Times, Jan. 21, 2011,
    http://www.nytimes.com/2011/01/22/us/22lethal.html; Manny Fernandez, Executions Stall as
    States Seek Different Drugs, N.Y. Times, Nov. 8, 2013, http://www.nytimes.
    com/2013/11/09/us/executions-stall-as-states-seek-different-drugs.html.
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    Florida Department of Corrections Pursuant to Fla. R. Crim. P. 3.852(i),” in which
    Chavez stated:
    In 2010, international pressure against the death penalty resulted in a
    shortage of sodium thiopental and the states that employ capital
    punishment had to scramble for an alternative drug. On June 8, 2011,
    Florida followed the path of other states when it issued new lethal
    injection procedures substituting the barbiturate pentobarbital
    (Nembutal) for sodium thiopental.
    Doc. 20 at 6.
    Instead of alleging that pentobarbital and sodium thiopental are “available,”
    “feasible,” and can be “readily implemented” by the State of Florida in place of
    midazolam, Chavez represented to the district court in his filings that they are not
    available for use in lethal injections. Even if he had not made those concessions,
    however, his claim would still fail for the same reasons. An inmate must not only
    plead that a specifically named alternative drug is “available,” “feasible” and can
    be “readily implemented” in the challenged lethal injection protocol, he must also
    prove it. Chavez introduced not one jot, tittle, or iota of evidence that
    pentobarbital or sodium thiopental is available and can be readily obtained by the
    State of Florida for use in executing him or any other death-row inmate.
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    While Dr. Lubarsky’s declaration generally touted the relative virtues of
    barbiturates and broadly asserted that there are “alternative drugs [that] can reliably
    and humanely cause death without [the] risk of excruciating pain,” he
    conspicuously did not name a single barbiturate or any other drug that he believed
    Florida actually could obtain and use. And he did not testify that there was any
    such drug. While testifying, Dr. Lubarsky did make a passing reference to the
    anesthetic propofol as an alternative to midazolam, but neither he nor Chavez
    stated that it was actually available, feasible, and could be readily implemented by
    Florida in its lethal injection process. An alternative drug that its manufacturer, or
    its distributor, or the FDA will not allow to be used for lethal injection purposes is
    no drug at all for Baze purposes.2
    Throughout the district court proceedings, the most Chavez did in the way of
    demonstrating an adequate alternative to the 2013 Protocol was asserting that a
    single-drug protocol was a “feasible, readily implemented alternative procedure.”
    He accurately summarized the extent of his contentions at the evidentiary hearing
    2
    The reason that Dr. Lubarsky did not testify that Florida could readily obtain propofol to
    use in its lethal injection protocol probably is that he knew it could not. After Missouri, in 2012,
    adopted a single-drug lethal injection protocol using propofol, the European Union threatened to
    limit the export of propofol to American hospitals if it were used in executions. See Mo. to
    Proceed with Two Executions, Bos. Globe, Oct. 8, 2013, available at 2013 WLNR 25135924. In
    response to national pressure to avoid any interruption in the supply of propofol, Missouri
    abandoned its single-drug protocol. See Jim Salter, Missouri Governor Stops Execution Using
    New Drug, Bos. Globe, Oct. 12, 2013, available at 2013 WLNR 25592304.
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    when he said: “We’ve offered the alternatives, the one-drug protocol.” But he
    never identified that one drug nor even suggested how Florida could obtain it for
    use in executions. Chavez has not come close to satisfying his burden of proving
    the existence of an “available,” “feasible,” and “readily implemented” alternative
    to midazolam hydrochloride, let alone one that will significantly reduce a
    substantial risk of severe pain. This is another reason he has failed to establish a
    substantial likelihood of success on the merits of his Eighth Amendment challenge
    to the use of midazolam in Florida’s 2013 Protocol.
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    WILSON, Circuit Judge, concurring:
    I agree that the district court properly found that Chavez failed to
    demonstrate a substantial likelihood of success on the merits of his claims and is
    thus not entitled to a stay of his execution. Therefore, I concur in the majority
    opinion. I write separately to underscore that the question of whether a significant
    change has occurred to a state’s lethal injection protocol is a fact-intensive inquiry
    for which an evidentiary hearing is especially important. The district judge in this
    case properly conducted an evidentiary hearing and thoroughly studied the parties’
    filings and exhibits and the governing legal principles. Indeed, while the district
    court concluded that expert anesthesiologist Dr. Lubarsky’s testimony was
    ultimately speculative and insufficient to meet Chavez’s burden, nothing prevents a
    future inmate from presenting an anesthesiologist or expert to assert an opinion
    based on more conclusive and methodologically sound results. Further, in the
    event of a botched execution in this or a future case, such evidence may be relevant
    in a subsequent Eighth Amendment challenge to Florida’s execution practices.
    19
    Case: 14-10561      Date Filed: 02/12/2014    Page: 20 of 26
    MARTIN, J., concurring in judgment:
    In Mr. Chavez’s case, the District Court has made the factual finding that
    Florida’s “protocol change substituting midazolam for the first drug in the three-
    drug protocol is not a substantial change to the protocol.” This finding is not
    clearly erroneous based on the record before the District Court, so I am compelled
    to affirm the District Court’s Order denying a preliminary injunction and stay of
    Mr. Chavez’s execution.
    I write separately to emphasize the fact-intensive nature of the District
    Court’s decision in this case and to commend the District Court for holding an
    evidentiary hearing before concluding that Mr. Chavez “has not shown a
    substantial likelihood of success on the merits of his claims because they are barred
    by Florida’s four-year statute of limitations.” Because I view the statute of
    limitations issue as dispositive to Mr. Chavez’s Eighth Amendment claims, I agree
    with the decision to affirm the District Court. But because we review a record
    from the District Court which arose from a quickly assembled hearing based on a
    request for injunctive relief, I do not believe that record lends itself to a review of
    the merits of Mr. Chavez’s underlying claims.
    Where, as here, the state raises a valid statute of limitations defense to a
    20
    Case: 14-10561      Date Filed: 02/12/2014    Page: 21 of 26
    § 1983 lethal injection lawsuit, it is not necessary for us to consider the merits of
    the underlying constitutional claim. See, e.g., Henyard v. Sec’y, DOC, 
    543 F.3d 644
    , 647 (11th Cir. 2008) (“We need not, and do not, reach the merits of Henyard's
    constitutional claims [regarding the constitutionality of Florida’s lethal injection
    procedures] because we conclude: (1) that the district court did not err in
    determining that the particular claims in Henyard's current § 1983 action are barred
    by the statute of limitations and that thus Henyard has not carried his burden to
    show a substantial likelihood of success on his § 1983 complaint . . . .”); McNair v.
    Allen, 
    515 F.3d 1168
    , 1178 (11th Cir. 2008) (finding a District Court abused its
    discretion in granting a stay in a § 1983 lethal injection case by determining the
    prisoner “had a significant possibility of success on the merits of his claim when,
    in fact, the complaint was filed beyond the applicable . . . statute of limitations”).
    We review an evidentiary record in which Mr. Chavez was expressly limited by
    the district court, no doubt due in large measure to the timing of his lawsuit being
    filed only a couple of weeks before his scheduled execution.
    Mr. Chavez filed his § 1983 amended complaint in the District Court on
    Monday, February 3, 2014. The District Court entered an order that same day
    directing the parties to file expedited pleadings in the District Court the next day.
    Mindful of Mr. Chavez’s imminent execution, the District Court also scheduled a
    21
    Case: 14-10561     Date Filed: 02/12/2014    Page: 22 of 26
    “limited evidentiary hearing” for Wednesday, February 5, 2014 at 9:00 a.m. The
    Order setting the hearing limited Mr. Chavez to a single witness, Dr. Lubarsky,
    whose testimony was also limited solely to the subject of his earlier filed affidavit.
    On February 4th, the state filed a response and motion to dismiss pursuant to
    Federal Rule of Civil Procedure 12(b)(6) and, alternatively moved for summary
    judgment, arguing that Mr. Chavez’s claims were, among other things, barred by
    the statute of limitations. The state also filed an emergency motion for
    reconsideration of the District Court’s order granting a limited evidentiary hearing,
    which the District Court took under advisement.
    At the beginning of the evidentiary hearing, the District Court heard
    arguments on preliminary matters, including arguments about the necessity of even
    having an evidentiary hearing. Mr. Chavez’s counsel argued that his expert, Dr.
    Lubarsky would testify, consistent with his earlier filed affidavit, that Florida’s
    September 2013 changes to its lethal injection protocol worked a “substantial
    change” sufficient to overcome any statute of limitations bar. Mr. Chavez’s
    counsel acknowledged at the time that “if we do not prevail on a substantial
    change, then obviously the statute of limitations issue is foreclosed, but we will
    make the case today that this was a substantial change.” Mr. Chavez’s arguments
    prompted the District Court to ask the state the following question:
    22
    Case: 14-10561       Date Filed: 02/12/2014      Page: 23 of 26
    “[I]s not that determination a fact intensive determination as to whether or not
    there’s been a substantial change? And as I understand [the state’s] argument, the
    statute of limitations rests on whether or not there has been a substantial change?”
    The state answered “Yes” and argued that “merely substituting “one anesthetizing
    drug in the three-drug protocol does not restart your statute of limitations.” After
    hearing additional argument, the District Court denied the state’s motion for the
    Court to reconsider its order setting an evidentiary hearing, explaining that the
    issues raised by the state “are all fact dependent.” I could not agree more with the
    District Court’s decision that an evidentiary hearing was necessary.
    It is well-settled that “a method of execution claim accrues on the later of the
    date on which state review is complete, or the date on which the capital litigant
    becomes subject to a new or substantially changed execution protocol.” McNair v.
    Allen, 
    515 F.3d 1168
    , 1174 (11th Cir. 2008). Mr. Chavez’s state case became final
    in 2003 with the denial of certiorari review by the United States Supreme Court.
    See Chavez v. Florida, 
    539 U.S. 947
    , 
    123 S. Ct. 2617
    (2003). 1 In order to
    1
    Although not the subject of this Order, it is not disputed that Mr. Chavez never had federal
    habeas review of the merits of his § 2254 habeas petition, because he missed the deadline for
    filing set by the Antiterrorism and Effective Death Penalty Act. See Chavez v. Sec’y Fla. Dep’t
    of Corr., 
    647 F.3d 1057
    (11th Cir. 2011), cert. denied sub nom., Chavez v. Tucker, ___ U.S. ___,
    
    132 S. Ct. 1018
    (2012). Indeed to my knowledge he is the first inmate in the state of Florida to
    be executed with no federal habeas review of the merits of his claims.
    23
    Case: 14-10561     Date Filed: 02/12/2014    Page: 24 of 26
    overcome Florida’s statute of limitations defense, Mr. Chavez “must show that he
    filed his § 1983 complaint within [four] years of a significant change in [Florida’s]
    method of administering lethal injections.” Arthur v. Thomas, 
    674 F.3d 1257
    ,
    1259 (11th Cir. 2012) (emphasis added).
    Mr. Chavez’s motion for temporary restraining order, preliminary injunction
    and stay in the District Court alleged his § 1983 action was not barred by the
    statute of limitations because the midazolam protocol “is a substantially changed
    execution protocol.” Specifically, Mr. Chavez challenged Florida’s substitution of
    midazolam hydrochloride for pentobarbital as the first drug in Florida’s three-drug
    protocol. Unlike pentobarbital, which is a barbiturate, Mr. Chavez’s amended §
    1983 complaint alleged with specificity that “midazolam is an . . . inappropriate
    drug to use to achieve the purpose of the first drug in a three-drug lethal injection
    protocol because it is never used as the sole anesthetic for a painful procedure and
    has no analgesic properties.”
    Significantly, Mr. Chavez supported his factual allegations with a
    declaration from Dr. David Lubarsky, an anesthesiologist with impressive
    credentials from the University of Miami, as well as an affidavit from James R.
    McDonough, former Secretary for the Florida Department of Corrections. In short,
    Mr. Chavez presented new and additional information to the District Court in
    24
    Case: 14-10561     Date Filed: 02/12/2014    Page: 25 of 26
    support of his § 1983 claims that was not presented or considered in Muhammad v.
    Crews, No. 3:13-cv-1587-J-32JBT, 
    2013 WL 6844489
    (M.D. Fla. Dec. 27, 2013),
    aff’d sub nom., Muhammad v Sec’y, Fla. Dep’t of Corr., 
    739 F.3d 683
    (11th Cir.
    2014), cert. denied, ___ U.S. ___, 
    134 S. Ct. 894
    (2014). That additional
    information included, for example, new allegations that Mr. Muhammad’s “eyes
    opened three minutes before he was declared dead.” The opening of Mr.
    Muhammad’s eye at this stage of Florida’s midazolam protocol, Mr. Chavez
    alleged, “indicates that he was not properly anesthetized and that he would have
    been experiencing the effects of the vecuronium and potassium chloride already
    administered.” As I mentioned, the District Court limited Mr. Chavez to one
    witness, Dr. Lubarsky. The state was, in turn, permitted to call only one rebuttal
    witness of its choosing.
    We have said that “[w]hether a significant change has occurred in a state’s
    method of execution is a fact-dependent inquiry, which we have treated as such in
    each of our recent cases addressing the lethal injection protocols of Alabama,
    Georgia and Florida.” 
    Arthur, 674 F.3d at 1260
    (emphasis added). As we
    emphasized in Arthur, any conclusion that the substitution of one drug for another
    in a lethal injection protocol does not constitute a “significant change” is
    necessarily “premised on the specific factual allegations and/or evidence presented
    25
    Case: 14-10561      Date Filed: 02/12/2014    Page: 26 of 26
    and considered” in each case. 
    Id. One §
    1983 plaintiff’s litigation of a particular
    lethal injection protocol cannot foreclose all further judicial inquiry into the matter.
    Were it otherwise, courts would be deprived of the ability to consider the
    significance of the use of new drug in new ways, as well as the experiences states
    have had in using the new drug protocols. This is important where, as here, states
    are experimenting with new drug protocols because of shortages in pentobarbital
    and other drugs, as well as our evolving scientific knowledge and experience with
    new drug protocols.
    All this is to say, the District Court should be commended for its cautious
    and deliberate approach to deciding the disputed factual issues concerning
    Florida’s new midazolam drug protocol. Given the fact dependent nature of the
    District Court’s ruling on the issue of whether Mr. Chavez demonstrated a
    significant change to the protocol, as well as the deference owed District Court fact
    findings made after an evidentiary hearing, I am compelled to defer to the District
    Court’s conclusion that Mr. Chavez has not shown a likelihood of success on the
    merits of his claims because they are barred by Florida’s statute of limitations. The
    District Court’s fact finding on this issue was not clearly erroneous.
    26