Edward Harbison v. George Little ( 2009 )


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  •                      RECOMMENDED FOR FULL-TEXT PUBLICATION
    Pursuant to Sixth Circuit Rule 206
    File Name: 09a0227p.06
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    _________________
    X
    Plaintiff-Appellee, -
    EDWARD JEROME HARBISON,
    -
    -
    -
    No. 07-6225
    v.
    ,
    >
    -
    -
    GEORGE LITTLE, in his official capacity as
    -
    Tennessee’s Commissioner of Correction, et
    -
    al.,
    Defendants-Appellants. -
    N
    Appeal from the United States District Court
    for the Middle District of Tennessee at Nashville.
    No. 06-01206—Aleta Arthur Trauger, District Judge.
    Argued: January 20, 2009
    Decided and Filed: July 2, 2009
    Before: SILER, CLAY, and COOK, Circuit Judges.
    _________________
    COUNSEL
    ARGUED: Joseph Frederick Whalen, OFFICE OF THE TENNESSEE ATTORNEY
    GENERAL, Nashville, Tennessee, for Appellants. Stephen M. Kissinger, FEDERAL
    DEFENDER SERVICES OF EASTERN TENNESSEE, INC., Knoxville, Tennessee, for
    Appellee. ON BRIEF: Joseph Frederick Whalen, OFFICE OF THE TENNESSEE
    ATTORNEY GENERAL, Nashville, Tennessee, for Appellants. Stephen M. Kissinger,
    Dana Hansen Chavis, FEDERAL DEFENDER SERVICES OF EASTERN TENNESSEE,
    INC., Knoxville, Tennessee, for Appellee.
    SILER, J., delivered the opinion of the court, in which COOK, J., joined. CLAY,
    J. (pp. 12-14), delivered a separate dissenting opinion.
    1
    No. 07-6225         Harbison v. Little, et al.                                         Page 2
    _________________
    OPINION
    _________________
    SILER, Circuit Judge. Edward Jerome Harbison is a Tennessee prisoner under death
    sentence who has exhausted all appeals and was denied a writ of habeas corpus. In 2006,
    Harbison filed a complaint under 42 U.S.C. § 1983, challenging Tennessee’s lethal injection
    protocol. The district court granted judgment in favor of Harbison, holding that the protocol
    violated the Eighth Amendment. The state defendants (State) appealed, relying on the
    Supreme Court’s decision in Baze v. Rees, 
    128 S. Ct. 1520
    (2008), which was decided after
    the district court decision in this case. Baze upheld Kentucky’s lethal injection protocol and
    held that a substantially similar protocol would not violate the Eighth Amendment. Finding
    Tennessee’s protocol substantially similar, we vacate the district court’s judgment and
    remand for further proceedings.
    I. Background
    In1984, Harbison was convicted of first-degree murder, second-degree burglary, and
    grand larceny, and sentenced to death. On direct appeal, the Tennessee Supreme Court
    affirmed his convictions and sentence. State v. Harbison, 
    704 S.W.2d 314
    (Tenn. 1986).
    The state courts also denied Harbison’s claims for post-conviction relief. See Harbison v.
    State, No. E2004-00885-CCA-R28-PD, 
    2005 WL 1521910
    (Tenn. Crim. App. June 27,
    2005) (unpublished opinion); Harbison v. State, No. 03C01-9204-CR-00125, 
    1996 WL 266114
    (Tenn. Crim. App. May 20, 1996) (unpublished opinion).
    In 1997, Harbison filed a 28 U.S.C. § 2254 petition for a writ of habeas corpus in
    federal district court. In 2001, the district court dismissed Harbison’s petition as meritless,
    and we affirmed. See Harbison v. Bell, 
    408 F.3d 823
    (6th Cir. 2005). Harbison pursued
    additional relief in federal court, but his efforts were not successful. See Harbison v. Bell,
    
    503 F.3d 566
    (6th Cir. 2007), cert. denied, 
    128 S. Ct. 1479
    (2008), cert. granted, 
    128 S. Ct. 2959
    (2008), and rev’d on other grounds, 
    129 S. Ct. 1481
    (2009).
    In 2006, Harbison filed this 42 U.S.C. § 1983 action, challenging the lethal injection
    protocol used by Tennessee. After a bench trial, the district court granted judgment in favor
    No. 07-6225          Harbison v. Little, et al.                                          Page 3
    of Harbison, holding that Tennessee’s lethal injection protocol violated the Eighth
    Amendment because the State knowingly disregarded the protocol’s substantial risk of
    inflicting unnecessary pain. Harbison v. Little, 
    511 F. Supp. 2d 872
    (M.D. Tenn. 2007).
    The State appeals from this decision.
    Harbison argues that the lethal injection protocol utilized by the State violates his
    Eighth Amendment rights because it involves the unnecessary and wanton infliction of pain.
    In 1998, Tennessee adopted lethal injection as an option for the execution of prisoners
    sentenced to death, and it implemented a “three-drug” protocol for carrying out lethal
    injection. See Workman v. Bredesen, 
    486 F.3d 896
    , 901 (6th Cir. 2007), cert. denied, 
    550 U.S. 930
    (2007). The three drugs utilized are sodium thiopental, pancuronium bromide, and
    potassium chloride. 
    Id. at 902.
    The sodium thiopental anesthetizes the prisoner, the
    pancuronium bromide paralyzes the prisoner’s muscles, and finally the potassium chloride
    induces cardiac arrest. 
    Id. In 2007,
    the governor issued an executive order directing the Department of
    Correction to review Tennessee’s lethal injection protocol due to concerns raised about the
    written procedures. State of Tennessee, Executive Order by the Governor No. 43 (Feb. 1,
    2007), available at http://state.tn.us/sos/pub/execorders/exec-orders-bred43.pdf.           The
    Commissioner of the Department of Correction, George Little, formed a committee which
    conducted research, sought expert opinions, and studied the approaches of other
    jurisdictions. 
    Workman, 486 F.3d at 902
    .          Following this review, Tennessee issued an
    amended protocol, including an updated execution manual. 
    Id. The amended
    protocol set
    forth each step of the execution process in detail, as well as the qualifications, selection
    process, and training requirements for the execution team members. 
    Id. Although it
    considered other lethal injection alternatives, Tennessee decided to retain the three-drug
    protocol that it had been using for its lethal injection procedure. 
    Id. at 902-03.
    That same year, we reviewed the amended protocol in the context of a temporary
    restraining order to suspend an execution in Workman. We concluded that the inmate did
    not demonstrate a likelihood of success on the merits of his Eighth Amendment claim. 
    Id. at 905-06.
    We noted that the amended three-drug protocol was designed to avoid the
    needless infliction of pain, rather than cause it. 
    Id. at 907.
    Further, we found that the State’s
    No. 07-6225          Harbison v. Little, et al.                                         Page 4
    efforts in amending its protocol demonstrated an intent to not just meet the requirements of
    the Eighth Amendment, but to exceed them. 
    Id. at 907.
    Later in 2007, the district court in this case concluded that the amended protocol
    retained an inherent risk of the sodium thiopental’s being improperly administered and
    therefore Harbison would not be unconscious when the second and third drugs are
    administered. 
    Harbison, 511 F. Supp. 2d at 884
    . The court cited several reasons for reaching
    this conclusion. First, the amended protocol did not provide a test for determining whether
    the inmate was conscious before administering the second drug, pancuronium bromide. 
    Id. at 884-86.
    Second, the State did not carefully select and adequately train the individuals
    performing the execution. 
    Id. at 886-91.
    Third, the protocol did not provide for tactile
    monitoring of the IV lines during the administration of the drugs. 
    Id. at 891-92.
    The court
    also noted that the State protocol review committee had recommended several safeguards
    as part of its review process, including the adoption of a “one-drug” protocol, but that the
    Department of Correction did not adopt these recommendations when issuing the amended
    protocol. 
    Id. at 895.
    In light of these factors, the court concluded that the State knowingly
    disregarded an excessive risk of causing pain to the inmate when it issued the amended
    protocol. 
    Id. at 903.
    The district court distinguished our prior decision upholding the protocol in
    Workman because there was no evidentiary hearing before the Workman district court. It
    found the assumptions we relied on in Workman to have been proven false by the testimony
    at the bench trial in this case. 
    Id. The district
    court criticized this court’s reliance on the
    committee report, finding that after a four-day evidentiary hearing, “despite the hard work
    of the Protocol Committee, none of the recommendations that were the fruit of its hard work
    were accepted by Corrections Commissioner Little nor integrated into the new protocol.”
    
    Id. at 899.
    It also found two of the assumptions of Workman to be proven erroneous by the
    evidentiary hearing in Harbison’s case. First, it found that the risk of the sodium thiopental’s
    failing to render the inmate unconscious, resulting in the inmate’s feeling the effects of the
    two subsequent drugs, was more significant than we described given the lack of a check for
    consciousness before administration of the two final drugs and remote placement of the
    doctor in another room. 
    Id. at 900.
    It also found important that we assumed that the
    committee, after all of its research, recommended the three-drug protocol. 
    Id. In actuality,
    No. 07-6225          Harbison v. Little, et al.                                         Page 5
    the committee recommended the one-drug protocol, but Commissioner Little, who did not
    participate in the committee meetings or consult with medical experts, rejected the one-drug
    protocol, and recommended an amended three-drug protocol. 
    Id. Subsequent to
    the district court’s decision, the Supreme Court addressed Kentucky’s
    three-drug lethal injection protocol in Baze v. Rees, 
    128 S. Ct. 1520
    (2008). The Court
    issued several opinions in that case, including Chief Justice Roberts’s plurality opinion
    (writing for two other justices), one concurring opinion, four other opinions concurring in
    the judgment, and one dissenting opinion. Under these circumstances, Chief Justice
    Roberts’s plurality opinion is controlling. See Emmett v. Johnson, 
    532 F.3d 291
    , 298 n.4
    (4th Cir. 2008); see also Walker v. Epps, 287 Fed. App’x 371, 375 (5th Cir. 2008) (relying
    on plurality opinion for controlling legal standard). A prisoner cannot successfully challenge
    a method of execution merely by showing that the method may result in pain, either by
    accident or as an inescapable consequence of death, or that a slightly safer alternative is
    available. 
    Baze, 128 S. Ct. at 1531
    . In order for a lethal injection protocol to violate the
    Eighth Amendment, the inmate must show it “creates a demonstrated risk of severe pain.
    He must show that the risk is substantial when compared to the known and available
    alternatives.”   
    Id. at 1537.
    With respect to the disposition of future challenges to state
    protocols, the plurality opinion stated: “A State with a lethal injection protocol substantially
    similar to the protocol we uphold today would not create a risk that meets this standard.”
    
    Id. II. Analysis
    This court reviews the district court’s findings of fact for clear error and conclusions
    of law de novo. Overton Distribs., Inc. v. Heritage Bank, 
    340 F.3d 361
    , 366 (6th Cir. 2003).
    Here, the issue of whether the protocol exposes the inmate to a substantial risk of serious
    harm is a question of law. See 
    Emmett, 532 F.3d at 300
    (considering the same issue with
    respect to Virginia’s lethal injection protocol post-Baze: “. . . Emmett has failed as a matter
    of law to demonstrate a substantial or objectively intolerable risk that he will receive an
    inadequate dose of thiopental . . . .”).
    Thirty-five states and the Federal government use lethal injection as their primary
    method of execution. See Death Penalty Information Center, Facts About the Death Penalty
    No. 07-6225         Harbison v. Little, et al.                                         Page 6
    1 (2009), available at http://www.deathpenaltyinfo.org/FactSheet.pdf. At least 30 states,
    including Tennessee, use the same three drugs: sodium thiopental, pancuronium bromide,
    and potassium chloride, in varying amounts. Baze, 128 S.Ct at 1527.
    According to the Tennessee protocol, two paramedic technicians, members of the
    “IV Team,” insert catheters into each of the inmate’s arms. These catheters run from the
    inmate’s arms to the execution room, where the executioner administers the drugs into one
    of the lines (the other is a back-up line). The executioner injects each drug intravenously,
    with saline flushes in between the different drugs. The drugs and saline flushes are
    administered in 50 cubic centimeter syringes. The following amounts of each drug are used:
    5 grams of sodium thiopental, administered in four syringes; 100 milligrams (1 mg/mL) of
    pancuronium bromide, administered in two syringes, and 100 milliliters (of a 2 mEq/mL) of
    potassium chloride, administered in two syringes. The protocol also describes the role of
    each drug: the sodium thiopental depresses the central nervous system, causing “sedation or
    sleep, depending on the dose,” the pancuronium bromide is a muscle paralytic that “will
    assist in the suppression on breathing and ensure death,” and finally the potassium chloride
    “causes cardiac arrest and rapid death.” After all of the injections are administered, the
    executioner closes the IV line and opens up the drip chamber, and signals the warden that
    all of the syringes have been administered. After a five-minute waiting period, a physician
    is brought in to pronounce the inmate’s death.
    As in 
    Baze, 128 S. Ct. at 1526
    , the inmate here concedes that if the protocol were
    followed perfectly, it would not pose an unconstitutional risk of pain, and argues instead that
    maladministration of the sodium thiopental would result in a severe risk of pain from the
    subsequent drugs that could go undetected. 
    Harbison, 511 F. Supp. 2d at 884
    . The district
    court invalidated the Tennessee protocol on several bases: failure to check for consciousness
    before the pancuronium bromide is administered, inadequate selection and training of
    personnel, and failure to provide for tactile monitoring of the IV lines during the
    administration of the drugs. 
    Id. at 884-92.
    The Supreme Court, however, considered these
    risks under the Kentucky protocol, and found they did not constitute a substantial risk of
    serious harm. 
    Baze, 128 S. Ct. at 1537-38
    . In addition, the Court rejected the failure to
    adopt a one-drug protocol as a basis for finding the current protocol unconstitutional. 
    Id. at 1535.
    Given the direction in Baze that a protocol substantially similar to Kentucky’s would
    No. 07-6225          Harbison v. Little, et al.                                            Page 7
    not create a risk that violates the constitutional standard set forth in the Court’s opinion,
    Tennessee’s protocol must be upheld because Baze addressed the same risks identified by
    the trial court, but reached the conclusion that they did not rise to the level of a constitutional
    violation.
    A. Failure to Check for Consciousness
    The district court first concluded that the amended protocol was deficient because
    it did not provide a proper procedure for ensuring that the inmate was unconscious before
    administering the pancuronium bromide. 
    Harbison, 511 F. Supp. 2d at 884
    . The court noted
    that other states required the execution team to determine if the inmate is still conscious
    before proceeding with this step. 
    Id. at 884-85.
    The Tennessee protocol review committee
    also had recommended that procedures be put in place to ensure that the inmate was
    unconscious at this step. 
    Id. at 885-86.
    Possible methods for determining consciousness
    included lightly brushing the eyelashes, lifting up an arm, or pinching a nipple. Despite this
    recommendation, these safeguards were not adopted in the amended protocol. 
    Id. at 886.
    Instead, the prison warden who is in the room with the inmate, and the executioners who
    would be able to see the inmate through a one-way glass window, monitor the prisoner
    visually during the execution process, which the State believed to be a sufficient safeguard.
    
    Id. The district
    court disagreed, holding that the failure to check for consciousness greatly
    enhanced the risk that the inmate would suffer unnecessary pain. 
    Id. Baze, however,
    rejected the necessity of the procedures relied on by the district court.
    It noted at the outset that because a proper dose of sodium thiopental would render any check
    for consciousness unnecessary, “[t]he risks of failing to adopt additional monitoring
    procedures are thus even more ‘remote’ and attenuated than the risks posed by the alleged
    inadequacies of Kentucky’s procedures designed to ensure the delivery of thiopental.” 
    Baze, 128 S. Ct. at 1536
    (citing Hamilton v. Jones, 
    472 F.3d 814
    , 817 (10th Cir. 2007) (per
    curiam); Taylor v. Crawford, 
    487 F.3d 1072
    , 1084 (8th Cir. 2007)). While the plaintiffs in
    Baze argued that the state needed to adopt certain steps to ensure the prisoner’s
    unconsciousness, including some of the same tests suggested by Harbison, the Court
    concluded that a visual inspection of the inmate by the warden was sufficient to protect the
    inmate’s Eighth Amendment rights. 
    Id. at 1536-37.
    No. 07-6225          Harbison v. Little, et al.                                         Page 8
    B. Inadequate Selection and Training of Personnel
    Second, the district court determined that Tennessee’s amended protocol was
    deficient because it did not contain adequate procedures for selecting and training the
    personnel involved in executions. 
    Harbison, 511 F. Supp. 2d at 886-91
    . The court noted that
    one of the members of Tennessee’s current execution team had a history of drug and alcohol
    addiction and psychological disorders, which raised questions about the screening process
    for members of the execution team. 
    Id. at 887-88.
    Further, the court found that the
    executioners did not have sufficient training.          Two of the executioners received
    approximately forty hours of training on the insertion of IV catheters, but not on setting up
    IV lines, administering drugs through the IV lines, or monitoring the IV lines during the
    injections. 
    Id. at 887.
    The third executioner only received four hours of training on IV
    insertion. 
    Id. at 887.
    Warden Bell, the only person in the room with the inmate, testified his
    training was viewing executions in Texas, visiting an execution site in Indiana, and talking
    with other states about the process. 
    Id. The executioners
    and Warden Bell also participate
    in monthly practice sessions where they inject saline solutions into volunteers. 
    Id. Medical experts
    at the trial identified several problems that could occur with IV catheters and lines
    during their use, including slippage of the catheter, stopcocks used to set the directional flow
    of the IV turned in the wrong direction, and injection of the wrong drug. 
    Id. at 888-90.
    When questioned, the members of the execution team could not identify these potential
    problems. 
    Id. at 890.
    The district court held that the inability of the executioners to identify
    these problems demonstrated the likelihood that an accident would occur at some point
    which increases the inmate’s risk of unnecessary pain. 
    Id. at 891.
    The Supreme Court in Baze, however, reached a different conclusion when faced
    with a similar question. While the Baze plaintiffs argued that the executioners were
    inadequately trained, the Court noted that Kentucky required team members to be certified
    medical professionals who engage in regular practice sessions. 
    Baze, 128 S. Ct. at 1533-34
    .
    Further, Kentucky’s protocol required the team to run primary and backup IV lines for the
    lethal injection process and to prepare two sets of the drugs before the execution begins. 
    Id. at 1534.
    The warden and deputy warden monitored the IV lines during the execution for any
    signs of difficulties. 
    Id. The Court
    determined that these redundant measures ensured that
    the prisoner would still receive an adequate dose of sodium thiopental if problems should
    No. 07-6225         Harbison v. Little, et al.                                         Page 9
    arise with one of the lines. 
    Id. Tennessee’s amended
    protocol contains similar requirements.
    Two certified paramedics insert the catheters into the inmate’s arm. Harbison, 511 F.
    Supp.2d at 886. The execution team conducts monthly practice sessions where they inject
    saline solution into volunteers. 
    Id. at 887.
    The warden also monitors the execution to
    safeguard against potential problems. 
    Id. at 886.
    In addition, although medical experts
    testified that the State should employ an expert to advise the execution team on the mixing
    of the lethal injection chemicals, 
    id. at 896,
    Baze rejected this requirement, noting that this
    task was not difficult. 
    Baze, 128 S. Ct. at 1533
    .
    C. Failure to provide for tactile monitoring of the IV lines
    Third, the district court held that Tennessee’s amended protocol failed to provide
    procedures for adequately monitoring the administration of drugs. 
    Harbison, 511 F. Supp. 2d at 892
    . The court noted that the IV lines were only monitored visually, by looking through
    a one-way window and by looking at a video screen in the executioner’s room. 
    Id. at 891.
    An expert opined that monitoring the IV lines by touching or palpating the insertion site
    would be far more effective in preventing potential problems. 
    Id. at 891-92.
    Based on this
    testimony, the district court concluded that the sole use of visual monitoring increased the
    prisoner’s risk of unnecessary pain. 
    Id. at 892.
    Once again, Baze compels a different conclusion. While the plaintiffs in that case
    raised concerns about the adequate monitoring of IV lines, the Court did not find the risk to
    rise to the level of a constitutional violation because the warden and deputy warden were in
    the execution room with the prisoner to visually monitor for signs of any problems. 
    Baze, 128 S. Ct. at 1534
    . Medical experts in Baze testified that identifying signs of possible
    infiltration occurring at the IV site would be very obvious to the average person because of
    the swelling that would result. 
    Id. Similarly, Tennessee’s
    amended protocol requires the
    warden to be in the execution room in order to guard against problems, and the IV line also
    is monitored visually by other execution team members by video camera and through a one-
    way window. 
    Harbison, 511 F. Supp. 2d at 892
    .
    No. 07-6225            Harbison v. Little, et al.                                                 Page 10
    D. Failure to adopt alternative procedures
    Finally, the district court held that the State’s failure to adopt a “one-drug” protocol
    and other safeguards demonstrated cruel and unusual punishment. 
    Id. at 898.
    The
    Tennessee protocol review committee recommended that the State begin to use the one-drug
    protocol because it was simpler and provided a lower risk of error. 
    Id. at 895.
    However,
    Commissioner Little rejected this recommendation due to concerns about being in the
    1
    forefront on this issue and potential political ramifications. 
    Id. at 896.
    The district court
    concluded that, by rejecting the one-drug protocol, the Corrections Department
    knowingly disregarded an excessive risk of pain to the prisoner. 
    Id. at 895-96.
    While Harbison argues that Tennessee’s rejection of the “one-drug” protocol
    reflects deliberate indifference to the likelihood of his suffering severe pain, the Baze
    Court determined that a state’s failure to adopt the one-drug protocol did not violate the
    prisoner’s Eighth Amendment rights since the comparative efficiency of that method was
    not well-established. 
    Baze, 128 S. Ct. at 1535
    . Although the one-drug protocol was not
    specifically proposed to the state trial court in Baze, and therefore the Court did not have
    any findings of fact on the effectiveness of the one-drug alternative, it noted how the
    continued use of the three-drug protocol cannot be seen as an “objectively intolerable
    risk” in light of the fact that no other state adopted it. 
    Id. In addition,
    the district court’s finding that the failure to adopt other safeguards,
    such as medical professionals to show the executioners how to mix the sodium thiopental
    and additional checks for consciousness after the sodium thiopental, Harbison, 511 F.
    Supp.2d at 896-98, requires reversal under Baze. Baze spoke to the general standard for
    evaluating proposed alternative procedures and held that the Eighth Amendment requires
    the plaintiff-inmate to first establish a substantial risk of serious harm before offering an
    alternative that is feasible, readily implemented, and that significantly reduces a
    substantial risk of severe 
    pain. 128 S. Ct. at 1532
    . Only if the inmate shows the State
    1
    We also noted in Workman that the committee concluded that using only sodium thiopental
    would slow down the death process, the effect of the required dosage would be less predictable as the sole
    drug inducing death, and there was no data or case studies from other states on the efficacy of the one-drug
    method. 
    Workman, 486 F.3d at 902
    -03 (citing Report on Administration of Death Sentences in Tennessee
    8 (2007)).
    No. 07-6225            Harbison v. Little, et al.                                               Page 11
    refused to adopt such an alternative “without a legitimate penological justification for
    adhering to its current method,” will such a refusal violate the Eighth Amendment. 
    Id. III. For
    these reasons, we vacate the decision finding the Tennessee lethal injection
    protocol violative of the Eighth Amendment, and remand to the district court to vacate
    the injunction barring the State from executing Harbison and to enter judgment
    consistent with this decision.2
    VACATED and REMANDED.
    2
    The dissent would remand for an evidentiary hearing in light of Baze to allow the district court
    to rule on whether Harbison can meet the Baze standard. While recognizing this court’s authority to
    fashion a remedy not requested by the parties, we note that neither party requested a remand in light of
    Baze in briefs or at oral argument.
    No. 07-6225         Harbison v. Little, et al.                                    Page 12
    __________________
    DISSENT
    __________________
    CLAY, Circuit Judge, dissenting. The majority concludes that Tennessee’s lethal
    injection protocol is “substantially similar” to the Kentucky protocol deemed
    constitutional in Baze v. Rees, 
    128 S. Ct. 1520
    (2008), and that the district court erred
    in granting judgment in favor of Harbison. At first glance, the majority opinion is
    straightforward: the majority marches through the standard set forth in Baze, contrasts
    the Baze plurality’s findings with the district court’s findings, and holds that Harbison
    failed to satisfy the Baze standard. At closer inspection, however, it becomes obvious
    that this approach is flawed, both legally and analytically. Because the district court
    issued its opinion before the Baze decision, the district court never had the opportunity
    to receive and consider evidence in light of the Baze standard, and it never rendered a
    judgment as to whether Tennessee’s protocol complied with Baze. By failing to provide
    the district court with an opportunity to consider Tennessee’s protocol in light of Baze,
    the majority effectively usurps the district court’s role as a factfinder and decides an
    issue never presented to the district court: whether there are material differences between
    Kentucky’s and Tennessee’s lethal injection protocols. As a court of appeals, we are
    obligated to provide the district court with the first opportunity to receive evidence and
    rule on this question. Because I would remand this case for an evidentiary hearing in
    light of Baze, I respectfully dissent.
    The majority recasts the district court’s evidentiary findings in light of criteria
    that the court never considered, presuming findings under Baze that the district court
    never made. It does so in a cursory manner, with minimal attention to the Baze
    plurality’s fact-specific analysis, summarily concluding at each juncture that any
    deficiencies in Tennessee’s execution protocol had already been considered but rejected
    in Baze.
    This analysis is unsustainable inasmuch as it undercuts the factual findings of
    both the district court and the Baze plurality. For example, the majority concludes that
    No. 07-6225            Harbison v. Little, et al.                                                  Page 13
    the failure to check for an inmate’s consciousness under the Tennessee protocol is not
    problematic because the Baze Court “concluded that a visual inspection of the inmate
    by the warden was sufficient to protect the inmate’s Eighth Amendment rights.” Slip op.
    at 8 (citing 
    Baze, 128 S. Ct. at 1536
    -37). In Baze, however, the plurality reached that
    conclusion only after it credited the testimony of medical experts who stated that the
    signs of IV problems, including infiltration, would be “‘very obvious,’ even to the
    average person, because of the swelling that would 
    result.” 128 S. Ct. at 1534
    . The
    majority engages in no discussion of how the district court in this case made the opposite
    factual findings.1 This is but one example of how the majority’s misguided attempts to
    recast the district court’s inquiry fail.
    It is not unforeseeable that a three-drug protocol that is, at first glance, similar
    to Kentucky’s protocol, could fail to meet the standard set forth in Baze. That
    determination would turn in large part, not on the state’s written protocol, but rather on
    the way the protocol is implemented. As Justice Stevens explained in his concurring
    opinion in Baze, the “debate about lethal injection as a method of execution” remains
    open, and “[t]he question whether a similar three-drug protocol may be used in other
    States . . . may well be answered differently in a future case on the basis of a more
    complete record.” 
    Id. at 1542-43.
    This Court has a “heightened responsibility . . . to insist, even at the risk of delay,
    on having the fact-finding process carried out properly at the level intended rather than
    to assume, even indirectly, a fact-finding role.” Lewis v. Bloomsburg Mills, Inc., 
    773 F.2d 561
    , 577 (4th Cir. 1985). This admonition is particularly appropriate in the instant
    case, where the district court is uniquely equipped to conduct fact-finding to determine
    whether Tennessee’s execution protocol is “substantially similar” to Kentucky’s
    protocol. See 
    Baze, 128 S. Ct. at 1537
    . Moreover, because of the extensive testimony
    that has already been heard in this case, the district court is well-positioned to consider
    1
    In the instant case, while the warden is also in the execution chamber, Tennessee’s protocol does
    not require the warden to observe the lines, the site, or the inmate, (Joint Appendix (“J.A.”) at 75-76), and
    the district court found that the warden had no training or experience that would allow him to do so
    effectively. (J.A. at 288.) Moreover, medical experts testified that under the Tennessee protocol, the IV
    is inserted in an area in which swelling associated with infiltration would not be apparent.
    No. 07-6225        Harbison v. Little, et al.                                     Page 14
    the record before it, to supplement the record, and to apply the facts of the case to the
    new standard enunciated in Baze.
    Only after the district court’s fact-finding is complete can the district court make
    a determination as to whether Tennessee’s protocol can be carried out in accordance
    with the requirements set forth in Baze. And only then, if an appeal is pursued, would
    this Court be in a position to evaluate the district court’s judgment. By circumventing
    this process, the majority oversteps its role, and its instructions vacating the district
    court’s opinion and injunction are unwarranted. Instead, this Court should remand for
    an evidentiary hearing in light of Baze and provide the district court with the first
    opportunity to rule on whether Harbison can meet the Baze standard. I therefore
    respectfully dissent.