Robert Charles Towery v Janice K Brewer , 672 F.3d 650 ( 2012 )


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  •                                                                   FILED
    FOR PUBLICATION                        FEB 28 2012
    MOLLY C. DWYER, CLERK
    UNITED STATES COURT OF APPEALS                 U .S. C O U R T OF APPE ALS
    FOR THE NINTH CIRCUIT
    ROBERT CHARLES TOWERY;                      No. 12-15381
    ROBERT HENRY MOORMANN; PETE
    ROVOGICH; THOMAS ARNOLD                     D.C. No. 2:12-cv-00245-NVW
    KEMP; MILO MCCORMICK
    STANLEY; SAMUEL VILLEGAS
    LOPEZ,                                      OPINION
    Plaintiffs - Appellants,
    v.
    JANICE K BREWER, Governor of
    Arizona; CHARLES L. RYAN, Director,
    Arizona Department of Corrections; RON
    CREDIO, Warden, Arizona Department of
    Corrections-Eyman; LANCE R.
    HETMER, Warden, Arizona Department
    of Corrections-Florence; UNKNOWN
    PARTIES, IV Team Leader; IV Team
    Members 1-5; Special Operations Team
    Leader; Special Operations Team
    Recorder; Special Operations Team
    Members 1-5; and Does 1-25,
    Defendants - Appellees.
    Appeal from the United States District Court
    for the District of Arizona
    Neil V. Wake, District Judge, Presiding
    Argued and Submitted February 27, 2012
    Phoenix, Arizona
    Before: McKEOWN, BERZON, and RAWLINSON, Circuit Judges.
    Per Curiam:
    This appeal under 
    42 U.S.C. § 1983
     challenges Arizona’s execution
    protocol, adopted as Order 710 of the Arizona Department of Corrections (“ADC”)
    on January 25, 2012. Robert Charles Towery, Robert Henry Moormann, Pete
    Rovogich, Thomas Arnold Kemp, Milo McCormick Stanley, and Samuel Villegas
    Lopez are death row inmates in Arizona who claim that ADC’s execution protocol
    violates the Eighth and Fourteenth Amendments. Towery and Moormann, two of
    the named plaintiffs with impending execution dates, moved the district court for a
    preliminary injunction against ADC’s use of its current lethal injection protocol.
    The district court denied the preliminary injunction, and Towery and Moormann
    appealed. Because the new protocol was adopted on the eve of the two planned
    executions, this appeal comes to us at the eleventh hour. We held oral argument
    less than 48 hours before the first scheduled execution.
    2
    Even after the appeal was filed and hours before the argument, Arizona yet
    again changed course as to its plans for the executions.1 It advised the court on
    February 27, 2012, that it was not proceeding under the three-drug protocol but
    instead under the one-drug protocol because it discovered at the last minute that the
    originally-planned drugs had expired in January 2012. How such a discovery
    escaped the State for the past six weeks is beyond us, and gives us pause as to the
    regularity and reliability of Arizona’s protocols. To be sure, the State caught the
    mistake, but almost too late.
    “The penalty of death differs from all other forms of criminal punishment,
    not in degree but in kind. It is unique in its total irrevocability. It is unique in its
    rejection of rehabilitation of the convict as a basic purpose of criminal justice. And
    it is unique, finally, in its absolute renunciation of all that is embodied in our
    concept of humanity.” Furman v. Georgia, 
    408 U.S. 238
    , 306 (1972) (Stewart, J.,
    concurring). Because the death penalty is undeniably the most serious penalty
    available to a State, the procedures for such penalty must be implemented in a
    reasoned, deliberate, and constitutional manner. Over time, the State of Arizona,
    however, has insisted on amending its execution protocol on an ad hoc
    1
    The death warrants were issued on January 11, 2012 and notice of the three-
    drug protocol was issued on February 2, 2102.
    3
    basis—through add-on practices, trial court representations and acknowledgments,
    and last minute written amendments—leaving the courts with a rolling protocol
    that forces us to engage with serious constitutional questions and complicated
    factual issues in the waning hours before executions. This approach cannot
    continue.
    Although we uphold the denial of the preliminary injunction based on the
    2012 Protocol, as amended by the State during oral argument with respect to
    Towery and Moormann’s executions, the State’s frequent changes to its protocol
    during litigation are not sustainable. We find ourselves, once again, deciding not
    the merits of Arizona’s written protocol, but the validity of litigation-related, often
    case-specific, amendments to the protocol designed to ensure constitutionality. We
    are mindful of the admonition requiring us to refrain from micro-managing each
    individual execution, but the admonition has a breaking point. The State appears
    to have invited the present litigation through its recent amendment of the protocol
    after the issuance of Towery and Moormann’s death warrants. Unless permanent
    changes are made in the manner in which Arizona amends its protocols, Arizona’s
    ongoing conduct may require us “to monitor every execution on an ad hoc basis,
    because the State cannot be trusted to fulfill its otherwise lawful duty to execute
    inmates sentenced to death.” In re Ohio Execution Protocol Litigation, ___ F.3d
    4
    ___, No. 12-3035, 
    2012 WL 118322
    , at *1 (6th Cir. Jan. 13, 2012). We trust this
    will not be the case.
    On the basis of the protocol approved in Dickens v. Brewer, 
    631 F.3d 1139
    (9th Cir. 2011), as well as the State’s undertakings as to the upcoming executions,
    we affirm the denial of the preliminary injunction, albeit on different grounds than
    underlay the district court’s denial.
    B ACKGROUND
    I.    T HE B AZE S TANDARD
    In Baze v. Rees, the Supreme Court held that Kentucky’s three-drug lethal
    injection protocol does not violate the Eighth Amendment’s prohibition on cruel
    and unusual punishment. 
    553 U.S. 35
     (2008). The plurality held that the
    Kentucky protocol is constitutional because it contains sufficient safeguards to
    prevent improper anesthetization, and thus does not give rise to a “substantial risk
    of serious harm.” 
    Id. at 49-50
    .
    Faced with the Justices’ divergent views, our circuit adopted the plurality’s
    substantial risk of serious harm standard as the governing one because it is the
    narrowest necessary to secure a majority in any given challenge to a method of
    execution. Dickens, 
    631 F.3d at 1144-45
    . We explained that “[e]very circuit court
    5
    that has considered a challenge to a lethal injection protocol following Baze has
    analyzed the protocol under the plurality’s substantial risk standard.” 
    Id. at 1145
    .
    II.    A RIZONA’S L ETHAL INJECTION P ROTOCOL D URING D ICKENS
    Since the end of a six-year hiatus in implementation of the death penalty
    from 2000 to 2006, Arizona has conducted executions by lethal injection. Prior to
    the 2012 changes in its lethal injection protocol, Arizona used a three-drug lethal
    injection cocktail that consisted of three chemicals—sodium thiopental,
    pancuronium bromide, and potassium chloride—administered sequentially.
    Sodium thiopental is a fast-acting barbiturate that anesthetizes the inmate and
    permits the other chemicals to be administered without causing pain. Pancuronium
    bromide is a paralytic neuromuscular blocking agent that causes complete
    paralyzation and suffocation. Potassium chloride induces cardiac arrest. In
    Dickens, we constrained our holding to the constitutionality of Arizona’s
    November 1, 2007, protocol, as amended by the Joint Report (the “2007
    Protocol”), and did “not conside[r]—and express[ed] no opinion on—any
    amendments to the [2007] Protocol.” 
    631 F.3d at 1142
    .
    III.   A RIZONA’S C URRENT (2012) L ETHAL INJECTION P ROTOCOL
    Since Dickens, ADC has made various amendments to its lethal injection
    protocol. Some of those were informal amendments through practice, and others
    6
    were incorporated into a formal departmental order. At issue here is ADC’s
    January 25, 2012, amendment to Department Order 710 (the “2012 Protocol”).
    The revised 35-page protocol permits execution through either a three-drug or
    one-drug protocol and requires ADC to choose between these two protocols at least
    seven days prior to a scheduled execution.2 2012 Protocol, § 710.01, ¶ 1.1.2.4 &
    Attach. D, § C.1.
    The 2012 Protocol further directs that the ADC Director (“Director”), upon
    consultation with the IV Team Leader, shall determine the catheter sites and that, at
    the Director’s choice, a central femoral line may be utilized instead of a peripheral
    IV line if placed by a medically-licensed physician with relevant experience. 2012
    Protocol, Attach. D, § E.1.
    The 2012 Protocol also changed the composition and experience
    requirements for the IV Team:
    The IV Team will consist of any two or more of the following:
    physician(s), physician assistant(s), nurse(s), emergency medical
    technician(s), paramedic(s), military corpsman, phlebotomist(s) or other
    appropriately trained personnel including those trained in the United
    States Military. All team members shall have at least one year of relevant
    2
    If a three-drug protocol is used, executions will occur via administration of
    a sequence of three drugs—either sodium pentothal or pentobarbital, pancuronium
    bromide, and potassium chloride. If a one-drug protocol is used, executions will
    occur via administration of either sodium pentothal or pentobarbital.
    7
    experience in placing either peripheral or central femoral intravenous
    lines.
    2012 Protocol, § 710.02, ¶ 1.2.5.1. The 2007 Protocol held constitutional in
    Dickens required “medically trained personnel” instead of allowing the Director to
    hire “other appropriately trained personnel,” and required one year of “current and
    relevant professional experience in their assigned duties on the Medical Team”
    rather than just one year of “relevant experience.” Compare Dickens, 
    631 F.3d at
    1142-43 with 2012 Protocol, § 710.02, ¶ 1.2.5.1. In addition, the 2012 Protocol
    requires IV Team members to participate in “at least one training session with
    multiple scenarios within one day prior to a scheduled execution” rather than, as at
    the time of Dickens, “at least ten execution rehearsals per year, and, if a Warrant of
    Execution issues, train weekly up until the execution.” See Dickens, 
    631 F.3d at 1142
    ; see also 2012 Protocol, § 710.02, ¶ 1.2.5.5. Finally, the 2012 Protocol
    permits only telephonic contact between an inmate and his attorney after 9:00 p.m.
    the night before a scheduled execution, whereas previously counsel were permitted
    unlimited non-contact visitation until very shortly before the execution. 2012
    Protocol, § 710.11, ¶ 1.5.
    8
    IV.   D ISTRICT C OURT P ROCEEDINGS
    In the district court, Towery and Moormann alleged that ADC’s revised
    protocol impermissibly eliminates safeguards by increasing the Director’s
    discretion, and codifies arbitrary and disparate treatment of capital prisoners, in
    violation of the Eighth and Fourteenth Amendments. They further alleged that
    ADC’s intent to execute them using pancuronium bromide imported from a foreign
    source is improper. Finally, they alleged that the 2012 Protocol violates their due
    process right to notice concerning the specific drugs and venous access to be used
    during execution, and also the right of access to counsel and the courts.
    Towery and Moormann moved for a preliminary injunction to enjoin their
    executions to allow for litigation of these claims. The district court held a hearing,
    and the parties elected not to present live witnesses. On February 23, 2012, the
    court denied the request for a preliminary injunction.
    A.     E IGHTH A MENDMENT
    The district court held that Towery and Moormann had not presented a
    substantial likelihood of success on the merits regarding their claim that the 2012
    Protocol facially violated the Eighth Amendment. The district court’s review was
    based on a very different scenario than the one presently before us, as it focused on
    the three-drug protocol.
    9
    Towery and Moormann claimed that five specific changes led to a facial
    constitutional flaw: 1) IV Team members (previously known as MTMs) were no
    longer required to have “current” experience placing IV lines; 2) IV Team
    members were no longer required to be medically trained; 3) IV Team members
    now needed to attend only one training session the day before the execution;
    4) there was no longer a time limit in which the IV Team had to insert the IVs; and
    5) both a primary and a backup IV line were no longer required.
    The district court concluded that the changes to the 2012 Protocol did not
    create a substantial risk of pain and suffering. In reaching its conclusion, the
    district court referenced its determination in West v. Brewer, No. CV-11-1409-
    PHX-NVW, 
    2011 WL 6724628
     (D. Ariz. Dec. 21, 2011) (unpublished order),
    appeal docketed, No. 12-15009 (9th Cir. Jan 3. 2012), that deviations from ADC’s
    prior protocol requiring one year of “current” experience were “reasonable in light
    of both the difficulty in locating qualified individuals and the IV Team’s extensive
    past experience.” Based on the district court’s determination in West that the two
    IV Team members at issue there were constitutionally proper, ADC changed its
    protocol to permit any “appropriately trained personnel” to serve on the IV Team
    and eliminated the requirement that the relevant experience be one year of
    “current” experience. The district court here held that Baze did not create a floor
    10
    regarding constitutionally permissible execution protocols, nor did it require
    “current” experience or multiple practice sessions. Therefore, the district court
    held, in light of the remainder of the protections in place, the inmates’ challenge
    rested on speculation that ADC would hire inept IV Team members.
    The additional protections the district court found relevant include the:
    1) required use of a backup catheter; 2) heparin/saline flush, which ensures that the
    IV lines are kept open; 3) Warden’s personal oversight over the entire process;
    4) use of an electrocardiograph; 5) constant monitoring by the execution team of
    the inmate during the process; and 6) physical confirmation by the IV Team Leader
    that the inmate is unconscious prior to the administration of the second drug of the
    three-drug cocktail. The district court also dismissed the concern that a time limit
    to set the IV lines was necessary since any minor pain involved with multiple
    attempts to locate an adequate vein did not create a substantial risk of severe
    unconstitutional pain.
    B.     E QUAL P ROTECTION
    Towery and Moormann claimed that the 2012 Protocol violates their right to
    equal protection because the protocol gives the Director discretion regarding the:
    1) drugs used for the execution; 2) selection of execution team members; and 3)
    use of the backup catheter. The district court held that each individual was not a
    11
    “class of one,” and therefore the discretion vested within the Director could not
    violate the individual’s equal protection rights. Alternatively, even if Towery and
    Moormann, individually, were a “class of one,” a rational basis existed for vesting
    discretion in the Director, because drug supply issues could mandate that the
    one-drug option be chosen over the three-drug option. According to the district
    court, the same reasoning applied to the availability of qualified individuals to
    serve as execution team members. With respect to the backup catheter, the district
    court held that the Director did not have any discretion.
    C.     IMPORTATION OF P ANCURONIUM B ROMIDE AND N OTICE
    Towery and Moormann also argued that the use of imported pancuronium
    bromide was problematic. The district court disagreed, citing Cook v. Brewer, 
    637 F.3d 1002
    , 1007-08 (9th Cir. 2011). The district court also disagreed with the
    contention that there is a liberty interest in knowing which drugs will be used for
    the execution and where the IV lines will be placed.
    D.     T HE R IGHT TO C OUNSEL
    Finally, the district court upheld the prohibition on in-person contact with
    the condemned’s attorney after 9:00 p.m. on the day before the scheduled
    execution. It found the prohibition proper because “of increased concerns
    12
    regarding the need to protect” the identities of persons participating in the
    execution process.
    A NALYSIS
    On appeal, Towery and Moormann challenged only three aspects of the
    district court’s denial of the preliminary injunction: 1) the constitutional infirmity
    of the 2012 Protocol under Baze; 2) the disparate treatment levied upon each
    individual inmate due to the Director’s discretion (equal protection claim); and
    3) the prohibition on in-person contact with an attorney after 9:00 p.m. on the day
    prior to the scheduled execution.3
    Before the hearing on the preliminary injunction, the State gave notice that it
    would proceed with the three-drug protocol. On February 27, 2012,
    however—less than 48 hours before the first scheduled execution—the State
    changed its mind and filed a Notice of Intent to Administer the One-Drug Protocol,
    explaining that it discovered during training sessions that its foreign-supplied
    pancuronium bromide expired in January 2012. Because of the unavailability of
    3
    Towery and Moormann did not challenge on appeal the district court’s
    decision regarding the imported pancuronium bromide, or the lack of notice as to
    which drugs will be used during the execution and where the IV lines will be
    placed (except to the extent those issues are relevant to the equal protection
    challenge). We therefore do not consider those issues.
    13
    pancuronium bromide, ADC intends to use only domestically-obtained
    pentobarbital and to administer a one-drug protocol.
    Consequently, due to last minute changes by the State regarding the protocol
    that will be used during Towery and Moormann’s executions, the landscape of this
    appeal has changed dramatically. We now address only the one-drug aspects of the
    2012 Protocol, as supplemented by the State’s representations and commitments
    made in the hearing before us on February 27, 2012.
    I.    S TANDARD FOR G RANTING A P RELIMINARY INJUNCTION
    A preliminary injunction “should not be granted unless the movant, by a
    clear showing, carries the burden of persuasion.” Mazurek v. Armstrong, 
    520 U.S. 968
    , 972 (1997) (per curiam) (citation omitted). Under the “serious questions”
    version of the test, a preliminary injunction is appropriate when a plaintiff
    demonstrates that “serious questions going to the merits were raised and the
    balance of hardships tips sharply in the plaintiff’s favor.” Alliance for the Wild
    Rockies v. Cottrell, 
    632 F.3d 1127
    , 1135 (9th Cir. 2011) (citation omitted). This
    approach requires that the elements of the preliminary injunction test be balanced,
    so that a stronger showing of one element may offset a weaker showing of another.
    “‘[S]erious questions going to the merits’ and a balance of hardships that tips
    sharply towards the plaintiff can support issuance of a preliminary injunction, so
    14
    long as the plaintiff also shows that there is a likelihood of irreparable injury and
    that the injunction is in the public interest.” 
    Id.
     We review the denial of a
    preliminary injunction for abuse of discretion. Lands Council v. McNair, 
    537 F.3d 981
    , 986 (9th Cir. 2008) (en banc).
    In the context of a capital case, the Supreme Court has emphasized that these
    principles apply when a condemned prisoner asks a federal court to enjoin his
    impending execution because “[f]iling an action that can proceed under § 1983
    does not entitle the complainant to an order staying an execution as a matter of
    course.” Hill v. McDonough, 
    547 U.S. 573
    , 583-84 (2006). Rather, “a stay of
    execution is an equitable remedy” and “equity must be sensitive to the State’s
    strong interest in enforcing its criminal judgments without undue interference from
    the federal courts.” 
    Id. at 584
    .
    To obtain preliminary injunctive relief, Towery and Moormann must
    demonstrate that: 1) they are likely to succeed on the merits of such a claim;
    2) they are likely to suffer irreparable harm in the absence of preliminary relief;
    3) the balance of equities tips in their favor; and 4) an injunction is in the public
    interest. Winter v. Natural Res. Def. Council, Inc., 555 U.S. , 207 (2008). Because
    the likelihood of success on the merits of the modified protocol as it will be applied
    to the two upcoming executions is determinative, we discuss it in detail.
    15
    II.   R EVIEW OF 2012 P ROTOCOL AND S UPPLEMENTAL R EQUIREMENTS
    A.     T HE E IGHTH A MENDMENT C HALLENGE
    At the hearing before this court, the State made a number of representations
    and undertook to alter the 2012 Protocol in various ways with respect to Towery
    and Moormann. We accept those representations and undertakings as binding on
    the State. The protocol therefore consists of the following, as it will be applied at
    Towery and Moormann’s executions:
    1. One-Drug Protocol: We review the 2012 Protocol only as it pertains to
    the one-drug protocol. We are not reviewing the three-drug protocol; any
    challenge to the three-drug protocol is moot for purposes of this appeal.
    2. The 2012 Protocol with the following amendments and undertakings,
    as agreed to by the State:
    a. Qualifications of the IV Team: According to the State, the IV
    Team to be used for both executions is comprised of a licensed nurse with
    seventeen years of experience and a medically-licensed physician. Both of these
    individuals have had experience placing IVs within the last twelve months, not
    including any placements performed or training gained during the recent pre-
    execution training sessions. The State also reaffirmed the position it took before
    the district court that “relevant experience,” as used in Paragraph 1.2.5.1 of the
    16
    2012 Protocol, means that IV Team members must have no less than the training
    that is traditionally given for people to be licensed to place IVs. We view this
    representation as a binding one that cabins the meaning of “appropriately trained”
    and “relevant experience” in the context of the 2012 Protocol.
    b. Backup Drugs: In addition to the full set of syringes to be used
    “in the implementation of the death sentence,” the State represented that there will
    be one additional set of syringes, along with the necessary chemicals and drugs,
    available for immediate administration should circumstances so require. The State
    acknowledged at oral argument that this backup arrangement was “no big deal.”
    The IV Team members shall insert a primary IV catheter and a backup IV catheter,
    as required by Attachment D, § E.1 of the 2012 Protocol.
    c. Access to Counsel: Counsel for Towery and Moormann will be
    permitted in-person visits with their clients, including during the morning of the
    execution, under the long-standing ADC practice, as reflected in Department Order
    710-IO-F (Nov. 5, 2004), § 710.02, ¶ 1.3.3.5.
    Our decision is contingent upon the State’s representations and
    commitments made during the preliminary injunction hearing. With these
    representations, the protocol parallels the one reviewed under Dickens with respect
    to training and qualifications of the IV Team and the availability of backup drugs
    17
    and catheters. It also mirrors the prior practice regarding access to counsel and
    resolves Towery and Moormann’s claims on these issues.
    The remaining claim relates to the number of training sessions. That issue
    largely goes away in light of the identification of the qualifications of the
    individuals who will be on the IV Team for Towery and Moormann’s executions.
    Nonetheless, we address it because it was not directly encompassed in the
    representations made during the hearing before us. We do so, however, not in the
    abstract, but in light of the training and experience of the current members of the
    IV Team.
    The 2012 Protocol eliminates the requirement that IV Team members
    participate in ten practice sessions per year. Instead, the IV Team members are
    only required to participate in training sessions scheduled for one day prior to the
    actual execution. 2012 Protocol, § 710.02, ¶ 1.2.5.5. While ten trainings may be
    better than a single one-day training, Towery and Moormann do not make a
    showing that for their executions the lack of practice occasioned from the singular
    day of trainings will lead to a substantial risk of harm. An inmate cannot succeed
    on an Eighth Amendment claim by showing one more step the State could take as a
    failsafe for other, independently adequate measures. Baze, 
    553 U.S. at 60-61
    .
    “Where an execution protocol contains sufficient safeguards, the risk of not
    18
    adopting an additional safeguard is too ‘remote and attenuated’ to give rise to a
    substantial risk of serious harm.” Dickens, 
    631 F.3d at
    1149 (citing Baze, 
    553 U.S. at 58-59
    ).
    The amended 2012 Protocol, as outlined above, on the basis of
    representations and commitments made at the February 27 hearing, comports with
    the protocol approved in Baze. We therefore conclude that Towery and Moormann
    have not demonstrated a substantial likelihood of success on their Eighth
    Amendment challenge.
    B.     D ISPARATE T REATMENT—E QUAL P ROTECTION C HALLENGE
    Towery and Moormann argue that the grant of discretion to the Director to
    make decisions regarding the manner in which his execution will be carried out
    violates the Fourteenth Amendment’s Equal Protection Clause. We do not agree.
    The 2012 Protocol, Towery and Moormann observe, grants the Director the
    discretion to select members of the IV Team, provided they are “appropriately
    trained,” as well as to designate the IV Team Leader. The Director also has
    discretion to choose either a three- or one-drug protocol, using either sodium
    pentothal or pentobarbital and to decide, “upon the advice of the IV Team Leader,”
    whether to use peripheral or central femoral IV access to administer the drugs (as
    long as a medically-licensed physician is available to implement the latter option).
    19
    Towery and Moormann maintain that the broad grants of discretion to the
    Director violate the Equal Protection Clause, either because they burden a
    fundamental right and so fail strict scrutiny, or because they treat Towery and
    Moormann, individually, as a “class of one” without a rational basis for doing so.
    Neither argument has merit.
    As we have already determined, the protocol as it will be implemented for
    Towery and Moormann’s executions does not violate their right under the Eighth
    Amendment to be free from cruel and unusual punishment. Where there is no
    Eighth Amendment violation, the district court ruled, that necessarily means that
    there has been no interference with fundamental rights sufficient to trigger strict
    scrutiny under the Equal Protection Clause. See Mass. Bd. of Ret. v. Murgia, 
    427 U.S. 307
    , 312 (1976). We do not need to adopt this broad proposition to conclude
    that given the ways the Director has chosen to exercise his discretion in the
    upcoming executions, there has been no showing here of any burden on the right to
    be free of cruel and unusual punishment.
    Towery and Moormann argue otherwise, relying on Bush v. Gore, 
    531 U.S. 98
    , 105 (2000). Urging that there is a distinction between state action that violates
    a fundamental right and state action that merely burdens a fundamental right, they
    20
    proffer that the latter was sufficient to trigger strict scrutiny in Bush and should
    also be here.
    The right to vote, however, “‘can be denied by a debasement or dilution of
    the weight of a citizen’s vote just as effectively as by wholly prohibiting the free
    exercise of the franchise.’” 
    Id.
     (quoting Reynolds v. Sims, 
    377 U.S. 533
    , 555
    (1964)). A prisoner’s right to be free of cruel and unusual punishment, in contrast,
    is not affected simply because that prisoner is treated less favorably than another,
    where one means of execution is no more likely to create a risk of cruel and
    unusual punishment than the other, and both are constitutionally available.
    Treating one similarly situated prisoner differently from another with regard to
    punishment does not inherently impact the right to be free of cruel and unusual
    punishment (although it might for other reasons violate the Equal Protection
    Clause).
    That is not to say that there could not be exercises of discretion that do
    burden the right to be free of cruel and unusual punishment. The contrast with the
    litigation surrounding Ohio’s lethal injection protocol, invoked by Towery and
    Moormann in support of their fundamental rights Equal Protection argument, is
    instructive. In those cases, plaintiffs were able to show an actual pattern of treating
    prisoners differently in ways that did affect the risk of pain to which they would be
    21
    subjected, and therefore the risk of being subjected to cruel and unusual
    punishment. See In re Ohio Execution Protocol Litig., ___ F. Supp. 2d ___, 
    2012 WL 84548
    , at *9 (S.D. Ohio Jan. 11, 2012), motion to vacate stay denied, ___
    F.3d at ___, 
    2012 WL 118322
    , at *1 (6th Cir. Jan. 13, 2012). Here, no such
    showing has been made, either generally or with respect to the planned application
    of the protocol to Towery and Moormann’s executions. The fundamental rights
    prong of Equal Protection analysis therefore cannot apply.
    Alternatively, Towery and Moormann argue that each is a “class of one,”
    and that the protocol allows the Director to treat him differently from others
    similarly situated with no rational basis for doing so. See Vill. of Willowbrook v.
    Olech, 
    528 U.S. 562
    , 564 (2000). We disagree.
    The class-of-one doctrine does not apply to forms of state action that “by
    their nature involve discretionary decisionmaking based on a vast array of
    subjective, individualized assessments.” Engquist v. Oregon Dep’t of Agric., 
    553 U.S. 591
    , 603 (2008). “In such cases,” the Court noted,
    the rule that people should be ‘treated alike, under like circumstances
    and conditions’ is not violated when one person is treated differently
    from others, because treating like individuals differently is an accepted
    consequence of the discretion granted. In such situations, allowing a
    challenge based on the arbitrary singling out of a particular person would
    undermine the very discretion that such state officials are entrusted to
    exercise.
    22
    
    Id.
    Here, decisions on matters such as which drug protocol to use, which people
    to select for the execution team, and whether to use a central femoral IV are, under
    Arizona’s statutory scheme, relegated to the Director, with no State law
    requirement that there be uniformity. 
    Ariz. Rev. Stat. § 13-757
    (A). Absent any
    pattern of generally exercising the discretion in a particular manner while treating
    one individual differently and detrimentally, there is no basis for Equal Protection
    scrutiny under the class-of-one theory. In other words, the existence of discretion,
    standing alone, cannot be an Equal Protection violation. At the very least, there
    must be some respect in which the discretion is being exercised so that the
    complaining individual is being treated less favorably than others generally are.
    Even if we were to subject the protocol’s grant of discretion to the Director
    to rational basis review, it would survive our consideration. It is rational for ADC
    to conclude that the Director is best situated to select the execution team from
    those available who meet the criteria listed in the protocol (assuming those criteria
    do not themselves create a risk of harm greater than that tolerable under the Eighth
    Amendment), or to decide that the Director should be the one to select which of the
    four possible drug sequences to use, or to assign to the Director and the IV Team
    Leader the task of selecting which IV site to use. It is entirely rational for these
    23
    determinations to be made on a case-by-case basis, as they may well depend on
    individualized and changing factors such as the availability of particular people to
    participate in the execution, the supply of drugs available to the State at a given
    time, and the condition of the prisoner’s veins. The Equal Protection claim, as
    framed here, cannot succeed on the merits.
    C.     B ALANCE OF INTERESTS U NDER W INTER AND A LLIANCE FOR THE
    W ILD R OCKIES
    We recognize that Towery and Moormann demonstrate irreparable harm, as
    does every § 1983 plaintiff in an injunction appeal involving an upcoming
    execution. We also recognize that the State ordinarily has “a strong interest in
    enforcing its judgments without undue interference from federal courts,” although,
    as indicated at the outset, that interest can be and has been undermined to a degree
    by Arizona’s pattern of behavior in the recent execution litigation. Finally, we also
    recognize that the victims of crime have an important interest in “timely
    enforcement of a sentence.” Hill, 
    547 U.S. at 584-85
    . Nonetheless, in light of our
    conclusion that Towery and Moormann do not raise serious questions going to the
    merits of their Eighth and Fourteenth Amendment claims with regard to their
    executions as they will actually be carried out, we conclude that Towery and
    Moormann do not meet the standards under Winter and Alliance for the Wild
    Rockies for issuance of a preliminary injunction.
    24
    AFFIRMED; the request for stay of execution is DENIED.
    25
    COUNSEL
    Dale A. Baich, Robin C. Konrad and Cary S. Sandman, Federal Public Defender’s
    Office, Phoenix, AZ; David Sepanik and Flora Vigo, O’Melveny & Myers LLP,
    San Francisco, CA, for plaintiffs-appellants.
    Kent Ernest Cattani, Michael E. Gottfried, and Jeffrey A. Zick, Arizona Attorney
    General’s Office, Phoenix, AZ, for defendant-appellees.
    26