Tuesday, March 31, 2015

American Pharmacists Association Discourages Members From Providing Lethal Injection Drugs

The American Pharmacists Association, a major professional organization of pharmacists, adopted a policy Monday discouraging its 62,000 members from providing drugs for executions.



On the final day of the group's annual meeting in San Diego, its governing body approved a policy declaring that participation in lethal injections violates the profession's core values:



The American Pharmacists Association discourages pharmacist participation in executions on the basis that such activities are fundamentally contrary to the role of pharmacists as providers of health care.





William Fassett, a board member and professor emeritus of pharmacotherapy at Washington State University Spokane, drafted the policy, which he said had virtually no opposition.



"Changing policy often takes two to three times through the process to bring everyone on board," Fassett told The Huffington Post. "I was optimistic -- cautiously so. But it was as close to a slam-dunk afterwards. Once we had a voice vote, it was clear that the majority of the delegates agreed with the policy."



Thomas E. Menighan, the association's executive vice president and CEO, said in a statement that the new policy aligns the group's execution policy with those of other major health care associations, including the American Medical Association, the American Nurses Association and the American Board of Anesthesiology.



“Pharmacists are health care providers and pharmacist participation in executions conflicts with the profession’s role on the patient health care team," Menighan said.



The new policy was spurred in part by the activist group SumOfUs.org, which describes itself as a watchdog organization and "a global movement of consumers, investors, and workers all around the world, standing together to hold corporations accountable."



"The question about whether pharmacists should be involved in executions is a very recent one," Kelsey Kauffman, a SumOfUs senior adviser, told The Huffington Post. "The AMA and nursers associations have had to deal with it for decades."



About a year ago, Kauffman said she read a report that mentioned pharmacists -- unlike doctors in America -- are not forbidden by their professional oaths or organizations from participating in executions.



"I thought, ‘They got that wrong, it can’t be true,’” Kauffman said. When she found out it was true, SumOfUs began partnering with Amnesty International, the NAACP, the National Council of Churches, Reprieve and other groups. They sent a letter co-signed by 31 human rights organizations and religious denominations, to the pharmacists' association, asking it to take a stand against pharmacists participating in executions.



“It’s never been legal in the U.S. to write a prescription to execute a person," Fassett noted. "The basic federal law is that a prescription is to be used for medical proposes in the context of an established patient-physician relationship."



Departments of corrections in states that allow the death penalty had traditionally obtained lethal injection chemicals from pharmaceutical companies. Since 1985, the pharmacists' association has opposed using the term "drug" for chemicals used in lethal injections.)



Around 2011, supply of lethal injection drugs was disrupted due to bans and boycotts that led to drugmakers ceasing production. In the past year, prisons in Oklahoma and Texas, among other states, have run short of stockpiled drugs, forcing them to turn to individual pharmacists and compounding pharmacies to mix chemicals for lethal injections.



"Before that, it was like saying, 'Should we have a policy about pharmacists flying airplanes without a license?’ It wasn’t an issue for us," Fassett said. Participation in lethal injections "wasn’t really on our radar until a few years ago”



Though the new policy formalizes the association's ethical position on lethal injections, Fassett said the group lacks the power of enforcement.



“We’re not trying to get pharmacists de-licensed," Fassett said. "We just want it clear to pharmacists in that state that they can’t" participate in executions.



Fassett said he's unsure how the policy will factor into the lethal injection debate. “Every major organization of health care providers who could potentially be asked by the state to join their execution team now have a uniform goal against this," he said.



“When you’re out by the ocean and the tide finally starts to come in, you think, 'Which of all those waves is the most important? The first wave that breaks? The last wave to roll in?' I'm glad we added our little wave to the tide," Fassett said.



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