In the Matter of the Federal Bureau of Prisons' Execution Protocol Cases ( 2020 )


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  •                             UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    )
    In the Matter of the                             )
    Federal Bureau of Prisons’ Execution             )
    Protocol Cases,                                  )
    )
    LEAD CASE: Roane, et al. v. Barr                 )       Case No. 19-mc-145 (TSC)
    )
    THIS DOCUMENT RELATES TO:                        )
    )
    Lee v. Barr, et al., 19-cv-2559                  )
    )
    Purkey v. Barr, et al., 19-cv-3214               )
    )
    Nelson v. Barr, et al., 20-cv-557                )
    )
    MEMORANDUM OPINION
    In Callins v. Collins, Justice Blackmun, writing in dissent, declared that he would “no
    longer . . . tinker with the machinery of death.” 
    510 U.S. 1141
    , 1145 (1994). More than twenty-
    five years later, this court is tasked with doing just that, in addressing challenges to the manner in
    which the federal government seeks to execute inmates who have been sentenced to death under
    federal statutes.
    After a hiatus in federal executions of more than fifteen years, on July 25, 2019, the U.S.
    Department of Justice (DOJ) announced plans to execute five inmates who had been sentenced to
    death under the federal death penalty statute. 1 See Press Release, Dep’t of Justice, Federal
    Government to Resume Capital Punishment After Nearly Two Decade Lapse (July 25, 2019),
    https://www.justice.gov/opa/pr/federal-government-resume-capital-punishment-after-nearly-two-
    1
    Plaintiffs Bourgeois, Mitchell, Lee, and Purkey were sentenced under the Federal Death
    Penalty Act, 18 U.S.C. §§ 3591–3599. Plaintiff Honken was sentenced under the Anti-Drug
    Abuse Act of 1988, 21 U.S.C. § 848(e).
    1
    decade-lapse. To implement these executions, the Federal Bureau of Prisons (BOP) adopted a
    new execution protocol: the 2019 Protocol. (ECF No. 39-1, Admin. R. at 1021–75.)
    On November 20, 2019, the court preliminarily enjoined the executions of four inmates:
    Alfred Bourgeois, Daniel Lewis Lee, Dustin Lee Honken, and Wesley Ira Purkey. (ECF No. 50,
    Mem. Op. (2019 Order), at 15.) The court found that these four Plaintiffs had demonstrated a
    likelihood of success on the merits of their claims that the 2019 Protocol violates the Federal
    Death Penalty Act (FDPA), but the court did not rule on their other statutory and constitutional
    claims. (Id. at 13–14.) In April of this year, a divided D.C. Circuit panel vacated the preliminary
    injunction. In re Fed. Bureau of Prisons’ Execution Protocol Cases, 
    955 F.3d 106
    , 113 (D.C.
    Cir. 2020), cert. denied sub nom. Bourgeois v. Barr, No. 19-1348, 
    2020 WL 3492763
    (June 29,
    2020). That Court based its ruling solely on the Plaintiffs’ claims under the FDPA and the APA,
    and noted that “regardless of our disposition, several claims would remain open on remand.”
    Execution Protocol 
    Cases, 955 F.3d at 113
    (per curiam).
    On June 15, 2020, the DOJ and BOP scheduled new execution dates for three of the four
    Plaintiffs whose executions had been preliminarily enjoined by the 2019 Order. (ECF No. 99,
    Defs. Notice Regarding Execution Dates.) Defendants intend to execute Lee on July 13, 2020,
    Purkey on July 15, 2020, and Honken on July 17, 2020. (Id.) Keith Dwayne Nelson is
    scheduled for execution on August 28, 2020. (Id.)
    Because these four Plaintiffs are scheduled to be executed before their claims can be fully
    litigated, they have asked this court, pursuant to Federal Rule of Civil Procedure 65 and Local
    Rule 65.1, to preliminarily enjoin Defendants from executing them while they litigate their
    remaining claims. (ECF No. 102, Pls. Mot. for Prelim. Inj.)
    2
    On July 2, 2020, the Seventh Circuit stayed Purkey’s execution, and at the time of this
    filing, that stay remains in place. 2 Purkey v. United States, No. 19-3318, 
    2020 WL 3603779
    (7th
    Cir. July 2, 2020). On July 10, 2020, the Southern District of Indiana preliminarily enjoined
    Lee’s execution, see Peterson v. Barr, No. 2:20-cv-350 (S.D. Ind. July 10, 2020), ECF No. 21,
    but on July 12, 2020, the Seventh Circuit vacated the injunction. See Peterson v. Barr, No. 20-
    2252 (7th Cir. July 12, 2020).
    The last-minute nature of this ruling is unfortunate, but no fault of the Plaintiffs. Cf.
    Bucklew v. Precythe, 
    139 S. Ct. 112
    , 1134 (2019) (“the last-minute nature of an application that
    could have been brought earlier . . . may be grounds for denial of a stay.”) (internal quotations
    omitted). The succession of last-minute rulings is the result of the Government’s decision to set
    short execution dates even as many claims, including those addressed here, were pending. 3 The
    Government is entitled to choose dates, but the court cannot take short cuts in its obligations in
    order to accommodate those dates. As the Seventh Circuit wrote last week, “just because the
    death penalty is involved is no reason to take shortcuts—indeed, it is a reason not to do so.”
    Purkey v. United States, 
    2020 WL 3603779
    , at *11.
    I.   BACKGROUND
    The Eighth Amendment to the Constitution provides that “excessive bail shall not be
    required, nor excessive fines imposed, nor cruel and unusual punishments inflicted.” U.S.
    2
    Because the Seventh Circuit affirmed the district court’s denial of Purkey’s petition for writ of
    habeas corpus, and only temporarily stayed his execution “pending the completion of
    proceedings in the Seventh Circuit,” this court finds it appropriate to preliminarily enjoin his
    execution as well as those of the other Plaintiffs.
    Id. at *11.
    3
    Three Plaintiffs filed complaints shortly after the DOJ announced the 2019 Protocol, months
    before their initially scheduled executions, and Nelson filed his complaint before Defendants
    even announced his execution date.
    3
    CONST. amend. VIII. The Supreme Court declared capital punishment constitutional in 1976,
    in Gregg v. Georgia. 
    428 U.S. 153
    , 187 (1976) (lifting a de facto moratorium on the death
    penalty). Therefore, “there must be a constitutional means of carrying it out.” Glossip v. Gross,
    
    135 S. Ct. 2726
    , 2732–33 (2015) (citation omitted). Balancing the constitutional legitimacy of
    capital punishment with the Eighth Amendment’s prohibition on cruel and unusual methods of
    execution has long been the subject of intense debate and litigation since the advent of hanging,
    electrocution, and, most recently, lethal injection. Baze v. Rees, 
    553 U.S. 35
    , 41–42 (2008).
    The Supreme Court first addressed the application of the Eighth Amendment to lethal
    injection in Baze, upholding Kentucky’s then-practice of execution by injection with a three-drug
    combination: (1) sodium thiopental, a fast-acting barbiturate sedative; (2) pancuronium bromide,
    a paralytic agent that paralyzes the body and stops the lungs; and (3) potassium chloride, which
    induces cardiac arrest.
    Id. at 44.
    The plaintiffs in that case conceded that, if administered
    properly, the three drugs in combination eliminated any “meaningful risk” that the inmate would
    experience severe pain but argued that the risk of improper administration was so significant that
    the protocol violated the Eighth Amendment.
    Id. at 49.
    Although the Court upheld Kentucky’s use of the three-drug injection in Baze, state
    methods have changed in recent years. Many of the companies that manufacture drugs such as
    sodium thiopental have either ceased production or declined to sell them to states for use in
    executions. 
    Glossip, 135 S. Ct. at 2733
    . Some states have sought to maintain their three-drug
    protocols while replacing sodium thiopental with sedatives such as propofol, pentobarbital
    sodium, and midazolam, the latter of which was upheld by the Supreme Court in Glossip.
    Id. at 2731.
    Other states have opted to conduct executions with a single-drug protocol consisting of a
    lethal dose of a single sedative. Bucklew v. Precythe, 
    139 S. Ct. 1112
    , 1120 (2019).
    4
    The federal government has likewise changed its execution protocol. In 2005, three
    federal death row inmates sued, alleging that their executions were to be administered under an
    unlawful and unconstitutional execution protocol. Roane v. Gonzales, 1:05-cv-02337 (D.D.C.),
    ECF No. 1 ¶ 2. The court preliminarily enjoined their executions. Roane, ECF No. 5. Four
    other death row inmates intervened, and their executions were enjoined as well. See Roane, ECF
    Nos. 23, 27, 36, 38, 67, and 68. During this litigation, the government produced a 50-page
    document (2004 Main Protocol) outlining BOP execution procedures. Roane, ECF No. 179-3.
    The government then produced two three-page addenda to the 2004 Main Protocol. See Roane,
    ECF No. 177-3 (Addendum to Protocol, July 1, 2007) (the 2007 Addendum); ECF No. 177-1
    (Addendum to Protocol, Aug. 1, 2008) (the 2008 Addendum). In 2011 the DOJ announced that
    the BOP did not have the drugs it needed to implement the 2008 Addendum. See Letter from
    Office of Attorney General to National Association of Attorneys General, (Mar. 4, 2011),
    https://files.deathpenaltyinfo.org/legacy/documents/2011.03.04.holder.letter.pdf. The
    government informed the court that the BOP “has decided to modify its lethal injection protocol
    but the protocol revisions have not yet been finalized.” Roane, ECF No. 288 at 2. In response,
    the court stayed the Roane litigation.
    No further action was taken in the cases for over seven years. On July 24, 2019, the DOJ
    announced a new addendum to the execution protocol, (Admin. R. at 874–78), replacing the
    three-drug protocol of the 2008 Addendum with a single drug: pentobarbital sodium. (Id. at
    879–80.) The BOP also adopted a new protocol to replace the 2004 Main Protocol. (Id. at
    1021–72.) The 2019 Protocol provides for three injections, the first two containing 2.5 grams of
    pentobarbital in 50 milliliters of diluent each, and the third containing 60 milliliters of a saline
    flush. (Id. at 880.) The 2019 Protocol makes no reference to the form or source of the drug, or
    5
    measures of quality control, and its description of the intravenous administration of the drug
    simply provides that the Director or designee “shall determine the method of venous access” and
    that “[i]f peripheral venous access is utilized, two separate lines shall be inserted in separate
    locations and determined to be patent by qualified personnel.” (Id.)
    Following this announcement, the court held a status conference in Roane on August 15,
    2019. (See Minute Entry, Aug. 15, 2019.) In addition to the Roane plaintiffs, the court heard
    from counsel for three other death row inmates, all of whom cited the need for additional
    discovery on the new protocol. (See ECF No. 12, Status Hr’g Tr.) The government indicated
    that it was unwilling to stay the executions, and the court bifurcated discovery and ordered
    Plaintiffs to complete 30(b)(6) depositions by February 28, 2020, and to file amended complaints
    by March 31, 2020. (See Minute Entry, Aug. 15, 2019.)
    Four inmates with scheduled execution dates filed complaints or motions to intervene in
    the Roane action challenging the 2019 Protocol, and they each subsequently moved to
    preliminarily enjoin their executions. 4 On November 20, 2019, the court granted the four
    Plaintiffs’ motions for preliminary injunction, finding that they had demonstrated a likelihood of
    success on their claims that the 2019 Protocol exceeds statutory authority. (Mem. Op. at 13, 15.)
    The court did not rule on Plaintiffs’ other claims, including that the 2019 Protocol is arbitrary
    and capricious under the Administrative Procedure Act (APA), that it violates the Food, Drug,
    4
    Lee filed his complaint on August 23, 2019 (see Lee v. Barr, 1:19-cv-02559 (D.D.C.), ECF No.
    1), and his motion for a preliminary injunction on September 27, 2019. (ECF No. 13, Lee Mot.
    for Prelim. Inj.) On August 29, 2019, Bourgeois moved to preliminarily enjoin his execution.
    (ECF No. 2, Bourgeois Mot. for Prelim. Inj.) Honken filed an unopposed motion to intervene in
    Lee v. Barr, which was granted. (ECF No. 26, Honken Mot. to Intervene.) He then moved for a
    preliminary injunction on November 5, 2019. (ECF No. 29, Honken Mot. for Prelim. Inj.)
    Purkey filed a complaint and a motion for a preliminary injunction under a separate case number,
    1:19-cv-03214, which was consolidated with Roane. (ECF No. 34, Purkey Mot. for Prelim. Inj.)
    6
    and Cosmetic Act (FDCA) and the Controlled Substances Act (CSA), that it violates Plaintiffs’
    right to counsel in violation of the First, Fifth, and Sixth Amendments, and that it is cruel and
    unusual in violation of the Eighth Amendment. (Id. at 13.) Following the court’s order, three
    additional death row inmates filed complaints under separate case numbers, which in turn were
    consolidated with Roane. 5 Defendants moved to stay the court’s preliminary injunction, which
    the court denied. (See Minute Order, Nov. 22, 2019.) The D.C. Circuit likewise denied
    Defendants’ motion to stay, In re Fed. Bureau of Prisons’ Execution Protocol Cases, No. 19-
    5322 (D.C. Cir. Dec. 2, 2019), as did the United States Supreme Court on December 6, 2019.
    Barr v. Roane, 
    140 S. Ct. 353
    (2019). However, three Justices issued a statement indicating their
    belief that Defendants were likely to prevail on the merits.
    Id. Defendants also
    filed an interlocutory appeal of the court’s 2019 Order on November 21,
    2019. (See ECF No. 52.) On April 7, 2020, the D.C. Circuit reversed. Execution Protocol
    
    Cases, 955 F.3d at 108
    . Neither of the two judges on the panel who voted to reverse agreed on
    the FDPA’s statutory requirements.
    Id. at 112
    (per curiam). Nonetheless, they agreed that
    Plaintiffs were unlikely to prevail on the merits of their claims that the 2019 Protocol exceeds
    statutory authority.
    Id. The panel
    expressly declined to rule on Plaintiffs’ remaining statutory
    and constitutional claims, as “the government did not seek immediate resolution of all the
    plaintiffs’ claims” and the claims “were neither addressed by the district court nor fully briefed
    in this Court.”
    Id. at 113.
    The Court of Appeals denied Plaintiffs’ petition for rehearing en banc
    on May 15, 2020, and the Supreme Court denied Plaintiffs’ application for a stay of the mandate
    and petition for a writ of certiorari on June 29, 2020. Bourgeois, 
    2020 WL 3492763
    .
    5
    These plaintiffs are Norris G. Holder, Jr., 1:19-cv-3520; Brandon Bernard, 1:20-cv-474; and
    Keith Dwayne Nelson, 1:20-cv-557.
    7
    Meanwhile, Plaintiffs filed their Amended Complaint on June 1, 2020, (ECF No. 90, Am.
    Compl.), the same day Holder filed a separate supplemental complaint. (ECF No. 94, Holder
    Compl.)
    On June 15, 2020, the DOJ announced new execution dates for Plaintiffs. (Defs. Notice
    Regarding Execution Dates.) Four days later, Plaintiffs filed a joint motion for a preliminary
    injunction on the basis of their unresolved claims. (Pls. Mot. for Prelim. Inj.) Plaintiffs thus ask
    the court to preliminarily enjoin Defendants from executing Lee, Purkey, Honken, and Nelson
    while they litigate their claims.
    II.    ANALYSIS
    The court’s 2019 Order sets forth the legal standard for considering a motion for a
    preliminary injunction, which is an “extraordinary remedy” requiring courts to assess four
    factors: (1) the likelihood of the plaintiff’s success on the merits, (2) the threat of irreparable
    harm to the plaintiff absent an injunction, (3) the balance of equities, and (4) the public interest.
    Winter v. Nat. Res. Def. Council, Inc., 
    555 U.S. 7
    , 20, 24 (2008) (citations omitted); John Doe
    Co. v. Consumer Fin. Prot. Bureau, 
    849 F.3d 1129
    , 1131 (D.C. Cir. 2017). The D.C. Circuit has
    traditionally evaluated claims for injunctive relief on a sliding scale, such that “a strong showing
    on one factor could make up for a weaker showing on another.” Sherley v. Sebelius, 
    644 F.3d 388
    , 392 (D.C. Cir. 2011). It has been suggested, however, that a movant’s showing regarding
    success on the merits “is an independent, free-standing requirement for a preliminary
    injunction.”
    Id. at 393
    (quoting Davis v. Pension Benefit Guar. Corp., 
    571 F.3d 1288
    , 1296
    (D.C. Cir. 2009) (Kavanaugh, J., concurring)).
    8
    A.      Likelihood of Success on the Merits of Plaintiffs’ Eighth Amendment Claims
    Plaintiffs bringing an Eighth Amendment challenge to the method of execution face a
    high bar. They must demonstrate that the 2019 Protocol presents a “substantial risk of serious
    harm,” and they must identify an alternative method of execution that will significantly reduce
    the risk of serious pain and that is feasible and readily implemented. 
    Glossip, 135 S. Ct. at 2737
    ;
    see also 
    Bucklew, 139 S. Ct. at 1129
    (confirming that “anyone bringing a method of execution
    claim alleging the infliction of unconstitutionally cruel pain must meet the Baze-Glossip test.”).
    1.      Substantial Risk of Serious Harm
    It is not enough for Plaintiffs to argue that Defendants’ planned use of pentobarbital will
    potentially cause pain. “[B]ecause some risk of pain is inherent in any method of execution, we
    have held that the Constitution does not require the avoidance of all risk of pain.” 
    Glossip, 135 S. Ct. at 2733
    . For the 2019 Protocol to constitute cruel and unusual punishment in violation of
    the Eighth Amendment, Plaintiffs must show that it presents a risk of severe pain that is “sure or
    very likely to cause serious illness and needless suffering” and gives rise to “sufficiently
    imminent dangers,” such that prison officials cannot later plead “that they were subjectively
    blameless.” 
    Baze, 553 U.S. at 49
    –50 (citations omitted). Although the Supreme Court has
    cautioned against federal courts becoming “boards of inquiry charged with determining ‘best
    practices’ for executions,”
    id. at 51,
    this question necessarily requires some weighing of
    scientific evidence. See, e.g., 
    Glossip, 135 S. Ct. at 2739
    (affirming district court’s findings that
    midazolam was “highly likely” to render inmates unable to feel pain during execution).
    The scientific evidence before the court overwhelmingly indicates that the 2019 Protocol
    is very likely to cause Plaintiffs extreme pain and needless suffering during their executions.
    The declarations submitted by Plaintiffs’ experts illustrate that the majority of inmates executed
    9
    via pentobarbital injection suffered flash pulmonary edema during the procedure. (See ECF No.
    26-12, Expert Decl. of Mark Edgar, ¶ 74; ECF No. 24, Expert Decl. of Gail Van Norman,
    Autopsy Findings, at 85.) Pulmonary edema, which interferes with breathing, “produces
    sensations of drowning and asphyxiation” resulting in “extreme pain, terror and panic.” (Edgar
    Decl., ¶¶ 78–80.)
    Eyewitness accounts of executions using pentobarbital describe inmates repeatedly
    gasping for breath or showing other signs of respiratory distress, and indicate that flash
    pulmonary edema is common and extremely painful. (Id.) Dr. Gail Van Norman concluded that
    it is a “virtual medical certainty that most, if not all, prisoners will experience excruciating
    suffering, including sensations of drowning and suffocation” during an execution conducted in
    accordance with the 2019 Protocol. (Van Norman Decl. ¶ 18.)
    Defendants urge the court to disregard these findings. They first contend that the
    Supreme Court has already upheld similar methods of execution, and that the pain associated
    with pulmonary edema is not severe enough to render the 2019 Protocol unconstitutional. (See
    ECF No. 113-1, Defs. Opp. to Pls. Mot., at 22–25.) But the cases upon which Defendants rely
    are inapposite. Neither Baze nor Glossip involved a single-drug protocol or the use of
    pentobarbital, and the fact that some plaintiffs in those and other cases suggested that
    pentobarbital would be a constitutional alternative does not invalidate the expert testimony
    before the court, which indicates otherwise. 
    Glossip, 135 S. Ct. at 2738
    ; 
    Baze, 553 U.S. at 56
    –
    57. Bucklew did involve a challenge to pentobarbital, but one unique to that plaintiff’s medical
    condition—he argued that vascular tumors caused by his cavernous hemangioma would prevent
    the pentobarbital from working as intended, and thus brought an as-applied challenge to a
    procedure that he conceded was “constitutional in most 
    applications.” 139 S. Ct. at 1118
    , 1120.
    10
    Plaintiffs, of course, concede no such thing, and in fact allege the opposite. (See Pls. Mot. for
    Prelim. Inj. at 34.)
    Defendants also urge the court to follow the Sixth Circuit’s recent decision, In re Ohio
    Execution Protocol Litigation, which rejected an Eighth Amendment claim based on the risk of
    pulmonary edema during execution, and which Plaintiffs claim misinterpreted Bucklew. 
    946 F.3d 287
    (6th Cir. 2019), (Pls. Mot. for Prelim. Inj. at 35 n.12.) Defendants initially relied on the
    Sixth Circuit’s holding that “neither pulmonary edema nor the symptoms associated with it
    qualify as the type of serious pain prohibited by the Eighth Amendment,” but after the first round
    of briefing in this case last year, the Sixth Circuit issued an amending and superseding opinion
    omitting this language. Compare 
    937 F.3d 759
    , 762 (6th Cir. 2019), 
    with 946 F.3d at 290
    .
    Although the Sixth Circuit’s amended opinion does suggest that the risk of pain associated with
    sensations of drowning and suffocation is akin to that of hanging, it does not reach a conclusion
    as to whether pulmonary edema can result in pain that is so severe as to violate the Eighth
    
    Amendment. 946 F.3d at 290
    .
    In any event, this case is factually distinct from Ohio Execution Protocol. That case not
    only involved a different execution protocol using a different drug—a three-drug protocol
    employing midazolam as the first drug rather than a one-drug protocol relying exclusively on
    pentobarbital—but it held that the plaintiff had failed to provide “evidence showing that a person
    deeply sedated by a 500 milligram dose of midazolam is still ‘sure or very likely’ to experience
    an unconstitutionally high level of pain.”
    Id. Here, Plaintiffs
    have amassed an extensive factual
    record, and their experts have concluded that there is a “virtual medical certainty” that the 2019
    Protocol will result in “excruciating suffering.” (Van Norman Decl. at 7.)
    11
    Defendants do not contest Plaintiffs’ evidence that the majority of individuals executed
    via pentobarbital suffer flash pulmonary edema, but they have submitted expert testimony
    arguing that the pulmonary edema occurs either post-mortem or after the inmate has been
    rendered insensate. (See Defs. Opp. to Pls. Mot. at 12–13; ECF No. 111-4, Expert Decl. of
    Joseph Antognini, ¶ 8.) Thus, the question of whether the 2019 Protocol is significantly likely to
    cause serious pain turns on the narrower question of whether the pentobarbital is likely to render
    inmates insensate or dead before they experience the symptoms of pulmonary edema.
    Plaintiffs have the better of the scientific evidence on this question. Dr. Van Norman
    demonstrates that flash pulmonary edema can only occur in still-living subjects, and that it
    develops “almost instantaneously” following injection. (ECF No. 117-1, Supp. Decl. of Gail
    Van Norman, ¶¶ 19–24.) Defendants argue that Plaintiffs concede that pentobarbital renders
    patients insensate very rapidly, (Defs. Opp. to Pls. Mot. at 12), but the evidence indicates no such
    concession. Dr. Van Norman specifically states that barbiturates like pentobarbital render
    patients “unresponsive” but still conscious and capable of experiencing the severe pain
    associated with flash pulmonary edema. (Van Norman Supp. Decl. ¶¶ 10–13, 21.) While Dr.
    Antognini disputes these findings, he does not undermine them. (See ECF No. 122-2, Supp.
    Decl. of Joseph Antognini, ¶¶ 20–23.) Dr. Van Norman’s conclusion is also supported by
    eyewitness accounts of previous executions using pentobarbital, in which inmates visibly gasped
    for breath, and autopsies that revealed “foam or froth” in the inmates’ airways, a phenomenon
    that occurs when the edema fluid mixes with air while the inmate is still attempting to breathe.
    (See, e.g., Edgar Decl. ¶¶ 78–79.)
    While it is difficult to weigh competing scientific evidence at this relatively early stage,
    the factual record indicates that Plaintiffs are likely to succeed on the merits of their claims that
    12
    the 2019 Protocol poses a substantial risk of serious pain. They have thus met the first prong of
    their burden on their Eighth Amendment claims.
    2.      Known and Available Alternatives
    Plaintiffs argue that several alternative methods of execution will significantly reduce the
    substantial risk of serious pain. (Pls. Mot. for Prelim. Inj. at 36–40.)
    Procedural safeguards. Plaintiffs claim Defendants could implement a number of
    procedural safeguards, including (1) requiring the use of two functioning peripheral IV lines and
    placing limits on the use of a central line, (2) administering the lethal-injection protocol bedside,
    and (3) implementing additional procedures to respond to unexpected occurrences. (Id. at 37–
    39.)
    Defendants correctly characterize these proposals as mere “failsafes” that do not render
    the planned method of execution unconstitutional. 
    Baze, 553 U.S. at 60
    –61. Plaintiffs’ proposal
    regarding the placement of IV lines is the type of “slightly or marginally safer alternative” that
    the Supreme Court has previously rejected.
    Id. at 51.
    Moreover, the vague suggestion of adding
    procedures to better respond to problems that may arise during the execution seems aimed at an
    “isolated mishap,” rather than the substantial risk of serious pain from the use of pentobarbital.
    See
    id. at 50.
    The alleged benefits of bedside administration of pentobarbital are likewise aimed
    at reducing the risk of maladministration. (See Pls. Mot. for Prelim. Inj., at 38–39.) In sum, it
    appears likely that implementing these measures would result in a “minor reduction in risk” at
    best. 
    Bucklew, 139 S. Ct. at 1130
    .
    Pre-dose of opioid pain or anti-anxiety medication. Plaintiffs have demonstrated that a
    pre-dose of certain opioid pain medication drugs, such as morphine or fentanyl, will significantly
    reduce the risk of severe pain during the execution. (Pls. Mot. for Prelim. Inj. at 36–37; ECF No.
    13
    25, Expert Decl. of Craig Stevens, ¶¶ 15–16.) Defendants argue that this proposal lacks
    sufficient detail, that no state currently uses analgesics in its execution procedures, and that
    pentobarbital alone is sufficiently painless. (Defs. Opp. to Pls. Mot. at 32.)
    This court has already found that pentobarbital alone poses an unconstitutionally
    significant risk of serious pain, and it finds Defendants’ remaining arguments to be unavailing.
    While Bucklew emphasized that a proposed alternative method of execution must be not just
    “theoretically feasible but also readily implemented,” this simply means that the proposal must
    be “sufficiently detailed to permit a finding that the State could carry it out relatively easily and
    reasonably 
    quickly.” 139 S. Ct. at 1129
    (internal quotation marks omitted). See also
    id. at 1128
    (noting that the burden of identifying an alternative means of execution “can be overstated.”).
    The class of medications identified by Plaintiffs, and the proposed dosage of morphine and
    fentanyl more specifically, meet this standard. (Stevens Decl. ¶¶ 7–16.)
    The fact that other states have not adopted Plaintiffs’ proposed method of using pain
    medication is also not dispositive. See 
    Bucklew, 139 S. Ct. at 1136
    (Kavanaugh, J., concurring)
    (“I write to underscore the Court’s additional holding that the alternative method of execution
    need not be authorized under current state law. . . . Importantly, all nine Justices today agree on
    that point.”).
    Defendants argue that as in Bucklew and Baze, Plaintiffs’ proposed alternative has “no
    track record of successful use,”
    id. at 1130,
    and is “untried and untested.” 
    Baze, 553 U.S. at 41
    .
    But this case presents a different scenario. In Bucklew, the plaintiff proposed execution by
    nitrogen hypoxia, but even after “extensive discovery,” he provided only a “bare-bones”
    proposal premised on “unsupported, if not affirmatively contradicted” assertions regarding its
    
    effectiveness. 139 S. Ct. at 1121
    , 1129–30. In Baze, the plaintiff’s proposal of a one-drug
    14
    protocol was offered “without any findings on [its] effectiveness” and relied heavily on
    comparisons to animal 
    euthanasia. 553 U.S. at 56
    –58. Here, Plaintiffs’ proposal is simpler, and
    is supported by substantial scientific evidence of its effectiveness in non-lethal human treatment.
    Moreover, the parties agree that Nebraska recently used a pre-dose of fentanyl for the precise
    purpose of reducing the risk of serious pain during an execution. In sum, Plaintiffs have not
    proposed a complex medical procedure, lacking in detail and possibly requiring years of further
    research, but a simple addition to the execution procedure that is likely to be as effective as it is
    easily and quickly administered. See 
    Bucklew, 139 S. Ct. at 1129
    .
    Finally, Defendants contend that the BOP already considered and rejected using fentanyl
    in executions, in part due to speculation that manufacturers would refuse to supply it. (Defs.
    Opp. to Pls. Mot. at 32.) Although Defendants do not make the same argument regarding the
    availability of morphine, it is true that the government cannot be faulted for failing to use a drug
    it has been unable to obtain through good-faith efforts. 
    Glossip, 135 S. Ct. at 2738
    . But
    Defendants have provided no evidence of such efforts; they merely assert that manufacturers
    would “most likely” resist efforts to use fentanyl in executions. (Admin. R. at 869.) This is a far
    cry from showing that they are unable to procure fentanyl for Plaintiffs’ executions.
    Firing squad. Alternatively, Plaintiffs proffer execution by firing squad. (Pls. Mot. for
    Prelim. Inj. at 39–40.) Because that method of execution is feasible, readily implemented, and
    would significantly reduce the risk of severe pain, it satisfies the Blaze-Glossip requirements for
    proposed alternatives. Execution by firing squad is currently legal in three states, Utah,
    Oklahoma, and Mississippi, and can hardly be described as “untried” or “untested” given its
    historical use as a “traditionally accepted method of execution.” 
    Bucklew, 139 S. Ct. at 1125
    .
    15
    Furthermore, the last execution by firing squad in the United States occurred just over a decade
    ago, on June 18, 2010, in Utah.
    Both the historical use of firing squads in executions and more recent evidence suggest
    that, in comparison to the 2019 Protocol, execution by firing squad would significantly reduce
    the risk of severe pain. See, e.g., Deborah Denno, Is Electrocution an Unconstitutional Method
    of Execution? The Engineering of Death Over the Century, 35 Wm. & Mary L. Rev. 551, 688
    (1994) (“A competently performed shooting may cause nearly instant death”); Austin Sarat,
    Gruesome Spectacles: Botched Executions and America’s Death Penalty 117, App. A. (2014)
    (calculating that, of all executions conducted since 1900, executions by firing squad had the
    lowest rate of “botched” executions—zero out of thirty-four—of any method).
    Defendants point to several cases from other Circuits in which courts appeared skeptical
    of these conclusions. (Defs. Opp. to Pls. Mot. at 34–35.) Again, however, they overlook the
    Supreme Court’s guidance in Bucklew that a plaintiff’s burden in identifying an alternative
    method of execution “can be overstated” and that there is “little likelihood that an inmate facing
    a serious risk of pain will be unable to identify an available 
    alternative.” 139 S. Ct. at 1128
    –29.
    Indeed, members of the Court, including at least one Justice in the Bucklew majority, have
    opined that the firing squad may be an immediate and sufficiently painless method of execution.
    See, e.g.,
    id. at 1136
    (Kavanaugh, J., concurring); Arthur v. Dunn, 
    137 S. Ct. 725
    , 734 (2017)
    (Sotomayor, J., dissenting from denial of cert.) (“In addition to being near instant, death by
    shooting may also be comparatively painless.”). Moreover, given that use of the firing squad is
    “well established in military practice,” 
    Baze, 553 U.S. at 102
    (Thomas, J., concurring),
    Defendants are, if anything, more capable than state governments of finding “trained marksmen
    16
    who are willing to participate,” and who possess the skill necessary to ensure death is near-
    instant and comparatively painless. McGehee v. Hutchinson, 
    854 F.3d 488
    , 494 (8th Cir. 2017).
    Defendants also argue that execution by firing squad is not a “readily available” method
    of execution. It is true that, compared to the relative ease with which opioids could be added to
    the existing execution protocol, execution by firing squad would mean a complete transformation
    of the government’s method of execution. Therefore, Defendants argue, the court should defer
    to the government’s “legitimate reasons” for choosing not to adopt the firing squad as a method
    of execution—that legitimate reason being that the firing squad is so rarely used. (Defs. Opp. to
    Pls. Mot. at 36.)
    Defendants’ logic is somewhat circular. See, e.g., 
    Arthur, 137 S. Ct. at 729
    (Sotomayor,
    J., dissenting from denial of cert.) (reasoning that allowing a state to conduct an unconstitutional
    execution simply because it declines to authorize any alternative “cannot be right”). See also
    
    Bucklew, 139 S. Ct. at 1128
    (“The Eighth Amendment is the supreme law of the land, and the
    comparative assessment it requires can’t be controlled by the State’s choice of which methods to
    authorize in its statutes.”). Indeed, Defendants’ argument implicitly asks the court to follow the
    Eleventh Circuit’s holding that a proposed alternative method of execution must be authorized
    by law. Arthur v. Comm’r, Ala. Dep’t of Corr., 
    840 F.3d 1268
    , 1317–18 (11th Cir. 2016). Yet
    the Eleventh Circuit acknowledged last year that Bucklew “demonstrates our conclusion in
    Arthur was incorrect.” Price v. Comm’r, Ala. Dep’t of Corr., 
    920 F.3d 1317
    , 1326 (11th Cir.
    2019), cert. denied sub nom. Price v. Dunn, 
    139 S. Ct. 1542
    (2019).
    The court declines to opine on whether the firing squad would be an acceptable
    alternative method of execution in every case. However, it finds that Defendants could readily
    adopt Plaintiffs’ proposal. Even if Bucklew is read as requiring Plaintiffs to plead a method of
    17
    execution that is currently authorized by at least one state, the firing squad is currently authorized
    by three states and was used relatively recently in one. More importantly, the federal
    government is uniquely capable of consulting with Utah and adopting its existing protocol.
    Defendants’ final argument is that Plaintiffs’ stated preference for execution by firing squad is
    insincere. (Defs. Opp. to Pls. Mot. at 37.) But the court notes that Plaintiffs have argued for it at
    length, and have adequately shown that it is readily implemented, available, and would
    significantly reduce the risk of severe pain. Cf. 
    Bucklew, 139 S. Ct. at 1136
    (Kavanaugh, J.,
    concurring) (rejecting possibility of execution by firing squad where the plaintiff had chosen not
    to plead it as an alternative).
    Plaintiffs have identified two available and readily implementable alternative methods of
    execution that would significantly reduce the risk of serious pain: a pre-dose of opioid pain or
    anti-anxiety medication, or execution by firing squad. Thus, they have established a likelihood
    of success on the merits of their claims that the 2019 Protocol’s method of execution constitutes
    cruel and unusual punishment in violation of the Eighth Amendment. Given this finding, the
    court need not reach Plaintiffs’ other remaining claims. 6
    6
    The court is mindful of the prudential rule that when a case can be decided on purely statutory
    grounds, courts should avoid constitutional questions. See Ashwander v. Tenn. Valley Auth., 
    297 U.S. 288
    , 347 (1936) (Brandeis, J., concurring). But this “is a rule of prudence, not an absolute
    command.” Int’l Refugee Assistance Project v. Trump, 
    883 F.3d 233
    , 351 (4th Cir. 2018)
    (Harris, J., concurring) (citations omitted), vacated on other grounds, 
    138 S. Ct. 2710
    (2018); see
    also Trump v. Hawaii, 
    138 S. Ct. 2392
    , 2434 (2018) (Sotomayor, J., dissenting) (“That rule of
    thumb is far from categorical, and it has limited application where, as here, the constitutional
    question proves far simpler than the statutory one.”). Plaintiffs’ remaining statutory claims raise
    novel and complex questions that, as Defendants themselves note repeatedly, could result in far-
    reaching and unpredictable consequences. In contrast, Plaintiffs’ Eighth Amendment claims
    require the court to preliminarily enjoin the 2019 Protocol for the “more fundamental reason”
    that it creates an unconstitutionally significant risk of serious pain.
    Id. 18 B.
        Irreparable Harm
    The court’s analysis of irreparable harm is unchanged from its 2019 Order. In order to
    prevail on a request for preliminary injunction, irreparable harm “must be certain and great,
    actual and not theoretical, and so imminent that there is a clear and present need for equitable
    relief to prevent irreparable harm,” and it “must be beyond remediation.” League of Women
    Voters of U.S. v. Newby, 
    838 F.3d 1
    , 7–8 (D.C. Cir. 2016) (citing Chaplaincy of Full Gospel
    Churches v. England, 
    454 F.3d 290
    , 297 (D.C. Cir. 2006)) (internal quotation marks and
    brackets omitted). Here, without injunctive relief, Plaintiffs would be unable to pursue their
    remaining claims, including the claims that the method of planned execution under the 2019
    Protocol is cruel and unusual in violation of the Eighth Amendment, and would therefore be
    executed under a procedure likely to be unconstitutional. This harm is manifestly irreparable.
    Other courts in this Circuit have found irreparable harm in similar, but less dire
    circumstances. See, e.g., Damus v. Nielsen, 
    313 F. Supp. 3d 317
    , 342 (D.D.C. 2018) (finding
    irreparable injury where plaintiffs faced detention under challenged regulations); Stellar IT Sols.,
    Inc. v. USCIS, No. 18-2015 (RC), 
    2018 WL 6047413
    , at *11 (D.D.C. Nov. 19, 2018) (finding
    irreparable injury where plaintiff would be forced to leave the country under challenged
    regulations); FBME Bank Ltd. v. Lew, 
    125 F. Supp. 3d 109
    , 126–27 (D.D.C. 2015) (finding
    irreparable injury where challenged regulations would threaten company’s existence); N.
    Mariana Islands v. United States, 
    686 F. Supp. 2d 7
    , 19 (D.D.C. 2009) (finding irreparable
    injury where challenged regulations would limit guest workers). No member of the D.C. Circuit
    panel on appeal challenged the court’s finding in its 2019 Order that Plaintiffs would suffer
    irreparable harm absent preliminary relief, and Defendants do not dispute that irreparable harm is
    likely.
    19
    Based on the record before it, the court finds that Plaintiffs have shown that absent
    injunctive relief, they will suffer the irreparable harm of being executed under a likely
    unconstitutional procedure before their claims can be fully adjudicated.
    C.      Balance of Equities
    Defendants argue that if the court preliminarily enjoins the 2019 Protocol, they will suffer
    the harm of having to delay the scheduled execution dates. (See Defs. Opp. to Pls. Mot. at 57.)
    The government’s interest in the finality of criminal proceedings, including capital cases, is
    compelling. Calderon v. Thompson, 
    523 U.S. 538
    , 556 (1998). On the other hand, the fact that
    the government waited eight years to establish a new protocol undermines its arguments
    regarding the urgency and weight of that interest. The government may have had valid reasons
    to proceed with caution, but it can hardly now claim that any further delay would cause it
    substantial harm. The court notes that while almost eight months have passed since its 2019
    Order, Plaintiffs still have not been afforded sufficient opportunity to evaluate the 2019
    Protocol—it was Defendants who initially declined to stay Plaintiffs’ executions to allow
    discovery on the Protocol. (Status Hr’g Tr. at 6, 10–11.)
    Indeed, where the Supreme Court has been sympathetic to the government’s need for
    finality in capital cases, it has generally been in cases where plaintiffs waited until the last
    minute to bring claims that could have been brought earlier, or engaged in a clear “attempt at
    manipulation” of the judicial process. 
    Bucklew, 139 S. Ct. at 1134
    (quoting Hill v. McDonough,
    
    547 U.S. 573
    , 584 (2006)). Here, however, three of the four Plaintiffs filed their complaints
    shortly after the DOJ announced the 2019 Protocol, months before their initially scheduled
    executions, and Nelson filed his complaint before Defendants even announced his execution
    20
    date. Plaintiffs are not raising new claims that they could have brought in their initial
    complaints, but rather renewing the Eighth Amendment arguments made in their initial motions.
    Given this background, the court finds that the potential harm to the government caused
    by a delayed execution is not substantial, and is outweighed by the irreparable harm Plaintiffs
    would face absent an injunction. 7
    D.      Public Interest
    As noted in the court’s 2019 Order, the public interest is not served by executing
    individuals before they have had the opportunity to avail themselves of the legal process to
    challenge the legality of their executions. “Applying the law in a way that violates the
    Constitution is never in the public’s interest.” Minney v. United States Office of Pers. Mgmt.,
    
    130 F. Supp. 3d 225
    , 236 (D.D.C. 2015) (emphasis in original). See also Purkey v. United
    States, 
    2020 WL 3603779
    , at *11 (“Just because the death penalty is involved is no reason to
    take shortcuts—indeed, it is a reason not to do so.”); Cooey v. Taft, 
    430 F. Supp. 2d 702
    , 708
    (S.D. Ohio 2006) (“The public interest has never been and could never be served by rushing to
    judgment at the expense of a condemned inmate’s constitutional rights.”); Harris v. Johnson, 
    323 F. Supp. 2d 797
    , 810 (S.D. Tex. 2004) (“Confidence in the humane application of the governing
    laws . . . must be in the public’s interest.”). Accordingly, the court finds that the public interest
    is served by preliminarily enjoining Plaintiffs’ executions because it will allow judicial review of
    whether the United States Government’s planned execution protocol complies with the Eighth
    Amendment, and to ensure that it does so in the future.
    7
    In his separate Opinion, Judge Katsas found that this was a case in which the balance of
    equities favored the government. Execution Protocol 
    Cases, 955 F.3d at 126
    (Katsas, J.,
    concurring). However, he noted that this was partly because the claims then before the Court
    presented no “colorable dispute that pentobarbital will cause anything but a swift and painless
    death.”
    Id. at 128–29.
    Plaintiffs’ Eighth Amendment claims now raise precisely this dispute.
    21
    III.    CONCLUSION
    The court finds that at least one of Plaintiffs’ claims has a likelihood of success on the
    merits, and that absent a preliminary injunction, Plaintiffs will suffer irreparable harm. It further
    finds that the likely harm that Plaintiffs would suffer if the court does not grant injunctive relief
    far outweighs any potential harm to Defendants. Finally, because the public is not served by
    short-circuiting legitimate judicial process, and is greatly served by attempting to ensure that the
    most serious punishment is imposed in a manner consistent with our Constitution, the court finds
    that it is in the public interest to issue a preliminary injunction. Accordingly, having reviewed
    the parties’ filings, the record, and the relevant case law, and for the reasons set forth above, the
    court will GRANT Plaintiffs’ Motion for a Preliminary Injunction. A corresponding order will
    be issued simultaneously.
    Date: July 13, 2020
    Tanya S. Chutkan
    TANYA S. CHUTKAN
    United States District Judge
    22