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I would guess the problem with anesthesia is it's actually pretty complicated and things can go wrong with that step
Yeah, plus doctors and nurses won't do it which means you're relying on untrained pigs.
Yeah anasthesis is complicated and you run into the same issues trying to buy those drugs that are already making prisons seek out this execution method. You could just as easily cause toxicity and overdose or run into a allergy to the drug and then the execution will again be botched becuase the prisoner has to be in good health before the "proper" method of execution is delivered.
It's just so fucked.