The vast majority of doctors refuse to be a part of lethal injections, therefore its often done by people who may be competent technicians, but not fully trained doctors.
Furthermore, the companies that once provided lethal injection chemicals now largely refuse to do so, either on moral grounds, or on economic/legal grounds (many European countries will put sanctions on companies that knowingly provide execution chemicals).
So instead of a doctor injecting a chemical combination specifically formulated by company experts for a specific goal, you end up with a technician saying “hey, if we mix up chemical A and B together, that should kill him, but we can’t let the suppliers know what we’re doing”
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