Lethal injection is nothing like what people think. This is its untold story. In the popular imagination, lethal injection is a slight pinch and a swift nodding off to forever-sleep. It is performed by well-qualified medical professionals. It is regulated and carefully conducted. And it usually provides a “humane” death. In reality, however, not one of those things is true. Secrets of the Killing State pulls back the curtain on this clandestine punishment practice, presenting a view of lethal injection that states have worked hard to hide. Botched executions are a part of this story, but they are just the tip of the iceberg. For all the suffering that we see, there is also suffering that we don’t see. Indeed, the story told here is even bigger than the executions themselves, for behind the scenes is where it unfolds. Fake science, torturous drugs, inept executioners, prison problems, and decades of state secrecy have created an execution method hard-wired to go wrong in countless ways. The story of lethal injection is a story of gross incompetence, law breaking, torturous deaths, and a stunning indifference to the way in which human beings die at the hands of the state. These are the secrets of the killing state―all that we know from litigation files, scientific studies, investigative journalism, autopsy reports, interviews, and scholarship across a number of fields. Death penalty expert Corinna Barrett Lain uses this groundbreaking journey into the dark reality of lethal injection to shine a light on the American death penalty more broadly and show that the state at its most powerful moment is also the state at its worst. We are now over 45 years into the lethal injection era, and most Americans still have no idea what states are doing in their name. It’s time they found out. "A compelling, thoroughly researched, brilliantly written investigation of how the federal government and many state governments have used their vast power and resources to needlessly kill imprisoned people whose lives may depend on the moral outrage of a nation that dares to look more closely at lethal injection and the death penalty. Disturbing, devastating and an urgent must read." -- Bryan Stevenson, Founder and Executive Director of the Equal Justice Initiative "This meticulously researched and brilliant exposé of the gruesome failure of lethal injection as a humane mode of execution teaches a broader and more basic lesson. The ostensible quest for a painless way to implement capital punishment is in reality a doomed search for a placebo to stifle government officials’ and the public’s qualms of conscience that might otherwise rebel at killing helpless prisoners. Lain has written an indictment of the death penalty that will stand on history’s bookshelf right up there with the enduring works of Koestler and Camus." -- Anthony G. Amsterdam, New York University "This is the book I have been waiting for―the book that lays bare for all to see the atrocities of what states are doing in our name. Secrets of the Killing State is an incredibly important book that will change hearts and minds. People think lethal injection is humane. This book proves beyond any doubt that it is not, and convincingly shows that the state should not be trusted with the awesome power over life and death. That belongs to God alone." -- Sister Helen Prejean, author of Dead Man Walking "Lain is the nation's preeminent expert on lethal injection as a mode of execution. Her encyclopedic and horrifying account of lethal injection's secret history and tortuous effects should be hard to read, but it is actually hard to put down. Lain's indignation and disbelief at the depths of official misfeasance and indifference to human suffering leap from the pages. This is a must read for anyone who seeks to understand the administration of the American death penalty." -- Carol S. Steiker, co-author of Courting Death: The Supreme Court and Capital Punishment " Secrets of the Killing State is in the great tradition of The Jungle―unmasking utter systemic incompetence, mendacity, secrecy, and indifference to cruelty by those with the power to do right. A must-read to know what the state is doing in our name." -- Michael Meltsner, Northeastern University "If there ever was a genuine search for a “humane execution”, it has come to an ignominious end. In Secrets of the Killing State Professor Corinna Lain’s meticulous examination of the history, secrecy, guesswork, bluster, pseudo-science, pretense and deceit that contaminate the decades-long effort to promote “lethal injection” as humane exposes the entire ghastly killing process for the damnable, torturous villainy that it is. This is not a simple case of the blind leading the blind; this is intentionality steering incompetence. It is brute, murderous stupidity masquerading as justice." -- Mike Farrell, President of Death Penalty Focus "Pulling back the rug shrouding lethal injection’s dirty secrets, Corinna Barrett