Pictured Above: Pete Hegseth, the Secretary of Defense, gave the commencement speech at West Point this year in May. Unfortunately, nobody in attendance was offered a refund for their time. Hello, everyone, and welcome to another edition of The Monroe Gazette, a weekly podcast that speaks to experts, policymakers, and everyone in between concerning news that impacts our listeners right here in Orange County, New York. This week on the show, I’m joined by former NYU bioethicist Dr. Arthur Caplan, who recently retired from NYU in July. Orange County is home to the United States Military Academy at West Point, so what the Department of Defense does is of high interest to us since West Point operates under their purview. We’ve brought you coverage on our podcast previously of West Point, including that time a tech oligarch, Palmer Luckey, got invited to give his sales pitch for a company that essentially sells war crimes in a box. If you missed that episode, we’ll link to it in today’s post. And as of this recording, Congressman Pat Ryan has not clarified whether he returned the money he received from Palmer Lucky’s company. Now, you may have heard that a live military execution was planned by Secretary of Defense Pete Hegseth, and I wanted to get Dr. Caplan’s take on this and another story you might have seen in the news involving the botched execution of Christa Pike in Tennessee. Just to note to listeners: we recorded this interview last week on October 14. Since we recorded this interview, President Trump did what he always does and waffled. First, he said that he approved the livestream execution of the Fort Hood mass shooter, only to reverse course over this weekend. Proving once again that public pressure works and that all elected officials—all of them, no matter how incompetent or scary—can be pressured. So just an FYI: there is an execution being conducted by firing squad of the Fort Hood mass shooter, but it will not—I repeat, not—be live streamed. And just as an FYI about mass shooters in general, as a policy, we don’t name or identify mass shooters at The Monroe Gazette, nor should any media outlet. Because the attention seems to have a correlation—but not necessarily causation—when it comes to encouraging other mass shooters. So anything we can do to help put a stop to that public epidemic is something we’d like to do. We also do not recognize the name “Department of War,” because only Congress can change the name of the Department of Defense, not the president. No matter how many executive orders he wants to sign, the Constitution—not the president—is the supreme law of the land, and Congress is the single most powerful governing body that we have. The thing is, the corporate Democrats and the white supremacist death cult known as MAGA have, since Trump has come back into office, basically decided not to bother to do their job, which is what has empowered this entire reign of stupidity that we’re all suffering under. All that in mind, let’s get to our interview with Dr. Arthur Caplan. The Monroe Gazette is ad-free and paywall-free, covering local news in Monroe as well as county, state, and national issues that impact those residents. Truthful. Not neutral. We need to recruit 981 paid annual subscribers between now and June 24, 2027. to keep the lights on. If you want to help keep the lights on, press the red button below to upgrade. Our Interview With Dr. Arthur Caplan AI Disclosure Notice: The text below was autogenerated from Riverside.fm, which we use to record our podcasts. We then, using Duck.Ai — to prevent the large language models from stealing our work — run the Riverside transcript through Claude 4.5 Haiku to help clean it up and make it compliant with Associated Press Style. BJ then reads through the final transcript prior to publication; however, please keep in mind the transcript below may not be an accurate match to the episode audio due to this process. BJ Mendelson: Dr. Caplan, thank you so much for joining us today on The Monroe Gazette. Would you be so kind as to take a moment to introduce yourself? Dr. Arthur Caplan: Sure. Happy to be here. Thank you for having me. I am a professor emeritus, having retired in July from NYU Grossman School of Medicine. When I was there for almost 13 years, I ran our Department of Medical Ethics. There we teach medical students ethics courses—everything from how to get informed consent to dealing with patients and the many controversies that arise in the care of patients, disputes about when you can end care, what to do when a baby is born prematurely, all the way out to policy questions such as doctors’ roles in executions. And before coming to NYU, I was at the University of Pennsylvania for many years doing the same thing, and before that at the University of Minnesota. BJ: Congratulations on the recent retirement. Dr. Caplan: Yep. Well, my wife would tell you she doesn’t notice much difference. BJ: There are two big national issues going on that I wanted to talk to you about where there’s an intersection of the medical profession and medical professional involvement in public executions—or in the case of Christa Pike, a state-based execution. So for people who don’t know, essentially Pike was sentenced to death. Something went wrong during the execution. So for now, she is alive. And if she survives the side effects of the botched execution, the state of Tennessee may try to execute her again. Do I have that right? Dr. Caplan: That’s about right. The execution was botched. She was given two doses of a drug intended to kill her, but they didn’t get it in her vein; it went into her body, made her sick, she had to go to the hospital, and she is now, I would say, somewhat disabled and impaired, but seems to be recovering. BJ: If you’re sentenced to death by the state, who is in charge of your medical care in an instance like this? Dr. Caplan: Well, remember, there are two contexts for capital punishment. A few states still permit capital punishment. Most have either abolished it or the governors say they’re not going to allow it to happen. And that handful of states—less than 10, I believe—that still have it don’t conduct many executions. The appeals process is long. Believe it or not, the sentence people sometimes die before they get executed of other causes. So if you’re in a state that permits execution, the state is responsible for your medical care in prisons and jails—jails being smaller facilities where sometimes people are held before trial and conviction. And at the federal level, there are some acts that permit the death penalty. And there you may be in a federal prison, and then the federal government is in charge. BJ: So if I understand it correctly—and this is why I wanted to talk to you—the state tried to kill Pike. They failed, and now they’re in this situation where I guess they have to take care of her medical care to get her well enough in order to try to kill her again. Dr. Caplan: Well, you’re kind of swimming in unknown waters. They may try to get her well enough to kill her again. That is a possibility. She, on the other hand, may say, “You tried to kill me. You tortured me. You made me suffer during the execution. You then disabled me, and I’m not sure what permanent problem she may have. You don’t have the right to try and kill me anymore. You screwed up.” And I’m sure she’s going to have a lawyer that will make exactly that argument—almost a double jeopardy thing: You get one chance to kill me, you don’t do it, then you have to take care of me. She went back to the hospital that is affiliated with the prison—Vanderbilt, I think it is in Tennessee. And she’s getting ICU care, extensive care, and I might add, expensive care being paid for by the citizens of Tennessee. BJ: I’m curious to learn about the ethics involved in whether medical professionals should be involved in executions in the first place. Dr. Caplan: All major medical, nursing, and pharmacy organizations have condemned as unethical the involvement of healthcare personnel in executions. They basically say the state should never be allowed to order a doctor to kill somebody. We don’t want to go down the path that the Nazis in Germany went down. State-ordered execution is something that it is very difficult to find a doctor, a physician assistant, or a nurse willing to participate in. States almost never succeed, and they shouldn’t. My view is that an execution is intended to punish somebody. It’s part of the legal system and the penal system. It has nothing to do with the provision of healthcare. That’s what doctors, nurses, and pharmacists do. If the state, in my view, wants to execute people—and we believe that capital punishment is legitimate, which I don’t—but if we’re going to have it, then the state has to train executioners to do it, because doctors should not be involved. BJ: Yeah, and I agree with you. I’m on the side of wanting to abolish the death penalty for a number of reasons. And a lot of what we’re discussing is part of the point you mentioned: people die while awaiting execution on death row. So it seems sort of silly, expensive, and counterproductive. And if murder is a crime, then why are we murdering people? Dr. Caplan: By the way, Pike spent a significant period of time—measured in years—in solitary confinement. I’ll just put this on the table: I think being on death row or being confined in solitary confinement is worse punishment than being killed. I mean, if you’re really into retribution—and by the way, I don’t think there’s any evidence that capital punishment deters crime. People get emotional, or crazy, or have a political cause; they’re not deterred because you kill them from doing that. But if you think, “Well, that’s what they deserve. I want retribution,” there’s a lot more s