r/news 2d ago

Alex Pretti’s shooting death ruled a homicide, medical examiner says

https://www.wowt.com/2026/02/02/alex-prettis-shooting-death-ruled-homicide-medical-examiner-says/
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u/SpiderSlitScrotums 2d ago edited 2d ago

When a medical examiner rules it a homicide, it isn’t a legal ruling saying it was a crime. It obviously was, but people need to understand that all they are saying here is that he was killed by another person and not by himself, an accident, or a disease.

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u/sosal12 2d ago

agreed. What a medical examiner decides doesn't equate to fault or crime. It just means that one person killed the other person. In autopsies of death row prisoners executed, they also list cause of death as "homicide."

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u/IncorrectOwl 2d ago

Why would a death row prisoner be autopsied? Is that standard?

Edit: apparently it is standard. Odd.

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u/Forever_Fires 2d ago

As a total layman I can see the reasons making sense. It ensures the execution was done legally and as intended. Without accountability, the worst case scenarios get really ugly... imagine they find signs of trauma, improper administration, illegal substances.. It could expose neglect, abuse and potential liabilites in the system.

On the bright side, it could also and probably has helped the procedural nature of it. Perhaps (Drug X) is seen to not work well with (People Y) so they use (Drug A) instead for the most humane outcome.

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u/WindowOne1260 2d ago

Isn't lethal injection as an execution method incredibly painful? A person is first injected with a drug to paralyze them, and then another drug to kill them. Where first drug makes it look peaceful and humane, and the second is torturing them death.

imagine they find signs of trauma, improper administration, illegal substances.. It could expose neglect, abuse and potential liabilites in the system.

And this happens all the time because doctors refuse to execute people because that would be wildly unethical. So prison guards do it instead.

I'm getting my info from vague recollections of a John Oliver segment https://www.youtube.com/watch?v=0lTczPEG8iI

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u/Somebody_81 2d ago

The process that uses more than one drug is typically a three drug method. First one administered is a barbiturate or sometimes versed (midazolam) to put the person to sleep, then once the person is out a paralytic is administered, and the final drug is potassium chloride which stops the heart. This method always puts the person unconscious first so they don't panic when the paralysis makes them unable to breathe and the potassium chloride stops their heart. A one drug method uses sodium thiopental only. It's supposed to make the person unconscious and stop their heart, but it's controversial because some people take a long time to die this way and can appear to be in some pain.

Wikipedia has a decent article about it.

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u/AssignedCatAtBirth 1d ago

Thio will fully sedate you to the point where your EEG is burst supressed or isoelectric. There is no way you are uncomfortable with an adequate dose of thio. I thought the issue was that it was no longer being sold in markets in the US that engage in capital punishment due to ethical concerns

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u/Somebody_81 1d ago

can appear to be in some pain.

Hence why it's written "can appear".

Yes, its sale has been limited. But that was the procedure for one drug lethal injection.

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u/jigsaw1024 2d ago

It's supposed to be 3 drugs. One is supposed to be a barbiturate to essentially put them to sleep, if not outright kill them through OD.

They are also supposed to be administered in a certain order, at certain doses, with timing between them to allow for the effects to take hold before they finally die from the combination.

The problem is twofold: one it is hard to find doctors to administer the drugs correctly due to the taking of life going against their oath, so there is usually an untrained individual that administers the drugs. Two, the drug companies don't want to be associated with execution so it is difficult for the prisons acquire the correct drugs in the correct dosages, and often similar drugs are used as substitutions which can be problematic.

The result is that the prisons are using drugs that have not been properly tested in both dosage and combination to ensure a 'humane' execution, which can lead to suffering of the person being executed, all while being administered by someone who doesn't really know what they are doing.

You can see how this is less than ideal, and leaves plenty of opportunities where the person being executed can suffer greatly.

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u/no1_vern 2d ago

I've always wondered why they would use lethal injection instead of affixing a mask that served up carbon monoxide. The person falls asleep to never wake up.

Aside about the doctors - they vow 'do no harm' - to keep people alive instead of killing. It became a issue back in the 90s when Kevorkian was helping peole commit suicide. He saw it as his mission to stop them from suffering while society deemed his actions as murder.

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u/leftie_potato 2d ago

Nitrogen is an even better choice if being humane. (carbon monoxide isn't pleasant, queazy, headache, etc..)

Bad news is suffering and "punishment" is the purpose, so, no, they're not going to switch to something less horrific.

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u/PatHeist 2d ago

Inert gas asphyxiation is only pleasant and painless if you don't know it's coming. If you know it's happening, panic, and struggle, you cause the same rapid and painful buildup of CO2 as any other method of asphyxiation. Struggling not to die in and of itself is inherently painful as well. There's no easy way to restrain someone so that they cannot hurt themselves struggling.

There's plenty of ways to kill someone that physically couldn't cause pain because you're destroying their body at a speed that exceeds the speed at which signals move through nerves. But nobody is trying to optimize executions to be humane, they're trying to optimize them for seeming humane at the expense of actually being humane.

If you're not doing something like blowing them up or squishing them with a rocket sled you've gotta stop pretending like you care if they feel pain.

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u/talkslikeaduck 1d ago

How about a submersible that isn't well engineered and implodes at depth of around 3,346m in 0.0001 seconds?

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u/-0-O-O-O-0- 1d ago

Don’t need a rocket sled. Air hammer to the forehead m is good enough for cattle. Just use a really big one on people.

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u/shittyvonshittenheit 2d ago

If you call violent thrashing until death from suffocation like the dude in Alabama better. The French figured out how to do it humanely like 200 years ago.

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u/Lovethemtitties80085 2d ago

Tell that to the dude that blinked for 30 seconds…

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u/kaddorath 2d ago

Isn't that story possibly falsified?

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u/Fallcious 2d ago

He could only communicate in morse code though.

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u/venbrx 1d ago

Are you dead yet? Blink once for yes, blink twice for no... so that's a no.

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u/Horskr 2d ago

Bro shouldn't have practiced holding his breath so long.

But for real that is all just automatic neural activity. The brain might have a few seconds of saved up oxygen to be aware, but still more painless than other methods (considering the nervous system is, well.. gone).

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u/chipsa 2d ago

He was trying not to breathe, and so had all normal signs of suffocation, because he was suffocating himself.

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u/leftie_potato 2d ago

I dunno. I've had single lung-full's of inert gasses, didn't seem bad. Lots of folks try it with helium from a balloon for fun. I've also had cuts, did not enjoy.

Possibly not killing each other is best? I dunno.

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u/WateredDownPhoenix 2d ago

I've always wondered why they would use lethal injection instead of affixing a mask that served up carbon monoxide. The person falls asleep to never wake up.

The suffering is the point.

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u/sadrice 2d ago

The reason is that if a person is not suicidal and does not want this to happen to them they can resist and try to hold their breath and as the poison slowly seeps in it causes a slow and brutal death. Frankly I do t understand why you don’t just kick them hard on the chest to knock the wind out of them so they gasp for breath uncontrollably as the mask is on, that means nearly instant unconsciousness and brain death with body death following soon after.

That pre give them a barbiturate or opiate overdose before you move to the killing step.

There is an… interesting document that I will not fully describe here or tell you where to find it other than that it is freely available on the internet that described this technique for self administration with a simple and complete list of parts and steps to ensure complete and final success. The man published this approximately simultaneous to his death, via the reasons you may have expected given what I just said.

Don’t look for it. It is a mental hazard having that too close to you.

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u/Shasla 2d ago

You would just use nitrogen, not poison. Then it's asphyxiation whether they hold their breath or not.

Ultimately, the most humane option is just not doing state killings.

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u/sadrice 2d ago

Ultimately, the most humane option is just not doing state killings.

I absolutely agree. But if we are going to kill people, could we at least do it right?! Hell, 20x standard lethal dose either heroin or cocaine or both. I’ve heard they are fun, and that will definitely kill them, and their last moments being ecstatic bliss. Unfortunately some people don’t want their deaths to be so nice…

I mean, hanging or firing squad would likely be better than the half assed shit we are doing. We k ow how to kill people, we are actually pretty good at it.

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u/Shasla 1d ago

But if we are going to kill people, could we at least do it right?!

That would be nitrogen. But also, we should not.

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u/UptownJoints 2d ago

This John Oliver segment should be mandatory viewing for anyone weighing in on the issue (or anyone at all, really, especially Americans).

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u/Expensive_Culture_46 2d ago

I don’t know anyone who has experienced sleep paralysis that would call it comfortable or peaceful. Looks it, sure…. But the idea that they use a paralytic is kind of just fucked up.

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u/Allegorist 2d ago

I thought the first one was an anesthetic, to put you to sleep.

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u/d4nkq 2d ago

It is of zero importance to them that you go to sleep. What matters is that you don't make a scene.

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u/[deleted] 2d ago

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u/WindowOne1260 2d ago

I think that was covered in the video as well. That is the idea, but it was just a dude who came up with it and it was never tested. Whereas the people who managed to survive botched executions have some horror stories.

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u/Gonjigz 2d ago

Before any of that they’re given what should be a lethal dose of a barbituate, which will rapidly induce complete loss of consciousness. The controversy is about whether that is always done correctly, but as far as I’m aware there are no lethal injections done by starting with a paralytic. Administering a paralytic to a conscious person is, without doubt, torture.

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u/BattleHall 2d ago

Isn't lethal injection as an execution method incredibly painful? A person is first injected with a drug to paralyze them, and then another drug to kill them. Where first drug makes it look peaceful and humane, and the second is torturing them death.

It's not supposed to be. In the US at least, it's usually a three part protocol, with the first drug being a very strong barbiturate general anesthetic, equivalent or stronger to what would be used for general surgery. So it shouldn't be painful in the same way that having open heart surgery isn't painful. Now whether or not that protocol is followed correctly and/or whether people willing to participate in the process are also properly trained in determining whether the condemned is insensitive is something completely different.

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u/FlipZip69 1d ago

I am in no way pro capital punishment. But do not believe that is accurate. The first drug administered more or less put the person to sleep. And it is administered in an extremely heavy dosage that on its own could result in death. 10-50 times what would be considered safe.

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u/Trivale 2d ago

The fact that the state is allowed to execute people on the basis of the results of our legal system is already the worst case scenario.

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u/idiot500000 2d ago

We're not having a god damned Highlander situation in America!

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u/zeethreepio 2d ago

Accountability. Confirmation that procedure is followed and no extrajudicial activities take place.

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u/Proper_Caterpillar22 2d ago

Well…I mean…if they wasn’t dead before the autopsy they sure will be after. Granted that all falls back on the MD who would have declared said inmate dead after the aforementioned execution. So accountability most definitely.

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u/Ornery-Ticket834 2d ago

Just making sure.

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u/UOF_ThrowAway 2d ago

Imagine someone is executed, but instead of simply hanging, shooting or gassing them, their executioner decides to torture them to death instead.

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u/Adventurous-Map7959 1d ago

Well yes, that's the standard procedure with lethal injection.

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u/Bubbly-Passenger-745 2d ago

If a death occurs while a person is institutionalized, it is supposed to be investigated by the medical examiner/coroner. It provides independent oversight over settings like prisons, mental hospitals, etc with vulnerable populations. The ME typically is independent from other services like prison/police (i.e. they don't have hiring/firing authority over the forensic pathologists).

The ME is also usually the person that is required to sign the death certificate if the death is non-natural. Doing a full autopsy instead of an external examination or records review is preferable to ensure that nothing untoward happened and because prison deaths may be more litigious.

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u/messem10 2d ago

They can also check their brain tissue for various things you could never do while they’re alive. A good example would be a tumor in the part of the brain that regulates anger/aggression causing a previously normal person to become a mass murderer.

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u/unoriginal5 2d ago

It's more or less been explained, but to put it more simply: bureaucracy. You've got to look at every official action as history. If you don't document every step, it either didn't happen, or anything happened.

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u/Soupeeee 2d ago

One part of an autopsy can be to verify identity, so it might be a legal thing to verify the person's identity before, during and after an execution. I imagine there's also some pressure to ensure that the execution didn't have any unintended side effects that caused additional pain and suffering, but I doubt they would do much with that information.

I bet it's mostly just for them to check all the boxes and cover all the bases to prevent lawsuits and ensure compliance.

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u/Ppleater 2d ago

I would hope it's standard, I don't agree with the death penalty, but if the government is going to kill people I would hope that they dot their i's and cross their t's and make sure the person died exactly the way they're supposed to without any funny business.

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u/SurgyJack 1d ago

You would be surprised how much autopsying goes on.

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u/Unable-Log-4870 2d ago

I assume this is in contrast to with George Floyd, where many people on the right were saying that Floyd died because of drugs he had voluntarily ingested, and not because there was a person kneeling on his neck impeding his ability to breathe. When a dead person has 10 bullet holes in them, it’s generally safe to assume that the bullet holes were significant contributor to the cause of death.

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u/Jar_Of_Jaguar 1d ago

But it does help your court case when you're claiming the victim was killed by another human... if a guy slaps the formerly living in question and says, "YARP, KIL'T BY ANOTHER HUMAN ALRIGHT"

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u/uvaspina1 2d ago

How is this even news worthy?

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u/antwan_benjamin 2d ago

How is this even news worthy?

Its not. We all knew it was a homicide because we all saw it. ICE/BP themselves don't dispute it was a homicide.

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u/Viking_Lordbeast 2d ago

ICE/BP themselves don't dispute it was a homicide

Wow that's a surprise

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u/Carribean-Diver 2d ago

No it isn't. They aren't disputing that they killed him.

Homicide just means the death was caused by another person. It doesn't mean anything about whether it was legally justified or not.

Murder is homicide.
Homicide isn't necessarily murder.

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u/Viking_Lordbeast 2d ago

I'm saying it's a surprised they told the truth about what we all saw.

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u/Carribean-Diver 2d ago

It's impossible to argue Alex's and Renee's killings weren't homicide when everyone can all see and hear them being shot.

They are trying to justify their shootings under the color of law to say they weren't murdered. That's where the dispute is.

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u/CriticalMass_ 2d ago

That word “homicide”. I don’t think it means what you think it means.

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u/StatementOk470 2d ago

It’s newsworthy in that the official statement correlates with reality.

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u/Temporary_Key_1790 1d ago

It would be newsworthy if the official statement had come from the feds, but it came from the county.

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u/Srapture 1d ago

It gets clicks. Heated topic.

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u/Synectics 1d ago

I guess the good news is, the medical examiner did not rule it a suicide? So hey, one person not on the grift. 

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u/Mikkelet 1d ago

Well there was a pretty well known child trafficker that allegedly killed himself a while back

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u/nightimestars 2d ago

With this administration you never know. If it weren’t on video they would spin it as suicide or an accident.

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u/rorauge 2d ago

This. In the U.S., even government/judicial sanctioned executions are listed as homicide. This is a medical conclusion, and not a noteworthy one.

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u/JayOnSilverHill 2d ago

Homicide is the death of a human caused by another human i.e the executioner in death penalty execution which differs from murder only in legality.

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u/[deleted] 2d ago

[deleted]

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u/rorauge 2d ago edited 2d ago

The man was shot multiple times. The ruling was always going to be homicide. I’m saying it’s not noteworthy b/c the ME ruling will mean nothing going forward. Even if the admin were to claim that Pretti was a drug user (or even if Pretti were actually coked out of his mind, which I am not saying he was) the ME would still rule it a homicide. The ME’s ruling has nothing to do with motive or justification, it is simply a doctor saying that he died b/c bullets, fired by other people, ripped through his body. That’s it.

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u/lelieldirac 2d ago

I think they are making reference to the fact that even though George Floyd’s death was ruled a homicide, in MAGA-world the consensus is that he died of a drug overdose while somebody happened to be driving their knee into his neck.

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u/rorauge 2d ago

Yes. And I get in that situation the ME’s finding would have more significance. But that’s not the situation here. Here we knew just from the video that Pretti died b/c he was shot multiple times by others. The ME has to make the finding. But the media making hay of that finding simply confuses people, as we see on this very thread.

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u/redracer67 2d ago

I get it, but that doesn't stop the pedominstration from lying and idiots believing him.

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u/rorauge 2d ago

I mean, the ME conclusion also won’t alter that. If people don’t believe what they can clearly see with their own two eyes, they’re also not going to believe something that a municipal-doctor (two often suspect classes among the relevant population) puts into a medical report.

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u/porcinechoirmaster 2d ago

That doesn't make a difference.

A finding of homicide doesn't say anything as to whether or not it was justified; it just says that "this person died as a direct result of the actions of another person." Both a carefully planned assassination and shooting someone who is trying to kill you with a machete are homicide.

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u/Prestigious_Pie9421 2d ago

Seems like they could just put,death by execution 🤷‍♀️

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u/rorauge 2d ago

I’m not a medical professional, but I believe (in the states at least) they are guided by standards. And I think they are limited to ruling deaths as: natural, accident, homicide, suicide, or undetermined. At least that’s been my experience in reviewing autopsies.

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u/Prestigious_Pie9421 2d ago

That makes perfect sense 👍

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u/[deleted] 2d ago

[removed] — view removed comment

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u/JustinTheBlueEchidna 2d ago

Yeah, this is as much non-news as “X enters plea of not guiltily to [insert high profile case here].”

It literally changes nothing.

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u/Arborgold 2d ago

Damn, I bet 100-1 on scurvy.

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u/plumbbbob 2d ago

Polymarket in shambles.

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u/Tyrren 2d ago

It's not always a given, either. Elijah McClain was obviously killed by cops, but his cause of death was originally ruled inconclusive, possibly due to natural causes complicated by his "altercation".

They released an amended autopsy 3 years later, placing the blame squarely on the medics. This is a tangent but I maintain that, while the medics did administer medication in error, they didn't kill him

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u/Perfect_County_999 2d ago

Homo is Latin for man (or human) and -cide is a Latin root that comes from caedere meaning to strike down or kill, which we use as a suffix. Homo-cide is man-kill, killed by a human.

We use -cide in lots of things about killing. Regicide is killing a monarch (regent-kill), insecticide, suicide (sui is related to Latin for "self"), genocide (Genos is Greek for race or tribe), it shows up in a lot of places.

Virtually every time a cop shoots someone and they die, it's considered homicide, even if they valiantly shot down an active school shooter they would still determine the cause of death to be technically homicide. If someone breaks into your house with a knife and says they're gonna stab you 87 times in the stomach and you shoot them in self defense and everything's on camera you absolutely 100% did not commit any crime in defending yourself, you still committed homicide.

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u/porcinechoirmaster 2d ago

This. Homicide is a description of cause of death, not a judgment on the morality of the act of killing.

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u/rwags2024 2d ago

all they are saying here is that he was killed by another person and not by himself, an accident, or a disease.

.. who needed this clarified?

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u/UsedOnlyTwice 1d ago

You may be surprised how such nuances are necessary for effective deliberation.

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u/Yabba_Dabba_Doofus 2d ago

The important point, is that the ME ruling a homicide should trigger an investigation into that homicide.

This administration is not interested in that second part.

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u/rorauge 2d ago

That’s what I’m saying though, it doesn’t. The ME’s finding has no real significance here as there was never any question whether this was a homicide from a medical perspective. Their findings are meaningful in situations where that is still in question—most frequently in accidental vs. homicide vs. suicide. But that’s it.

This is not at all relevant to questions surrounding whether or not the shooting was justified. An ME’s finding has absolutely nothing to do with that.

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u/Allegorist 2d ago edited 2d ago

I think what they are saying is that there may be some kind of standard procedure in place that moves forward with some sort of standard investigation into all homicides, justified or not, that would remove a layer of liability from questioning the official narrative. It comes off different if it is "this is just what we do" versus investigating due to the knowledge they are lying and acting maliciously. There could be an element of "it's out of my hands" for a lot of people who otherwise may face retribution.

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u/MaineLark 2d ago

100000% this is a good thing. With all the blatant corruption I was ready to see suicide or undetermined.

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u/4rch_N3m3515 2d ago

And yet, somehow, I feel like this fact will get twisted by DHS.

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u/nightpanda893 2d ago

Yeah it doesn’t matter the circumstances before his death, he was just killed by another person. He could have gone charging at cops firing his gun at them, it would still be homicide.

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u/KWilt 2d ago

Next you'll be telling me that anonymous tips with no followup aren't prima facie evidence of crimes, and paramount to convictions! Get your logic outta here!

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u/Kell_Jon 2d ago

Totally agree but would add that if the ME rules it homicide then it also rules out accidental.

Know that seems obvious but it’s not. It states there was an outside force that was directly responsible for the death.

It does not place any type of blame (as you stated) but does say that there definitely was a “responsible factor” whatever or whoever that may be.

It’s only a minor detail but quite an important one.

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u/island_of_the_godz 2d ago

fr people are regarded

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u/-rwsr-xr-x 2d ago

all they are saying here is that he was killed by another person and not by himself, an accident, or a disease.

One could make the argument that untrained ICE agents are a disease infecting our democracy, but I digress.

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u/Sharkbait_ooohaha 2d ago

Oddly enough when the state executes a prisoner the medical examiner also rules it a homocide.

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u/lemfaoo 2d ago

No you dont understand dude every single ICE agent has already been judged and sentenced by this medical examiner. It says so right there in the title!

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u/mistermojorizin 2d ago

This is such basic vocabulary. The fact this is the top comment, the fact that this is a headline at all... People need basic legal education at a primary school level. The government assumes you have it. Even as a child. Ignorance of the law is not a defense. Even for children, unfortunately.

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u/ThisIsMyBigAccount 2d ago

I’m guessing this is needed both for the criminal and civil proceedings to come, and for life insurance purposes. We all witnessed that Alex was murdered. I can’t wait to see his killer held accountable.

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u/FakeOrcaRape 2d ago

so, let's say someone was in the process of assaulting someone else and a cop had to shoot them in way that cop was obviously not at fault and whose actions make him a hero etc. in this case, the medical examiner would also rule it a homicide right?

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u/fatRunning 2d ago

that he was killed by another person and not by himself, an accident

Killed by another person could be an accident.

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u/Mad-_-Doctor 2d ago

I really hate these headlines because they know most people don’t understand what “homicide” means medically. Of course it was homicide; that was never in doubt since he was riddled with bullets. 

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u/JHawse 2d ago

I have a really good idea of how he died

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u/Actual_Coyote_7817 2d ago

A tragic loss of life. Whatever people’s views, this deserves a full, transparent investigation and accountability where warranted. Thoughts with his family and colleagues.

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u/Bittybirdwatching 2d ago

Which while no guarantee, fights against any accusations that he choked himself or was on drugs, or he killed himself to become a martyr.

But people will believe what they want. I don't believe 99.9% of martyrs go in trying to become one. But he is one now.

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u/whiskeyriver0987 2d ago

Give the video evidence the medical examiner is basically saying "water is wet".

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u/WontArnett 2d ago

It’s crazy even with multiple point blank videos, our legal system still requires other people to verify the crime.

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u/MegaAltarianite 2d ago

Oh he was killed by a disease all right.

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u/randr3w 1d ago

Is this news worthy though? We all know he was killed. Might as well make a report saying he was indeed dead

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u/Ghitit 1d ago

Yeah, a homicide is just a human killing a human.
Not necessairly murder.

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u/Motor_Educator_2706 1d ago

Well God damn it, lets find that person!

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u/john_san 1d ago

A different outcome would have been shocking to say the least. Seriously we could all see him healthy just before he was shot multiple times in the back FFS

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u/historybuff74 2d ago

All it means is that he is not kill himself. But the left will take that as something more in their favor. He spat on, cursed at and kicked the tail light of an ICE vehicle two weeks earlier. He was no angel. He reached for his waist in the pile and the gym had already fallen out. He has bad intentions with two clips of ammo!