“A coroner doesn’t have to ever have taken a science class in their life,” said Nancy Belcher, chief executive officer of the King County Medical Society, the group that met that day.
Her colleague’s startling comment launched her on a four-year journey to improve the state’s archaic death investigation system, she said. “These are the people that go in, look at a homicide scene or death, and say whether there needs to be an autopsy. They’re the ultimate decision-maker,” Belcher added.Each state has its own laws governing the investigation of violent and unexplained deaths, and most delegate the task to cities, counties, and regional districts.
“There are some really egregious conflicts of interest that can arise with coroners,” said Justin Feldman, a visiting professor at Harvard University’s FXB Center for Health and Human Rights. Belcher’s crusade succeeded in changing some aspects of Washington’s coroner system when state lawmakers approvedlast year, but efforts to reform death investigations in California, Georgia, and Illinois have recently failed.
Rulings on causes of death are often not cut-and-dried and can be controversial, especially in police-involved deaths such as the 2020 killing of. In that case, Minnesota’s Hennepin County medical examiner ruled Floyd’s death a homicide but indicated a heart condition and the presence of fentanyl in his system may have been factors. Pathologists hired by Floyd’s family said he died from lack of oxygen when a police officer kneeled on his neck and back.
In a recent California case, the Sacramento County coroner’s office ruled that Lori McClintock, the wife of congressman Tom McClintock,
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