Coroners reliant on voters who are sceptical about covid have not been as scrupulous as their medical-examiner peers
Death investigation in America falls into two broad categories. Medical-examiner systems are run by unelected technocrats, physicians who probe deaths and draft certificates. Coroner systems are led by elected officials, who may or may not be medical doctors. Both are supported by forensic pathologists, specialists in autopsies.
A push to replace coroners with medical examiners gained traction in the early 20th century, before losing momentum. Coroners attract little attention—about 80% ran unopposed in the latest electoral cycle. But polarisation has created more competition. When Bobbi Jo O’Neal ran for coroner in South Carolina’s Charleston County in 2020, after two decades as a nurse conducting death investigations, she faced a less qualified opponent.
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