Insanity or not, it's his fault.
The mental defect, if there is one, is in his brain.
You have to treat people as complete organisms, and not let them off the hook just because their major malfunction isn't a moral one.
It's wasteful to even bother pursuing the death penalty in this case, though.
If someone just makes sure he has access to something sharp in his cell, he'll probably cut his own heart out sooner or later.


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