Grand mal seizures can kill a person, and that’s what I envisioned could have happened, or Jackson still had enough active meperidine in his system that he could have gone into respiratory arrest with “just one more pill/shot.”
Meperidine is poorly absorbed through the digestive tract, so a doctor will prescribe a slightly higher dose. Problem is, a person can still get the same amount of normeperidine jerking your central nervous system around. Fifty milligrams of oral Demerol may work as well as 25 milligrams when given into a muscle, but those 50 milligrams are broken down in the same manner, so you get the same “dose” of toxic metabolite.
The worst-case possibility is that Jackson had oxycontin on board that wasn’t working quickly enough, so he was given (or took) a quicker-acting narcotic (Demerol) for faster relief. Not feeling sedated enough, a well-meaning (but utterly stupid) person gave Jackson the propofol injection. Voila!
Perhaps he was clever enough to have multiple “treating” physicians, none of whom knew about the other. Prescribing Oxycontin or Demerol (oral or injectable) is perfectly legal. Those drugs are commonly available at a pharmacy. The propofol is another thing entirely and the physician who prescribed that drug is guilty of the worst kind of malpractice.
I don’t believe that he intended to die. From all accounts, he loved his children, regardless of their biology. He would not purposely harm them in any way, the ultimate harm being abandoning them through death. I firmly believe Michael Jackson was as salvageable as Anna Nicole Smith was—with the right people getting them on track through rehab and ongoing treatment. Each were meal tickets for less-than-scrutable people, and it was easier to feed their addictions (and keep the money coming) rather than risk being tossed from the inner circle.