Quoted:
He can't even stand trial until he is mentally competent enough to understand the proceedings.
Absolutely correct.
Jared Laughner... he gave up what little autonomy he had over his life when he started pulling the trigger on the Glock. At this point, he's a prisoner under arrest for murder awaiting trial. His mental status is affecting the speed and effectiveness at which the proceeding can work.
What are his choices?
He can refuse medication and continue being bat shit insane out of his right mind and plagued with an illness I hope and pray none of us will ever understand or experience.
He can accept medications... and allow the evidence against him to be brought to trail and participate as a semi-autonomous person in his own defense.
If he chooses, as he has so far, to refuse medications to control his illness he leaves himself and those who must prosecute and defend him little choice.
He's a special class of persons, an At Risk person, incapable of making competent decisions for himself. So, the state is forced to make decisions on his behalf. The state has to assume that he wishes to control his illness to participate in his defense and to do that his illness must be controlled so that he can begin to understand the nature of the charges being brought against him.
Does he understand what he's done? Maybe. I don't know. The only person that really knows is Jared himself. And unless he can be brought into some semblance of sanity even he himself may not know exactly what he's done and what the ramifications and consequences of his actions are.
Is there anyone who doubts that he's mentally incompetent to stand trial for what he's done without proper medication to control his illness?
Further complicating the situation are conflicting state laws regarding forced medication of` mentally unstable prisoners. Arizona wants it their way. And while he's housed in Missouri, he falls under Missouri law for medicating prisoners which are substantially different from Arizona's laws.
And be sure, his defense attorneys are very busy making sure that none of his Constitutional rights or human rights are abrogated accidentally or intentionally by anyone at any point in the proceedings!
The big question is how to judge and establish his ability to understand the charges being brought against him.
Jared is in a real tough spot. The federal government wants to bring in the death penalty for killing the judge. Arizona wants to bring in its own death penalty for murder. Did Jared intend to kill the judge or was the judge simply in the way when he was trying to kill Representative Giffords?
Jared is facing the death penalty in either case but there has to a decision about whether or not the feds or Arizona are going to proceed with the prosecution. Until Jared is able to explain his intentions or a competent legal authority can discern his motivations for his actions... Jared will likely be force medicated while he's in Arizona while further legal issues regarding the physical location of his prison are worked out.
Will the feds or Arizona state impose the death penalty on a mentally incompetent adult? We'll see.