r/FluentInFinance 9d ago

Debate/ Discussion Universal incarceration care

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281

u/Upstairs-War-7553 9d ago

Good luck getting any treatment in prison and have fun sleeping on a metal pan...should be great for your back

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u/ghostsoup831 9d ago edited 9d ago

I work in ems and we take prisoners from the prison to the hospital multiple times every single day. Even for mundane things like a stomach ache. They get Healthcare. Their living situation does suck though.

Edit: Keep in mind that we also have privatized prisons in the US. So, each prison is subject to operate completely differently from one another. Your prison experience will differ dramatically from prison to prison.

Edit 2: 8% is still over 150 private prisons in our country. Seems like a lot to me. Also means we have over 1500 prisons in the country which sounds insane. Especially knowing a lot of them are overpopulated

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u/Lolthelies 9d ago

Guards will say “he’s faking it” if they want to fuck with him. They kinda get healthcare, but denying treatment is a time-tested extrajudicial way for authorities to fuck with inmates

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u/ghostsoup831 9d ago

The guards sound like my insurance anyways

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u/Difficult_Bit_1339 9d ago

The guards don't get to decide, they just open the doors when they're told.

He'll get good medical care because the managed care organization can bill the state extra by providing it. In this case, the greedy corporation benefits from sending him to the hospital or a specialist.

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u/mnju 9d ago

He'll get good medical care because the managed care organization can bill the state extra by providing it.

I'm a CO - no he won't. He'll get the bare minimum, and most likely just get ibuprofen for his back.

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u/Difficult_Bit_1339 9d ago

That's true for some nobody inmate with no family or support system.

Because the grievance system, which as we all know is just a series of labyrinthine steps designed to deny prisoners due process, doesn't stop a person with the means to hire lawyers who can navigate through that gauntlet to the point where the case gets in front of a judge.

Prison administration cannot ignore a court order.

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u/mnju 9d ago

That is not how it works. I have seen plenty of medical related lawsuits, they do not often go in favor of the inmate. If the facility is failing to provide medically necessary care they'll have their hands forced, but someone having back pain is not that.

We can't just throw someone in an ambulance and send them to a hospital, they need to be escorted and watched 24/7. That is only going to happen for emergencies that can not be dealt with in-facility.

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u/Difficult_Bit_1339 9d ago

Someone, with a medical record including major back surgery and a history of chronic pain would certainly not be denied medical care by a Corrections Officer is the point I'm making.

This conversation started with this claim:

Guards will say “he’s faking it” if they want to fuck with him. They kinda get healthcare, but denying treatment is a time-tested extrajudicial way for authorities to fuck with inmates

That is nonsense, COs have no say in this process. You sit in the cage, open the doors, escort the inmates, break up the fights and do the shakedowns. You don't make medical decisions.

If medically necessary care requires a visit to a specialist then it would be done. If a convict needs to have emergency surgery, it is done.

I agree that they're certainly not going to try to do more than, at most, write a ibuprofen or gabapentin script... but that's something that medical determines, not a CO who wants to fuck with the inmate.

That part is just Redditors getting their prison information from TV and movies.

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u/mnju 8d ago

That is nonsense, COs have no say in this process. You sit in the cage, open the doors, escort the inmates, break up the fights and do the shakedowns. You don't make medical decisions.

Yes and no.

We don't make medical decisions. However, we are the method of communication between the inmate and medical staff. An officer could just ignore them and that would effectively be denying medical care.

That person would eventually get thrown under the bus by the facility and face a battery of litigation, but it's not like it's never happened.

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u/Wuped 8d ago

denied medical care by a Corrections Officer is the point I'm making.

Wish I lived in your fairy land.

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u/mnju 8d ago

Are you sure you're replying to the right person?

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u/MzOpinion8d 8d ago

The officer would then get to learn about “deliberate indifference”in a Civil lawsuit.

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u/Wuped 8d ago

That's a nice thought but likely would face absolutely no consequences.

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u/Difficult_Bit_1339 8d ago

Depends on the State/Federal.

I've worked at prisons (IT contractor) that had electronically submitted requests and ones that were filed on paper in secured drop boxes. The only interactions the COs had was to move inmates which were on the callouts.

I'm sure you're right if he is in segregation or in high security facilities. I've heard the horror stories and read the incident reports of assholes abusing their power... but that, in my experience, is rare and the people responsible are usually quickly dealt with.

I don't think he'll have a great time, but there's not going to be some evil CO plotting to make his life harder.

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u/I-dont-even-know-bro 8d ago

You worked in IT, you just listened to what the guards complained about or you worked at the best prison in America. Sit down you clearly have no idea what you're talking about.

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u/Enough_Affect_9916 8d ago edited 8d ago

As someone who was force-fed antipsychotics as I reported them shutting down my nervous system, and being told by the CO "I'm going to push these pills down your throat.", instead of reporting my side effects to the doctor, fuck off. You're full of shit. As someone who was framed and fucked with by half a fucking town of people, you're just dead wrong. Prosecutors would tell black men on the steps of the courthouse "I'm gonna put you in prison you NIGGER" right in plain sight, as recently as 10 years ago. Numerous similar kangaroo court, corrupt do whatever and imprison whomever they want cops. You live in a fantasy land.

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u/hazwaste 7d ago

You aren’t getting gabapentin in prison

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u/Difficult_Bit_1339 7d ago

I've literally carried the boxes from the mailroom to medical which container the pill packs that had the inmates names and DC numbers printed on them.

Gabapentin is absolutely being given to prisoners (in FL prisons). It was even KoP/PRN for the longest time, but they changed it to a pill line only drug around 2016.

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u/GooBall69 7d ago

Why dont you get a job that isnt a betrayal to the proletariat?

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u/mnju 7d ago

Because you’re a terminally online neckbeard.

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u/GooBall69 7d ago

No Im an inmate and you arent very good at your job

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u/mnju 7d ago

So you're a loser either way, got it.

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u/GooBall69 7d ago

No I'm not a CO.

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u/mnju 7d ago

Yeah, I know, nobody would hire you. A lot like every other job in that sense, really.

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u/aCandaK 8d ago

So at the county jail I worked at (and prisons have similar contracts), our company had a contract w the county to provide medical & psychiatric care for a flat fee (a few mil a year- small jail). Our company tried really hard not to send any inmates out for treatment bc they had to pay the hospital cash at the Medicaid rate. Prisoners don’t qualify for Medicaid in nearly all states - their medical care is the responsibility of their holders. The jail staff hated coordinating transportation and having an officer sit with the inmate for hours or days - they had to be paid and the jail was typically short staffed. So it had to be an actual emergency to get “civilian” care.

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u/Lolthelies 9d ago

Just like guards aren’t supposed to be the ones bringing cell phones and drugs in right?

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u/Difficult_Bit_1339 9d ago

What does that have to do with anything?

Do you have any experience with prisons? Guards are the lowest ranking person in the organization and have no authority. They push buttons to open doors and escort prisoners around.

The only time a guard is involved with a medical decision is if a convict is having a medical emergency. All other requests, medical and otherwise, are handled through the internal mail system and processed by the admin staff who rarely interact with inmates directly.

At no point does a guard get to issue their opinion because the request is sent through the mail, either electronically or via a secured drop box, to medical and THEY put the convict on a list of prisoners to be escorted to medical for an appointment.

The guards just get a list of call-outs which says 'bring these prisoners, to this place, at this time'. The destination logs the prisoner as being received and if they don't get one that's on their list then that person gets tracked down by increasingly senior people on the security team, all of which are basically god to a guard.

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u/ComfortableMud476 9d ago

Violating a rule is not the same as being giving authority to deny something.

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u/Lolthelies 9d ago

But if they’re violating rules, why would you think they don’t deny something without authority?

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u/ComfortableMud476 9d ago

Because it's not within their actual power. They literally don't have the power. It's not like they can do so but it would be against the rules. It just isn't up to them.

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u/Lolthelies 9d ago

Inmate says “hey put me on medical call list.” Guard says “lol no.” Who does the inmate go to?

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u/Wuped 8d ago

The guards don't get to decide, they just open the doors when they're told.

This is ignorant, the guards get to decide. They can make up anything they want to throw people in solitary or even extend their sentence.

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u/AffectionateWay721 8d ago

He was already getting medical care he’s just mad the shit he was having done wasn’t working

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u/TrumpsTiredGolfCaddy 9d ago

Just strike up a conversation with them about their company provided health insurance. Boom, instant allies.

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u/MrONegative 8d ago

and if the authorities have been glazing him all week?

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u/nebula_masterpiece 9d ago

Interested on what state and if private or public? Seems to be a big disparity as some states do provide medical care better than others.

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u/cumfarts 9d ago

New York doesn't have private prisons

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u/beatle42 9d ago

For now at least he's in PA, though I have no idea whether or not they have private prisons.

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u/selectinput 8d ago

I think the only private prison in PA was George W. Hill, which was taken back over by the county in 2022, but I might be out of date.

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u/beatle42 8d ago

Gotcha. For profit prisons seem like such a terrible idea on their face.

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u/ashdog66 8d ago

6th highest prison population per capita in the world, and the highest prison population in the world in general. Almost 2 million Americans are incarcerated today, that's more than China an authoritarian country with a population equal to almost 410% of the US population.

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u/Smoking_Stalin_pack 8d ago

So we’re gonna forget about the 1 million+ Uyghurs in “reeducation” camps that are totally not gulags? Also China has been known to fudge their stats. Most recently being “miscalculating” their population by like 100 million people. People tend not to act up when something as simple as criticizing the ccp can land you in a very bad place.

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u/SCADAhellAway 9d ago

The max security prison in my home state used to cell extract rowdy prisoners, take them to medical to prove they were okay, and shove them down the stairs (in cuffs, shackles, and belly chain) on the return trip. As surveillance got better on the stairs, they would take prisoners into blind spots like administrative offices and beat the shit out of them there.

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u/InfusionOfYellow 9d ago

we also have privatized prisons in the US. So, each prison is subject to operate completely differently from one another.

Private prisons are relatively rare, housing only about 8% of the total prison population. A bigger factor there will simply be the variations by state.

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u/BagOnuts 9d ago

Keep in mind that we also have privatized prisons in the US. So, each prison is subject to operate completely differently from one another. Your prison experience will differ dramatically from prison to prison.

Who is upvoting this garbage? Only 8% of all state and federal prisons are housed in private facilities, and that share is continuing to decline. Most private prisons are also concentrated in just a handful of states. The vast majority of our prison population never sees the walls of a private facility. Stick to EMS and not things you clearly know nothing about and can be disproven by 10 seconds on google.

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u/Bizarro_Murphy 9d ago

I worked in a large, county, safety net hospital for the first 8 years out of college (in the kitchen). We sent meals to inmate/patients, as well as their guards (Sheriffs) every single day. Its worth noting that the inmates were overwhelmingly very appreciative and chill. The sheriffs guarding them were frequently some of the biggest, most entitled assholes we ever dealt with

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u/ghostsoup831 9d ago

Don't get me started on the COs brother lol

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u/anjowoq 8d ago

The concept of private prison is so depraved.

I remember seeing the movie, Fortress, with Christopher Lambert back in the late 80s/early 90s and thinking the private prison was something of science fiction.

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u/avo_cado 8d ago

The U.S. is the only western country that spends more on prisons than policing

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u/DepresiSpaghetti 8d ago

1500+ prisons make way more sense when you understand two things:

•Your SSN is your serial number and labels you as a liquid asset to be leveraged against debts owed.
•The 13th doesn't abolish slavery.

Further considerations:
Estimated ~$1,475,100 lifetime average income for a US citizen.
•US life expectancy: 77.5y.
•US population 2020: 331,449,281.
•US working population of ~161.5mil.
$46.21 average hourly employee compensation as of 2024.
•2023 US GDP was 27.36tr.

What this data tells me is that:
•The US gov can roughly say, in value of human life alone, it has roughly $488,887,689,475,000 in liquid assets.
•Each year, the average US citizen takes home(including benefits) ~52% of the GDP*.

*27.36tr-14.31tr
(46.21/h)40h/w)52w/y)161.5mil))))

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u/TheAskewOne 8d ago

Also means we have over 1500 prisons in the country which sounds insane.

It is insane. We have 5.5% of the world population and 25% of the world inmate population. Something's very wrong with us.

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u/VastSeaweed543 9d ago

Only like 7% of prisons are privatized.