by Leah Wang

Over 1 million people sit in U.S. state prisons on any given day. These individuals are overwhelmingly poor, disproportionately Black, Native, Hispanic, and/or LGBTQ, and often targeted by law enforcement from a young age, as we detailed recently in our report Beyond the Count. And all too often, they are also suffering from physical and mental illnesses, or navigating prison life with disabilities or even pregnancy. In this, the second installment of our analysis of a unique, large-scale survey of people in state prisons, we add to the existing research showing that state prisons fall far short of their constitutional duty to meet the essential health needs of people in their custody. As a result, people in state prison are kept in a constant state of illness and despair.

Instead of “rehabilitating” people in prison (physically, mentally or otherwise), or at the very least, serving as a de facto health system for people failed by other parts of the U.S. social safety net, data from the most recent national Survey of Prison Inmates show that state prisons are full of ill and neglected people. Paired with the fact that almost all of these individuals are eventually ...