Tuesday, November 11, 2014

BOP Medical Care Under Scrutiny


Poor Medical Care in Bureau of Prisons Inefficient, Costly, and Deadly

 

By Derek Gilna

 

No one who is familiar with the sorry state of medical care in the BOP should be surprised that  the U.S. government mishandled the Ebola crisis.  Like the BOP, when the Ebola crisis arose, there was no one in charge, there had been  limited or no training of people responsible for treating it, no accountability for obvious failures of planning and treatment, and more time spent on covering up the problem instead of actually finding a solution.  At the moment, America is apparently Ebola-free, but no thanks to the government.

            Unfortunately, for confined prisoners in the BOP, as well as numerous state and county correctional institutions, the horror of poor medical care continues.  Instances of serious and preventable suffering, illness, injury, and death are common in every institution.  It is evident from an objective analysis of the BOP medical system that the mission of the agency is to give the minimal amount of care necessary to avoid being sued, without regard for the long term consequences of the health of the prisoner. 

            How many times will the BOP prescribe Tylenol and a few days off, for dizzy spells, loss of consciousness, and complaints that indicate the prisoner has serious medical problems that need a proper diagnosis?  How long with people who were diagnosed with cancer before they even entered the system be denied treatment?  How long will the BOP continue to deny compassionate release to aged and infirm prisoners who could no re-offend even if they desired to do so?

            The solution is relatively simple.  The BOP must fast-track the release of its elderly prisoners, and must also facilitate the placement of them and other eligible prisoners into the Medicaid system. (This is already happening on the state level.) They must reform the current release and re-entry system to find these people a place to live.  They must stop wasting money confining people who have terminal medical conditions that they clearly resent having to treat.

            The BOP won’t do this because it is obvious or the right thing to do.  After all, as long as Congress keeps giving them money to spend on poorly managed medical care, they will continue to waste it. No, you will have to stand up for yourself, and have the help of someone that understands the system, who has been down this road before, someone who has actually completed a compassionate release, someone who has sued or researched and facilitated lawsuits against the federal government for not years, but decades. To get their attention, you will have to sue.  Nothing will happen until you take action.