Retiring Arizona Prison Watch...


This site was originally started in July 2009 as an independent endeavor to monitor conditions in Arizona's criminal justice system, as well as offer some critical analysis of the prison industrial complex from a prison abolitionist/anarchist's perspective. It was begun in the aftermath of the death of Marcia Powell, a 48 year old AZ state prisoner who was left in an outdoor cage in the desert sun for over four hours while on a 10-minute suicide watch. That was at ASPC-Perryville, in Goodyear, AZ, in May 2009.

Marcia, a seriously mentally ill woman with a meth habit sentenced to the minimum mandatory 27 months in prison for prostitution was already deemed by society as disposable. She was therefore easily ignored by numerous prison officers as she pleaded for water and relief from the sun for four hours. She was ultimately found collapsed in her own feces, with second degree burns on her body, her organs failing, and her body exceeding the 108 degrees the thermometer would record. 16 officers and staff were disciplined for her death, but no one was ever prosecuted for her homicide. Her story is here.

Marcia's death and this blog compelled me to work for the next 5 1/2 years to document and challenge the prison industrial complex in AZ, most specifically as manifested in the Arizona Department of Corrections. I corresponded with over 1,000 prisoners in that time, as well as many of their loved ones, offering all what resources I could find for fighting the AZ DOC themselves - most regarding their health or matters of personal safety.

I also began to work with the survivors of prison violence, as I often heard from the loved ones of the dead, and learned their stories. During that time I memorialized the Ghosts of Jan Brewer - state prisoners under her regime who were lost to neglect, suicide or violence - across the city's sidewalks in large chalk murals. Some of that art is here.

In November 2014 I left Phoenix abruptly to care for my family. By early 2015 I was no longer keeping up this blog site, save occasional posts about a young prisoner in solitary confinement in Arpaio's jail. I'm deeply grateful to the prisoners who educated, confided in, and encouraged me throughout the years I did this work. My life has been made all the more rich and meaningful by their engagement.

I've linked to some posts about advocating for state prisoner health and safety to the right, as well as other resources for families and friends.

until all are free -

MARGARET J PLEWS (June 1, 2015)
arizonaprisonwatch@gmail.com



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Showing posts with label corizon. Show all posts
Showing posts with label corizon. Show all posts

Thursday, February 19, 2015

Manfred Dehe: Corizon's deliberate indifference keeps killing...

Yes, Parsons v Ryan has been settled

                                    No, the prisoners havent stopped suffering yet.




--------from AZFAMILY.COM---------


Family claims prison health care killed father

by Brandon Lee

Posted on February 19, 2015 at 6:58 AM

Updated February 20 at 8:34 AM



PHOENIX -- The company that provides health care to Arizona inmates is Corizon. Its website states, in part, the company provides "high quality healthcare (sic)... that will improve the health and safety of our patients. Our people, practices and commitment to success through evidence-based medicine enable us to consistently meet and exceed client expectations."

But several nurses who currently work for Corizon Health tell 3TV that's not true.

What's more, one family says their father died because Corizon failed to live up to its promise.

"He was always in great shape," Mark Dehe said of his father, Manfred. "He walked all the time. He actually walked quite quickly."

Dehe said he spent as much time as he could with his father, but that changed when Manfred was sentenced to 10 years in prison. Dehe knew his dad would serve time but would eventually be released. The family would be reunited.

Dehe had no idea what three years inside an Arizona prison would do to his father.

"Infuriating," he said. "Infuriating."

Soon after Manfred went to prison, he complained to his family that he was in severe pain.

Dehe ignored him at first.

"I thought he was overreacting," Dehe explained. "I told him, 'Dad, this isn't the Ritz.' I told him it's prison you might just have to wait a little bit longer."

Medical records show that a prison doctor recommended surgery for a hernia on Feb. 21, 2012. It was categorized as an urgent priority.

On March 13, another medical professional recommended Manfred be seen by a doctor outside the prison, again for hernia-related issues.

One week later, medical staff again recommended outside treatment. It was again listed as "priority urgent."

I sat down with Dehe to talk about his claims that Corizon failed to provide proper care for his father.

Health care for violent criminal offenders is not at the top of most people's minds.

"I'm a little embarrassed to say I understand," Dehe confessed. "Prior to my father going to prison ... I didn't give it much thought. [M]y thoughts were 'Well if they didn't do anything wrong, then they wouldn't be in that position to begin with.

"But I also assumed that they were receiving and given adequate health care," he continued. "It may not have been the best. You may have had to wait a little bit, but I thought it met their needs. I was very ignorant."

3TV obtained hand-written notes from Manfred to prison staff. He seemed to be begging for help.

"I'm 77 years old. I don't feel right. I'd like to have a doctor fully examine me."

"To urinate is extremely painful. My hernias are also hurting."

"I'm not receiving any more meds for my urinary tract infection."

When Manfred was finally seen by doctors outside of the prison, lab tests came back with devastating results.

"Prostate cancer. Terminal prostate cancer. Stage 4," Dehe said.

Manfred's health deteriorated fast.

His family says he was supposed to receive monthly injections to slow the cancer. Medical records show that injections were sometimes missed because the medicine was not available, according to one doctor's notes.

Manfred continued to cry out for help. He wrote letters to management, saying, "I FEEL LIKE I AM BEING NEGLECTED. I NEED TO SEE A QUALIFIED DOCTOR AND GO TO THE HOSPITAL NOW!!!"

"From that time until he was finally seen for an exam, August 2013, 15 months had passed," Dehe said. "By that time, it was too late. He never left the bed. He never saw outside. He was never moved from one side to another and after two weeks he had severe bedsores. They would eventually get so bad you could see through to the bone."

Manfred's story is not unique. The state of Arizona has a contract with a private health care company, Corizon, to provide care for inmates. A report by medical experts hired by the ACLU to inspect and review the conditions at Arizona prisons found "almost half of the people who died natural deaths received grossly deficient medical care. And that the poor care clearly caused or hastened their death."

We even spoke to a current prison nurse who confirmed that inmates are dying because of poor care.

The prison nurse we talked with spoke on the condition of anonymity.

"People with ongoing diagnosis like leukemia, diabetes, or complications to some serious illnesses are being delayed care. Absolutely."

Nurses and doctors caring for Manfred tried to get him proper care.

"It is my medical judgement that this patient requires hospitalization," one doctor who saw him wrote to prison management.

One nurse even wrote a note that reads, "Department of Corrections short staffed and unable to provide security for ambulance transport. Consult Cancelled."

Dehe believes his father was sentenced to death because of poor health care.

"He was ridiculed by the staff," he said. "They didn't want to bathe him because quite frankly he smelled. One of the people even joked and said, 'Why don't you throw a sheet over him,' insinuating he smells like he's dead. He must be dead so cover him up."

Corizon recently settled a major class action lawsuit, promising it will make changes to provide better care to inmates. The case settled on Oct. 14, the same day Manfred lost his battle with cancer.

Manfred walked into prison at age 75. Three years later, he was dead.

"Do I think anything is going to change? Not a bit. Not a bit," Dehe said. "I have to assume that they act on the fact that there is no oversight, and therefore they can do whatever they want. If there's nobody watching me, I can do whatever I want. Who's going to complain? The inmate? Who's going to believe the inmate?"

Corizon declined an on-camera interview for this story. A spokesman did, however, respond with a statement.

"The oncological care provided Inmate Dehe from the time Corizon Health began serving the Arizona prison system met the standard of care and was appropriate to his condition. Federal and state privacy laws prohibit public discussion of details of patient conditions or courses of treatment."

A federal judge ruled Wednesday that Corizon and the Arizona Department of Corrections have three years to make changes that will improve the health care provided to inmates.

PARSONS V RYAN settlement approved by US District Court Judge Duncan





#CHUCKCHUCK #DARTHryan #DarkSideRyan  #FireChuckRyan" 

#DELIBERATEindifferenceKILLS


---------------------from the AZ Republic-----------

Judge approves Arizona inmate health-care settlement

Craig Harris, The Republic | azcentral.com 

9:55 a.m. MST February 19, 2015


A federal judge on Wednesday approved a settlement that will provide improved health-care coverage for about 34,000 Arizona inmates in state-run facilities at a cost to taxpayers of at least $8 million a year.

The American Civil Liberties Union, the ACLU of Arizona and the Prison Law Office, a prisoner-advocacy group, reached a settlement with the Arizona Department of Corrections last October, days before a trial was to start.

The lawsuit, filed on behalf of state-prison inmates, alleged that Arizona's inmate health-care system was so flawed that it caused deaths and preventable injuries. It also accused the state of keeping inmates in solitary confinement for long periods of time.

The state denied the allegations, and admitted no wrongdoing in agreeing to the settlement.

"This is a small glimpse of justice," said Patti Jones, whose nephew, Tony Lester, killed himself in a state prison. "I think this is a just settlement."

Jones was one of seven people to address U.S. Magistrate Judge David K. Duncan, who approved the settlement. Duncan also authorized $4.9 million in fees for the attorneys who represented the inmates.

The fees must be paid by the state. Duncan noted the amount for plaintiffs' attorneys nearly mirrored the amount the state spent in legal bills defending itself, bringing the state's total legal tab to about $10 million.

Gov. Doug Ducey is asking lawmakers for $8 million in his proposed budget for the coming fiscal year so the state's contracted inmate health-care provider, Corizon Health, can hire 91 additional health-care workers to comply with the settlement requirements.

The settlement requires DOC to:

• Meet more than 100 health-care performance measures, covering issues such as monitoring prisoners with diabetes, hypertension and other chronic conditions.

• Offer all inmates annual influenza vaccinations. Those with chronic diseases will be offered required immunizations.

• Offer inmates aged 50 to 75 annual colorectal cancer screening.

• Offer female inmates aged 50 and older mammogram screenings.

• Provide no less than 6 hours per week of out-of-cell exercise time for maximum-custody inmates.

• Provide maximum-custody inmates with serious mental illness an additional 10 hours of unstructured out-of-cell time per week.

• Only use pepper spray or other chemical agents during an imminent threat.

The settlement also allows attorneys for inmates and their experts to conduct up to 20 daily tours of state prison complexes annually to make sure the agreement is being enforced.

Donna Hamm, executive director of Middle Ground Prison Reform, said she liked the settlement but is unhappy that the state will have up to two weeks' advance notice prior to a tour.

"Some of the visits should be spontaneous and not announced," said Hamm, an outspoken critic of the Arizona prison system. "But overall, this is an improvement."

Daniel Struck, a private attorney representing the state, said DOC already has started to implement changes called for in the settlement.

David Fathi, director of the ACLU National Prison Project, called the settlement "real improvement" in the care of inmates.

The settlement does not apply to the roughly 7,000 inmates in six private prisons across Arizona.

ON THE BEAT

Craig Harris covers the Arizona Department of Corrections and other state and federal agencies, with an emphasis on government accountability and public money.

How to reach him

craig.harris@arizonarepublic.com
Phone: 602-444-8478
Twitter: @charrisazrep

Tuesday, January 20, 2015

Corizon HealthScare: Meet me in St. Louis...


The article below was posted from the AP to the St. Louis Post-Dispatch today. This was the comment I left for their readers: 

Corizon has been nothing but disastrous to Arizona state prisoners, ignoring too many to death and leaving their families devastated. We've had a whistleblower speak out and a class action lawsuit here (Parsons v Ryan), exposing how evil they are - as well as numerous protests by prisoners' loved ones and interviews with survivors, but it has been to no avail. 

Some think that's due to Good Old Boy Terry Stewart's influence in AZ (he's the former AZ DOC director - Chuck Ryan's mentor - now in bed with the folks at Corizon Healthscare), but I can't explain why other states still have contracts with them. Voters should really scrutinize things closely if their jails or prison systems are going with these folks and renewing contracts year after year, there's probably something dirty going on that keeps them sucking your tax dollars up for their profits at the expense of some of your most vulnerable citizens. Stop the privatization all together, if you can. It doesn't deliver what it promises, and you'll end up paying more after too many die in the end.

Posted as Peggy Plews

God only knows why the new governor, Doug Ducey, has retained Chuck Ryan after the embarassment his administration was to Brewer - must have something on that guy, too. It's like the whole Republican party here just dug their heads in the sand when it comes to the AZ DOC, though, not just the chiefs. Their mascot should be an ostrich, not an elephant. Elephants are, after all, thoughtful, compassionate, and wise...

By the way, if you're fighting these bastards on behalf of a loved one at the AZ DOC, follow the links to these older pieces, but be sure to be current on the relevant AZDOC policies (Department Orders) and send them the right copies - the docs and links in these old posts have probably expired.

 Corizon's Cruel and Unusual Greed: Follow the Money with Prison Legal News

Corizon and the AZ DOC: Prisoners & Families, Know Your Rights.

 

Corizon's deliberate indifference: fighting back.

 

artwork is mine....


------------from the St Louis POST-DISPATCH--------
St Louis Post-Dispatch
Janaury 20, 2014 


Months after he landed in Florida’s Manatee County Jail, Jovon Frazier’s pleas for treatment of intense pain in his left shoulder were met mostly with Tylenol.

“I need to see a doctor!” he wrote on his eighth request form. “I done put a lot of sick calls in & ya’ll keep sending me back and ain’t tell me nothing.”

Four months later, after Frazier’s 13th request resulted in hospitalization and doctors diagnosed bone cancer, his arm was amputated, according to a lawsuit by his family.

But the cancer spread. Frazier died in 2011 at age 21, months after his release.

As an inmate, his medical care had been managed not by the county sheriff’s office that runs the jail, but by a private company under contract.

That company, Corizon Health Inc., is under growing pressure after the loss of five state prison contracts, downgrades by analysts and increasing scrutiny of its care of inmates held by some of its largest customers, including New York City.

Corizon, responsible for 345,000 inmates in 27 states, including Missouri, is the country’s biggest for-profit correctional health provider, but it’s just one of many firms vying for billions of public dollars spent on prisoner care.

Corizon was established in 2011 when privately held Valitás Health Services Inc., the Creve Coeur-based parent of Correctional Medical Services Inc., acquired America Service Group Inc., a Tennessee-based provider of prison health services.

With corporate headquarters in Brentwood, Tenn., Corizon touts Creve Coeur as home to its operational headquarters.

For-profit prison care raises questions about ceding public responsibilities to private companies. It turns, though, on a thornier issue: How do you ensure care of people who society mostly would prefer not to think about?

Inmates “are still human beings. I think some people forget that, I really do. They’re somebody’s child,” said Shirley Jenkins, Frazier’s grandmother.

PRIVATIZED CARE

States spend $8 billion a year, a fifth of their corrections budgets, on prison health care, according to the Pew Charitable Trusts and the MacArthur Foundation. Local jails spend millions more.

Some critics fault the idea of privatizing the job.

“The problem is a structure that creates incentives to cut corners and deny care to powerless people that have no other options,” said David Fathi, director of the American Civil Liberties Union’s National Prison Project.

Others say deficiencies with prison care go beyond whether it is privatized.

“I don’t have a great love for private health care ... but I don’t think that they’re the source of the problem,” said Dr. Marc Stern, former health services director for Washington state’s prisons. Stern, who once worked for a Corizon predecessor in New York state, issued a 2012 report criticizing the company’s care of Idaho prison inmates while serving as a court-appointed expert.

“I think the problem is how much money and effort we are willing to put into correctional health care,” Stern said.

Some critics, though, say Corizon is notably problematic.

“We get letters from prisoners about medical care not being provided, and the list is endless. And it’s increased tremendously since Corizon took over,” said Randall Berg, executive director of the Florida Justice Institute, who represents inmates petitioning for care.

Corizon says it strives to provide quality care.

“We are always troubled by any questions on the care provided to our patients and view this as an opportunity to reconfirm our commitment to operational ethics and professionalism,” company spokeswoman Susan Morgenstern said in a written statement. The company declined to answer questions.

The criticism surrounding Corizon isn’t new. Correctional Medical Services, or CMS, which later became Corizon, was the main subject of a 1998 Post-Dispatch investigation of for-profit prison health care providers. Looking at CMS and other firms, the investigation found more than 20 cases nationwide in which inmates died as a result of alleged negligence, indifference, understaffing, inadequate training or cost-cutting.

In 2012, Corizon was sued for alleged medical missteps in the death of Courtland Lucas, an inmate in the St. Louis jail. He died May 25, 2009, from complications of a heart problem, congenital aortic valve stenosis, while under the care of CMS. The lawsuit was settled in the fall of 2014, but the terms were not disclosed.

Corizon’s struggles are widespread.

Its care of the 11,000 inmates at New York City’s Rikers Island is under “comprehensive review” by officials, who say they are concerned about problems including at least 16 deaths since 2009.

Arizona hired Corizon last year to replace Wexford Health Sources Inc. after its care came under fire. But an advocacy group warned that “if anything, things have gotten worse” in state prisons. Arizona and the ACLU recently reached a settlement calling for more monitoring of inmate care.

Meanwhile Corizon has lost long-standing prison contracts in Minnesota, Maine, Maryland, Tennessee and Pennsylvania since 2012. Auditors in three states documented problems, including slowness to address poor recordkeeping and inmates’ urgent requests for off-site care.

Corizon, which generated $1.4 billion in revenue in 2013 and is owned by a Chicago private equity firm, has battled stiffening competition. In recent months, Moody’s and Standard & Poor’s have downgraded Corizon’s holding company, citing financial underperformance, contract losses and competition that has squeezed profits.

The connection between Corizon’s contract losses and questions about the quality of care it provides is not clear.

But the challenges are evident in Florida, where a year after the state privatized prison care and awarded Corizon a $1.2 billion contract, news reports point to rising inmate deaths. If the company does not address substandard care, the state’s corrections commissioner wrote to Corizon’s CEO in September, Florida may begin withholding payment.

In Minnesota, an audit last year found that inadequate communication between prison staff and Corizon doctors during overnight hours “may have been a contributing factor to inmate deaths.”

But in announcing Minnesota’s change of contractors, the corrections commissioner said Corizon had provided “excellent” service. In a written response to questions, the state corrections department said its decision was not related to the audit. It would not comment on inmate deaths.

Corizon’s work in local jails also has come under scrutiny.

In October, Volusia County, Fla., officials questioned Corizon executives about lawsuits and its financial stability before voting unanimously to switch contractors. The hearing was held in the shadow of a lawsuit filed locally by the family of Tracy Veira, an inmate who choked to death in 2009 in a cell where she was supposed to be under watch while detoxing from painkillers.

A nurse working for one of the companies that merged to form Corizon saw an ailing Veira in the jail’s clinic the afternoon before she died. She told a supervisor the inmate looked as if she needed hospitalization, but Veira was instead sent back to her cell, according to an affidavit filed in the case.

When the commissioners questioned Corizon’s executives, there was no mention of Veira. But Commissioner Deb Denys said she was mindful of the case, scheduled for a July trial.

“I think everybody was,” Denys said. “Sometimes you don’t state the obvious.”

Jennifer Mann of the Post-Dispatch contributed to this report.

Sunday, November 9, 2014

How greedy states and profiteers bleed prisoners and families dry.


The following article is the good work of my friend Vikki Law, who edits the zine Tenacious, which is by and for women in prison. She wrote the book on women's resistance in prison - literally. Vikki's pretty prolific, and covers a lot of issues re: prisoners, crime and punishment - find links to her other articles here.

Info about the AZ DOC revised (OCT 15, 2014) money policy is here:

https://corrections.az.gov/electronic-payments

here's the director's instruction, modifying the existing policy:
 
https://corrections.az.gov/sites/default/files/policies/DI/di_322.pdf







----from TRUTH-OUT.ORG (inserted art is mine)------

Public Prisons, Private Profits

Saturday, 01 November 2014 09:39 By Victoria Law, Truthout | Report
When her daughter was first incarcerated in Arizona's Perryville State Prison, "Rae" sent her money orders bought at the local cash-checking place or from Walmart. But those took too long to clear, leaving her daughter without needed supplies, so she began driving to the post office to buy money orders. Throughout her daughter's four years in prison, Rae has sent her money twice a month - $100 on the first of the month and whatever she can afford (usually $50 or less) on the 15th of the month.

"When she first got there, she was issued two pairs of underwear, which had been worn by someone else," Rae told Truthout. So Rae sent her daughter money to buy her own underwear, bras and socks as well as tennis shoes and a TV set. "It was $300 for the TV," she recalled.

Her daughter earns 35 cents an hour cleaning inside the prison. Although the prison supplies some necessities, like one roll of toilet paper each week and a limited number of tampons or pads, Rae's daughter relies on the money from home to get her through each week. These money orders enable her to buy the additional toilet paper and feminine hygiene supplies she needs each month. It also enables her to buy Tylenol and cold medicine as well as pay the $4 co-pay on each medical visit. "Occasionally she can splurge and buy herself a candy bar, but that's rare," Rae said.

Services that had previously been provided by the jail or prison, such as medical care, transportation, phone and communication services, food, and even money exchanges, are increasingly handled by private companies.

On October 15, 2014, however, Arizona changed the way family members like Rae can send money. Now, instead of paying $1.25 for a money order at the post office, Rae must use one of three companies - JPay, Global TelLink or Keefe - to send her daughter money. To send $50 through Keefe, Rae also needs to pay a $4.75 internet transaction fee. Families without internet access can deposit money by phone - for a fee of $5.75 - or in a storefront transaction for $5.95. (Global TelLink and JPay have different fee structures.)

Despite the added cost, Rae is determined to send her daughter the same amount of money. "I'm going to have to eat the fees and make up the money somewhere else," she said. "I'll have to give something up. So will my husband." The couple has already had to sell their camper to cover the cost of visiting their daughter once a month. They've cut down on going out and other activities that cost money. On occasion, they've also had to choose between sending money to their daughter in prison or helping their son, who is not. "I feel bad that I can't help him because all our money is going to his sister," Rae said.

Only 8 percent of the nation's prison population is held in private prisons. But, as Rae's experience and recent news stories have demonstrated, private companies have found other ways to profit from bodies in government-run prisons. Services that had previously been provided by the jail or prison, such as medical care, transportation, phone and communication services, food, and even money exchanges, are increasingly handled by private companies.

Sending in Money Costs Money
As Rae's story shows, prison systems have contracted with private companies to handle money sent by family members to their loved ones inside. In the federal prison system, the contract was awarded to Bank of America. In 32 state systems, the contract belongs to private company JPay.

In February 2014, New Jersey prisons began utilizing JPay to handle these monetary transactions. "Before, it would only cost a stamp and the cost of the money order," said "Pam," currently incarcerated at the Edna Mahan Correctional Facility for Women. "Now, it cost our families or friends $4.95 in addition to whatever amount they send us." Loved ones also have the option of mailing a money order to JPay, but the money takes seven to 10 days to be credited to a woman's account. Pam's mother balked at paying an additional $7 and mailed a money order. The money was not credited to Pam for 14 days.

At Edna Mahan, commissary - or the prison store - is only available every other week. For women like "Pam" whose family chooses to save money and mail money orders, the delay means missing the chance to buy necessities, such as shampoo and feminine hygiene supplies.

"If a person owes restitution, the prison takes 55 percent of whatever money he receives," a mother told Truthout. Thus, to put $56 in his prison account so that he can buy food, she had to send $125.

"Gwen" has also experienced delays of up to four weeks when her family mails a money order to JPay. She told Truthout that, while women can order from commissary every two weeks, certain items, such as photos, clothing and beauty supplies, are only available once a month. In addition, many women rely on food items at commissary to supplement the prison's meals, which she described as "truly inedible."

Daily wages at Edna Mahan range from $5 at the top-paying commissary job to $2.40 for working in the kitchen or cleaning housing units. If a woman is sick or unable to work, as in Gwen's case, she must either learn to go without supplies or rely on money from family. "It isn't a lot of money, but $28 can mean a whole commissary for me," Gwen explained.

California is another state that has instituted JPay to handle money sent to prisoners. But the fees make sending money an exorbitant expense for many family members. "Samantha," for instance, must send her son twice the amount of money that he needs. "If a person owes restitution, the prison takes 55 percent of whatever money he receives," she told Truthout. Thus, to put $56 in his prison account so that he can buy food, she had to send $125. And that's not including JPay's service fees, which vary depending on the amount of money sent. "There's no readily available list of charges," she told Truthout. "I literally had to call and hunt down how much would be charged."

"If you put money in a couple of times a month, you pay that fee a couple of times a month. Families with the least amount of money get hit the hardest."

JPay provides money transfers to more than 1.7 million people or nearly 70 percent of the US prison population. It charges state prison systems nothing for handling payments and, for every payment processed, it sends between 50 cents and $2.50 back to the prison. According to an exposé in Time, JPay sent approximately $4,000 each month to the Illinois Department of Corrections in 2013.

"Jill"'s daughter has less than two years on her sentence at Arizona's Perryville prison. When Arizona announced the switch to electronic money transfers, Jill decided to skip the fees and send a money order for the total amount her daughter would need during her last year behind bars. But, she told Truthout, many of the family members she has met cannot afford that option. "Many families have to budget in order to send money," she said. "If you put money in a couple of times a month, you pay that fee a couple of times a month. Families with the least amount of money get hit the hardest."

The Kick-Out Fee - and the Fees That Go With It

A person leaving the Arizona prison system for the first time is given $100 upon her release. The money, saved from the wages earned at prison jobs, is called the "kick-out fee."

Until 2013, people released from Arizona's prisons were given the kick-out fee in the form of a check. However, banks often refused to cash the check with a prison ID, usually the only form of identification many women have after years in prison. Thus, accessing their only $100 first required a trip to the Department of Motor Vehicles for identification or finding a friend willing to deposit the check for them.

Now, they are issued a debit card through Bank of America. "If women are coming out after a long time, they don't know how to use debit cards," Jill explained. "They're scared to death about using them." In addition, Bank of America charges a $1.50 monthly maintenance fee and, like many other banks, charges a $1.50 withdrawal fee if a person uses a non-Bank of America ATM and a 25 cent point-of-sale fee for every transaction.

No staff member explains the various fee structures, which means that people are unaware that they deplete their funds each time they use the card. If a person chooses to withdraw the entire amount from her debit card, she is charged a $5 fee.

In addition, if she loses the card, no replacement is issued. Her money is simply gone. For a woman in a halfway house, shelter or other temporary living situation, this means sleeping with the card tucked into her bra or panties.

Arizona is not alone in utilizing this new method. The Center for Public Integrity recently reported on Bank of America's contract with the Federal Bureau of Prisons to issue debit cards to people upon release. Under that contract, they've issued cards to nearly 50,000 people. The Center's report has spurred a government audit into the contract.

Privatizing Health Care - But at What Cost?



"We live by violence, but we die by neglect."

Handling prisoner accounts is not the only service that has been privatized. Across the country, jails and prisons have been contracting with private, for-profit companies to provide medical services to people inside.

Cecily McMillan experienced this firsthand during her 58 days on Rikers Island, New York City's island jail complex. When she arrived, she was denied her prescribed medications for mild anxiety and ADHD. Instead, jail medical staff gave her BuSpar, the same medication, McMillan says, that every woman was prescribed regardless of her actual needs. After three weeks of fighting for her proper medication, a fight that included help from sympathetic city council members, McMillan had her medications reinstated. But that was not the only medical horror she encountered.

She recalled making an appointment to see a gynecologist. Warned that the jail's male gynecologist was "kind of handsy," she requested to see the jail's female gynecologist only to be told that she wasn't available for six weeks. When she saw the doctor, he informed her that she needed to undergo a gynecological scrape even though McMillan had had a check-up before entering Rikers. "He scraped me until I was bleeding," she recalled. When he finished, McMillan realized that his fly had been open the whole time.

During her 58 days on the island, McMillan also saw how medical care could be deadly: Judith had been prescribed low-dose methadone pills for back pain, McMillan recalled. But when Judith arrived at Rikers, the doctors insisted that she take methadone in high-dose liquid form. Taking higher dosages of methadone induced intense vomiting in Judith, who had hepatitis C. McMillan recalls seeing her friend vomit blood and what she described as "chunks of her liver." The women in the housing unit demanded that the officers call the doctor. When medical staff failed to respond, they physically carried Judith to the clinic. Days later, Judith was dead.

Judith's death is only one of a string of recent deaths on Rikers Island. In 2013, 19-year-old Andy Henriquez died from a tear in his aorta after his pleas for medical attention were ignored. That same year, 46-year-old Carlos Mercado and 39-year-old Bradley Ballard died after their medications were withheld. The families of all three men are suing Corizon, the private medical provider that has held the contract for medical services at Rikers since 2003. However, according to DNAinfo, Corizon's contract with New York City stipulates that the city will represent the firm in lawsuits arising from its care. It also ensures that the city will cover costs arising from medical malpractice or civil rights violations.

New York is not alone in turning to privatized health care for people behind bars. In 2011, Florida governor Rick Scott contracted with Corizon to provide medical care in its state prison system for $1.2 billion. Corizon took complete control in 2013. According to an investigation by The Palm Beach Post, three months later the number of deaths "shot to a 10-year high," with 30 deaths in four of the past seven months.

Corizon currently holds contracts in 27 states with approximately 345,000 people under their care. (In October 2013, Therese Brumfeld, vice president of Corizon's provider operations and purchasing, stated that Corizon had contracts in 29 states with over 400,000 people.) From 2008 to 2013, Corizon has been sued 660 times for malpractice.

In Alabama, the Southern Poverty Law Center filed a federal suit against the state's prison system for ignoring the medical and mental health needs of its prisoners. (Corizon provides medical care only. MHM, another private company, holds the contract for mental health care.) Unlike its contract with New York City, Corizon's 34-month, $224 million contract with Alabama requires it to pay for any legal work in the event of a lawsuit, even if it is not named in the suit.

Arizona recently settled class-action suit Parsons v. Ryan. The suit, filed by the American Civil Liberties Union (ACLU) in 2012, charged that the state ignored the basic needs, including medical needs, of people in its prison system for years. Corizon took over the state prison's health care system in March 2013 after the state terminated its contract with private health care provider Wexford following multiple deaths and accusations of medical neglect.

However, medical care did not improve under Corizon and the ACLU continued its suit. On October 14, 2014, Arizona settled the suit, agreeing to meet more than 100 health care performance measures, including monitoring people with chronic conditions, such as diabetes and hypertension as well as improving pregnancy and dental care.

Before the court decides whether to approve the settlement, however, each of the 33,000 people in Arizona state prisons must receive notice of the settlement and an opportunity to submit comments to the court. David Fathi, director of the ACLU National Prison Project and co-lead counsel on Parsons, estimated that the process would probably take two months. The settlement does not become effective until the court grants its approval.

In the meantime, health care needs continue to go unaddressed. The day after the settlement was announced, Jill spoke with her daughter who told her that her yard had no health needs request forms, which every person must fill out to start the process of receiving medical attention.

"We live by violence, but we die by neglect," a woman told McMillan when she entered Rikers.

After hearing stories from her daughter, Jill doesn't dispute this. She recalls her daughter telling her about a woman on her yard whose complaints about bleeding and pain were ignored. She was finally taken to the hospital where she was diagnosed with ovarian cancer. She died in her 30s.

"My daughter went in a very healthy 25-year-old," Jill said. "She was not given a life sentence or death. She should be given enough medical care so that when she comes out, she can resume living a normal life."

Wednesday, October 22, 2014

Ghosts of Jan Brewer: Margaret Alvarado, 47.



Condolences to Margaret's family. I received word from Perryville tonight that she was a diabetic, and had asked for medical attention shortly before she died because she wasn't feeling well. She was reportedly sent back to her cell without even having her glucose levels checked. 

If anyone knows anything more about Margaret's death or her life and her loves, or if you are family and want help contacting a good wrongful death attorney (the only way to get to the truth about how she died),  please reach me at:

Peggy Plews
PO Box 20494 
Phoenix, AZ 85036
arizonaprisonwatch@gmail.com 
480-580-6807




Janice K. Brewer, Governor
ARIZONA DEPARTMENT OF CORRECTIONS

1601 W. Jefferson St.
Phoenix, AZ 85007


Charles L. Ryan,
Director

Tuesday, October 22, 2014
Inmate Death Notification

PHOENIX (Tuesday, October 22, 2014) – Inmate Margaret Alvarado, 47, ADC #256176, was pronounced dead of apparent natural causes after responders performed lifesaving measures at her housing location.

Alvarado was sentenced out of Maricopa County, serving eight years on a conviction of Participating in a Criminal Street Gang. She came to ADC on August 19, 2009 and was housed at ASPC – Perryville.

All inmate deaths are investigated in consultation with the county medical examiner’s office.

Saturday, September 6, 2014

Corizon Deaths in Custody: Suicide of John Kahler, 51.

Another suicide, this one at ASPC-Tucson/Cimarron (a pretty rough yard, by all accounts). All I can tell you about John Kahler is that while he was being held in the county jail, pending trial, he was deemed incompetent to aid in his defense ( I suspect he was symptomatic when he committed his crime, and should maybe not even have been prosecuted...). Within days of being found competent, he pled guilty to get the hell out of the Maricopa County jail - and got placed on mental health probation. It appears he planned to do his four years in Montana, but he apparently violated his probation within a short period of time, pleading guilty during a "group advisement" - he was immediately sent to prison by Commissioner J. Justin McGuire, it appears, no discussion

How sad they couldn't give him another chance. That 5 year prison stint became a death sentence, as John was only in the custody of the AZ DOC less than 2 months before killing himself...and based on all the mail and calls I get about Corizon's poor mental health care, I'd bet they weren't treating his mental illness appropriately. He must have felt terribly alone, if his family was back in Montana.

Condolences to John's loved ones. If anyone knows anything more about his life or death, please contact me. I am Peggy Plews at arizonaprisonwatch@gmail.com

john kahler, 51



      ARIZONA DEPARTMENT OF CORRECTIONS


1601 W. JEFFERSON
PHOENIX, ARIZONA 85007
(602) 542-3133


JANICE K. BREWER
GOVERNOR
CHARLES L. RYAN
DIRECTOR

NEWS RELEASE
For Immediate Release


For more information contact:
Doug Nick
dnick@azcorrections.gov
Bill Lamoreaux
blamorea@azcorrections.gov

Friday, September 05, 2014

Inmate Death Notification


TUCSON (Friday, September 05, 2014) – An inmate at the Tucson prison complex has died as the result of an apparent suicide.

51 year-old John Kahler, ADC# 292841, was found unresponsive in his housing location at approximately 8:50 AM.  Officers immediately responded and began lifesaving measures which were continued by paramedics.  Kahler was later pronounced deceased at a local hospital.

Kahler was serving a five year sentence out of Maricopa County on a conviction for arson of an occupied structure, and had been in ADC custody since July, 2014.

All deaths are investigated in consultation with the county medical examiner’s office.

Thursday, August 21, 2014

ALABAMA's DOC chief : Corrupt profiteer CORIZON isn't "bad" - they're just misunderstood.

This guy must be buddies with Arizona DOC's director Chuck Ryan: neither of them give a damn about the horrendous neglect of their seriously ill and disabled prisoners by Corizon. Guess this guy is getting sued, too.

Fortunately, Alabama prisoners and their supporters are organized. Here's a good model for folks in AZ to look at. If you love a prisoner, don't wait for me to organize something like this - chat with others at visitation, join prison talk, organize, and put up a blog too. I'm not going to be around here forever, after all...





(also on FACEBOOK)



---------from AL.COM----------

Alabama prison boss gives vote of confidence to embattled inmate health care firm

Brendan Kirby | bkirby@al.com By Brendan Kirby | bkirby@al.com

on August 20, 2014 at 6:51 PM, 
updated August 20, 2014 at 6:56 PM
 
Corrections Commissioner Kim Thomas 
 
Alabama Corrections Commissioner Kim Thomas supports Corizon Health Inc.
  
ORANGE BEACH, Alabama – Alabama Corrections Commissioner Kim Thomas on Wednesday gave a vote of confidence to Corizon Health Inc., which has been accused in lawsuits across the country of providing inadequate health care to prisoners.

One of those lawsuits is pending in federal court in Montgomery, where the Southern Poverty Law Center accuses the company of failing to provide adequate health care to prisoners with disabilities.

The company's performance has been an issue in suits filed in Arizona and New York.

Thomas, who appeared at the annual convention of the Alabama Association of County Commissions on Wednesday, said in an interview that lawsuits are common in corrections. He said Corizon's competitors also have been sued.

"This is a litigious business, whether it's on the inmate side or the health care side," he said.

Thomas noted that in the Arizona case, Corizon took over the prison health contract for another company, Wexford, shortly before the lawsuit was filed in March 2013.

"The idea that Corizon is the bad guy in Arizona is just disregarding the facts," he said.

Corizon was the sole bidder to provide health care to Alabama's inmates after other companies dropped out of the competition. It signed a 34-month, $224 million contract with Alabama prison system in 2012.

Thomas said the company has done a good job under difficult circumstances. He said prisoners are a difficult population to treat, for a variety of reasons.

"It's the same standard of care in the prison as in the community," he said. "Inmates are the only subset of our society that have a constitutional right to health care."

Sunday, August 3, 2014

Parsons v Ryan: AZ AG/DOC seeks settlement talks, as CORIZON treats cancer with antacids.


Condolences to the family of Glen Huggins and every other AZ DOC prisoner who has died from the violence of deliberate indifference under this governorship. May we soon see an end to the drug war, and the beginning of the end to our legislature giving blessings to those who would maximize profit by stealing public resources from the sick and dying. The prisoners, the ACLU-AZ and the Prison Law Office, among others, are doing their part to fight the parasites our state does business with, having filed Parsons v Ryan (which goes to trial in October, unless it's settled first). Please do your part as well, and honor Glen's dying wish that no more prisoners have to suffer as he did: hold all these people accountable. Demand that your legislators launch an investigation into the DOC's ineffective leadership, high number of unnecessary prisoner deaths, and poor oversight of contract agencies. You can find them here:


Arizona State Legislature
Capitol Complex
1700 West Washington
Phoenix, AZ 85007-2890


Also call on Governor Brewer's office to sack AZ Department of Corrections' Director Charles Ryan for this mess, and insist that a new director improve health care as a top priority - Ryan's DOC has only sought to grow prisons and the profits of folks like Corizon. 

Her contact info is here:

http://www.azgovernor.gov/Contact.asp

The Honorable Janice K. Brewer
Arizona Governor
Executive Tower
1700 West Washington Street
Phoenix, AZ 85007

(602) 542-4331

 

Thank you to CH 12/KPNX and Wendy Halloran, from the prisoners and the family members I've spoken to about Corizon and the AZ DOC's complicity in depriving state prisoners of the most basic things they need to survive - which begins with recognizing their humanity, as well as our own.

If you are the loved one of a prisoner of the AZ DOC who is suffering without care, contact Arizona Prison Watch. I will provide what resources I can to help - including a list of attorneys who have sued the state prison system and don't give me kickbacks for referrals (likewise, if you know of any good lawyers who may help other families, please let me know). I can be reached at:arizonaprisonwatch@gmail.com or 480-580-6807

Here are a couple of other blog posts that give concrete info about fighting the AZ DOC on medical issues.




Please also contact KPNX/AZ Republic's parent company, to tell them we need more stories like the one below, because prisoners' lives matter. Cut and paste this email to reach them at connect@ad.gannett.com

 
-------------from CH12/KPNX-----------

Costs up, no improvement in prison healthcare quality

Wendy Halloran, 12 News | azcentral.com 

 10:50 p.m. MST August 1, 2014





First they refused to admit there's a dire problem. Now, after a 12 News investigation, the Arizona Department of Corrections is offering to settle up with inmates in a class-action lawsuit filed in 2012.

We first brought you the story of inmates not getting proper healthcare, even though taxpayers are footing the bill, in May. Our reporting revealed there were at least 16,000 delays in medical care to Arizona inmates in 2013.

So far, the only action taken has been imposing fines on Corizon, the company contracted to provide healthcare for inmates in the state.

HEALTHCARE RATE INCREASE 

The state has paid Corizon $130 million a year to provide healthcare for inmates. Arizona taxpayers have paid, on average, $348,000 per day.

In July, a rate increase went into effect, from $10.10 per inmate per day to $10.42, due to changes made by ADC. According to Corizon's contract, the increase is to pay for 34 more staff positions to hand out medications. This followed an ADC policy change regarding what medications inmates were allowed to self-administer after multiple suicides and overdoses.

So costs have gone up, but newly released records obtained by 12 News show the problems inside the state's prisons are getting worse.

ADC-employed monitors routinely document Corizon's performance in monthly reports known as MGARs. In our review of the new batch of reports covering November of last year through April, we found numerous cases of delay, lack of treatment, noncompliance with the terms of the contract, ADC monitors noting staff shortages, and lack of medication and psychiatric care for mentally ill prisoners.


THE STORY OF INMATE GLEN HUGGINS

On December 15, 2013, Glen Huggins had 72 hours left to live.

Huggins was serving a 12-year prison sentence on drug convictions at the state prison in Tucson. He had already served eight years when he suddenly became gravely ill.

In August of 2013 Huggins complained to prison staff in Tucson about abdominal pain. He filled out what is known as an HNR, a Health Needs Requests inmates are required to fill out to get medical care. He complained he had not been able to swallow his food and keep it down since June, and had been losing weight.

More than a week later, a nurse saw Huggins. His symptoms were documented but his case was deemed "not urgent."

At the end of August, a nurse practitioner saw Huggins and, thinking the pain was due to Hepatitis C and acid reflux, gave him an antacid.

"That wasn't doing anything," Huggins' son, Cody, told us. "Meanwhile he's still losing weight, he can't swallow."

Huggins' family provided 12 News his medical records, which show he had a family history of cancer.

We asked Dr. Palav Babaria, a primary-care physician in Oakland, California to review the documents and give her opinion on whether the family's allegations of delays in care were accurate.

Dr. Babaria has done work for the Prison Law Office, one of the plaintiffs in the class-action lawsuit against the Department of Corrections.

"For someone like Mr. Huggins, who had the medical history that he had, any complaints of not being able to swallow accompanied by profound weight loss he was talking about, I think any competent physician would have worried about cancer until proven otherwise," said Dr. Babaria.

On September 17, Huggins wrote in an HNR the antacids he was taking weren't working and his condition was getting worse.

In an October request, Huggins wrote a nurse had seen him eight times and an abdominal X-ray was normal, but still no doctor was assigned to examine him.

He filed more HNRs complaining of continued difficulty swallowing food and keeping food down. He wrote that the antacids were not helping with his pain.

Dr. Babaria says an abdominal X-ray was not an appropriate test.

"The two easiest ways of doing that are getting X-rays called a barium swallow, and see if liquid that shows up on the X-ray is passing or not, or just doing an endoscopy, going down with a camera to get a really good look and do biopsies," she said.

Dr. Babaria says, in Huggins' case, it seems that none of that was done when he first complained of the symptoms. Instead he was treated as if he only had acid reflux.

According to records obtained by 12 News, Huggins was just one of several inmates at the Tucson prison who suffered from a lack of medical care.

The Department of Corrections' own monitors documented long delays for inmates to be seen by outside specialists. Only nine patients out of 33 received urgent consultations in a timely manner. The requirement is that urgent consultations are done within 30 days, which goal Corizon met only 27% of the time.

A SON'S STRUGGLE 

Reading his father's HNRs was upsetting for Cody Huggins.

"You see a man that is just pleading for help and asking for help practically begging for help there at the end," he said.

According to Huggins' prison records, on October 23, 2013 a possible diagnosis of cancer is noted after a mass extending from Huggins' chest to his navel was discovered. This was made by the Corizon nurse practitioner.

Only then did Corizon approve sending Huggins to an outside hospital. The first time Huggins was seen by a doctor was when he arrived in the emergency room. According to Huggins' medical records, within an hour, he was diagnosed with Stage 4 esophageal cancer.

The cancer spread from his esophagus to other parts of his body. The doctors could not put a stint in to open up his esophagus because of the size of the tumor. Instead, they inserted a feeding tube in his stomach so he could get some nourishment.

His medical records show he lost almost 40 pounds in the months he kept requesting treatment and reporting problems.

On December 5, 2013 the Arizona Board of Executive Clemency recommended his sentence be commuted due to "imminent danger of death."

Gov. Jan Brewer signed a clemency order on December 11. Huggins was medically paroled the next day. His family took him home to die.

Huggins died on December 18, less than a week after his release.

Cody Huggins called it inhumane and hopes this doesn't happen to any other inmates or their families.

Dr. Babaria says the degree of suffering was preventable.

Now, Huggins' family plans to file suit against Corizon, accusing the healthcare provider of denying Huggins adequate and competent care.

Corizon denies any wrongdoing in Huggins' death. The company issued this statement:

"State and federal privacy laws forbid disclosure by Corizon of any identifiable patient medical information, let alone argument of factual claims regarding patient care in the news media. We can state that the allegations made by Ms. Halloran related to the patient's access to nursing staff and medical providers are not supported by the medical record. The inmate patient received timely, appropriate and professional care. The onset and advance of the patient's condition were unfortunately rapid and aggressive, just as they are often so among other similarly stricken patients. Allegations to the contrary are misleading and untruthful."

Cody Huggins struggles with his father's death. He thought his dad would be released from prison for the last time and they could rebuild their relationship and start a new one with Cody's young daughter.

Over the last two quarters, Corizon has been sanctioned by the state for a total of $71,000 based on its performance. An ADC spokesman emailed us this statement:

"The MGAR reports are valuable tools to document compliance with identified performance measures. Corrective action plans are implemented to hold Corizon accountable for those measures. ADC has imposed financial sanctions on Corizon as part of the company's contract with the state.

"As with any such contract, Corizon's agreement is subject to the state Procurement Code as well as adherence to the Department of Corrections Department Order 302, Contracts and Procurement, to ensure transparent, fair and equitable practices and has the approval of the Attorney General's Office and State Procurement Officer."

Meanwhile, the class-action lawsuit filed by the ACLU of Arizona, ACLU National Prison Project, and the Prison Law Office is scheduled to go to trial this October in Phoenix. It accuses the Department of Corrections of providing inadequate medical care, mental healthcare and dental care that has led to deaths.
Defending against the suit is private law firm Struck, Wieneke & Love PLC of Chandler. So far, billing records reveal taxpayers have paid this firm approximately $3.4 million to defend the Arizona Department of Corrections against the lawsuit.

Meanwhile, the Prison Law Office has confirmed via email that settlement talks are underway to avoid a trial, issuing the following statement:

"The AG's office filed a request seeking a settlement conference, and after preliminary discussions with the AG's office we agreed to that request. A court-supervised settlement conference is scheduled for August 5."

Wednesday, July 16, 2014

Scott A Bowers: Next President/COO of Corizon HealthScare.


I think I'd like to interview this fellow, if I can, and do a bit more research before I say much of anything about him, so stay tuned. Just found it interesting that there's yet another change in leadership there right now.

In the meantime, folks having trouble with accessing adequate health care services at the AZ DOC these days might want to check out these blog posts:

Corizon and the AZ DOC: Prisoners & Families, Know Your Rights (03/05/13)
 
Corizon's deliberate indifference: fighting back (05/30/13)

"DEATH SENTENCE": KPNX's Halloran and whistleblower expose depth of negligence at Corizon/AZ DO (05/22/14) 

Corizon's Cruel and Unusual Greed: follow the money with Prison Legal News (06/21/14)
 

PHOTO Credit: Nathan Morgan 
Nashville Business Journal


-------------- from Corizon's corporate website (as of 07/16/14)-------

Corizon News: Corizon Health Names Scott A. Bowers President and Chief Operating Officer

(07.07.2014)
 
BRENTWOOD, Tenn., July 07, 2014 – Corizon Health today named Scott A. Bowers as its President and Chief Operating Officer, effective Aug. 4, 2014.  Bowers, who was most recently President and Chief Executive Officer of United Healthcare Community Plan of Tennessee, brings 18 years of healthcare management experience to his new role...


FYI: I believe the new president can be sent certified mail as of Aug 4, 2014 at:

Corizon
12647 Olive Boulevard
St. Louis, MO 63141
United States

Tuesday, July 1, 2014

Execution by Deliberate Indifference: Killing Robert W. Murray.

UPDATED JULY 1 2014: There's nothing new about this, sadly - the AZ DOC has been executing prisoners all along by way of failing to treat their critical  medical and psychiatric conditions. Three death row prisoners in just over  a year have also committed suicide...





You must be a subscriber to see Gary Grado's newest article at the Capitol Times  about the above notice of Robert Murray's death -  if you can afford it,  check it out. Below is the original piece on Murray's cancer last fall, also by Grado, along with my post at the time. Not sure anything more needs to be said, except condolences to anyone who might have cared about this prisoner, as well as to the loved ones of his victims, for whom this will be an emotional time as well. 


----------------

SOS from Arizona's living dead: 
Deliberate indifference to life on death row
(originally posted to arizonaprisonwatch.org on September 26, 2013 7am)


 one of many letters received at AZ Prison Watch re: 
prisoner frustration over difficulty accessing medical care.

A big thanks goes out to Gary Grado at the AZ Capitol Times for interviewing this prisoner, and to the publication for making this particular article accessible to non-subscribers. Prisoners don't make sympathetic news subjects - especially not those on death row. A lot of folks would just as soon let Murray die of throat cancer untreated, in favor of putting those health care resources into the community (as if the state would actually re-direct "savings" there, instead of into the private pockets of profiteers). 

All I can say is that withholding medical care from Murray because the state plans to kill him anyway is akin to choosing to execute him by applying acid to his throat in small doses over the course of  9 months or so, letting it eat slowly away at his ability to  swallow, speak, and breathe, knowing this will not only kill him, but will make him suffer horribly as he dies. This has nothing to do with one's feeling about the death penalty - it's a question of whether or not you are for the constitution and against torture. If you believe in the rule of law, and that we should not torture our prisoners, then you have to support the provision of a basic standard of medical and mental health care to them.

The other thing is that prisoner health IS public health, and if we don't treat them inside, they come out with high rates of chronic illness, infectious disease, psychiatric disability, and so on. The imprisoned population is especially high-risk, medically, and many live marginally once back in the community, where they are more likely to lack access to health care than most non-felons. In prison they're frequently exposed to things like Hepatitis C (at least 40% of prisoners are believed to be infected), but as a captive patient population, they would be more likely than not to follow up on treatments and regimens that lower their mortality and long term health risks considerably, if their dietary plans and health care provider will offer them.

But that's not what appears to be happening. Deliberate indifference to human suffering is the absolute worst cancer there is in a society, and it's metasticized from the head of the AZ DOC to the agency's extremities. I hear stories like Murray's all the time, sadly - and it's not just the guys on death row. Remember Benny Joe Roseland? I've written to him a few times, but haven't heard back from him since writing that post. DOC says he's still alive, but that's all I can get from them.

Furthermore, as Dan Pochoda points out below, how we treat our prisoners says a lot about our society. The conditions in Arizona's prisons - from the medical neglect to the prevalence of heroin, the dominance of criminal gangs, and the rampant racialized violence - are among the worst in the country. There was a brief spell of progressive vision a the AZ DOC while Dora Schriro was director, under then-governor Janet Napolitano, but she was often mocked as being a "thug-hugger" for favoring rehabilitative programs over punishments, and her efforts were frequently undermined by the Good Old Boys network of DOC administrators and officers.

According to prisoners and former employees, things at the AZ DOC got dramatically worse as soon as Jan Brewer became governor, bringing Charles Ryan out of retirement to be her chief disciplinarian at the AZ DOC. The culture of contempt for prisoners and human rights that permeates that institution has actually been decades in the making, much of it under the direction of the younger Chuck Ryan, so all the bad stuff began to flourish again once he took over the reins there. 

I don't understand that man at all, I have to say. He's spent his career climbing that ladder, but now there, he appears to have utterly ceded control of his prisons to the gangs and profiteers - either that, or he's knowingly and intelligently aiding and abetting them. In either case,  his directorship  should be an embarassment to the Governor's office - for some reason Jan still stands by her man, though. 

Check out the other work the Capitol Times has been doing on the prison system here. If you're a subscriber, this is a pretty good piece that just came out about the class action lawsuit over health care, also by Gary Grado:

Exhibit in class-action lawsuit details failings of prison health system



-------from the AZ Capitol Times (9/16/13)--------

Prison ordeal

Death row inmate struggles with cancer

By Gary Grado

Published: September 16, 2013 at 8:41 am


A lab discovered death-row inmate Robert Murray had cancer the same day a Scottsdale surgeon removed his tonsils, but his disease went unknown to him and untreated for seven more months.

As Murray, 48, and his lawyers try to figure out what went wrong with his medical treatment, one thing is certain. The breakdown coincided with the turmoil surrounding the Department of Corrections’ transition to a private health care provider for Arizona prisoners, and his situation didn’t improve after the first company parted ways with DOC and a new company came under contract.

Murray endured long, painful delays between doctor’s appointments, a misdiagnosis, and a time in which blood from a burst abscess on his tonsil gushed from his mouth. He came to learn he had cancer when the surgeon he hadn’t seen in months asked him if he was finished with radiation to treat the illness, a treatment he never had.

Despite the delays, the cancer didn’t spread. Murray said an oncologist told him that although the situation could have become grave, he should have a full recovery with proper treatment.

“It was prayer, luck it just didn’t explode like it could have,” Murray said in a 21-minute interview from death row in Arizona State Prison Complex-Florence, where he’s been locked up since October 1992.

Such allegations aren’t unusual. A class-action lawsuit alleging DOC has provided inadequate health care for years offers other medical horror stories. And a suit recently filed by the survivors of an inmate who died in October 2012 alleges employees of Wexford Health Sources Inc. of Pittsburgh refused to treat him while he convulsed on the floor. Wexford is a company that provides prisoner health care in Arizona and elsewhere.

“We get weekly at least one letter that is equivalent, literally, to this fellow on death row,” said Dan Pochoda, the legal director for ACLU-Arizona.

Pochoda is one of more than 20 lawyers involved in the class action suit. He said the medical hardships of prisoners don’t resonate with the public, but they should because the state has a heavy obligation to provide adequate health care once it takes control of someone’s life.

“To paraphrase Dostoevsky, the test of a society is how they treat persons in prison,” Pochoda said.

Pleas for help

Murray and his brother, Roger Murray, are on death row for convictions in the May 14, 1991, robbery and murders of Dean Morrison, 65, and Jacqueline Appelhans, 60, at their store in Grasshopper Junction in Mohave County.

Morrison and Appelhans were found face down in their bathrobes, shot several times each in the head with shotguns and handguns. Appelhans was clutching Morrison’s arm.

Murray wrote a book titled “Life on Death Row” in which he denied committing the murders.

He has contended with an assortment of health problems during his 21 years in prison, and it was during an examination in February 2012 that he first complained of a lump in his throat.

Murray’s tonsils were becoming swollen and sore by April 2012, which was one of the final months that DOC provided medical care. Murray saw a DOC doctor in May and was diagnosed with an infected tonsil and given antibiotics.

Just days before his appointment, DOC and Wexford Health Solutions announced the company had been awarded a five-year contract to provide onsite medical, dental, pharmacy and mental health care, as well as the administration of third-party services.

Murray claims in a nine-page affidavit that the antibiotics had no effect and his many requests over the next month to see a doctor went unfulfilled as the swelling worsened and swallowing became difficult.

“His neck and face were visibly deformed,” said Murray’s attorney, Jennifer Garcia, a deputy federal public defender.

Wexford took over on July 1, 2012, and the company informed Murray he was on a waiting list to see a doctor, even as he continued to submit medical requests pleading for help.

“At least once during this period I overheard RX delivery nurses state that ‘Wexford has no available doctors for (the infirmary),’” Murray wrote.

In a Cure Notification, a letter to Wexford to outline how it wasn’t complying with the contract, DOC said the company’s staffing shortage created “inappropriate scheduling gaps in on-site medical coverage.”

In his requests to see a doctor, Murray writes about shooting pains in his ear, choking and coughing and difficulty breathing. He saw a nurse practitioner on July 20, 2012, who became alarmed by his condition and prescribed “magic mouthwash,” a formula of various medicines used to treat ulcers in the mouth.
Four days later the abscess burst.

“A warm fluid gushed into my mouth, I thought I may be vomiting and hurried to my sink,” he wrote.

He was rushed to the hospital, but he didn’t see a surgeon until September and wasn’t on the operating table until Nov. 19, 2012.

DOC, meanwhile, was already unhappy with Wexford’s performance, stating in the Cure Notification that the company was inadequately staffed, administered medication incorrectly, inconsistently and incompletely, and lacked a sense of urgency in addressing crisis situations.

DOC referred to several incidents in which it said Wexford did not comply with the terms of the contract, including not giving medication to a mentally ill inmate who hanged himself and a nurse who contaminated diabetes insulin with syringe tainted with Hepatitis C and continued to inject inmates with it.

Wexford responded with a letter of its own explaining that “the majority of the problems Wexford now faces are long-standing issues, embedded into (DOC) health care policy and philosophy, and which existed well before Wexford Health Sources assumed responsibility of the program.”

Wexford also alleged that DOC kept key information hidden during the procurement process.

An aggressive form of cancer

Dr. Joel Cohen of the Allergy Ear Nose and Throat Center in Scottsdale removed Murray’s tonsils on Nov. 19 and sent them to a nearby lab. The lab confirmed he had cancer and phoned the results to Cohen the next day, according to the pathology report.

Dr. Sun Yi, a University of Arizona professor who specializes in cancers of the head and neck, said that after diagnosis, blood work and scans would be done to determine the severity, or stage, of the cancer, a process that generally takes a few months.

From there, the patient would be referred to various oncologists.

“With malignancy, the more time you wait the more time the tumor has to continue to populate and grow,” said Yi, who is not involved in the case. “The worst case scenario is the cat’s out of the bag situation where it metastasizes and becomes phase four and for most cancers incurable at that point.”

Yi said cancer in the throat is extremely aggressive.

There are no records of any of the steps Yi described in Murray’s medical file.

Murray said Cohen wanted to see him 14 to 21 days after the surgery, but “ADOC-Wexford failed to take action.”

Cohen said he reported the cancer by telephone to a doctor at DOC on Nov. 20, 2012, and recommended treatment.

The doctor said he regularly treats prisoners and he understands there are all sorts of prison protocol that must be followed for each visit. He typically wants to see a patient for post-operative visit in 10 to 14 days.

“The prisoners can’t always come back when they’re told to come back,” Cohen said.

He said it is not his responsibility to prescribe the cancer treatment.

A spokesman for DOC and spokeswoman for Wexford declined to comment for this story. The agency and company agreed Jan. 30 to end the contract and DOC signed a new one with St. Louis-based Corizon Health Inc., which took over services on March 4.

Murray’s throat was still irritated and swollen in the meantime, and he got an appointment with Cohen on May 14.

“He’s talking to Corizon all the time about this problem and no one seems to be addressing them for months either,” Garcia said. “It doesn’t seem to me things have been measurably better under Corizon.”

Murray said Cohen asked him about his radiation treatment, which he never had, but the doctor still didn’t tell him about the cancer.

Records indicate Murray was prescribed radiation and a CT scan that day, but there is nothing in the record explaining why. When Murray returned to the doctor’s office on June 7 he saw Lee, Cohen’s associate.

“He said, ‘You have cancer, you didn’t know,’” Murray said. “It was kind of an astounding moment, surreal.

I kind of expected something was not right.”

Ray Norris, a medical malpractice attorney with the firm Gallagher and Kennedy, said medical negligence is determined by whether a doctor fell below the standard of care.

Norris, who is not involved in Murray’s case, said standard of care is measured by what an ordinary, prudent, and reasonable health care provider would do under the same circumstance.

“If there was a breach of the standard of care, the question then becomes causation, or in other words, what difference did it make,” Norris said.

Murray’s theory is he thinks Cohen expected him to return for a follow up visit within a few weeks and was going to inform him then about the cancer, but when Wexford failed to schedule the appointment Cohen never followed up. “I think it was probably just an accident, but an accident can be easily overlooked,” Murray said.

Murray is still undergoing treatment, and while it isn’t going at the pace he would prefer, he said he’s been assured it is normal pace for treating such a cancer. He said he is still considering his options on filing a lawsuit and looking for a civil lawyer.

Health Decline

May 2012: Inmate Robert Murray diagnosed with possible infected tonsils and given antibiotics. Wexford Health Solutions is awarded $349 million contract to provide health services to Arizona prisoners.

June 2012: Swelling in neck worsens.

July 1, 2012: Wexford takes over medical services.

July 24, 2012: Abscess in neck bursts and Murray rushed to hospital.

Aug. 17, 2012:  In an incident not related to Murray, Wexford nurses are accused of improperly administer medication by making inmates lick powdered medication from hands.

Aug. 23, 2012: Mentally ill inmate who didn’t receive psychiatric medication for weeks found hanged in cell.

Aug. 27, 2012: Wexford nurse allegedly contaminates diabetes insulin with syringe tainted with Hepatitis C.

Sept. 21, 2012: Arizona Department of Corrections informs Wexford of assorted contract breaches.

Nov. 19, 2012: Murray, whose face is deformed from swelling, undergoes tonsillectomy and lab results show he has cancer.

January 2013: Murray’s requests for follow up with surgeon unfulfilled, problems and pain with neck persist. Wexford and DOC agree to cancel contract. Corizon becomes new contractor.

June 7, 2013: Murray informed he has cancer that went untreated for seven months.