Prison Health Crisis: Blindness, Broken Promises and Unchecked Neglect

In a state prison far from Chicago, a 74‑year‑old inmate has seen his vision deteriorate due to glaucoma, a treatable condition that should be managed with inexpensive eye drops. Yet, for over three decades he has gone months without any medication.

The Systemic Failure

• Only 16 full‑time doctors serve more than 30,000 inmates, far below the budgeted 33.
• High staff turnover leaves many facilities without a medical director.
• About 60 % of nursing positions remain vacant.
• Paper records dominate, preventing continuity of care and making it hard to track patient histories.

A consent decree—following a class‑action lawsuit that revealed inmates were denied essential treatments such as insulin shots—required reforms: hiring more staff, implementing electronic medical records, and upgrading equipment. Yet the latest report shows no progress.

Private Vendors Add to the Problem

A former provider, accused of neglect and preventable deaths, was abruptly replaced by another for‑profit company. Inmates report inconsistent medication schedules and missed appointments because officers cannot escort them during lockdowns. Lawsuits have not translated into improved care or accountability.

Other Dire Outcomes

• A long‑time prisoner’s foot infection led to amputation after the prison denied proper footwear and bandages. A settlement was won, but care remains unchanged.
• Another inmate’s rapidly growing lump on his throat required six emergency requests before a scan was performed. He is being transferred, leaving family members anxious about potential cancer.

Families as the Only Advocates

Families relentlessly contact prison officials, gather medical records, and fight for their loved ones’ rights to care. One sister plans to take her brother home if his condition worsens, hoping a change of environment will improve treatment.

The Unanswered Question

Despite promises and legal obligations, inmates continue to suffer preventable illnesses. The crisis highlights a broader issue: people in custody cannot advocate for themselves, and when the system fails them, the consequences are severe. Will reforms be implemented or remain on paper?