Profits Over Patients -- How How Michigan's Prisons Prioritize Money Over Health

 "Ugh! I have a callout to see Dr. L today," another prisoner recently lamented to me. "She always takes from us rather than treats us." 

The doctor this prisoner referred to is just one in a multitude of medical providers throughout the Michigan prison system who are more interested in saving their company money than in treating prisoners' medical conditions. I hear stories about this particular doctor every week from different prisoners. 

Another prisoner had his wheeled walker taken away, despite the fact that he can barely walk and has to sit down regularly so he doesn't fall over. Another prisoner had his medication stopped by this doctor, despite it being ordered by a doctor after a surgery. Another prisoner has had several medications stopped by this doctor, because she "doesn't feel like" he needs them, despite the medications being ordered by previous doctors after surgeries. Another prisoner has suffered immense pain in his neck and shoulder for years that is worsening, but this doctor refused to even listen to his complaint. "You have a chronic care appointment in December!" she stated, cutting him off. Apparently he's supposed to suffer until SHE decides it's time to listen to him. 

I could go on and on and on with examples from this one doctor. There are others, too, who treat prisoners worse than animals and for whom "first do no harm" is a joke, not a philosophy of treatment. There are good doctors, too, but even these good medical providers are limited in their ability to treat prisoners properly because the company they work for is more concerned about profits than prisoner health. 

A recent MI-Cure newsletter (Nov. 2024, www.MI-Cure.com) noted some of the major problems with prisons' private healthcare providers around the country. Four of the major providers, including Michigan's prison healthcare provider, have been riddled with lawsuits. Their horrible treatment (or lack of treatment) of prisoner healthcare needs has led to these lawsuits. Many, many more prisoners could file, and win, lawsuits concerning their terrible healthcare treatment--if they only knew how. 

Some people might argue that prisoners receive free healthcare, so we shouldn't complain about its quality. I disagree for a couple of reasons. First, it's not free. Yes, it's ONLY a $5 co-pay, but not all prisoners have prison jobs. Furthermore, since the average monthly pay is around $20-30/month, that equates to 20-25% of a prisoners monthly pay, just for a single doctor visit. That's like a person in poverty making $25k/year having to pay 25% of their income, just to SEE the doctor. 

The second reason I believe prisoners have a right to complain about our poor healthcare is that we are still human beings. Most Michigan prisoners will return to society one day. Yet, prison healthcare (or lack thereof) is killing us. Cancer and heart disease often goes untreated, diabetes is poorly treated at best, quality of life surgeries are denied or delayed for years, and necessary medications are refused or changed to ones that "suit" the provider rather than the needs of the patient. 

Sadly, the Michigan Department of Corrections and its private healthcare provider are more concerned about profits than patients. Doctors like Dr. L do not belong in the healthcare profession, so where better to put them than treating us. After all, we're "just prisoners."