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A survey of 49 states reveals that an estimated 144,000 inmates with hepatitis C, a curable but potentially fatal disease, can鈥檛 get the expensive drugs they need to cure it.
A combination of factors has led to an 鈥渁stronomical鈥 increase in mentally ill inmates, followed by increased efforts to identify those who need prescriptions. Some say the meds are underprescribed; others, that they are given inappropriately, without the benefit of comprehensive treatment.
The effort, overseen by the county鈥檚 health services department, aims to improve care for a population with high rates of chronic disease, mental illness and drug addiction.
Although the potentially fatal disease is聽common among the incarcerated, treatment with the latest hepatitis drugs isn't.
New data show 4,980 inmate deaths in 2014, the most since counting began in 2001.
States that expanded eligibility for Medicaid have failed to enroll large numbers of a significant group that stood to benefit: ex-inmates.
Each year, millions of Americans leave jail and prison. When they do, they're likely to have a hard time managing their health. Some clinics are trying to provide ex-inmates with better, cheaper care.
A three-month drug regimen to treat latent TB in a California jail system was just as effective as the standard nine-month approach 鈥 and the patients were far more likely to finish treatment.
The health law鈥檚 Medicaid expansion and its requirement that employer medical plans cover dependents up to age 26 had a significant impact on coverage for this population. The portion of young adult ex-inmates without insurance fell from 40 percent to 32 percent.
As a Democratic senator and governor, Tim Kaine has backed the Affordable Care Act, Medicaid expansion and better access to mental health treatment for people in crisis.
Prison helped Richie Tannerhill overcome substance abuse, but that was just the beginning of rebuilding his life.
Maryland proposes an innovative program to temporarily enroll former inmates in Medicaid with few questions asked.
Maryland鈥檚 prisons and jails release thousands of inmates each year without helping them enroll in Medicaid, jeopardizing their health and putting communities at greater risk.
A new report says care varies widely between Louisiana鈥檚 jails and prisons.
New hepatitis C drugs boast cure rates of at least 95 percent. But states are restricting their use for Medicaid patients and prisoners because the cost is so high.
The courts are designed as an alternative for people with mental health issues facing legal charges as a way to get help through community services outside of jail.
Treating Hep C is expensive, but new drugs can quickly cure the disease, ultimately saving money.
Women in prison often eat to relieve stress or boredom. The resulting weight gain can make other physical and emotional problems worse. In one prison, spinning helps keep the pounds and rage at bay.
Although the government is responsible for providing health services to people in jail, prisoners are still often expected to pay for the treatment.
By 2030, nearly one-third of all inmates will be over 55, the ACLU says, and caring for aged prisoners often costs twice as much as caring for younger ones. Some states 鈥 New York, California and Connecticut -- are confronting the problem, however, with innovative programs meant to improve care and save money.
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