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CHALLENGES AND PUBLIC HEALTH CONCERNS OF CHRONIC DISEASE MANAGEMENT IN UNITED STATES PRISONS
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2025-05
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Urban Bioethics
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https://doi.org/10.34944/9qep-9z47
Abstract
Mass incarceration in the United States has contributed to this country housing one of the largest prison populations in the world with just around 2 million incarcerated people. Every day, these individuals face health disparities and injustices while incarcerated, preventing proper management of their chronic health conditions. In chapter 1, the state of healthcare in prison is reviewed and the challenges that face many incarcerated individuals when seeking healthcare are explored; there is a hypothetical patient case focused on the unique challenges of diabetes care while incarcerated. In theory, the controlled nature of the prison environment should provide an opportunity to reach a vulnerable community; however, there are large gaps in the quality of care provided in prison and the emphasis seems to be on punishment over rehabilitation for return to the community. In chapter 2, the focus is drawn from prison care purely while incarcerated to the transition from incarceration back to the community and how this should be considered in the context of public health. Delivering care in prison faces unique structural barriers but there are also challenges at the individual level such as limited health literacy. Upon return to the community, the transition of care from prison health to community health remains difficult, and recently incarcerated individuals return to their communities often without adequate support to maintain their health. This poor transition only harms public health as previously incarcerated people are reintegrated. By investing in correctional healthcare and prison reform, we can foster better individual outcomes, reduce health disparities, and strengthen community health.
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