WEBVTT - CLASSIC: Locked Up and Lost: Healthcare in the Prison System

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<v Speaker 1>Fellow conspiracy realist. We returned to you this evening with

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<v Speaker 1>a classic episode about a terrible, terrible conspiracy that continues

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<v Speaker 1>today in twenty twenty four and continued far before we

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<v Speaker 1>first spoke about this in twenty nineteen.

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<v Speaker 2>Oh yeah, and we've learned so much more about the

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<v Speaker 2>prison system and healthcare, you know, as two separate things

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<v Speaker 2>since that time. I'm specifically thinking back to the discussion

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<v Speaker 2>you guys had with the Lava for Good folks, like

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<v Speaker 2>all the different hosts there, and just learning about the

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<v Speaker 2>dangers of the prison system. But the weirdest thing, the

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<v Speaker 2>weirdest thing for me was learning from them through you guys,

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<v Speaker 2>that private prisons are actually way smaller of a deal

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<v Speaker 2>than I thought because there's so fewer of them.

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<v Speaker 3>But yet they're the ones that get all the headlines.

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<v Speaker 2>Right, Yeah, well that's the headlines, and that's at least

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<v Speaker 2>my perception. And the reason why that was mind blowing

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<v Speaker 2>to me is because I imagined there was pretty good healthcare

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<v Speaker 2>for prisoners because there is a profit motive to keep

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<v Speaker 2>that prisoner alive and in jail, because the private prison

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<v Speaker 2>gets money per person per bed, right, But that's not

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<v Speaker 2>that's not the way it goes in most prisons.

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<v Speaker 3>Accurate. Let's check out the episode.

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<v Speaker 4>From UFOs to Psychic Powers and government conspiracies. History is

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<v Speaker 4>riddled with unexplained events. You can turn back now or

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<v Speaker 4>learn this stuff they don't want you to know.

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<v Speaker 1>A production of iHeart Radios How Stuff Works.

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<v Speaker 2>Hello, welcome back to the show. My name is Matt,

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<v Speaker 2>my name is Nolan.

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<v Speaker 1>They call me Ben. When we were joined with our

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<v Speaker 1>super producer Paul Michigan, control decand most importantly, you are you.

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<v Speaker 1>You are here that makes this stuff they don't want

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<v Speaker 1>you to know. We've been going down some dark alley

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<v Speaker 1>ways figuratively speaking or conversationally speaking in the past few episodes,

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<v Speaker 1>and you know, honestly, we're getting to a point where

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<v Speaker 1>maybe we should do something a little more lighthearted in

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<v Speaker 1>the future. Well that's not true. We have a lighthearted

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<v Speaker 1>interview for the Legend of Cocaine Island that's out now

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<v Speaker 1>by the time you hear this. So that's a fun listen, right.

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<v Speaker 2>Right, Yeah, We've got stuff unicorns don't want you to

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<v Speaker 2>know on the slate.

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<v Speaker 1>M Okay, yeah, I know. Well it's weird because I

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<v Speaker 1>was thinking I was reading something about unicorns oddly enough,

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<v Speaker 1>now that you mentioned this, wherein someone who was a

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<v Speaker 1>zoologist of some sort of another said, based on the

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<v Speaker 1>fact that they had a single horn, and based on

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<v Speaker 1>the fact that was positioned in the center of their

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<v Speaker 1>forehead facing forward, what that tells us about their behavior.

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<v Speaker 1>It's very similar to rhinos. So unicorns, if they did exist,

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<v Speaker 1>would probably be legerent, antagonistic animals, capable of great violence.

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<v Speaker 3>They'd be very stabby, and that's something unicorns don't want

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<v Speaker 3>you to know.

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<v Speaker 2>That's right, not the profile, Yeah, exactly, all the glitter

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<v Speaker 2>and all the shininess.

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<v Speaker 1>And they're weird thing with virgins.

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<v Speaker 3>Have you seen that movie Legend with a very very

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<v Speaker 3>young Tom.

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<v Speaker 1>Cruise and a very awesome Tim Curry.

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<v Speaker 3>Very awesome Tim Currey wearing a giant rubber satan suit,

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<v Speaker 3>And there's a whole thing where they like the unicorns

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<v Speaker 3>play a big part in that, very very important.

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<v Speaker 1>There's also the animated The Last Unicorn, which is really sad. Yeah.

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<v Speaker 2>Yeah, I was thinking about the Brie Larson, her directorial debut,

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<v Speaker 2>something about the Unicorn Store something to that.

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<v Speaker 3>Effects on Netflix. Now it is is it spoiler alert?

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<v Speaker 3>Does not seem to have anything to actually do with unicorns,

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<v Speaker 3>I know, just putting that out.

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<v Speaker 1>Well, thank you guys, you've saved me a few hours.

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<v Speaker 3>No, it else has absolutely nothing to do with unicorns.

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<v Speaker 1>The healthcare in the prison systems. So the US healthcare

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<v Speaker 1>system is by any measure, no matter how you look

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<v Speaker 1>at it, no matter what your opinion is, and everybody

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<v Speaker 1>has opinions about this, by any measure, it's anomalous. One

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<v Speaker 1>of the world's wealthiest countries with one of the world's

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<v Speaker 1>worst performing healthcare sticks. You know, like not in comparison

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<v Speaker 1>to very very impoverished countries so much as in comparison

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<v Speaker 1>to other countries we would consider peer countries economically. Right. Yeah,

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<v Speaker 1>And there's the one thing we all agree on is

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<v Speaker 1>that this thing is rife with problems. It's lousy with

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<v Speaker 1>problems and things that don't work, and it's complicated by

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<v Speaker 1>the fact that there is a ton of money wrapped

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<v Speaker 1>up in this issue. Doctors make a ton of money, hospitals,

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<v Speaker 1>of course, insurance companies make tons of money. There's a

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<v Speaker 1>lot writing on this, and that means there's also extensive

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<v Speaker 1>propaganda in play. We will hear some people say, well,

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<v Speaker 1>the entire problem with US healthcare is that it is

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<v Speaker 1>to a great degree run by privatized insurance companies, that

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<v Speaker 1>they're the root of the problem as they continually put

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<v Speaker 1>profits over the greater good. For some people, that's fighting words.

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<v Speaker 1>For other people, it's like, you know, shrug, dot gift,

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<v Speaker 1>that's what companies do, that's what for profit businesses do.

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<v Speaker 1>Other people say, no, it's broken. But the problem is

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<v Speaker 1>not honest, red blooded American business. It's that the government

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<v Speaker 1>is involved. And every time Uncle Sam is involved in something,

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<v Speaker 1>it's going to be ruinous because the government is inefficient

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<v Speaker 1>and corrupt. Sometimes that's a sincere argument. Sometimes it's a

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<v Speaker 1>Star of the Beast argument. Depends on what you hear about.

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<v Speaker 1>And today's episode is not about that cartoonishly tragically comic

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<v Speaker 1>state of medical care in the US overall. That's probably

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<v Speaker 1>its own podcast. Today's episode instead is about one of

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<v Speaker 1>the worst case scenarios for anyone who lives in this

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<v Speaker 1>country and ever gets sick orrever needs some sort of

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<v Speaker 1>medical treatment. Healthcare in prison.

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<v Speaker 2>Two things you don't want to be a part of.

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<v Speaker 2>Sick and incarcerated. So just to get a better understanding

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<v Speaker 2>of this problem, it's best to start with some statistics.

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<v Speaker 2>We all love those. So let's look at just the

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<v Speaker 2>US population in general. As of twenty eighteen, the population

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<v Speaker 2>in this country was three hundred and twenty seven point

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<v Speaker 2>two million human beings. Twenty eight point seven percent of

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<v Speaker 2>the population is under the age of eighteen, so you know,

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<v Speaker 2>that's almost a third of the people very very young.

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<v Speaker 2>About fifteen point six of the population is over the

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<v Speaker 2>age of sixty five. And then that leaves the people

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<v Speaker 2>who are not minors, you know, who are eighteen and

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<v Speaker 2>they're also not they're above eighteen below senior citizen, which

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<v Speaker 2>are going to be the primary, the primary age range

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<v Speaker 2>for people who are incarcerated.

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<v Speaker 1>Right right, the regular, the regular Joe's and James. This

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<v Speaker 1>is interesting that fifteen point six percent number for elderly

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<v Speaker 1>and senior citizens makes sense because do in large part

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<v Speaker 1>to the way the healthcare system here does or does

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<v Speaker 1>not work, We have a disturbingly low life expectancy compared

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<v Speaker 1>to other what are called first world countries or other

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<v Speaker 1>developed countries is a better phrase. So's that's the population

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<v Speaker 1>by the numbers. What about the medical stuff? Do we

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<v Speaker 1>have any stats for that?

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<v Speaker 3>Yeah, so the US spends way more on healthcare than

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<v Speaker 3>any other nation. On this here globe three and forty

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<v Speaker 3>eight dollars per person, which amounts nearly eighteen percent of GDP,

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<v Speaker 3>which seems bonkers to me. Government funded Medicare and Medicaid

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<v Speaker 3>account for more than a dollar of every three dollars

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<v Speaker 3>of US healthcare spending, and a dollar every four dollars

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<v Speaker 3>in the federal budget. The entire federal budget, we know

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<v Speaker 3>is a is like seems like one of those imaginary numbers,

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<v Speaker 3>you know, the trillions.

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<v Speaker 1>Yeah, it's largely, it is largely a series of which

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<v Speaker 1>is promises, increasingly ambitious pitches. I was going to say

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<v Speaker 1>from Congress. Absolutely, and and it's been growing, right, it's

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<v Speaker 1>been growing Medicare at least that more than twice the

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<v Speaker 1>rate of inflation. It's forecast to accelerate as what we

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<v Speaker 1>call the baby boomer generation ages increasingly into that elderly demographic.

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<v Speaker 1>So that's one thing upon which we cannot blame millennials. Sorry,

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<v Speaker 1>I know some of us in the audience are dig that.

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<v Speaker 2>But yeah, and then that's just for Medicare. That's that's

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<v Speaker 2>the part that the government helps out with, right, right,

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<v Speaker 2>And that's for people who do have Medicare, you're considered

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<v Speaker 2>to have healthcare. There are a lot of other healthcare

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<v Speaker 2>comes from employers, kind of like what we have sitting

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<v Speaker 2>in this room, including Michigan control over there.

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<v Speaker 1>You're absolutely right, Matt twenty sixteen. Private health insurance covered

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<v Speaker 1>more people than the government does. So you pay like

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<v Speaker 1>think of think of every country as a club. We've

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<v Speaker 1>said this before in previous episodes. The concept of taxes,

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<v Speaker 1>the concept of taxation is at heart in a very

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<v Speaker 1>oversimplified way, it's the same thing as paying dues to

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<v Speaker 1>a club, country club perhaps, sure, a country club, a

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<v Speaker 1>chess club that has a nice HQ, if they have those.

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<v Speaker 1>The idea is, you pay into this thing, and because

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<v Speaker 1>you've paid into this thing, you get certain rights. So

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<v Speaker 1>you're a country club, a golf club, whatever. That goes

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<v Speaker 1>to the maintenance of the place, but it also goes

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<v Speaker 1>to the maintenance of things you use. So the argument

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<v Speaker 1>that people will have is that, well, if you pay

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<v Speaker 1>taxes here in a country, then those taxes should guarantee

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<v Speaker 1>some of your rights, guarantee some maintenance, and then arguably

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<v Speaker 1>they could be in a situation where they pay to

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<v Speaker 1>help keep you alive or at least make your existence

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<v Speaker 1>a little bit less painful than it would be without

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<v Speaker 1>health insurance. Again, not everybody agrees with that. A lot

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<v Speaker 1>of people think privatization is the answer. So that's why

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<v Speaker 1>employer based coverage covers more than half of the population

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<v Speaker 1>for part or all the calendar year. And then there's

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<v Speaker 1>Medicaid nineteen point four percent, Medicare sixteen point seven percent,

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<v Speaker 1>what's called direct purchase, I go out and buy my

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<v Speaker 1>own stuff sixteen point two percent of people either thought

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<v Speaker 1>that was a good idea or were forced to do

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<v Speaker 1>it through things like Cobra right, or military coverage four

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<v Speaker 1>point six percent. You're going to lay your life on

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<v Speaker 1>the line for a country. The least we can do is,

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<v Speaker 1>you know, not put you in the poorhouse if you

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<v Speaker 1>have cancer, although that still happens. But this number doesn't

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<v Speaker 1>answer everything, because despite all these different kind of partial

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<v Speaker 1>band aids for keeping people alive and healthy, twenty eight

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<v Speaker 1>point five million people in this country have no form

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<v Speaker 1>of health insurance whatsoever all the year, all the livelong day.

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<v Speaker 2>Yeah, eight point eight percent. At least that's as of

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<v Speaker 2>twenty seventeen.

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<v Speaker 1>Right, that number may have gone up or down a

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<v Speaker 1>little bit, but it hasn't moved a ton yet. It

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<v Speaker 1>may very well in the near future, in the next

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<v Speaker 1>three ten years. Right.

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<v Speaker 3>Not to mention the fact that I don't know how

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<v Speaker 3>this figures is the puzzle here, but I think it's

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<v Speaker 3>fascinating and it certainly should be part of the conversation.

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<v Speaker 3>It costs an average of thirty one thousand dollars per

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<v Speaker 3>inmate per year to incarcerate an individual. It's like tax

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<v Speaker 3>payer money. So it's just crazy to me that if

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<v Speaker 3>we're paying that much to incartrate a person, yet people

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<v Speaker 3>outside of the prison system, we wouldn't even consider spending

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<v Speaker 3>that much on them and their well being.

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<v Speaker 2>It is.

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<v Speaker 1>It is cheaper, or it has been for a number

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<v Speaker 1>of years. It is cheaper for the United States, on

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<v Speaker 1>a state and federal level to send someone to community

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<v Speaker 1>college for two to four years and pay for their

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<v Speaker 1>dorm or their apartment than it is to incarcerate them.

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<v Speaker 1>And that's something I learned via Little Wayne originally true story,

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<v Speaker 1>but yeah, but it's true. It's we can get into

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<v Speaker 1>the political reasons for that, because the argument here doesn't

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<v Speaker 1>bear out when you look at the math. It bears

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<v Speaker 1>out when you look at what people like voting for, right,

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<v Speaker 1>which is a little bit of a simplified way to

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<v Speaker 1>say it, but it's true, and it's a big business.

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<v Speaker 1>The US locks up a lot of people. I was

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<v Speaker 1>thinking about this earlier. I was going to say they

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<v Speaker 1>lock up tons of people, and then I read back

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<v Speaker 1>through it, and it's true. If you do the math

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<v Speaker 1>on how much a single person weighs, and you do

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<v Speaker 1>the math on how many people are locked up, we

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<v Speaker 1>are literally locking up tons and tons of people, tons

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<v Speaker 1>of human flesh. Our prison population rate is roughly seven

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<v Speaker 1>hundred per one hundred thousand. That makes it the second

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<v Speaker 1>highest incarceration rate of two hundred and twenty two countries

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<v Speaker 1>tracked by the Institute for Criminal Policy Research, and that

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<v Speaker 1>is such a large net to cast the ICPR study

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<v Speaker 1>right now, the UN doesn't recognize two hundred and twenty

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<v Speaker 1>two countries, so they gave everybody a chance. This country

0:13:23.559 --> 0:13:27.480
<v Speaker 1>locks up a half million more than China, and that

0:13:27.559 --> 0:13:31.560
<v Speaker 1>has a population five times larger than the US. This country,

0:13:31.760 --> 0:13:33.720
<v Speaker 1>and this is a statistic that many of us have

0:13:33.800 --> 0:13:36.320
<v Speaker 1>heard before, and I wish it wasn't still true. This

0:13:36.400 --> 0:13:40.400
<v Speaker 1>country holds twenty five percent of the world's prison population.

0:13:40.559 --> 0:13:46.679
<v Speaker 1>Twenty five percent. Yeah, it's worse though, because the statistic

0:13:46.720 --> 0:13:49.720
<v Speaker 1>that follows right after, we're only five percent of the

0:13:49.760 --> 0:13:53.960
<v Speaker 1>people in the world, which means that, if you think

0:13:54.000 --> 0:13:56.760
<v Speaker 1>about it, just from living here, you have one of

0:13:56.800 --> 0:13:59.760
<v Speaker 1>the highest chances in the world of going to prison.

0:14:00.480 --> 0:14:02.800
<v Speaker 2>Yep, Okay, So what was it we said, three hundred

0:14:02.800 --> 0:14:07.040
<v Speaker 2>and twenty seven something million people in the United States. Well,

0:14:07.120 --> 0:14:11.720
<v Speaker 2>the American criminal justice system holds within it incarcerated human

0:14:11.720 --> 0:14:16.920
<v Speaker 2>beings two point three million people. That's crazy. There are

0:14:17.120 --> 0:14:20.840
<v Speaker 2>and it holds them in over seventeen hundred state prisons.

0:14:21.240 --> 0:14:23.760
<v Speaker 2>There are one hundred and two federal prisons, and then

0:14:23.920 --> 0:14:28.600
<v Speaker 2>eighteen over eighteen hundred juvenile correctional facilities. Then there are

0:14:28.600 --> 0:14:31.080
<v Speaker 2>also like that. Okay, and that's just starting right. Then

0:14:31.120 --> 0:14:33.960
<v Speaker 2>you go down another level. You get to the local jails.

0:14:33.960 --> 0:14:36.360
<v Speaker 2>They wouldn't even be really called a prison, just a jail,

0:14:36.400 --> 0:14:38.920
<v Speaker 2>a holding cell kind of thing. There are three thy

0:14:39.040 --> 0:14:41.800
<v Speaker 2>one hundred and sixty three of those, and there are

0:14:41.840 --> 0:14:46.720
<v Speaker 2>also eighty Native American like they're called Indian country jails.

0:14:48.520 --> 0:14:50.560
<v Speaker 2>Well that's not even talk, dude. We're not even thinking

0:14:50.560 --> 0:14:53.440
<v Speaker 2>about military prisons, the brig yeah, and the oh, the

0:14:53.480 --> 0:14:56.720
<v Speaker 2>detention facilities like immigration facilities.

0:14:56.280 --> 0:15:00.920
<v Speaker 3>The bizarre and labyrinthine network of detention centers. Yeah, that's

0:15:01.160 --> 0:15:03.680
<v Speaker 3>that's that's a whole on other conversation.

0:15:03.200 --> 0:15:06.480
<v Speaker 1>There, one of which was famously until quite recently, a

0:15:06.520 --> 0:15:10.840
<v Speaker 1>series of fences set up under a bridge. Yeah, civil

0:15:10.920 --> 0:15:16.280
<v Speaker 1>commitment centers, state psychiatric hospitals, which are still around, mostly privatized,

0:15:16.280 --> 0:15:17.920
<v Speaker 1>but still exists to some degree.

0:15:18.040 --> 0:15:21.840
<v Speaker 2>You can be held without against your will in those facilities.

0:15:21.280 --> 0:15:25.440
<v Speaker 1>And prisons in US territories which occupy an even more

0:15:27.120 --> 0:15:33.000
<v Speaker 1>murky legal space, including Gano, including Guantanamo. Yeah, every year

0:15:33.200 --> 0:15:37.200
<v Speaker 1>six hundred and twenty six thousand people walk out of prison,

0:15:38.000 --> 0:15:42.720
<v Speaker 1>but they go to jail ten point six million times

0:15:42.960 --> 0:15:47.800
<v Speaker 1>each year. Jail and prison are as as many people will,

0:15:47.840 --> 0:15:50.600
<v Speaker 1>as many people attest. Jail and prison are two very

0:15:51.080 --> 0:15:56.440
<v Speaker 1>different beasts. Jail churn is pretty high because most people

0:15:56.480 --> 0:15:58.720
<v Speaker 1>in jail have not been convicted.

0:15:58.960 --> 0:15:59.680
<v Speaker 2>They're just waiting.

0:15:59.760 --> 0:16:05.040
<v Speaker 1>Yeah, they've been arrested. They're desperately using that trope and fiction.

0:16:05.120 --> 0:16:08.480
<v Speaker 1>They're one phone call to get a bail bondsman, or

0:16:08.520 --> 0:16:11.000
<v Speaker 1>to get some money together to get out before they

0:16:11.040 --> 0:16:14.080
<v Speaker 1>have to go to trial, or in many, many, many,

0:16:14.200 --> 0:16:19.480
<v Speaker 1>many cases, they are too poor. And you know, justice

0:16:19.560 --> 0:16:21.720
<v Speaker 1>is a slot machine that only takes dollars.

0:16:21.880 --> 0:16:25.720
<v Speaker 3>So if jail is like a holiday, in prison is

0:16:25.880 --> 0:16:30.120
<v Speaker 3>like a living community of some kind in an apartment building.

0:16:30.400 --> 0:16:34.040
<v Speaker 1>Yeah yeah, So again, jail is like kind of like

0:16:34.120 --> 0:16:36.560
<v Speaker 1>a slot machine that only takes dollars. So other people

0:16:36.600 --> 0:16:39.080
<v Speaker 1>are too poor to make bail and they have to

0:16:39.120 --> 0:16:42.400
<v Speaker 1>stay behind bars until their trial. And we've all seen

0:16:42.480 --> 0:16:45.960
<v Speaker 1>these stories, right, There's somebody who has arrested for something.

0:16:46.080 --> 0:16:49.360
<v Speaker 1>Maybe it's a case, wrong place, wrong time, but they

0:16:49.360 --> 0:16:52.600
<v Speaker 1>can't make bail, and so they're in jail for what months,

0:16:53.000 --> 0:16:55.080
<v Speaker 1>and then they go to trial and the judge is like,

0:16:55.160 --> 0:16:56.040
<v Speaker 1>who is this guy?

0:16:56.480 --> 0:17:00.000
<v Speaker 3>Not to mention they're in jail because they've done something.

0:17:00.160 --> 0:17:02.360
<v Speaker 3>Then they can't make bail, so then they lose their

0:17:02.480 --> 0:17:06.040
<v Speaker 3>jobs because they're sitting in jail, and it just creates

0:17:06.080 --> 0:17:09.159
<v Speaker 3>this cycle of being able to not afford anything that

0:17:09.200 --> 0:17:11.920
<v Speaker 3>the system foists upon you, especially then once you are

0:17:12.119 --> 0:17:15.080
<v Speaker 3>convicted and then have some kind of you know, fee

0:17:15.119 --> 0:17:17.240
<v Speaker 3>schedule that you have to deal with, but you've lost

0:17:17.280 --> 0:17:20.639
<v Speaker 3>your job and become unemployable again, probably another conversation, but

0:17:20.680 --> 0:17:22.439
<v Speaker 3>it's a problematic cycle.

0:17:23.280 --> 0:17:26.439
<v Speaker 1>And this number might surprise some folks. Met you recently

0:17:26.440 --> 0:17:29.240
<v Speaker 1>gave us the statistics of some people in jail. But

0:17:29.480 --> 0:17:32.199
<v Speaker 1>of those people in jail, only about one hundred and

0:17:32.320 --> 0:17:35.960
<v Speaker 1>fifty thousand or so on any given day have actually

0:17:36.000 --> 0:17:39.320
<v Speaker 1>been convicted, and most of them to take your holiday

0:17:39.359 --> 0:17:45.159
<v Speaker 1>in comparison or the apartment comparisons. They're generally serving sentences

0:17:45.240 --> 0:17:48.480
<v Speaker 1>that are less than a year, and almost half a

0:17:48.520 --> 0:17:52.600
<v Speaker 1>million people are locked up purely because of drug offenses.

0:17:53.560 --> 0:17:57.840
<v Speaker 1>So mainstream media, right, we all know and love our

0:17:57.920 --> 0:18:02.679
<v Speaker 1>favorite fiction films and stories, often depicts the incarcerated population

0:18:03.600 --> 0:18:07.639
<v Speaker 1>in some in some wild extremes, right, there are two

0:18:07.800 --> 0:18:12.239
<v Speaker 1>or three big stereotypes we see people incarcerated. There are

0:18:12.560 --> 0:18:15.480
<v Speaker 1>either woefully disenfranchised, you know what I mean, The system

0:18:15.560 --> 0:18:18.640
<v Speaker 1>is broken. It crushed my life, you know, I got

0:18:18.720 --> 0:18:23.320
<v Speaker 1>arrested wrongfully, but I lost everything while I was waiting

0:18:23.359 --> 0:18:25.600
<v Speaker 1>for my day in court. Or there might be the

0:18:25.640 --> 0:18:30.160
<v Speaker 1>other extreme where these people are absolute suicide squad level

0:18:30.359 --> 0:18:35.119
<v Speaker 1>monsters and the state is being too nice by putting

0:18:35.119 --> 0:18:37.639
<v Speaker 1>these people in time out for life and should just

0:18:37.760 --> 0:18:40.879
<v Speaker 1>kill them. And then you'll see things like red and

0:18:40.960 --> 0:18:45.960
<v Speaker 1>Shawshank redemption right, who who has attained wisdom or higher

0:18:46.040 --> 0:18:50.199
<v Speaker 1>enlightenment despite their physical confines and stuff like that. But

0:18:50.280 --> 0:18:54.040
<v Speaker 1>regardless of how these people are depicted in fiction, life

0:18:54.040 --> 0:18:57.000
<v Speaker 1>on the inside is not like what you'll see in

0:18:57.040 --> 0:18:59.879
<v Speaker 1>a lot of those things. Like what's that HBO series

0:19:00.080 --> 0:19:03.600
<v Speaker 1>OZ got praised for being a little more realistic than most.

0:19:03.840 --> 0:19:06.840
<v Speaker 3>Yeah, that show is insanely good. It was also like

0:19:06.880 --> 0:19:09.680
<v Speaker 3>one of the early big HBO dramas, So it has

0:19:09.760 --> 0:19:13.480
<v Speaker 3>this look of like video where it looks very real,

0:19:13.520 --> 0:19:16.000
<v Speaker 3>almost like you're watching a play, but it's like it's

0:19:16.119 --> 0:19:18.480
<v Speaker 3>I love everything about that shows it's super great.

0:19:18.560 --> 0:19:19.320
<v Speaker 2>Does it hold up?

0:19:19.760 --> 0:19:20.240
<v Speaker 1>It does?

0:19:20.480 --> 0:19:20.800
<v Speaker 2>Okay?

0:19:20.840 --> 0:19:22.560
<v Speaker 3>I mean I don't know. It's a little data because

0:19:22.560 --> 0:19:25.320
<v Speaker 3>it's super square, like the framing or whatever. And also

0:19:25.680 --> 0:19:27.560
<v Speaker 3>some of the some of the performances are a little

0:19:27.560 --> 0:19:30.200
<v Speaker 3>over the top, but no, the stuff that it covers,

0:19:30.920 --> 0:19:34.159
<v Speaker 3>it's very theatrical, but it's also very grounded in reality.

0:19:34.200 --> 0:19:38.000
<v Speaker 1>Mmm, sort of a harbinger of the gritty realism of

0:19:38.240 --> 0:19:43.960
<v Speaker 1>Orange is the New Black. So, regardless of any of

0:19:44.040 --> 0:19:47.280
<v Speaker 1>us listening now, regardless of our stance on the prison system,

0:19:47.960 --> 0:19:51.320
<v Speaker 1>whether you think it's chugging right along, whether it's the

0:19:51.359 --> 0:19:54.600
<v Speaker 1>best we can do, even if it's not perfect, whether

0:19:54.640 --> 0:19:57.080
<v Speaker 1>you think it's broken, whether you think it's a system

0:19:57.160 --> 0:20:02.080
<v Speaker 1>meant to oppress certain demographics here in this country. It's

0:20:02.119 --> 0:20:06.280
<v Speaker 1>clear that crime does continue inside the walls of penitentiaries.

0:20:06.520 --> 0:20:10.520
<v Speaker 1>There are gangs everywhere. People love all the vices still,

0:20:10.600 --> 0:20:17.040
<v Speaker 1>you know what I mean, drugs, sensual pleasure, old fashioned violence,

0:20:17.560 --> 0:20:19.760
<v Speaker 1>and the chances of that kind of violence are always

0:20:19.840 --> 0:20:23.280
<v Speaker 1>somewhere in the cards. But to activist policymakers and others,

0:20:23.560 --> 0:20:26.560
<v Speaker 1>there is another criminal in the mix here. And it's

0:20:26.640 --> 0:20:29.520
<v Speaker 1>not a criminal that you're going to see on America's

0:20:29.560 --> 0:20:32.639
<v Speaker 1>Most Wanted. It's not a criminal that you will see

0:20:32.640 --> 0:20:37.760
<v Speaker 1>in a highly publicized OJ Simpson level trial, right.

0:20:37.920 --> 0:20:40.679
<v Speaker 2>No, you would see them in the ads in between

0:20:40.720 --> 0:20:41.560
<v Speaker 2>those programs.

0:20:41.840 --> 0:20:46.760
<v Speaker 1>That's right, we're talking about insurance companies. Wait, our insurance

0:20:46.760 --> 0:20:51.439
<v Speaker 1>companies criminals. You might be saying, kind of, let's have

0:20:51.480 --> 0:21:03.199
<v Speaker 1>a word from our sponsor. Is where it gets crazy.

0:21:03.320 --> 0:21:07.440
<v Speaker 1>So well, let's call this part healthcare, profit and public perception.

0:21:08.560 --> 0:21:12.600
<v Speaker 1>In twenty seventeen, the Bureau of Justice Statistics released a

0:21:12.720 --> 0:21:16.199
<v Speaker 1>study and they said that nearly half of the people

0:21:16.280 --> 0:21:20.560
<v Speaker 1>held in jails suffer from some sort of mental illness,

0:21:21.040 --> 0:21:24.879
<v Speaker 1>and more than a quarter have a severe condition such

0:21:24.920 --> 0:21:29.679
<v Speaker 1>as bipolar disorder. And again as we as we noted

0:21:29.720 --> 0:21:34.440
<v Speaker 1>with jail, many of the people in jail are just waiting,

0:21:34.520 --> 0:21:38.359
<v Speaker 1>they're churning through. They haven't been convicted and sentenced to

0:21:39.520 --> 0:21:42.800
<v Speaker 1>that misdemeanor. That's less than a year. But in the

0:21:42.840 --> 0:21:46.560
<v Speaker 1>same year twenty seventeen, the Bureau reported that about two

0:21:46.880 --> 0:21:51.760
<v Speaker 1>thirds of sentenced inmates in jail suffer from drug addiction

0:21:52.040 --> 0:21:56.840
<v Speaker 1>or dependency. And that conclusion they made this is the

0:21:56.880 --> 0:22:01.280
<v Speaker 1>scary part. It comes from numbers in two thousand and

0:22:01.359 --> 0:22:04.440
<v Speaker 1>seven to two thousand and nine, which means it largely

0:22:04.520 --> 0:22:09.320
<v Speaker 1>does not account for the opioid crisis. Wow.

0:22:09.800 --> 0:22:15.800
<v Speaker 2>Yeah, Wow, that's uh, that's tough. Well, well, here's the

0:22:15.840 --> 0:22:18.160
<v Speaker 2>other thing. So you've got a life sentence, let's say

0:22:18.160 --> 0:22:19.960
<v Speaker 2>you're going to be in prison for a long time.

0:22:20.000 --> 0:22:22.440
<v Speaker 2>You're also going to be dealing with just what happens

0:22:22.440 --> 0:22:25.600
<v Speaker 2>to your body as you're getting older. Just age related stuff, right,

0:22:25.680 --> 0:22:29.439
<v Speaker 2>like all kinds of diseases, all kinds of stuff that

0:22:29.480 --> 0:22:32.880
<v Speaker 2>you need medication for, stuff that you need maybe even

0:22:32.960 --> 0:22:38.320
<v Speaker 2>some I don't know, recovery, physical recovery from and work on.

0:22:38.800 --> 0:22:41.679
<v Speaker 2>And these people are dealing with that. There's also you know,

0:22:41.720 --> 0:22:44.760
<v Speaker 2>we talked about the addiction, the mental illness, and when

0:22:44.760 --> 0:22:47.320
<v Speaker 2>you put these together, kind of as you're saying, Ben

0:22:47.560 --> 0:22:51.399
<v Speaker 2>getting older, being addicted to something, probably maybe continuing to

0:22:51.400 --> 0:22:55.360
<v Speaker 2>be addicted while you're in while you're incarcerated, and then

0:22:55.400 --> 0:22:57.800
<v Speaker 2>also you know, having to deal with the mental illness.

0:22:57.800 --> 0:23:00.600
<v Speaker 2>It all kind of just adds up into this pretty

0:23:00.640 --> 0:23:05.520
<v Speaker 2>brutal thing where you're going to be probably experiencing withdrawal symptoms,

0:23:05.600 --> 0:23:09.960
<v Speaker 2>especially early on in your situation there. So, like I guess,

0:23:10.000 --> 0:23:13.360
<v Speaker 2>the first year of prison, which is what you were saying,

0:23:13.400 --> 0:23:15.119
<v Speaker 2>a lot of people actually only spend about a year

0:23:15.119 --> 0:23:17.520
<v Speaker 2>and there it can be extremely rough on your health.

0:23:17.840 --> 0:23:22.479
<v Speaker 1>Oh yeah, absolutely. I mean imagine if you are, if

0:23:22.520 --> 0:23:27.320
<v Speaker 1>you are encountering withdrawal symptoms from some sort of drug addiction,

0:23:27.720 --> 0:23:33.560
<v Speaker 1>and the medical staff on hand says we're not going

0:23:33.640 --> 0:23:36.320
<v Speaker 1>to give you your drug of choice, but then another

0:23:36.320 --> 0:23:39.120
<v Speaker 1>inmate sidles up to you, maybe in the yard, and says, hey,

0:23:39.600 --> 0:23:42.199
<v Speaker 1>I can help you out if you do something for me.

0:23:43.280 --> 0:23:48.320
<v Speaker 1>Dangerous times right, And now, I guess we can take

0:23:48.320 --> 0:23:51.760
<v Speaker 1>a moment to talk about the politics here, because I'm

0:23:51.800 --> 0:23:55.800
<v Speaker 1>sure as we're exploring this, a lot of us are thinking, well,

0:23:56.600 --> 0:24:00.960
<v Speaker 1>people aren't in prison for good behavior. No one has

0:24:01.000 --> 0:24:04.480
<v Speaker 1>ever helped an old lady across the street so many

0:24:04.560 --> 0:24:07.119
<v Speaker 1>times that they got put in jail, you know what

0:24:07.200 --> 0:24:10.960
<v Speaker 1>I mean. You don't go there for being an honors student.

0:24:11.920 --> 0:24:16.359
<v Speaker 1>In terms of like civic mindedness, so there's this kind

0:24:16.359 --> 0:24:20.240
<v Speaker 1>of callous or colder argument that says, well, why should

0:24:20.280 --> 0:24:22.199
<v Speaker 1>we take care of these people if they are a

0:24:22.240 --> 0:24:28.520
<v Speaker 1>detriment to society? Because of that attitude or because of

0:24:28.560 --> 0:24:32.360
<v Speaker 1>that you know, that school of thought, it's very difficult

0:24:32.520 --> 0:24:38.560
<v Speaker 1>for politicians to argue in favor of advocacy for people

0:24:38.600 --> 0:24:42.320
<v Speaker 1>who have medical conditions while they are incarcerated, you know

0:24:42.359 --> 0:24:46.400
<v Speaker 1>what I mean. Like back in the eighties especially, it

0:24:46.640 --> 0:24:52.200
<v Speaker 1>was political suicide to say we should still treat human

0:24:52.240 --> 0:24:56.320
<v Speaker 1>beings as humans, because then it would be immediately equated

0:24:56.400 --> 0:25:02.480
<v Speaker 1>with being quote unquote soft on crime. And another difficulty

0:25:02.480 --> 0:25:05.679
<v Speaker 1>there a twists there is that it's very difficult in

0:25:05.680 --> 0:25:09.080
<v Speaker 1>many cases for felons to vote. So until the demographics

0:25:09.080 --> 0:25:11.320
<v Speaker 1>that are far more likely to get arrested and far

0:25:11.359 --> 0:25:17.000
<v Speaker 1>more likely to serve longer sentences are voting in larger

0:25:17.119 --> 0:25:22.040
<v Speaker 1>proportionate numbers, then politicians aren't going to go out of

0:25:22.080 --> 0:25:24.760
<v Speaker 1>their way to be I mean largely. It's true. It's

0:25:24.760 --> 0:25:27.959
<v Speaker 1>sad and it's kind of disgusting, but they're not going

0:25:28.000 --> 0:25:30.800
<v Speaker 1>to go out of the way to represent someone who

0:25:30.840 --> 0:25:34.680
<v Speaker 1>they don't see as capable of handing a benefit to them.

0:25:35.320 --> 0:25:38.199
<v Speaker 1>I mean, it's a huge downfall of our species, right,

0:25:38.240 --> 0:25:40.919
<v Speaker 1>everything is quid pro quo and stuff you should Know

0:25:40.960 --> 0:25:44.000
<v Speaker 1>has a great episode about how altruism doesn't really exist,

0:25:44.600 --> 0:25:45.720
<v Speaker 1>but no one wants to hear that.

0:25:45.520 --> 0:25:49.119
<v Speaker 2>That's depressing, right, yeah, So well, really fast, I just

0:25:49.119 --> 0:25:53.720
<v Speaker 2>want to talk about something with you guys. Something I

0:25:53.720 --> 0:25:55.400
<v Speaker 2>don't know if this even really fits in the show,

0:25:55.440 --> 0:25:58.439
<v Speaker 2>but something I think we can apply to this is

0:25:58.480 --> 0:26:02.040
<v Speaker 2>the fact that unless you have experienced something in your life,

0:26:02.160 --> 0:26:05.680
<v Speaker 2>or you know someone directly who has experienced something, it's

0:26:05.800 --> 0:26:10.479
<v Speaker 2>very difficult to have true empathy about a situation. And

0:26:10.520 --> 0:26:15.680
<v Speaker 2>I take this to the concept of quitting smoking or

0:26:15.720 --> 0:26:18.840
<v Speaker 2>attempting to quit smoking. Now, just hear me out really fast.

0:26:19.280 --> 0:26:21.680
<v Speaker 2>For a lot of people who have never been addicted

0:26:21.720 --> 0:26:26.160
<v Speaker 2>to something like nicotine and attempted and failed to quit

0:26:26.920 --> 0:26:30.240
<v Speaker 2>that substance or something like that, a lot of people

0:26:31.040 --> 0:26:35.400
<v Speaker 2>will have, at least I've noticed in my experience very

0:26:35.440 --> 0:26:39.560
<v Speaker 2>negative thoughts on alternatives to quitting smoking even or you know,

0:26:39.640 --> 0:26:43.640
<v Speaker 2>other things like that, Like they have an immediate negative

0:26:43.680 --> 0:26:46.760
<v Speaker 2>reaction to something like that unless you are someone who

0:26:46.760 --> 0:26:50.480
<v Speaker 2>has actually attempted and failed to do something like quitting smoking,

0:26:50.840 --> 0:26:52.359
<v Speaker 2>And so I wonder if it's the same thing with

0:26:52.400 --> 0:26:54.720
<v Speaker 2>the prison system and a lot of these other things

0:26:54.720 --> 0:26:57.840
<v Speaker 2>where unless you have that direct experience with it, it's

0:26:58.000 --> 0:27:01.360
<v Speaker 2>very difficult to even see it outside of the negative

0:27:01.400 --> 0:27:06.360
<v Speaker 2>context which has already built up around it societally experiential knowledge.

0:27:06.480 --> 0:27:09.640
<v Speaker 1>Right, like the uh like how the stem cell conversation

0:27:09.920 --> 0:27:14.520
<v Speaker 1>changed when people who were politicians opposed to stem cell

0:27:14.600 --> 0:27:17.840
<v Speaker 1>research realized the benefits it could have for people that

0:27:17.880 --> 0:27:18.840
<v Speaker 1>they personally knew.

0:27:19.560 --> 0:27:22.320
<v Speaker 2>Right, Yeah, I mean I think so, I mean even

0:27:22.359 --> 0:27:26.120
<v Speaker 2>the CBD oil, Yes, absolutely, you know, I.

0:27:26.040 --> 0:27:31.359
<v Speaker 1>Think it's it's weird because here in here in Georgia, Atlanta, Georgia,

0:27:31.359 --> 0:27:36.240
<v Speaker 1>where we record this podcast, uh one, regardless of where

0:27:36.280 --> 0:27:39.919
<v Speaker 1>you fall in drug criminalization. Uh. I thought it was

0:27:40.000 --> 0:27:44.040
<v Speaker 1>hilarious when we had some we had some politicians when

0:27:44.119 --> 0:27:49.280
<v Speaker 1>the CBDU the Medical Medicinal CBD Bill or whatever was called,

0:27:49.320 --> 0:27:53.119
<v Speaker 1>was first past, the politicians who approved of it spent

0:27:53.400 --> 0:27:57.920
<v Speaker 1>the majority of their time assuring everyone that no one

0:27:57.920 --> 0:28:01.359
<v Speaker 1>would enjoy it. I don't worry. No one is gonna

0:28:01.359 --> 0:28:04.320
<v Speaker 1>have fun. This is just for people with epilepsy.

0:28:04.560 --> 0:28:06.119
<v Speaker 2>So you're sure you cannot get high.

0:28:06.760 --> 0:28:09.640
<v Speaker 1>If I thought people would have anything like a good

0:28:09.680 --> 0:28:13.080
<v Speaker 1>time on this, I would be burning down the capitol.

0:28:13.720 --> 0:28:16.280
<v Speaker 1>You know what I mean. I'm still mad that people

0:28:16.320 --> 0:28:17.400
<v Speaker 1>Fox trot.

0:28:17.720 --> 0:28:19.600
<v Speaker 3>He is burning down the capitol. When you smoke a

0:28:19.600 --> 0:28:21.800
<v Speaker 3>bunch of weed in the capitol, Uh.

0:28:21.880 --> 0:28:25.119
<v Speaker 1>Little known fact. Yeah, it's part of the that's part

0:28:25.200 --> 0:28:27.480
<v Speaker 1>of the Georgia congressional slang.

0:28:28.800 --> 0:28:32.359
<v Speaker 3>They say their prayer and then they spark up a doobie.

0:28:32.840 --> 0:28:34.640
<v Speaker 2>Yeah, guy Fox, I don't know if you remember him.

0:28:34.840 --> 0:28:37.440
<v Speaker 2>He thought that barrel was actually full of doobies.

0:28:38.840 --> 0:28:46.920
<v Speaker 1>Yeah no, yeah, yeah, yeahah yes and right. So the

0:28:46.920 --> 0:28:51.640
<v Speaker 1>the reason the politics matter here, the reason they're so fundamental,

0:28:52.320 --> 0:28:58.840
<v Speaker 1>is because this means that exkews the budget allocations for

0:28:58.920 --> 0:29:01.600
<v Speaker 1>a lot of jails and pin tentries. You want to

0:29:01.640 --> 0:29:05.880
<v Speaker 1>spend a lot of money securing the place, right, making

0:29:05.920 --> 0:29:10.360
<v Speaker 1>it hard to walk out of. But why would you

0:29:11.000 --> 0:29:14.600
<v Speaker 1>spend money on healthcare, especially if it means you could

0:29:14.600 --> 0:29:18.360
<v Speaker 1>be accused of going soft on crime. This problem is

0:29:18.440 --> 0:29:22.400
<v Speaker 1>exacerbated in jails that are in rural or poor counties,

0:29:22.960 --> 0:29:25.120
<v Speaker 1>which happens a lot. Jails will tend to be in

0:29:25.200 --> 0:29:29.360
<v Speaker 1>rural and poor counties because they can be advertised as

0:29:29.360 --> 0:29:32.360
<v Speaker 1>a source of jobs right for an ailing community. So

0:29:32.600 --> 0:29:36.080
<v Speaker 1>administrators complain, you know, they say, look, I don't have

0:29:36.240 --> 0:29:39.520
<v Speaker 1>the resources. I can't make the numbers work. How am

0:29:39.520 --> 0:29:43.600
<v Speaker 1>I supposed to hire, train, and supervise doctors and nurses

0:29:44.120 --> 0:29:49.960
<v Speaker 1>right like GPS, let alone specialized medical care? Like, what

0:29:50.800 --> 0:29:52.959
<v Speaker 1>what on earth am I going to be able to

0:29:53.080 --> 0:29:58.840
<v Speaker 1>do to incentivize a medical health professional to work with me?

0:29:59.000 --> 0:30:01.520
<v Speaker 1>I certainly can't pay her or him as much as

0:30:01.520 --> 0:30:06.800
<v Speaker 1>they can make in the private sector, So increasingly they

0:30:06.880 --> 0:30:10.520
<v Speaker 1>turn to for profit companies. And this is a field

0:30:10.640 --> 0:30:13.520
<v Speaker 1>of healthcare that a lot of people have probably not

0:30:13.600 --> 0:30:15.600
<v Speaker 1>heard about. I don't know if any of us heard

0:30:15.600 --> 0:30:19.680
<v Speaker 1>about it beforehand. I certainly didn't. Correctional health care, so

0:30:19.760 --> 0:30:22.840
<v Speaker 1>think of like blue Cross, Blue Shield, just for people

0:30:23.040 --> 0:30:28.840
<v Speaker 1>in lock up. They pledge to deliver quality care, while

0:30:29.800 --> 0:30:34.640
<v Speaker 1>very very attractive to administrators, containing cost. It's part of

0:30:34.680 --> 0:30:37.520
<v Speaker 1>a trend that started back in the nineteen eighties during

0:30:37.520 --> 0:30:41.480
<v Speaker 1>the Reagan administration, where the idea was that in general,

0:30:41.600 --> 0:30:44.760
<v Speaker 1>we will start to privatize things. We as a country

0:30:44.760 --> 0:30:50.200
<v Speaker 1>in general will privatize things because we'll be cutting the

0:30:50.240 --> 0:30:53.920
<v Speaker 1>fat and having cost as the Having costs as the

0:30:54.200 --> 0:30:58.680
<v Speaker 1>bottom line will encourage more nimbles, slimmed down and more

0:30:58.720 --> 0:31:05.400
<v Speaker 1>efficient operations. This trend accelerated after the nineties, right when

0:31:05.440 --> 0:31:10.200
<v Speaker 1>we had a ton of tough sentencing laws like mandatory

0:31:10.240 --> 0:31:13.960
<v Speaker 1>sentencing and stuff. The Violent Crime Control Law Enforcement Act

0:31:14.080 --> 0:31:19.240
<v Speaker 1>nineteen ninety four made the number of people in jails

0:31:19.240 --> 0:31:22.720
<v Speaker 1>and prisons jump from about three hundred thousand to more

0:31:22.760 --> 0:31:26.960
<v Speaker 1>than two million today. Yeah so.

0:31:27.120 --> 0:31:30.560
<v Speaker 3>According to a twenty eighteen study from the Pew Charitable Trusts,

0:31:30.880 --> 0:31:33.800
<v Speaker 3>more than half of the states hire private companies to

0:31:33.880 --> 0:31:39.000
<v Speaker 3>provide at least some of that prison healthcare services. Those

0:31:39.000 --> 0:31:42.440
<v Speaker 3>prison healthcare services the companies they negotiate these multi year

0:31:42.440 --> 0:31:46.040
<v Speaker 3>contracts with each jail and prison that they serve. Medical

0:31:46.080 --> 0:31:50.080
<v Speaker 3>staff and prescription drugs, and outside services such as hospital stays,

0:31:50.560 --> 0:31:54.880
<v Speaker 3>constitute the bulk the line to share of these costs. Oftentimes,

0:31:54.920 --> 0:31:59.080
<v Speaker 3>the companies receive a per day, per individual rate, so

0:31:59.160 --> 0:32:04.720
<v Speaker 3>profits depend on keeping costs below that amount. Sometimes contracts

0:32:04.800 --> 0:32:08.280
<v Speaker 3>include provisions that increase a company's potential profit if it

0:32:08.320 --> 0:32:12.400
<v Speaker 3>holds down transfers to hospitals or to other outside providers. Ben,

0:32:12.640 --> 0:32:14.520
<v Speaker 3>can you help us unpack this because I don't know

0:32:14.520 --> 0:32:17.080
<v Speaker 3>about you, but this seems a little on the shady side.

0:32:17.480 --> 0:32:23.200
<v Speaker 1>For sure, your spider sense is correct. Sometimes this stuff

0:32:23.200 --> 0:32:25.920
<v Speaker 1>can get lost in the legal language. But this is

0:32:25.920 --> 0:32:31.360
<v Speaker 1>a very important turn in the story here. The companies,

0:32:31.560 --> 0:32:38.520
<v Speaker 1>these private health providers for prisons have negotiated these things

0:32:38.520 --> 0:32:44.160
<v Speaker 1>that say, look, we will make more money if everyone

0:32:44.280 --> 0:32:47.280
<v Speaker 1>is and this is just for sake of argument. If

0:32:47.320 --> 0:32:52.239
<v Speaker 1>everyone is limited to four hundred dollars a day, the

0:32:52.280 --> 0:32:55.800
<v Speaker 1>medical care for all these inmates is four hundred dollars

0:32:55.840 --> 0:32:58.080
<v Speaker 1>per person per day or less, and as probably is

0:32:58.160 --> 0:33:07.200
<v Speaker 1>less than we will make another profit. Furthermore, if x

0:33:07.280 --> 0:33:09.480
<v Speaker 1>number of people or less than that go to a

0:33:09.520 --> 0:33:13.600
<v Speaker 1>hospital per year or to a specialist off site, then

0:33:13.720 --> 0:33:17.840
<v Speaker 1>we'll make another We'll make another windfall, another bonus. So

0:33:19.320 --> 0:33:22.440
<v Speaker 1>we know that private health insurance follows the same thing.

0:33:22.520 --> 0:33:27.160
<v Speaker 1>It's not a new game, right. They want to avoid

0:33:27.240 --> 0:33:30.320
<v Speaker 1>unnecessary tests and procedures. You probably hear that a lot

0:33:30.800 --> 0:33:34.080
<v Speaker 1>back in the old death panel argument days. But this

0:33:34.240 --> 0:33:38.000
<v Speaker 1>is very important. This means that if someone in jail

0:33:38.080 --> 0:33:41.160
<v Speaker 1>or in prison believes that their health or even their

0:33:41.240 --> 0:33:44.400
<v Speaker 1>life is in jeopardy. They can't do what any of

0:33:44.480 --> 0:33:46.680
<v Speaker 1>us do. They can't just call nine to one one.

0:33:47.240 --> 0:33:51.480
<v Speaker 1>They can't, you know, they can't play the great medical

0:33:51.560 --> 0:33:54.560
<v Speaker 1>debt game that's killing this country and pay eleven grand

0:33:54.680 --> 0:34:00.520
<v Speaker 1>for an ambulance over time. Instead, they have to hope

0:34:00.560 --> 0:34:03.480
<v Speaker 1>and pray. If they are the religious type, that someone

0:34:03.520 --> 0:34:06.520
<v Speaker 1>in the prison believes that they are exhibiting the signs

0:34:06.560 --> 0:34:08.640
<v Speaker 1>of a stroke and they have to hope and pray

0:34:08.680 --> 0:34:11.399
<v Speaker 1>that it's a minor stroke, or they have to hope

0:34:11.400 --> 0:34:14.839
<v Speaker 1>and pray that the diabetes doesn't catch up to them

0:34:15.040 --> 0:34:18.120
<v Speaker 1>and they get some help before they go into insulin shock.

0:34:19.000 --> 0:34:22.720
<v Speaker 1>There are no comprehensive statistics about the prevalence of private

0:34:22.760 --> 0:34:27.200
<v Speaker 1>healthcare companies in jail, and that makes sense because why

0:34:27.239 --> 0:34:29.719
<v Speaker 1>would you want people to know that outside of maybe

0:34:29.800 --> 0:34:32.640
<v Speaker 1>a trade show where you're pitching to a warden. There

0:34:32.680 --> 0:34:36.400
<v Speaker 1>you go, well, we do have some stuff. We know

0:34:36.480 --> 0:34:42.279
<v Speaker 1>that the National Commission on Correctional Healthcare has accredited these

0:34:42.320 --> 0:34:46.520
<v Speaker 1>programs around the country, and seventy percent of the jails

0:34:46.560 --> 0:34:51.600
<v Speaker 1>it inspects outsource their medical services and when they outsource.

0:34:51.680 --> 0:34:55.160
<v Speaker 1>These for profit companies have a pretty big chunk of

0:34:55.200 --> 0:34:56.400
<v Speaker 1>those contracts.

0:34:58.040 --> 0:35:01.920
<v Speaker 2>Oh boy, So let's get into what we know about

0:35:01.960 --> 0:35:05.880
<v Speaker 2>some of this stuff. Just it's gonna get even deeper

0:35:05.920 --> 0:35:15.839
<v Speaker 2>and darker. After a quick word from our sponsor, we're back.

0:35:15.920 --> 0:35:21.640
<v Speaker 1>So we've been talking in general terms about private companies, right,

0:35:21.680 --> 0:35:24.840
<v Speaker 1>private healthcare companies. But let's name a few because we

0:35:24.880 --> 0:35:25.480
<v Speaker 1>have some names.

0:35:25.560 --> 0:35:28.600
<v Speaker 2>Right. So we've got at least one big one, and

0:35:28.640 --> 0:35:31.680
<v Speaker 2>it used to be called Correct Care Solutions, and that's

0:35:31.719 --> 0:35:33.399
<v Speaker 2>the one that I had heard of before, but it's

0:35:33.440 --> 0:35:36.839
<v Speaker 2>now called well Path. And there's also Corizon Health. It

0:35:36.840 --> 0:35:40.279
<v Speaker 2>looks like Horizon but with a C. Those are two

0:35:40.280 --> 0:35:41.760
<v Speaker 2>of the bigger players.

0:35:42.800 --> 0:35:45.400
<v Speaker 3>Is that like a kronat kind of Yeah?

0:35:45.480 --> 0:35:49.279
<v Speaker 2>Okay, so it's on the horizon, but it's correction. It's

0:35:49.280 --> 0:35:50.720
<v Speaker 2>the Correction Horizon of health.

0:35:51.040 --> 0:35:54.920
<v Speaker 1>It used to be called Correctional Medical Services Incorporated, and

0:35:54.960 --> 0:35:59.480
<v Speaker 1>then before that it was Prison Health Services Incorporated. Kind

0:35:59.480 --> 0:36:03.440
<v Speaker 1>of like Backwater or Academi or EXE. Just changed up

0:36:03.440 --> 0:36:06.360
<v Speaker 1>a little bit, Just change the names. It'll be fine,

0:36:06.520 --> 0:36:08.960
<v Speaker 1>it'll be grand. What an adventure.

0:36:09.680 --> 0:36:13.560
<v Speaker 2>Yeah, well, there's a reason why those names changed. Just

0:36:13.600 --> 0:36:16.680
<v Speaker 2>like you said with Blackwater, well, with Blackwater, it was

0:36:16.719 --> 0:36:20.200
<v Speaker 2>about public perception, right with some scandals that were occurring.

0:36:20.239 --> 0:36:23.080
<v Speaker 2>When we say scandals, we mean pretty much murder that

0:36:23.239 --> 0:36:27.240
<v Speaker 2>was occurring. With these companies, it's because they've been sued

0:36:27.560 --> 0:36:30.239
<v Speaker 2>a lot. The two of them together combined have been

0:36:30.280 --> 0:36:33.960
<v Speaker 2>sued about fifteen hundred times in the past past five years,

0:36:34.440 --> 0:36:37.239
<v Speaker 2>and a lot of those were over, you know, accusations

0:36:37.239 --> 0:36:40.719
<v Speaker 2>of things like neglect and malpractice and in dozens of

0:36:40.760 --> 0:36:46.080
<v Speaker 2>cases even wrongful injury or up to death. Carizon, one

0:36:46.080 --> 0:36:48.840
<v Speaker 2>of those companies, was the defendant in more than one

0:36:48.840 --> 0:36:52.160
<v Speaker 2>thousand cases, so of those fifteen hundred.

0:36:52.280 --> 0:36:56.320
<v Speaker 1>And it's interesting because Karison cares for about one hundred

0:36:56.320 --> 0:37:01.760
<v Speaker 1>and eighty thousand people day to day. Well Passed, in contrast,

0:37:01.840 --> 0:37:06.040
<v Speaker 1>handles about two hundred and fifty thousand people day to day. Wow.

0:37:06.560 --> 0:37:11.960
<v Speaker 1>Representatives for both companies say, well, these lawsuits are often flimsy, frivolous,

0:37:12.080 --> 0:37:16.520
<v Speaker 1>or inconclusive, and we know, you know again, people aren't

0:37:16.560 --> 0:37:19.520
<v Speaker 1>in jail or prison for being on their best behavior.

0:37:20.040 --> 0:37:24.000
<v Speaker 1>From what we understand, the vast majority of people are

0:37:24.000 --> 0:37:26.799
<v Speaker 1>inmates are just trying to get through their time and

0:37:26.960 --> 0:37:33.000
<v Speaker 1>get out and the other side of the bars gives

0:37:33.080 --> 0:37:37.239
<v Speaker 1>us a different perspective. The prison guards can assure us

0:37:37.560 --> 0:37:40.759
<v Speaker 1>that there are multiple people who do have mental health problems.

0:37:40.960 --> 0:37:45.879
<v Speaker 1>You know, they're flinging pooh. Maybe there's some people malingering,

0:37:45.920 --> 0:37:50.279
<v Speaker 1>which means faking an illness simply to change up their

0:37:50.360 --> 0:37:52.560
<v Speaker 1>routine to get out somewhere, you know what I mean.

0:37:53.920 --> 0:37:56.880
<v Speaker 1>But be that as it may, it doesn't negate the

0:37:56.920 --> 0:38:01.120
<v Speaker 1>fact that these cases of wrongful injury or death have

0:38:01.400 --> 0:38:05.600
<v Speaker 1>been decreed. Legitimate public interest lawyers have brought class action

0:38:05.800 --> 0:38:11.520
<v Speaker 1>suits alleging inadequate healthcare across the entire system. There are multiple,

0:38:11.600 --> 0:38:16.160
<v Speaker 1>multiple examples of this, unfortunately some which end in death.

0:38:16.719 --> 0:38:21.200
<v Speaker 1>But we've got let's just do one example from Arizona.

0:38:21.280 --> 0:38:24.360
<v Speaker 3>So in Arizona, civil rights groups filed a class action

0:38:24.480 --> 0:38:28.280
<v Speaker 3>suit in twenty twelve. A year later, after the state

0:38:28.360 --> 0:38:32.839
<v Speaker 3>passed legislation privatizing prison healthcare, it signed a contract with

0:38:33.400 --> 0:38:38.239
<v Speaker 3>Coruson to provide medical services in those prisons. Then, in

0:38:38.280 --> 0:38:42.600
<v Speaker 3>twenty fifteen, a federal district court that sought to resolve

0:38:42.680 --> 0:38:45.680
<v Speaker 3>the suit approved a settlement in which the state pledged

0:38:45.880 --> 0:38:51.560
<v Speaker 3>to overhaul its care. But last June, Judge David Duncan

0:38:51.680 --> 0:38:57.360
<v Speaker 3>found that quote, widespread and systematic failures remain end quote

0:38:57.560 --> 0:39:01.400
<v Speaker 3>and held the state in contempt, issuing it fines of

0:39:01.440 --> 0:39:03.480
<v Speaker 3>more than one million dollars.

0:39:04.280 --> 0:39:12.320
<v Speaker 1>And that's interesting because when they're defending themselves, the private

0:39:13.120 --> 0:39:17.960
<v Speaker 1>prison insurance companies will say that part of their contract

0:39:18.440 --> 0:39:23.960
<v Speaker 1>indemnifies the state or you know, the party from the

0:39:24.000 --> 0:39:28.080
<v Speaker 1>government that they're contracting with, indemnifies them from legal costs.

0:39:28.160 --> 0:39:30.440
<v Speaker 1>But in the case of Arizona, the judge wasn't having

0:39:30.480 --> 0:39:33.959
<v Speaker 1>it and essentially said, no, don't put this on them.

0:39:34.520 --> 0:39:37.880
<v Speaker 1>You're the ones who agreed to let this happen. In

0:39:37.920 --> 0:39:41.280
<v Speaker 1>the meantime, by the way, while these things are winding

0:39:41.320 --> 0:39:45.440
<v Speaker 1>and wending through the court system, people are dying, you know,

0:39:45.719 --> 0:39:49.239
<v Speaker 1>and many of whom committed crimes. But the ones who

0:39:49.239 --> 0:39:52.040
<v Speaker 1>are dying were not sentenced to the death penalty. And

0:39:52.080 --> 0:39:56.280
<v Speaker 1>the question then becomes, is this sentencing people to death?

0:39:56.320 --> 0:39:58.239
<v Speaker 1>Which I know is a really messed up way to

0:39:58.239 --> 0:40:03.160
<v Speaker 1>look at it, but it's not unfair. According to Steve Cole,

0:40:03.400 --> 0:40:05.719
<v Speaker 1>a journalist wrote an excellent article for The New Yorker

0:40:05.760 --> 0:40:09.600
<v Speaker 1>in twenty nineteen, evidence from cases across the country suggests

0:40:09.640 --> 0:40:13.120
<v Speaker 1>that four decades of policy failures in both healthcare and

0:40:13.200 --> 0:40:17.759
<v Speaker 1>criminal justice reform have left a largely neglected population vulnerable

0:40:17.800 --> 0:40:21.000
<v Speaker 1>and at times at risk, and that for profit companies,

0:40:21.040 --> 0:40:24.239
<v Speaker 1>which were promoted as a solution have instead become an

0:40:24.320 --> 0:40:27.400
<v Speaker 1>integral part of a troubled system. They were supposed to

0:40:27.440 --> 0:40:30.160
<v Speaker 1>fix it back in the eighties, and all they did

0:40:30.440 --> 0:40:32.000
<v Speaker 1>was fix their profit margins.

0:40:32.280 --> 0:40:34.759
<v Speaker 2>Yeah, and now it's become too big to fail in

0:40:34.760 --> 0:40:37.000
<v Speaker 2>a way you can't really remove it.

0:40:36.200 --> 0:40:40.839
<v Speaker 1>It even goes even goes down to the food, right,

0:40:40.920 --> 0:40:43.360
<v Speaker 1>because we joke about food all the time. But food's

0:40:43.400 --> 0:40:44.040
<v Speaker 1>part of your health.

0:40:44.680 --> 0:40:48.840
<v Speaker 2>It's a massive part of your health. Yo, are what

0:40:48.920 --> 0:40:51.200
<v Speaker 2>you eat, buddy, And it really is like the simplest

0:40:51.520 --> 0:40:54.880
<v Speaker 2>thing to say that. My wife, My wife and I

0:40:54.920 --> 0:40:59.360
<v Speaker 2>have an ongoing joke argument about that about how important

0:40:59.360 --> 0:41:02.799
<v Speaker 2>your food is. She likes to eat a lot more

0:41:02.840 --> 0:41:06.080
<v Speaker 2>healthy than I do. And I just like the good

0:41:06.120 --> 0:41:08.080
<v Speaker 2>tasting stuff, you know, you know.

0:41:08.080 --> 0:41:11.719
<v Speaker 1>Stuff that you evolved to seek out, right.

0:41:12.080 --> 0:41:17.120
<v Speaker 2>Yeah, the sugar, salt, yeah, mostly the fats, like the bacons.

0:41:17.239 --> 0:41:18.640
<v Speaker 3>You also like the heat, though, don't you.

0:41:18.719 --> 0:41:20.800
<v Speaker 2>Man, Yeah, give me the spicy bacon.

0:41:20.840 --> 0:41:21.759
<v Speaker 3>You're a spicy boy.

0:41:21.960 --> 0:41:24.719
<v Speaker 2>I'm good to go. But yeah, it's just one of

0:41:24.719 --> 0:41:26.560
<v Speaker 2>those things where it is true, if you're eating more

0:41:26.560 --> 0:41:29.239
<v Speaker 2>healthy or getting more nutrients, you are in a better

0:41:29.280 --> 0:41:30.880
<v Speaker 2>spot for all the other stuff and you're not going

0:41:30.960 --> 0:41:34.360
<v Speaker 2>to have as many issues, at least theoretically. But we

0:41:34.960 --> 0:41:38.040
<v Speaker 2>got a caller, someone a listener called in from Alabama

0:41:38.120 --> 0:41:40.560
<v Speaker 2>and told us about this story where there was a

0:41:40.600 --> 0:41:45.320
<v Speaker 2>local sheriff's office that was getting they would make money

0:41:45.920 --> 0:41:49.759
<v Speaker 2>off the top of whatever money they didn't spend on

0:41:50.719 --> 0:41:54.680
<v Speaker 2>food for the prison system within the county. And we

0:41:54.719 --> 0:41:57.279
<v Speaker 2>haven't looked into it fully yet. We do have a

0:41:57.400 --> 0:42:01.880
<v Speaker 2>story here from NPR about if sheriff in Alabama that

0:42:01.920 --> 0:42:05.280
<v Speaker 2>the caller was mentioning he took almost a million dollars

0:42:05.320 --> 0:42:09.240
<v Speaker 2>seven and fifty thousand dollars legally. He took this money

0:42:10.560 --> 0:42:13.160
<v Speaker 2>to buy a beach house. Money that was meant to

0:42:13.239 --> 0:42:14.920
<v Speaker 2>feed inmates within his county.

0:42:15.200 --> 0:42:21.080
<v Speaker 1>Yeah, Atawa County, SHAREFF Todd intrickin Todd, if you're listening,

0:42:21.560 --> 0:42:25.520
<v Speaker 1>I hope you enjoy your beach house. What Todd did

0:42:25.760 --> 0:42:29.240
<v Speaker 1>was pocket this, you know, seven hundred and fifty large

0:42:30.040 --> 0:42:33.680
<v Speaker 1>that was supposed to feed inmates of the jail that

0:42:33.760 --> 0:42:38.360
<v Speaker 1>he supervised. Then, according to the Birmingham News, he used

0:42:38.520 --> 0:42:41.319
<v Speaker 1>the money that he pocketed or the majority of it

0:42:41.400 --> 0:42:44.760
<v Speaker 1>to buy a beach house. Because Alabama has this law

0:42:44.800 --> 0:42:48.160
<v Speaker 1>that allows sheriffs to quote keep and retain unspent money

0:42:48.360 --> 0:42:53.320
<v Speaker 1>from jail food provision accounts. So sheriffs across the state

0:42:53.440 --> 0:42:57.800
<v Speaker 1>of Alabama take the money as personal income.

0:42:57.560 --> 0:43:00.799
<v Speaker 3>Like a bonus. Yeah, for like doing a good job,

0:43:00.840 --> 0:43:03.360
<v Speaker 3>because they had like a surplus.

0:43:02.960 --> 0:43:05.719
<v Speaker 1>Kind of Well, it's not attached to doing a good job.

0:43:05.800 --> 0:43:08.279
<v Speaker 1>It's just a I mean, if the good job is

0:43:08.280 --> 0:43:12.759
<v Speaker 1>defined as taking less money to feed people, then they

0:43:12.800 --> 0:43:15.480
<v Speaker 1>can take it. There. It goes both ways, though. People

0:43:15.520 --> 0:43:19.080
<v Speaker 1>are quick to point out if they have a shortfall

0:43:19.200 --> 0:43:22.160
<v Speaker 1>in the budget in that regard, then the sheriff as

0:43:22.200 --> 0:43:26.440
<v Speaker 1>an individual's personally held liable for covering the gap. But

0:43:26.680 --> 0:43:28.440
<v Speaker 1>turns out that they don't really go out of their

0:43:28.440 --> 0:43:30.880
<v Speaker 1>way to spend that much on feeding their inmates.

0:43:32.160 --> 0:43:37.040
<v Speaker 2>Yeah, that's really depressing and messed up sheriff.

0:43:37.400 --> 0:43:39.560
<v Speaker 1>Also, we don't know how many people are doing this,

0:43:39.800 --> 0:43:43.600
<v Speaker 1>because sheriffs across the state apparently have done this for

0:43:43.640 --> 0:43:46.560
<v Speaker 1>a long time. That law dates back to the Depression,

0:43:47.160 --> 0:43:50.680
<v Speaker 1>and according to the Southern Center for Human Rights quote,

0:43:50.760 --> 0:43:53.640
<v Speaker 1>it is presently unknown how much money sheriffs across the

0:43:53.640 --> 0:43:56.239
<v Speaker 1>state have taken because most do not report it as

0:43:56.400 --> 0:43:59.120
<v Speaker 1>income on state financial disclosure forms.

0:44:00.120 --> 0:44:04.600
<v Speaker 2>Yeah, so you're not required to specify any money that

0:44:04.640 --> 0:44:06.960
<v Speaker 2>you take in in this way above two hundred and

0:44:06.960 --> 0:44:10.280
<v Speaker 2>fifty thousand dollars a year. And he brought in seven

0:44:10.400 --> 0:44:11.160
<v Speaker 2>hundred and fifty.

0:44:12.440 --> 0:44:16.080
<v Speaker 1>We have to wonder what they're what they're eating.

0:44:16.440 --> 0:44:16.680
<v Speaker 2>You know.

0:44:17.239 --> 0:44:19.239
<v Speaker 1>It makes me think of do you guys remember the

0:44:19.360 --> 0:44:25.000
<v Speaker 1>controversy of neutral loaf? Do you remember hearing about that?

0:44:25.080 --> 0:44:27.839
<v Speaker 3>Yeah? I do. It was like a food substitute, kind

0:44:27.840 --> 0:44:28.800
<v Speaker 3>of like soilent green.

0:44:29.600 --> 0:44:33.040
<v Speaker 1>Yeah, kind of. It's like the the Okay, you know

0:44:33.080 --> 0:44:36.080
<v Speaker 1>that there's meat loaf, there's neutral loaf, which is also

0:44:36.239 --> 0:44:45.840
<v Speaker 1>called meal loaf because it is it's this unholy amalgamation

0:44:46.680 --> 0:44:51.520
<v Speaker 1>of vegetables, fruit, meat, bread, other grains baked into a

0:44:51.760 --> 0:44:56.080
<v Speaker 1>solid loaf. The ingredients vary, but there is something called

0:44:56.160 --> 0:44:56.920
<v Speaker 1>dairy blend.

0:44:57.400 --> 0:45:00.359
<v Speaker 3>Sounds like fruitcake to me, but.

0:45:00.400 --> 0:45:02.360
<v Speaker 1>With fruitcake they at least keep the shape of the

0:45:02.400 --> 0:45:03.600
<v Speaker 1>fruits right in there.

0:45:04.080 --> 0:45:04.360
<v Speaker 2>Yeah.

0:45:04.520 --> 0:45:09.040
<v Speaker 3>Well, they dice and kind of like also candied and

0:45:09.320 --> 0:45:10.279
<v Speaker 3>gummy looking.

0:45:10.080 --> 0:45:13.520
<v Speaker 1>But they're identifiably fruit, right. I see what you're saying.

0:45:13.520 --> 0:45:16.239
<v Speaker 3>This is just like ground into a pulp into a

0:45:16.320 --> 0:45:19.239
<v Speaker 3>paste and then that's baked into kind of this amalgam

0:45:19.239 --> 0:45:20.640
<v Speaker 3>of god knows.

0:45:20.440 --> 0:45:25.040
<v Speaker 1>What, right, yeah, oh god, And that one even went

0:45:25.080 --> 0:45:30.320
<v Speaker 1>to court several times. In a case called Gordon versus Barnett,

0:45:30.440 --> 0:45:34.000
<v Speaker 1>the District Court for the Western District of Washington ruled

0:45:34.040 --> 0:45:37.160
<v Speaker 1>that someone got all the way to court arguing that

0:45:37.239 --> 0:45:41.920
<v Speaker 1>eating neutral loaf was cruel and unusual punishment. And although

0:45:41.920 --> 0:45:44.320
<v Speaker 1>the court ruled that it was not cruel and unusual,

0:45:44.640 --> 0:45:47.920
<v Speaker 1>it was a punishment and that prisoners should be entitled

0:45:47.920 --> 0:45:50.520
<v Speaker 1>to due process before they have to eat it. It's

0:45:50.600 --> 0:45:53.759
<v Speaker 1>so bad that you have to get like the law

0:45:53.920 --> 0:45:56.200
<v Speaker 1>involved for you to be forced to eat this, at

0:45:56.280 --> 0:45:57.720
<v Speaker 1>least according to that judge.

0:45:58.440 --> 0:46:01.839
<v Speaker 2>Geez, just a just to jump back in this, I'm

0:46:01.920 --> 0:46:03.960
<v Speaker 2>reading a little bit further down in the article. It

0:46:04.000 --> 0:46:07.719
<v Speaker 2>gives a little more context to this. So apparently this

0:46:07.800 --> 0:46:11.600
<v Speaker 2>sheriff and how did we say it in and tracing

0:46:12.160 --> 0:46:14.319
<v Speaker 2>entricn entrican.

0:46:14.480 --> 0:46:16.600
<v Speaker 1>Like the demon, he's in Albata.

0:46:16.920 --> 0:46:19.120
<v Speaker 2>Oh that's ooh, that's really cool. So yeah, so he's

0:46:19.120 --> 0:46:23.840
<v Speaker 2>in Alabama's he's Entrican. So when he came into office,

0:46:24.719 --> 0:46:27.720
<v Speaker 2>the previous sheriff died while he was in office. Okay,

0:46:28.040 --> 0:46:32.360
<v Speaker 2>and this this money, this money that's meant for inmates

0:46:32.400 --> 0:46:36.760
<v Speaker 2>for food, that account got drained and it was given

0:46:36.760 --> 0:46:39.520
<v Speaker 2>to the family of that sheriff that just passed, and

0:46:39.520 --> 0:46:42.080
<v Speaker 2>that was about one hundred and fifty thousand dollars or

0:46:42.280 --> 0:46:44.800
<v Speaker 2>something to that effect. All that money was taken out.

0:46:44.960 --> 0:46:47.200
<v Speaker 2>So then this current sheriff had to take out a

0:46:47.239 --> 0:46:50.640
<v Speaker 2>personal loan one hundred and fifty thousand dollars just to

0:46:50.719 --> 0:46:54.040
<v Speaker 2>keep the inmates fed. And he was paying off that

0:46:54.239 --> 0:46:57.080
<v Speaker 2>for years and years and years. So it is interesting

0:46:57.120 --> 0:47:00.040
<v Speaker 2>how the tides kind of turned with him having to

0:47:00.040 --> 0:47:02.520
<v Speaker 2>take out this initial loan to him getting a beach

0:47:02.600 --> 0:47:06.320
<v Speaker 2>you know, a beach house, and then ultimately owning property

0:47:06.360 --> 0:47:09.520
<v Speaker 2>that's worth over one point seven million dollars through you know,

0:47:09.800 --> 0:47:12.880
<v Speaker 2>all these various things that's he and his wife. And

0:47:12.920 --> 0:47:15.160
<v Speaker 2>then also the fact that he makes about ninety three

0:47:15.200 --> 0:47:17.520
<v Speaker 2>thousand dollars a year as the sheriff of a county,

0:47:17.800 --> 0:47:20.640
<v Speaker 2>just base level, base level, and then he's able to

0:47:20.680 --> 0:47:23.960
<v Speaker 2>make the bonus essentially on this one account that is

0:47:24.040 --> 0:47:26.520
<v Speaker 2>directly tied to the food that would go to inmates.

0:47:26.560 --> 0:47:30.600
<v Speaker 2>That is puzzling and strange, and I will never fully

0:47:30.680 --> 0:47:31.239
<v Speaker 2>understand that.

0:47:31.760 --> 0:47:36.840
<v Speaker 1>And it is legal, it is completely not against the law, yepet.

0:47:37.960 --> 0:47:41.319
<v Speaker 1>So this this is such a brief look, but it

0:47:41.400 --> 0:47:43.680
<v Speaker 1>leads us to the question what is to be done.

0:47:43.880 --> 0:47:46.439
<v Speaker 1>The problem comes down to profit, but it also comes

0:47:46.480 --> 0:47:51.200
<v Speaker 1>down to accountability. Right the healthcare providers say, you know, again,

0:47:51.520 --> 0:47:53.960
<v Speaker 1>we take care of the legal cost in many cases.

0:47:54.600 --> 0:47:59.920
<v Speaker 1>But also this is a ten billion plus dollar industry

0:48:00.480 --> 0:48:04.840
<v Speaker 1>and those companies are obligated to seek profit on behalf

0:48:04.880 --> 0:48:08.759
<v Speaker 1>of their owners. According to David Fothy, the director of

0:48:08.840 --> 0:48:13.240
<v Speaker 1>the National Prison Project at the ACLU American Civil Liberties Union,

0:48:13.560 --> 0:48:17.040
<v Speaker 1>these companies have compelling incentives to cut costs and staff,

0:48:17.239 --> 0:48:19.799
<v Speaker 1>and that can result to denying care. And what is

0:48:19.920 --> 0:48:21.920
<v Speaker 1>literally and I don't know if he was going for

0:48:21.960 --> 0:48:25.839
<v Speaker 1>a pun here a captive market like they can't they

0:48:25.840 --> 0:48:30.920
<v Speaker 1>cannot switch insurance providers, right, They can't say, well, this

0:48:31.080 --> 0:48:36.120
<v Speaker 1>doctor stinks and they misdiagnosed my appendicitis and I almost died.

0:48:36.560 --> 0:48:39.759
<v Speaker 1>I want someone else, and they'll say, no, sorry, you're

0:48:40.920 --> 0:48:43.000
<v Speaker 1>gonna have to stick with this person for at least

0:48:43.040 --> 0:48:45.480
<v Speaker 1>the next two to five years that you're locked up.

0:48:46.800 --> 0:48:51.200
<v Speaker 1>And Fathi says, you know, he says, I don't mean

0:48:51.239 --> 0:48:54.560
<v Speaker 1>to suggest that government run prison healthcare is perfect. It's

0:48:54.560 --> 0:48:57.680
<v Speaker 1>often appallingly deficient. But at least when the government is

0:48:57.719 --> 0:49:00.840
<v Speaker 1>providing the service, there's some measure of oversight, some measure

0:49:00.880 --> 0:49:04.680
<v Speaker 1>of democratic control, and a lot of people may say, well,

0:49:05.239 --> 0:49:08.200
<v Speaker 1>this is a rock and a hard place situation, because

0:49:08.360 --> 0:49:12.759
<v Speaker 1>neither is particularly great for people incarcerated. But then there's

0:49:12.760 --> 0:49:16.040
<v Speaker 1>something weird that we didn't talk about because of the

0:49:16.080 --> 0:49:20.400
<v Speaker 1>way that the law changed to guarantee. For much of

0:49:20.960 --> 0:49:25.120
<v Speaker 1>US history, the idea of prisoners receiving medical care was

0:49:25.160 --> 0:49:27.719
<v Speaker 1>just like bonkers, why would you do that? You know

0:49:27.760 --> 0:49:32.399
<v Speaker 1>what I mean. But as the law has changed, even

0:49:32.400 --> 0:49:36.560
<v Speaker 1>though the prison system is terrible for people who are

0:49:37.160 --> 0:49:39.920
<v Speaker 1>caught up in it, and even though it often increases

0:49:39.960 --> 0:49:43.520
<v Speaker 1>a person's chances of committing a crime or recidivism, which

0:49:43.560 --> 0:49:47.320
<v Speaker 1>is when they return to prison, inmates rights to healthcare

0:49:47.600 --> 0:49:53.320
<v Speaker 1>have actually expanded in comparison to the public the inmates.

0:49:53.719 --> 0:49:57.880
<v Speaker 1>The rulings that gave inmates a right to access to healthcare,

0:49:57.880 --> 0:50:02.600
<v Speaker 1>at least on paper, have never been applied to free citizens.

0:50:03.080 --> 0:50:06.000
<v Speaker 1>I want to say that one more time, inmates access

0:50:06.280 --> 0:50:11.480
<v Speaker 1>to a doctor, to healthcare have been guaranteed in this country,

0:50:11.719 --> 0:50:15.560
<v Speaker 1>at least on paper. If you are listening to this

0:50:15.840 --> 0:50:19.080
<v Speaker 1>and you are not in prison, in that regard, the

0:50:19.160 --> 0:50:22.279
<v Speaker 1>people incarcerated have more rights than you do.

0:50:24.320 --> 0:50:28.879
<v Speaker 2>It doesn't. Yeah, Yeah, it makes you wonder. It makes

0:50:28.880 --> 0:50:32.600
<v Speaker 2>you wonder if sometimes it would be a better move

0:50:32.680 --> 0:50:36.240
<v Speaker 2>to do something to get incarcerated to get your health back.

0:50:36.480 --> 0:50:40.680
<v Speaker 2>If you're in a tight enough spot. That's scary to

0:50:40.760 --> 0:50:42.640
<v Speaker 2>think about. And I will have done that, That's what

0:50:42.680 --> 0:50:45.399
<v Speaker 2>I'm saying. I know it has been done. There are

0:50:45.480 --> 0:50:48.160
<v Speaker 2>specific examples, but just the fact that that is a

0:50:48.239 --> 0:50:50.600
<v Speaker 2>situation you could find yourself in in this country is

0:50:50.680 --> 0:50:52.920
<v Speaker 2>baffling and terrifying.

0:50:53.560 --> 0:50:55.319
<v Speaker 3>And not even to mention that some people do it

0:50:55.440 --> 0:50:57.560
<v Speaker 3>just for shelter, sometimes on purpose.

0:50:58.280 --> 0:51:01.200
<v Speaker 1>Yeah, yeah, it doesn't happen all the time, but people

0:51:01.280 --> 0:51:04.879
<v Speaker 1>do go to jail on purpose. Some people go to

0:51:04.960 --> 0:51:07.680
<v Speaker 1>bring in drugs from the outside one way or another,

0:51:07.800 --> 0:51:12.239
<v Speaker 1>probably ingesting it somehow right and then passing it. In

0:51:12.360 --> 0:51:16.080
<v Speaker 1>twenty twelve, a guy named Frank Morocco of Amherst, New York,

0:51:17.239 --> 0:51:21.000
<v Speaker 1>was unable to afford healthcare for a rare form of leukemia.

0:51:21.600 --> 0:51:25.640
<v Speaker 1>He was released from prison in twenty twelve. He had

0:51:25.640 --> 0:51:28.480
<v Speaker 1>been in jail for twenty years on felony drug charges.

0:51:28.640 --> 0:51:30.840
<v Speaker 1>So he's fifty six years old. So he went in

0:51:30.880 --> 0:51:35.520
<v Speaker 1>when he was thirty six. He had leukemi. He had

0:51:35.560 --> 0:51:37.839
<v Speaker 1>no way to pay for it. He had been incarcerated

0:51:37.880 --> 0:51:40.480
<v Speaker 1>for so long that he walked into a grocery store,

0:51:40.880 --> 0:51:43.720
<v Speaker 1>stepped up to the counter, just stole twenty three bucks

0:51:43.800 --> 0:51:46.840
<v Speaker 1>worth of goods in plain sight so that the employees

0:51:46.880 --> 0:51:50.520
<v Speaker 1>could see him, and then walked out. Got arrested on shoplifting,

0:51:50.840 --> 0:51:55.840
<v Speaker 1>which violated his supervised release, and he was hoping it

0:51:55.840 --> 0:51:58.919
<v Speaker 1>would land him back in prison so that he could

0:51:58.960 --> 0:52:00.680
<v Speaker 1>get some help with his leukemia.

0:52:01.640 --> 0:52:02.240
<v Speaker 2>Did it work.

0:52:04.360 --> 0:52:07.400
<v Speaker 1>It was not reported whether Morocco got the treatment, but

0:52:07.480 --> 0:52:10.839
<v Speaker 1>he was released from prison on the shoplifting charge in

0:52:10.880 --> 0:52:12.160
<v Speaker 1>April of twenty thirteen.

0:52:12.360 --> 0:52:18.240
<v Speaker 2>Wow, well, I guess I hope he did. But again,

0:52:18.280 --> 0:52:20.720
<v Speaker 2>you know, this is such a tough topic because there really,

0:52:20.920 --> 0:52:24.680
<v Speaker 2>there really is such a range of humanity that exists

0:52:24.719 --> 0:52:27.560
<v Speaker 2>within the prison system, and just of you know, depending

0:52:27.560 --> 0:52:30.879
<v Speaker 2>on your sense of morality, it really affects the way

0:52:30.880 --> 0:52:34.239
<v Speaker 2>you're gonna feel about this. It really does. In the

0:52:34.520 --> 0:52:39.960
<v Speaker 2>In the end, every single person in a prison everywhere

0:52:40.040 --> 0:52:43.239
<v Speaker 2>is a human being that that, you know, and the

0:52:43.239 --> 0:52:47.480
<v Speaker 2>best of times and the best of idealism, they deserve

0:52:47.600 --> 0:52:51.799
<v Speaker 2>a shot at being healthy. But if that person has

0:52:52.200 --> 0:52:55.560
<v Speaker 2>you know, heard another in one way, or you know,

0:52:55.640 --> 0:52:59.040
<v Speaker 2>in one fashion or another, it's tough to it's tough

0:52:59.080 --> 0:53:02.200
<v Speaker 2>to stomach the thought of them getting better healthcare than

0:53:02.680 --> 0:53:05.640
<v Speaker 2>just someone who isn't doing so great financially outside of prison.

0:53:05.840 --> 0:53:07.240
<v Speaker 2>This is a really tough topic.

0:53:07.440 --> 0:53:09.799
<v Speaker 1>It is it is. Let's also, I mean, let's take

0:53:09.840 --> 0:53:12.400
<v Speaker 1>a step further and say that one of the reasons

0:53:13.239 --> 0:53:16.759
<v Speaker 1>the prison system in the US has so many problems

0:53:17.320 --> 0:53:20.600
<v Speaker 1>is that it is not a program meant to rehabilitate

0:53:20.640 --> 0:53:23.359
<v Speaker 1>people in along in many ways.

0:53:23.440 --> 0:53:26.720
<v Speaker 2>Makes me think about that Sicko documentary from several years back.

0:53:28.640 --> 0:53:31.040
<v Speaker 1>And we want to hear your take. Thank you for

0:53:31.120 --> 0:53:35.000
<v Speaker 1>taking this strange journey with us. What role do you

0:53:35.080 --> 0:53:40.560
<v Speaker 1>feel private, private medical care or private medical provider should

0:53:40.600 --> 0:53:45.200
<v Speaker 1>play in the US prison system? Is this is this

0:53:45.320 --> 0:53:51.680
<v Speaker 1>something that people incarcerated, you know, somehow deserve, you know?

0:53:51.800 --> 0:53:53.920
<v Speaker 1>Is is that just part of the risk that they

0:53:54.040 --> 0:53:59.000
<v Speaker 1>knowingly or unknowingly took when they committed a crime? How

0:53:59.040 --> 0:54:01.720
<v Speaker 1>how would it be a I'm sure we have several

0:54:01.760 --> 0:54:04.680
<v Speaker 1>people who are saying, right now, you know that I

0:54:05.239 --> 0:54:10.319
<v Speaker 1>pay my taxes, I pay a lot right and I

0:54:10.480 --> 0:54:14.040
<v Speaker 1>still struggle to pay my own medical bills. Why should

0:54:14.120 --> 0:54:18.000
<v Speaker 1>this be better for someone else didn't, who didn't obey

0:54:18.040 --> 0:54:21.239
<v Speaker 1>the rules of our land. And we don't want to

0:54:21.280 --> 0:54:24.720
<v Speaker 1>say it's necessarily better because I think, as we've illustrated here,

0:54:25.440 --> 0:54:30.360
<v Speaker 1>people are dying from easily preventable conditions in prison exactly.

0:54:31.520 --> 0:54:34.799
<v Speaker 1>And that's our classic episode for this evening. We can't

0:54:34.840 --> 0:54:36.520
<v Speaker 1>wait to hear your thoughts. We try to be easy

0:54:36.520 --> 0:54:37.240
<v Speaker 1>to find online.

0:54:37.280 --> 0:54:39.560
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0:54:39.600 --> 0:54:43.080
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0:54:43.120 --> 0:54:44.040
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0:54:44.080 --> 0:54:46.919
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0:54:47.200 --> 0:54:50.759
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0:54:50.760 --> 0:54:52.759
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0:54:52.800 --> 0:54:55.280
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0:55:19.800 --> 0:55:24.319
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