Column, 609 words

America’s Killer Prisons

Inmates across America die every day because of substandard medical care.


I get a lot of letters from people who’ve been incarcerated, or are now behind bars.

Legally I can’t respond directly, because I’m an ex-con myself: I was locked up after blowing the whistle on the CIA’s illegal and immoral torture program. Direct contact with current and former prisoners would be “consorting with known felons” — which is banned under the terms of my probation — so I keep my distance.

Most of the letters I receive are complaints about prison conditions and requests for help. In most cases, these folks just want somebody to vent to. I wish I could help them. In most cases I can’t.

But I do have this column. And I can tell you about some of the horrors that land in my mailbox.


tomirish7 / Flickr

I received a letter recently from a female inmate in a state prison in Arizona. She wrote about some of the same things I complained about when I was incarcerated.

It’s too hot in the summer and too cold in the winter, she said. It’s overcrowded. There aren’t enough jobs, and even if you get one, you make a slave’s wage — often just 10 cents an hour. There’s no money for training programs, prisoners are never actually “rehabilitated,” and the food is inedible.

None of these were surprising to me. The American prison system is broken. I know that from first-hand experience.

But one issue the writer raised was especially concerning. I’ve written before, including in my blog posts from prison, about medical care there. I sometimes wondered if things were any better in women’s prisons. Apparently they’re not.

“The health care here is horrible,“ the writer said. “Check to see how many women have died here in the last two years because of improper health care. Women who complain of chest pains are sent back to their cell and told there is nothing wrong, to drink water, and to take an aspirin.”

I believe her. My prison bunkmate complained of chest pains for months and was told to take an aspirin. He finally had a massive heart attack. After a month spent chained to a bed in a local hospital, he was transferred to a prison hospital 11 hours away from his family. He’ll never make it to the end of his sentence.

The woman who wrote me this letter had seen the same thing.

There was a woman there, she wrote, who “was bleeding for months.” The inmate “kept putting in requests to see a doctor and was told repeatedly that there was nothing wrong. Finally, eight months later, she was sent to an outside specialist and told that she had cervical cancer that was so far progressed that all they could do was to put her in chemo to slow it down.”

The prognosis? “The doctor said her time is limited. She’s going to die.”

The real tragedy of this situation is that it’s so common. Prisoners across America die every day from substandard medical care.

If the people running prisons know there’s a problem and do nothing about it, is that not manslaughter? Is that not depraved indifference? A person who should be alive is not — all because of the incompetence or apathy of prison administrators.

This isn’t an issue of who did what or who broke what law. Every American deserves decent health care. That includes our prisoners.

If we can’t say that much for the most vulnerable among us, we can’t expect any better for the rest of us.

OtherWords columnist John Kiriakou is an associate fellow at the Institute for Policy Studies and the winner of the 2015 PEN Center USA First Amendment award.

  • Southern

    Good article. !

    People outside of the ”for profit prison system” are frequently over diagnosed.

    This suggests that those unfortunate to be incarcerated will not receiving proper medical assistance as a result of cutting cost.

  • Abelli

    Happy sentencing and merciless United Prisoner Breeding Nation in World Leading Jailer Land cares for Prison Industrial Complex and less of ‘offenders’ humanity: Let the bad grow old and die. Make a change in peoples mind!

  • lynn

    Thanks John, for continuing to speak truth to power.

  • Tara Smith

    This has been a concern of mine for many camden NJ where I’m from almost every male has done time at some point in time .
    This destroys families and forces most into poverty. Even upon release most do not have a stable home to go to. Employment is scarce, even beat the box measures only really target minimum wage employment. Except for one organization who is fighting for at least certain former inmates to be hired for the jobs that are government ran and given to contractors. Homeless people sleeping is now a crime in most states. Yet the Injustice system bares a huge blame.
    There are so many cases of even sexual assult on women and children at juvenile facilities. Came across some very interesting info one of corrections corporation of America one of leading private prison companies board members also sat on the commitee for immigration and refugee policy in the 80s then went over to help run the company responsible for immigration detention..if the woman was in a immigration center it is very likely she’s in one of theirs. Never found a conviction on these employees only out of court settlements this must come to an end..even in the case of mumia Abu Jamal who I honestly dont belive shot fulkner its been reported the officer was trying to blow the whistle and there was a major scandal involving same complaints he made only a few years after his death ..mumia now is dying rotting away due to complications of hep c he got from a blood transfusion that night. This is common practice they do not treat people with these medical illnesses to keep bottom line thank you for speaking truth on torture and now this I have many issues with cia and their unjustifiable interventions in south America still yes I call bs on zika , and in the middle east and their treatment of those they should be fighting besides you, sterling , manning and so many others