Aging Inmates Clogging Nation's Prisons
AP
Posted: 2007-09-29 14:33:24
HARDWICK, Ga. (AP) - Razor wire topping the fences seems almost a joke at the Men's State Prison, where many inmates are slumped in wheelchairs, or leaning on walkers or canes.
It's becoming an increasingly common sight: geriatric inmates spending their waning days behind bars. The soaring number of aging inmates is now outpacing the prison growth as a whole.
Tough sentencing laws passed in the crime-busting 1980s and 1990s are largely to blame. It's all fueling an explosion in inmate health costs for cash-strapped states.
"It keeps going up and up," said Alan Adams, director of Health Services for the Georgia Department of Corrections. "We've got some old guys who are too sick to get out of bed. And some of them, they're going to die inside. The courts say we have to provide care and we do. But that costs money."
Justice Department statistics show that the number of inmates in federal and state prisons age 55 and older shot up 33 percent from 2000 to 2005, the most recent year for which the data was available. That's faster than the 9 percent growth overall.
The trend is particularly pronounced in the South, which has some of the nation's toughest sentencing laws. In 16 Southern states, the growth rate has escalated by an average of 145 percent since 1997, according to the Southern Legislative Conference.
Rising prison health care costs - particularly for elderly inmates - helped fuel a 10 percent jump in state prison spending from fiscal year 2005 to 2006, according to the National Conference of State Legislatures. That growth in spending is projected to continue, the group said.
The graying of the nation's prisons mirrors the population as whole. But many inmates arrive in prison after years of unhealthy living, such as drug use and risky sex. The stress of life behind bars can often make them even sicker.
And once they enter prison walls, they aren't eligible for Medicaid or Medicare, where the costs are shared between the state and federal government, meaning a state shoulders the burden of inmate health care on its own.
Estimates place the annual cost of housing an inmate at $18,000 to $31,000 a year. There is no firm separate number for housing an elderly inmate, but there is widespread agreement that it's significantly higher than for a younger one.
In addition to medical costs there are other, less obvious expenses. For instance, elderly inmates can't climb to the top bunk so they sometimes need to be housed in separate units that require more space.
The U.S. Supreme Court ruled in 1976 that inmates have a constitutional right to health care. But what that means can depend on where an inmate is locked up.
2007-09-29
16:17:33
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