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#744860 - 08/10/08 05:04 PM Should prisoners be allowed continue Opiate Replacement Therapy
BFUZZ29 Offline
Newbie


Registered: 07/12/08
Posts: 36
Hi everyone

I would be very interested to hear peoples opinions on this matter. I myself am on 90mg Methadone and I have had problems with addiction since my early teens. I am very stable now the past 4 years but before that I was regularly in and out of prison. I am from Ireland and in 1999 the Irish Government and prison service started allowing prisoners who were on Methadone Maintenance to continue their treatment when they entered prison. I found this very helpful because I had experienced the agony of withdrawl when in prison on previous occasions. I myself made the decision to try and clean up my life the last time I was locked up and being able to continue my treatment played a big part in this. I know a lot of people will say that its your own fault for ending up in prison in the first place but I think that it can break the cycle of crime and it did for me. I am considering trying to get off Methadone in the near future but I am very scared because the last time I tried I did it too quickly and I relapsed.

Thanks in advance for any replies

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#744874 - 08/10/08 05:24 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: BFUZZ29]
kserah Offline

GRAND Pooh-Bah


Registered: 10/05/04
Posts: 4928
Loc: In the moment
I realize you asked to be treated gently as you are a newbie, but just going over your posts indicates that you are using Rohypnol, Dalmane, benzos and you are afraid of getting off of methadone b/c that last time you did it too fast.

You must realize you are playing games with yourself, not to mention contradicting everything you're saying. When you get real with the board, we'll be here to help. It sounds, though, as if the best thing for you would be to get professional help. I don't think we can offer you what you need.

Where you get your methadone would be a good place to start.

Good luck.
_________________________
Thank you, God, for Cheetos and microwaves. Great ideas.


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#744876 - 08/10/08 05:26 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: kserah]
OldandWorn Offline
GRAND Pooh-Bah


Registered: 09/21/03
Posts: 6842
Loc: Among the 58 million.
 Originally Posted By: kserah
I realize you asked to be treated gently as you are a newbie, but just going over your posts indicates that you are using Rohypnol, Dalmane, benzos and you are afraid of getting off of methadone b/c that last time you did it too fast.

You must realize you are playing games with yourself, not to mention contradicting everything you're saying. When you get real with the board, we'll be here to help. It sounds, though, as if the best thing for you would be to get professional help. I don't think we can offer you what you need.

Where you get your methadone would be a good place to start.

Good luck.


I think he inferred that he was a junkie and now on MMT.
_________________________
Give me a secret,
Bring me a sign.
Give me a reason,
to walk the fire.
See another dawn,
through our daughter's eyes.

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#744887 - 08/10/08 05:42 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: kserah]
BFUZZ29 Offline
Newbie


Registered: 07/12/08
Posts: 36
Just to clarify Kserah I believe I said in previous post that I have found Dalmane a very useful sleep aid and I have used Rohypnol on and off for over 12 years. I am no longer using any benzos and I certainly don't need your judgemental comments at the moment. I don't see the need for you to imply that I am a liar or fooling myself either. I want good advice from DB and your last post was not helpful. I am not trying to make enemies but friends.
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#744889 - 08/10/08 05:45 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: BFUZZ29]
Droogie88 Offline
Banned. Asking for PM's for great secret source
Stranger


Registered: 08/05/08
Posts: 19
I think its unfair and dangerous. i've only been 'a guest of the state' county jail style (never prison), but this peticular county has a 'no narcotic administered' policy, which not only is cruel and unusual for people with life theatening addictions, its down right dangerous. There was a time when I was a full blown functioning alcoholic, I would have to wake up atleast twice a night to do a few shots, and then do several shots in the morning before work, then bring a flask to work with me to get through the day, I never really got drunk, just nutrualized. it was bad. anytime i went more then 8 hours without a stiff drink, I went through critical withdraws ending up requiring the good people at the ER mainlining me with liquid lorazapam. None of this mattered when I was sentenced to a couple weeks in county, I felt close to death the first few days (shakes, fainting, dillusional paranoia, ect) but by the time I was released I was dry and ..free, and wanted to keep it that way but still needed something for the shakes, so I took up benzos and I required a lot of them to keep stable, but it also became a habit I can't just "take a break from" but the system doesnt care, they are completely apathatic to the fact that it can be life threatening to quit certain narcotics cold turkey. Its just simply 'against thier policy' so no dice. And as far as I understand they cut no breaks nor have any programs for people with serious opiate/herion addictions either. I would not be the least bit suprised if a few inmates have died in this county jail serving a short month or two long sentence for a simple class A misdemeanors and then had thier story swept under the media rug.
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#744901 - 08/10/08 06:22 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: BFUZZ29]
kserah Offline

GRAND Pooh-Bah


Registered: 10/05/04
Posts: 4928
Loc: In the moment
Your posts indicate you are ordering and you said you were taking benzos. Who cares? You are on methadone--fine.

In the post on this thread you said you would be very interested to hear peoples opinions on this matter. So if you misinterpret something after you asked for an opinion, it becomes a judgment?

I just wanted clarification. Why are you so worried about coming off of Methadone? If you did it too quickly and relapsed, then I guess you should have learned from that. If you are getting Methadone from a legal source, they will help you with w/d.

What's your problem? There's no judgment--I just think you're playing people. What is it you are looking for? What do you want? Instructions? This is not the place to get them--not on a message board. You need to seek professional help. What you need to be afraid of is not remembering what drugs you've said you were taking. Now that can be hazardous to your health.

You were very, very fortunate that you were given the opportunity in prison. Either you do something with that experience and learn from it or you don't. I'm not understanding what the problem is or what you are looking for from other people. In July you posted about ordering from Raj. Does he ship methadone? I'm curious, as I'm sure many others are.
_________________________
Thank you, God, for Cheetos and microwaves. Great ideas.


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#744922 - 08/10/08 07:00 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: kserah]
SoHoTribeca Offline

Pooh-Bah


Registered: 05/20/06
Posts: 1364
Loc: east of eden
K, I had intended to just answer the guy until I saw the extent of research you did on him. I have mixed feelings, I admire that folks look through threads and spot shills and posters that are up to no good, like that pallmall guy with a few aliases. I don't understand the research on this guy and the (by the way) excellent interrogation about his ordering habits.
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#744924 - 08/10/08 07:03 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: BFUZZ29]
SoHoTribeca Offline

Pooh-Bah


Registered: 05/20/06
Posts: 1364
Loc: east of eden
Your original title of post was should people be "allowed" to continue opiate replacement therapy. Are you just referring to methadone or other replacements as well? I am interested in your question, just want to clarify something.
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#744948 - 08/10/08 07:47 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: BFUZZ29]
RNB007 Offline
Veteran


Registered: 04/16/08
Posts: 500
Loc: SE US
Back in my younger years I had to stay a few weeks in jail and I was on 2 mg Klonopin BID and told them on intake it was for seizures (even though it was for panic attacks). They verified that I had a script with my pharmacy and they gave me my Klonopin the whole time I was in there (a nurse came to the pod of inmates I was in to give people their med's).

I was lucky since Kpin can be prescribed for seizures and they did not call my Dr's office due to clerical error or whatever reason. So it was luck and the benzo I was on at the time.

I think its cruel to lock anyone up (especially when you are in jail not prison and may be awaiting trial and can not afford to bond out and are still innocent till proven guilty) and not be allowed to remain on the medication (opiate/benzo) they were on as long as they have legit reason and are being prescribed by a doctor. JMO
_________________________
When you do nothing, you feel powerless. But when you get involved, you feel the sense of hope from knowing you are working to make things better.

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#745001 - 08/11/08 12:39 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: SoHoTribeca]
BFUZZ29 Offline
Newbie


Registered: 07/12/08
Posts: 36
I am referring to what ever treatment the prisoner is on when entering prison. Methadone is the only O.R.T. prescribed by Doctors at the moment in Ireland. I have heard a lot about Subutex but that is not prescribed.
No hard feelings Kserah, I know your only trying to help.

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#745038 - 08/11/08 04:40 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: BFUZZ29]
slepinosa65 Offline
Veteran


Registered: 03/18/04
Posts: 504
 Originally Posted By: BFUZZ29
Hi everyone

I would be very interested to hear peoples opinions on this matter. I myself am on 90mg Methadone and I have had problems with addiction since my early teens. I am very stable now the past 4 years but before that I was regularly in and out of prison. I am from Ireland and in 1999 the Irish Government and prison service started allowing prisoners who were on Methadone Maintenance to continue their treatment when they entered prison. I found this very helpful because I had experienced the agony of withdrawl when in prison on previous occasions. I myself made the decision to try and clean up my life the last time I was locked up and being able to continue my treatment played a big part in this. I know a lot of people will say that its your own fault for ending up in prison in the first place but I think that it can break the cycle of crime and it did for me. I am considering trying to get off Methadone in the near future but I am very scared because the last time I tried I did it too quickly and I relapsed.

Thanks in advance for any replies


It is Cruel and Unusual Punishment in violation of the 8th amendment, (and substantive due process violation) and otherwise torture to force someone off a needed med (there is a suit pending now about a suicide in a county jail where the guy had 3 days left on his sentence. Its alleged they were refusing him him some type of needed medication). Though I do not know of any current law on the books, I can tell you that it is unconstitutional not to allow any prisoner medical care. There are several current scandal in the Cook County jail in Chicago right now.; Plus, these are not even criminals, they are just waiting for trial, but even convicted criminal by law retain the right to medical care in America. But the fact is, as the Feds most recently uncovered in Chicago, what is supposed to be, and what is, are two different things. And I wouldn't be surprised if an American prison tried to yank someone off methadone, and they would get away with it unless the guy had good pro bono lawyer. IMO

But I think unless you die, the jail gets away with it. After all hospitals, and rehabs treat people nearly the same when they wean them off methadone. But it is torture.

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#745040 - 08/11/08 04:51 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: kserah]
slepinosa65 Offline
Veteran


Registered: 03/18/04
Posts: 504
 Originally Posted By: kserah
I realize you asked to be treated gently as you are a newbie, but just going over your posts indicates that you are using Rohypnol, Dalmane, benzos and you are afraid of getting off of methadone b/c that last time you did it too fast.

You must realize you are playing games with yourself, not to mention contradicting everything you're saying. When you get real with the board, we'll be here to help. It sounds, though, as if the best thing for you would be to get professional help. I don't think we can offer you what you need.

Where you get your methadone would be a good place to start.

Good luck.


Why don't you just answer the poor guys question and help him?!!!

DOOBIE, Yes I believe the county jails have these policies in alot of place, and in my opininion it is unconstitutional to force soemone off of a precribed drug, particular when the effects are as horrendous as methadone. Actually I'm pretty sure of that opinion, but I suppose the prisinors don't have the money to sue the county, and it is probably a bad stategy if they are awaiting crim charges in the same county, and most lawyers concerns are first and formost to help their client's beat the charge and get them out. There is also the issue of lack of awarness in general.

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#745059 - 08/11/08 06:15 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: slepinosa65]
mrb321 Offline
Enthusiast


Registered: 03/18/08
Posts: 240
Loc: rocky mts
In our county jail you can pay $35 a day to have a dosing nurse deliver your methadone to you. I had a friend that worked in intake at a federal jail in New Mexico, and he personally knew of 12 deaths at that jail from lack of methadone, the death certificates on most of them said pancreatitis(from dehydration), and hepatitis C. i.e. not the jails fault, not a mention of methadone not even as a secondary cause of death on the death certificate.
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#745067 - 08/11/08 06:48 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: mrb321]
BFUZZ29 Offline
Newbie


Registered: 07/12/08
Posts: 36
Making you pay for your Methadone in prison in the U.S. is not really that suprising seen as you have to pay for it in outside clinics. In Ireland Methadone treatment is a public health issue and treatment is free for everyone, the government picks up the tab. It was not always like this, it started in 1998 and before this you had to pay your doctor or clinic. Methadone has literaly saved my life and I think it is a great treatment ( when taken properly ). Thanks for the replies.
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#745180 - 08/11/08 10:25 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: slepinosa65]
martind Offline
Veteran


Registered: 05/01/08
Posts: 671
 Originally Posted By: slepinosa65
 Originally Posted By: BFUZZ29
Hi everyone

I would be very interested to hear peoples opinions on this matter. I myself am on 90mg Methadone and I have had problems with addiction since my early teens. I am very stable now the past 4 years but before that I was regularly in and out of prison. I am from Ireland and in 1999 the Irish Government and prison service started allowing prisoners who were on Methadone Maintenance to continue their treatment when they entered prison. I found this very helpful because I had experienced the agony of withdrawl when in prison on previous occasions. I myself made the decision to try and clean up my life the last time I was locked up and being able to continue my treatment played a big part in this. I know a lot of people will say that its your own fault for ending up in prison in the first place but I think that it can break the cycle of crime and it did for me. I am considering trying to get off Methadone in the near future but I am very scared because the last time I tried I did it too quickly and I relapsed.

Thanks in advance for any replies


It is Cruel and Unusual Punishment in violation of the 8th amendment, (and substantive due process violation) and otherwise torture to force someone off a needed med (there is a suit pending now about a suicide in a county jail where the guy had 3 days left on his sentence. Its alleged they were refusing him him some type of needed medication). Though I do not know of any current law on the books, I can tell you that it is unconstitutional not to allow any prisoner medical care. There are several current scandal in the Cook County jail in Chicago right now.; Plus, these are not even criminals, they are just waiting for trial, but even convicted criminal by law retain the right to medical care in America. But the fact is, as the Feds most recently uncovered in Chicago, what is supposed to be, and what is, are two different things. And I wouldn't be surprised if an American prison tried to yank someone off methadone, and they would get away with it unless the guy had good pro bono lawyer. IMO

But I think unless you die, the jail gets away with it. After all hospitals, and rehabs treat people nearly the same when they wean them off methadone. But it is torture.


The stated purpose of methadone maintenance treatment is harm reduction. Included in harm reduction is an effort to curtail illegal activity on the part of the addict being treated.
Many MMT patients have related to me that the main thing keeping them on the "straight and narrow" was the horrible spectre of withdrawing from methadone in jail. Over and over it acts as a deterrent to keep clinic patients from illegal activities.
Guaranteed maintenance of this treatment when someone is incarcerated is not some kind of constitutional right. The incidence of deaths from methadone withdrawal, while not impossible, is very, very seldom. Far less than deaths caused by methadone overdoses by patients combining their dose with benzos.

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#745187 - 08/11/08 10:41 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: martind]
BFUZZ29 Offline
Newbie


Registered: 07/12/08
Posts: 36
Hi Martind

While I respect your opinion I have to disagree with you. If MMT is a medical treatment I don't see why it should be stopped when someone enters prison. This is an example of how recovering addicts are treated as second class citizens. No other medical treatment is stopped that I know of and I think that it can have a bad effect on the person. I do agree with your point that the fear of withdrawl will stop some people commiting crime but it will not stop them all. Many addicts will just go back to using and commiting crime when they are released. MMT does in general decrease criminal activity in the areas it is available in my experience.

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#745194 - 08/11/08 11:07 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: slepinosa65]
kserah Offline

GRAND Pooh-Bah


Registered: 10/05/04
Posts: 4928
Loc: In the moment
 Originally Posted By: slepinosa65

Why don't you just answer the poor guys question and help him?!!!



1) I didn't understand his question.

2) This is not the place to get assistance for methadone withdrawal.
_________________________
Thank you, God, for Cheetos and microwaves. Great ideas.


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#745203 - 08/11/08 11:27 AM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: BFUZZ29]
martind Offline
Veteran


Registered: 05/01/08
Posts: 671
 Originally Posted By: BFUZZ29
Hi Martind

While I respect your opinion I have to disagree with you. If MMT is a medical treatment I don't see why it should be stopped when someone enters prison. This is an example of how recovering addicts are treated as second class citizens. No other medical treatment is stopped that I know of and I think that it can have a bad effect on the person. I do agree with your point that the fear of withdrawl will stop some people commiting crime but it will not stop them all. Many addicts will just go back to using and commiting crime when they are released. MMT does in general decrease criminal activity in the areas it is available in my experience.


No, this is how recovering addicts are treated when they are arrested for a crime. Don't get arrested...avoid withdrawal. Sometimes it is a hard lesson to learn. There is no constitutional right to get methadone treatment regardless of the situation.

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#745228 - 08/11/08 12:20 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: martind]
Droogie88 Offline
Banned. Asking for PM's for great secret source
Stranger


Registered: 08/05/08
Posts: 19
hard lesson to learn? ...no its a dangerous lesson to learn.
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#745344 - 08/11/08 04:18 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: Droogie88]
melpat Offline
Old Hand


Registered: 03/20/06
Posts: 443
I wanted to weigh in here with my opinion. First: I think the question being asked here is "what is your opinion about continuing ORT in prison" and not "Assistance for Methadone withdrawal". No offense K.
Next: I have to play the devil's advocate, and ask this; How about the person who is truly innocent of the crime they are accused of? Do they deserve to suffer because the system is screwed up?
I personally think that ALL medications should be continued when a person is incarcerated, as long as there is a valid legitimate prescription for the med.
I guess the biggest question I would have about it all is, how the financial responsibility of giving the meds would play out. There is a cost for the drug, the cost for nursing staff, etc...
Should the prisoner be required to pay for this treatment? As well, should prisoners be required to pay for ALL medical treatment?
My Mom used to teach English as a second language at a minimum security prison in GA. She said that the inmates there told her they had to pay for their dental care, but not medical. Of course this was 15 years ago, and the laws may have changed since then. She said the conversation started because she had several inmates in her class that were in their 20's and 30's with no teeth. She asked one of them why they didn't try to get dentures, and that was the response. Worthy to note: She also said that the cost was not as it would be on the "outside", but the prisoners had to pay a nominal fee.
Again, just my nickel's worth of opinion.
_________________________
Sow your wild oats on Saturday night...then on Sunday, pray for a crop failure.

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#745362 - 08/11/08 04:45 PM Re: Should prisoners be allowed continue Opiate Replacement [Re: slepinosa65]
nephro Online   crying
GRAND Pooh-Bah


Registered: 09/04/06
Posts: 8570
Loc: UK, despite the rumours
 Originally Posted By: slepinosa65

It is Cruel and Unusual Punishment in violation of the 8th amendment, (and substantive due process violation) and otherwise torture to force someone off a needed med


It's true that. The kept one guy on all his much-needed meds throughout his entire sentence of many years.

Then they gave him the electric chair!

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#745363 - 08/11/08 04:47 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: melpat]
kserah Offline

GRAND Pooh-Bah


Registered: 10/05/04
Posts: 4928
Loc: In the moment
No offense taken, Melpat. Personally, I think the entire prison system (which, BTW, is now a very profitable business venture)needs reform. Instead of sitting around, those incarcerated need to be tested, taught skills, continue with ORT, given medical care and treated humanely. Very humanely.

I think I've mentioned that I worked as a substance abuse counselor in a prison for a short time. That was 4 years ago. The prison had been shut down and was re-opened strictly for the substance abuse program to operate. The prison housed about 950 inmates (who were all in jail for drug related offenses) who had all volunteered to be in the program, as it cut time off their sentence. It was the first of its kind here in Illinois. I read recently that the rate of recidivism had clearly been reduced in those who attended the program.

It was the first and only time I had ever worked in a prison or jail setting. That was an education in itself. The best counselors were the ones that had been incarcerated at one time and who were in recovery. They understood the most and they knew every trick in the book.

There were men of all sorts of backgrounds and ages, but predominantly Black and Hispanic (yes, there is profiling). Some were very grateful for the opportunity, in fact, most of them were, once they understood that what they were learning was to be responsible for themselves. It was heartbreaking, if the truth be known. Especially seeing the very young men. Some of them couldn't even read and had slipped through every crack in the system. No one cared about them from day one.

I could go on at length, but in essence I think it would be fair to say that many of them had to be treated decently in order to learn how to treat others that way. Obviously there will always be those who can't be helped, but I do think that is the minority. I can say, though, that the ones that completed the program did leave saying they felt better about themselves and had learned ways of coping they had never known before. Made me wonder why this type of program hadn't been in operation years ago. Then it hit me--it wasn't that long ago that the Supreme Court passed the law allowing people of different races to marry. Not quite 40 years isn't really a long time to have such a dramatic social change take effect. Maybe as humans we're not doing such a bad job after all.

BTW, they did receive dental care while they were there, as meth had really done a number on their teeth. And no, they didn't have to pay for it, but each resident did have a job of some type at least a couple hours a day.
_________________________
Thank you, God, for Cheetos and microwaves. Great ideas.


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#745365 - 08/11/08 04:52 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: melpat]
BFUZZ29 Offline
Newbie


Registered: 07/12/08
Posts: 36
Thanks for your input Melpat. Cost will always be an issue when dealing with prisoners, I don't really have any objection to the inmate paying for their treatment as long as they can continue it. Thats a very interesting story about the Dental Care, in Irish prisons no prisoner has to pay for any form of treatment. I would guess that if the treatment had to be payed for most prisoners would find the money ( I know I would ).
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#745397 - 08/11/08 05:56 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: kserah]
RNB007 Offline
Veteran


Registered: 04/16/08
Posts: 500
Loc: SE US
That is an amazing story. I wish/pray more states will take this step. About jails and prisons being money makers, even at our local jail (this is sad FACT) they charge an inmate $1 for 2 generic aspirin if asked for when the nurse comes to the pod to give out the other inmates medication. The money is deducted from their account that friends or family put money in so they can buy stuff from the commissary.(I do not know how the prison system works this is just the jail system in my county)They also charge a $10 fee if you put in a request to be seen by a nurse or doctor, if you don't have any money they will still see you or give you aspirin but you will have a negative for the amount in your account. So if any family or friends do leave you money the jail takes away what you owe from your account first. (I do not know how the prison system works this is just the jail system in my county)

Its just a shame. Even if you have medical insurance it does not matter, you are unable to use your insurance. Thanks again for the story as it gives hope that countys and states will one day all have such programs and things will change. Hopefully prisons and jails will open their eyes and not see dollar signs, and rather than just housing inmates they can help them so they don't come back.

EDIT:Privatizing Prisons

The for-profit prison industry has expanded rapidly, capitalizing on soaring incarceration rates.
The United States is experiencing the largest prison build-up in recorded history. The prison population has more than quadrupled since 1980. The number of prisoners in private prisons grew more than 2,000 percent between 1987 and 1996, soaring from 3,122 to 78,000.1 Privately-run facilities held more than 98,790 inmates at mid-year 2004—up 3.4 percent since 2003.2
The business of incarceration is booming, with revenue passing the $1 billion mark in 1998.
Two companies dominate the for-profit incarceration industry—Corrections Corporation of America (CCA) and the GEO Group, formerly known as Wackenhut Corrections. These two companies control 75 percent of the for-profit incarceration market.


Edited by RNB007 (08/11/08 06:02 PM)
_________________________
When you do nothing, you feel powerless. But when you get involved, you feel the sense of hope from knowing you are working to make things better.

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#745425 - 08/11/08 06:59 PM Re: Should prisoners be allowed continue Opiate Replacement Therapy [Re: martind]
slepinosa65 Offline
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Registered: 03/18/04
Posts: 504