I’m in the prison business but not the healthcare part..
We used to have state employees running it but it’s been contracted cost-cutters here for close to 20 years.
If you go to prison your best bet is to stay healthy and not require care...
They probably bid the contracts on x dolllars per inmate with some provisions for certain exceptions which cut directly into the contractor’s profit.
Not much different than your and my healthcare plans, but free citizens can raise more hell when abused.
#7- but the taxpayers will pay for their “sex change” operations.