The Billion-Dollar Prison Healthcare Shell Game

The Billion-Dollar Prison Healthcare Shell Game

From Alabama Prison Reform Proposal by R. L. Robinson

February 26, 2026 · 13 min · Season 2 · Episode 10

About this episode

This episode explores the failures of Alabama's prison healthcare system and the implications of outsourcing medical care.

This episode pulls back the curtain on Alabama’s prison healthcare system, where billions in public funds flow through private medical contracts—yet incarcerated people report delayed treatment, denied medications, and preventable deaths. We examine how outsourcing care creates layers of deniability, shields decision-makers from accountability, and shifts costs without improving outcomes. The Billion-Dollar Prison Healthcare Shell Game connects lawsuits, budget data, and lived experience to ask a direct question: when healthcare becomes a contract instead of a duty, who is actually being served—and who is being sacrificed?

People in this episode

Host: R. L. Robinson

Topics covered

  • prison healthcare
  • Alabama
  • outsourcing
  • public funds
  • accountability
  • preventable deaths

Keywords

  • prison healthcare
  • Alabama
  • public funds
  • outsourcing
  • preventable deaths
  • medical contracts
  • accountability

Mentioned in this episode

Organizations: Alabama’s prison healthcare system, private medical contracts

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