Shalev Noga
Department of Medicine, Montefiore Medical Center, Bronx, NY, USA.
Am J Public Health. 2009 Jun;99(6):988-95. doi: 10.2105/AJPH.2007.123265. Epub 2009 Apr 16.
Over the past 25 years, incarceration rates in the United States have more than tripled. Providing health care services for this growing number of inmates poses immense medical and public health challenges. Focusing on the administrative and financial shifts in health care delivery, I examined the history of medical services in one of the nation's largest correctional facilities, Rikers Island in New York City. Over time, medical services at Rikers have become increasingly privatized. This trend toward privatization is mirrored nationwide and coincides with the rising prevalence of incarceration.
在过去25年里,美国的监禁率增长了两倍多。为越来越多的囚犯提供医疗服务给医学和公共卫生带来了巨大挑战。聚焦于医疗服务提供方面的行政和财政变化,我研究了美国最大的惩教机构之一——纽约市雷克岛监狱的医疗服务历史。随着时间推移,雷克岛监狱的医疗服务越来越多地被私有化。这种私有化趋势在全国范围内都有体现,并且与监禁率的上升相吻合。