Ah yes, the classic “indian corn” smile!
We need a smilie like that!
In prison, the expectation is that inmates will get what is considered “the standard of care” available in the community. This doesn’t mean they get whatever they want, but rather they get what’s currently accepted as necessary by the local medical community. That’s necessary, not “nicer” or “less unpleasant”.
With diabetes this means they get NPH and Regular insulin, but not the new Lantus or Humalog insulinss, which do make management a bit easier for some, but cost 5 times as much.
For their reflux esophagitis, they get cheap ranitidine first, and get to go on generic prilosec only if ranitidine fails. They won’t get Nexxium unless all other therapies truly fail.
Frankly, I take damn good care of my patients in prison, and I work hard to take care of their needs. What is different here, is that their wants (which they often misperceive as their needs) will not get the attention that a private physician will give to a paying patient.