Community Savings, or Community Threat? California Policy for Ill and Elderly Inmates

This case looks at the challenges that confront public health professionals who work in a corrections environment. By 2011, a court-appointed Receiver had made progress in fixing a broken system of medical care for prisoners in California. But costs spiraled ever higher for elderly and ailing inmates. Public health officials had to balance competing public priorities: save taxpayer dollars, and treat patients. A new law allowed the sickest prisoners to move to community-based care—but now public health doctors had to decide: who qualified for medical parole? Inmate Carl Wade’s case was a tough call.

Case number: MSPH-12-0002.0
Category: Public Health and Medical Cases
Topics: None
Teaching resources: Epilogue, Teaching note

Link to Case Link to PDF