Health care behind bars

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Barry L. Stanton appears at ease in his spacious new office as he discusses key issues at the Prince George's County Correctional Center in Upper Marlboro.

But Mr. Stanton, director of the county Department of Corrections for the past nine years, tenses as he bemoans the jail's rising medical costs for inmates.

"People get better medical care in jail than I get at home," he says from behind his desk in the jail's new $8 million annex.

"If you pick up the phone and you say, 'I am sick' ... they say, 'If it is not an emergency, I will see you tomorrow,'" he says. "Here, [inmates] want to be on sick call right way."

He has seen the Prince George's detention center's average cost per inmate rise from about $83 per day in 2003 to nearly $100 per day last year, while more and more inmates crowd the jail's spaces.

Mr. Stanton is not alone in his concerns. Most detention centers in the metro area are dealing with increasing medical costs -- which are covered by taxpayer funds -- and overcrowding, reflecting a national trend.

At the D.C. Jail, inmates routinely are double-bunked in cells designed for one person in most of the 30-year-old facility's housing units.

The jail -- one of the oldest detention centers in the region -- can adequately house 2,164 inmates a month, according to a consultant's recommendation in 2004.

However, the jail usually houses more than 2,500 inmates a month and sometimes holds as many as 3,555 a month, according to D.C. corrections officials.

Most inmates are pretrial defendants awaiting hearings, and their numbers fluctuate as the courts handle their cases. Many inmates also are awaiting transfer to federal prisons, and the remainder are serving sentences.