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Life and Death in Rikers Island


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Explores the profound health risks and systemic failures within the U.S. jail system, particularly at Rikers Island. The author, a former Chief Medical Officer of NYC Jails, details how incarceration harms health, often through deliberate indifference to medical needs, physical and sexual abuse, and the detrimental effects of solitary confinement. The text highlights racial disparities in treatment and the criminalization of mental illness and substance use, arguing that jail often exacerbates these conditions rather than offering appropriate care. Case studies of individuals like Kalief Browder, who died by suicide after prolonged detention and abuse, underscore the devastating human cost. Ultimately, the author advocates for greater transparency, accountability, and a shift from punitive measures to health-focused interventions, suggesting that closing facilities like Rikers is crucial for meaningful reform.

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