Researchers say higher healthcare copays are blocking access to care for people behind bars, as prison populations in Georgia and nationwide struggle with rising rates of physical and mental health issues. One study estimates one in 10 people with chronic conditions in state and federal prisons have not seen a clinician since their incarceration.

Wanda Bertram, communication strategist with the Prison Policy Initiative noted that while copays are often less than $7, they present a significant barrier for incarcerated individuals, many of whom have little to no income.

"If you want to be seen, you have to pay, typically anywhere from $2 to $5 and if you can't pay that, either you can't see the doctor or that becomes a debt that you have to the prison," Bertram said.

The research found medical copays in prisons significantly impede healthcare access for over 500,000 people with chronic conditions, from heart or kidney disease, to asthma and hepatitis C.

People in Georgia aren't guaranteed compensation for the jobs they may have while they're incarcerated, so Bertram says it's up to their families to cover any medical costs. She added that some states have dropped their copays for people behind bars. Her group thinks others should do the same.

"We have been advocating for years for states to abolish these copays. And some states are doing this - Nevada, I believe, abolished prison copays, either this year or last year. California has also abolished copays. To force people to pay to see a doctor, you know, causes people to not see doctors when they actually need help," Bertram continued.

Bertram added the research also reveals alarming gaps in mental healthcare access for incarcerated individuals. Over one-third of those with diagnosed chronic mental illnesses have not seen any mental health clinicians since entering prison.


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In Mississippi, where thousands of people are serving life sentences, the impact of long-term imprisonment falls disproportionately on Black communities. Their advocates are raising concerns about the state's sentencing practices. And they're urging legislative reforms to reduce what they call "extreme sentences" and to address racial inequities in the system.

Celeste Barry, program associate with The Sentencing Project, co-authored a new report on the effects of long-term imprisonment. She said in Mississippi, more than 2,300 people are serving life sentences - and nearly three-quarters have no opportunity for parole.

"We see in Mississippi some extreme racial disparities that are far greater than the national average. So, over 70% of the life sentence population is Black in Mississippi, and that's compared to the still troubling 45% nationally" she explained.

Groups like hers are pushing for reforms to address these disparities. Barry highlights Oklahoma as an example, where the state passed the Domestic Violence Survivors Justice Act, allowing incarcerated individuals to seek reduced sentences if they can prove that abuse played a role in their crime.

Barry believes similar reforms could offer significant relief in Mississippi, especially given the state's disproportionately high number of women serving life sentences without parole.

"And this has the power to bring relief to hundreds of survivors in the state, and could be particularly meaningful in a state like Mississippi, where they have the largest share of their female life-sentenced population serving life without parole," she continued.

In 2021, Mississippi lawmakers passed a bipartisan bill to reduce the prison population by expanding parole opportunities for nonviolent offenders, but Gov. Tate Reeves vetoed it, citing public safety concerns.

Services for North Carolinians affected by the justice system is going mobile.

The Recidivism Reduction Educational Program Services mobile resource center is hitting the road today to provide reentry support across the state. It is the first effort of its kind.

Kerwin Pittman, founder and executive director of the organization, said the center will meet North Carolinians where they are, literally.

"What we wanted to do was bring a plethora of resources into these communities," Pittman explained. "Particularly communities that are highly impacted by recidivism and incarceration, and bring a wealth of resources to them to hopefully curb the recidivism rate."

The center had its unveiling and ribbon cutting on Tuesday and is starting in the Raleigh-Durham area today. Pittman pointed out it is the first of four units he hopes to have running by the end of the year. They will be located in different parts of the state and rotate throughout their region each week.

Pittman emphasized the units will be able to provide a long list of services.

"Some of those services range from social-benefit assistance to employment assistance to education and skill development to offering support and mental health services, substance misuse treatment and services, housing assistance, legal support, family and community support, digital literacy," Pittman outlined.

He added they will also provide inclement weather supplies, hygiene kits and local reentry resources through the organization's call center.

Places like NC Works Career Centers and other state services are able to provide local resources. But Pittman noted the services can be hard to access without a car, which can deter people.

"It's hard to walk in the cold to NC Works Center to sit in there and have to go through no telling what the intake process is, just to get whatever benefit that you may be trying to apply for or a resume or try to find a job," Pittman observed.

The battle over Jefferson County's 2021 redistricting maps heads to court this week with plaintiffs arguing the map violates the Voting Rights Act and the Constitution.

The case, McClure v. Jefferson County Commission, claims Black voters were unfairly packed into two districts, diluting their influence in others.

Zephyr Scalzetti, program specialist for Alabama Values, a nonprofit advocacy group focused on promoting civic engagement, pro-democracy policies and fair representation on issues such as voting rights and redistricting, said the case is about more than lines on a map; it is about ensuring every voter has an equal voice.

"You look at the map overall. Jefferson County residents are willing to elect Black representatives but it is impossible for a Black candidate to win in these three white districts," Scalzetti contended. "The plaintiffs are alleging that this is because those two supermajority Black districts are so packed with Black voters it is diluting their voice."

Jefferson County's five-district system was established in 1985. However, the lawsuit alleges that the 2021 maps are racially gerrymandered and haven't changed much since then. Districts 1 and 2 are still supermajority Black while Districts 3, 4 and 5 remain majority white, limiting influence despite the population of Black residents growing.

Scalzetti noted the case raises significant concerns about transparency in the redistricting process. The lawsuit alleges the commission failed to conduct analyses required by the Voting Rights Act, such as a racially polarized voting study. It also points to limited public input, with key meetings held during work hours and proposed maps only viewable in person at the commission's office.

Scalzetti emphasized the case highlights the importance of local redistricting in shaping representation and ensuring residents have a voice in decisions affecting their daily lives.

"Ultimately, this is about power," Scalzetti asserted. "This is about the power of a community, the power of an individual voter and a group of people to actually affect what is happening in their community."

The trial started on Monday and is taking place in the U.S. District Court for the Northern District of Alabama. It is expected to draw comparison to the landmark Supreme Court case Allen v. Milligan. Scalzetti added the case could have far-reaching impacts on redistricting, not only in other counties across Alabama but throughout the South.