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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By Johnny Magdaleno for Mirror Indy.
Broadcast version by Joe Ulery for Indiana News Service reporting for the Mirror Indy-Free Press Indiana-Public News Service Collaboration.
There’s a simple patch of grass in section 94, lot 276 of the Crown Hill Cemetery that has perplexed Rebecca Robinson and her two sisters for their entire adult lives.
Their grandparents rest there in unmarked graves.
If a grave marker did exist, it might say Dr. Earle Robinson was a top physician at the old Veterans Administration Hospital on Cold Spring Road. Or that Gwendolyn Robinson left behind multiple grandchildren who, now in their 50s and 60s, can still remember how she encouraged them to read.
So why doesn’t the couple have a tombstone honoring their bright spot in the sisters’ family — and in Indianapolis history?
It’s not the only mystery the sisters have been trying to bring to a close. The other one has burdened them for decades and remains unsolved despite multiple attempts by Indianapolis law enforcement to find an answer.
Why would anyone want to murder them?
There have been many theories as to why the elderly Robinsons — Earle was 70, Gwendolyn, 69 — were stabbed to death in their Riley Towers apartment in August 1975.
Many theories, but zero arrests.
One theory, eventually discarded by law enforcement, was that a disgruntled patient targeted Robinson and his wife.
Another was that Robinson was mistaken for his son — an OB-GYN named Earle Robinson Jr., who fathered the sisters and three other children. Family members say Robinson Jr. may have been a target because he was among the first doctors to provide abortions in the Indianapolis area, according to Diane King, one of the sisters.
The simplest theory is that a home robbery ended in the worst possible way. Police said as much when interviewed by The Indianapolis News a month after the murders, according to old newspaper archives. But even that theory isn’t flawless.
On one hand, it makes sense that Riley Towers would be targeted by burglars. Just over a decade in age, the high-rise apartment buildings were pitched to potential residents as the embodiment of modern, luxurious living. Only “reputable and responsible citizens” would reside there, reads an 11-page advertisement in The Indianapolis Star from May 1963.
Yet strangely, nothing of value had been taken from the Robinsons’ apartment when the couple’s bodies were found. Mattresses were ripped open. Beds were flipped over. Drawers were pulled out and emptied on the floor. And money, jewelry, radio sets and televisions were all still there when police went inside to inspect the crime scene.
Police discarded narcotics as a motive for the break-in. They said Robinson didn’t keep large quantities of drugs in his apartment. They also said whoever did it likely didn’t know he was a doctor, according to newspaper archives.
Rebecca Robinson, 51, is a visual artist who has dedicated much of her creative output to elevating themes of social justice and Black dignity. She wonders if her grandparents’ murders should be thought of not as a one-off, random attack, but as a manifestation of a larger social issue.
“Two affluent Black people living in Riley Towers,” she told Mirror Indy. “Was it just hate?”
New DNA test deflates hopes
City authorities at the time wanted this case solved, Indianapolis police recently told her. Earle Robinson Sr. mattered to the medical community.
As director of admissions at the VA hospital, he oversaw the patient intake process under “rigid standards” imposed by Congress, wrote retired Col. H. W. Buchanan in a September 1975 letter to the editor in The Indianapolis Star.
“He was impeccable in appearance, generous of heart, and totally dedicated to the welfare of his associates and patients,” Buchanan continued. “In visiting the hospital, many veterans and their families would stop by his office to say ‘hello,’ and as busy as he was, he always took time to extend a warm welcome and a concern for their welfare.”
Investigators searched and searched. They interviewed “hundreds” of people, the Star reported. They collected biological evidence from the crime scene that is still preserved in Indianapolis police cold case archives to this day.
Yet after 50 years of painful uncertainty, the Robinson family still hasn’t caught a break. Indianapolis Metropolitan Police Department officers invited the family in for an interview in 2023 and committed to testing old evidence samples, possibly tied to the killer, for DNA.
The result: no new information, no new hope.
“The case remains open and Unsolved Homicide Unit detectives continue to follow up on any leads that arise,” IMPD spokesperson Amanda Hibschman told Mirror Indy.
At this point, the family isn’t expecting criminal charges. They’re not waiting for news of an arrest.
They’re looking for a reason to stop wondering — for the relief of knowing more than nothing about who did it, or why.
“Whoever did it is probably dead right now,” acknowledged King, Rebecca’s stepsister and one of the surviving granddaughters. “There’s no recourse or any kind of penalty or charges they can be charged with now.”
“All we want is some kind of closure.”
A gruesome discovery
Don’t turn on the TV.
Michelle Robinson Smith’s mom gave that command to her older brother all those years ago. She was 10.
She was the youngest daughter of five children from Earle Robinson Jr. and his first wife. Rebecca Robinson, the only child Robinson Jr. had with his second wife, Rena, was just 9 months old at the time.
Despite a bitter divorce, the five older siblings still maintained loving relationships with their paternal grandparents.
It’s why Robinson Smith’s mom tried to protect them from news broadcasts that day in August 1975, when she called the older Robinson siblings on her way home from work.
Don’t turn on the TV.
“It was all over the news and the paper,” remembers Robinson Smith.
People close to the family started showing up at their house. One of her mom’s best friends was in tears, Robinson Smith said.
Then their mom arrived. She asked King, Robinson Smith and the other siblings to come upstairs with her. As they gathered together in their brother’s room, she told them the unfathomable news.
Understandably, she did not tell her children just how depraved the killings were.
Earle was stabbed 11 times in the chest. Gwendolyn, 17 times in the chest. Both had slashes on their arms. They were found on the ground, laying next to each other in their nightclothes. Autopsy results suggest they fought with whoever did it.
A Riley Towers building superintendent named Jerry L. Smith discovered their bodies. “I just want to get away from here,” Smith told a newspaper reporter at the scene.
Earle Robinson Jr. was called into the apartment by police to identify his parents, according to a blog he maintained toward the end of his life.
The first thing he saw as he ascended the stairs was a hand sticking through the bannister. He steadied himself.
Then he saw the carpet soaked deep red. Then, the blood on the walls. Once they came fully into view, he could tell his mother and father had been stabbed over and over again.
In the decades that followed, Robinson Jr. rarely said a word about that day. The senseless attack on his family plunged him into grief. His ex-wife was also reticent about what happened.
The three sisters were kept in the dark about the murders. But as they got older, they resolved to fill the gaps left by their parents’ silence.
Family silence leads sisters to investigate
Each became an informal detective.
As teenagers, Robinson Smith and King scoured newspaper archives at the Indianapolis Public Library downtown. As an adult, Rebecca Robinson visited Riley Towers to see if she could get a glimpse of their grandparents’ apartment layout.
But it was King, the oldest of the three sisters, who brought them close to their biggest break.
In 2023, King was talking with a friend who works at a sheriff’s department near her home in Georgia. She started asking about how to get information from law enforcement on a cold case, and shared some details about her grandparents. That friend asked King to send her an email containing specific details.
Within the next few days, King got a call from an IMPD officer. “I was surprised how quickly it happened,” she said.
In the summer, she met with Sgt. David Ellison, an Indianapolis police detective who helped close multiple years-long cold cases before retiring in 2023. Rebecca Robinson was at that meeting. So was their 91-year-old father, Earle Robinson Jr.
Without knowing it was the last interview he’d ever give police, Robinson Jr. spoke about that day in 1975 “like it was yesterday,” said Rebecca Robinson.
In his frail voice, he told detectives about arriving at the apartment and being questioned by police. He talked about how his mom wasn’t wearing her hairpiece — a possible sign that whoever killed them took them by surprise.
King said it was the first time she’d heard him speak in detail about what happened. But a look back at all that transpired for him and his family around the time of the murders helps explain why it took him nearly 50 years to open up.
‘Much of me died along with them’
The murder of Earle Robinson Jr.’s parents marked a clear before-and-after in his life.
Like his father, he had established a career as a physician in Indianapolis. He was one of the many Black doctors and nurses who in the mid-20th century mastered their skills at the Homer G. Phillips Hospital in St. Louis — also like his father.
But after his parents were killed, he seemed to be “always looking over his shoulder,” King said.
He organized a security detail to follow his family around. He started sleeping with a gun under his mattress.
He became distant, said Robinson Smith. “Not because we had done anything … it was just a lot,” she said.
Robinson Jr. talked about the turning point in his blog. “Whatever happens to me I look at as being on borrowed time from that day in August 1975,” he wrote in 2009. “Much of me died along with them.”
He missed his parents’ funeral because he had a severe cardiac arrhythmia on the day they were buried, landing him in the hospital. In other words, his heart was beating too quickly.
The murders were sufficient on their own to alter the course of his life and his family.
But then came a series of threats that made them wonder if the violence wouldn’t stop at Earle and Gwendolyn Robinson.
A threatening letter
You and your baby are next, read the letter sent to Rebecca Robinson’s mom.
I hate you, wrote its author in purple, cursive letters on the heels of the murders. My friends are watching you.
Then came the threatening phone calls targeting Robinson Smith and King’s mom. King later learned that police set up a phone tap on her family’s line to gather info about who was dialing in the threats.
Nothing ever materialized from those threats. Nor did they ever learn if police found out who the caller was.
For the letter, Rebecca Robinson says they knew who wrote it. It was a disgruntled and distant family member who may have held a grudge against Earle Robinson Jr.
Rebecca Robinson’s mom had said she thought the woman was struggling with mental health issues.
But Rebecca Robinson hasn’t completely ruled out that family member, or whoever the caller was, as possible suspects — either directly responsible for her grandparents’ killings or involved in some tangential way.
She was a baby when the murders happened. The added stress of those warnings marked the rest of her young life.
“Certain parents, I remember they wouldn’t allow me to play with their kids,” Rebecca Robinson said. “Like the public knew something, and I was always shunned.”
Earle and Gwendolyn’s family legacy honored
This year marks the beginning of the sixth decade without an arrest in the cold case of Earle and Gwendolyn Robinson.
With the family uncertain if police will ever find who did it, the only option they have now is to honor the life they all lived together before the summer of 1975.
Earle Robinson Jr. died in March 2024. Throughout his life, he’d made it clear to his daughters that he didn’t want a marker or headstone for his parents. Nor did he want to visit where they are buried.
He said it was because he could visit them in his heart. King suspects the real reason is the same one that kept him from ever mentioning the brutal nature in which their grandparents were killed.
“It was just too painful for him,” she said.
In 2023, with the help of King, Rebecca Robinson located her grandparents’ unmarked graves at the Crown Hill Cemetery for the very first time. She stuck two small stakes with hummingbird figures in the dirt as markings.
They respected Earle Robinson Jr.’s wishes while he was here. But now that he’s gone, they’ve made a decision.
It’s a decision to honor memory over trauma, and family legacy over an Indianapolis mystery that may never get solved.
They’re getting a headstone later this year.
Anyone with information about the murders of Earle and Gwendolyn Robinson should call the IMPD Unsolved Homicide Unit at 317-327-3475 or call Crime Stoppers of Central Indiana at 317-262-TIPS.
Johnny Magdaleno wrote this article for Mirror Indy.
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In Indiana, the transition from prison back to society can be anything but smooth.
Many people released don't have a place to live and have difficulty with finding steady employment.
Indianapolis-based Give M3 Life began operating two male-only transitional housing facilities in 2022 to help keep people out of prison.
Executive Director Unique Webster explained that the facilities are calm and safe spaces that help people who are dealing with costly and stressful post-release mandates.
"All of these fees that you put on me - I have to pay for this GPS monitoring on a monthly basis. I have to go to these classes that I have to pay for. I have to come to court. I have to take these drug tests," said Webster. "I have to pay for those fees. And then I got legal fees, and I got child support fees. I have no job, so I can't pay these fees, and I'm stressed again."
Businesses are often reluctant to hire someone with a criminal record.
However, Webster said the majority of the men they work with have college degrees, marketable skills, and vocational training from before or during their incarceration.
She added that when they get out, they want to use those skills, but they're often not given the opportunity.
According to the Prison Policy Initiative, only 26% of people currently in prison have sought professional help to address mental health issues.
Webster said her organization's holistic approach to therapy helps people avoid distractions and find ways to decompress.
She said the stigma surrounding those who have been in prison can prevent them from getting the care and support they need.
"Many leaving the prison often have untreated or under treated physical and mental health issues," said Webster, "but face barriers assessing consistent care upon release."
The nature of someone's criminal offense can be a factor in substance abuse disorders and mental illness.
The Prison Policy Initiative identifies post-traumatic stress, manic depression, and bipolar disorder as the most common mental health diagnoses among the incarcerated.
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