Quote from: tekla on April 23, 2011, 11:49:45 AM
If she needed a heart transplant they would not provide that, why GRS?
Good question. I remember reading something about heart transplants in prisons a few years ago. There was a big stink about one guy who wanted a transplant. Prisons are doing them every once in a while now.
I figure that our whole system needs to be changed, but that, of course, will take a long time and a great deal of arguing and many mistakes. My position derives from a forward-thinking perspective that looks to how I think things should be in the future, so my position is pretty incompatible with the current system.
I am under no illusions that most of these prisoners are nice people, but I still believe that giving prisoners the absolute bare minimum health care is a copout. For one thing, if we are going to incarcerate people, we need to take responsibility for them.
Obviously, expensive treatments like heart transplants and SRS need to be carefully weighed for cost versus benefit. Prisoners need to be screened for a variety of factors, including their health, their sentence, how much time they have left to serve, and so on. So maybe I am precipitate in saying that this particular prisoner should get SRS. She should definitely be
considered for SRS. And trans prisoners need to be handled differently from the general population.
There is another factor that I have considered but not delved into when it comes to health care for prisoners. It's one of the main issues of incarceration: punishment versus rehabilitation. If we are ONLY punishing these people, then perhaps it is fair to decide that whatever happens in prison happens, and the taxpayers will not be held responsible for health care because prisoners have given up their rights to all but the most basic treatments and preventatives. If we are rehabilitating, things should be different. If we are punishing some prisoners and rehabilitating others, maybe we should provide different levels of health care to different types of prisoners. I'm sure that would go over big.
Actually, I feel that the punishment vs rehabilitation dichotomy is overly simplistic. Can't we do both? Don't we do both? And often, we are also keeping dangerous prisoners from getting out again and performing more acts of violence; in addition to punishing, we are also weighing the needs of the public against the needs of one aberrant individual, and deciding in favor of the larger community. That's about public protection as well as punishment vs rehab.