Shoddy prison medicine

Even hypochondriacs get real diseases from time to time.

The prison is full of malingerers, people who have numerous reasons to feign illness for secondary gain. As easy as it is for the pathologist to diagnose everything perfectly, but too late, it is excuciatingly difficult to determine which patient is not faking illness. Unless Joe Citizen wants to fund every the prison health care system better than the average insured citizen, then these guys will just have to take their lumps in prison.

As I understand prison life, poor health care access is among the least of day to day worries.