title: Prisoner healthcare co-payment policy: a cost-cutting measure that might threaten inmates' health.
abstract: Cost-effective provision of adequate healthcare to prisoners is a core problematic issue in contemporary correctional healthcare settings. An increasingly popular policy for reducing prison healthcare costs is prisoner co-payment systems for health services. Advocates of this policy assert that it facilitates efficient healthcare delivery in prison settings. This article examines the appropriateness and consequences of prisoner healthcare co-payment systems in US prisons. In conclusion, the policy has a strong potential to compromise prisoners' access to healthcare, while not significantly reducing prison healthcare costs. Alternative approaches for improving the efficiency of prison healthcare services are suggested, and implications for Australia are considered.
authors.affiliation: School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia. niyiawofeso@hotmail.com
authors.forename: Niyi
authors.initials: N
authors.lastname: Awofeso
mesh_terms: D001315:Australia; D003363:Cost Control; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D005382:Financing, Personal; D017048:Health Care Costs; D006297:Health Services Accessibility / Q000191:economics / Q000458:organization & administration; D006801:Humans; D011329:Prisoners; D011330:Prisons / Q000191:economics / Q000458:organization & administration; D014481:United States