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Elderly inmates cost state up to $70,000 a year apiece

The Associated Press, August 24, 2003

ST. GABRIEL, La. (AP) — The number of older inmates in Louisiana prisons is growing rapidly — and with it, the cost of keeping them.


Prison officials expect the number of inmates to grow 15 percent by 2012. But even if it stayed the same, the number of inmates who are at least 50 years old could triple to more than 1,800, they say.

Ailments common to the middle-aged and elderly mean their care can cost up to $70,000 a year apiece, more than double the cost for younger inmates.

Seventy-five-year-old Albert Wilson's left side has been paralyzed for nearly four decades, since a stroke in 1965. He'd been in the Louisiana State Penitentiary at Angola for five years, and says he'd been behind bars for the previous 13.

He has been in the Elayne Hunt Correctional Center in St. Gabriel for about two years, sent in an exchange of older inmates for younger, more dangerous inmates.

The Pardon Board recommended Wilson's release in in 1966 and 1983, but the governors did not accept those recommendations.

"I'm going to let it go," said Wilson, who walks with a cane and speaks only from the right side of his mouth because of the stroke. "It ain't no use. I put my mind on staying here."

He's among more than 630 state inmates over age 50 who are serving life sentences in state facilities, prison officials say.

Of the roughly 3,800 state inmates serving life sentences, 1,200 are between 40 and 49 years old. So in 10 years or less, they will be at least 50 — classified by the state as geriatric inmates.

The state Department of Corrections also expects the general prison population to grow 15 percent by 2012, from 36,523 inmates in 2002 to about 42,000.

Those expectations are prompted in part by 1990s "truth-in-sentencing" laws and a high crime rate. The growth can only increase the overall medical costs and the graying prison population as well.

Hunt appears to be the destination for many older lifers, said C.M. Lensing, warden of the prison in Iberville Parish.

Its 2,100 inmates include 85 serving life sentences, and 44 of those are older than 50. Lensing said that number has risen recently and is expected to grow in the near future.

"I've gotten more lifers in the last year and a half than we have in the last 20 years," Lensing said.

Cynthia Mara, associate professor of health-care administration and policy at Penn State University in Harrisburg, Pa., has studied aging inmates. The older prison population is a side effect of harsher sentencing laws aimed at ending early release for many inmates, she said.

"It was not intended with these laws that there would be older inmates who need long-term care," Mara said.

The state pays about $30,000 a year to care for the average inmate. Some of those at Hunt are "fast approaching" $70,000 annually, Lensing said.

Statewide, the Department of Corrections budgeted about $34 million — roughly 11.6 percent — of its budget for inmate health services in fiscal year 2002-03.

Since the state must pay the entire bill for inmates not eligible for Medicare and other federal health programs, "It's going to cost us, and it's only going to get worse," said state Sen. Don Cravins, D-Arnaudville.

Cravins, who chairs the Senate committee overseeing the Department of Corrections, said more money is needed for inmate health care before legal problems arise.

Dr. Mike Hegmann, medical director at Hunt Correctional Center, agrees. "If you're going to take away somebody's freedom, you've got to take care of them," Hegmann said.

State Rep. Steve Scalise, R-Metairie, an outspoken opponent of more services for inmates, said prisoners have better health care than "our law-abiding citizens."

"I still think there is room, within legal limits, to reduce these benefits," Scalise said. "That will save us millions of dollars, especially among older prisoners, while allowing us to keep criminals in jail."

While they are in prison, inmates must work as long as they are able, Lensing said.

In some cases, accommodations are made because of the prisoner's age or health, he said.

That's the case with Wilson, who pleaded guilty to first-degree murder. The killing occurred in a domestic argument in DeRidder.

Wilson spends parts of his days dying boots for other inmates at Hunt and the rest of his time in a dorm-style room with a few dozen other prisoners.

Some inmates, as they grow older, require special considerations, such as a head start to the cafeteria and indoor jobs, said Angela Whittaker, executive management officer at Hunt.

The aging lifers are a minority in the prison — most of the inmates o are either just arriving in prison or are awaiting release.

That combination creates generational friction between the older inmates and their younger counterparts, said William Cribbs, 76, serving life for killing a West Baton Rouge bar operator during a 1972 holdup.

"They got no respect, for themselves or anybody else," said Cribbs, who has had four heart attacks while in prison.

Albert Vierling, 71, said younger inmates are still angry and haven't accepted that they are incarcerated for their own wrongdoing.

He'd rather be kept away from the new arrivals or the inmates about to leave prison.

"We're not going home," Vierling said. "According to the state, we're going to die in prison."


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