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13 Cardozo Pub. L. Pol'y & Ethics J. 797 (2014-2015)
Estelle v. Gamble in a Post-Affordable Care Act World

handle is hein.journals/cardplp13 and id is 849 raw text is: 







ESTELLE V. GAMBLE IN A POST-AFFORDABLE
                    CARE ACT WORLD


                         Hallie E. Mitnick*

       The degree of civilizalion in a sodey can be judged by entering itsprisos.

                                                    - Dostoyevsky

IN TRO D U CTIO N   ............................................................................................ 798
   I. THE ROAD TO A CONSTITUTIONAL RIGHT TO PRISON
      H EALTH CARE .................................................................................... 799
      A . Case L aw  pre-E stelle .................................................................... 800
      B.  The Turning Point.: Estelle v. Gamble ........................................... 801
  II. PRISONERS' RIGHT TO HEALTHCARE POST-ESTELLE ............... 802
  III. THE CONSTITUTIONAL STANDARD FOR CO-PAYMENTS ............ 804
  IV. FAILURE TO PROVIDE HEALTHCARE AND REENTRY ................. 805
  V. PRISON HEALTHCARE CO-PAYMENT SYSTEMS ............................ 807
  VI. HEALTHCARE COSTS' FINANCIAL STRAIN ON INMATES ............ 812
  Vii. THE REALITY OF PRISON HEALTHCARE WITH CO-
      PA YM EN T S .......................................................................................... 813
VIII. CRITIQUES OF THE ESTELLE MEDICAL PROFESSIONAL
      JUDGMENT STANDARD IN LIGHT OF EVOLVING PUBLIC
      POLICY REGARDING HEALTHCARE .............................................. 814
 IX. INCLUSION OF ALL INMATES HEALTHCARE IN THE
      MEDICAID PROVISION OF THE AFFORDABLE CARE ACT: A
      P A N A CEA ? .......................................................................................... 816
  X. RECENT SUCCESS WITH MEDICAID INCORPORATION OF
      P RISO N E RS  ......................................................................................... 8 17
C O N CLU SIO N   ................................................................................................ 8 18




   * J.D. Candidate, 2015, Benjamin N. Cardozo School of Law; A.B., 2012, Cornell Universi-
ty. I would like thank the journal editors and staff for their diligence and contributions to this
note. Thank you also to Professor Alexander Reinert for his mentoring, feedback, and sugges-
tions. Additionally, I would like to thank my clients, past, present, and future, for inspiring me
daily. Finally, I would like to thank my parents, sister, and grandparents, for their endless love
and unwavering support throughout this process and my entire life.

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