The Marshall Project

The $580 Co-pay

Illinois Lawmakers Challenge Co-Pays
New federal inmates prepare to undergo health screenings while being processed at the Val Verde Correctional Facility in Del Rio, Texas. (Photo by Tom Pennington/Fort Worth Star-Telegram/MCT via Getty Images)

For those in the outside world accustomed to paying $25 or more at every doctor’s visit, the idea of prisoners paying $2 to $8 to see a doctor seems nominal. Forty-two states plus the federal Bureau of Prisons charge a co-pay, according to the Prison Policy Institute, a criminal justice think tank.

When you’re making pennies an hour, or nothing at all, a small co-pay can be the equivalent of hundreds

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