Between 80 and a hundred people die each year inside Illinois prisons. Information has been sought about those deaths, but the Department of Corrections under Governor Pat Quinn is taking a “trust us, nothing to see here” attitude.
However, persistent and disturbing complaints from inmates and their families make it hard to just move along. Illinois Public Radio's Robert Wildeboer will bring us some of their stories and the department’s response this week as part of our series “Of natural causes: Death in Illinois prisons.”
When the Rev. Doris Green was a prison chaplain in the mid 90s she says she performed more than 20 marriages between inmates and women on the outside.
"No one else wanted to bring people together like that because it’s something wrong with that because they criminals. I’m like, ‘aw, c’mon now,’ this is…’ They wanted me to do it because none of they chaplains wanted to so I didn’t care. I loved it. I loved counseling with them and preparing for their wedding and making sure they families got there and I did all that. Sure did."
Green says she eventually fell in love with an inmate herself. She decided she was going to marry Michael Smith, inmate N40598.
"It’s my time, and I’m gonna do this and here’s your volunteer ID. Take it back."
WILDEBOER: So you didn’t know him before he went inside. That is scandalous.
"It is. I’m so bad and I’m a minister too. I’m so bad you know, but whatever. Who tells who, who to love?"
Green says for a long time she felt embarrassed about her rather untraditional relationship but now she would not trade the time she had with Smith for anything.
When she gave up her work as a prison chaplain she stayed involved in prison issues. She’s currently the director of correctional health and community affairs for the Aids Foundation of Chicago. She helps connect inmates leaving prison with health care on the outside.
Because of her job she knows health care workers in the Department of Corrections, but that didn’t make much difference when her husband got sick. On May 19th 2011 he died of prostate cancer. Green pulls out a medical record that she keeps protected in plastic.
"PSA was 7.6, high, they put in parenthesis high, and look at the date on here. The date is December of 1997."
Fourteen years before he died of prostate cancer a prison medical record shows he had a high PSA, which is an indicator of prostate cancer.
The record says “needs follow up” but Green says 14 years later her husband died from prostate cancer that hadn’t been treated.
In 2011, he was getting up to urinate 5 times a night and was in extreme pain so she pushed the prison system to get him to a doctor at an outside hospital.
"So when the urologist tested him, really gave him the biopsy, it was stage 4 prostate cancer and bone cancer in his back."
The treating physician says that at that point the PSA level had risen from 7.6 to 250 point six. He says he then prescribed an anti-hormonal injection, but he says the Department of Corrections must never given Smith that injection because the next time he saw Smith the PSA level was 892. He says the cancer should have been diagnosed much earlier.
"I know everybody. I got them on speed dial, the director, all of them. I work with them and help people make sure they have health care. I couldn’t get it for my own husband. I could get, I could talk to the people but I couldn’t get the people, as the wife, I couldn’t get the people to respond to the urgency of my husband’s condition."
Green says she didn’t find out about that 1997 test with the high PSA level until after her husband’s death.
"We couldn’t do anything about something we didn’t know. And when I say that, I ran across that one page after I got his medical records sent to me. That’s when I seen the medical that he’d had that prostate cancer, prostate test way back then. These people knew what was happening in my husband’s body and just didn’t tell him and didn’t tell me! They knew he was suffering! It’s all in here!"
While pushing for medical care for her husband Green says she’d also been asking the governor’s office for compassionate release so her husband could die at home but that didn’t happen. She says he died in his cell.
"And that same day he died I got a call from the governor’s office asking to meet with me about Michael Smith. And the receptionist that called me was so, I can feel it in her voice. I felt that I wanted to comfort her in some way. I told her, I said, he just died. And she said I’m so sorry. C’mon. Too much. Too late. Too much. It’s too late but it’s not too late for those that are in there."
Tom Shaer is a spokesman for the Illinois Department of Corrections.
"I can tell you that the claims made by the third party in this case, Ms. Green, are filled with false statements covering the time from inmate Smith’s diagnosis in 1997 and his death 14 years later, after I believe, I’m not sure, she married him while he was in prison. There are many false statements covering that time. I wish I could get into further specifics but I can’t do that. She evidently can. We legally cannot."
Shaer says privacy laws prevent him from defending the department’s track record in the case of Green’s husband.
The medical director for the Department of Corrections refused to discuss medical care, even in general terms, because of pending litigation, but there are always lawsuits pending.
In fact, according to Shaer there are 4600 lawsuits against the department of corrections right now. Nonetheless, Shaer says citizens should be confident in the health care inside prisons.
"Things happen in health systems. If they happen here, when we investigate we find them and we take whatever action is appropriate. I’m not saying that there was any such action appropriate in this individual’s case, or any particular case. I am telling you that we do the same thing as hospitals do. We review our performance of our staff, our vendors and we take action when appropriate."
According to Bureau of Justice statistics Illinois has one of the lowest inmate death rates in the country. Shaer says that’s proof that Illinois is providing good care.
"The total number of deaths, the overall issue with people dying in Illinois prisons is absolutely a non-story."
We’ll hear more from Shaer throughout the week as we continue to look at the issue of death in Illinois prisons. And we’ll hear why an increasingly large chorus of observers thinks the prison health care system is in chaos.
That chorus includes the ACLU of Illinois, which calls poor health care in prisons one of the most important civil rights issues in the state.