University of Pennsylvania ScholarlyCommons Publicly Accessible Penn Dissertations 2016 Wards Of The State: Care And Custody In A Pennsylvania Prison Nicholas Iacobelli University of Pennsylvania,
[email protected] Follow this and additional works at: https://repository.upenn.edu/edissertations Part of the Public Health Education and Promotion Commons, and the Social and Cultural Anthropology Commons Recommended Citation Iacobelli, Nicholas, "Wards Of The State: Care And Custody In A Pennsylvania Prison" (2016). Publicly Accessible Penn Dissertations. 2350. https://repository.upenn.edu/edissertations/2350 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/edissertations/2350 For more information, please contact
[email protected]. Wards Of The State: Care And Custody In A Pennsylvania Prison Abstract In this dissertation, I examine the challenges and contradictions as well as the expectations and aspirations involved in the provision of healthcare to inmates in a maximum-security prison in Pennsylvania. In 1976, the Supreme Court granted inmates a constitutional right to healthcare based on the notion that a failure to do so would constitute “cruel and unusual punishment.” Drawing on two years of ethnographic fieldwork from 2014-2016 in the prison’s medical unit with inmates, healthcare providers, and correctional staff, I demonstrate how the legal infrastructure built around this right to healthcare operates in practice and the myriad effects it has for those in state custody. Through traversing the scales of legal doctrine, privatized managed care, and collective historical memory, bringing these structural components to life in personal narratives and clinical interactions, I advance the notion that the physical space of the prison’s medical unit is a “ward of the state” – a space of care where the state itself is “made” through interactions among individuals who relay and enact the legal regulations on inmate healthcare.