Photo by: Jayu

Attica Correctional Facility, where Phil Lyons was incarcerated for some of the 15 years he spent behind bars for killing a man. Lyons died in prison in April after years of heart trouble.

Phil Lyons sat with four other inmates, shackled and handcuffed inside a dark blue windowless van with no air conditioning. It was 2010, New York’s hottest summer in history. While they roasted in the van, according to the story that Lyons told his wife, their guards spent the day browsing swag at garage sales and motorcycle shops, sipping cold soda and bragging about their overtime pay.

Their trip ended at the parking lot of the Strong Memorial Hospital in Rochester, N.Y., fifty miles east of Attica Correctional Facility. The hospital was not expecting them so they waited for another three hours confined in the state van, drenched in sweat mixed with blood from cuts made by their skin-tight handcuffs.

“You don’t even leave your pet in the car with the windows rolled up. No windows or anything, a steel metal box for five or six hours. They were roasting them to death,” recounts Phil’s wife, Pat Lyons. “One man did pass out, that was the only reason they finally did get something to drink.”

67 year-old Phil had endured pain from open-chest surgery for eight years, and that summer was suffering from emphysema and a stomach ulcer. By the end of the day, says Pat, he was suffering from severe heat exposure.

America’s inmates are aging. Nationally, the number of prisoners over age 55 nearly quadrupled from 1995 to 2010, eight times the pace of growth for the total prison population, according to a recent Human Rights Watch report. From 2007 to 2012, while the overall New York State prison population decreased by 11.6 percent, the elderly prisoner population increased by 27.7 percent, according to the New York State Department of Corrections and Community Service (DOCCS). Due to long sentences handed out in the 70s and 80s, American prisons now serve as quasi-nursing homes, albeit lacking the long-term care we associate with geriatric facilities.

The state’s Compassionate Release Program aims to reduce the number of elderly and sick in prison. Initiated in New York in 1992, the medical parole directive stipulates: “An inmate may be eligible for parole if they have a terminal health condition or a significant and permanent non-terminal health condition, disease or syndrome”—basically, anything that debilitates the inmate so that there is no probability they will “present a danger to society.”

But the process is cumbersome and lengthy, with the majority of eligible inmates dying before release.

The cost of graying inmates

Sustained incarceration is expensive: Elderly prisoners are far more likely to have illnesses and disabilities, and health care is consistently underfunded and administered poorly by the prison system. Today, New York spends about $2.7 billion on state prisons—or $60,000 per prisoner—each year. Elderly inmates are more expensive to incarcerate, due to increased reliance on medical attention. According to the same Human Rights Watch report, medical expenditures for older inmates range from three to nine times higher than younger inmates, depending on the state.

Despite an increasing need for health care in prison, medical staffing has been cut by 16 percent in the past three years, and that trend is slated to continue.

Jack Beck is the director of the Prison Visiting Project at the Correctional Association of New York—the only private organization allowed to inspect prisons in New York and report their findings. Speaking in February to the Joint Legislative Hearings on the 2013-14 Budget for Public Protection, he expressed concern about the proposed cuts.

“This 16 percent reduction in healthcare staffing is unacceptable and potentially dangerous for the prison population and the public,” says Beck. “If the already overtaxed medical staff have to provide services to an increasingly older and sicker population, delayed and inadequate care is inevitable.”

Beck added that contract services—those that go toward specialty care services for the most severely ill patients—and medication from outside contract services, will also be reduced in the next fiscal year by 1.17 percent, totaling an 18 percent decline in the past three years.

“Similarly, supplies and materials funding, much of which goes toward medications for incarcerated persons and especially patients infected with chronic illnesses, was reduced again in the present budget, for a total of nearly a 15 percent reduction over the past three years,” he says.
While DOCCS attributes reduction in medical supplies over the past three years to an increasing availability of cheaper generic medications, they do not account for reductions in medical staffing and contract services.

“More and more medications available in a generic form are helping us control our medical costs,” wrote Tom Mailey, director of public information at New York State DOCCS, in an email to City Limits.

A plan to release

In a report issued in April 2013 the U.S. Department of Justice Office of the Inspector General cites the failure of the Bureau of Prisons (BOP) to implement the Compassionate Release program at the federal level. There are no timeliness standards for reviewing requests, and there is no system in place to track the compassionate release requests or the timeliness of the review process.

In New York State, in order to be approved for compassionate release, an inmate’s application must pass a medical evaluation to be approved by the DOCCS Deputy Commissioner/Chief Medial Officer. If approved, the application is referred to the Division of Parole.

The vast majority of applicants never win release. Between 1992 and April 2012, of the 2730 requests filed, New York State released 381 people through the program. In that same time, 950 people have died prior to release. In 2011, while 106 requests were filed for compassionate release, only 5 were released, and 29 people died prior to release.

In an email to City Limits, Mailey commented on the discrepancy between requests and actual releases. Many offenders do not qualify for the program because of statutory limitations, he wrote: “The 2,730 applications for compassionate release represent each offender who has applied, regardless of eligibility.”

However, out of the 2,730 applications, only 86 requests were outright denied by the Division of Parole. Similarly in 2011, of the 206 requests made, only 11 were outright denied.

DOCCS claimed there is a database that can track the timeliness of the review process, but did elaborate on the particulars of this system.

“If application for Compassionate Release takes forever and a person dies, you’re not going to be inclined to get involved in the process,” says Beck. “They’re going to have to fill out paperwork and if it doesn’t result in release you have created disincentive for individuals to do that.”

Critics say harsh criteria for application make the program superfluous. Most people “so physically or cognitively debilitated or incapacitated that […] they no longer present any danger to society,” would not make it through the lengthy release process.

“You have to have one banana peel next to the grave site in order to even qualify to file for compassionate release,” says Soffiyah Elijah, Executive Director of the Correctional Association of New York. “You should not have to be planning your funeral in order to qualify to apply—that guarantees that the majority of people qualified to apply will never make it to the door.”

Convicted of murder

Phil was 67 years old when he died in a prison hospice last April. He was convicted for second-degree murder in 1998 and was given a sentence of twenty years to life.

Phil was a long-haul truck driver and had become friends with Pat and her children—to the displeasure of Pat’s then husband. During a fight between the three of them, Phil shot Pat’s ex-husband, who died before they could reach a hospital.

Pat claims her ex-husband was a violent man. For years before meeting Phil, Pat and her children bore the brunt of his anger, and were often subjected to domestic violence.

“There was a lot of abuse of the children—to the point where my daughter was planning on killing her father, who she called her sperm donor,” said Pat. “His own children wanted to kill him in his sleep. They hated him.”

In 2003, Phil had a heart attack in prison and underwent triple by-pass surgery at the Erie County Medical Center in Buffalo. Two days later, Phil returned to Attica and was offered only ibuprofen for recovery, according to Pat, who says he was continuously refused conventional pain medications, such as Morphine and Vicodin. (DOCCS did not respond to questions about Phil’s case.)

“If you go to sick call and you say you have X, Y, or Z symptoms, they’re just going to supply ibuprofen. They’re not looking to distribute a lot of medications,” says Beck, “There is such a bias against the incarcerated population that they’re using pain medication to get high, that they’re going to hoard that medications, not take it but sell it.”

Phil’s friend Pete (who is currently incarcerated in Attica and whose name has been changed because of his fear of retribution) wrote to City Limits about Phil and conditions for elderly inmates in prison. Sick call is at 5:30AM, for anybody who feels sick or has medications to receive 0n a daily basis, which is the majority of elderly inmates. Ten years ago, sick call was not so early.

“Prisoners don’t like being woken up at 5:30 AM and spending 2 hours waiting in a waiting room sitting on hard benches. As a result, between 20 or 30 prisoners, rather than 100 or so, go to sick call,” wrote Pete, “Less cough medication, hydrocortisone, nasal spray, and aspirin for common ailments, are dispensed.”

Death behind bars

For years after his surgery, Phil suffered chronic pain in his chest and was wheelchair bound. Pat says prison guards refused to push him in the wheelchair, and one day the surgical wires that held his ribs together snapped as he pushed himself to a visitation.

“He went down and complained numerous times and they said ‘Of course it hurts; you had surgery. Of course it hurts,’ so he went along with it for a while,” recounts Pat

As time went on, a clicking sound began resonating from his chest, because there was no longer anything holding his ribcage together. “Sometimes you could see his heart beating in the middle of his chest, and that was spooky, but they told him for years he was fine,” says Pat.

Not until 2008 when Phil had an x-ray for his emphysema did they find the broken wires. The x-ray technician told him it looked like there were open safety pins poking out of his chest—yet the doctors still did nothing about it.

“He wanted to be fixed and they said, ‘No that’s elective surgery, we can’t do that. You’re fine,’ but they kept putting it off and putting it off and he’d just stay in his room,” says Pat.

In April 2012, doctors told Phil they found a spot on his lung. They said they couldn’t do surgery, but that there was a spot and they would check in with him soon. Phil waited all summer, terrified.

“I got cancer and they’re not doing anything. I’m dead. I’m a dead man walking,” he would say, according to his widow.

In September he was taken back to Erie County for another biopsy. They discovered the spot had grown to a 5-cm tumor on his lung. Four months later he was transferred to a prison hospice at the Wende Correctional Facility, where he died two weeks later.

When they found the tumor in his lung, Phil would have qualified for Compassionate Release, but even if he had applied he would have been dead before the decision had gone to parole.