No.

Initially, I struggled with whether or not I did.

When I worked at the jail, I thought about it.

I prayed about it and essentially decided that, um, you know, they're just like any other individual that needs health care.

For Betty Reiner, being a nurse wasn't just a job.

It was a calling.

When you go into medicine, you take an oath not to do harm.

Despite her best intentions, working at the Chatham County Detention Center in Savannah, Georgia, would test her resolved theme.

First Red Flag came during job orientation from her employer.

Cries and health the company contract ID to provide medical and mental health services at the jail, according to court records.

Reiner says Kerrison told her toe, Avoid sending inmates to the hospital or the emergency room.

The goal was to keep costs down.

These people that need you, you know, are sometimes neglected there for gotten there alone.

After just months on the job, Reiner witnessed the deaths of two inmates she felt could have been prevented.

It prompted her to blow the whistle on her employer.

I just need a good hospital in this jail House call Matthew Laughlin tells his father he's been begging to see a doctor during his seven weeks at Savannah's jail.

Are you still throwing up blood?

Yeah.

And in his last call, ever with his mother, Laughlin breaks down.

I'm doing every thing I can to get two out.

I've been coughing up blood.

My feet are swollen hurt.

Oh, I know, Matthew.

I know what is wrong with you.

I told you that happened.

I love you, Matthew.

They're going to cut.

Do you dying here?

Wall Flynn was being held at the Chatham County Detention Center in early 2014.

On drug possession charges, Reiner and the jail doctor requested Laughlin be taken to the hospital.

Hiss symptoms pointed to congestive heart failure.

According to court records.

Cries and senior manager opposed a hospital visit.

Both Reiner and the doctor said it came down to money.

Kerrison denied that costs influence medical decisions.

I can't really freezes.

By the time Laughlin was taken to the hospital, it was too late.

He suffered irreversible brain damage and was placed on life support.

Three weeks later, he died.

Correctional healthcare in the US is a multibillion dollar industry led by dozens of companies.

Theo deaths that happened under Christians Watch reveal the hidden cost of privatized inmate healthcare.

As MAWR jails turned to private companies to deliver medical care to inmates, more people are dying, a Reuters investigation found.

From 2016 to 2018.

Jails that contract ID with one of the five leading correctional health care companies had higher inmate death rates on average than those managed by government agencies.

Prisons chief executive James Hyman said death rates alone are not a valid indicator of the quality of performance right.

Reuters spent a year corroborating the allegations against the jail and horizon and uncovered some unsettling details.

Costly prescription medications went missing, gravely ill patients were denied.

Admission to hospitals and mentally ill inmates were left untreated.

Collapses are a dramatic illustration of the problems of vexing America's 3000 local jails.

Thousands of incarcerated people, many not yet convicted of a crime, are receiving substandard healthcare, often with little regulatory oversight.

Pretrial detainees we know they bond out, they plea out.

They get acquitted.

And so what that allows a health care company to Dio is play a game of chicken with their health.

If the average detainee is at that jail for, say, 26 days, all they have to do is make sure that individual does not die in those 26 days, Christian says.

Quality care is a priority, and it benefits when inmates air healthy.

Mhm Sheena Burton is still haunted by what happened to her at the jail.

I don't like to think about the past.

She was arrested in May of 2014 for missing court on a traffic charge, and I kept begging for my medicine.

The single mother was taking an anti psychotic drug to treat her mental illness.

When I'm not on my medicine makes you feel like you're not human Sometimes.

During her nearly month long stay in jail, records show, Burton repeatedly asked for her medication but never got it.

To be in a cell with mental health feels like everything's collapsing.

Without her medication, Burton was unraveling.

She attacked a guard who wouldn't let her stop for a drink of water.

The guard, windy smoothly, suffered debilitating back injuries.

We hit the floor and when we hit the floor we hit the floor hard smoothly was forced to quit her job.

My whole life has changed.

As a law enforcement officer, my career was over.

My career is over.

Despite her career ending injuries, she doesn't blame Burton for what happened.

You cannot play with a mental health persons medication, get them the help that they need mental illnesses, Riel Nurse Reiner took her concerns to the command staff.

The jail doctor in another senior nurse joined her at the meeting.

All three accused horizon of corruption.

Within months, Krizan fired all three of them.

The medical workers sued for wrongful termination.

Kerrison settled the case, paying them an undisclosed amount of money.

E getting a three day the jail doctor was fired was the last day Donald Johnson received his regular blood pressure checks.

E.

I saw my dad being wheeled out on a stretcher.

You know them pounding on his chest.

But he was already gone.

The 68 year old was being held at the jail in August of 2014 on Medicaid fraud charges.

He suffered from high blood pressure.

Johnson was supposed to be monitored for it three times a week, but records show Kerrison failed to keep up with the checks.

After the doctor was fired.

Less than two months later, he was dead.

It's not a day that goes about it.

I don't think about how he may have suffered.

An autopsy found Johnson died of coronary Afro sclerosis, a condition often linked toe high blood pressure.

Ah, lawsuit filed by the family was dismissed without finding of liability for Horizon.

Yeah, Matthew Ajibade Haddon infectious smile.

That was just a happy guy.

But his cousin says there were times when agile bodies struggle with bipolar disorder.

Got the best of him.

You notice instantly when there's that shift, just because he doesn't have much to smile about.

His family believes Antibody was having a mental breakdown when he was brought to the jail on charges of battery and resisting arrest in January of 2015.

3 21 year old was a student at Savannah College of Art and Design.

Hey appeared disoriented and refused to guards repeated orders to sit in a chair when he continued to resist, tensions escalated.

Deputies wrestled him to the ground.

When he grabbed a sergeant's Taser, deputies punched and kicked him.

They carried him toe a cell where they put him in a restraint Chair a horizon nurse who was on the job less than two weeks.

Czech Daja body in a cell.

But for the next 100 minutes, no one checked on him.

When they did, he was dead.

Theo Sheriff's Internal Affairs unit, later discovered the nurses restraint law was falsified to incorrectly show multiple checks had been made.

What I give a damn about the security thes restraint checks that you said you did by signing your name here.

Or that you endorsed saying the officer did him and nobody did them.

Is that excusable?

Especially when we got a dead man now.

Ah, lawsuit by agile bodies.

Family was settled.

We treat dogs better than people locked up, and it's very sad.

No.

In May of 2016 Jimmy Lee Alexander begged a charism nurse to be taken to the hospital for excruciating pain in his right leg.

The nurse had come and uh examined his leg and found he had extremely high blood pressure.

The nurse called Horizons medical director, who told him to give Alexander a painkiller.

Later that night, the 60 year old could no longer walk.

He crawled to the middle of his jail, wings floor and vomited.

Mr.

Alexander should have been taken to the hospital when he was crawling around the floor in his vomit.

Instead, he was taken to the infirmary, but no one inspected him until the next day.

Charism supervisor finally ordered he be taken to the hospital.

Once there he was diagnosed with a massive blood clot.

He had a blood clot from the top of his hip all the way down to his ankle, and they couldn't amputate at that point because the clock was so long.

Alexander died.

The next morning, a judge dismissed the family's lawsuit against the sheriff.

Nurses and horizon.

I'm sorry for everything.

After 12 deaths over 4.5 years, the county terminated its contract with Horizon.