Under Lock & Key

The enclosed letter is submitted to you for follow-up to "Insulin Indifference Disables Prisoners".(ULK 57, p. 6) The publishing editor of that letter omitted the solution to that problem. Does anyone have time to comment on if mine compares to the grievance guides presently available? Or is my method in conflict with the advice in other manuals? I want to know how I compare with other grievance methods.

The problem in the article is a policy of no lunchtime fingersticks/insulin injections. The prison serves lunch so late it is outside the timeframe that a pre-breakfast shot of 70/30 insulin works for some diabetics within the prison.

For diabetics having this problem, immediately following lunch they may have symptoms of extremely elevated glucose, like hunger (even though they have just ate lunch), blurry vision, dry mouth, thirst, pins and needles (like tingling nerve pain), and frequent urination. In addition, at next fingerstick before supper their glucose may be extremely elevated.

"Extremely elevated" blood sugar is dangerous because it "can cause life threatening changes in the body within a matter of hours. An extremely high blood sugar level... And I am talking at least 300... can cause an imbalance in the delicate acid-based structure in the tissues of the body."(1)

Two solutions to the problem are: 1. For the prison to start serving lunch earlier, or 2. For the prison to start providing lunchtime fingerstick/insulin injection, at which time you should receive a small dose of regular-type insulin, also called "mealtime insulin." Immediately following these two suggested solutions on your grievance, you should write "To do neither would constitute deliberate indifference."

In your medical request or your grievance, you should also explain that staff should periodically adjust your new lunchtime dose of regular insulin to determine exactly what amount is required to lower the residual glucose from lunch so it is at least somewhere between 200 - 300 by suppertime fingerstick. This will keep your glucose out of the danger zone between lunch and supper.

MIM(Prisons) responds: The problem with timing insulin injections with mealtimes is not lack of education or medical expertise. The problem of indifference is built in to the capitalist, white supremacist power structure. Imprisoned people, and oppressed nations in general, are not thought to need or deserve to have access to proper medical care. Prisoners' right to their eyesight or to keep all their toes is of absolutely no concern to the imperialist power structure. In fact, from the imperialist system's perspective it is probably better for prisoners and oppressed nation people to continue suffering, and be kept busy filing grievances. That way it's even harder to fight back.

We're glad this author wrote in with more details on what people could do to resolve the individual problems they are having with administration's approach to diabetes management. If we're talking about real remedies, though, and about fixing a problem, we need to acknowledge that capitalism and national oppression are the real cause of extremely elevated glucose levels. We need to struggle on our individual problems so we can be stronger for our revolutionary work. Don't lose sight of the bigger picture!

On 26 October 2017, U.$. President Trump declared the opioid epidemic a public health emergency. The declaration should lead to more federal funding for grants to combat opioid abuse.(1) As we explain below, this epidemic disproportionately affects euro-Amerikans. Trump linked his campaign to build a wall along the current Mexican border to the battle against this epidemic, despite the fact that prescription painkillers are at the root of it. This is consistent with the Amerikan government's solution for drug problems created by imperialism. For the crack epidemic of the 1980s Amerika responded with mass incarceration of New Afrikan men as the solution. As opioid addiction continues a steady rise, Trump offers further militarization of the border.

Opioids have been used by humyns for thousands of years both medicinally and recreationally, with many periods of epidemic addiction. Use began with opium from poppies. Morphine was isolated in 1806. By the early 1900s heroin was promoted as a cure for morphine addiction in the United $tates, before being made illegal in 1924. There was a lull in heroin use during the 1980s, when cocaine and crack overshadowed it. Various prescription pain killers began to come back into vogue in the 1990s after the "Just Say No!" mentality was wearing off. Since then, use and abuse has been on a steady rise, feeding a new surge in the use of heroin as a cheaper alternative. This rise, in the economic centers of both the United $tates and China, is directly linked to capitalism.

The Danger

While K2 is one dangerous substance plaguing U.$. prisons these days, partly due to its undetectability, opioids are by far the biggest killer in the United $tates, and we expect that is true in prisons as well. Drug overdoses surpassed car accidents as the number one cause of accidental deaths in the United $tates in 2007 and has continued a steady rise ever since. The majority of these overdoses have been from opioids.(2)

While the increase in deaths from opioids has been strong across the United $tates, rates are significantly higher among whites, and even higher among First Nations. One reason that use rates are lower among New Afrikans and Latin@s is that it has been shown that doctors are more reluctant to prescribe opioids to them because they are viewed as more likely to become addicted, and Amerikan doctors see them as having a greater pain threshold.(3)

We did see some evidence of this trend in the results of our survey on the effects of drugs in U.$. prisons. The most popular answer to our question of whether certain groups did more drugs in prison than others was no, it affects everyone. But many clarified that there was a strong racial divide where New Afrikans preferred weed and K2, while whites and usually Latin@s went for heroin and/or meth. Some of these respondents said that New Afrikans did less drugs.(4) A couple said that New Afrikans used to do less drugs but now that's changing as addiction is spreading. In states where K2 has not hit yet (CA, GA, CO) it was common to hear that whites and "hispanics" (or in California, "southern" Mexicans) did more drugs. The pattern of New Afrikans preferring weed and K2 seemed common across the country, and could have implications for strategies combating drug use among New Afrikans compared to other groups. In particular, stressing that K2 is completely different and more dangerous than weed could be part of a harm reduction strategy focused on New Afrikans.

If prison staff were doing their jobs, then we would expect rates of both overdoses and use in general to be lower in prisons. But we know, and our survey confirmed, that this is not the case (78% of respondents mentioned staff being responsible for bringing in at least some of the drugs in their prison). In hindsight, it may have been useful to ask our readers what percentage of prisoners are users and addicts. Some of the estimates that were offered of the numbers using drugs in general were 20-30%, 90%, 75%, and many saying it had its grips on the whole population.

Deaths from opioids in the general U.$. population in 2015 was 10.5 per 100,000, double the rate in 2005.(5) This is higher than the rates in many state prison systems for overdoses from any drug, including Florida, Georgia, Illinois, Ohio, Texas and Pennsylvania that all reported average rates of 1 per 100,000 from 2001-2012. California was closer at 8 per 100,000 and Maryland exceeded the general population at 17 deaths from overdoses per 100,000 prisoners.(6) At the same time, prison staff have been known to cover up deaths from overdoses, so those 1 per 100,000 rates may be falsified.

In our survey of ULK readers, we learned that Suboxone, a drug used to treat opioid addiction, is quite popular in prisons (particularly in the northeast/midwestern states). Survey respondents mentioned it as often as weed as one of the most popular drugs, and more than heroin. Suboxone is actually used to treat heroin addiction. And while it is not supposed to be active like other opioids, it can lead to a high and be addictive. It is relatively safe, and will not generally lead to overdose until you combine it with other substances, which can lead to death.

Prescription drugs are not as common as other drugs in most prisons, according to our survey. Though in some cases they are available. We received a few responses from prisons where prescription drugs prescribed by the medical staff seemed to be the only thing going on the black market. Clearly there is variability by facility.

Two Paths to Recovery

The increases in opioid abuse in the United $tates has been staggering, and they cause a disproportionate amount of the deaths from drug overdoses. About 10% of opioid addicts worldwide are in the United $tates, despite only being less than 5% of the world's population.(7) At the same time, only about 1% of people in the United $tates are abusing opioids.(8) This is not the worst episode in U.$. history, and certainly not in world history.

Around 1914 there were 200,000 heroin addicts in the United $tates, or 2% of the population. In contrast, some numbers for opium addicts in China prior to liberation put the addiction rate as high as 20% of the population around 1900, and 10% by the 1930s. That's not to dismiss the seriousness of the problem in the United $tates, but to highlight the power of proletarian dictatorship, which eliminated drug addiction about 3 years after liberation.

Richard Fortmann did a direct comparison of the United $tates in 1952 (which had 60,000 opioid addicts) and revolutionary China (which started with millions in 1949).(9) Despite being the richest country in the world, unscathed by the war, with an unparalleled health-care system, addicts in the United $tates increased over the following two decades. Whereas China, a horribly poor country coming out of decades of civil war, with 100s of years of opium abuse plaguing its people, had eliminated the problem by 1953.(9) Fortmann pointed to the politics behind the Chinese success:

"If the average drug addiction expert in the United States were shown a description of the treatment modalities used by the Chinese after 1949 in their anti-opium campaign, his/her probable response would be to say that we are already doing these things in the United States, plus much more. And s/he would be right."(9)

About one third of addicts went cold turkey after the revolution, with the more standard detox treatment taking 12 days to complete. How could they be so successful so fast? What the above comparison is missing is what happened in China in the greater social context. The Chinese were a people in the process of liberating themselves, and becoming a new, socialist people. The struggle to give up opium was just one aspect of a nationwide movement to destroy remnants of the oppressive past. Meanwhile the people were being called on and challenged in all sorts of new ways to engage in building the new society. There was so much that was more stimulating than opium to be doing with their time. Wimmin, who took up opium addiction in large numbers after being forced into prostitution in opium dens, were quickly gaining opportunities to engage at all levels of society. The poor, isolated peasants were now organized in collectives, working together to solve all kinds of problems related to food production, biology and social organization. The successful struggle against drug addiction in China was merely one impressive side effect of the revolutionizing of the whole society.

In contrast, in the capitalist countries, despair lurks behind every corner as someone struggles to stay clean. The approach has ranged from criminalization to medicalization of drug addiction as a disease. "Once an addict, always an addict", as they say. Always an individualist approach, ignoring the most important, social causes of the problem. That drug addiction is primarily a social disease was proven by the practice of the Chinese in the early 1950s, but Western "science" largely does not acknowledge the unquestionable results from that massive experiment.

It is also worth pointing out the correlation between drug abuse and addiction, and capitalist economics specifically. Whether it was colonial powers forcing opium on the Chinese masses who had nothing, in order to enslave them to their economic will, or it is modern Amerikan society indulging its alienation in the over-production of prescription pills from big pharmaceutical companies marketing medicine for a profit.

China Today

And now, opioid addiction is on the rise again in capitalist China after decades. A steady rise in drug-related arrests in China since 1990 are one indicator of the growing problem.(10) As more profits flowed into the country, so have more drugs, especially since the 1990s. We recently published a review of Is China an Imperialist Country?, where we lamented the loses suffered by the Chinese people since the counter-revolution in 1976. It goes to show that when you imitate the imperialists, and put advancing the productive forces and profits over serving the people, you invite in all the social ills of imperialism.

In China drug addiction has now become something that people fear. Like it did with its economy, China has followed in the imperialists' footsteps in how it handles drug addiction. Chinese policy has begun treating addicts as patients that need to be cured to protect society. Rather than seeing those who give up drugs as having defeated the oppressor's ways, they are monitored by the state, lose social credibility, and have a hard time getting a job.(11) Under socialism, everyone had a job and no one needed recreational drugs to maintain themselves mentally. The path to combating drug addiction and abuse is well-established. Attempts under imperialism that don't involve liberatory politics of the oppressed have little to no effect.

6 September 2017 – I am writing this letter to inform you of the recent adverse reactions of offenders to a new batch of a K2-styled substance. About a month ago a new batch of “2uece”, “K2” or “tune” arrived on the unit. I was in the prison chapel and overheard a conversation that 9 people that day had been taken away in an ambulance. A few days later I saw 2 people fall out at work in the kitchen after smoking it. The user will experience temporary paralysis, unable to move or even speak. Users will watch their “friends” pass out, then laugh at their friends and continue smoking the same K2. Another prisoner bragged to me of his smoking prowess. He said, “I already had 3 people who smoked this shit with me get stuck. They think they can smoke like me.” Later that day after having that conversation, that offender collapsed, unconscious and was rushed to medical. He may have died for all I know.

Then the next day as I was leaving the shower area, they shut down the hallway for an emergency and they were carrying 2 paralyzed prisoners to sickbay (medical). I personally have seen more than 20 people carried away in stretchers this past month. I would estimate well over a hundred people have been transported to the hospital due to this new K2. I further estimate 1/2 the entire unit are users. About 80% of the people I work with smoke. Unlike other products such as ice cream, that might get contaminated with listeria and recalled, with this so-called “2uece” there is no recall. People will continue to sell it and smoke it, and there will be more adverse reactions. Shame on the local media for not reporting this! Shame on TDCJ for not locking down the prison, instead being more concerned with the Estelle Unit textile plant profits!

MIM(Prisons) responds: In our survey of ULK readers about drugs in prison, K2 (Deuce, 2euce, Spice, or synthetic marijuana) stood out as the most popular drug. While in the chart below, other drugs aren’t too far behind in number of mentions, K2 was often highlighted as the #1 choice, with one Texas prisoner stating that everything else there is now irrelevant. Suboxone was the other one that really stood out, because it was less familiar and being reported a lot. Suboxone is actually used to treat drug addiction to opioids, but has more recently proven to be addictive itself even though it does not have the same effects on your body that opioids do.

The states of California, Nevada, Colorado and Georgia differed from the rest of the states in not really mentioning K2 or Suboxone. Instead in those states the combination of crystal meth (ice, sk8), heroin and alcohol were popular.

Many of these drugs are a serious health risk, and we address opioids in a separate article. However, K2 seems to deserve special attention right now due to the prevalence and risk. The risk is partially due to the variability in what you are getting when you purchase “K2”, as the comrade alludes to above. While it is referred to as “synthetic weed” because of the receptors in the brain that it acts on, it is very different from weed with very different effects. In the prisons where it was reported as easiest to get, our respondents reported death from drugs at their prison 50% of the time. In contrast, the prisons where K2 was not listed among drugs easiest to get death was only reported 19% of the time. This difference was statistically significant. While this correlation does not establish a definitive link with K2 as the cause of excess deaths, anecdotal responses like the reports above and below seem to indicate that is the case. In the last two years, news stories about group overdoses from bad batches of spice have become frequent. Our correspondents talk about people being “stuck” when they are on K2. This drug can be completely disabling and can lead directly to death.

The K2 epidemic is not limited to Estelle Unit, but is across the Texas Department of Criminal Justice (TDCJ) system, where our respondents consistently listed it as the most common drug. As the map above shows, the problem extends to many other states.

A comrade in Larry Gist Unit in Texas reported on 14 September 2017:

“I want to file a lawsuit against the Sr. Warden and American Correctional Association (ACA) who pass the Unit Larry Gist inspection because the speaker communication do not work and about 7 to 10 prisoners died smoking K2 from heart attack and other sickness. Speaker communication is very important and maybe if the speaker communication had been working 1, 2 or 3 of the prisoners that died could have been saved.”

A comrade at Telford Unit in Texas reported on 23 August 2017:

“My brothers in here have fallen victim to K2, which is highly addictive. They don’t even care about the struggle. The only thing on their minds is getting high and that sas. I mean this K2 shit is like crack but worse. You have guys selling all their commissary, radios, fans, etc. just to get high. And all these pigs do is sit back and watch; this shit is crazy. But for the few of us who are K2-free I’m trying to get together a group to help me with the struggle.”

We had a number of surveys filled out in Texas, all of which put the majority, if not all of the blame for the drugs entering the TDCJ on staff. Prisoners are a vulnerable population due to the degree of control that the state has over their lives. The injustice system leads to a disproportionate number of people in prison with substance abuse histories. It is completely irresponsible and tragic that people are then put in conditions where there is an epidemic of dangerous, unregulated drugs when they enter prison.

Under a socialist society, where we have a system of dictatorship of the proletariat, with those in power acting in the interests of the formerly oppressed peoples, individuals responsible for mass deaths through negligence or intentional actions will be brought to justice. Prison administrators who help bring in drugs known to kill people need to face the judgment of the people. These deaths are easily prevented.

In the meantime, we commend the comrades at Telford Unit who are starting to organize support for people to stay out of this epidemic that is affecting so many Texas prisoners. It is only by building independent institutions of the oppressed, which serve the people, that we can overcome this plague.

On 15 September 2017 my neighbor died smoking K2 and after the pigs saw I was the last person to speak with him they locked me up under investigation. The first interrogation was conducted by the Arkansas state pig and it seemed as if all was well. The next week another death, same cause. Then my neighbor's mom appeared on the news saying she was gonna get to the bottom of his death (apparently they told her he had a heart attack), and bring a lawsuit before the court.

So when the internal affairs came and conduct their interrogation the pressure had been put on ADC (Arkansas Department of Corrections) and the woman resorts to some dirty ass tactics as soon as I walk in. She starts by telling me she's been doing her thorough investigation and listening to my phone calls, and that she knows about my girlfriend that I tell that I love her and then call my wife and turn around and tell her the same. I ask her if it was some type of threat she was implying because what she was talking about had nothing to do with my neighbor's death. She then starts her backpedaling and starts questioning me about $ I had moved in the "free." That's where I decided to end our conversation.

Right before the time period for investigation ran out I received a disciplinary for possession of contraband even though I was never in possession of anything and it was at this point I realized ADC had their scapegoat in the form of myself. That week topped off with another death, same cause. That's 4 deaths from K2 in this prison within 90 days (there was one about a month before my neighbor).

I was found guilty in kangaroo court, given 30 days punitive and 60 days restriction on phone, visits, commissary. A few days later, the Arkansas state pig comes back. The only reason I could see was to fish for some more circumstantial evidence and bring some type of formal charges to cover ADC's ass. I've been in the hole for about 40 days now and as far as that situation, that's where things stand.

MIM(Prisons) adds: We just completed a survey of drugs in U.S. prisons, in which we found K2 to be the new dominant drug across much of the country. See our article on the K2 epidemic in Texas, where a similar rash of deaths have occurred.

Drugs in prison is a sensitive topic in the convict world. Being that I live in it and that I am STG'd out here in Arizona, I will refrain from speaking/writing about the illegal kind as here in solitary they are not as prevalent as they are out there on the yards. I will not lie though, and say that they are non-existent here, as all convicts know "where there is a will, there is a way." But what I mean is that there is no one all strung out or in debt and so forth.

The number one drug here is the pills that the contract medical provider, Corizon Health, Inc., is giving to everyone, i.e. the legal kind. These prescription drugs that come in the guise of treatment are what reigns supreme here in SMU. You don't even have to wait for visit on the weekends like on the yard. No way not here, here they are passed out on the daily, twice a day, even three times a day to some. These drugs are prescribed by so called "clinicians who use an evidence based approach to treat conditions such as yours which includes maximizing formulary medication use while providing safe and effective treatment," to quote Corizon staff verbatim. This is actually impossible as you cannot eyeball someone and use that as your evidence. That is just a guess, and not an educated one.

Now that they have taken actual pain medication, which is only gabapentin, a pill to treat nerve damage, Corizon staff have been directed to prescribe psych drugs in replacement. So instead of further treatment that include MRIs, EMG treatment, physical therapy, or a range of other options, they are taking away a drug that works, to prescribe you an anti-depressant for pain management as if the depression from you being here was causing you pain and not the stenosis in your neck, AC joint separation, nerve damage, etc. This psych med is like the commercials that you see on TV where the side effect is diarrhea, headache, etc.

The system gives you these legal drugs instead of approving further treatment because MRIs cost money, and outside care visits cost money. So they want you on psych meds to have you walking around like a zombie or not so depressed from being STG'd and housed in solitary. Even the law firms and organizations representing us in Parsons v. Ryan are aware, yet choose to do nothing. Corizon staff and Arizona Department of Corrections (ADC) staff actually tell you to seek outside legal representation, like a dare! But while all we want is to be treated for our injuries and not drugs, ADC will not step in nor will our so-called legal team. Instead, our drugs at this unit are more habit-forming and more highly accessible than the illegal kind, and will continue to be supplied by our very own med provider Corizon, and all legally.

ADC will just allow this to continue to take place and protect their mule, Corizon, just like the drug cartels in the motherland. This is ADC's "plaza" and Corizon will continue to funnel drugs all over the state of Arizona, not through tunnels, planes, boats, or on foot but right through the front gate with a badge and a greeting, service with a smile!

MIM(Prisons) responds: This writer brings up an important point about drugs in prison. The problem isn't just illegal drugs numbing minds and harming bodies, it's also legal drugs being prescribed by the prison medical teams to keep the population pacified. This pacification happens through the action of anti-depressants and anti-psychotics, which can dull all emotions, and also through addictive drugs like pain meds. Instead of treating the real problems, both physical and emotional, that are caused by years of living in the harmful conditions of Amerikan prisons, prison medical staff just treat the symptoms, if they offer any treatment at all.

From the capitalist perspective, in the short term providing inadequate health care and getting people addicted to pacifying drugs is an effective way to control costs and control the prison population. But in the long term this makes no sense, even for the capitalists. Health problems left untreated will only get worse as people age, and become more expensive to deal with. Further, releasing prisoners addicted to pain killers or other drugs does not lead to productive life on the streets.

This only makes sense in the context of a criminal injustice system that wants to maintain a revolving door of an expanding prison population. One that doesn't care if prisoners live or die, as long as they stay passive. While it may be true that cost is part of the reason good treatment isn't provided, Amerikans are happy to spend lots of money on prisons in general. Spending all that money is justified because the prisons provide an effective tool of social control, targeting oppressed nations and all who resist the capitalist system. The drugs given to prisoners behind bars are just one part of that control.

[Co-authored with PTT of MIM(Prisons)]

Nowhere is the necessity for the societal advancement to communism more apparent than in the realm of disability considerations. No segment of society, imprisoned or otherwise, is in greater need of the guiding communist ethos proclaimed by Marx: "From each according to their ability, to each according to their need." This humynist principle applies to no demographic more than the disabled.

When communist society is realized, the intrinsic worth of each and every persyn and their potential to contribute to society will be realized as well. In return, communist society will reward the disabled population by adequately providing their essentials and rendering all aspects of society open and accessible for their full utilization. In a phrase, communism will respect the disabled persyn's humyn right to a humane existence. We communists strive for the elimination of power structures that allow the oppression of people by people. The disabled population, as well as all peoples that have hystorically been subjugated by the oppressive bourgeois system of capitalism/imperialism, can then work toward the implementation of a truly democratic society.

Considering MIM(Prisons) recognizes only three strands of oppression in the world today (nation, class and gender), able-bodiedness is a cause and consequence of class, and in countries with more leisure-time it is intimately tied up in the gender strand of oppression. This essay intends to analyze disability as it relates to class, gender, and the prison environment.

Disability and Class

In the United $tates the greatest source of persynal wealth is inheritance. It can be said the ability to create and maintain able-bodiedness may be inherited also. For the most part, class station is determined by birth. By virtue of to whom and where a persyn is born, their access, or lack thereof, to material resources is ascribed. The bourgeoisie and labor aristocracy have access to nutrition and healthcare the First World lumpen and international proletariat and peasantry do not. The likelihood of a positive health background renders the labor aristocracy and other bourgeois classes attractive prospects to potential employers, lenders, etc. This allows them to continue to enjoy nutrition and healthcare not common to the lumpen, proletariat, and peasantry.

It would be extremely uncommon to find a First World lumpen, an international proletarian, or a peasant with a membership to a health and fitness club. This privilege is reserved for the bourgeois classes, including the petty-bourgeoisie and its subclass the labor aristocracy. This, of course, further enhances the prospect of maintaining good health, and compounded with employer-supplied healthcare, does act as prophylaxis against the onset of debilitating and degenerative physical ailments.

It would be unreasonable to ignore the possibility that a member of the bourgeoisie might be genetically infirm, or a labor aristocrat debilitated by an accident. But, due to their class position, these classes are better prepared and equipped to minimize the adversities resulting from such an unfortunate occurrence.

Able-bodiedness may also affect upward class mobility. An able-bodied First World lumpen that can find employment might enter the ranks of the labor aristocracy. A blue collar labor aristocrat may be promoted to a managerial position, and so forth. Of course other factors, such as national background, do play a role in one's mobility (or stagnation for that matter), but disability also plays a significant role.

Disability and Gender

Gender only comes to the fore after life's essentials are secured, thereby standing out in relief on its own aside from class/nation. In the First World leisure-time plays a major role in gender analysis. MIM(Prisons) defines "gender" as:

"One of three strands of oppression, the other two being class and nation. Gender can be thought of as socially-defined attributes related to one's sex organs and physiology. Patriarchy has led to the splitting of society into an oppressed (wimmin) and oppressor gender (men).
"Historically reproductive status was very important to gender, but today the dynamics of leisure-time and humyn biological development are the material basis of gender. For example, children are the oppressed gender regardless of genitalia, as they face the bulk of sexual oppression independent of class and national oppression.
"People of biologically superior health-status are better workers, and that's a class thing, but if they have leisure-time, they are also better sexually privileged. We might think of models or prostitutes, but professional athletes of any kind also walk this fine line. ... Older and disabled people as well as the very sick are at a disadvantage, not just at work but in leisure-time. ..." - MIM(Prisons) Glossary

This system of gender oppression is commonly referred to as "patriarchy," which MIM(Prisons) defines as:

"the manifestation and institutionalization of male dominance over wimmin and children in the family and the extension of male dominance over wimmin in society in general; it implies that men hold power in all the important institutions of society and that wimmin are deprived of access to such power."(1)

Professor bell hooks's description of patriarchy in eir work The Will to Change: Men, Masculinity, and Love has also contributed to this author's understanding of gender oppression:

"Patriarchy is a political-social system that insists that males are inherently dominating, superior to everything and everyone deemed weak, especially females, and endowed with the right to dominate and rule over the weak and to maintain that dominance through various forms of psychological terrorism and violence."(2)

Professor hooks's definition of patriarchy not only recognizes terrorism as a patriarchal mechanism, but that patriarchal forces do not intend only to oppress, dominate, and subjugate females or even just females and children, but patriarchy's pathology is to hold down anything it regards as weaker than itself. Patriarchy is a bully.

Children are one of the most stigmatized and oppressed groups of people in the world. Patriarchal society considers children physically disabled due to their undeveloped bodies and therefore susceptible to patriarchal oppression — regardless of the biology of the child. This firmly places children in the gender oppressed stratum. Due to disabled people's diminished bodies (and/or cognizance), disabled people can be categorized similar to children subjected to patriarchy, ergo, disability falls into the gender oppression stratum as well as class.

Patriarchy and Prisons

U.$. prisons are, from top to bottom, patriarchal structures. Prisons are institutions where the police, the judiciary, and militarization have crystalized as paternalistic enforcer of bureaucracies of patriarchy; prisons, the system of political, social, cultural and economic restraint and control, are fundamentally patriarchal institutions implemented to enforce the status quo — including patriarchal domination. Disabled prisoners in Texas have long been labeled "broke dicks," illustrative of their "less-than-a-man" status in the prison pecking order.

There are laws mandating disabled prisoners not be precluded from recreational activities, or any other prison activity for that matter. Yet enforcement of these laws are prohibitively difficult for disabled prisoners, especially prisoners with vision or hearing disabilities, or cognitive impairments. The disabled have few advocates in bourgeois society; they have virtually none in prison.

The likelihood that prison officials discriminate against and abuse disabled prisoners is readily apparent. What is most disheartening is able-bodied prisoners are often the perpetrators of mistreatment against disabled prisoners, frequently at the behest of prison administrators so as to procure favorable treatment. In fact, the most telling aspect of the conditions of confinement imposed on disabled prisoners is the abuse of the disabled prisoners at the hands of able-bodied prisoners. The able-bodied prisoners are quick to manhandle and overrun disabled prisoners in obtaining essential prison services which are commonly inadequate and limited. When queued up for meals, showers, commissary, etc. the able-bodied prisoners will shove and elbow aside disabled prisoners; will threaten to assult disabled prisoners; and have in fact assaulted disabled prisoners should they complain or protest being accosted in such a fashion. All this invariably with the knowledge and/or before the very eyes of prison administrators and personnel.

It is far too common for the victims of sexual harassment and assault in prisons to be gay, transgendered, and/or disabled. Whether the perpetrator be prison officials or fellow prisoners, this practice is condoned by the culture of patriarchy and the hyper-masculine prison environment.

Since the PJL's report and subsequent Department of Justice investigation, there has been a bit of a detente in the abuse visited upon disabled Estelle prisoners by prison personnel. But the pigz are barely restrained. Threats of physical violence directed at disabled prisoners are still a regular daily occurrence, and prison personnel assaults on disabled prisoners are still far too common.

Another recent example of the persistent difficulties disabled prisoners face, even with the courts on their side, can be seen in the American Civil Liberties Union's (ACLU) recent settlement negotiated with the Montana Department of Corrections (MDC), after it neglected to fulfill Americans with Disabilities Act (ADA) requirements from a 1995 settlement, Langford v. Bullock. In 2005, the ADA requirements were still not met, and despite the Circuit Court's order requiring Montana to comply with the 1995 settlement, it is not until 2017, and much advocacy later, that negotiations are being finalized between the ACLU and MDC. We can't dismantle systems of gender oppression one quarter-century-long lawsuit at a time. That's why MIM(Prisons) advocates for a complete overthrow of patriarchal capitalism-imperialism as soon as possible.

Another patriarchal aspect to be observed in prisons is ageism. As children are included in the gender-oppressed stratum, so should the aged. As the able-bodied prisoners' ability to work subsides due to age in the First World, especially in the United $tates where the welfare state is minuscule and the social safety net set very low, the propensity for a once able-bodied persyn to be relegated to the ranks of the lumpen is intensified. As the once able-bodied persyn becomes aged and disabled, their physical, as well as mental, health becomes more and more jeopardized, accelerating the degeneration of existing disabilities as well as increasing the likelihood of creating the onset of new ones (e.g. the First World lumpen are notorious for developing diabetes due to poor diet and lifestyle issues).

Disability as a Means of Castration

Holding people in locked cages is an acute form of social control. Solitary confinement creates long-lasting psychological damage. And prison conditions in general are designed (by omission) to create long-lasting physical damage to oppressed populations. Prisons are a tool of social control, and exacerbating/creating disabilities is a way prisons carry this through in a long-term and multi-generational fashion.

Prisoners, who are a majority lumpen population, are likely to already have unmet medical needs before entering prison, as described above in the section on class. Then when in prison, these medical needs are exacerbated because of the bad environment (toxic water, exposed asbestos, run down facilities, etc.); brutality from guards and fellow prisoners; poor medical care including untreated physical traumas, improper timing for medications (see article on diabetes), and just straight up neglect.

Mumia Abu-Jamal's battle to receive treatment for hepatitis C, which ey contracted from a tainted blood transfusion ey received after being shot by police in 1981, is a case in point. Mumia belongs to an oppressed nation, is conscious of this oppression, has fought against this oppression, and thus is last on the priority list for who the state of Pennsylvania will give resources to. And medical care under capitalism is sold to the highest bidder, with new drugs which are 90% effective in curing hepatitis C coming with a price tag of $1,000 per day. In a communist society these life-saving drugs will be free to all who need them.

Disability in the Anti-Imperialist Movement

The fact that people with disabilities will be treated better after we take down capitalism is obvious. Our stance on discrimination against people with disabilities in our society today is obvious. What is less obvious is the question of how we can incorporate people with disabilities into the anti-imperialist movement today, while we are so small and relatively weak compared to the enemy that surrounds us. This is an ongoing question for revolutionaries, who are always pushing themselves to be stronger, better, and more productive. After all, there is an urgency to our work.

Our militancy tends to be inherently ableist. With all the distractions and requirements of living in this bourgeois society, we have precious little time to devote to revolutionary work. We are always on the lookout for things and people that are holding us back and wasting our time, and we work diligently to weed these things and people from our lives and movement. Often when people aren't productive enough, due to mental or physical consequences of capitalism and national oppression, we can't do anything to help them — especially through the mail. No matter how sympathetic people are to our politics, and how much they want to contribute, we just don't have the resources to provide care that would help these folks give more to overthrowing imperialism. Often times all we can do is use these anecdotes to add fuel to our fire.

Disabilities amongst oppressed people are intentionally created by the state, and a natural consequence of capitalism. If we don't take any time to work with and around our allies' disabilities, then we are excluding a population of people who, like the introduction says above, are in the greatest need of a shift toward communism. We aim to have independent institutions of the oppressed which can help people overcome some of these barriers to political work. At this time, however, the state is doing more to weaken our movement in this regard than we are able to do to strengthen it.

[Of note, the primary author of this article has devoted eir life to revolutionary organizing in spite of being imprisoned and with multiple physical disabilities. Even though it is extremely difficult to contribute, it is possible!]

Title II The Americans with Disabilities Act (ADA), codified as Title 42 of the United States Code, Section 12131 (42 USC §12131, herein after §12131), applies to "any State or local government, any department, agency, special purpose district, or other instrumentality of a State or States or local government..." (§12131[1][A][B]). The ADA defines a "qualified individual with a disability [as] an individual with a disability who, with or without reasonable modifications to rules, policies, or practices, the removal or architectural, communication, or transportation barriers, or the provision of auxiliary aids and services, meets the essential eligibility requirements for the receipt of services or the participation in program or activities provided by a public entity."(§12131[2]).

Disabled prisoners in state facilities come under the auspices of ADA provisions.

"[S]tate prisons fall squarely within definition in 42 USCS §12131(1)(B), of 'public entity' subject to Title II, (2) text of ADA provides no basis for distinguishing recreational activities, medical services, and educational and vocational programs provided to prison inmates from 'services, programs, or activities' provided by other public entities ...[.] [T]itle II's definition of 'qualified individual with disability' [...] which refers to 'disability' requirements and 'participation' in programs, does not exclude prisoners."(Pennsylvania Department of Corrections v. Yeskey, 118 S.Ct. 1952)

In the landmark case Ball v. LeBlanc, 792 F.3d 584, the U.S. Court of Appeals for the 5th Circuit held: Under the ADA, Louisiana state prisoners on Angola's death row were to be considered disabled if:

"[They have] 'a physical or mental impairment that substantially limits one or more major life activities.' (42 U.S.C. § 12102[1][A]). The statute defines a major life activity in two ways. First, major life activities include, but are not limited to: caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, thinking, communicating, and working.

"Second, a major life activity includes 'the operation of a major bodily function.' Such functions include, but are not limited to: the immune system, normal cell growth, digestive, bowel, bladder, neurological, endocrine, and reproductive functions. The prisoners can prove themselves disabled if their ailments substantially limit either a major life activity or the operation of a major bodily function."(42 U.S.C. § 12102 [2][A][B])

The ADA requires prison officials to reasonably accommodate disabled prisoners in regard to all activities afforded able-bodied prisoners. "[D]eliberate refusal of prison officials to accommodate inmate's disability-related needs ([in] virtually all [ ] prison programs) constituted exclusion from participation in or denial of benefits of prison services, programs, or activities. '[P]ublic entity' under 42 USCS §12131(1) includes prisons."(United States v. Georgia, 126 S.Ct. 877; Loye v. County of Dakota, 625 F.3d 494)

Though the ADA bestows on disabled state prisoners the right to reasonably participate in all prison activities, probably of paramount importance to disabled prisoners is participation in requisite programs that must be attended per consideration for early release from prison to limited liberty on parole. The ADA ensures disabled prisoners access to these activities as well.(United States v. Georgia, supra.; Yeskey, supra.; Jaros v. Illinois Department of Corrections, 684 F.3d 667; Gorman v. Bartch, 152 F.3d 907; Paulone v. City of Frederick, 787 F.2d 360; Raines v. Florida, 983 F. Supp. 1362)

An organizational tactic that disabled prisoners might employ in combating discriminatory exclusion from prison programs, activities, and/or services, could be to pursue litigation as a class, or group, of plaintiffs pursuant to Federal Rule of Civil Procedure (FRCP) Rule #23. To identify as a class, disabled prisoners must establish "numerosity, commonality, and typicality."(Kerrigan v. Philadelphia Board of Elections, 248 FRD 470; Marcus v. Department of Revenue, 206 FRD 509)

In short, a contingent of disabled prisoners must convince the Federal court there is a significant number of "similarly situated" prisoners being denied their rights and entitlements guaranteed by the ADA, thereby identifying a class the court can certify as such.(Armstrong v. Schwarzenegger, 261 FRD 173) Once a class has been certified, any injunctive relief enforcing the ADA encompasses all prisoners identified as the class of prisoner plaintiffs.(Schwarzenegger, supra; Benjamin v. Department of Public Welfare, 807 F.Supp.2d 201)

Monetary damage awards can be obtained if the state actors are deliberately indifferent to prisoners' disability or if violations of the ADA are intentional.(United States v. Georgia, supra; Tennessee v. Lane, 124 S.Ct. 1978; Panzardi-Santiago v. University of Puerto Rico, 200 F.Supp.2d 1).

The ADA enjoins prison systems to provide disabled prisoners auxiliary or adaptive aid devices ensuring disabled prisoners are reasonably able to participate in prison programs, activities, and/or services. (Robertson v. Las Animas County Sheriff's Department, 500 F.3d 1185). This means if you are disabled or impaired as recognized per the provisions of the ADA, the state must provide you with implements and apparatus so as to assist you in participating in common daily and required programmatic activities.

In sum, to prevail on an ADA violation claim, a disabled state prisoner would submit to a Federal district court with jurisdiction a civil rights violation complaint pursuant to 42 USC §1983 (United States v. Georgia, supra) (a §1983 form can be obtained from the clerk in the district in which the civil suit is to be filed) citing §12131 as statutory provision authorizing the claim. In the complaint a prospective plaintiff must show they are a qualified person with a disability, they were excluded from participation in or denied benefits of a prison system's programs, activities, and/or services, and the exclusion and/or denial of benefits was due to the prisoner's disabilities.(United States v. Georgia, supra; Panzardi-Santiago, supra; Constantino v. Madden, 16 FLW Fed D 321)

Prison administrators are to be trained, and to train or to have trained prison officials and personnel that are to supervise and have contact with disabled prisoners.(Gorman, supra) Moreover, it is important disabled prisoners be aware non-medical prison officials can in no way supersede any medical directive affecting a prisoner's disability or accommodation thereof. (Chisolm v. McManimon, 275 F.3d 328; Beckford v. Irvin, 49 F. Supp. 2d 170; Saunders v. Horn, 959 F. Supp. 689; Arnold on Behalf of H.B. v. Lewis, 803 F. Supp. 246)

The above is a very brief and truncated overview of the ADA as it applies to state prisoners and should not be construed as a comprehensive examination of disability law as it pertains to prisoners. This article is no more than a primer meant to initiate disabled prisoners with their legal rights and remedies. If a disabled prisoner is experiencing abuse and discrimination at the hands of prison officials, the disabled prisoner should take it upon themselves to research pertinent precedents and authorities necessary in remedying the situation and pursue those via the various avenues of relief.

The U.S. Department of Justice provides a free 211 page booklet entitled "ADA Title II Regulations: Non-discrimination on the Basis of Disability in State and Local Government Services." The booklet can be had in large print, audiotape, Braille, and DVD. The booklet can also be provided in Cambodian, Chinese, Hmong, Japanese, Korean, Laotian, Spanish, Tagalog and Vietnamese. Or it could be, that is until the Jingoist xenophobe Trump took the imperialist helm. The DOJ can be contacted at:

U.S. DOJ
Civil Rights Division
Disability Rights Sec.
950 Pennsylvania Ave, NW
Washington, DC 20530

There are a number of non-governmental organizations that assist disabled prisoners on a pro bono basis. The DOJ can provide contact information for disability rights advocates in your area.

Finally, the law library at your facility may have available for review the annotated version of §12131. This annotated edition of Title II of the ADA provides synoptic court rulings of the rights afforded disabled prisoners.

Very important is to document and keep records of all acts of disability discrimination and violations of the ADA — incidents, names, dates, witnesses, etc. This can best be accomplished via the administrative grievance procedure at your prison, while at the same time executing the required exhaustion of administrative remedies prior to filing suit.

In closing, it is my sincere desire that this overview proves to be of effective utility to those disabled prisoners facing the barbarous conditions of existence imposed on them by the enforcers of the carceral state.

To any able-bodied prisoners that may read this brief overview, I would remind you, an injury to one is an injury to all!

For diabetic prisoners, prisons can perform up to 5 fingersticks and insulin administrations per day. A problem is some prisons have blanket policies of only 2 fingersticks and insulin administrations per day, and diabetics are frequently and indiscriminately transferred out to these prisons even though more than 2 fingersticks/insulin administrations per day are necessary to adequatly control their diabetes.

I think the medical treatises, and the other sources cited in the enclosed hand copy of the grievance I have recently filed at my prison will enable diabetic prisoners, as well as prison administrators who are not medical professionals (i.e. the warden, etc.), to recognize when a 2-fingerstick policy is an inadequate regime of treatment.

I also think the illustration of how diabetes and extremely elevated glucose levels harms the body (as evidenced by levels over 300 points, and the accompanying signs and symptoms of elevated glucose) is enough of a showing of physical injury to satisfy the Prisoners' Litigation Reform Act's (PLRA's) "physical injury" requirement necessary to allow a prisoner afflicted by this type of policy to recover additional damages for mental and emotional injury (42 U.S.C.A. Section 1997e(e)).

I am requesting you publish this information so that other prisoners throughout the country will know when their care is lacking and how to pursue proper treatment, through litigation if necessary.

Description of Incident

I am an insulin-dependent diabetic. Lunch is served for diabetics at 12:45 - 13:15 hrs. This is according to the Building Schedule. Like most other diabetics who require 70/30 type insulin, this schedule is too far outside the time frame my pre-breakfast injection of insulin works to lower my lunchtime glucose (by fingerstick at 17:00-18:30 hrs Diabetic Clinic). This is evidenced by the extremely elevated pre-supper glucose level in the 300s, 400s, and 500s. To prevent this, at all the other prisons I've been served lunch from 10:45-11:50 hrs. This is closer to the window period 70/30 insulin is effective to lower lunchtime glucose within. This was evidenced by a lowered pre-supper-time glucose level in the 200s, 100s, and below 100 points. (70/30 insulin is 70% intermediate-acting insulin and 30% short-acting insulin.)

I wrote a grievance on this problem, using information from the Prisoners Diabetes Handbook distributed by Southern Poverty Law Center, and Diabetes Solution by Jorge E. Rodriguez, M.D. On 28 December 2016 Counselor Johnson proofread my grievance for technical compliance before accepting it for processing. I will keep your staff at MIM(Prisons) informed of further developments regarding this.

Diabetes Summary

I also included in my grievance the following information so prison staff can understand the time frames insulin works within. There are 3 characteristics of insulin: onset (when the insulin starts to work), peaks (when the insulin is working the hardest), and duration (how long the insulin works for). The 70/30-type insulin I require is a mixture of 70% intermediate-acting insulin and 30% short-acting insulin. If you take short-acting (regular) insulin, and intermediate-acting (NPH) insulin, you need to eat on time by matching your meals to your insulin injections, so your insulin is peaking at the same time your glucose from your meals is peaking. Here are the time frames of 70/30 insulin:

For me, as for many of the other diabetics who require 70/30 insulin, regular peaks about 3 hours after injection. (This is also the same time my glucose from meals is also peaking.) The NPH component peaks about 5-6 hours after injection. This was about the same time all the other prisons I've been to serve lunch. This was an adequate enough time frame to allow the insulin to lower my lunchtime glucose, measured by fingerstick at suppertime. But here at Riverbed Correctional Facility (RCF) lunch is served too far outside the peak performance cycle to lower my glucose at supper time.

The following information is from Diabetes Solution by Jorge E. Rodriguez, M.D., and my past conversations with diabetes specialists and educators, including this prison's own diabetes education facilitator, Registered Nurse Colin.

When you eat, food is broken down to the blood sugar, called glucose, which then enters the bloodstream where cells use it as food for energy. This process is called glucose-cell metabolism, and it can not occur without the hormone insulin. Insulin is made in the pancreas. Diabetes occurs when the pancreas either doesn't make any insulin, doesn't make enough insulin, or for other reasons the body cannot use its own insulin properly. When this happens glucose starts building up in the blood instead. Diabetes is defined as a fasting glucose level over 125 points, or a random glucose level over 200 points.

Diabetes harms the body in the following way: A glucose molecule looks like a ball made of many sharp points. In high levels the points become abrasive which damages the insides of the veins of the cardiovascular system, kidneys, eyes, etc., causing heart disease, kidney disease, blindness, etc. When glucose becomes this dangerously elevated, the body will attempt to pass it off in the urinary tract. A sign of this is frequent urination. Other symptoms of glucose having become this high are blurry vision, extreme hunger right after eating, dry mouth, thirst, etc. This is happening to me right after lunch at this prison. These symptoms persist until my next shot of insulin begins peaking, 3 hours after supper time insulin administration. A sign I am suffering kidney damage is I can feel my kidneys since I've come to this prison.

MIM(Prisons) responds: This writer is setting a good example for others of sharing knowledge and work ey is doing to help others. Individual medical battles like this one are important for the survival of the individual, and we can make the impact much broader by writing up our successes and failures, documenting information needed by others, and building a movement capable of saving lives while organizing to ultimately dismantle this system of dangerous oppressive criminal injustice.

In response to the article in ULK 55 titled "Correction to Deadly Heat in Louisiana Article," I am equally compelled to struggle my point across to my Texas comrade and all other comrades within the jurisdiction of the 5th Circuit. Our Texas comrade has committed the error of "seeing only a tree instead of the forest," please allow me to explain.

While it is correct that the 5th Circuit remanded the case back to the District Court with an order to apply the injunction to only the three plaintiffs in Angola's death row – Ball, Magee and Code – if one would read and digest the discussion of the 5th Circuit's ruling then one would see that it is obvious that in order for "all" prisoners to receive this relief then "all" prisoners would have to file! And I am fairly sure that most comrades can "come up" with a medical condition! In section 3 of the opinion under "disability claims" the court stated in the last paragraph that because the plaintiffs failed to properly introduce their ADA claims that it was fatal as to that claim, therefore "reading between the lines" one can grasp the nugget of wisdom!

So in conclusion there has been and is a victory against the deadly heat in Louisiana, so I urge all comrades to flood the courts with their own "personal" suits and bypass the stacked deck of the PLRA, entiendes? Please read the "entire" case with footnotes etc.: it was declared that the heat can be a violation of the Eighth Amendment. (The ADA provides "endless" major life activities and functions so everyone can find a niche). So if the heat is a violation of a federal right then – (quote from opinion) "such relief shall extend no further than necessary to correct the violation of the federal right of a particular plaintiff or plaintiffs!"

Be that plaintiff!

Please read the case: Elzie Ball, et al. v. James M. Leblanc, et al. U.$. District Court for the Middle district of Louisiana, 988 F. Supp. 2d 639; 2013 U.S. Dist. LEXIS 178557 Civil Action No.: 13-00368-BAJ-SCR. This is on order from Ball v. Leblanc, 792 F.3d 584, 2015 U.S. App. LEXIS 11769 (5th Cir. La. 2015).

MIM(Prisons) responds: In "Correction to Deadly Heat in Louisiana Article", another writer responded to this writer's original article on this lawsuit from ULK 53. The responder pointed out that the 5th Circuit Court's decision only afforded people with pre-existing medical conditions relief from the dangerous heat in Louisiana prisons. And so ey clarified that the ruling does not automatically apply to all of Louisiana's death row. We are glad that both writers chimed in on the topic, to clarify the ruling and the suggested tactics.

We need to think creatively about how to use this court decision to expand protections to anyone with any medical condition. In conditions like this that are truly dangerous (as we approach summer once again) we encourage people to follow this comrade's lead and look for ways to use the legal system to improve safety of your conditions.

Perhaps others will disagree with this tactic and propose other better uses for people's time and legal research. It's slow to engage in debate through the pages of a bi-monthly newsletter like Under Lock & Key but this is beneficial to all readers and a part of the unity-criticism-unity process. It's a healthy debate over tactics that will keep pushing our work forward, so write to us and let us hear your thoughts.

I am writing with a texa$ prison medical copay update. Here on the Alfred D. Hughes plantation, the medical department's Senior Practice Manager Valencia Pollard-Fortson's attitude is that every procedure is a valid charge. Aspirin, bandaids, blood sugar checks, clipper shave, whatever. You're going to be charged $100. Her idea is if you charge 10 people a day for sick call, that's $900. Because only one will do the paperwork for 90 days to get his money back. Now they've gone a farther step.

In Ad-Seg/SHU building, we cannot buy fingernail clippers off store. To be caught with a pair is a major offense. We have to submit a sick call request to medical to trim our nails. Even diabetics who must keep toenails trimmed. Well, that sick call costs $100.

Say January 1st you go to medical for chronic care. It's charged $100. Then you go January 15th and again January 28th. You file a grievance Step One with medical about copay of January 1st. It's denied February 10th. You file a Step Two appeal to Regional Medical Supervisor. It's granted March 13th. Your monthly invoice will not show up until April 15th showing March 13th $100 was refunded for medical copay of January 1st. BUT a new charge for January 15th appears and the $100 is taken on March 13th. You start all over again, stretching out for months just like I'm doing now on a charge from March 2016. These pigs are determined to keep your money.

MIM(Prisons) responds: There are many tactics the state uses to enact medical neglect, and to create and exacerbate long-term health problems for prisoners. In some states they just throw the sick call in the trash. But in Texas they are frustrating people using the financial angle. Our Texas Campaign Pack has instructions for how to fight against the $100 medical copay. We can use this information to make ourselves a little bit stronger while we struggle to overthrow the horrible social and economic system that makes such an exorbitant copay possible in the first place.