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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2007.123265v1 99/6/988    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Shalev, N. Search for Related Content PubMed PubMed Citation Articles by Shalev, N. Related Collections Social Science Access to Care Quality of Care History Urban Health

Noga Shalev, MD

At the time of the study, Noga Shalev was with the Department of Medicine, Montefiore Medical Center, Bronx, NY.

Correspondence: Requests for reprints should be sent to Noga Shalev, MD, Division of Infectious Diseases, Harkness Pavilion 6, Columbia University Medical Center, 622 W 168th St, New York, NY 10032 (e-mail: nos9021{at}nyp.org).

Over the past 25 years, incarceration rates in the United States have more than tripled. Providing health care services for this growing number of inmates poses immense medical and public health challenges. Focusing on the administrative and financial shifts in health care delivery, I examined the history of medical services in one of the nation's largest correctional facilities, Rikers Island in New York City. Over time, medical services at Rikers have become increasingly privatized. This trend toward privatization is mirrored nationwide and coincides with the rising prevalence of incarceration.