[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:30.08,0:00:32.82,Default,,0000,0000,0000,,Hello everyone. I'm Joanne Faryon. Dialogue: 0,0:00:32.82,0:00:35.13,Default,,0000,0000,0000,,Welcome to this Envision special Dialogue: 0,0:00:35.13,0:00:37.01,Default,,0000,0000,0000,,Life In Prison Dialogue: 0,0:00:37.01,0:00:41.72,Default,,0000,0000,0000,,About one in five of all inmates in California are serving life sentences. Dialogue: 0,0:00:41.72,0:00:48.45,Default,,0000,0000,0000,,Combined, they could potentially cost taxpayers in this state $140 billion Dialogue: 0,0:00:48.46,0:00:50.05,Default,,0000,0000,0000,,over the course of their sentences. Dialogue: 0,0:00:50.05,0:00:55.05,Default,,0000,0000,0000,,Lifers are getting more expensive because they're aging in prison and rarely paroled. Dialogue: 0,0:00:55.05,0:00:59.01,Default,,0000,0000,0000,,It's all adding up to record health care costs for inmates. Dialogue: 0,0:00:59.02,0:01:04.03,Default,,0000,0000,0000,,Tonight, we explore the cost of California's tough on crime legislation. Dialogue: 0,0:01:04.03,0:01:09.06,Default,,0000,0000,0000,,It's lead to so much overcrowding in state prisons the federal courts have stepped in. Dialogue: 0,0:01:09.07,0:01:12.04,Default,,0000,0000,0000,,You'll meet some lifers - men who were sent to prison Dialogue: 0,0:01:12.04,0:01:16.05,Default,,0000,0000,0000,,when Lyndon B. Johnson was president and they're still there. Dialogue: 0,0:01:16.06,0:01:21.19,Default,,0000,0000,0000,,This is not a report on whether they should be paroled - it is an examination Dialogue: 0,0:01:21.19,0:01:25.42,Default,,0000,0000,0000,,of how much it costs to lock people up and rarely let them out. Dialogue: 0,0:01:25.42,0:01:30.62,Default,,0000,0000,0000,,Especially when locking them up means you're responsible for their healthcare. Dialogue: 0,0:01:46.55,0:01:50.04,Default,,0000,0000,0000,,At first glance this could look like a nursing home. Dialogue: 0,0:01:50.06,0:01:54.92,Default,,0000,0000,0000,,The wheelchairs and walkers have a way of fooling you. Dialogue: 0,0:02:03.06,0:02:09.01,Default,,0000,0000,0000,,This is the California Medical Facility, one of California's 33 prisons. Dialogue: 0,0:02:09.01,0:02:12.32,Default,,0000,0000,0000,,CMF operates the largest prison hospital. Dialogue: 0,0:02:12.32,0:02:18.07,Default,,0000,0000,0000,,It's where many of the states old, sick and dying inmates will end up. Dialogue: 0,0:02:18.07,0:02:23.23,Default,,0000,0000,0000,,And these days, those old and sick inmates are growing in number. Dialogue: 0,0:02:41.09,0:02:47.03,Default,,0000,0000,0000,,California faces a problem that touches nearly every aspect of society - Dialogue: 0,0:02:47.03,0:02:53.01,Default,,0000,0000,0000,,from our economy to our safety to our health - one that forces us to take sides Dialogue: 0,0:02:53.01,0:02:55.06,Default,,0000,0000,0000,,between punishment and redemption. Dialogue: 0,0:02:55.06,0:02:58.03,Default,,0000,0000,0000,,We've too many men and women in our prisons. Dialogue: 0,0:02:58.03,0:03:03.04,Default,,0000,0000,0000,,The statistics say so, and so did a federal court in 2002. Dialogue: 0,0:03:03.04,0:03:09.40,Default,,0000,0000,0000,,There are 170,000 inmates in prisons that were built for 100,000. Dialogue: 0,0:03:09.40,0:03:12.10,Default,,0000,0000,0000,,One in five serving life sentences. Dialogue: 0,0:03:13.02,0:03:15.03,Default,,0000,0000,0000,,TERRY CAMPBELL (Inmate): My name is Terry Campbell. Dialogue: 0,0:03:16.03,0:03:21.45,Default,,0000,0000,0000,,I'm in prison for murder, first-degree murder, and I've been in prison for 44 years. Dialogue: 0,0:03:21.45,0:03:27.44,Default,,0000,0000,0000,,GLENDA VIRGIL (Inmate): "My name is Glenda Virgil, and I'm serving a 15-to-life sentence. Dialogue: 0,0:03:27.44,0:03:30.04,Default,,0000,0000,0000,,I've been here 23 years. Dialogue: 0,0:03:30.04,0:03:31.08,Default,,0000,0000,0000,,--And how old are you? Dialogue: 0,0:03:31.08,0:03:33.33,Default,,0000,0000,0000,,And I'm 63 years old. Dialogue: 0,0:03:33.33,0:03:38.04,Default,,0000,0000,0000,,RICHARD LAURENZANO (Inmate): Being 62 in prison is a struggle, it's a struggle. Dialogue: 0,0:03:38.04,0:03:39.01,Default,,0000,0000,0000,,--Why? Dialogue: 0,0:03:39.07,0:03:47.08,Default,,0000,0000,0000,,Well, first of all the reflection of losing 27 years of your life but you get sicker. Dialogue: 0,0:03:48.00,0:03:51.50,Default,,0000,0000,0000,,--Richard Lauranzano represents the fastest growing segment Dialogue: 0,0:03:51.50,0:03:55.01,Default,,0000,0000,0000,,of the inmate population: men over 50. Dialogue: 0,0:03:55.01,0:03:57.05,Default,,0000,0000,0000,,He's also among the most expensive. Dialogue: 0,0:03:57.05,0:04:02.64,Default,,0000,0000,0000,,He's been sick and has been treated at hospitals outside the prison system. Dialogue: 0,0:04:02.64,0:04:07.09,Default,,0000,0000,0000,,LAURENZANO: I had cancer about four years ago, stage 4. Dialogue: 0,0:04:09.03,0:04:11.02,Default,,0000,0000,0000,,The prison system saved my life. Dialogue: 0,0:04:11.02,0:04:15.00,Default,,0000,0000,0000,,They sent me out to outside hospitals they never hesitated. Dialogue: 0,0:04:15.04,0:04:18.01,Default,,0000,0000,0000,,--Glenda Virgil has had surgery. Dialogue: 0,0:04:18.05,0:04:21.36,Default,,0000,0000,0000,,VIRGIL: I've had major back surgery. Dialogue: 0,0:04:21.36,0:04:28.67,Default,,0000,0000,0000,,I was in the hospital with two guards 24 hours a day for 11 days. Dialogue: 0,0:04:28.67,0:04:31.08,Default,,0000,0000,0000,,Now, I can't imagine what that cost. Dialogue: 0,0:04:31.08,0:04:37.02,Default,,0000,0000,0000,,But that just for the guards alone I would imagine that was over $200,000. Dialogue: 0,0:04:37.02,0:04:44.59,Default,,0000,0000,0000,,you know because that 2 guards - because I'm a lifer - 2 guards for 24 hours everyday. Dialogue: 0,0:04:44.59,0:04:48.03,Default,,0000,0000,0000,,--Terry Campbell has had seven operations. Dialogue: 0,0:04:48.03,0:04:50.08,Default,,0000,0000,0000,,CAMPBELL: My back. Dialogue: 0,0:04:50.08,0:04:55.03,Default,,0000,0000,0000,,My shoulders because I broke bones in both my back and shoulders. Dialogue: 0,0:04:57.08,0:05:00.09,Default,,0000,0000,0000,,My hand, twice. Dialogue: 0,0:05:01.02,0:05:07.00,Default,,0000,0000,0000,,CLARK KELSO: We're dealing with a corrections population that is aging in prison. Dialogue: 0,0:05:07.00,0:05:11.05,Default,,0000,0000,0000,,--Clark Kelso is in charge of health care in California's prisons. Dialogue: 0,0:05:11.08,0:05:20.00,Default,,0000,0000,0000,,So we've seen explosion in Cardiovascular problems, and we've got a lot of Diabetes, Dialogue: 0,0:05:20.00,0:05:26.04,Default,,0000,0000,0000,,we have the results of Hepatitis C, there was sort of an epidemic of it, an exposure in the 80's, Dialogue: 0,0:05:26.04,0:05:28.07,Default,,0000,0000,0000,,we began to see the results of that now. Dialogue: 0,0:05:28.07,0:05:32.04,Default,,0000,0000,0000,,We have a lot of inmates who have very serious liver disease Dialogue: 0,0:05:32.04,0:05:35.04,Default,,0000,0000,0000,,as the result of an abuse of drugs and alcohol. Dialogue: 0,0:05:35.04,0:05:43.03,Default,,0000,0000,0000,,But they're all at the age now where you have those issues plus other chronic conditions Dialogue: 0,0:05:43.03,0:05:46.32,Default,,0000,0000,0000,,that simply require a different type of care. Dialogue: 0,0:05:46.32,0:05:49.08,Default,,0000,0000,0000,,--A federal judge made Kelso a receiver Dialogue: 0,0:05:49.08,0:05:54.06,Default,,0000,0000,0000,,and put him in charge when a court ruled inmates did not have access to health care Dialogue: 0,0:05:54.06,0:06:00.02,Default,,0000,0000,0000,,and mental health services because California's prisons were so over crowded. Dialogue: 0,0:06:00.02,0:06:04.09,Default,,0000,0000,0000,,The court ruled lack of health care was cruel and unusual punishment Dialogue: 0,0:06:04.09,0:06:08.00,Default,,0000,0000,0000,,and violated inmates' constitutional rights. Dialogue: 0,0:06:08.00,0:06:12.57,Default,,0000,0000,0000,,A panel of federal judges has since ordered California to come up with a plan Dialogue: 0,0:06:12.57,0:06:17.06,Default,,0000,0000,0000,,to reduce its prison population by 40,000 inmates. Dialogue: 0,0:06:17.06,0:06:23.06,Default,,0000,0000,0000,,Both decisions forced the state to confront its overcrowding problem and challenged the public Dialogue: 0,0:06:23.06,0:06:27.07,Default,,0000,0000,0000,,to contemplate the health care debate in a whole new way. Dialogue: 0,0:06:27.07,0:06:33.02,Default,,0000,0000,0000,,If we as a country can't decide whether health care is a right for all free citizens - Dialogue: 0,0:06:33.02,0:06:37.48,Default,,0000,0000,0000,,why is it so easily determined as a right for convicted criminals? Dialogue: 0,0:06:37.48,0:06:41.46,Default,,0000,0000,0000,,It's a question Clark Kelso has been asked many times. Dialogue: 0,0:06:41.46,0:06:46.04,Default,,0000,0000,0000,,KELSO: The technical legal answer is there's a huge difference Dialogue: 0,0:06:46.04,0:06:52.01,Default,,0000,0000,0000,,between government's responsibility to you a citizen, a free citizen, Dialogue: 0,0:06:52.01,0:06:57.04,Default,,0000,0000,0000,,and government's responsibility to someone that government is incarcerating. Dialogue: 0,0:06:57.04,0:07:03.03,Default,,0000,0000,0000,,Once you have incarcerated someone, government has a constitutional obligation Dialogue: 0,0:07:03.03,0:07:10.03,Default,,0000,0000,0000,,under the Eighth Amendment to provide certain levels of care Dialogue: 0,0:07:10.03,0:07:12.47,Default,,0000,0000,0000,,and that what the state has to do. Dialogue: 0,0:07:12.47,0:07:15.02,Default,,0000,0000,0000,,--Since the receivership assumed control of health care Dialogue: 0,0:07:15.02,0:07:20.04,Default,,0000,0000,0000,,in prisons three years ago, spending on medical treatment for inmates has almost doubled - Dialogue: 0,0:07:20.04,0:07:26.07,Default,,0000,0000,0000,,from just over one billion dollars a year to nearly two billion dollars. Dialogue: 0,0:07:26.07,0:07:30.41,Default,,0000,0000,0000,,And that budget will increase if the state is to continue providing health care Dialogue: 0,0:07:30.41,0:07:33.06,Default,,0000,0000,0000,,to its growing geriatric population. Dialogue: 0,0:07:33.06,0:07:36.05,Default,,0000,0000,0000,,One independent report projects the number of men Dialogue: 0,0:07:36.05,0:07:43.01,Default,,0000,0000,0000,,in California prisons over age 60 will triple by 2018. Dialogue: 0,0:07:43.01,0:07:49.03,Default,,0000,0000,0000,,KELSO: The state of California and the people of California have made consistent judgments Dialogue: 0,0:07:49.03,0:07:55.54,Default,,0000,0000,0000,,that certain types of crimes or certain patterns of criminal conduct need to be punished Dialogue: 0,0:07:55.54,0:08:06.05,Default,,0000,0000,0000,,with life in prison and that's a judgment that has to be respected. I think from my perspective Dialogue: 0,0:08:06.05,0:08:12.04,Default,,0000,0000,0000,,what the State needs to realize is, that those decisions come with a cost. Dialogue: 0,0:08:12.04,0:08:18.04,Default,,0000,0000,0000,,That you can't have a prison population 16, 20 per cent of which in a maybe a decade or two Dialogue: 0,0:08:18.04,0:08:24.03,Default,,0000,0000,0000,,are going to be 55 and older. You can't do that unless you're willing Dialogue: 0,0:08:24.03,0:08:30.02,Default,,0000,0000,0000,,to devote a very substantial portion of the general fund to their health care Dialogue: 0,0:08:30.02,0:08:33.01,Default,,0000,0000,0000,,because those aging prisoners are going Dialogue: 0,0:08:33.01,0:08:36.40,Default,,0000,0000,0000,,to have health care needs that are very expensive to meet. Dialogue: 0,0:08:36.40,0:08:41.00,Default,,0000,0000,0000,,--There are about 35,000 lifers in California prisons. Dialogue: 0,0:08:41.00,0:08:46.02,Default,,0000,0000,0000,,Using government statistics, KPBS calculated how much money the state pays Dialogue: 0,0:08:46.02,0:08:49.03,Default,,0000,0000,0000,,to imprison inmates for a life sentence. Dialogue: 0,0:08:49.03,0:08:57.01,Default,,0000,0000,0000,,If Inmate X is incarcerated at age 37, he costs taxpayers about $49,000 a year. Dialogue: 0,0:08:57.01,0:09:01.02,Default,,0000,0000,0000,,But as he ages, his health care expenses will increase. Dialogue: 0,0:09:01.02,0:09:07.01,Default,,0000,0000,0000,,At age 55, he could cost the state $150,000 a year. Dialogue: 0,0:09:07.01,0:09:11.04,Default,,0000,0000,0000,,If he lives until he's 77, he will cost California taxpayers Dialogue: 0,0:09:11.04,0:09:15.08,Default,,0000,0000,0000,,as much $4 million to keep him in prison for life. Dialogue: 0,0:09:25.04,0:09:33.01,Default,,0000,0000,0000,,FARYON: So, when you were first convicted and sent to prison, did you expect to still be Dialogue: 0,0:09:33.01,0:09:35.03,Default,,0000,0000,0000,,in prison when you were sixty-five? Dialogue: 0,0:09:35.03,0:09:37.06,Default,,0000,0000,0000,,CAMPBELL: No, not at all. Dialogue: 0,0:09:37.06,0:09:44.36,Default,,0000,0000,0000,,No, I believed the hype that if you change while you're in prison and prove to us Dialogue: 0,0:09:44.36,0:09:50.09,Default,,0000,0000,0000,,that you're capable of functioning in society by doing the programs that we provide, Dialogue: 0,0:09:50.09,0:09:54.89,Default,,0000,0000,0000,,showing us that you've rehabilitated and the staff supports Dialogue: 0,0:09:54.89,0:09:59.02,Default,,0000,0000,0000,,that effort then, CDC staff supports that effort, then you will be paroled. Dialogue: 0,0:09:59.06,0:10:01.10,Default,,0000,0000,0000,,--Lifers rarely get parole. Dialogue: 0,0:10:01.10,0:10:07.05,Default,,0000,0000,0000,,In 2008, 7,303 lifers were up for parole. Dialogue: 0,0:10:07.05,0:10:10.01,Default,,0000,0000,0000,,The board granted 294. Dialogue: 0,0:10:10.01,0:10:15.01,Default,,0000,0000,0000,,But the Governor has the right to reverse those decisions or send them back for review. Dialogue: 0,0:10:15.01,0:10:19.10,Default,,0000,0000,0000,,In 2008, Governor Arnold Schwarzenegger denied 81 lifers parole Dialogue: 0,0:10:19.10,0:10:23.05,Default,,0000,0000,0000,,and sent more than 30 cases back for review. Dialogue: 0,0:10:23.05,0:10:26.04,Default,,0000,0000,0000,,Fewer than 60 inmates were released. Dialogue: 0,0:10:26.04,0:10:32.05,Default,,0000,0000,0000,,The year before even fewer were paroled and in 2006, fewer still. Dialogue: 0,0:10:40.69,0:10:44.04,Default,,0000,0000,0000,,--To understand why Californians developed this 'tough on crime' mantra, Dialogue: 0,0:10:44.04,0:10:47.05,Default,,0000,0000,0000,,you have to go back to the days of Charles Manson. Dialogue: 0,0:10:47.05,0:10:50.05,Default,,0000,0000,0000,,At the time, homicide rates were on the rise - Dialogue: 0,0:10:50.05,0:10:54.09,Default,,0000,0000,0000,,nearly doubling from the mid-sixties to the late 70's. Dialogue: 0,0:10:57.08,0:11:00.03,Default,,0000,0000,0000,,HARRIET SALARNO: Because the high crime, Dialogue: 0,0:11:00.03,0:11:07.38,Default,,0000,0000,0000,,murder was on the rampage and the people were getting furious. Dialogue: 0,0:11:07.38,0:11:11.35,Default,,0000,0000,0000,,FARYON: Harriet Salarno was raising a family in San Francisco at the time. Dialogue: 0,0:11:11.35,0:11:14.61,Default,,0000,0000,0000,,She and her husband owned an electronics store. Dialogue: 0,0:11:14.61,0:11:19.08,Default,,0000,0000,0000,,They kept a gun because stores like theirs were often the target of robberies. Dialogue: 0,0:11:19.08,0:11:25.03,Default,,0000,0000,0000,,It was the gun her daughter's killer would use in 1979. Dialogue: 0,0:11:25.03,0:11:29.08,Default,,0000,0000,0000,,SALARNO: And he shot her and murdered her execution style. Dialogue: 0,0:11:29.08,0:11:40.00,Default,,0000,0000,0000,,And he went up to his dorm didn't call any help or anything watched her try to call and she died Dialogue: 0,0:11:40.00,0:11:45.01,Default,,0000,0000,0000,,and finally another student found her and it was too late. Dialogue: 0,0:11:45.01,0:11:48.07,Default,,0000,0000,0000,,FARYON: When Salarno learned her daughter's killer was up for parole Dialogue: 0,0:11:48.07,0:11:52.06,Default,,0000,0000,0000,,after just serving 10 years, she began a life-long campaign Dialogue: 0,0:11:52.06,0:11:56.03,Default,,0000,0000,0000,,for tougher sentencing laws and stricter parole policies. Dialogue: 0,0:11:56.03,0:12:02.06,Default,,0000,0000,0000,,Her victims rights group raises enough money to employ a full-time lobbyist in Sacramento. Dialogue: 0,0:12:02.06,0:12:07.03,Default,,0000,0000,0000,,SALARNO: Public safety is in our constitution Dialogue: 0,0:12:07.03,0:12:12.04,Default,,0000,0000,0000,,and it's the priority and it must be served first. Dialogue: 0,0:12:12.04,0:12:16.03,Default,,0000,0000,0000,,So, we will back right there lobbying as heavy Dialogue: 0,0:12:16.03,0:12:27.01,Default,,0000,0000,0000,,as we can every morning we'll have a new case that we will be able to discuss with whatever legislator we meet that day Dialogue: 0,0:12:27.01,0:12:34.05,Default,,0000,0000,0000,,because somebody was murdered. It will be on the morning news as it is every morning. Dialogue: 0,0:12:34.05,0:12:37.09,Default,,0000,0000,0000,,And we'll be back there. And that's their obligation. Dialogue: 0,0:12:37.09,0:12:41.08,Default,,0000,0000,0000,,Their obligation as legislators is to do this. Dialogue: 0,0:12:41.08,0:12:47.02,Default,,0000,0000,0000,,FARYON: Dozens of changes to sentencing laws in the last few decades have all contributed Dialogue: 0,0:12:47.02,0:12:50.05,Default,,0000,0000,0000,,to California's highest rate of lifers in prison. Dialogue: 0,0:12:50.05,0:12:55.02,Default,,0000,0000,0000,,Two of the most significant, are determinate sentencing in 1977, Dialogue: 0,0:12:55.02,0:13:00.05,Default,,0000,0000,0000,,which imposed minimum sentences, and three strikes in 1994, Dialogue: 0,0:13:00.05,0:13:04.00,Default,,0000,0000,0000,,which allowed repeat offenders to be sentenced to life. Dialogue: 0,0:13:04.00,0:13:06.02,Default,,0000,0000,0000,,LINDA: My sentence is 15 to life. Dialogue: 0,0:13:06.02,0:13:07.08,Default,,0000,0000,0000,,FARYON: And you've been here how long? Dialogue: 0,0:13:07.08,0:13:09.04,Default,,0000,0000,0000,,LINDA: I'm in my 24th year. Dialogue: 0,0:13:09.04,0:13:12.07,Default,,0000,0000,0000,,FARYON: And Glenda? Dialogue: 0,0:13:12.07,0:13:16.09,Default,,0000,0000,0000,,VIRGIL: Fifteen to life, plus two for a gun allocation. Dialogue: 0,0:13:16.09,0:13:21.03,Default,,0000,0000,0000,,And I've been here for 23 years. Dialogue: 0,0:13:21.03,0:13:22.02,Default,,0000,0000,0000,,FARYON: And Marylinn? Dialogue: 0,0:13:22.02,0:13:27.03,Default,,0000,0000,0000,,MARYLINN: Mine is 15 to life for second-degree murder and I've been down 25. Dialogue: 0,0:13:27.03,0:13:32.10,Default,,0000,0000,0000,,FARYON: At the California Institution for Women in Corona California, a group of inmates, Dialogue: 0,0:13:32.10,0:13:38.05,Default,,0000,0000,0000,,all convicted murderers, all women, talk about what its like to grow old in prison. Dialogue: 0,0:13:38.05,0:13:42.03,Default,,0000,0000,0000,,LINDA: The change is for me my health. Dialogue: 0,0:13:42.03,0:13:51.07,Default,,0000,0000,0000,,My health has declined and the getting around that I don't have anymore. Dialogue: 0,0:13:51.07,0:13:55.01,Default,,0000,0000,0000,,I didn't think that I would ever grow old. Dialogue: 0,0:13:55.01,0:14:01.07,Default,,0000,0000,0000,,That my hips wouldn't work, that I couldn't get down or get up anymore, or my legs. Dialogue: 0,0:14:01.07,0:14:06.01,Default,,0000,0000,0000,,MARYLINN: And never in my life did I think I'd be sitting in prison and going, Dialogue: 0,0:14:06.01,0:14:09.05,Default,,0000,0000,0000,,"Wow, I'm 70 years old and I don't even have a retirement plan." Dialogue: 0,0:14:09.05,0:14:12.01,Default,,0000,0000,0000,,I don't have to go to work everyday because that's the program. Dialogue: 0,0:14:12.01,0:14:14.04,Default,,0000,0000,0000,,That's what you have to do. Dialogue: 0,0:14:14.04,0:14:18.05,Default,,0000,0000,0000,,Or that I would have lost my whole family behind these circumstances. Dialogue: 0,0:14:18.05,0:14:21.07,Default,,0000,0000,0000,,That I would no longer have a family to reach out to. Dialogue: 0,0:14:21.07,0:14:25.03,Default,,0000,0000,0000,,FARYON: The women are part of a group called the Golden Girls, Dialogue: 0,0:14:25.03,0:14:29.00,Default,,0000,0000,0000,,inmates over 55 who are granted special privileges Dialogue: 0,0:14:29.00,0:14:31.04,Default,,0000,0000,0000,,like a double mattress on their metal cots. Dialogue: 0,0:14:31.04,0:14:33.10,Default,,0000,0000,0000,,And they're first in line during meals. Dialogue: 0,0:14:33.10,0:14:35.07,Default,,0000,0000,0000,,But this is still prison. Dialogue: 0,0:14:35.07,0:14:37.03,Default,,0000,0000,0000,,And there are rules. Dialogue: 0,0:14:37.03,0:14:41.01,Default,,0000,0000,0000,,Like getting down on the floor when an alarm sounds. Dialogue: 0,0:14:41.01,0:14:42.06,Default,,0000,0000,0000,,This happened while we were there. Dialogue: 0,0:14:42.06,0:14:48.08,Default,,0000,0000,0000,,59-year-old Linda Vivian can barely make it down or back up again. Dialogue: 0,0:14:48.08,0:14:53.07,Default,,0000,0000,0000,,DR. JOSEPH BICK: Prisons weren't built to make it easy Dialogue: 0,0:14:53.07,0:14:56.08,Default,,0000,0000,0000,,for mobility-impaired people to get around. Dialogue: 0,0:14:56.08,0:15:03.02,Default,,0000,0000,0000,,Prisons were built to safely incarcerate individuals who are sent away Dialogue: 0,0:15:03.02,0:15:05.06,Default,,0000,0000,0000,,and keep them from escaping. Dialogue: 0,0:15:05.06,0:15:10.08,Default,,0000,0000,0000,,So we're trying to deal with things about how do you accommodate activities of daily living Dialogue: 0,0:15:10.08,0:15:14.01,Default,,0000,0000,0000,,of somebody who's in their 60s, 70s, and 80s. Dialogue: 0,0:15:14.01,0:15:18.08,Default,,0000,0000,0000,,Simple things like getting their clothes on, using the bathroom, Dialogue: 0,0:15:18.08,0:15:22.08,Default,,0000,0000,0000,,ambulating down the hallway to the dining halls. Dialogue: 0,0:15:22.08,0:15:25.05,Default,,0000,0000,0000,,Having enough time to eat. Dialogue: 0,0:15:25.05,0:15:28.08,Default,,0000,0000,0000,,Having more than 15 minutes to consume a meal. Dialogue: 0,0:15:28.08,0:15:33.05,Default,,0000,0000,0000,,FARYON: Dr. Joseph Bick has been working as a prison doctor for 20 years. Dialogue: 0,0:15:33.05,0:15:38.03,Default,,0000,0000,0000,,He tends to patients at CMF's hospital and the prison hospice, Dialogue: 0,0:15:38.03,0:15:41.05,Default,,0000,0000,0000,,where he's held the hand of many dying inmates. Dialogue: 0,0:15:41.05,0:15:45.07,Default,,0000,0000,0000,,DR. JOSEPH BICK: I'm not privy to inmates' commitment offenses as a clinician, Dialogue: 0,0:15:45.07,0:15:48.05,Default,,0000,0000,0000,,it's something I'm not particularly interested in knowing. Dialogue: 0,0:15:48.05,0:15:52.01,Default,,0000,0000,0000,,In fact I endeavour to not know because I think my job is Dialogue: 0,0:15:52.01,0:15:57.01,Default,,0000,0000,0000,,to provide the best quality of health care I can. Dialogue: 0,0:15:57.01,0:16:01.08,Default,,0000,0000,0000,,But I'm human too and I don't want to run the risk of being influenced Dialogue: 0,0:16:01.08,0:16:09.07,Default,,0000,0000,0000,,by knowledge of someone's commitment offense. Dialogue: 0,0:16:09.07,0:16:18.05,Default,,0000,0000,0000,,FARYON: We met two inmates in the prison hospice on the day of our visit. Dialogue: 0,0:16:18.05,0:16:22.01,Default,,0000,0000,0000,,Angelo Chavez has end-stage liver disease. Dialogue: 0,0:16:22.01,0:16:28.03,Default,,0000,0000,0000,,ANGELO CHAVEZ: I was hoping they would give me a compassionate release Dialogue: 0,0:16:28.03,0:16:34.04,Default,,0000,0000,0000,,and that's what I'm waiting for, to see if I can go home to my family. Dialogue: 0,0:16:34.04,0:16:38.05,Default,,0000,0000,0000,,FARYON: Chavez is a three striker and serving a life sentence. Dialogue: 0,0:16:38.05,0:16:42.06,Default,,0000,0000,0000,,His convictions include drug possession, robbery and manslaughter. Dialogue: 0,0:16:42.06,0:16:48.05,Default,,0000,0000,0000,,CHAVEZ: I would love to go home and die out there, than to die here. Dialogue: 0,0:16:48.05,0:16:50.09,Default,,0000,0000,0000,,FARYON: We also met Brian Long. Dialogue: 0,0:16:50.09,0:16:54.06,Default,,0000,0000,0000,,He has cancer and is expected to live another three months. Dialogue: 0,0:16:54.06,0:17:00.01,Default,,0000,0000,0000,,In 1993, Long was convicted of having sex with a minor and served six years. Dialogue: 0,0:17:00.01,0:17:06.02,Default,,0000,0000,0000,,In 2003 he was sentenced to 11 years for a second sexual offense against a child. Dialogue: 0,0:17:06.02,0:17:10.05,Default,,0000,0000,0000,,In California, inmates can be released for compassionate reasons Dialogue: 0,0:17:10.05,0:17:13.02,Default,,0000,0000,0000,,if they have less than six months to live. Dialogue: 0,0:17:13.02,0:17:17.06,Default,,0000,0000,0000,,Last year there were 57 requests. Dialogue: 0,0:17:17.06,0:17:19.06,Default,,0000,0000,0000,,Three were granted by the courts. Dialogue: 0,0:17:19.06,0:17:23.00,Default,,0000,0000,0000,,DR. JOSEPH BICK: People have very strong opinions on all sides Dialogue: 0,0:17:23.00,0:17:29.04,Default,,0000,0000,0000,,of this discussion you certainly have people who have been victims or their family members Dialogue: 0,0:17:29.04,0:17:35.06,Default,,0000,0000,0000,,of some very heinous crimes from some of the people who live in this facility. Dialogue: 0,0:17:35.06,0:17:41.01,Default,,0000,0000,0000,,And they strongly feel that it doesn't matter how old somebody gets or how sick they get Dialogue: 0,0:17:41.01,0:17:46.00,Default,,0000,0000,0000,,or what they're likelihood of reoffending is they should spend the rest Dialogue: 0,0:17:46.00,0:17:47.02,Default,,0000,0000,0000,,of their life in prison. Dialogue: 0,0:17:47.02,0:17:50.09,Default,,0000,0000,0000,,FARYON: But Dr. Bick says we can't deny them health care. Dialogue: 0,0:17:50.09,0:17:55.04,Default,,0000,0000,0000,,Not only is it the law, it is also a matter of public health. Dialogue: 0,0:17:55.04,0:18:00.02,Default,,0000,0000,0000,,DR. JOSEPH BICK: With so many people incarcerated we choose as a society Dialogue: 0,0:18:00.02,0:18:05.00,Default,,0000,0000,0000,,to incarcerate people that come to us with such an incredible burden of disease, Dialogue: 0,0:18:05.00,0:18:09.03,Default,,0000,0000,0000,,HIV and hepatitis and tuberculosis and mental illness Dialogue: 0,0:18:09.03,0:18:14.06,Default,,0000,0000,0000,,and substance abuse whoa re someday going to go home, to me the tragedy is Dialogue: 0,0:18:14.06,0:18:18.03,Default,,0000,0000,0000,,to somehow ignore them an put them off there and assume Dialogue: 0,0:18:18.03,0:18:21.10,Default,,0000,0000,0000,,because they're incarcerated they don't matter or they're not going Dialogue: 0,0:18:21.10,0:18:26.08,Default,,0000,0000,0000,,to somehow impact upon the general health at time of release. Dialogue: 0,0:18:26.08,0:18:33.01,Default,,0000,0000,0000,,FARYON: And how do you see your life playing out then here as you age? Dialogue: 0,0:18:41.09,0:18:45.03,Default,,0000,0000,0000,,CAMPBELL: I'll just grow old and eventually I'll die. Dialogue: 0,0:18:45.03,0:18:48.08,Default,,0000,0000,0000,,I don't see it as - you know I'm well adapted. Dialogue: 0,0:18:48.08,0:18:50.08,Default,,0000,0000,0000,,Institutionalized, if you will. Dialogue: 0,0:18:50.08,0:18:57.02,Default,,0000,0000,0000,,So I don't see a problem just existing. Dialogue: 0,0:18:57.02,0:19:00.03,Default,,0000,0000,0000,,Eventually I wont be able to function anymore and eventually I'll end Dialogue: 0,0:19:00.03,0:19:03.01,Default,,0000,0000,0000,,up in a hospital and eventually I'll die. Dialogue: 0,0:19:05.02,0:19:09.06,Default,,0000,0000,0000,,But in the meantime it's going to cost the state an awful lot of money to take care of me. Dialogue: 0,0:19:09.06,0:19:14.08,Default,,0000,0000,0000,,FARYON: Terry Campbell was convicted in 1966 of murder during an armed robbery. Dialogue: 0,0:19:14.08,0:19:21.04,Default,,0000,0000,0000,,He has two other convictions from 1968 and 1973, both while incarcerated. Dialogue: 0,0:19:21.04,0:19:25.03,Default,,0000,0000,0000,,He told KPBS he was mixed up with prison gang violence. Dialogue: 0,0:19:25.03,0:19:32.04,Default,,0000,0000,0000,,Since that time Campbell has earned two college degrees FARYON: Dialogue: 0,0:19:32.04,0:19:37.02,Default,,0000,0000,0000,,What's your biggest fear about growing old in prison? Dialogue: 0,0:19:43.08,0:19:51.09,Default,,0000,0000,0000,,CAMPBELL: I don't know if it's a fear, but my biggest concern about growing old in prison is Dialogue: 0,0:19:51.09,0:19:56.10,Default,,0000,0000,0000,,that I went through all the trouble - on a personal level I went through all the trouble Dialogue: 0,0:19:56.10,0:20:12.01,Default,,0000,0000,0000,,to change, to become a different person and now I don't know Dialogue: 0,0:20:12.01,0:20:16.05,Default,,0000,0000,0000,,for what reason other than personal satisfaction. Dialogue: 0,0:20:16.05,0:20:18.06,Default,,0000,0000,0000,,I can't give anything back. Dialogue: 0,0:20:18.06,0:20:21.03,Default,,0000,0000,0000,,VIRGIL: And being alone. Dialogue: 0,0:20:22.05,0:20:33.07,Default,,0000,0000,0000,,Dying alone where there isn't anyone who cares about you or knows you. Dialogue: 0,0:20:33.07,0:20:39.06,Default,,0000,0000,0000,,FARYON: Glenda Virgil was convicted of second-degree murder in 1987 for shooting Dialogue: 0,0:20:39.06,0:20:41.09,Default,,0000,0000,0000,,and killing the man with whom she had been involved. Dialogue: 0,0:20:41.09,0:20:45.01,Default,,0000,0000,0000,,She told KPBS she had been a battered woman. Dialogue: 0,0:20:45.01,0:20:47.00,Default,,0000,0000,0000,,LAURANZANO: They didn't give you life without, Dialogue: 0,0:20:47.00,0:20:51.04,Default,,0000,0000,0000,,they didn't give you the death penalty they gave you 25 to life or 15 to life Dialogue: 0,0:20:51.04,0:20:54.01,Default,,0000,0000,0000,,that means you get out at some point. Dialogue: 0,0:20:54.01,0:20:58.04,Default,,0000,0000,0000,,And if you do everything they say you should get out and be a functioning member of society. Dialogue: 0,0:20:58.04,0:21:02.02,Default,,0000,0000,0000,,FARYON: Richard Lauranzano was convicted of seven counts Dialogue: 0,0:21:02.02,0:21:10.06,Default,,0000,0000,0000,,of sexual assault with children under 14 in 1984. Dialogue: 0,0:21:10.06,0:21:15.05,Default,,0000,0000,0000,,While in prison he was also convicted of murder in connection. Dialogue: 0,0:21:15.05,0:21:26.00,Default,,0000,0000,0000,,He is serving a 50-year sentence but is eligible for parole in 2013. Dialogue: 0,0:21:26.00,0:21:33.08,Default,,0000,0000,0000,,Lauranzano's cancer is in remission, but he has heart trouble Dialogue: 0,0:21:33.08,0:21:39.05,Default,,0000,0000,0000,,and is consulting with experts about surgery. Dialogue: 0,0:21:39.05,0:21:43.10,Default,,0000,0000,0000,,GOVERNOR: 30 years ago 10% of the general fund went Dialogue: 0,0:21:43.10,0:21:48.07,Default,,0000,0000,0000,,to higher education and only 3% went to prisons. Dialogue: 0,0:21:48.07,0:21:56.07,Default,,0000,0000,0000,,Today almost 11% goes to prisons and only 7.5% goes to higher education. Dialogue: 0,0:21:56.07,0:22:06.00,Default,,0000,0000,0000,,Spending 45% more on prisons than universities is no way to proceed into the future. Dialogue: 0,0:22:06.00,0:22:14.01,Default,,0000,0000,0000,,FARYON: But it will be a difficult ship to turn given California's 30-year history of support Dialogue: 0,0:22:14.01,0:22:22.10,Default,,0000,0000,0000,,for longer prison sentences and this administration's record of denying parole. Dialogue: 0,0:22:22.10,0:22:31.04,Default,,0000,0000,0000,,Plans to build a new billion-dollar prison to house old inmates who need chronic care Dialogue: 0,0:22:31.04,0:22:35.01,Default,,0000,0000,0000,,and inmates who need mental health services are now underway. Dialogue: 0,0:22:35.01,0:22:37.05,Default,,0000,0000,0000,,There isn't room for them anywhere else. Dialogue: 0,0:22:37.05,0:22:41.09,Default,,0000,0000,0000,,Clark Kelso is also looking at ways to get his outside hospital costs down. Dialogue: 0,0:22:41.09,0:22:49.04,Default,,0000,0000,0000,,Last year the state spent 500 million dollars on those visits - about 1,000 very sick Dialogue: 0,0:22:49.04,0:22:52.07,Default,,0000,0000,0000,,and dying inmates accounted for most of that cost. Dialogue: 0,0:22:52.07,0:22:55.07,Default,,0000,0000,0000,,KELSO: There are solutions I think the legislature Dialogue: 0,0:22:55.07,0:23:00.08,Default,,0000,0000,0000,,and the people need o become more comfortable with such as medical parole or other types Dialogue: 0,0:23:00.08,0:23:05.01,Default,,0000,0000,0000,,of programs that will get these unhealthy inmates these again inmates Dialogue: 0,0:23:05.01,0:23:10.08,Default,,0000,0000,0000,,who don't pose very much threat to the public in terms of recidivism very good numbers there, Dialogue: 0,0:23:10.08,0:23:16.01,Default,,0000,0000,0000,,we have to come to a better public understanding in California Dialogue: 0,0:23:16.01,0:23:19.04,Default,,0000,0000,0000,,with how to take care of those inmates. Dialogue: 0,0:23:19.04,0:23:26.00,Default,,0000,0000,0000,,FARYON: Kelso has been in talks with officials, including the governor's office, Dialogue: 0,0:23:26.00,0:23:30.02,Default,,0000,0000,0000,,about releasing some inmates to privately run secure nursing homes. Dialogue: 0,0:23:30.02,0:23:34.03,Default,,0000,0000,0000,,According to government statistics, people over 55 have less Dialogue: 0,0:23:34.03,0:23:38.09,Default,,0000,0000,0000,,than a four per cent recidivism rate which means they are the least likely of all inmates Dialogue: 0,0:23:38.09,0:23:41.07,Default,,0000,0000,0000,,to commit another offense and return to prison. Dialogue: 0,0:23:41.07,0:23:48.07,Default,,0000,0000,0000,,And once released from state run prisons, it's likely they'd be eligible Dialogue: 0,0:23:48.07,0:23:51.01,Default,,0000,0000,0000,,for federal health care subsidies. Dialogue: 0,0:23:51.01,0:23:53.09,Default,,0000,0000,0000,,KELSO: One way or another health care needs Dialogue: 0,0:23:53.09,0:23:57.04,Default,,0000,0000,0000,,of these people are going to be paid for by somebody. Dialogue: 0,0:23:57.04,0:24:01.07,Default,,0000,0000,0000,,FARYON: Should a life sentence mean a life sentence in California? Dialogue: 0,0:24:01.07,0:24:04.03,Default,,0000,0000,0000,,If they're not rehabilitated absolutely. Dialogue: 0,0:24:04.03,0:24:08.10,Default,,0000,0000,0000,,HARRIET: What are you going to do with them if you let them out? Dialogue: 0,0:24:08.10,0:24:11.09,Default,,0000,0000,0000,,Where are they going to go? Dialogue: 0,0:24:11.09,0:24:14.04,Default,,0000,0000,0000,,What are you going to do with them? Dialogue: 0,0:24:14.04,0:24:18.01,Default,,0000,0000,0000,,You're going to say they're not going to commit a crime if they can't get a job Dialogue: 0,0:24:18.01,0:24:27.04,Default,,0000,0000,0000,,and you're talking maybe 65 they need to make some income and they cant get a job Dialogue: 0,0:24:27.04,0:24:32.08,Default,,0000,0000,0000,,and they have no place to live what are they going to do they're going Dialogue: 0,0:24:32.08,0:24:36.02,Default,,0000,0000,0000,,to rob somebody's home, where are they going to get the money. Dialogue: 0,0:24:36.02,0:24:42.06,Default,,0000,0000,0000,,You just don't open the door here's your $200 go get the bus. Dialogue: 0,0:24:42.06,0:24:45.03,Default,,0000,0000,0000,,FARYON: Do you ever think you will get out? Dialogue: 0,0:24:45.03,0:24:47.04,Default,,0000,0000,0000,,CAMPBELL: No. Dialogue: 0,0:24:47.04,0:24:47.10,Default,,0000,0000,0000,,No I don't. Dialogue: 0,0:24:47.10,0:24:59.01,Default,,0000,0000,0000,,That saying about it doesn't really matter where you are, but it always matters who you are? Dialogue: 0,0:24:59.01,0:25:00.00,Default,,0000,0000,0000,,You know, that applies. Dialogue: 0,0:25:00.00,0:25:11.05,Default,,0000,0000,0000,,That applies to a lot of us that are in prison because there are a lot of lifers who came Dialogue: 0,0:25:11.05,0:25:20.07,Default,,0000,0000,0000,,to prison, who didn't get into trouble like I got into trouble Dialogue: 0,0:25:20.07,0:25:28.02,Default,,0000,0000,0000,,when I came to prison, who are still here. Dialogue: 0,0:25:28.02,0:25:37.00,Default,,0000,0000,0000,,And they're sitting around wondering, well what do I have to do? Dialogue: 0,0:25:37.00,0:25:42.05,Default,,0000,0000,0000,,What do I have to do to get out of prison? Dialogue: 0,0:25:42.05,0:25:48.09,Default,,0000,0000,0000,,How do I prove myself and who do I prove myself to? Dialogue: 0,0:25:48.09,0:25:53.03,Default,,0000,0000,0000,,And there's no answer. Dialogue: 0,0:25:53.03,0:26:16.02,Default,,0000,0000,0000,,FARYON: You can learn more about this issue by going to our website, kpbs.org/prisons. Dialogue: 0,0:26:16.02,0:26:25.03,Default,,0000,0000,0000,,And you can also leave us a comment. Dialogue: 0,0:26:25.03,0:26:30.03,Default,,0000,0000,0000,,We'd love to hear from you. Dialogue: 0,0:26:30.03,0:26:45.01,Default,,0000,0000,0000,,For KPBS, I'm Joanne Faryon, thanks for watching.