To the Editor.
—As someone who has devoted a good part of the past 19 years to the health care needs of New York City prisoners, I was intrigued by your excellent and provocative article1 and Editorial2 concerning the medical problems of newly arrested diabetic patients with no access to medication.It is my impression (at least with regard to epilepsy, the illness that I deal with) that the main cause for the sudden interruption of medical treatment in this setting is the police confiscating the patients' medication at the time of arrest. I doubt, in fact, whether the people taking medication for diabetes, epilepsy, asthma, and the like keep this information to themselves as the article suggests. What my patients tell me is that they complain vociferously but to no avail. In other words, I question the statement: "In order to receive any medication, recently arrested prisoners
Appel HL. Prisoners' Access to Medications. JAMA. 1993;269(19):2507. doi:10.1001/jama.1993.03500190049030