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None of this is accidental or a failure of the system. The system works as designed.
Correct. Im friendly with a CO who regularly gets derided for taking inmates to the infirmary when they say they're sick. The CO cultural MO seems to be everyone's faking it unless you can see blood or bone. The dudes proactivity has stopped what could have been a major flu outbreak and still they ride his ass when he brings sick inmates to the infirmary. Even the doctors working there dont like that he brings sick patients to them. It's rotten apples almost all the way down.
I imagine some of the problem is compassion fatigue - lots of prisoners are antisocial assholes who refuse to abide by society's rules (or they're just fucking criminally stupid).
It'd be tough to keep caring about that sort of group day in and day out.
True, and this is why the system needs to provide mental health services for these caretakers too. Right now, you’ve got the overwhelmed and frustrated overseeing the overwhelmed and frustrated, which is a recipe for disasters like this. Add a profit motive, and now you’ve got yourself a stew going.