Let me add. I retired from the Federal Bureau of Prisons. The amount is obviously higher now but when I was a Lieutenant in 2015 the BOP budget was 6 billion dollars (it’s about 9 billion today) out of that 6 billion BOP spent over 1 billion in health care alone.
To the point BOP took several dings in some audits and house committees because they failed to use compassionate release programs to lesson the Governmental expenses.
They also look at the amount of inmates with health issues have several institutions that are dubbed “Care Level 3” which in short are inmates not necessarily needing a hospital but have out patient and chronic issues. Those institutions are near adequate medical facilities. I retired out of USP/FCC Terre Haute which was classes as a Care Level 3 and in 2015 spent 15 million at a local hospital with a contract for a secure room.