“…There has not been a nationwide assessment of jail costs and causation, but a survey of governmental correspondence, budgets, and newspaper reporting reveals that local governments are reporting sharp increases in medical costs (Clouse, 2004;Dorgan, 2004;Garden, Shum, Buswell, Caverley, & Rees, 2003;Legislative Analyst's Office, 2001;Martin, 2004;Orleans Parish Criminal Sheriff 's Office, 2001). Strategies to reduce medical costs in local jails are a top priority for numerous jurisdictions and have included privatization, charging inmates co-pay fees, and purchasing inmate medical insurance (Allen & Pruett, 1996;Clark, 1994;Garden et al, 2003;Hyde & Brumfield, 2003;Szostak, 2002;Weiss, 1994).…”