Editor’s Note This post predates the suicide at Egeler due to jump hazards that they never fixed. My thoughts are with his family.
While at the Charles Egeler Reception and Guidance Center — the State-Funded Human Dog Kennel — Ryan sought medical treatment for what he believed to be ear wax buildup. Keep in mind he did not have access to ear swabs. This is because prisons do not provide basic necessities, and Egeler, the Swamp that it is, does NOT have a commissary. Going to the nurse for assistance ended up resulting in an injury and infection that cost him his hearing.

Prison Healthcare and the Age of Experimentation

When someone thinks of prison healthcare, their thoughts may turn to medical malpractice against incarcerated individuals, lobotomies, and torture, all carried out by the great US of A. Sadly, these individuals are not wrong. In fact, history reveals prisons and their long-standing, purposeful practice in exploiting a captive audience in their care, all in the name of “scientific” gain.

And money.

The major issue at hand? Prisoners cannot technically provide their consent. Especially when an entity sweetens the pot with financial incentives. There is an unspoken and insurmountable degree of pressure at all times. Doing so creates the illusion of choice, especially for the impoverished who need to send money home.

Notable Cases of “Scientific Study” on the Incarcerated
  • A proposed study on the impacts of low sodium levels that would likely kill test subjects
  • The infamous Project MK Ultra, where hallucinogenics were tested on incarcerated and mentally ill individuals
  • Injecting HeLa cells into prisoners at the Ohio State Reformatory for cancer research
  • A never-ending array of creams, tonics, and potions that had no business being rubbed on anyone

In short, the health of incarcerated individuals has never been taken seriously in the American legal system. Not even now. I never thought it would happen to someone I love.

How It Happened

This all began a few months ago, when Ryan went to have his right ear looked at. The on-staff nurse was not gentle with the otoscope. She kept trying to turn it, putting it deeper into his ear, until there was no where to move it without damaging something.

When it happened, he said he felt immediate pain. He didn’t know it until he talked to me, at which time I put two and two together: I was certain she had RUPTURED his eardrum.

The nurse told him he would have a scab; it was normal. She also stated they would recheck him later. My gut instinct is that in that moment, she knew exactly what she did. Which is why she didn’t schedule a follow-up. He also never received antibiotics.

What Happened Next

The next day, a dried bloody glob fell out of his ear. Soon after the right side of his jaw swelled up; he had trouble eating. The medical staff at Egeler NEVER rechecked his ear as promised. He was then characterized as a “hard of hearing inmate.”

He finally received care nearly two months after the injury. The nurse Ryan saw at G. Robert Cotton called no less than five people over to look at his ear; she had never seen anything like it. Suddenly Ryan was a sideshow attraction. She said it looked like his ear had healed over with new tissue. It had healed, but not properly.

The most upsetting and idiotic part: he was assigned to push mower lawn duty the day before his appointment, with no ear protection to protect the hearing in his now one good ear.

MDOC Record-Keeping: A Designed Failure The Michigan DOC has abysmal record keeping; everything is done via paper and in the most inefficient way possible. They could easily create internal electronic messaging, and they haven’t. This paper process means complaints can be conveniently deemed lost, never to reach the appropriate points of contact, never to be resolved. The inefficiency is not an accident. It is a feature.

Michigan DOC’s Outsourced Care

Michigan Department of Corrections has long utilized contractors for medical care. In 2021, they issued a lucrative contract to handle that care:

~$6 Million Contract awarded by Michigan DOC for medical care services — to Tennessee-based Grand Prairie Health Care Services Awarded despite a documented slew of complaints and issues against the contractor

Shockingly, Michigan DOC awarded this contract even with a slew of complaints and issues already on the record against Grand Prairie Health Care Services. The financial incentive to outsource care and the structural insulation from accountability create exactly the conditions in which what happened to Ryan can happen, go unreported, and go unaddressed.

Case Law

The Legal Framework — and Why It Often Fails Incarcerated People
Estelle v. Gamble Established that prisoners must show deliberate indifference to serious medical needs to prove an Eighth Amendment violation. Mere malpractice alone often is not enough. This is a deliberately high bar — one that protects institutions more than people, and one that MDOC has consistently used to its advantage.
Jenkins v. MDOC (2025) An incarcerated individual recently filed a medical malpractice and negligence lawsuit, but the state was able to dismiss it due to procedural requirements under the Prison Litigation Reform Act (PLRA). MDOC relies heavily on the PLRA to throw lawsuits out and wiggle out of liability before cases can be heard on their merits.

What’s Next: Continue Exposing the Truth of Michigan’s Misdeeds

It is important, now more than ever, to bring the continued atrocities and malpractice to light. If the majority of Americans believe that people are created in God’s image, that we are all loved by God, we need to stop allowing mistreatment and torture.

If we have reached a point where American society can be completely ok with medical malpractice, I’m not sure how much more I can take.

“Incarcerated individuals are people. They still have basic rights. They still deserve dignity. Any society that fails to see this, is a society I don’t want to be part of.”
How to cite: Williams, R. (2023, May 24). Medical Malpractice in the Michigan Department of Corrections. Clutch Justice. https://clutchjustice.com/2023/05/24/michigan-doc-medical-malpractice/

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