With this report, OSI grantee Grassroots Leadership follows up its previous report Prescription for Disaster: Commercializing Prison Health Services in South Carolina which documents the record of mismanagement and abuse with privatized health services in corrections. The new report makes recommendations on how to improve South Carolina's prison health services without using privatized services. The South Carolina Department of Corrections has been mandated by legislation to complete a study comparing the current public health care system with privatized health care. Key recommendations in this report include:

• staffing
• streamling the bureaucracy
• mental health screening and placement
• re-instituting the accreditation process
• establishing an independent medical services review body