Only critical care is free to the prisoner and again this is a State by State thing.

inmates have to pay for asprin if they have toothache and wait until dentist will or can see them. They only visit so many days a month. Then a tooth is more likely to be pulled than saved, because it is cheaper to remove that treat.

That is a microcosm of what happened to my brother.

He went in thin and with boundless energy. Came out overweight, near diabetic and lethargic. Since then he has been able to shift most of the weight and regain some energy. But he is in constant back pain from injuries he sustained in a prison van accident received when he was on work release.
The state did not treat his injuries correctly, penalised him by adding more time to his sentence for not working after the accident, even though medical records and xrays showed that he had substantial injuries (lumbar disc injury and 2 cracked ribs). When he was released he immediately got addicted to pain killers and alcohol. My brother, the silly sod had a lawyer willing to take up case against the state, but he refused.

He is clean now but still in great pain, which affects his ability to work normal hours. He is an engine mechanic.

The system stinks.

and by the way... Asperger's is a medically defined mental disability. I am not saying that this young man should not be held accountable. Only that his condition should be considered. I am also saying that the agreement between the US and the UK is rotten and onesided and unfair. And I am American.