Wexford Health Source has a major disincentive to provide adequate medical care to prisoners at Dixon Correctional Center because money can be saved for bonuses by supplying the least amount of medical care. Prison doctors, dentists and administrators can save Wexford money by denying needed treatment.

About 200 prisoners a month can be sent to outside hospitals for specialized services: surgeries, MRIs, cancer treatments and consultations. Prisoners' grievances and lawsuits become necessary before doctors and administrators decide to send prisoners to the University of Illinois Hospital.

Prisoners requiring outside medical care encounter delays and denials. Routinely, prison doctors claim there are no medical issues worthy of outside services. Tylenol or some pain medication is prescribed as the cure-all for all ailments.