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Prisoners are entitled to the same care as other Dutch citizens. But for Anna, who has been incarcerated for six months, things have gone terribly wrong during this time. The medical care she receives is severely inadequate, and she leaves prison in a wheelchair. How could this have gone so wrong? For decades, experts have warned that prison care is sometimes inadequate. For example, guards without medical training are responsible for dispensing medication, and ongoing care programs are not always continued. Why is this so difficult to change?