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Wards of the State

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In 1976, the Supreme Court affirmed incarcerated people's right to healthcare under the Eighth Amendment. Wards of the State examines the everyday instantiation of incarcerated people's right to he...
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  • 16 June 2026
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In 1976, the Supreme Court affirmed incarcerated people's right to healthcare under the Eighth Amendment. Wards of the State examines the everyday instantiation of incarcerated people's right to healthcare within a men's maximum-security prison in Pennsylvania. Drawing on two years of ethnographic fieldwork, Nicholas Iacobelli observes how the prison's medical unit operates as a "ward of the state"—a space that reproduces the state's ideological commitment to punishment through its obligation to provide care. Incarcerated men are also cast as wards of the state, becoming its biological and financial property. These dynamics result in complex systems of dependence, refusal, and skepticism—and troubling ideas of what constitutes health and illness in prison. Despite this, the right to care also opens spaces for men to envision futures and make both personal and structural appeals to justice.


 

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Price: $29.95
Pages: 280
Publisher: University of California Press
Imprint: University of California Press
Publication Date: 16 June 2026
Trim Size: 9.00 X 6.00 in
ISBN: 9780520304468
Format: Paperback
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Nicholas Iacobelli is Assistant Professor in the Division of General Internal Medicine at the University of Washington, where he cares for hospitalized patients and conducts anthropological research on the intersection of carcerality and health.
 

Contents
 
Acknowledgments
Author’s Note
 
Introduction
1. Cruel but Not Unusual
2. Gaming the System
3. Public Health / Private Prison
4. Caged and Invisible
5. Vaccine Reactions
6. Waiting for Justice
Conclusion
 
Notes
Bibliography
Index