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September 15, 2026The Journal of Law Medicine & EthicsOpen Access

Fifty Years After Estelle v. Gamble — Where Does Carceral Health Law Go from Here?

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Authors

JJJames René JolinJDJenean DocterBBBenjamin A. Barsky

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Overview

Legal analysis reveals litigation barriers under Estelle v. Gamble in carceral health care, suggesting a shift toward Medicaid-based administrative structures.

Key Points

  • Critically reappraise the legal standards established by Estelle v. Gamble and evaluate administrative alternatives to carceral healthcare litigation.
  • Reviewed the demanding legal standard and procedural litigation barriers restricting carceral health claims in federal court.
  • Conducted a policy case study of Medicaid law to evaluate administrative structures for overseeing healthcare delivery in carceral facilities.
  • Identified significant litigation obstacles that restrict incarcerated plaintiffs from securing healthcare relief under constitutional standards.
  • Characterized the advantages and limitations of replacing court-centered oversight with a Medicaid-driven administrative framework.

Cite This Study

Jolin et al. (2026) studied this question.

synapsesocial.com/papers/6aa913609013453be30a1427https://doi.org/10.1017/jme.2026.10273
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