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When people are behind bars, the government is responsible for their health care. That’s in the U.S. Constitution. Anything less is considered cruel and unusual punishment. But New Mexico has a history of struggling to meet that obligation. Lawsuits about deaths and permanent health damage pile up.

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The state fired the private company in charge of prisoner health care and gave the contract to another company after a 2016 investigation into dangerously bad medical care in prisons by the Santa Fe New Mexican. But in the two years since the change, millions of dollars in fines have been leveled against the new private health care provider.