“Philosophically committed to the objectives of the facility,” read the original job posting for a physician by The GEO Group in the prestigious Journal of the American Medical Association (JAMA). The GEO Group is a for-profit company that runs correctional facilities not just in the United States, but also in the United Kingdom, South Africa and Australia. It also operates several Immigration and Customs Enforcement (ICE) processing centers in the United States.
I met Julian six months ago. He was the first patient I watched go through a buprenorphine/naloxone induction. My preceptor carefully guided him through a series of deeply personal questions: How old were you when you first started using? What is your drug of choice? Have you ever injected? How much? Have you ever traded sex for drugs? When did you last use?