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What's reported at Irwin has been happening for a long time. In 2016, I wrote a report regarding ICE detention in the South--Irwin was notable for the fact that detainees faced incredible difficulty obtaining outside medical care from specialists. https://www.splcenter.org/20161121/shadow-prisons-immigrant-detention-south /1
Also about Irwin:
Irwin is run by Lasalle Corrections, which has come under fire for terrible medical care of ICE detainees. We published an investigation of several of the LaSalle detention facilities, also in the South, earlier this year: https://www.aclu.org/report/justice-free-zones-us-immigration-detention-under-trump-administration. /4
For example, at Winn Detention Center in Louisiana, also run by LaSalle Corrections, which runs Irwin, the only doctor is one whose license had been revoked multiple times. /5
More on lax medical care at immigration detention facilities run by LaSalle Corrections:
