Based on a survey of 123 prisoners in 83 facilities in 21 states, the report, Cruel and Usual: A National Prisoner Survey of Prison Food and Health Care Quality, concludes:

Overall, the prisoners describe a prison system that routinely provides inadequate food and health care that endangers their health. Unsanitary conditions, small servings of poor quality food, and lack of attention to special diets are common. Disrespect by health care staff, delayed care, and denial of treatment and medications are also common.