Here in WI, the state owns the prisons, but contracts out a lot of stuff such as commissary, phones, and healthcare. The issue with these contracts is that they create a monopoly inside. Want a ramen? It’s going to cost. Want to call relatives? It’s going to cost. Want healthcare? Well, that one they’re not supposed to deny you, but they charge a $15 copay, which is an arm and a leg when you make .15 an hour. And if the healthcare sucks, you’re shit out of luck.