As of 2017, 2.3 million incarcerated Americans depend on prisons for their healthcare. These incarcerated individuals face limited access to medical exams and prescriptions medications compared to the general population as they are not eligible for Medicaid while incarcerated. On top of that, inmates face fees for seeking medical treatment. In 35 states, inmates have medical co-payments which come out of their commissary accounts (made up of prison job payments and contributions from their family). The copays are enforced to prevent inmates from abusing the healthcare system, however, it becomes a burden on inmates whose job makes little to no money and can become a financial strain on the family.