The John Howard Society generally has a problem with the quality of the health care and the independence of the health care professionals. They're all under contract to CSC, so again, CSC's security interest seems to trump what's needed for the prisoner's health on any given day. You'll find that the health care professionals don't carry much status in the entire prison system, so their recommendations can be easily ignored, which is a very serious problem. Who's going to know whether or not the recommendations have been ignored? Sure, they're keeping records, but who's reading the records? Who's keeping on top of it?
The absence of any kind of vigilance and independence is a challenge.