THE SALINA JOURNAL SALINE COUNTY JAIL SUNDAY, OCTOBER 13, 1996 A9 Sick inmates are costly to county By SHARON MONTAGUE The Salinn Journal '," The Saline County Jail inmate, an alcoholic, was obviously in-pain. • \ ' A trip to the emergency room of a local hospital brought a tentative diagnosis —• kidney failure, and possibly a need for a kidneV transplant — and a referral to the University .of Kansas Medical Center in Kansas City, Kan.; The county was in a bind: The man was a'pris- oner, and the county was liable for any medical expenses incurred while he was a prisoner. But a kidney transplant? "The problem is, we can't just let them sit here and die," said Sheriff Darrell Wilson. "If they don't have the money or.any insurance, and they're in our custody, we have to take care of them."' • The man ended up not needing a kidney transplant, but the bill for the medical workup was $40,000, said'Capti Rick Hansriiann of the Saline County Sheriffs Office. "We negotiate^ !th6.bill .and. only end'ed. up paying about $25;t)C[6i'' Hansittaiyi-'isald. ; Visits to Salina^tatcare Mirior Emergency Center or to a jail :nuf se are less costly, but those bills also addUp, Wilson said. Medical costs,;|:which amounted to about $89,000 in 1994 arid '$63.,000 in 1995, are an unknown in the jail business, as illustrated by the man with kidney failure. "We can try to budget for that,, but we just never know," Wilson said. "We're at the mercy of the medical community." , ' The sheriff's .'clepartmeiit has done two things to stem the>ih.creasing medical costs. Two years agorthe county began charging inmates $5 toward $112 cost of.eacft/visit to the!, jail nurse, a locaiT$ti>£tor or the.hospital,emer-; gency room. If an" intftate hasinsurancfe, the in-, surance company:i|;'bijled., .;'/••}'.•.•, i '.; ; ; ; .' If the inmate dtf&^ftot have money in his jajl fund, heisnotdeiii^&datnieht. .• . ; ; "We used to ha#6;;30;pBQpIe a day wanting to l see the nurse," W&s^tt,said. "It cut sick call by OPEN TO THE PUBLIC PIANO SALE CENTRAL COLLEGE OF MCPHERSON DAVIS TURNER / The Salina Journal Inmates fn the maximum-security area of the jail are kept behind protective glass, rather than bars, adding to the safety of the jail. two-thirds when we first started it." Starting in January, the sheriffs office hopes to have a contract with a local healthcare provider to provide routine medical care to inmates for a set amount. Other costs — such as a kidney transplant — wouldn't be covered under the agreement. '•"That would give us the ability, to a large extent, to predict the costs of health care and to budget for that," said David Criswell, county administrator. "The last couple of years, expenses have exceeded the budget for medical expenses by quite a bit. If you contract with a provider, you can know the costs and hopefully reduce the costs." Some might suggest that medical costs be reduced by simply releasing the inmate from jail, or refusing to provide treatment. But Wilson said those aren't options. Courts have ruled that jails are liable for any medical costs incurred by people who are jailed. At times, a court might agree to release a non-violent person charged with a minor crime if the person is seriously ill, Wilson said. But some courts have ruled that the counties were still liable for the costs of treatment. "It doesn't relieve us of the responsibility to pay," Wilson said. Numerous pianos will be sold by Saturday, October 19th, 1996 on campus in conjunction with Kawai's Institutional Loan Program. Many Grands, Consoles, Studios, Uprights, and Digital Pianos in various finishes and styles will be sold. Many are less than one year old and carry new factory warranties. For information or to schedule a preview appointment call: S16 -241-6588 Sale hours-Saturday, Oct. 19th from Noon to 5 pm ,or by preview appointment only. FOR BEST SELECTION CALL FOR A PREVIEW APPOINTMENT 316-241-6588 1200 S. Main McPherson, KS Call For Preview Appointment 316-241-6588 Sales & Service through Sounds Great Music ONE DAY ONLY WORLD'S GREATEST HAIRCUT EVERYDAY! snip rr CUP FAMILY HAIRCUT SHOPS GALAXY CENTER 825-4054 (Across From Central Mall) COMPLETE WITH CUT! Long Hair Extra 11 Month 6.06 ^ Certificates of Deposit The Guarantee CD, renewable upon maturity at the same Annual Percentage Yield - or higher. Available on deposits from $500 to $100,000 Jumbo CD's. Only at Security Savings Bank. In Salina call 825-8241, or our statewide toll-free number at 800-323-8958. Security Savings Bank 317 S. Santa Fe, 1830 S. Ohio, Salina, KS 825-8241 With offices in Salina, Garden City, Olathe; and Wichita *Rates subject to change, there is a substantial penalty for early withdrawal. 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