There are constitutional requirements for providing adequate health care to our incarcerated populations. In 1976, the U.S. Supreme Court decided in Estelle v. Gamble that "deliberate indifference to serious medical needs of prisoners constitutes the 'unnecessary and wanton infliction of pain' ... proscribed by the Eighth Amendment." In 1993, in Helling v. McKinney, the court decided that prison officials cannot expose inmates to environments that "pose an unreasonable risk of serious damage" to their future health. Since then, however, frequent reports and lawsuits ... strongly suggest that many U.S. prisons and jails have ignored these rulings. Allegations of subpar care in Arizona provide a good example of how correctional health care dysfunction puts cancer patients at extreme risk. In March 2012, the ACLU and allied prisoners' rights groups filed a lawsuit against the Arizona Department of Corrections (ADC) and several state officials [that] points to several cases of what it describes as poorly treated, or untreated, cancer. The American Friends Service Committee-Arizona released a report in October 2013 [which] found that some 105 prisoners died in custody from March 2012 to June 2013. The AFSC studied 14 deaths in depth. Six involved metastatic cancers. "This clearly indicates that the conditions were long-standing and suggests that these deaths might have been preventable had the individuals received more timely care," the report charges.