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The Obama administration implemented several new programs meant to improve oversight, but these monitoring procedures remain inadequate, and the Trump administration has already announced plans to reverse many of these reforms, including not including the most recent detention standards for contracts with county jails.The Government Accountability Office has faulted ICE for its failure to track and analyze its oversight mechanisms and grievances from detained immigrants.

For example, Eloy Detention Center (EDC), run by the private company Core Civic/CCA, has seen 15 deaths in detention since 2003, more than any other detention facility in the US.Manuel Cota-Domingo, detained at Eloy Detention Center, died of untreated diabetes and pneumonia after numerous delays, including a policy that placed restrictions on which staff could call 911, resulted in eight hours passing between the moment he started to have trouble breathing and his arrival at an emergency room.Tiombe Carlos died by suicide in York County Prison after being detained for two-and-a-half years.“Luke R.,” detained at Orange County Jail in New York, had been diagnosed previously with schizophrenia.The facility not only failed to provide adequate mental health care—at one point changing a prescription for an anti-hallucinogen to Benadryl, an anti-histamine—it also disciplined Luke and put him into solitary confinement for actions that were clearly related to his mental health condition. ICE has been receiving reports of such substandard medical care for years but has failed to take meaningful action.The number of people held in immigration detention in the United States has grown significantly over the past decade.

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