Tbf that happens out of jail, too.

Yep, and that applies even without any existing health concerns going in. Better hope you don't develop any while living under those conditions.

I'm T1 diabetic, and have an unfortunately reasonable expectation that even a week spent in jail back in the US could very easily turn into a death sentence. It does happen with depressing regularity. That's just looking at one very straightforward (and easily treatable) chronic condition, and a couple of fairly recent examples which have gotten more publicity than most such cases ever will. It's a mess.