I think the simplest explanation is that Russian prisons, like most other prisons, are simply bad for your health in general, especially if it is weakened by an OD/poisoning/whatever. It would make more sense for the yanks to kill him than it would for Putin (who would have gained more from people simply forgetting about him), although it seems lightly implausible (but not impossible) that they infiltrated a Siberian penal colony just to kill a guy so he could be used as a martyr.
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