In 2005, the Delaware Department of Correction signed a contract with the company Correctional Medical Services (CMS) to provide medical services to inmates in state prisons. The promise of cost savings quickly evaporated, and the state was left with low quality healthcare for inmates. Inmate health deteriorated under the new contractor and several deaths resulted from lack of adequate medical care. The contractor's performance has forced the state to spend extra time and money associated with litigation arising from the substandard care.

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