The prison system far too often attracts sadists, and the management looks the other way. And so do we. What does it take to get us to protest this kind of horror?

PEKIN, Ill. — For days before he died in a federal prison, Adam Montoya pleaded with guards to be taken to a doctor, pressing a panic button in his cell over and over to summon help that never came.

An autopsy concluded that the 36-year-old inmate suffered from no fewer than three serious illnesses — cancer, hepatitis and HIV. The cancer ultimately killed him, causing his spleen to burst. Montoya bled to death internally.

But the coroner and a pathologist were more stunned by another finding: The only medication in his system was a trace of over-the-counter pain reliever.
That means Montoya, imprisoned for a passing counterfeit checks, had been given nothing to ease the excruciating pain that no doubt wracked his body for days or weeks before death.

“He shouldn’t have died in agony like that,” Coroner Dennis Conover said. “He had been out there long enough that he should have at least died in the hospital.”

The FBI recently completed an investigation into Montoya’s death and gave its findings to the Justice Department, which is reviewing the case. If federal prosecutors conclude that Montoya’s civil rights were violated, they could take action against the prison, its guards, or both. A Justice Department spokesman declined to comment, saying that the matter was still being investigated.

The coroner said guards should have been aware that something was seriously wrong with the inmate. And outside experts agree that the symptoms of cancer and hepatitis would have been hard to miss: dramatic weight loss, a swollen abdomen, yellow eyes.
During Montoya’s final days, he “consistently made requests to the prison for medical attention, and they wouldn’t give it to him,” said his father, Juan Montoya, who described how his son repeatedly punched the panic button. Three inmates corroborated that account in interviews with The Associated Press.

The younger Montoya was taken to the prison clinic one day for “maybe five, 10 minutes,” his father said. “And they gave him Tylenol, and that was it. He suffered a lot.”