It depends on what your definition is for medical necessity.
I had the pleasure of developing a sort of "Coed" prison. Think a quad area and a postage stamp corner and surrounded by 2 layers of fencing. The females were housed in that postage stamp area. It made for some creative facility movements at time.
Some/Many Supplies are medical necessary these women taught me how to make a tampon out of a Kotex, these Kotex we ordered for the females were like the kind you get after birth except they stick to the undergarment, no frills that is for sure. The females complained a lot, they wanted tampons, no we did not order those. Other items we did not order were chap stick, I told them to use butter. Now if they had a medical condition this would be different but they would get not chapstick but some other medication for their lip ills. I refused to order chapstick because it is not medically necessary, my state does not have monies to throw away. The inmates can earn money and buy their own chapstick from the commissary. Same with tampons and other items that we take for granted and are not necessary for life.
It is not just a matter of the inmates making things out of what appear to be nothing but what is medically necessary. I have seen a single shot gun made out of a retractable pen.
The inmates malingering is rampant and if you have to send out for chest pain so be it, I would also ensure Behavioral Health is part of this persons treatment plan. I would have your back each and every time you send this offender out.
I would ensure at the hospital he sees no one except medical necessary healthcare staff, and upon return to the prison make it difficult, hence a brown paper bag for his meal, has to come to medical every 6 hours just to be checked out (if this interferes with visitation, programming, TV schedule, sleep schedule, has to come to medical for all his medication, then so be it. I have had them stay in medical over meals, called in for sack lunch and all of a sudden no more pain it is gone. It happens a lot during sporting broadcasts. I do not like they abuse medical this way, it is like this on the outside as well, but I can make their visit a little more unpleasant without harm so they may think twice about their malingering ways.
The inmates always know we are there in an emergency, if you malinger and get caught there are consequences to pay. I do not want to ever think they feel like they cannot come to medical.
Lastly when they are inmates they are under our care custody and control. All their needs are taken care of they have clothes (that serve all seasons), food that adheres to the FDA Dietary recommendation and even modified to the inmates diet i.e. vegan, Kosher, and other religious dietary needs, shelter, personal supplies to include soap/shampoo/hygiene supplies/towels/wash cloths. They have access to education, to a commissary (like a grocery store) that supplies name brand...everything snacks, soup, teas, coffee, soda pop, personal items, you can even buy small TV's, books, Radios, Sunglasses, warm clothing, tennis shoes, chapstick, tampons, shampoo...It is usually a list of 3-5 pages of what you can buy and the limit of what you can buy. I use this list of what they have purchased for diabetic education in chronic care when they come to their appointment and their A1C is high. Yeah I am that nurse. I hold them accountable.
I guess my point is they come to prison with nothing and no ability to pay for anything their Maslows Hierachy of needs are meet at the first 2 levels regardless of your feeling about safety. The Maslows 3rd level of love you have to work at that and many of these inmates have burned bridges. Just saying its hard to love a difficult person.
You have the opportunity to get a job in prison and despite what you hear there are jobs that pay from 25 cents an hour (think an inmate pulling dandelion weeds from the grass areas, usually the older inmates have this job as it gives them a purpose) to making up to I have seen $25.00 an hour (usually the last year in prison on work release-jobs like electrical installer, plumber certified...) some of their monies are taken by the state for restitution, some they get to keep, hence ability to pay for that TV they wanted)
I do not feel sorry for anyone of them this is their responsibility to serve their time because they broke the law.