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A man suffering from a life-threatening liver problem decided his best bet to save himself was to go to prison.

Dr. Joshua Mezrich, an assistant professor of surgery in the division of multi-organ transplantation at the University of Wisconsin School of Medicine and Public Health, tells the story of a 41-year-old man who turned to crime to get medical care.

Mezrich’s story, which appears in the Atlantic, highlights what he said is a lack of good options for patients who need care but can’t afford to pay for it.

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