USA TODAY US Edition

Elderly, ill wait at risk in prisons

Meanwhile, virus was Manafort’s ticket home

- Kristine Phillips

Like Paul Manafort, Mike Yepremian has a long list of health problems that place him at high risk of dying of COVID-19. He has diabetes, high blood pressure, heart and respirator­y failure and sepsis, some of the same ailments that have afflicted Donald Trump’s former presidenti­al campaign chairman.

Like Manafort, Yepremian was hospitaliz­ed a few months ago. In February, his pneumonia had gotten so bad that he was put into a medically induced coma for nine days while intubated, his family said. In April, he was back in the hospital.

Like Manafort, Yepremian is serving time for a white-collar crime. Manafort defrauded the government out of millions of dollars he amassed through illicit lobbying. Yepremian defrauded Medicare by running fake clinics in Texas. Manafort was sentenced to 71⁄2 years. Yepremian is serving 10 years.

Both men, their attorneys said, are nonviolent, first-time prisoners who don’t have the capacity to commit another crime. Both men are probably in the last years of their lives. Manafort is 71; Yepremian is 63.

Manafort, once a well-known Republican operative, was released early, following Attorney General William Barr’s order to expedite moving vulnerable prisoners to home confinemen­t because of the coronaviru­s pandemic.

Yepremian remains incarcerat­ed. Attorneys and advocates said there are many more like Yepremian – old, nonviolent prisoners who aren’t a threat to public safety, yet remain behind bars even as the virus infects hundreds of inmates and staff. The way the federal Bureau of Prisons implemente­d Barr’s directive has been inconsiste­nt, confusing and slow, attorneys and advocates said. The agency has broad discretion in determinin­g who can spend the rest of their sen

tence at home, but how this gets decided is cloaked in secrecy.

“This is a classic problem with the BOP, just a lack of transparen­cy. When everything is shielded from oversight, people are going to be skeptical with it,” said Kevin Ring, president of Families Against Mandatory Minimums.

Judges across the country have called out prison officials for how they dealt with the pandemic. A federal judge in Ohio said officials have taken “only minimal effort” to keep about 800 elderly and at-risk inmates out of harm’s way. A federal judge in New York called some of the Bureau of Prisons’ quarantine policies “illogical” and “Kafkaesque.”

The Bureau of Prisons declined to say whether Yepremian qualifies for home confinemen­t, saying it does not speak about a specific inmate’s suitabilit­y. The agency said that after Barr’s directive, it “immediatel­y” began reviewing all prisoners who have underlying health conditions that make them vulnerable to COVID-19 to determine who’s suitable for home confinemen­t.

Yepremian is serving time at the Terminal Island prison in Southern California, a low-security facility that houses some of the federal system’s sickest inmates. It had among the highest numbers of COVID-19 infections.

“At a time when prisons are being emptied out across the nation, it would defy logic and be dangerous to force Mr. Yepremian … to remain in one of the most severely infected facilities in the country,” said Alan Jackson, the family’s attorney.

Keeping him behind bars “is playing Russian roulette with his life,” Jackson said. “Except in this case, five out of six chambers are loaded.”

Sentenced to prison, not death

Across the federal prison system, more than 18,000 prisoners are serving sentences of less than three years.

Yepremian and Manafort are serving longer, but they’re among the 9,800 who are 61 and older. They’re among the less than 10,000 who are serving time for nonviolent, white-collar crimes, such as fraud and bribery. These totals include those who have been allowed to serve the rest of their sentence at home.

The Bureau of Prisons has moved 3,889 inmates to home confinemen­t.

Attorneys and advocates said the bureau has not done enough to fulfill Barr’s orders, which directed officials to consider an inmate’s age and vulnerabil­ity, their conduct in prison and the crime for which they were convicted, and to prioritize those in low-security facilities.

In court filings, officials said they will consider prisoners who have served 50% of their time or have 18 months or less in their sentences.

Yepremian, who’s set to be released in 2026, does not meet this requiremen­t. Neither does Manafort.

“In these decisions, you can’t always tell which factors are being weighed more heavily than others,” Ring said. “If you have an infraction last year, that should disqualify you, but what if you’re really sick? If you stole an egg from the dining hall six months ago, does that really counterbal­ance the fact that you have diabetes?”

Officials rely on a scoring system that rates prisoners’ likelihood of committing another crime. Ring said neither prisoners nor their families have been able to find out what their score was.

“Families don’t have access to prisoners’ assessment. The families were reaching out, but they don’t get answers. (Prisoners) are being told they’re not eligible, and they can’t figure out why,” Ring said. “A lot of people are telling us they couldn’t get their scores, so they can’t even argue with it.”

At Terminal Island, many of the prisoners suffer from chronic, medical and mental health conditions. The facility has about 1,000 inmates. More than half tested positive for coronaviru­s, although officials said nearly everyone – about 600 – recovered. Nine prisoners died.

Dan Specter, executive director of the Prison Law Office, which filed a lawsuit against the Terminal Island prison, said very few people have been released, even though they seem to qualify under Barr’s directive.

“They were sentenced to a term of imprisonme­nt, not to a death sentence,” Specter said. “The people under their care and custody are the most vulnerable and the lowest risk for recidivism. It’s incomprehe­nsible to me why (the warden) hasn’t acted more promptly.”

Bureau of Prisons Director Michael Carvajal defended the agency’s response to the pandemic, saying inmate testing revealing infection rates as high as 70% is “in no way representa­tive” of conditions across the system. He said less than half the bureau’s facilities have been hit with coronaviru­s, and many of those who tested positive are asymptomat­ic.

Arthur Rizer, a former Justice Department lawyer and a criminal justice expert at R Street Institute, said many of the criticisms against the Bureau of Prisons are unfair.

“I don’t think there’s anybody twirling their fingers saying, ‘How can we keep more people incarcerat­ed.’ … There’s just not really a good one-snap solution,” Rizer said.

Rizer acknowledg­ed that prison officials have not moved fast enough in releasing nonviolent offenders, including those who committed crimes such as fraud, forgery or petty drug offenses.

“I know it’s not a perfect system. It’s not something that I would advocate for as a way of doing business, when time is of the essence and the number one way to stop infections is to use social distancing … they should be looking at all available tools to get people out that don’t need to be there,” Rizer said.

Waiting in panic

The last time Yepremian’s family saw him was in February, before the Bureau of Prisons banned visitation­s in response to the pandemic.

As the virus spread at Terminal Island, his daughters said they did not hear from him for weeks.

They waited in panic after finding out their father was hospitaliz­ed and in a coma. They wondered if he was receiving the care he needed, if he could walk, if he was getting enough food and water, if he was at least comfortabl­e.

Yepremian has tested negative for coronaviru­s. If he tests positive, he’d have little chance of surviving, his daughters said.

When they finally heard from Yepremian, they said, he was allowed only five-minute phone calls. They said he was distraught.

Maria Morris, a senior staff attorney for the American Civil Liberties Union’s national prison project, said much of the concern among prisoners is the inability to safely distance themselves.

“People are getting sick all around them. You hear people coughing constantly,” said Morris, who’s suing a federal prison in Butner, North Carolina. “They’re right on top of each other in the bathrooms, right on top of each other when they’re trying to use telephones, computers. They’re sleeping right next to each other.”

The Bureau of Prisons said it took several steps, including limiting prisoner transfers, restrictin­g inmates’ abilities to move around and congregate, screening, quarantini­ng and isolating prisoners who show symptoms and beefing up its stock of cleaning and medical supplies. Screening includes regular temperatur­e checks, officials said.

“All of these actions were carried out with the goal of reducing the risk of introducin­g and spreading the virus inside our facilities,” the agency said.

In late April, prisoners were given cloth masks. At Terminal Island, where officials said all prisoners have been tested for COVID-19, officials disseminat­ed informatio­n on social distancing and hygiene.

Families remain on edge. Yepremian’s family found out his cellmate had tested positive, leaving them to worry that unless he’s home, he’s not safe.

 ?? TIMOTHY A. CLARY/AFP VIA GETTY IMAGES ?? Paul Manafort was released early to home confinemen­t because of the coronaviru­s pandemic.
TIMOTHY A. CLARY/AFP VIA GETTY IMAGES Paul Manafort was released early to home confinemen­t because of the coronaviru­s pandemic.
 ?? LM OTERO/AP ?? The Bureau of Prisons said it took several steps to ensure prisoner safety, including limiting prisoner transfers, restrictin­g inmates’ abilities to move around and congregate, and isolating prisoners who show symptoms.
LM OTERO/AP The Bureau of Prisons said it took several steps to ensure prisoner safety, including limiting prisoner transfers, restrictin­g inmates’ abilities to move around and congregate, and isolating prisoners who show symptoms.
 ?? ROGELIO V. SOLIS/AP ?? Judges across the country have called out prison officials for how they dealt with the pandemic.
ROGELIO V. SOLIS/AP Judges across the country have called out prison officials for how they dealt with the pandemic.

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