The concerns about substandard medical care within TDCJ are well known. The correctional health care system represents a partnership between Texas Tech University Health Sciences Center, The University of Texas Medical Branch at Galveston, and the Texas Department of Criminal Justice. Yet, TDCJ consistently has to request millions of dollars from Texas legislators only to continue to maintain substandard care.  In a recent poll of our from our affected family members, medical care was the top concern (extreme temperatures were not included in that poll).   At TPCA we constantly get reports and requests for assistance from family members and Iincarcerated individuals regarding inadequate or denied medical care. Many of these problems were exacerbated and highlighted during the COVID-19 pandemic with Texas leading the nation with COvid deaths of both incarcerated individuals and officers (guards).