When the inmates outnumber the staff to such a high ratio, inmate care goes out the barred window. Any inmate taking doctor prescribed medicine will have to wait months for the pill testers to get around to their bottle every time that a refill is needed. Then, after the Rx has been certified, the guards will stick it on a shelf somewhere and say that they can't find it when the prisoner asks "where are my pills".
Those that happen to require immediate medical attention will be ignored. If your appendix is busting, that's curtains for you, along with many other preventable deaths.
That is a violation of section 8 of the US Constitution.
When you have 6 men sharing a 5x10 foot cell it's a violation of section 8.
When you have prisoners that are starving to death because a bigger inmate is taking their food everyday it's a violation of section 8.
When you have mentally unstable inmates not being cared for, you guessed it, a violation of section 8.
When you have guards playing Gitmo, it's a violation.
Many, many more, such as prisoners getting shanked in the back and being ignored. Many being murdered, maimed, etc.
The Supremes are right. The violations in any prison system with too few guards, medical staff, and pill testers for the inmate population will result in barbaric medieval conditions every time. The general free population's desire to hear about inmate rape has always puzzled me. It's almost like we think that that should be part of the punishment. Sickening.
The judge doesn't sentence you to Abhorrent misery, only time.