The health care received by prisoners in the area of tissue and organ trans
plantation is not well discussed or documented. We encountered a prisoner w
ith newly diagnosed chronic myelogenous leukemia who was a candidate for al
logeneic bone marrow transplantation and had two HLA-identical siblings who
were willing to donate bone marrow. Based on humanitarian, constitutional,
and ethical considerations, we suggest that the prisoner (patient) should
receive the same health care as individuals who are not incarcerated and th
at the costs of care should play no greater role for prisoners than for oth
er members of society.