In prison and jail subcultures, custodial personnel are committed to the pe
nal harm movement, which seeks to inflict pain on prisoners. Conversely, co
rrectional medical personnel are sworn to the Hippocratic Oath and are comm
itted to alleviating prisoners' suffering. The Hippocratic Oath is violated
when correctional medical workers adopt penal harm mandates and inflict pa
in on prisoners. By analyzing lawsuits filed by pris oners under state tort
law, this article shows how the penal harm movement co-opts some correctio
nal medical employees into abandoning their treatment and healing mission,
thus causing denial or delay of medical treatment to prisoners.