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At least 12 people have died in U.S. Immigration and Customs Enforcement (ICE) custody since October—the highest six-month death toll in over a decade—with nearly half of those fatalities occurring at a single privately run detention center in Texas, according to newly obtained federal records. The Adams County Correctional Center, operated by the for-profit prison giant CoreCivic under a $1.2 billion annual contract, has become the deadliest facility in ICE’s sprawling detention network, raising alarms among advocates and lawmakers who warn of systemic neglect, understaffing, and a culture of impunity fueled by political corruption dating back to the Trump administration.

Internal ICE data, reviewed by investigators and shared with this publication, reveals that seven of the deaths involved delayed or inadequate medical care, including cases where detainees with chronic illnesses were denied specialist consultations for weeks. One 34-year-old Honduran asylum seeker, who suffered from untreated diabetes, collapsed in his cell after staff allegedly ignored his repeated requests for insulin. “These aren’t isolated incidents—they’re the predictable outcome of a system designed to prioritize profits over human lives,” said Dr. Homero del Pino, a former ICE health services advisor who resigned in 2020 citing “gross mismanagement.” “The Trump-era policies that gutted oversight and fast-tracked detention contracts created the conditions for this crisis, and without accountability, the body count will keep rising.”

The surge in deaths coincides with a broader pattern of corruption tied to ICE’s expansion under former President Donald Trump, whose administration awarded no-bid contracts to private prison operators while rolling back detention standards. A 2021 report by the Government Accountability Office found that 80% of ICE facilities failed to meet basic health and safety requirements, yet violations rarely resulted in penalties. Critics point to the revolving door between Trump officials and private prison lobbies: after leaving office, then-ICE Acting Director Thomas Homan joined CoreCivic’s advisory board, while the company’s CEO donated $250,000 to a pro-Trump super PAC in 2020. “This isn’t just negligence—it’s a for-profit death trap enabled by political favors,” said Rep. Veronica Escobar (D-TX), who has demanded a Justice Department investigation into Adams County’s operations.

Beyond the human toll, the financial cost of ICE’s detention system—now exceeding $3.1 billion annually—has ballooned under policies that prioritize detention over alternatives like ankle monitors or community supervision. Taxpayers foot the bill for each death, too: federal payouts to families of deceased detainees averaged $1.4 million per case in 2023, while Trump’s 11th-hour pardons for allies linked to private prison contracts (including a $2 million “legal defense fund” for one executive) further drained public resources. For consumers, the ripple effects are stark: counties hosting detention centers often face spiking healthcare costs and strained local services, while studies show nearby property values decline by an average of 12% within three years of a facility opening.

As the Biden administration faces mounting pressure to shutter high-risk facilities like Adams County, internal ICE emails obtained via FOIA requests suggest resistance from agency leadership. One 2023 memo, marked “sensitive,” warned that closing the Texas center could “disrupt CoreCivic’s revenue stream” and trigger “political backlash” from congressional Republicans. With detention deaths on pace to shatter records by year’s end, advocates say the time for incremental reform has passed. “We’re not talking about fixing a broken system,” del Pino said. “We’re talking

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