While in prison I met a lot of men that required assistance in the form of wheelchairs, walkers or canes to get around. Most of the handicapped inmates I knew didn’t arrive in prison that way. In Prison time moves slowly but inmates age faster than on the outside. A substantial body of medical, gerontological, and social science research demonstrates that incarceration is associated with accelerated aging. Each year spent incarcerated is associated with an estimated two‑year reduction in life expectancy. Incarcerated individuals experience earlier onset of chronic disease, functional impairment, cognitive decline, and reduced life expectancy compared to the general population. As a result, people in prison are often considered physiologically 10–15 years older than their chronological age. Recent reforms move Michigan away from the most restrictive end of the spectrum, but it remains closer to “medically frail only” systems than to states that treat advanced age and lengthy incarceration itself as grounds for sentence review. Compared with these models, Michigan—like most U.S. states—places greater emphasis on managing aging within prison rather than structurally limiting long-term incarceration of older adults.