Things like bed size, using the toilet or showering, getting food or even getting them into the cell or moving them around the prison all seem like it would take a lot of planning and logistics on the prisons part.
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Correctional Officer here: if you’re so large that you can’t get around without assistance, they put you in a facility with proper medical care and accommodations until you can get around. Then you brave the rest of the prison like anyone else. You cannot stay that large in prison unless you have a lot of money, even then you don’t have much storage for your commissary. There aren’t larger bunks, toilets, or anything else to provide. Medical staff will ensure you lose just enough weight to do things on your own, even if you’re still not the ideal size to fit things. I will say that it’s incredibly rare for someone that large (though I’ve seen maybe 600lbs tops) to end up in prison because, well, how many crimes are you committing when you likely can’t/won’t leave bed? Not very many.
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