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I haven't slept since the 26th of December 2014. And combined with my nerve damage and the cold cell with which I'm forced to be in 24 hours a day it's as if I were dead already.

Suicide note from Alfredo Lopez, a New York state prisoner who was found hanging in his cell on Jan. 13, 2015. Despite testing drug-free 10 times while in prison, he was repeatedly locked in solitary confinement for occasions when he was unable to pee for a drug test -- a symptom he blamed on a medical condition. While in solitary, he was not given his pain medication. His death is one of 50 in the last few years that a state review board concluded could have been prevented with medical care.

Suicide note from Alfredo Lopez, a New York state prisoner who was found hanging in his cell on Jan. 13, 2015. Despite testing drug-free 10 times while in prison, he was repeatedly locked in solitary confinement for occasions when he was unable to pee for a drug test -- a symptom he blamed on a medical condition. While in solitary, he was not given his pain medication. His death is one of 50 in the last few years that a state review board concluded could have been prevented with medical care.

Caroline Cournoyer is GOVERNING's senior web editor.