In fact, Arpaio's staff does administer health care in the jail, to a certain extent. They attempt to provide health care when trying to restrain inmates. They may decide not to start CPR right away on an inmate who they believe is faking his death. They make health care decisions when they do or don't provide proper medicines to inmates.
All that aside, the National Commission on Correctional Health Care sure seems to be blaming him.
The commission's September letter announcing the revocation (the accreditation loss was later appealed, reinstituted, then yanked again), is addressed to Arpaio and treats the sheriff like he's, you know, in charge of the jails. Which he is.
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But Arpaio's taxpayer-funded advocate wants to pass the buck.