Bolivian prisons are overcrowded, dilapidated, and lawless, and food supplies and medical care are almost invariably insufficient. Generally, prison officials only control the “outer security perimeter” of these institutions, while the interior is under the control of prisoners themselves, with inmates directing gang activity from behind bars. There is ample violence in Bolivian prisons involving both prisoners and prison officials, and corruption on the part of wardens and guards is widespread. Well-off inmates can arrange for improved living conditions, more liberal visiting rules, shorter prison terms, and transfer to better prisons. Some prisoners have been known to suffer from diseases such as tuberculosis. Prisoners are routinely able to obtain drugs and alcohol, and in some cases children are used as drug couriers. Juvenile offenders are often imprisoned alongside adults, and in at least one prison men and women are confined together as well. Under Bolivian law, spouses as well as children up to age six are permitted to live with a parent in prison, but in practice children up to 12 years old do so. Prisoners have the right to complain about abuses, but they rarely dare to do so for fear of retaliation.^[5]