Sylvia, at age 64, is declining in health. 21% of Pennsylvania’s prison population serving death by incarceration sentences, including Sylvia, are over 60 years old. Together, they cost the state billions of dollars over the cost of their incarceration. Sylvia is struggling with sciatica nerve damage, arthritis, and herniated discs, all of which make her live with regular pain. She is waiting to receive spinal surgery. In addition, she is going through various tests to check for cancer. More recently, the COVID-19 pandemic poses an immense threat to Sylvia’s already vulnerable health.