This is a rather rare kind of pic: it shows an 23 inmate of Indian County Jail, Florida, incarcerated for the period of a bit more than a year, transported to hospital. It's unknown what medical treatment he's been admitted for. Nor is it clear what the cords extending to his right arm are for.
What is clear, however, is that he's kept shackled in the hospital bed. His wrists are clearly visible in handcuffs, which are in turn attached to the D-ring of a leather belt around his waist: one of the usual ways to restrain prisoners during transport. He isn't liberated from it because he is a patient now. Apparently it is also self-evident that he had to keep his prison uniform on, in this case the standard orange jumpsuit widely used in prisons.
Is he in his restraints lying alone in a room? Or does he have to share a dormitory with other patients, with free civilians all around him, he himself being so clearly recognizable as a prison inmate?
It's also unknown whether he is also—as is customary in prisoner transport, during which the leather belt with handcuffs maske up a standard feature—fully restrained, and therefore wearing leg-irons too. If the blurry photo in the prison car below shows him on the way to the hospital, he likely had to keep them on in bed as well. Incidentally, they are less of a hindrance than the handcuffs, which significantly restrict his freedom of movement in this way.
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