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If we had a secure border, he wouldn't have been in the country to commit the crime.
Which wouldn't change the fact that the jail is on the hook for expensive medical bills for all inmates. And while this specific inmate wouldn't be there, that doesn't mean that the next inmate with cancer wouldn't put the county in the exact same predicament.
It's not like only illegal immigrants can have cancer and be felons simultaneously.
It's faulty to fixate on the immigration status of the inmate. Put it another way, if the inmate was a citizen and his cancer treatment was bankrupting the county, would that make this an acceptable outcome?