This book offers a unique examination of how violence is situationally induced and reproduced for those inmates living with HIV in a US State prison system. Imprisonment is the only space where Americans have a constitutional right to healthcare but findings from this research suggest that accessing this care and associated welfare benefits requires some degree of violence. This book documents how HIV-positive inmates went about achieving agency through harm to their bodies and social standing to improve their health and wellbeing, in prison and upon re-entry to the community. It focusses on ethnographic research which was carried out in seven penal facilities in New England