Although the jail had a policy requiring that a licensed physician would provide the inmates with medical care, the jail didn't have one. Instead, a nurse, Kimberlee Miller, worked at the jail 5 days a week. If an inmate developed a medical problem when she wasn't there, jail staff were to contact her.
But they didn't like to do that because Miller did not have the sweetest disposition. As one court noted, "Miller was known to yell at staff when contacted outside of work hours, a problem so pervasive that even the Sheriff was aware that officers were hesitant to contact Miller when off duty."
Court documents allege that, when contacted, Miller would not go to the jail but would try to make a health assessment by phone. If jail staff didn't manage to get in touch with Miller, the court stated, "detention officers with no medical training were expected to rely on their 'common sense' to determine whether an inmate should be transferred to the emergency room."
It didn't require a nurse to see that Bowker's condition was serious, even life-threatening. Bowker's cellmate wrote a note stating "we are afraid he is going to die on us."
However, according to court documents, the nurse did not even review Bowker's request until 2 days later. She did not conduct a health assessment but did contact Bowker's mother, who brought the CPAP machine and Bowker's medicine to the jail.
But jail staff refused to accept this medicine. The court noted that the jail "had a policy of refusing any medication that was not packaged in bubble packs. If an inmate's family did not provide medication in this specific type of packaging, an inmate could only obtain medication through a visit to the emergency room, which resulted in a $100 transport fee deducted from the inmate's commissary account pursuant to a policy created by the Sheriff's office."
Jail records show that Bowker did not receive any medication for almost 2 months. That wasn't atypical. The jail nurse also took a long time to respond to other inmates' requests for medical treatment.
Bowker submitted a request for medical treatment stating that he had a broken toe and was having trouble balancing, After waiting 6 days, he submitted another request, repeating that he was having trouble balancing, was experiencing dizzy spells and had fallen twice, injuring his back. The nurse did not review this request for another 3 days.
Three times, Bowker was taken to the emergency room. The last time, the hospital's discharge instructions directed that he receive care from a neurologist and listed 3 medications he was supposed to continue taking. However, the jail did not arrange for Bowker to see or a neurologist or receive further medical treatment.
Additionally, the jail only gave Bowker the prescribed medication for 2 days after his discharge from the hospital. Then, jail staff stopped. Why they stopped giving him the prescribed medication isn't clear, but without it Bowker deteriorated rapidly.
After a week without medication, he became catatonic, unable to speak coherently, and began defecating on himself. Two days later, a guard found Bowker collapsed on the floor of his cell.
Bowker died at age 41. The official cause of death was an enlarged heart, but an expert witness later testified that several different conditions, including encephalopathy, probably contrbuted.
The administator of Bowker's estate sued the sheriff and the nurse. The trial court concluded that the doctrine of qualified immunity barred the lawsuit and dismissed it. However, on March 14, 2022, the U.S. Court of Appeals for the Tenth Circuit reversed the district court and reinstated the suit.
Bowker was the third Carter County jail inmate to die within a 10-month period. About 7 months earlier, a 44-year-old inmate had died of a pulmonary embolism. Two months before that death, a 20-year-old inmate had committed suicide.
In an ironic twist, after Bowker died, the sheriff himself learned what it felt like to be jailed. But the lesson didn't last long.
At the time Bowker died, state investigators already had received allegations of misconduct which shed some light on why the sheriff wasn't paying attention to conditions in his jail. He had other things on his mind.
Agents of the Oklahoma State Bureau of Investigation arrested Sheriff Milton Anthony on a charge of receiving a bribe, and booked him in his own jail. The bribe did not involve money. Rather, for almost a year, a woman employed by the sheriff's department provided sex to the sheriff and in return, the sheriff hired the woman's husband as a deputy.
The Oklahoma attorney general also charged the sheriff with sexual battery for – allegedly – fondling another female employee without her consent.
The charges could have landed Anthony in prison for a decade or more, but the prosecutor gave him a good deal. Without admitting guilt, the sheriff entered an "Alford plea" – essentially a plea of "no contest" – to the bribery charge and the prosecutor dropped the sexual battery charge. The court sentenced Anthony to 2 years unsupervised probation. He also lost his certification to serve as a law enforcement officer and resigned as sheriff.
Anthony isn't the only Oklahoma sheriff who has gotten on the wrong side of the law. An Oklahoma newspaper made a list.