Patient Dumping?

  1. This can't be good. Anyone know any thing more about this story?

    http://ktla.trb.com/news/ktla-patien...ll=ktla-news-1
  2. Visit HuggyPuglet profile page

    About HuggyPuglet

    Joined: Jul '05; Posts: 109; Likes: 7

    8 Comments

  3. by   MS._Jen_RN
    I don't know anymore about the story, but we (rehab unit) have d/c'ed pts to homeless shelters.
    ~Jen
  4. by   banditrn
    I guess I'd like to know both sides of the story. If they are being taken where the homeless shelters are, then?

    Sometimes people are 'homeless' because of the lifestyle THEY chose.
  5. by   elkpark
    I have worked many years in a variety of urban areas, and people are often discharged from acute hospitals and rehab programs to homeless shelters because they have nowhere else to go. Typically, these are people who were homeless before they were admitted to the hospital. Hospital social work staff have attempted to make other arrangements for them during the course of their hospitalizations, and have been unsuccessful in finding another option. In fact, in my experience, they were not transported by ambulance to the shelter from the hospital, just given the address and name of a contact person at the shelter and wished good luck at the front door of the hospital (just as hospitals do not routinely give "rides home" in an ambulance to other patients who are being discharged ...) The article mentions that the patients were observed being delivered by ambulance to the front entrances of the local homeless shelters -- that sounds like the hospital is going "above and beyond," in my experience!

    I'm not saying I think this is a good idea, or that our society does anywhere close to a decent job of dealing with basic human needs, but what are the hospitals supposed to do??

    The article talks about people being "dumped" on Skid Row "against their will," but does that mean "against their will" as in they had someplace else to go but the hospital took them to Skid Row and left them anyway, or "against their will" as in they would prefer living at the hospital? Once they are medically stable and the acute condition is resolved, there is no indication for them to remain in the hospital and urban hospitals can't afford to serve as hostels for a city's homeless population.
  6. by   teeituptom
    It is so sad in this country currently run by republicans. That we decline to use Government assistance to help the homeless. But at the drop of a dime, we place all these Nationals from other countries on medicaid, medicaire, who have never been a part of our system before.Or have paid anything in to it. Like the Russians, the mexicans and every other country. But my Parents when they reached 65 had to get an attorney before they could get medicare, from the feds.
  7. by   cabkrun
    Quote from teeituptom
    It is so sad in this country currently run by republicans. That we decline to use Government assistance to help the homeless. But at the drop of a dime, we place all these Nationals from other countries on medicaid, medicaire, who have never been a part of our system before.Or have paid anything in to it. Like the Russians, the mexicans and every other country. But my Parents when they reached 65 had to get an attorney before they could get medicare, from the feds.

    I'm not a republican, but this is a little silly (sorry, not trying to be nasty). The republicans have no more to do with this than any other party to be honest. It didn't just all the sudden start happening when Dubya came into office. I ask whether the placement of Nationals from other countries on medicaid, etc. can be substantiated with proof? My mother had no problem getting on medicare, as she is low income. It's not as simple as what it's made out to be. Like others have asked, what exactly is supposed to happen with these people? Most Americans refuse to pay higher taxes to appropriately set up a social system (some might call it socialism), so the ability of the govt. to save each and every person from themselves is impossible.
  8. by   chase4myheart
    Quote from cabkrun
    I'm not a republican, but this is a little silly (sorry, not trying to be nasty). The republicans have no more to do with this than any other party to be honest. It didn't just all the sudden start happening when Dubya came into office. I ask whether the placement of Nationals from other countries on medicaid, etc. can be substantiated with proof? My mother had no problem getting on medicare, as she is low income. It's not as simple as what it's made out to be. Like others have asked, what exactly is supposed to happen with these people? Most Americans refuse to pay higher taxes to appropriately set up a social system (some might call it socialism), so the ability of the govt. to save each and every person from themselves is impossible.
    I can understand what you are saying, but I would like to know how our government can spend millions sending it overseas in relief aid while we have people living in cardboard boxes in the US. IMO charity begins at home. We need to clean up our own mess that we have here and then donate what we have left to others. I also think that all of the perks that our politicians get for political lunches, business meetings, and that hefty salary that they get each year should be donated to help the homeless. I also think that it should be a requirement for every political leader, including our president, to have to live for one year on what a middle-class citizen grosses. Personally, I think that they would cave within the first week, but it would sure give them a better understanding of what our country needs. Please don't take this wrong. I think that it should be true for all political parties. Our country is in trouble and we need people in control who understand how the real world lives.
  9. by   cabkrun
    Quote from chase4myheart
    I can understand what you are saying, but I would like to know how our government can spend millions sending it overseas in relief aid while we have people living in cardboard boxes in the US. IMO charity begins at home. We need to clean up our own mess that we have here and then donate what we have left to others. I also think that all of the perks that our politicians get for political lunches, business meetings, and that hefty salary that they get each year should be donated to help the homeless. I also think that it should be a requirement for every political leader, including our president, to have to live for one year on what a middle-class citizen grosses. Personally, I think that they would cave within the first week, but it would sure give them a better understanding of what our country needs. Please don't take this wrong. I think that it should be true for all political parties. Our country is in trouble and we need people in control who understand how the real world lives.
    Hi Chase
    Is it really so black and white? The US actually sends less aid than many other countires far poorer than we are to countries in distress. I don't remember specifics, but I have read examples like for the Tsunami... Hopefully someone can tell me I am full of crap, and I will take back this thought. :trout:

    It's a matter of not behaving as isolationists, and the fact is aid overseas is a necessity for world stability. We don't have a true social network in this country because we don't want to be labeled as socialists. We do better than some, worse than others. Human disease, suffering, mental illness are difficult problems that aren't always solved by just throwing gobs of money at it....sometimes it's in the attitude of the people towards others too.

    Many times there are complicated issues involved, such as drug addiction and substance abuse. Additionally, as a country, if we want a strong social network that makes a civilized socieity, we have to stop ******** about taxes . Yes, it involves more than just $$$, but can't have something for nothing.

    Many politicians don't make a salary near what an executive in the private sector makes, and they have far more responsibility often times (for ex. the president makes, what, $250,000 per year with benefits?).

    Who really likes paying taxes? On the flip side, who likes homeless drug addicts sleeping on their streets with who knows what disease? In this country, we have a "sink or swim" attitude. Unfortunately, there are just going to be people who cannot swim for whatever reasons. Do we feed them to the sharks?

    JMHO of course
  10. by   pyrolady
    Our facility had a resident who came in for c-diff. It was resolved and the social worker made discharge plans for an ALF for him (he was homeless on admit). He decided he wasn't going to stay there. You guessed it - still at our facility using it as his "home base....". This past week he decided he could now go out (without signing out of course), down the street and buy alcohol 10 am), go to the restaurant next door and hassle them, etc. Police called of course and he ended up back with us (he was sooooooooo nice when they showed up - couldn't Baker Act). This happened x3 this week. We FINALLY discharged the person to a shelter - sent via taxi - today. He chooses to live on the streets - we set him up with an ALF that he turned down, figured he'd live with us I guess... We wish him well, not everyone is as fortunate as some of us are in life. However, I can't turn my SNF into the local shelter either. I sure wish we had more solid places for the people of society who fall through the cracks....but I guess people make choices in life. His is to drink and "do as (he) #@** well pleases - mine is to find a safe place for him to go to. What he does after that I can't control.

close