nickqt
Diamond Member
- Jan 15, 2015
- 7,516
- 7,577
- 136
The first thing that needs to be done is separating out hospitals that are public, and hospitals that are private.
Private hospitals aren't even going to see patients who do not have insurance/money.
Public hospitals will see anyone. That said, once the patient is medically cleared, they have to go somewhere. Whether it's discharge from the ED or from inpatient, care coordination can be called to try to help find the person somewhere to go other than the streets. But, it often requires the patient to seek it out, because ultimately if we hand you discharge papers and you walk out the front door, that's it, you got seen.
If care coordination gets involved early because the patient can't take care of themselves and/or they ask for it, care coordination is looking for placement anywhere. The problem becomes if the patient has a history of violence or breaking rules ...if every shelter/halfway house says no, then they can't be placed at those places. And ultimately, an inpatient room isn't a hotel.
For any of y'all who aren't in the healthcare field, what isn't going to be said very often is that there are plenty of patients who sit in an ED room or an inpatient room for days-to-weeks past when they no longer need to be in that room taking up hospital resources. There are 30 people sitting in the ED waiting room who actually need an ED or inpatient room, and it has become a defacto hotel room for someone because our society is structurally fractured because of the very blueprint our society has been built in accordance to. There's no good options for a lot of these hospitals, not that I'm defending it.
Second, this is a symptom of a lack of a healthcare "system" in the United States. There are not enough healthcare facility rooms (long term acute care, skilled nursing facility, hospice, etc) or staff to take care of all of the people who need care outside of the hospital. You can point to the hospital, but to be clear, the hospital is just the easiest place to point to. The absence of a healthcare system can't have a camera pointed at it, or "reporters" sent to ask it questions. Sure, specific politicians can be blamed, but that shit don't play on the local news, and the mainstream media isn't designed to solve problems, it's designed to attract eyeballs so that dick pill manufacturers and reverse-mortgage scammers can make money off of scared old people.
There is a very obvious solution for almost all of the problems that exist, but 40% of the population is mentally masturbating to the death of their fellow citizens who they believe shouldn't be considered their fellow citizens, so don't hold your breath. In fact, very few things are going to get any better than they were 2 decades ago, since human civilization is currently in collapse, but I digress.
NB: I am not a hospital administrator and I don't defend their decisions to "dump" patients. That said, until there is legislation that provides a hard and fast option for hospitals to discharge patients who no longer need a hospital, getting pissed at hospital administrators trying to support hospital staff by discharging medically cleared people is just an easy outlet for people to get outraged while demanding nothing of society to address the underlying problem.
Private hospitals aren't even going to see patients who do not have insurance/money.
Public hospitals will see anyone. That said, once the patient is medically cleared, they have to go somewhere. Whether it's discharge from the ED or from inpatient, care coordination can be called to try to help find the person somewhere to go other than the streets. But, it often requires the patient to seek it out, because ultimately if we hand you discharge papers and you walk out the front door, that's it, you got seen.
If care coordination gets involved early because the patient can't take care of themselves and/or they ask for it, care coordination is looking for placement anywhere. The problem becomes if the patient has a history of violence or breaking rules ...if every shelter/halfway house says no, then they can't be placed at those places. And ultimately, an inpatient room isn't a hotel.
For any of y'all who aren't in the healthcare field, what isn't going to be said very often is that there are plenty of patients who sit in an ED room or an inpatient room for days-to-weeks past when they no longer need to be in that room taking up hospital resources. There are 30 people sitting in the ED waiting room who actually need an ED or inpatient room, and it has become a defacto hotel room for someone because our society is structurally fractured because of the very blueprint our society has been built in accordance to. There's no good options for a lot of these hospitals, not that I'm defending it.
Second, this is a symptom of a lack of a healthcare "system" in the United States. There are not enough healthcare facility rooms (long term acute care, skilled nursing facility, hospice, etc) or staff to take care of all of the people who need care outside of the hospital. You can point to the hospital, but to be clear, the hospital is just the easiest place to point to. The absence of a healthcare system can't have a camera pointed at it, or "reporters" sent to ask it questions. Sure, specific politicians can be blamed, but that shit don't play on the local news, and the mainstream media isn't designed to solve problems, it's designed to attract eyeballs so that dick pill manufacturers and reverse-mortgage scammers can make money off of scared old people.
There is a very obvious solution for almost all of the problems that exist, but 40% of the population is mentally masturbating to the death of their fellow citizens who they believe shouldn't be considered their fellow citizens, so don't hold your breath. In fact, very few things are going to get any better than they were 2 decades ago, since human civilization is currently in collapse, but I digress.
NB: I am not a hospital administrator and I don't defend their decisions to "dump" patients. That said, until there is legislation that provides a hard and fast option for hospitals to discharge patients who no longer need a hospital, getting pissed at hospital administrators trying to support hospital staff by discharging medically cleared people is just an easy outlet for people to get outraged while demanding nothing of society to address the underlying problem.
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