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COBRA was not a complete solution, and in the years after its passage, hospitals struggled with creating appropriate discharge protocols and the cost of providing health care for homeless patients. [14] Statistically, Texas and Illinois had the highest rates of patient dumping because of economic difficulties. [5]
Hospitals cannot discharge a patient prior to stabilization if the patient's insurance is canceled or if the patient otherwise discontinues payment during the course of stay. If the hospital does not have the capability to treat the condition, the hospital must make an "appropriate" transfer of the patient to another hospital with such capability.
The surge has also caused hospitals to discharge some patients earlier than normal, while others were forced to deny care due to lack of capacity. The Delta variant changed the dynamic in the U.S., as few hospitals expected another surge in the summer of 2021 after one the previous winter.
New York hospitals on Monday began firing or suspending healthcare workers for defying a state order to get the COVID-19 vaccine, and resulting staff shortages prompted some hospitals to postpone ...
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Some hospitals also refused to see pregnant women when they did not have an established relationship with physicians on staff. If the court nullifies or weakens those protections, it could result ...
Complete Refusal: The patient refuses to be evaluated by EMS entirely. Evaluation with Refusal: The patient allows EMS to perform an evaluation, including vital signs and an assessment, before refusing further care or transport. Partial Refusal: The patient consents to some aspects of care but refuses specific actions, such as C-spine precautions.
Right to safety and quality care according to standards: Hospitals must ensure a hygienic and sanitized environment to provide their services. Right to choose alternative treatment options if available: Patients have the right to consider treatment alternatives and even refuse treatment.