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McCarty's proposal for homeless patients fails to advance

by Kathleen Haley, published on January 7, 2010 at 9:28 PM

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A proposal to crack down on hospitals if they leave homeless and unstable patients at various sites failed to advance to the City Council Thursday.

City Councilman Kevin McCarty proposed an ordinance that would have required health care facilities to get written permission from patients before transporting them to sites other than their homes.

If the proposal was passed into law by the City Council, health care facilities that did not comply with the ordinance would face a misdemeanor charge.

But the city’s law and legislation committee, which studies proposed ordinances, decided not to move the proposal to the City Council. Councilmembers Sandy Sheedy, Steve Cohn, Lauren Hammond and Robbie Waters sit on the committee.

Sheedy and Hammond said the proposal was not based on facts.

“There are no facts,” Sheedy said. “There are no substantiations. There’s nothing.”

Joan Burke, advocacy director of Loaves & Fishes, acknowledged that no facts had been gathered about hospitals that transport fragile patients to Sacramento sites and leave them.

“There is no data on this,” she said.

However, Burke, who supported the proposal, said there was anecdotal evidence that hospitals arrange for patients to be left at Loaves & Fishes. The group’s night watchman says that this occurs about once per month, she said.

Instead of delivering the proposal to the City Council, the committee decided to send the issue to a group that addresses homelessness issues. The committee to examine the issue will likely be the Sacramento Policy Board to End Homelessness, according to assistant city manager Cassandra Jennings and Cohn.

Three cases of hospitals arranging to transport fragile patients to various sites last year have been reported by The Sacramento Bee.

A suicidal and brain-damaged man arrived at Loaves and Fishes May 23 after leaving a hospital in South Sacramento, according to the Bee. The man, Jason Adams, was taken to the non-profit’s center in a taxi cab ride that was arranged by Kaiser Permanente Medical Center, South Sacramento, according to the Bee’s May 30 and June 6 articles. Loaves & Fishes was closed when Adams arrived, the Bee reported.

The hospital admitted it was at fault, according to the Bee.

The Bee reported two other cases last year in which hospitals from outside the city left patients at Loaves and Fishes.

McCarty, who refers to the practice as “patient dumping,” said he still thinks it’s an important issue.

“I think it’s happened here enough that we should stand up and have a rule in place that says we will not accept this type of behavior,” he said.

Photo by Anthony Bento.

Kathleen Haley is a staff reporter for The Sacramento Press.

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January 7, 2010 | 10:42 PM
This issue is not isloated to Sacramento and happens across the US and California. Of course there aren't going to be statistics, what hospital would keep those kinds of records?

I applaud Councilmen McCarty for taking on this difficult issue. We really see who the true progressive Democrat is on the council and in the AD 9 race.
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January 9, 2010 | 9:15 AM
AMEN! This is an anecdotally well known issue documented in Michael Moore's SICKO, whether a 'study' exists that documents a routinization of this practice or not.

Do we need a 'study' to make murder illegal??? I think not.

Nor do we need a 'study' to condemn this practice in our community. Shame on Members Hammond and Sheedy for blockading this very humane and sensible proposal by Member McCarty...
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January 8, 2010 | 9:17 AM
Okay, there are no "facts", but there is "anecdotal evidence". Let's examine those....

Of the 3 cases, one originated at a hospital in South Sacramento, while the other 2 were "outside the area". The South Sacramento hospital admitted it made a mistake, and presumably will not do it again.

So what exactly is the point of a city law that has no authority over the actions of hospitals outside the city limits?

I am not sure if McCarty is a douchebag or not, but he sure has a propensity for feel good but pointless legislation (see Nestle water debacle). The law & legislation committee got this one right.

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January 8, 2010 | 11:01 AM
A hospital outside of our city limits that dumps a patient within our city limits would fall under the authority of our laws. Just because you aren't located in the City doesn't mean you can break the City's laws and get away with it.

You are presuming too much. LA hospitals had numerous accusations over the years, until the culminated into a lawsuit. Each time they were caught they said they wouldn't do it again or that is was a mistake.

And lastly, the Nestle water issues was not a piece of legislation, but a questioning of how the City issued permits.

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January 8, 2010 | 10:25 AM
Thanks for bringing this story to the forefront. It is an important issue and I know "patient dumping" exists as it happened to me.
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edited on  January 8, 2010 | 9:09 PM
Joan Burke has no credibility on this issue. She's been advocating the dumping of homeless people into tents on dirty lots when they need to be placed in homes.
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January 8, 2010 | 6:03 PM
This is actually a promising sign...that the city council is finally starting to think about what they are doing before going along with the poorly drafted laws that sound good but are basically driven by a single interest group...in this as it is all too often it is Loaves and Fishes..

Now if the council would stop listening to the tiny minority that are too lazy to bag their green waste (and for those that throw up the issue of the elderly...elderly people live in snow country and somehow...perhaps by a miracle their sidewalks and driveways get cleared....that sounds a lot more daunting than a pile of leaves) and consider it honestly..we can move forward and begin to break the stranglehold these small special interest groups have had over the entire city.
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January 8, 2010 | 10:01 PM
There are vast inadequacies on a much larger scale when it comes to consumer advocacy, especially for mental health clients, in the state of California. Providing leadership and taking a stand on this sort of issue at a local level provides a base safety net for those patients who are unable to navigate the intensely complicated realm of in-patient services. These patients are sometimes indigent, uninformed, or 'fragile', which I gather means mentally or physically compromised - and may likely have nowhere else to go, thus it is viewed as "dumping" because the public infrastructure simply does not have the means to accomodate them in the interim. Social workers do not have the ability or time to address every need of every client, and inevitably there will be collateral damage; there will be patients whose needs are not met. They are the uninsured, economically challenged citizen's without friend or family. They are our responsibility as we are stewards of the sick and poor. Give them a chance to get better, and a place to call home, and they will respond. They will become productive functional members of mainstream society if they are treated like human beings that belong in our community.
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January 8, 2010 | 10:24 PM
I'm pissed that sac press wont allow commenter's to call politicians duchebags...sometimes you people are lame...
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edited on  January 9, 2010 | 1:19 AM
McCarty brought forward the proposal to challenge 2nd Amendment last month. I hope people will vote him out next term.

Who is supposed to pay for these people to be treated by physicians who spent years and thousands of dollars on education? Who pays for the advanced equipment which private investment has innovated? Should the hospitals pay? Are they a charity...and not a business? No.

All you commenters above who praised McCarty, I think YOU should drive down to the hospital with your checkbook and start paying for all the people that can't afford the miracles of modern medicine. A few hundred years ago, King Henry VIII bled out with leeches... so don't be communist whiners people!
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January 9, 2010 | 9:20 AM
And those of us who praise McCarty for his noble and progressive efforts hope you are able to endure your next visit with the 'miracles of modern medicine' as we 'communist whiners' pay your bill...
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January 9, 2010 | 12:33 PM
Right bbbbmer, I didn't say that's right either... did I?
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