Hyman, Patient Dumping
and EMTALA: Past Imperfect/Future Shock, 8 HEALTH MATRIX 29, 32-43 (1998).
Lewis, 1999, Using Subjective Risk Adjusting to Prevent Patient Dumping
in the Health Care Industry, Journal of Economics and Management Strategy, 8(3): 351-382.
The economic pressures placed upon hospitals over the past decade increased the frequency of patient dumping
in cases falling under the no-duty rule.
Professor Smith suggests that EMTALA has been ineffective on preventing patient dumping
and that "judicial enforcement is waning.
Health horror stories about patient dumping
, "drive-through" procedures, and denial of emergency care abound in the news media.
Because of these limitations, it is likely that the extent and consequences of patient dumping
have grown over the past decade.
, transferring state clients to corporate providers, saves the state the cost of running its own institutions.
will inevitably occur as long as private hospitals do not have all the specialized departments-such as intensive care units-needed in a "fully equipped" hospital.
In Florida, patient dumping
has become so bad that the state now taxes private hospitals to help offset the costs of treating the poor.
Smaller public hospitals "subjected to patient dumping
by more powerful hospital systems" would also seem to be likely candidates for higher percentages of outlier reimbursements, she added.
General Accounting Office found that the "overall impact of EMTALA is difficult to measure, however, because there are no data on the incidence of patient dumping
before its enactment, and the only measure of current incidence--the number of confirmed violations--is imprecise.
Delgadillo has been involved in looking at health issues since 2002, when he began reviewing the practice of patient dumping
on Skid Row.