A recent, though smaller than deserved, furor erupted in the US over a video of a non-white female patient being dropped off via wheelchair at a bus stop by hospital personnel during freezing temperatures wearing only a hospital gown (you can read more here and here). It was recorded by a mental health professional whose office in Baltimore, Maryland, was across the street and was stunned to see the disoriented woman left alone to fend for herself.

This is part of an old practice known as “patient dumping.” This term dates back at least to a New York Times article from the 1870’s (yes, 1870’s, not 1970’s) which described a practice of hospitals transporting patients by horse-drawn ambulance to Bellevue Hospital, the city’s primary public hospital at the time. These were patients who could not pay for private hospitals or were unprofitably sick (for more on this practice, see Emily Abel’s 2010 article covering patient dumping in New York City from 1877-1917). Such practices have long been a problem in Los Angeles, for a complex array of reasons, and have been documented in other states including Alabama and Nevada.
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Do other nations also experience patient dumping? What factors contribute to patient dumping?  Is patient dumping ever ethically acceptable? If not, how does the system need to change to make it easy to provide care? What can you contribute to the discussion?