Homelessness Law Blog

This week the Los Angeles Times published an article discussing the settlements of several hospitals that have dumped homeless patients at shelters or on the streets without following proper discharge procedures.  Other news articles in the past have explored the same topic, describing, for instance, how a homeless woman was once discharged to Los Angeles’ Skid Row with nothing but a hospital gown and slippers on.

Even under ordinary discharge situations, homeless individuals face a larger set of obstacles in post-hospital recovery than non-homeless individuals.  Homeless people are more likely to face difficulty in obtaining adequate food and rest, and in finding shelter in sanitary and unexposed environments.  These factors make it difficult for homeless individuals to maintain good health under average circumstances, even more so under improper discharge situations.

Several of the patient dumping situations cited in the article have led to costly settlements for hospital groups, such as $125,000 in penalties and charitable contributions paid by Centinela Freeman Holdings, and $1.6 million paid by College Hospital.  Settlements like these may lead hospital groups to think twice before engaging in improper discharge procedures, and could potentially help protect the interests of homeless individuals in the future.

In the long run however, punishing hospitals for homeless patient dumping will not address the underlying factors that create the problem.  Our nation was founded on the concept that all human beings are born equal and deserving of the same right to basic human dignity, yet these practices show how far we have strayed from that ideal. Our nation will need to confront the formidable healthcare and housing barriers that low-income and homeless individuals face daily before we will truly see the situation improve.

Articles such as Malcolm Gladwell’s “Million-Dollar Murray” show how costly it can be not to provide adequate housing and healthcare for homeless individuals.  Certainly, it is in our best interest economically to help homeless individuals attain a higher level of security and health. But equally as important, no human being deserves to be treated like trash, and we all need to take responsibility to re-humanize homeless persons so incidents like these never happen again.

-Stefani Cox, Bill Emerson National Hunger Fellow

Photo credit: Jose Gulao

My father immigrated to this country as a refugee following World War II, believing, as many did, and continue to do, that the awful conditions he experienced in refugee camps would be left behind in the Old World. The poem on the Statue of Liberty that welcomed my father and countless others to the U.S. reads, “Give me your poor, your huddled masses yearning to breathe free… Send these, the homeless, tempest-tost to me, I lift my lamp beside the golden door.”

In last week’s posting, I talked about another international visitor to our shores, the UN Independent Expert on the Human Right to Water and Sanitation, Ms. Catarina de Albuquerque, who was conducting a mission to the U.S., and going to visit a tent city in Sacramento, CA. The testimony she heard there, put together by our partners at Legal Services of Northern California and Safe Ground was compelling, and the Independent Expert was moved to strong words in discussing it in her preliminary report, issued on Friday:

As a part of the mission, I examined the situation of the homeless with regard to access to water and sanitation. Up to 3.5 million people experience homelessness in the United States every year. In some U.S. cities, homelessness is being increasingly criminalized. Local statutes prohibiting public urination and defecation, while facially constitutional are often discriminatory in their effects. Such discrimination often occurs because such statutes are enforced against homeless individuals, who often have no access to public restrooms and are given no alternatives.

In Sacramento, California I visited a community of homeless people. I met Tim, who called himself the “sanitation technician” for this community. He engineered a sanitation system that consists of a seat with a two-layered plastic bag underneath. Every week Tim collects the bags full of human waste, which vary in weight between 130 to 230 pounds, and hauls them on his bicycle a few miles to a local public restroom. Once a toilet becomes available, he empties the bags’ contents; packs the plastic bags with leftover residue inside a third plastic bag; ties it securely and disposes of them in the garbage; and then he sanitizes his hands with water and lemon. Tim has said that even though this job is difficult, he does it for the community, especially the women. The fact that Tim is left to do this is unacceptable, an affront to human dignity and a violation of human rights that may amount to cruel, inhuman or degrading treatment. An immediate, interim solution is to ensure access to restrooms facilities in public places, including during the night.

That these conditions persist in 2011, right here in our backyard, in camps like those visited by the Independent Expert, belies our ideal of an America lying beyond that “golden door” and should shame us. Our governments not only condone the existence of these conditions but, rather than doing something constructive to alleviate the problem, criminalize those who have no choice but to live with their dignity impaired. This should move every American to demand better.

-Eric Tars, Human Rights Program Director

Photo credit: Ludovic Bertron

For the past month, a spirit of revolution has gained force both abroad and at home.  Days after mounting popular protests culminated in the disintegration of authoritarian rule in the Middle East, a parallel uprising has emerged on our own shores, translating once distant demands for democracy and economic opportunity into a familiar tongue.  In Wisconsin, Ohio, and Indiana, thousands of workers continue to rally in defense of the very protections that their parents and grandparents wrested from their own employers during similarly shaky economic times almost a century ago.

Historic times demand historic measures.  As Martin Luther King, Jr. cautioned, “one of the great liabilities of life is that all too many people find themselves living amid a great period of social change, and yet they fail to develop the new attitudes, the new mental responses, that the new situation demands.”  Like Rip Van Winkle, “they end up sleeping through a revolution.”

While King issued this admonition over thirty years ago, his words reverberate with renewed urgency today.  Like FDR before him, he understood that even at moments of crisis, such long-cherished guarantees as free speech, free worship, and freedom from political tyranny are meaningless in the absence of economic security.  “If a man doesn’t have a job or an income,” King noted, “he has neither life nor liberty nor the possibility for the pursuit of happiness. He merely exists.”

Amid growing state efforts to weaken employment protections, this vision of interlocking civil and economic rights is more relevant than ever.  If true liberty lies in freedom from want, then economic security can be no more negotiable than free speech or free worship, a concept embedded in the human rights principle of “progressive realization.”  In other words, once we’ve advanced along the path of economic justice, we can’t retreat in the face of an altered political landscape, however rocky it may be.

A hundred years ago, another gilded age came to an abrupt end as rich and poor together foundered on a vessel that symbolized the growing gulf between them.  As the winds of political and economic change continue to batter the employed and unemployed alike, policymakers can either doze at the helm of a similarly troubled ship or plunge into rough waters to stem the tide for those at greatest risk.  If history fails to guide them, perhaps the fictional fate of Rip Van Winkle will succeed.

- Rachel Natelson, Staff Attorney