Revolving Door Admissions and the Future of Healthcare

Treating symptoms without addressing the root causes seems to be an affliction of modern society. Here, take another aspirin if you still have a headache. But why do we have a headache in the first place? Not enough caffeine in my case probably, but that’s not necessarily a universal issue.

One area where this avoidance of the real issue really stands out is healthcare for the homeless. Or indeed in America, healthcare for any uninsured. It’s been referred to as “revolving door admissions.” Patients coming into the hospital, often the ER if they’re unable to afford primary care, having their symptoms treated, and then being discharged, only to return to the same dire situation they were in before. With nothing resolved, eventually they end up right back in the hospital.


What is needed is a support network to actually address their problems. If poor health is a result of homelessness and malnutrition, then those are the issues that should be addressed. There should be a way to transfer the bill footed by the public for emergency room visits by the uninsured, and instead transfer it to preventative care, keeping people out of the hospital in the first place.

In the United Kingdom, the government is giving £10 million, about $15 million, to charities that work with the homeless after their discharge from the hospital. The idea being to address their health and housing needs outside of the hospital, and so break them from the cycle of endless re-admission for the same maladies. In a way it’s empowerment: giving a person the means to take care of themselves, rather than simply patching them up and shuffling them along.

It will be interesting to see how much can be accomplished with the funding. But it is at least a positive to see the foresight, and to see organizations focused on solving the root causes of homelessness, rather than just temporarily alleviating the strain.


David Wilson graduated from the University of Texas in 2006. Since then he has gone wherever the wind blows him, living in Europe, China, and the States, and traveling extensively throughout the rest of the world. When he’s not on the move, you can find him obsessing over latte art, playing piano, or trying to bleach his hair in the sunshine. Follow him on Twitter.