Comforting Closure - Conversations with a Death Doula

Homeless Palliative Care: Who Gets Left Behind?

Traci Arieli

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In this episode of Comforting Closure - Conversations with a Death Doula, Traci Arieli sits down with Michael A. Light, Clinical Social Worker at Harborview Medical Center, to talk about what happens when someone is seriously ill and has nowhere to go. 

In the United States, many people assume care will be there when it’s needed. But that is not the reality for everyone. For people experiencing homelessness, serious illness often unfolds across the street, shelters, and hospital systems that are not built to support them. Many die decades earlier than the general population. 

Michael shares what this looks like in practice. What happens when someone is discharged from the hospital without a home. And why we need to bring care to people, instead of expecting them to come to the system. 

The conversation also explores how trust is built after repeated harm, how relationships become the care itself, and what it means to show up for someone in a way that honors their humanity. 

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