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okay why dont we take a minute and just look up alcoholic hepatitis oh my god not again its mr. Smith hes trying to leave the hospital again lets go talk to him hey mr. Smith nurse paged me said you wanted to leave the hospital yeah Im done I gotta go I know its hard to be in the hospital but we really need you to stay and receive treatment Thanks I cant stay here anymore all right I mean if you want to leave the hospital I cant stop you I just need you to sign this form on this form by signing it youre saying that you understand you could possibly get sick and maybe even die do you understand yeah I get it I gotta go you know Ive heard sometimes patients have to pay the bill if they leave against medical advice youre probably familiar with the scene you just witnessed approximately 500,000 patients a year leave the hospital against medical advice studies have shown that over half of these patients are male predominantly african-american and government-insured these patients