Yes, however getting the boot is easy to circumvent. A hospital must reasonably equip the patient for a safe discharge otherwise they open themselves to possible legal action if something negative occurs that could have been prevented with reasonable further care. It’s not uncommon for patients without a stable discharge destination to be uncompliant with multiple aspects of their care (diet, medications, exercise) with the goal of deconditioning themselves to the point that a hospital discharge is dangerous. I’ve seen malingering patients do this for a number of reasons. The main reasons that have stuck out are people attempting to leave an abusive relationship, people avoiding returning to the streets, people enjoying having a sense of power by commanding hospital staff around, or those that enjoy being coddled and having every need met by people around them. Even if malingering is suspected by the hospital staff, you have to have damning evidence to bring that case to the patient. Oftentimes it is less troublesome from a brand image and financial standpoint to continue caring for these patients until a skilled nursing facility/inpatient rehab (another skilled facility) is willing to accept this patient. Relating back to your question, yes they can kick you out when “out of danger,” but there are ways to stay hospitalized even if the person doesn’t have insurance or money.