Amelia and Kirk have a broad-ranging discussion with Adira Hulkower, the Director of Clinical Ethics at the Montefiore Einstein Center for Bioethics in the Bronx. She shares her experiences as a clinical ethics consultant applying the concept of Dignity of Risk to better understand the ethical implications of discharge planning for patients experiencing homelessness. They discuss healthcare institutional responsibilities related to social determinants of health broadly as well as to individual patients. The importance of intersectionality and patient narratives are explored.