Nephrologists in the United States face a very uncertain economic future. The astronomical federal debt and unfunded liability burden ofMedicare combined with the aging populationwill place unprecedented strain on the health care sector. To address these fundamental problems, it is conceivable that the federal government will ultimately institute rationing and other budget-cuttingmeasures to rein in costs of ESRD care, which is generously funded relative to other chronic illnesses. Therefore, nephrologists should expect implementation of cost-cutting measures, such age-based rationing, mandated delayed dialysis and home therapies, compensated organ donation, and a shift in research priorities from the dialysis to the predialysis patient population. Nephrologists also need to recognize that these changes, which are geared toward the population level, may make it more difficult to advocate effectively for the needs of individual patients.
|Original language||English (US)|
|Number of pages||6|
|Journal||Clinical Journal of the American Society of Nephrology|
|State||Published - Jul 1 2013|
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine