To Whom It May Concern, Like many patients with End Stage Renal Disease (ESRD) – or kidney failure – my diagnosis came as a shock. About a decade ago, I went to my doctor feeling ill. I discovered that my kidneys were failing and I had to get on dialysis, the costly but life-saving treatment which replaces my kidney function. I have been on dialysis ever since. My healthcare journey has been difficult, and many ESRD patients like me deal with financial challenges as a result of the diagnosis, too. I did not have health insurance upon beginning dialysis, so I enrolled in Medicare, which onl ..read more

My husband Raymond and I met on a blind date. Three months later, his kidney unexpectedly failed, and I have walked alongside him on his patient journey ever since. My husband’s life depends on dialysis, the treatment that does what his kidney can’t do. Unfortunately, we confronted problems with our dialysis center that reflect larger trends caused by insufficient reimbursements from the Center for Medicare and Medicaid Services (CMS). Our nation is confronting a demographic crisis, with fewer working-aged people and more patients, which is why we are seeing worsening shortages of health c ..read more

In the United States, dialysis treatment should be affordable. Unfortunately, inadequate coverage for dialysis often plunges patients into debt. Dialysis should not bankrupt you. In our system, Americans on dialysis almost always wind up using Medicare. Since Medicare only covers 80% of the bill, patients must figure out how to cover the remainder. I was on dialysis for 10 years, and I received a kidney transplant in 2018. I was forced to stop working when I began dialysis, but my mother’s private insurance covered my bill. Private insurance helped me immensely; however, a recent Supreme C ..read more

I have chronic kidney disease. Thankfully, my kidneys are still functioning, but they are at risk of failure any time. I became a dialysis patient advocate because I may eventually have to withstand the difficulties that come with dialysis in America. I am fighting for my future and for the future of all dialysis patients in America. I am concerned with a recent Supreme Court decision that allows private insurers to essentially push new dialysis patients off of their private insurance and onto Medicare soon after beginning treatment. This puts the health and well-being of those a ..read more

As a patient with End Stage Renal Disease (ESRD), or kidney failure, I know how health care workforce shortages can affect patients. I have been on dialysis for 7 years. At the clinic where I receive dialysis – the life-saving treatment which replaces my kidney function – any staff shortage can mean the difference between a smooth treatment and chaos. America is facing a historic health care workforce crisis. Staffing challenges and high demand have led to gaps in care like longer emergency room wait times. Unfortunately, Medicare is failing to address inadequate staffing and car ..read more

We Americans with kidney failure must accept the fact that we will be in medical debt for the rest of our lives. To pay for dialysis treatment, some patients keep working and use private insurance. Others live in states that supplement the other 20%. For me, although I have my husband’s private insurance, we still owe thousands of dollars out-of-pocket. I was a single mom when I started dialysis ten years ago, and money has always been tight. I have not been able to pay much more than the minimum payments on my medical debt. For patients just beginning dialysis, the financial burden can be ..read more

DPC is pleased to announce that the State of Indiana has passed into law SB 215, which provides three affordable Medicare supplemental plans (also known as Medigap) to Medicare enrollees under the age of 65 – including to patients with End Stage Renal Disease (ESRD). Senator Kyle Walker (R-IN-31) championed SB 215 in the Indiana Senate. Representative David Abbott (R-IN-18), a kidney transplant recipient himself, championed a companion bill in the Indiana House of Representatives. Governor Eric J. Holcomb (R-IN) signed SB 215 into state law on March 11, 2024. We want to recognize DPC Patient A ..read more

Kidney failure changed the course of my life. I began dialysis, the exhausting treatment kidney failure patients need to survive, three months pregnant with my son. I received a kidney transplant, which ultimately failed, and I have been on dialysis for a total of nine-and-a-half years. It’s been an arduous journey. Dialysis costs upwards of $100,000 per year, so most patients rely on some combination of Medicare, Medicaid, private insurance and charity. I began dialysis as a young adult, so I needed Medicaid immediately, but many others begin with employer-provided private insurance. As ..read more

This op-ed was written by Jackson Williams, DPC Vice President of Public Policy, and originally published on AMJC’s website: www.ajmc.com/view/contributor-the-trouble-with-bundles. Payment bundling is a technique aimed at increasing efficiency and reducing low-value care during a treatment episode.In recent years, it has expanded from prospective payment systems (PPS) centered upon a discrete treatment to encompass broader episodes of care surrounding such treatments. For the most part, policymakers and patient advocates have viewed these bundles as a benign form of cost containment. But a spa ..read more

WASHINGTON, D.C. (March 14, 2024) – Dialysis Patient Citizens (DPC), the leading advocacy organization for dialysis patients nationwide, today released the following statement applauding the passage and enactment of SB 215 in Indiana. The law offers three affordable Medicare supplemental plans (also known as Medigap) to Medicare enrollees under the age of 65 – including to patients with End Stage Renal Disease (ESRD). “We are grateful to see Indiana do right by dialysis patients and provide the patient choice and healthcare coverage that all Hossiers deserve,” said DPC Board President Andrew ..read more