President Trump is directing government to revamp the nation's care for kidney disease; aims to allow more people whose kidneys fail to have a chance at early transplants and home dialysis.
"Right now every financial incentive is toward dialysis and not toward transplantation and long-term survivorship," Health and Human Services Secretary Alex Azar, whose father experienced traditional and at-home dialysis before getting a living donor transplant, told a Senate hearing in March."And you get what you pay for."
More than 94,000 of the 113,000 people on the national organ waiting list need a kidney. Last year, there were 21,167 kidney transplants. A fraction — 6,442 — were from living donors, according to the United Network for Organ Sharing, which oversees the nation's transplant system. A bonus to kidney specialists who help prepare patients for early transplant, with steps that can begin even before they need dialysis.
Today, about 14% of patients in kidney failure get at-home dialysis or an early transplant. By 2025, the goal is to have 80% of people with newly diagnosed kidney failure getting one of those options, officials said.
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