Affordable Access

Publisher Website

How end-stage renal disease (ESRD)-Medicare developed

Authors
Journal
American Journal of Kidney Diseases
0272-6386
Publisher
Elsevier
Publication Date
Volume
35
Issue
4
Identifiers
DOI: 10.1016/s0272-6386(00)70229-0
Disciplines
  • Chemistry
  • Law
  • Medicine
  • Political Science

Abstract

Abstract Uremia is a chemical, toxic, potentially fatal condition. In a variable pattern, uremia ultimately kills almost every cell in the body. Uremia is produced by hundreds of diseases, both kidney and systemic (eg, diabetes). These kinds of uremic conditions range from the acute and catastrophic to the slowly and moderately progressive. Humans and medicine have struggled at least since Hippocrates to understand, prevent and treat uremia and thereby prolong the useful lives of the young and the aging. Accelerated by the spectacle of premature uremic deaths from crush syndrome, shock, and forms of nephritis during major wars and disasters, medicine fused clinical and basic science with industrial technology and came up with two effective treatments. Dialysis in several modes and kidney transplantation became feasible but proved complex and expensive. How people, struggling to survive, were able to use a representative form of government to treat all kidney patients, forms a human story: A “people” story. Since it culminated within a single medical generation, it is possible to tell the story as a participant and eye-witness. This is how the medical, social and national organization of substitution therapy for uremia evolved. Since it is legislatively called end-stage renal disease, we titled the entitlement, “How ESRD-Medicare Developed.”

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

How end-stage renal disease (ESRD)-medicare develo...

on American journal of kidney dis... April 2000

[Anemia of end-stage renal disease (ESRD)].

on Ryōikibetsu shōkōgun shirī... 1997

Anemia of end-stage renal disease (ESRD).

on Kidney International July 1985
More articles like this..