Comment by hermanzegerman
20 hours ago
If your dialysis clinics have the worst outcomes in the industrialised world, it should make you go hmmm.
And usually it's not a problem, of "Throwing more money at it", but lack of regulations and enforcing them.
That said, Physician Owned Clinics have better outcomes, there is no reason why that shouldn't be the standard model of operating them. Usually they have more moral scruples about worsening care for profit.
Also there is naturally more competition, if there are multiple small operators instead of only Fresenius Nephrocare or DaVita
https://www.cbsnews.com/texas/news/death-rates-at-u-s-dialys...
CBS say this then don't publish the data!
The data [https://www.transonic.com/renal-disease-in-us] says that kidney transplants for dialysis patients happen LESS frequently in the USA than in Europe, yet the survival rate is very close - 39% USA vs 41% Europe. This implies that dialysis in the USA is very close or _better_ quality than in Europe - as there is a large difference in transplant rates but only a small difference in survival rates.
Maybe the above data is wrong, but CBS don't seem to provide any better data
Your own link says
Survival rates for ESRD are higher in Europe than the U.S. This could be explained by the inferiority of national standards of care, a higher prevalence of patients with diabetes and differences in practice patterns.
Let's look at actual journals
For those with ESKD onset from 2004 to 2008, unadjusted 5-year survival of all patients with ESKD (treated with dialysis or transplantation) was 41% in the USA, 48% in Europe, and 60% in Japan, despite patients being 2–3 years older on average in Europe and Japan than in the USA, and Japan having very few transplant patients.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
The US had a much higher KRT incidence, prevalence, and mortality compared to Europe, and despite a higher kidney transplantation rate, a lower proportion of prevalent patients with a functioning graft.
https://pubmed.ncbi.nlm.nih.gov/38439701/
This does seem like a direct contradiction to me, but it’s also 2 decades old
The dialysis clinics are bad and make all the money because it’s Medicare fraud dude. Well meaning morons say “whatever people need we should pay for them” not thinking for a second that some unscrupulous fuck is the one getting the money.