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End-Stage Renal Disease: Better Treatment at Lower Cost

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National Institute of Arthritis, Metabolism, and Digestive Diseases, National Institutes of Health; Bethesda, Maryland

Ann Intern Med. 1978;88(4):567-568. doi:10.7326/0003-4819-88-4-567
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In Chinese folklore he who saves another person's life is responsible for him for the rest of his existence. Ever since the enactment of Public Law 92-603 in 1972 the Federal Government might be regarded as being in the same position as the proverbial Chinese good Samaritan who becomes the moral prisoner of his altruistic deed. In the United States each year approximately 52 000 patients approach terminal renal failure. The only alternative to their death is treatment by maintenance dialysis or renal transplantation. Maintenance dialysis must be continued for the rest of the life of the patient; it has


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