ABSTRACT

This chapter explains that under the impetus of the traditional humane ethic of medicine and a modern technological imperative ‘to do everything possible’, the health care system and government of contemporary societies attempt to provide renal dialysis to all patients who need it. It deals with dialysis only and focuses upon recent changes in health policy in the United States regarding renal dialysis. The rehabilitation gains for the patient and his family from self-management of treatment might even be increased by financial compensation for their effort. There is less paper work, and the rate of effective compensation is quite substantial in relation to the amount of time spent. The chapter looks into the background of the federal legislation in the United States for end-stage renal disease and examined its effect in terms of greatly broadening the opportunity for renal failure patients to receive maintenance treatment.