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Previous Volume 346:2016-2017 June 20, 2002 Number 25 Next

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By Tim McFeeley. 400 pp. Nashua, N.H., MDL Press, 2001. $27.95. ISBN 0-9716058-0-7.

Once long-term treatment of end-stage renal disease (ESRD) became an entitlement under Medicare in 1972, a disorder that had usually been fatal was magically transformed into a chronic condition, but this transformation came with the enormous logistic problem of establishing the dialysis and kidney-transplantation facilities that now keep nearly 400,000 patients alive in the United States. Between 1968 and 1989, National Medical Care, a newly formed company, established the pattern of building and managing free-standing facilities for ambulatory dialysis — a pattern that has been copied worldwide. In The Price of Access, Tim McFeeley, the former corporate counsel for National . . . [Full Text of this Article]

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