National attention is currently focused on the organizationof medical care in the United States. Competing groups withdifferent ideas about reorganizing health care advance viewsbased on socioeconomic hypotheses and evaluations of healthcare systems in other countries. The participants in the debateabout the reorganization of U.S. health care have taken littlenotice of the experience with existing health care systems organizedby our government. The Medicare program that provides treatmentfor patients with end-stage renal disease (ESRD) is 20 yearsold; recently, it has been the subject of extensive review andanalysis1. Over the past 20 . . . [Full Text of this Article]
The Medicare End Stage Renal Disease Program
Cost
Equity, Access, and Rationing
Lessons of the End Stage Renal Disease Program
Source Information
From the Department of Medicine, Boston University Medical Center, Boston City Hospital, and University Hospital, Boston.
Address reprint requests to Dr. Levinsky at the Department of Medicine, Boston University Medical Center, 88 E. Newton St., Boston, MA 02118.
References
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