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Previous Volume 329:139-141 July 8, 1993 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Iglehart's review of the End Stage Renal Disease Program (Feb. 4 issue)¹ discusses the distressingly high cost of providing diagnosis-specific high-technology care to a small segment of the U.S. population. Iglehart states that the dramatic increase in the number of elderly patients receiving maintenance dialysis can be directly traced to the criteria nephrologists use to select patients for treatment. Our own experience is different. Both of us have spent many hours attempting to persuade the families of terminally ill, elderly, or demented patients that the extension of life through the use of dialysis promises the prolongation of . . . [Full Text of this Article]

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