Of Kidney Dialysis and Analysis Paralysis


Aug 10, 2019 · 6 min read
A long, long time ago one of our amazing team members here at Homemaide was hired to work as a consultant at Fresenius Medical on the Wasatch Front.

A lot of her job included analyzing, reviewing, and updating the business processes followed in the QA/QC Dialyzer lab. Most of the work completed in that lab consisted of testing dialysis filters.

It was incredible, the sheer amount of dialysis filters — the parts of the machine that perform the functions that human kidney’s usually perform — that were processed through the lab in one 24-hour period.

Since my uncle is suffering from kidney dialysis, this one hits a little too close to home.

Then, earlier this week, President Trump issued:

Executive Order on Advancing American Kidney Health


Time.com had this to say the topic:

“President Donald Trump on Wednesday signed an executive order aimed at streamlining the overburdened kidney care and transplantation system — a move meant to “bring new hope to millions of Americans suffering from kidney disease,” Trump said.

The policy is intended to improve kidney care in three major ways: by emphasizing more effective and convenient treatments; making more kidneys available for transplant; and improving preventive care and education with the goal of reducing the number of people who develop end-stage renal disease by 25% by 2030.

Kidney disease tends not to attract as much attention as other chronic conditions, such as heart disease and cancer. But though it flies mostly under the radar, kidney disease is the ninth most common cause of death in the U.S., according to the Centers for Disease Control and Prevention (CDC). About 37 million American adults have the condition, the CDC says, and more than 100,000 Americans — a disproportionate number of them African American — are waiting for a kidney transplant, according to the National Kidney Foundation. Many people at some stage of kidney disease do not know they have it, the CDC says.

Eliminating that information gap is a key part of the Trump Administration’s initiative. The new plan calls for the Department of Health and Human Services to launch a public awareness campaign about chronic kidney disease, and for the CDC to improve kidney disease tracking and detection nationwide. These initiatives — along with a change in Medicare provider payment models that would prioritize education and preventive care from doctors — are designed to help slow the rate at which Americans develop renal disease in the first place.

But the policy also includes a number of measures meant to improve care and quality of life for patients who have already been diagnosed, namely through updates to Medicare and Medicaid payment models. Payment model adjustments under Trump’s policy promote more widespread use of in-home dialysis, which is more convenient for patients. More than 500,000 patients were on dialysis in 2016, the National Kidney Foundation says, and many of them spend around 12 hours a week in dialysis centers, the Centers for Medicare and Medicaid Services (CMS) says. The current system is both burdensome to patients, and costly for the health care system as a whole.”

Time.com continues: The executive order also includes a proposal that would ease financial challenges for living kidney donors. While donors do not typically pay for their operations, they are often responsible for expenses like travel, lost wages and child care incurred as a result of the donation process — making it unattractive or impossible for many people, especially lower-income individuals, to donate. Trump’s order would cover many of these costs, which could increase participation by living donors and cut down on the number of people on the transplant waiting list.”

“In recent years, more kidney donors have been deceased than alive, according to the National Kidney Foundation. Here, too, Trump’s order seeks to improve the process, by streamlining an arcane organ procurement system that research shows allows a large percentage of usable organs to go to waste each year. Trump’s kidney program will more clearly define the standards that organ procurement organizations use to determine whether an organ is viable, with the goal of increasing organ recovery and closing geographic disparities in procurement rates.

Finally, the initiative looks toward the future by encouraging research into advancements like artificial kidneys, as well as better kidney disease treatments and prevention plans.”

Write to Jamie Ducharme at jamie.ducharme@time.com.

The Washington Post said Medicare alone spends $34 Billion per year on kidney dialysis treatment. That is a huge amount, even compared to the total amount Medicare reimburses physicians for, annually.

Where another awesome Maide here at Homemaide used to work — they had a Dunkin’ Donuts cafe on the 3rd floor and if you’ve ever flown around New England and not known what to buy — or had to hurry to catch your flight, or had to guess the length or your layover or been stuck due to snow, ice, hail, hell, please — take my advice and goto Dunkin’ Donuts. Their Wake Up Wraps have been an incredible lifesaver to our team here, a transformative entity that changes long layovers to delicious delicatessens, a appetite satisfier amongst over-priced airport vendors, a god among men and women if you will.

Sadly, the building that held the Dunkin’ Donuts on the third floor lost that tenant when they tried to raise the rent. Ergh is an understatement.


HOMEMAIDE helps you sell your style and buy the things that make you smile, seamlessly.

Any food item (like waffle french fries, or curly fries, or waffle fries, or sweet potato fries or pies) or dialysis piece of equipment or any “Get Well Soon” type of card for someone recently diagnosed with kidney problems or other maladies or injuries, or ANY other type of item you pass while you’re travelling and take a picture of, any fun detour or side attraction you stop at while on a road trip, any delicious french fries — all you have to do is upload a picture or paused video screenshot of that to your existing social media sites and Homemaide will send you a commission for every purchase your friends make.

AND — they don’t have to buy an Dunkin’ Donuts franchise or a hospital or medical school tuition for you to earn a commission (if they did buy any of those items, you would earn a commission from that as well — and that would be HUGE!). If they rented the cheapest economy car with the basic package, for one day only, you’d still earn a commission off that. If they bought one kids meal or one order of small waffle fries at Dunkin’ Donuts — or the item that was in your picture, video, or voice-automated update (like a rental car, Airbnb lodging, hotel stay, Lyft, Uber, Via trip) — they can purchase that (even an e-giftcard) and ship that to a family member, relative, friend. And after that purchase, yes, you’ll still earn a commission from that purchase.

If they bought stock in the Dunkin’ Donuts franchise, or grocery store sweet potato fries — YOU’d earn a commission off of that purchase. If they bought any item from the pictures you uploaded, you’d earn money. That’s the magic of Homemaide.

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