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Trump unveils sweeping goals on kidney disease

11 July 2019

The executive order Trump signed aims to improve quality and cut costs by refocusing care on prevention.

"The longer you're on dialysis, the outcomes are worse", said Dr. Amit Tevar, a transplant surgeon at the University of Pittsburgh Medical Center, who praised the administration's initiatives.

President Donald Trump signed an executive order underscoring these goals, and the USA health agency said it would test new payment structures, including one that rewards end-stage renal disease facilities and doctors who meet targets in these areas.

"Just in Medicare alone, one in $5 is spent on complications from kidney disease, yet in 50 years, nobody has really done anything to change how we care for people suffering from chronic kidney disease".

The changes won't happen overnight - some of the initiatives will require new government regulations.

"For decades, across all of American health care and kidney care in particular, the focus has been on paying for procedures rather than paying for good outcomes", Azar said on a call with reporters. "We trust that the changes in care announced today will provide solutions for individuals living with kidney disease by improving care for people with chronic kidney disease, before they need dialysis; increase access to transplantation; and increase access to home therapies", stated Johnson.

Trump, speaking to patients, advocacy groups and health officials at a Washington D.C. event at the Ronald Reagan Building and International Trade Centre, said the government effort would increase the number of available organs for transplant. "That changes today thanks to President Trump's leadership". Her kidney failure struck while she was being treated for another disease, and she woke up in the hospital attached to a dialysis machine. This visionary initiative, created to improve patient outcomes and generate significant healthcare savings, addresses the critical areas to significantly improve the lives of individuals with chronic kidney disease, kidney failure, and kidney transplants. "But what's best for patients is intervening sooner - with early diagnosis, care management to slow progression, support for home dialysis, and time to consider dialysis alternatives such as transplants or conservative care".

Home options include portable blood-cleansing machines, or what's called peritoneal dialysis that works through an abdominal tube, usually while patients are sleeping. By 2025, the goal is to have 80% of people with newly diagnosed kidney failure getting one of those options, officials said.

Since 1966, ASN has been leading the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients. In addition to new regulations that allow reimbursement of lost wages and other expenses for living donors, Congress must pass the Living Donor Protection Act to protect living donors from insurance discrimination and ensure their jobs are protected. DCI started DCI Donor Services to save and enhance lives through organ and tissue donation and transplantation. Trump said it may be possible to find 17,000 more kidneys and 11,000 other organs from deceased donors for transplant every year. Details about who pays and who qualifies still have to be worked out.

Trump unveils sweeping goals on kidney disease